Is Reticular Macular Disease a Choriocapillaris Perfusion Problem?

The etiology of reticular macular disease (RMD), a sub-phenotype of age-related macular degeneration (AMD), is controversial and has not been clarified. RMD is suspected to be a multifactorial, complex disease with genetic, environmental, and systemic factors playing an important role in its origin. Findings from combinations of different imaging modalities suggest that the pattern that characterizes this condition is associated with an alteration of the choriocapillaris blood flow. If the choroid is indeed affected in RMD, the possible linkage with inflammatory or other systemic diseases could be better supported

Enseñar fluidez lectora en el aula: de la investigación a la práctica

This paper describes a reading fluency intervention focused on empowering teachers with resources about reading fluency learning for making decisions in classrooms routines using accuracy, speed and prosody. 36 second-grade-students participated in fluency training. School teachers formed a school working group which count on two professor´s contribution to carry out knowledge and tasks on reading fluency. The group is designed to enhance collaboration between teachers to carry out evaluating fluency tasks to identified risk, emerging, and level group. An adapted fluency reading program based on repeated readings was designed and applied in collaboration for 7 months.Results have been much better in all tasks. Teacher perceptions of their own teaching skills also improved.  Fluency classroom programs based in repetitive readings impact and how to help teachers in a collaborative approach to develop fluency programs tailored to the size of their class group are discussed.Se presenta una propuesta colaborativa entre universidad y escuela para diseñar e implementar en el aula un programa de fluidez lectora basado en evidencias. Participaron 36 alumnos de 2º de Educación Primaria, sus maestras y dos profesores de universidad que actuaron como asesores, constituyendo todos un grupo de trabajo. Se formó a las maestras en contenidos de fluidez y se realizó una evaluación inicial para identificar los grupos de riesgo, emergente y establecido en fluidez lectora. Se diseñó e implementó durante 7 meses  un entrenamiento ajustado a cada nivel basado en la lectura repetida de palabras y frases. Los resultados reflejan una mejoría en la competencia de las maestras por la integración del entrenamiento de la fluidez en su sistema de respuesta, adaptándolo a distintos niveles de enseñanza. En el alumnado se constató una mejoría en la fluidez. Se plantea la necesidad de acercar a las escuelas las aportaciones de la investigación educativa y de ayudar a los docentes a desarrollar intervenciones basadas en la misma y ajustadas al nivel del grupo de clase

Is Reticular Macular Disease a Choriocapillaris Perfusion Problem?

The etiology of reticular macular disease (RMD), a sub-phenotype of age-related macular degeneration (AMD), is controversial and has not been clarified. RMD is suspected to be a multifactorial, complex disease with genetic, environmental, and systemic factors playing an important role in its origin. Findings from combinations of different imaging modalities suggest that the pattern that characterizes this condition is associated with an alteration of the choriocapillaris blood flow. If the choroid is indeed affected in RMD, the possible linkage with inflammatory or other systemic diseases could be better supported

El extracto acuoso de Phyllanthus orbicularis K protege al ADN plasmídico del daño inducido por las radiaciones ultravioletas

AGRADECIMIENTOS Agradecemos a la Dr. Rosalina Berazain por la autenticación de las especies Phyllanthus orbicularis K colectadas.Objetivo: Evaluar el efecto protector del extracto acuoso de Phyllanthus orbicularis, K ante el daño inducido por las radiaciones UVB y UVC. Material y métodos: Se empleó el ensayo con ADN plasmídico (pBluescript SK II) libre de célula. Se evaluó la capacidad del extracto acuoso de P. orbicularis de inducir roturas de cadenas en el plásmido, a las concentraciones 0,0001-2,0 mg/ml. Se realizaron estudios de protección del extracto frente a las radiaciones UVB y UVC a las concentraciones de 0,1-2,0 mg/ml. Se cuantificó la transmitancia del extracto frente ambos tipos de radiaciones. Resultados: Ninguna de las concentraciones evaluadas resultó genotóxica en 30 min de exposición. Las concentraciones ≥ 1 mg/ml de P. orbicularis sí indujeron roturas de cadenas a tiempos mayores de evaluación. El extracto de P. orbicularis protegió al ADN frente a las radiaciones UVB y UVC a concentraciones ≥ 0,1 mg/ml y 0,5 mg/ml respectivamente. Conclusiones: En nuestras condiciones experimentales, el extracto acuoso de P.orbicularis protege al ADN frente al daño inducido por las radiaciones UV.Aim: The aim of this work was to evaluate the protective effect of aqueous extract of Phyllanthus orbicularis, K from the damage induced by UV radiation. Material and methods: The plasmid-based non cellular system was used. The extract capacity to induce DNA strand breaks was evaluated at 0.0001- 2.0 mg/ml concentrations. The protective effect of extract against UVB and UVC radiation was evaluated at 0.1- 2.0 mg/ml concentrations. The transmittance of extract was measured for both UV radiations. Results: The P. orbicularis aqueous extract was not genotoxic even after 30 min of exposure. Concentrations ≥ 1 mg/ml of extract induced strand breaks at major times of exposition. P.orbicularis extract protected DNA against UVB and UVC radiation at concentrations ≥ 0.1 mg/ml and 0.5 mg/ml respectively. Conclusions: In our experimental conditions, P.orbicularis aqueous extract protects DNA from damage induced by UV radiation.Este trabajo fue realizado por el proyecto de colaboración internacional CAPES (Brasil)- MES (Cuba).El financiamiento y soporte fue brindado por CAPES (São Paulo, Brazil), FAPESP (São Paulo, Brazil) y CNPq (Brasília, Brazil)

Thinking Styles: Analysis of its structural validity using adolescents' responses to the thinking styles inventory

En su teoría del autogobierno mental, Sternberg afirma que tan importante como disponer de capacidades intelectuales es el modo en cómo se aplican éstas a las diferentes tareas, situaciones o contextos. A la forma predilecta que cada persona tiene de aplicar sus habilidades intelectuales Sternberg le denomina estilo intelectual. Este autor identifica trece estilos intelectuales que se agruparían en cinco dimensiones: función, forma, nivel, ámbito y tendencia. Algunos de los últimos estudios realizados sobre esta teoría ponen en entredicho la existencia de tales dimensiones. En el presente estudio, se analiza la estructura de los estilos pensamiento en una muestra de estudiantes de ESO significativamente mayor que las utilizadas en los estudios que preceden en el tiempo a éste (n= 1.153) y, además, aplicando el análisis factorial jerárquico confirmatorio. Los resultados obtenidos, en general, coinciden con los obtenidos por otros investigadores y ofrecen una estructura de los estilos intelectuales sustancialmente distinta a la sugerida por Sternberg.In his theory of mental self-government, Sternberg stated that the way individuals apply their intellectual skills to various tasks, situations, or contexts is as important as the skills themselves. This author called the preferred way in which people apply their intellectual skills thinking style. He identified thirteen thinking styles that are grouped into five dimensions: function, form, level, setting, and tendency. Some recent studies of this theory have cast doubt on the existence of these dimensions. In this study, the structure of thinking styles is analyzed by means of confirmatory hierarchical factor analysis in a sample of students (n= 1153) from Obligatory Secondary Education (ESO) who are significantly older than those employed in previous studies. In general, the results coincide with those reported by other researchers, providing a thinking-style structure that is substantially different from the one suggested by Sternberg.Centro de Investigación Educativa CIDE-98-02 -0 111Dirección General de Enseñanza Superior e Investigación Científica del MEC 1FD97-0 11

Cymbopogon citratus aqueous extract protects plasmid DNA from UVC-induced damage

Esta investigación fue financiada por un proyecto de colaboración bilateral entre Brasil y Cuba, CAPES/MES.Objetivo: Evaluar el efecto protector del extracto acuoso de Cymbopogon citratus (DC) Stapf, ante el daño inducido por las radiaciones UVC. Material y Métodos: Para evaluar si el extracto acuoso de C. citratus era capaz de inducir roturas de cadenas en el ADN, moléculas de plásmido pBluescript SK II fueron tratadas con diferentes concentraciones del extracto (0,01 - 4,0 mg/mL), en los tiempos de exposición: 30, 60 y 90 min. El efecto fotoprotector fue evaluado aplicando el extracto vegetal antes, durante, y después de la irradiación del ADN plasmídico con 200 J/m2 de UVC. La actividad enzimática de T4 endonucleasa V fue empleada para detectar formación de CPDs. Las formas superenrollada y relajada de las moléculas de plásmido fueron separadas electroforéticamente en gel de agarosa. Adicionalmente, se midió la transmitancia del extracto acuoso a la DO de 254 nm. Resultados: Ninguna de las concentraciones evaluadas resultó genotóxica con 30 min de tratamiento. Las concentraciones ≥ 2 mg/mL indujeron roturas de cadenas a los 90 min de incubación. El extracto de C. citratus a concentraciones ≥ 0,5 mg/mL protegió al ADN frente a las radiaciones UVC. Conclusiones: En nuestras condiciones experimentales, el extracto acuoso de C. citratus protege al ADN frente a la genotoxicidad inducida por la luz UVC, previniendo la generación de CPDs, pero no es capaz de eliminarlas una vez formadas.Aim: to evaluate the photoprotective effect of aqueous extract of Cymbopogon citratus (DC) Stapf against UVC-induced damage to ADN. Material and methods: In the experimental procedure, samples of plasmid pBluescript SK II solutions were exposed to C. citratus aqueous extract in 0.01-4.0 mg/mL concentrations during 30, 60 and 90 min. In order to evaluate the photoprotective effect, the vegetal extract was applied before, during and after UVC radiation at 200 J/m2 doses. DNA repair enzymes T4 endonuclease V was employed in order to discriminate CPDs damage. Then, supercoiled and relaxed forms of DNA were separated after electrophoretic migration in agarose gels. Also aqueous extract transmittance was measure at 254 nm OD. Results: None of the concentrations tested were genotoxic in 30 min of exposition. Concentrations ≥ 2 mg/mL induced strand breaks at 90 min of incubation. The C. citratus extract at concentrations ≥ 0.5 mg/ mL protect DNA in front of UVC radiation. Conclusions: In our experimental conditions, C. citratus extract protects DNA from the genotoxicity induced by light UVC, preventing the CPDs generation, but is not able to eliminate DNA damage once formed.Este trabajo fue realizado por el proyecto de colaboración internacional CAPES (Brasil)- MES (Cuba). El financiamiento y soporte fue brindado por CAPES (São Paulo, Brazil)

Recovery from Posttraumatic Stress Symptoms: A Qualitative Study of Attributions in Survivors of War

This study was funded by a grant from the European Commission, contract number INCO-CT-2004-50917

The characteristics and activities of child and adolescent mental health services in Italy: a regional survey

<p>Abstract</p> <p>Background</p> <p>To date, no studies have assessed in detail the characteristics, organisation, and functioning of Child and Adolescent Mental Health Services (CAMHS). This information gap represents a major limitation for researchers and clinicians because most mental disorders have their onset in childhood or adolescence, and effective interventions can therefore represent a major factor in avoiding chronicity. Interventions and mental health care are delivered by and through services, and not by individual, private clinicians, and drawbacks or limitations of services generally translate in inappropriateness and ineffectiveness of treatments and interventions: therefore information about services is essential to improve the quality of care and ultimately the course and outcome of mental disorders in childhood and adolescence.</p> <p>The present paper reports the results of the first study aimed at providing detailed, updated and comprehensive data on CAMHS of a densely populated Italian region (over 4 million inhabitants) with a target population of 633,725 subjects aged 0-17 years.</p> <p>Methods</p> <p>Unit Chiefs of all the CAMHS filled in a structured 'Facility Form', with activity data referring to 2008 (data for inpatient facilities referred to 2009), which were then analysed in detail.</p> <p>Results</p> <p>Eleven CAMHS were operative, including 110 outpatient units, with a ratio of approximately 20 child psychiatrists and 23 psychologists per 100,000 inhabitants aged 0-17 years. All outpatient units were well equipped and organized and all granted free service access. In 2008, approximately 6% of the target population was in contact with outpatient CAMHS, showing substantial homogeneity across the eleven areas thereby. Most patients in contact in 2008 received a language disorder- or learning disability diagnosis (41%). First-ever contacts accounted for 30% of annual visits across all units. Hospital bed availability was 5 per 100,000 inhabitants aged 0-17 years.</p> <p>Conclusion</p> <p>The percentage of young people in contact with CAMHS for mental disorders is in line with those observed in previous epidemiological studies. The overall number of child psychiatrists per 100,000 inhabitants is one of the highest in Europe and it is comparable with the most well equipped areas in the US. This comparison should be interpreted with caution, however, because in Italy, child psychiatrists also treat neurological disorders. Critical areas requiring improvement are: the uneven utilisation of standardised assessment procedures and the limited availability of dedicated emergency services during non-office hours (e.g., nights and holidays).</p

Parents' concerns about children are highly prevalent but often not confirmed by child doctors and nurses

<p>Abstract</p> <p>Background</p> <p>The aim of this study was to assess the prevalence in the general population of parents' concerns about the development of their child, to identify groups at risk and to assess the association between parents' concerns and professional judgement.</p> <p>Methods</p> <p>We obtained cross-sectional data on a Dutch nationally representative sample of children aged 14 months, 3 3/4, 5–6 and 8–12 years within the setting of routine well-child visits provided to the entire population. A total of 4,107 participated (response rate 85.3%). Data were about concerns that parents reported by questionnaire before the visit regarding behavioural and emotional problems, developmental delay, consequences of disease and contact with peers that needed professional assistance, and about the assessment of these domains by doctors and nurses during the visit. Moreover, we obtained data on parent-reported psychosocial problems using the Infant-Toddler Social and Emotional Assessment and the Child Behavior Checklist.</p> <p>Results</p> <p>Of all parents, 49.3% reported some concerns and 8.7% reported frequent concerns, most frequently on child behaviour. Frequent concerns were most likely to refer to young children, children from labour immigrant families, with fathers of medium educational level and in low-income families. The prevalence rates of professional-assessed parenting problems were much lower than parent-reported ones. The rates of psychosocial problems were highest in the case of shared concerns, but also higher if parents expressed concerns that were not confirmed by professionals.</p> <p>Conclusion</p> <p>A very large proportion of parents of young children have concerns regarding their child, but agreement on these concerns with child health professionals is relatively low.</p