Los juegos recreativos como vía para la estimular la memoria en educandos con discapacidad intelectual

All the societies and especially in Cuba they recognize educational and formative value that has the recreational games as part of the development of the processes physique, psychological and cognitive of the scholars with intellectual disability. This it is conceived like an indispensable tool where the professor of Physical Education can work the necessities of his scholars like part of the correction y/o compensation, leaving essentially of his potentialities. With the result that the objective of the investigation is: to elaborate a program of recreational games that contributes to stimulate the memory in scholars with intellectual disability of the special school Camilo Cienfuegos. Methods of the theoretical, empiric and mathematical level were applied; those that allowed determined the theoretical and methodological historical, relating antecedents that sustain the study object, the revision of the clinical files, observations and interviews. In this study one could the characteristic psycho-pedagogical of the sample study object as well as to determine that the memory was the critical route in the psychic development of the same ones, for this one worked with an intentional sample of 18 scholars, to those that were applied a battery of recreational games in a period of time of 10 months. The results reached in the investigation demonstrate that the proposed recreational games contributed to the stimulation of the memory and other psychic processes of these scholars with intellectual disability and they can constitute a tool for the professors of Physical Education and educational psychologists of this school.Todas las sociedades y en especial en Cuba reconocen el valor educativo y formativo que tiene los juegos recreativos como parte del desarrollo de los procesos físico, psicológico y cognoscitivo de los educandos con discapacidad intelectual. Este se concibe como una herramienta indispensable donde el profesor de Educación Física puede trabajar las necesidades de sus educandos como parte de la corrección y/o compensación, partiendo esencialmente de sus potencialidades. De ahí que el objetivo de la investigación sea: elaborar un programa de juegos recreativos que contribuya a estimular la memoria en educandos con discapacidad intelectual de la escuela especial “Camilo Cienfuegos”. Se aplicaron métodos del nivel teórico, empírico y matemático, los que permitieron determinar los antecedentes históricos, referentes teóricos y metodológicos que sustentan el objeto de estudio, la revisión de los expedientes clínicos, observaciones y entrevistas. En este estudio se revelaron las características psicopedagógicas de la muestra objeto de estudioasí como determinar que la memoria era la ruta crítica en el desarrollo psíquico de los mismos, para esto se trabajó con una muestra intencional de 18 educandos, a los que se les aplicó una batería de juegos recreativos en un período de tiempo de 10 meses. Los resultados alcanzados en la investigación demuestran que los juegos recreativos propuestos contribuyeron a la estimulación de la memoria y otros procesos psíquicos de estos educandos con discapacidad intelectual, también pueden constituir una herramienta para profesores de Educación Física y psicopedagogos de esta escuela

Competencias ciudadanas para la formación integral en educación superior

La pesquisa, pretende abordar elementos que relacionen ámbitos conceptuales y prácticos sobre la identificación de estrategias que medien la formación de competencias ciudadanas hacia dinámicas educativas integrales, como variables de alto impacto en escenarios sociales, mediados en gran medida por el contexto educativo. El texto está dirigido a comunidades educativas lideradas por directivos, docentes, estudiantes y padres de familia, quienes conservan un rol fundamental bajo el compromiso de ayudar a ofrecer espacios para el reconocimiento y análisis de problemáticas emergentes con la intención de construir un país con visión renovada hacia el cambio mental para generar transformación social.The research aims to address elements that relate conceptual and practical areas on the identification of strategies that mediate the formation of citizenship competences towards integral educational dynamics, as high impact variables in social settings, largely mediated by the educational context. The text is aimed at educational communities led by managers, teachers, students and parents, who retain a fundamental role under the commitment to help provide spaces for the recognition and analysis of emerging issues with the intention of building a country with a renewed vision towards mental change to generate social transformation

Energy Estimation of Cosmic Rays with the Engineering Radio Array of the Pierre Auger Observatory

The Auger Engineering Radio Array (AERA) is part of the Pierre Auger Observatory and is used to detect the radio emission of cosmic-ray air showers. These observations are compared to the data of the surface detector stations of the Observatory, which provide well-calibrated information on the cosmic-ray energies and arrival directions. The response of the radio stations in the 30 to 80 MHz regime has been thoroughly calibrated to enable the reconstruction of the incoming electric field. For the latter, the energy deposit per area is determined from the radio pulses at each observer position and is interpolated using a two-dimensional function that takes into account signal asymmetries due to interference between the geomagnetic and charge-excess emission components. The spatial integral over the signal distribution gives a direct measurement of the energy transferred from the primary cosmic ray into radio emission in the AERA frequency range. We measure 15.8 MeV of radiation energy for a 1 EeV air shower arriving perpendicularly to the geomagnetic field. This radiation energy -- corrected for geometrical effects -- is used as a cosmic-ray energy estimator. Performing an absolute energy calibration against the surface-detector information, we observe that this radio-energy estimator scales quadratically with the cosmic-ray energy as expected for coherent emission. We find an energy resolution of the radio reconstruction of 22% for the data set and 17% for a high-quality subset containing only events with at least five radio stations with signal.Comment: Replaced with published version. Added journal reference and DO

PATRONES DE FRECUENCIA Y ABUNDANCIA DE SISTEMAS DE DISPERSIÓN DE PLANTAS EN BOSQUES COLOMBIANOS Y SU RELACIÓN CON LAS REGIONES GEOGRÁFICAS DEL PAÍS

The study of plant dispersal systems allows to go in depth in aspects that define the regeneration of forests, being essential to understand not only the population dynamics of plants but also the ecological relationships that emerge within ecosystems. In Colombia there is not a broad scale study showing the patterns of frequency and abundance of dispersal systems in different geographical regions (Amazonian, Andean, Caribbean, Upper Magdalena, Middle Magdalena, Orinoco, Pacific). Based on information of the identity and abundance of plants found in 101 vegetation plots of 1-ha, we explored the differences and associations in the frequency and abundance of dispersal systems between geographic regions. Additionally, we explored the importance value of families and genera per dispersal system, and the association between genera and geographic regions. The results show that environmental factors would be more important than the biogeographic history of the region in determining patterns of dispersal systems, reinforcing the importance of seed dispersal mediated by animals in tropical forests of different biogeographic regions.El estudio de los sistemas de dispersión de las plantas permite entender la regeneración de los bosques, la dinámica poblacional de las plantas y las relaciones ecológicas que emergen dentro de los ecosistemas. En el presente estudio analizamos los patrones de sistemas de dispersión de semillas para Colombia, en relación con las regiones geográficas Amazónica, Andina, Caribe, Magdalena Alto, Magdalena Medio, Orinoquía y Pacífica. A partir de la información sobre la identidad y abundancia de plantas encontradas en 101 parcelas de vegetación de 1-ha, se exploraron los cambios en la frecuencia relativa y abundancia relativa de sistemas de dispersión entre las regiones geográficas. Adicionalmente, se determinaron las afinidades florísticas entre las regiones, así como la representatividad de las familias y géneros por sistema de dispersión. La endozoocoria fue altamente representativa en diferentes niveles taxonómicos (especie, género y familia), y su representatividad cambió entre las distintas regiones geográficas. Estos cambios podrían explicarse a partir de diferencias ecológicas entre las regiones

Safety and immunogenicity of the protein-based PHH-1V compared to BNT162b2 as a heterologous SARS-CoV-2 booster vaccine in adults vaccinated against COVID-19 : a multicentre, randomised, double-blind, non-inferiority phase IIb trial

A SARS-CoV-2 protein-based heterodimer vaccine, PHH-1V, has been shown to be safe and well-tolerated in healthy young adults in a first-in-human, Phase I/IIa study dose-escalation trial. Here, we report the interim results of the Phase IIb HH-2, where the immunogenicity and safety of a heterologous booster with PHH-1V is assessed versus a homologous booster with BNT162b2 at 14, 28 and 98 days after vaccine administration. The HH-2 study is an ongoing multicentre, randomised, active-controlled, double-blind, non-inferiority Phase IIb trial, where participants 18 years or older who had received two doses of BNT162b2 were randomly assigned in a 2:1 ratio to receive a booster dose of vaccine-either heterologous (PHH-1V group) or homologous (BNT162b2 group)-in 10 centres in Spain. Eligible subjects were allocated to treatment stratified by age group (18-64 versus ≥65 years) with approximately 10% of the sample enrolled in the older age group. The primary endpoints were humoral immunogenicity measured by changes in levels of neutralizing antibodies (PBNA) against the ancestral Wuhan-Hu-1 strain after the PHH-1V or the BNT162b2 boost, and the safety and tolerability of PHH-1V as a boost. The secondary endpoints were to compare changes in levels of neutralizing antibodies against different variants of SARS-CoV-2 and the T-cell responses towards the SARS-CoV-2 spike glycoprotein peptides. The exploratory endpoint was to assess the number of subjects with SARS-CoV-2 infections ≥14 days after PHH-1V booster. This study is ongoing and is registered with , . From 15 November 2021, 782 adults were randomly assigned to PHH-1V (n = 522) or BNT162b2 (n = 260) boost vaccine groups. The geometric mean titre (GMT) ratio of neutralizing antibodies on days 14, 28 and 98, shown as BNT162b2 active control versus PHH-1V, was, respectively, 1.68 (p < 0.0001), 1.31 (p = 0.0007) and 0.86 (p = 0.40) for the ancestral Wuhan-Hu-1 strain; 0.62 (p < 0.0001), 0.65 (p < 0.0001) and 0.56 (p = 0.003) for the Beta variant; 1.01 (p = 0.92), 0.88 (p = 0.11) and 0.52 (p = 0.0003) for the Delta variant; and 0.59 (p ≤ 0.0001), 0.66 (p < 0.0001) and 0.57 (p = 0.0028) for the Omicron BA.1 variant. Additionally, PHH-1V as a booster dose induced a significant increase of CD4 + and CD8 + T-cells expressing IFN-γ on day 14. There were 458 participants who experienced at least one adverse event (89.3%) in the PHH-1V and 238 (94.4%) in the BNT162b2 group. The most frequent adverse events were injection site pain (79.7% and 89.3%), fatigue (27.5% and 42.1%) and headache (31.2 and 40.1%) for the PHH-1V and the BNT162b2 groups, respectively. A total of 52 COVID-19 cases occurred from day 14 post-vaccination (10.14%) for the PHH-1V group and 30 (11.90%) for the BNT162b2 group (p = 0.45), and none of the subjects developed severe COVID-19. Our interim results from the Phase IIb HH-2 trial show that PHH-1V as a heterologous booster vaccine, when compared to BNT162b2, although it does not reach a non-inferior neutralizing antibody response against the Wuhan-Hu-1 strain at days 14 and 28 after vaccination, it does so at day 98. PHH-1V as a heterologous booster elicits a superior neutralizing antibody response against the previous circulating Beta and the currently circulating Omicron BA.1 SARS-CoV-2 variants in all time points assessed, and for the Delta variant on day 98 as well. Moreover, the PHH-1V boost also induces a strong and balanced T-cell response. Concerning the safety profile, subjects in the PHH-1V group report significantly fewer adverse events than those in the BNT162b2 group, most of mild intensity, and both vaccine groups present comparable COVID-19 breakthrough cases, none of them severe. HIPRA SCIENTIFIC, S.L.U

High prevalence and diversity of HIV-1 non-B genetic forms due to immigration in southern Spain: A phylogeographic approach

Phylogenetic studies are a valuable tool to understand viral transmission patterns and the role of immigration in HIV-1 spread. We analyzed the spatio-temporal relationship of different HIV-1 non-B subtype variants over time using phylogenetic analysis techniques. We collected 693 pol (PR+RT) sequences that were sampled from 2005 to 2012 from naïve patients in different hospitals in southern Spain. We used REGA v3.0 to classify them into subtypes and recombinant forms, which were confirmed by phylogenetic analysis through maximum likelihood (ML) using RAxML. For the main HIV-1 non-B variants, publicly available, genetically similar sequences were sought using HIV-BLAST. The presence of HIV-1 lineages circulating in our study population was established using ML and Bayesian inference (BEAST v1.7.5) and transmission networks were identified. We detected 165 (23.4%) patients infected with HIV-1 non-B variants: 104 (63%) with recombinant viruses in pol: CRF02_AG (71, 43%), CRF14_BG (8, 4.8%), CRF06_cpx (5, 3%) and nine other recombinant forms (11, 6.7%) and unique recombinants (9, 5.5%). The rest (61, 37%) were infected with non-recombinant subtypes: A1 (30, 18.2%), C (7, [4.2%]), D (3, [1.8%]), F1 (9, 5.5%) and G (12, 7.3%). Most patients infected with HIV-1 non-B variants were men (63%, p < 0.001) aged over 35 (73.5%, p < 0.001), heterosexuals (92.2%, p < 0.001), from Africa (59.5%, p < 0.001) and living in the El Ejido area (62.4%, p<0.001). We found lineages of epidemiological relevance (mainly within Subtype A1), imported primarily through female sex workers from East Europe. We detected 11 transmission clusters of HIV-1 non-B Subtypes, which included patients born in Spain in half of them. We present the phylogenetic profiles of the HIV-1 non-B variants detected in southern Spain, and explore their putative geographical origins. Our data reveals a high HIV-1 genetic diversity likely due to the import of viral lineages that circulate in other countries. The highly immigrated El Ejido area acts as a gateway through which different subtypes are introduced into other regions, hence the importance of setting up epidemiological control measures to prevent future outbreaks

Body appreciation around the world: Measurement invariance of the Body Appreciation Scale-2 (BAS-2) across 65 nations, 40 languages, gender identities, and age.

The Body Appreciation Scale-2 (BAS-2) is a widely used measure of a core facet of the positive body image construct. However, extant research concerning measurement invariance of the BAS-2 across a large number of nations remains limited. Here, we utilised the Body Image in Nature (BINS) dataset - with data collected between 2020 and 2022 - to assess measurement invariance of the BAS-2 across 65 nations, 40 languages, gender identities, and age groups. Multi-group confirmatory factor analysis indicated that full scalar invariance was upheld across all nations, languages, gender identities, and age groups, suggesting that the unidimensional BAS-2 model has widespread applicability. There were large differences across nations and languages in latent body appreciation, while differences across gender identities and age groups were negligible-to-small. Additionally, greater body appreciation was significantly associated with higher life satisfaction, being single (versus being married or in a committed relationship), and greater rurality (versus urbanicity). Across a subset of nations where nation-level data were available, greater body appreciation was also significantly associated with greater cultural distance from the United States and greater relative income inequality. These findings suggest that the BAS-2 likely captures a near-universal conceptualisation of the body appreciation construct, which should facilitate further cross-cultural research. [Abstract copyright: Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

Consenso Mexicano para el Tratamiento de la Hepatitis C

El objetivo del Consenso Mexicano para el Tratamiento de la Hepatitis C fue el de desarrollar un documento como guía en la práctica clínica con aplicabilidad en México. Se tomó en cuenta la opinión de expertos en el tema con especialidad en: gastroenterología, infectología y hepatología. Se realizó una revisión de la bibliografía en MEDLINE, EMBASE y CENTRAL mediante palabras claves referentes al tratamiento de la hepatitis C. Posteriormente se evaluó la calidad de la evidencia mediante el sistema GRADE y se redactaron enunciados, los cuales fueron sometidos a voto mediante un sistema modificado Delphi, y posteriormente se realizó revisión y corrección de los enunciados por un panel de 34 votantes. Finalmente se clasificó el nivel de acuerdo para cada oración. Esta guía busca dar recomendaciones con énfasis en los nuevos antivirales de acción directa y de esta manera facilitar su uso en la práctica clínica. Cada caso debe ser individualizado según sus comorbilidades y el manejo de estos pacientes siempre debe ser multidisciplinario. Abstract The aim of the Mexican Consensus on the Treatment of Hepatitis C was to develop clinical practice guidelines applicable to Mexico. The expert opinion of specialists in the following areas was taken into account: gastroenterology, infectious diseases, and hepatology. A search of the medical literature was carried out on the MEDLINE, EMBASE, and CENTRAL databases through keywords related to hepatitis C treatment. The quality of evidence was subsequently evaluated using the GRADE system and the consensus statements were formulated. The statements were then voted upon, using the modified Delphi system, and reviewed and corrected by a panel of 34 voting participants. Finally, the level of agreement was classified for each statement. The present guidelines provide recommendations with an emphasis on the new direct-acting antivirals, to facilitate their use in clinical practice. Each case must be individualized according to the comorbidities involved and patient management must always be multidisciplinary

A facility and community-based assessment of scabies in rural Malawi.

Background Scabies is a neglected tropical disease of the skin, causing severe itching, stigmatizing skin lesions and systemic complications. Since 2015, the DerMalawi project provide an integrated skin diseases clinics and Tele-dermatology care in Malawi. Clinic based data suggested a progressive increase in scabies cases observed. To better identify and treat individuals with scabies in the region, we shifted from a clinic-based model to a community based outreach programme. Methodology/principal findings From May 2015, DerMalawi project provide integrated skin diseases and Tele-dermatological care in the Nkhotakota and Salima health districts in Malawi. Demographic and clinical data of all patients personally attended are recorded. Due to a progressive increase in the number of cases of scabies the project shifted to a community-based outreach programme. For the community outreach activities, we conducted three visits between 2018 to 2019 and undertook screening in schools and villages of Alinafe Hospital catchment area. Treatment was offered for all the cases and school or household contacts. Scabies increased from 2.9% to 39.2% of all cases seen by the DerMalawi project at clinics between 2015 to 2018. During the community-based activities approximately 50% of the population was assessed in each of three visits. The prevalence of scabies was similar in the first two rounds, 15.4% (2392) at the first visit and 17.2% at the second visit. The prevalence of scabies appeared to be lower (2.4%) at the third visit. The prevalence of impetigo appeared unchanged and was 6.7% at the first visit and 5.2% at the final visit. Conclusions/significance Prevalence of scabies in our setting was very high suggesting that scabies is a major public health problem in parts of Malawi. Further work is required to more accurately assess the burden of disease and develop appropriate public health strategies for its control