Reassessment of the distribution and population size of Spizella wortheni

Summary Information deficit constrains our capacity to assess the status of threatened species in regional and global contexts. In this study of the endangered Worthen’s Sparrow Spizella wortheni, we first review its current and potential distribution using the species distribution software, Maxent. An initial basic model was constructed using historical records, and used to guide a subsequent search for additional populations in summer 2013. Using the information gathered from our survey, we built a second, breeding model, to update the current and potential species distribution. Population size was estimated using line transects of variable length to count singing males and calculate densities per 10 ha. We found 10 new small reproductive populations dispersed south of the established core area, increasing the extent of occurrence of the species from 25 km2 to almost 17,000 km2. Suitable habitat across the species’ range was more than threefold higher in the breeding compared with the basic model. We counted 316 males, with a mean density of four individuals per 10 ha. Our results demonstrate that conservation assessment based on limited records can exaggerate the vulnerability of species, and confirm that the Worthen’s Sparrow population and geographic distribution range are larger than previously determined, indicating that the Red List status of this species should be reconsidered. The use of niche models was successful in enhancing species information data quantity (e.g. range extensions) and quality (e.g. more precise habitat requirements), facilitating improved understanding of needs and conservation status in the wild

ESTILOS DE VIDA DE ESTUDIANTES UNIVERSITARIOS DE CIENCIAS DE LA SALUD

Objetivos: El objetivo de este artículo es realizar una revisión de las publicaciones que revelen el impacto de los estilos de vida en la salud integral de estudiantes universitarios del área ciencias de la salud. Métodos : La revisión fue efectuada mediante búsqueda electrónica de artículos relacionados con estilos de vida en estudiantes universitarios pertenecientes a las escuelas de ciencias de la salud. Las fuentes de búsqueda fueron ISI, SCIELO, MEDLINE, BVS y PUBMED. Los términos de búsqueda fueron: estilo de vida, estudiantes universitarios y ciencias de la salud. Para esta revisión se seleccionaron los artículos publicados que tuvieron experiencias investigativas desde el 2010 a la actualidad y los que incluyeron aspectos teórico-conceptuales se consideró los publicados desde el año 2000. Resultados: De los 83 artículos revisados, se descartaron 38 por no cumplir con el criterio de haber realizado la investigación en el área de ciencias de la salud, y 12 fueron retirados por ser publicados antes del 2010, quedando solo 33 artículos para esta revisión bibliográfica. De los 33 artículos seleccionados, 18 estudios cumplieron con los criterios de investigación, 15 fueron considerados para incluir aspectos teórico – conceptuales. Respecto a la actividad física, un estudio evidenció que el 40% de los jóvenes universitarios no realiza ningún ejercicio físico; otra investigación demostró que solo el 44% de los estudiantes de ciencias de la salud practicaban los recomendados 30 minutos de ejercicio 5 días por semana. Además los patrones alimentarios de los estudiantes fueron inadecuados, haciéndose necesario un cambio en el 90% de la población, siendo la “comida chatarra” la que más consumieron los participantes. Por otro lado, los datos de un estudio revelaron que 1 de cada 5 de los estudiantes universitarios presentan alteraciones en su salud mental y el consumo de tabaco y/o drogas, aparece como factor de riesgo. Conclusión: La mayoría de los estudiantes universitarios de ciencias de la salud no aplican sus conocimientos en sus propios estilos de vida (alimentación, actividad física y demás prácticas). Esto revela la urgencia de crear programas universitarios que modifiquen y promuevan estilos de vida saludable. DOI:https://doi.org/10.25176/RFMH.v16.n2.67

Risk Association of TOX3 and MMP7 Gene Polymorphisms with Sporadic Breast Cancer in Mexican Women

Breast cancer (BC) has one of the highest incidences and mortality worldwide. Single nucleotide polymorphisms (SNPs) in TOX3 rs3803662 and MMP7 rs1943779 have been associated with susceptibility to BC. In this case-control study, we evaluated the association of rs3803662 (TOX3)/rs1943779 (MMP7) SNPs with clinical features, immunohistochemical reactivity, and risk association with BC in women from northeastern Mexico. We compared 212 BC cases and 212 controls. DNA was isolated from peripheral blood to perform the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay. We calculated genotype frequencies, odds ratios, and 95% confidence intervals. We found that CT (Cytocine-Thymine) and TT (Thymine -Thymine) genotypes, and T alleles of TOX3 rs3803662, were associated with BC risk (p = 0.034, p = 0.011, respectively). SNP TOX3 rs3803662 was associated with positive progesterone receptors (PR) and triple-negative BC (TNBC) but not with estrogen receptor (ER) or HER2 reactivity. CT and TT genotypes (p = 0.006) and T alleles (p = 0.002) of SNP MMP7 rs1943779 were associated with risk of BC. We found that T alleles of TOX3 rs3803662 and MMP7 rs1943779 SNPs are associated with BC risk. These findings contribute to personalized medicine in Mexican women

SINDROME DE BURNOUT EN ESTUDIANTES UNIVERSITARIOS: TENDENCIAS ACTUALES

Objetivo: Realizar una actualización del Síndrome de Burnout en estudiantes universitarios. Métodos: Revisión sistemática de artículos científicos relacionados con el tema. Los artículos científicos se obtuvieron a través de las siguientes bases de datos: PubMed, Lillacs, Cochrane. Los criterios de inclusión utilizados para seleccionar los artículos base para esta revisión fueron: 1) que tengan título con las palabras clave de la investigación, 2) con población de estudio en estudiantes universitarios, 3) publicados desde el año 2010 que estén relacionados al tema de investigación. Resultados: De 34 artículos revisados en total 12 cumplieron con los criterios de investigación. La prevalencia del Síndrome de Burnout universitario varía entre el 8% y el56,9% de acuerdo a la población estudiada. Conclusión: La prevalencia del síndrome de burnout en estudiantes universitarios es significativa, afectando los tres dominios: agotamiento emocional, cinismo y rendimiento académico, por lo que su evaluación amerita futuras investigaciones.   DOI:https://doi.org/10.25176/RFMH.v16.n1.33

PAR1 is selectively over expressed in high grade breast cancer patients: a cohort study

<p>Abstract</p> <p>Background</p> <p>The protease-activated receptor (PAR1) expression is correlated with the degree of invasiveness in cell lines. Nevertheless it has never been directed involved in breast cancer patients progression. The aim of this study was to determine whether PAR1 expression could be used as predictor of metastases and mortality.</p> <p>Methods</p> <p>In a cohort of patients with infiltrating ductal carcinoma studied longitudinally since 1996 and until 2007, PAR1 over-expression was assessed by immunoblotting, immunohistochemistry, and flow citometry. Chi-square and log rank tests were used to determine whether there was a statistical association between PAR1 overexpression and metastases, mortality, and survival. Multivariate analysis was performed including HER1, stage, ER and nodes status to evaluate PAR1 as an independent prognostic factor.</p> <p>Results</p> <p>Follow up was 95 months (range: 2–130 months). We assayed PAR1 in a cohort of patients composed of 136 patients; we found PAR1 expression assayed by immunoblotting was selectively associated with high grade patients (50 cases of the study cohort; P = 0.001). Twenty-nine of 50 (58%) patients overexpressed PAR1, and 23 of these (46%) developed metastases. HER1, stage, ER and PAR1 overexpression were robustly correlated (Cox regression, P = 0.002, P = 0.024 and P = 0.002 respectively). Twenty-one of the 50 patients (42%) expressed both receptors (PAR1 and HER1 P = 0.0004). We also found a statistically significant correlation between PAR1 overexpression and increased mortality (P = 0.0001) and development of metastases (P = 0.0009).</p> <p>Conclusion</p> <p>Our data suggest PAR1 overexpression may be involved in the development of metastases in breast cancer patient and is associated with undifferentiated cellular progression of the tumor. Further studies are needed to understand PAR1 mechanism of action and in a near future assay its potential use as risk factor for metastasis development in high grade breast cancer patients.</p

Clinical precursors of tics: an EMTICS study

Background: Children with Tourette syndrome (TS) often have comorbid disorders, particularly attention-deficit/ hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). While subtle premorbid symptoms have been described in various psychiatric disorders, the presence of clinical precursors that may exist before the onset of tics is unknown. This longitudinal study aimed to find clinical precursors of tics by assessing a range of clinical characteristics prior to tic onset in comparison with children without onset of tics. Methods: A sample of 187 3- to 10-year-old first-degree unaffected relatives of children with TS were followed up to 7 years in the European Multicentre Tics in Children Study (EMTICS). We investigated whether clinical characteristics assessed at baseline predicted tic onset, comparing 126 children without tic onset to 61 children who developed tics. We used the least absolute shrinkage and selection operator (LASSO) method, a penalised logistic regression approach. We also explored sex differences and repeated our analyses in an age- and sex-matched subsample. Results: Children with tic onset were more frequently male (b = 0.36), had higher baseline severity of conduct problems (b = 0.23), autism spectrum disorder symptoms (ASD; b = 0.08), compulsions (b = 0.02) and emotional problems (b = 0.03) compared to children without tic onset. Conduct and ASD problems were male-specific predictors, whereas severity of compulsions and oppositional (b = 0.39) and emotional problems were female-specific predictors. Conclusion: This study supports the presence of clinical precursors prior to tic onset and highlights the need of sex-specific monitoring of children at risk of developing tics. This may aid in the earlier detection of tics, particularly in females. We moreover found that tics most often persisted one year after tic onset, in contrast to the common belief that tics are mostly transient

Tic disorders in children and adolescents: does the clinical presentation differ in males and females? A report by the EMTICS group

Tic disorders have a strong male predominance, with a male-to-female ratio of 4:1 in Tourette syndrome (TS) and 2:1 in persistent tic disorders. In other neurodevelopmental conditions, such as autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD), the disparity in sex distribution has been partially related to differences in symptom presentation between males and females. In tic disorders, however, little research has been conducted on this topic, probably due to the limited access to large samples with a significant proportion of females. The aim of this study was to describe sex differences in the clinical presentation of tic disorders in children and adolescents in one of the largest pediatric samples with TS/persistent tic disorders (n = 709, 23.3% females) recruited as part of the European Multicenter Tics in Children Study (EMTICS). Validated measures assessed the severity of tics and comorbid psychiatric symptoms. Using mixed-effect models, we found that sex had a significant influence on the severity of tics, ADHD symptoms, ASD symptoms, and emotional problems. Males had more severe symptoms than females, except for emotional problems. We also observed a statistically significant interaction between sex and age on the severity of tics and compulsions, with females showing higher symptom severity with increasing age than males. These findings indicate that the clinical presentation of TS/persistent tic disorders varies with sex. Males seem to exhibit a more noticeable pattern of clinical symptoms at a younger age that may contribute to their earlier detection in comparison to females

Hair cortisol-a stress marker in children and adolescents with chronic tic disorders? A large European cross-sectional study

Background There is clear evidence that tic disorders (TDs) are associated with psychosocial stress as well as emotional and behavioral problems. Studies have shown that individuals with TDs have higher acute physiological stress responses to external, single stressors (as reflected by saliva cortisol). The aim of the present study was to examine a physiological marker of longer-term stress (as reflected by hair cortisol concentration) in children and adolescents with TDs and unaffected siblings of individuals with TDs. Methods Two samples of a European cohort were included in this study. In the COURSE sample, 412 children and adolescents aged 3–16 years with a chronic TD including Tourette syndrome according to DSM IV-TR criteria were included. The ONSET sample included 131 3–10 years old siblings of individuals with TDs, who themselves had no tics. Differences in hair cortisol concentration (HCC) between the two samples were examined. Within the COURSE sample, relations of HCC with tic severity and perceived psychosocial stress as well as potential effects and interaction effects of comorbid emotional and behavioral problems and psychotropic medication on HCC were investigated. Results There were no differences in HCC between the two samples. In participants with TDs, there were no associations between HCC and tic severity or perceived psychosocial stress. No main effects of sex, psychotropic medication status and comorbid emotional and behavioral problems on HCC were found in participants with TDs. Conclusion A link between HCC and TDs is not supported by the present result

Yale Global Tic Severity Scale (YGTSS): Psychometric Quality of the Gold Standard for Tic Assessment Based on the Large-Scale EMTICS Study

The Yale Global Tic Severity Scale (YGTSS) is a clinician-rated instrument considered as the gold standard for assessing tics in patients with Tourette's Syndrome and other tic disorders. Previous psychometric investigations of the YGTSS exhibit different limitations such as small sample sizes and insufficient methods. To overcome these shortcomings, we used a subsample of the large-scale “European Multicentre Tics in Children Study” (EMTICS) including 706 children and adolescents with a chronic tic disorder and investigated convergent, discriminant and factorial validity, as well as internal consistency of the YGTSS. Our results confirm acceptable convergent and good to very good discriminant validity, respectively, indicated by a sufficiently high correlation of the YGTSS total tic score with the Clinical Global Impression Scale for tics (rs = 0.65) and only low to medium correlations with clinical severity ratings of attention deficit/hyperactivity symptoms (rs = 0.24), obsessive–compulsive symptoms (rs = 27) as well as internalizing symptoms (rs = 0.27). Internal consistency was found to be acceptable (Ω = 0.58 for YGTSS total tic score). A confirmatory factor analysis supports the concept of the two factors “motor tics” and “phonic tics,” but still demonstrated just a marginal model fit (root mean square error of approximation = 0.09 [0.08; 0.10], comparative fit index = 0.90, and Tucker Lewis index = 0.87). A subsequent analysis of local misspecifications revealed correlated measurement errors, suggesting opportunities for improvement regarding the item wording. In conclusion, our results indicate acceptable psychometric quality of the YGTSS. However, taking the wide use and importance of the YGTSS into account, our results suggest the need for further investigations and improvements of the YGTSS. In addition, our results show limitations of the global severity score as a sum score indicating that the separate use of the total tic score and the impairment rating is more beneficial