Repetition-imitation and aphasia: Neural Basis and treatment

Study 2: a single-case study was developed. Repetition performance was widely assessed in a patient with crossed conduction aphasia and striatal/capsular vascular lesions encompassing the right arcuate fasciculus (AF) and inferior frontal-occipital fasciculus (IFOF), the temporal stem and the white matter underneath the supramarginal gyrus. He showed lexicality effects repeating better words than non-words, but manipulation of other lexical-semantic variables exerted less influence on repetition performance. Imageability and frequency effects, production of meaning-based paraphrases during sentence repetition, or better performance on repeating novel sentences than overlearned clichés were hardly ever observed in this patient. Diffusion tensor imaging disclosed damage to the right long direct segment of the AF and IFOF with relative sparing of the anterior indirect and posterior segments of the AF, together with fully developed left perisylvian white matter pathways. These findings suggest that striatal/capsular lesions extending into the right AF and IFOF in some individuals with right hemisphere language dominance are associated with atypical repetition patterns which might reflect reduced interactions between phonological and lexical-semantic processes. Study 3: A within-patient design, with multiple assessments, was developed with the same patient as in Study 2A. The initial dose of Donepezil (5 mg/day) was titulated up to 10 mg/day and administered alone (without aphasia therapy) during 3 months (Endpoint 1). Then, the drug was combined with a verbal repetition-imitation therapy (Look-Listen and Repeat - LLR) (1 hour/day) during 2 months (Endpoint 2). Language evaluations, diffusion tensor imaging (DTI) and voxel-based morphometry (VBM) were performed at baseline and at both endpoints. Donepezil alone and combined with LLR induced marked improvement in measures of speech production (Correct Information Units/minute during picture description, and repetition of word lists, idiomatic-novel phrases and sentences). Greater benefits were observed after combined therapy and the obtained gains in speech production remained well-above baseline scores even four months after combined therapy interruption. Longitudinal DTI showed structural plasticity in the right frontal aslant tract (FAT) with both interventions and VBM additionally revealed increased grey matter density in cortical areas connected through the FAT. Donepezil alone and combined with LLR improved speech production deficits by inducing structural plastic changes in white matter tracts and grey matter areas spared by the lesion in the injured hemisphere. Conclusions: Cholinergic modulation and intensive verbal repetition-imitation therapy improve speech production deficits in crossed conduction aphasia by inducing right hemisphere structural plasticity. Conclusions: MSRT become a simultaneous training of attention, auditory and visual input processing with the activation of different semantic fields, STM, executive processing, and language production. Treatment with donepezil has a positive effect in communication skills of CA patient. We observe a summative effect between donepezil and MSRT. The improvement associates neuroplasticity changes in neuroimaging.In the past two decades, single-case studies evaluated the effect of massed repetition training to improve speech production and short-term memory deficits in conduction aphasia (CA). Improvements were reported in treated language and memory domains with modest generalisation of gains to spontaneous speech or auditory comprehension. Although these results are encouraging, sentence repetition training has not been compared with distributed speech-language therapy, and no studies have examined the role of pharmacological interventions to enhance gains promoted by these behavioural interventions in CA. To explore repetition and imitation in the context of neural basis and treatment of aphasia, we developed three studies (STUDY 1, 2 & 3). Study 1: The effects of massed sentence repetition therapy (MSRT) were compared to those of distributed speech-language therapy (DSLT) in measures of verbal output, short-term memory and repetition in patients with chronic post-stroke CA receiving treatment with the cholinesterase inhibitor donepezil (DP). Both interventions improved performance in speech production tasks, but better improvements were found with DP-MSRT than with DP-DSLT. Larger treatment effects were found for DP-MSRT in comparison with baselines and DP-DSLT in repetition of word pairs and triplets, and novel and experimental sentences with generalisation of gains to aphasia severity, connected speech and non-treated control sentences

Superficial characteristics of titanium after treatment of chorreated surface, passive acid, and decontamination with argon plasma

Background. Titanium is characterized by its biocompatibility, resistance to maximum stress, and fatigue and non-toxicity. The composition, surface structure, and roughness of titanium have a key and direct influence on the osseointegration processes when it is used in the form of dental implants. The objective of the present study is to characterize, at chemical, superficial, and biological levels, the result of the application of the sandblasted with large-grit and acid-etched (SLA) treatment consisting of coarse-grained and double-passivated acid blasting with subsequent decontamination with argon plasma on the surface of titanium implants type IV. (2) Methods. Four Oxtein® dental implants (Zaragoza, Spain) were investigated with the following coding: Code L63713T (titanium grade IV, 3.75 mm in diameter, and 13 mm in length). The surface of the implants was SLA type obtained from coarse-grained, double passivated acid, and decontaminated with argon plasma. The samples were in their sealed packages and were opened in our laboratory. The X-ray photoelectron spectroscopy (XPS) technique was used to characterize the chemical composition of the surface, and the scanning electronic microscope (SEM) technique was used to perform topographic surface evaluation. Cell cultures were also performed on both surfaces. (3) Results. The superficial chemical analysis of the studied samples presented the following components, approximately, expressed in atomic percentage: O: 39%; Ti: 18%; C: 39%; N: 2%; and Si: 1%. In the same way, the topographic analysis values were obtained in the evaluated roughness parameters: Ra: 1.5 μm ± 0.02%; Rq: 1.31 μm ± 0.33; Rz: 8.98 μm ± 0.73; Rp: 5.12 μm ± 0.48; Rv: 3.76 μm ± 0.51; and Rc: 4.92 μm ± 0.24. At a biological level, the expression of osteocalcin was higher (p < 0.05) on the micro-rough surface compared to that machined at 48 and 96 h of culture. (4) Conclusions. The data obtained in our study indicate that the total carbon content, the relative concentration of titanium, and the roughness of the treatment performed on the implants are in agreement with those found in the literature. Further, the roughness of the treatment performed on the implants throws a spongy, three-dimensional surface suitable for bone growth on it. The biological results found are compatible with the clinical use of the surface tested

Use of a new enrichment nanosorbent for speciation of mercury by FI-CV-ICP-MS

Mercury is one of the most toxic environmental pollutants and its effects on human and ecosystem health are well known. All mercury species are toxic, with organic mercury compounds generally being more toxic than inorganic species. Chromatography techniques (GC, HPLC) coupled to element specific detectors, are able to separate mercury species in order to elucidate mercury transformation and transport processes where the determination of all mercury species is desirable. However, in practice, especially in sampling campaigns for sea water analysis where a large number of samples are collected over a longer period of time, a combination of methods is usually applied to accurately determine the most toxic mercury species. These include non-chromatographic methods based on the different chemical and/or physical behavior of the mercury species. These non-chromatographic methods can be less time consuming, more cost effective and available, and present competitive limits of detection. Especially when mercury could vapor (CV) generation technique is employed, which reduces salt effect on the analytical signal and improve the sensibility. Among non-chromatographic methods, solid phase extraction and microextraction (SPE and SPME) which is becoming increasingly popular for sample preparation in organic analysis, found its way to speciation analysis of organometals. SPE/SPME is the most popular sample preconcentration method for its simplicity, high enrichment factor, low or no consumption of organic solvents and feasibly to be automated. On the other hand, the exploration of new materials, especially nanometer sized materials, as the support phase is another active research area in SPE/SPME for mercury determination. The use of nanoparticles leads to higher extraction capacity/efficiency and rapid dynamics of extraction originated from the higher surface area to volume ratio and short diffusion route. In this work, a new enrichment nanosorbent functionalized with 1,5 bis (2-pyridyl) methylene thiocarbohidrazide was synthesized and characterized. From the study of its adsorption capacity toward metal ions, Hg2+ was observed to be one of the most retained 173.1 µmol g-1 at pH 5. Thus, a flow injection solid phase extraction and cold vapor generation method for its determination and speciation based on the use of this new chelating nanosorbent was optimized. The method developed has showed to be useful for the automatic pre-concentration and sequential speciation of mercury and methylmercury in environmental and biological samples. The system was based on chelating retention of the analytes onto a mini-column filled with the new nanosorbent and their sequential elution by using two different eluents, 0.2 % HCl for CH3Hg+ and 0.1 % thiourea in 0.5 % HCl for Hg2+. The determination was performed using inductively coupled plasma mass spectrometry. Under the optimum conditions and 120 s preconcentration time, the enrichment factors were 4.7 and 11.0; the detection limits (3σ) were 0.002 and 0.004 µg L-1; the determination limits (10σ) were 0.011 and 0.024 µg L-1; and the precisions (calculated for 10 replicate determinations at a 2 µg L-1 standard of both species) were 2.8 and 2.6 % (RSD); for CH3Hg+ and Hg2+, respectively. Linear calibration graphs were obtained for both species from the determination limits to at least 70 µg L-1. For the quality control of the analytical performance and the validation of the newly developed method, the analysis of two certified samples, LGC 6016 estuarine water and SRM 2976 mussel tissue were addressed. The results showed good agreement with the certified values. The method was successfully applied to the speciation of mercury in sea-water samples collected in the Málaga Bay.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Superficial characteristics of titanium after treatment of chorreated surface, passive acid, and decontamination with argon plasma

Background. Titanium is characterized by its biocompatibility, resistance to maximum stress, and fatigue and non-toxicity. The composition, surface structure, and roughness of titanium have a key and direct influence on the osseointegration processes when it is used in the form of dental implants. The objective of the present study is to characterize, at chemical, superficial, and biological levels, the result of the application of the sandblasted with large-grit and acid-etched (SLA) treatment consisting of coarse-grained and double-passivated acid blasting with subsequent decontamination with argon plasma on the surface of titanium implants type IV. (2) Methods. Four Oxtein® dental implants (Zaragoza, Spain) were investigated with the following coding: Code L63713T (titanium grade IV, 3.75 mm in diameter, and 13 mm in length). The surface of the implants was SLA type obtained from coarse-grained, double passivated acid, and decontaminated with argon plasma. The samples were in their sealed packages and were opened in our laboratory. The X-ray photoelectron spectroscopy (XPS) technique was used to characterize the chemical composition of the surface, and the scanning electronic microscope (SEM) technique was used to perform topographic surface evaluation. Cell cultures were also performed on both surfaces. (3) Results. The superficial chemical analysis of the studied samples presented the following components, approximately, expressed in atomic percentage: O: 39%; Ti: 18%; C: 39%; N: 2%; and Si: 1%. In the same way, the topographic analysis values were obtained in the evaluated roughness parameters: Ra: 1.5 μm ± 0.02%; Rq: 1.31 μm ± 0.33; Rz: 8.98 μm ± 0.73; Rp: 5.12 μm ± 0.48; Rv: 3.76 μm ± 0.51; and Rc: 4.92 μm ± 0.24. At a biological level, the expression of osteocalcin was higher (p < 0.05) on the micro-rough surface compared to that machined at 48 and 96 h of culture. (4) Conclusions. The data obtained in our study indicate that the total carbon content, the relative concentration of titanium, and the roughness of the treatment performed on the implants are in agreement with those found in the literature. Further, the roughness of the treatment performed on the implants throws a spongy, three-dimensional surface suitable for bone growth on it. The biological results found are compatible with the clinical use of the surface tested

Self-assembled porphyrinoids: one-component nanostructured photomedicine

Photodynamic therapy (PDT) is becoming a promising way to treat various kinds of cancers, with few side effects. Porphyrinoids are the most relevant photosensitizers (PS) in PDT, because they present high extinction coefficients, biocompatibility, and excellent photochemical behavior. To maximize therapeutic effects, polymer-PS conjugates, and PS-loaded nanoparticles have been developed, with insights in improving tumor delivery. However, some drawbacks such as non-biodegradability, multistep fabrication, and low reagent loadings limit their clinical application. A novel strategy, noted by some authors as the “one-for-all” approach, is emerging to circumvent the use of additional delivery agents. This approach relies on the self-assembly of amphiphilic PS to fabricate nanostructures with improved transport properties. In this review we focus on different rational designs of porphyrinoid PS to achieve some of the following attributes in nanoassembly: i) selective uptake, through the incorporation of recognizable biological vectors; ii) responsiveness to stimuli; iii) combination of imaging and therapeutic functions; and iv) multimodal therapy, including photothermal or chemotherapy abilitiesThe research team has been supported by MINECO (CTQ2017- 85393-P) and ERA-NET/MINECO EuroNanoMed2017-191/PCIN 2017-042. IMDEA Nanociencia acknowledges support from the ‘Severo Ochoa’ Program for Centers of Excellence in R&D (MINECO, Grant SEV-2016-0686

In vitro comparative study of fibroblastic behaviour on polymethacrylate (PMMA) and lithium disilicate polymer surfaces

Polymethyl methacrylate (PMMA) and lithium disilicate are widely used materials in the dental field. PMMA is mainly used for the manufacture of removable prostheses; however, with the incorporation of CAD-CAM technology, new applications have been introduced for this material, including as a provisional implant attachment. Lithium disilicate is considered the gold standard for definitive attachment material. On the other hand, PMMA has begun to be used in clinics as a provisional attachment until the placement of a definitive one occurs. Although there are clinical studies regarding its use, there are few studies on cell reorganization around this type of material. This is why we carried out an in vitro comparative study using discs of both materials in which human gingival fibroblasts (HGFs) were cultured. After processing them, we analyzed various cellular parameters (cell count, cytoskeleton length, core size and coverage area). We analyzed the surface of the discs together with their composition. The results obtained were mostly not statistically significant, which shows that the qualities of PMMA make it a suitable material as an implant attachment

Training on Emotional Intelligence for Caregivers of Patients with Acquired Brain Injury and Cognitive Impairment: A Quasi-Experimental Study

Background: Cognitive-behavioral alterations can occur after an acquired brain injury (ABI). Objectives: To develop and evaluate a synchronous online training program on emotional intelligence (EI) for the caregivers of adult patients with cognitive-behavioral impairment due to ABI. Methods: Quasi-experimental study. Ten caregivers attended a one-month virtual synchronous course about EI. The emotional status of the caregivers was registered one-month-previous and one-month-post program using comparative measures: The Trait Meta-Mood Scale (TMMS-24), the Positive and Negative Affect Schedule (PANAS), Caregiver Burden Interview, the 10-item Connor-Davidson Resilience Scale, and the Emotional Health Survey. Results: After the training course, the favorable changes related to emotional affect measured with the PANAS questionnaire were found; both positive (increase; Mdn = 39.5; effect size −12.79; adjusted variance 95.75) and negative (decrease; Mdn = 14.5; effect size 0.73; adjusted variance 95.50) presented a statistical significance of p < 0.05. The TMMS-24 post-test showed that 90% of the caregivers reported an adequate or excellent emotional repair (p < 0.05; effect size −0.68; adjusted variance 94.75). No other significant differences were found. Conclusions: After this training in EI, the caregivers had a more positive mood and improved aspects of their emotional intelligence, such as emotional regulation. More studies need to be conducted.Partial funding for open access charge: Universidad de Málag

Sequential determination of heavy metals in environmental water samples by flow injection-chemical vapour generation-inductively coupled plasma mass spectrometry

The toxicity of “heavy metals” has been well recognized for a long time. Often the non-specific term “heavy metals” is used for three of the metals, cadmium, mercury and lead. These have large bioconcentration factors in marine organism, are highly toxic and, unlike many of the transition elements have no known natural biological functions. For these reasons these metals generate the greatest concern for the general public and therefore also for environmental agencies in the majority of states. The monitoring and control of these trace elements in the environment requires powerful analytical methods to accurately characterize their abundance and to reach reliable conclusions. In this work, an inductively coupled plasma mass spectrometry (ICP-MS) method has been developed for the sequential determination of Pb, Cd and Hg in natural waters, including sea-water, using an on-line preconcentration flow injection chemical vapour generation system (FI-CVG). It is difficult to simultaneously determine these elements by CVG, because their conditions of CVG are different. Thus, the system was based on the use of two minicolumns packed with 1-(di-2-pyridyl)methylene thiocarbonohydrazide chelating resin which were placed in two injection valves of a simple flow manifold to be loaded simultaneously. A third valve was arranged to select the reagent for the selective vapour generation of the analytes and, thus make possible the sequential determination of the three metals. By using this device, diverse advantages are attained: increase of the sensitivity and reduction of the interferences by the preconcentration and the vapour generation. The detection limits achieved (3 min sample loading time) were: 9, 17 and 12 ngL-1 for Pb, Cd and Hg, respectively, with a sample throughput about 10.4 h-1. The accuracy of the proposed method was checked with three certified reference materials (CRMs): TMDA-54.4 fortified lake water, LGC6016 estuarine water and CASS-5 oceanic water and the results obtained were in good agreement with the certified values. The method was also applied to the determination of Pb, Cd and Hg in different sea-water samples from the Málaga Bay.Universidad de Málaga, Campus de Excelencia Internacional Andalucia Tec

Medea contra Grecia: La figura femenina disidente en el teatro desde la Cultura Clásica hasta nuestros días

A través del teatro y la tragedia griega podemos hacer llegar al alumnado la cultura clásica y el mundo griego de forma que no lo vea como algo lejano a su realidad, sino como una fuente de inspiración que le permita comprender mejor el presente. Este proyecto de innovación, pensado para ser puesto en práctica en la asignatura de Cultura Clásica, en 4.º de ESO, consiste en la producción y escritura de una obra teatral por parte del alumnado a través del trabajo con la tragedia Medea de Eurípides, a la cual nos acercaremos mediante una metodología basada en la intertextualidad y la perspectiva de género, analizando el personaje de Medea en el contexto de su producción, en su paso por la literatura posterior y en nuestros días.<br /

Bi-LSTM neural network for EEG-based error detection in musicians’ performance

Electroencephalography (EEG) is a tool that allows us to analyze brain activity with high temporal resolution. These measures, combined with deep learning and digital signal processing, are widely used in neurological disorder detection and emotion and mental activity recognition. In this paper, a new method for mental activity recognition is presented: instantaneous frequency, spectral entropy and Mel-frequency cepstral coefficients (MFCC) are used to classify EEG signals using bidirectional LSTM neural networks. It is shown that this method can be used for intra-subject or inter-subject analysis and has been applied to error detection in musician performance reaching compelling accuracy.This work has been funded by Junta de Andalucía in the framework of Proyectos I+D+I en el marco del Programa Operativo FEDER Andalucia 2014–2020 under Project No.: UMA18-FEDERJA-023, Proyectos de I+D+i en el ámbito del Plan Andaluz de Investigación, Desarrollo e Innovación (PAIDI 2020) under Project No.: PY20_00237 and Universidad de Málaga, Campus de Excelencia Internacional Andalucia Tech . Funding for open access charge: Universidad de Málaga/CBU