Trastornos de la comunicación en el autismo

[Resumen] El autismo es un trastorno generalizado del desarrollo caracterizado, entre otros rasgos, por una falta de interés y/o capacidad para la comunicación y para la interacción social. En este artículo hemos querido dar una visión general de los distintos rasgos que caracterizan el espectro autista, así conceptualizado por la gran variabilidad en la gravedad de sus síntomas. Entre estos, hemos descrito las deficiencias en la interacción social, las respuestas atípicas a los estímulos sensoriales, las deficiencias motoras y conductas atípicas, los trastornos afectivos, el repertorio limitado de actividades e intereses y las deficiencias cognitivas. Nos hemos centrado en los trastornos del lenguaje y en los síndromes principales, para finalmente, proporcionar una visión general de las principales intervenciones encaminadas al desarrollo y mejora de la comunicación en el autism

The Cytocompatibility of Silver Diamine Fluoride on Mesenchymal Stromal Cells from Human Exfoliated Deciduous Teeth : An In Vitro Study

Silver diamine fluoride (SDF) has been used for many years for the treatment of caries, and minimally invasive dentistry concepts have made it popular again. The fact that its application does not require the administration of anesthesia makes its use in children more desirable. The aim of this study was to determine the cytotoxicity of two new commercial SDF products: Riva Star (SDI Dental Limited) and e-SDF (Kids-e-Dental) on mesenchymal stromal cells from human exfoliated deciduous teeth (SHEDs). SHEDs were exposed to SDF products at different concentrations (0.1%, 0.01% and 0.005%). Then different assays were performed to evaluate their cytocompatibility on SHEDs: IC50, MTT, cell migration (wound healing), cell cytoskeleton staining, cell apoptosis, generation of intracellular reactive oxygen species (ROS), and ion chromatography. Statistical analyses were performed using one-way ANOVA and Tukey's post hoc test (p < 0.05). Riva Star Step 2 showed the same cell metabolic activity when compared to the control condition at any time and concentration. Meanwhile, e-SDF displayed high cytotoxicity at any time and any concentration (*** p < 0.001), whereas Riva Star Step 1 displayed high cytotoxicity at any time at 0.1% and 0.01% (*** p < 0.001). Only e-SDF showed a statistically significant decreased cell migration rate (*** p < 0.001) at all times and in all concentrations. At 0.1%, e-SDF and Riva Star Step 1 only showed 4.37% and 4.47% of viable cells, respectively. These results suggest that Riva Star has better in vitro cytocompatibility on SHEDs than does e-SDF. Riva Star Step 1 was found to be as cytotoxic as e-SDF, but it had better biological properties when mixed with Riva Star Step 2. Our findings suggest that Riva Star is more suitable when used in deciduous teeth due to its lower cytotoxicity compared to e-SDF

Exercises using a touchscreen tablet application improved functional ability more than an exercise program prescribed on paper in people after surgical carpal tunnel release: a randomised trial

Question: In people who have undergone surgical carpal tunnel release, do sensorimotor-based exercises performed on the touchscreen of a tablet device improve outcomes more than a conventional home exercise program prescribed on paper? Design: Randomised, parallel-group trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Fifty participants within 10 days of surgical carpal tunnel release. Intervention: Each participant was prescribed a 4-week home exercise program. Participants in the experimental group received the ReHand tablet application, which administered and monitored exercises via the touchscreen. The control group was prescribed a home exercise program on paper, as is usual practice in the public hospital system. Outcome measures: The primary outcome was functional ability of the hand, reported using the shortened form of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Secondary outcomes were grip strength, pain intensity measured on a 10-cm visual analogue scale, and dexterity measured with the Nine-Hole Peg Test. Outcomes were measured by a blinded assessor at baseline and at the end of the 4-week intervention period. Results: At Week 4, functional ability improved significantly more in the experimental group than the control group (MD –21, 95% CI –33 to –9) on the QuickDASH score (0 to 100). Although the mean estimates of effect on the secondary outcome also all favoured the experimental group, none reached statistical significance: grip strength (MD 5.6 kg, 95% CI –0.5 to 11.7), pain (MD –1.4 cm, 95% CI –2.9 to 0.1), and dexterity (MD –1.3 seconds, 95% CI –3.7 to 1.1). Conclusion: Use of the ReHand tablet application for early rehabilitation after carpal tunnel release is more effective in the recovery of functional ability than a conventional home exercise program. It remains unclear whether there are any benefits in grip strength, pain or dexterity. Trial registration: ACTRN12618001887268

El uso de imágenes Ikonos para la cartografía de riesgo de inundación en pequeñas cuencas mediterráneas

La confección de una cartografía efectiva de riesgo de inundación precisa de la elaboración previa de mapas de peligro, que recojan las zonas sometidas a los procesos naturales asociados a la crecida. Para la configuración de estos mapas resulta muy útil el estudio de las áreas afectadas en sucesos concretos. En esta tarea el uso de la teledetección se ha demostrado altamente eficaz para el caso de grandes cuencas, afectadas por procesos de inundación extensivos y llanuras bien definidas. Sin embargo, para el caso de pequeñas cuencas mediterráneas, donde los espacios inundables son de índole muy variada, pequeña dimensión y rápido drenaje, el uso de las imágenes de satélite no siempre ha sido eficaz. La comercialización, en los último años, de imágenes de muy alta resolución (Ikonos, Quickbird) constituye una alternativa viable para la detección de las zonas afectadas en pequeñas cuencas. El presente trabajo constituye un ejemplo de uso de una imagen Ikonos para el análisis de las zonas inundadas durante el suceso de octubre del año 2000 en la Rambla de Poyo - Barranc de Torrent. Esta cuenca tiene una dimensión de 462 km2 , desemboca en la Albufera y presenta varias zonas inundables que afectan al área metropolitana de Valencia. Durante el suceso de octubre del 2000, tuvo lugar una crecida de más de 500 m3/s que dio lugar a diversos problemas de inundación, referenciados, en su día, mediante trabajo de campo y fotografía oblícua. El análisis visual de la imagen IKONOS permite establecer, de una manera rápida y completa, la extensión de la zona inundada, así como inferir los principales procesos de rotura en cauce, derrame y desbordamiento, asociados a la crecida

Respuesta hipofisaria y ovulatoria de conejas nulíparas alimentadas con dietas suplementadas con ácidos grasos poliinsaturados n-3.

Veinte conejas nulíparas se alimentaron ad libitum desde las 10 a las 16 semanas de edad con dos piensos isofibrosos, isoenergéticos e isoproteicos suplementados con dos fuentes de grasa diferentes: 0,75% de manteca para la dieta control (grupo C; n=10) ó 1,5% de un suplemento (Optomega-50; Optivite International Ltd., España) que contenía un 50% de extracto etérero y 38% de ácidos grasos poli-insaturados n-3 (AG n-3) para la dieta experimental (grupo P; n=10). A las 16 semanas de edad se determinó el consumo de pienso, así como la tasa de ovulación y las concentraciones plasmáticas de progesterona y LH a 0, 60 min, 5, 7 y 9 días post-inducción de ovulación con 20 μg de Gonadorelina (Inducel-GnRH, Lab. Ovejero). El consumo de pienso (150,5 g/d), el pico preovulatorio de LH (149,7±10,9 ng/ml), la tasa de ovulación (95%) y el número de cuerpos lúteos (9,8±0,7) fueron similares entre tratamientos. Las concentraciones plasmáticas de progesterona aumentaron a los 60 minutos (7,13±19 ng/ml) y 5 días (13,3±1,9 ng/ml) con respecto al día 0 (0,7±1,9 ng/ml; P<0.05), permaneciendo elevadas el día 9 en ambos grupos (19,4±1,9 ng/ml). Además, el día 5 y 7 post-inducción, las hembras alimentadas con la dieta P tendieron a tener niveles más elevados de progesterona en sangre que las alimentadas con la dieta C (16,6±1,9 vs.12,6±1,8 y 19,0±1,8 vs. 15,5±2,1 ng/ml, P=0,068 y P=0,082; respectivamente) que coinciden con el momento de la implantación embrionaria en esta especie. Por lo tanto, la suplementación con AG n-3 podría mejorar los niveles de progesterona en sangre y por lo tanto reducir la mortalidad embrionaria en este punto

Systematic review: The gut microbiome and its potential clinical application in inflammatory bowel disease

Inflammatory bowel disease (IBD) is a chronic relapsing-remitting systemic disease of the gastrointestinal tract. It is well established that the gut microbiome has a profound impact on IBD pathogenesis. Our aim was to systematically review the literature on the IBD gut microbiome and its usefulness to provide microbiome-based biomarkers. A systematic search of the online bibliographic database PubMed from inception to August 2020 with screening in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. One-hundred and forty-four papers were eligible for inclusion. There was a wide heterogeneity in microbiome analysis methods or experimental design. The IBD intestinal microbiome was generally characterized by reduced species richness and diversity, and lower temporal stability, while changes in the gut microbiome seemed to play a pivotal role in determining the onset of IBD. Multiple studies have identified certain microbial taxa that are enriched or depleted in IBD, including bacteria, fungi, viruses, and archaea. The two main features in this sense are the decrease in beneficial bacteria and the increase in pathogenic bacteria. Significant differences were also present between remission and relapse IBD status. Shifts in gut microbial community composition and abundance have proven to be valuable as diagnostic biomarkers. The gut microbiome plays a major role in IBD, yet studies need to go from casualty to causality. Longitudinal designs including newly diagnosed treatment-naïve patients are needed to provide insights into the role of microbes in the onset of intestinal inflammation. A better understanding of the human gut microbiome could provide innovative targets for diagnosis, prognosis, treatment and even cure of this relevant disease.This work is supported by Sara Borrell contract CD19/00247 from the Instituto de Salud Carlos III (ISCIII) to L.A.-G

Magnetic dispersive solid phase microextraction coupled with on-line chemical vapor generation method to extraction/preconcentration of mercury from environmental samples and determination by graphite furnace atomic absorption spectrometry.

Mercury (Hg) is classified as priority hazardous substances. Concentrations found in the aquatic environment are at trace levels as result of natural processes, such as erosion and volcanism, and anthropogenic discharges related mainly to industrial and mining activities. Mercury is one of the most potent neurotoxins known, showing a high number of adverse health effects in animals and humans. For this reason, a simple and rapid method for the determination and preconcentration of mercury in environmental waters is proposed. This work is based on magnetic dispersive solid phase microextraction (MDSPME) coupled with on-line chemical vapour generation (CVG). Graphite furnace atomic absorption spectrometry (GFAAS) was employed for the quantification of Hg. In the preconcentration step, a shell structured Fe3O4@graphene oxide was suspended in the ionic liquid carrier (1-n-butyl-3-metilimidazolium tetrafluoroborate [BMIM][BF4]), obtaining a stable colloidal suspension called ferrofluid. This sorbent possesses as large contact surface area and a high density of polar groups on its surface. The nanoparticles, when finely dispersed in the sample solution, result in almost complete extraction of Hg within a few seconds. All experimental and instrumental variables were optimized and the method was adequately validated by the analysis of certified reference materials of environmental waters. Acknowledgements The authors would like to thank Plan Propio “Proyecto Puente” de la Universidad de Málaga for financial support of this work.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tec

Celiac disease detection using a transglutaminase electrochemical immunosensor fabricated on nanohybrid screen-printed carbon electrodes

Celiac disease is a gluten-induced autoimmune enteropathy characterized by the presence of tissue tranglutaminase (tTG) autoantibodies. A disposable electrochemical immunosensor (EI) for the detection of IgA and IgG type anti-tTG autoantibodies in real patient’s samples is presented. Screen-printed carbon electrodes (SPCE) nanostructurized with carbon nanotubes and gold nanoparticles were used as the transducer surface. This transducer exhibits the excellent characteristics of carbon–metal nanoparticle hybrid conjugation and led to the amplification of the immunological interaction. The immunosensing strategy consisted of the immobilization of tTG on the nanostructured electrode surface followed by the electrochemical detection of the autoantibodies present in the samples using an alkaline phosphatase (AP) labelled anti-human IgA or IgG antibody. The analytical signal was based on the anodic redissolution of enzymatically generated silver by cyclic voltammetry. The results obtained were corroborated with a commercial ELISA kit indicating that the electrochemical immunosensor is a trustful analytical screening tool

Fabry-Perot method for the characterization of integrated optical directional couplers

A method to measure the loss and the power-transfer ratio of directional couplers is presented. It is based on the Fabry-Perot resonances from end-facet reflections. The dependence of the accuracy of the measurements on the facet tilts is described. For low facet misalignments, an uncertainty <0.3 dB in the loss measurements and power-transfer-ratio measurement errors <1% are obtained. For arbitrary facet tilts the errors depend on the extinction ratios. Experimental measurements are reported to verify the method, and its application to multimode interference couplers is shown.Publicad