Integración sensorial en los procesos de habla y comunicación

La integración sensorial es una dificultad que atañe múltiples complicaciones en diferentes sub-sistemas sensoriales y entre esas dificultades se encuentran la afectación del habla y la comunicación. El estudio de los sistemas sensoriales y las dificultades que estos generan en la comunicación y el lenguaje se hace complicado debido a la inter-relación que los sub-sistemas guardan entre sí, provocando que el fallo en uno de ellos genere dificultades en el resto de sistemas. Este trabajo tiene como objetivo identificar y describir los problemas que conllevan un déficit en integración sensorial en el lenguaje y la comunicación. Para ello se realizó una búsqueda bibliográfica en la que se utilizaron los siguientes términos: Integración sensorial, sistemas sensoriales, sistema somatosensorial, déficit en integración sensorial, habla y lenguaje sensorial, entre otras. La búsqueda se realizó a través de varios buscadores y bases de datos, como el PuntoQ, Google Académico, WOS, SCOPUS, Annual Reviews. En una primera búsqueda se obtuvieron un gran número de artículos, que después de aplicar los criterios de inclusión y exclusión se redujeron a 17. Los resultados obtenidos revelan que efectivamente un trastorno de integración sensorial repercute en el habla y la comunicación de las personas.Sensory integration is a difficulty that involves multiple complications in different sensory sub-systems and, among those difficulties, are the impairment of speech and communication. The study of sensory systems and the difficulties they generate in communication and language becomes complicated due to the interrelationship that the sub-systems keep with each other, causing a failure in one of them to cause difficulties in the rest of the systems. The aim of this work is to identify and describe the problems that lead to a deficit in sensory integration in language and communication. For this purpose, a bibliographic search was carried out in which the following terms were used: Sensory integration, sensory systems, somatosensory system, deficit in sensory integration, speech and sensory language, among others. The search was made through several search engines and databases, such as PuntoQ, Google academic, Wos, Scopus, Annual Reviews. In a first search a large number of articles were obtained, which after applying the inclusion and exclusion criteria were reduced to 17. The results obtained reveal that a sensory integration disorder effectively affects people's speech and communication

Variación espacial y temporal del índice gonadal de Diadema antillarum (Echinodermata: Echinoidea) en las Islas Canarias

Diadema antillarum Philippi occurs in high density populations in the Canary Islands, creating extensive barren areas. During one year we determined seasonal changes in the algal abundance and population densities, test diameter, gut contents and gonad index of sea urchins in two localities (Abades and Boca Cangrejo). Boca Cangrejo shows higher algae cover and species richness than Abades. The sea urchin population at Abades had a higher density and smaller urchins than Boca Cangrejo. Boca Cangrejo sea urchins showed higher specific richness in gut contents than Abades urchins. The sea urchin population at Abades did not have a clearer reproductive periodicity or higher gonad index than the Boca Cangrejo population. Temporal and spatial changes in gonad periodicity of Diadema antillarum are attributed, at least in part, to benthic food availability (algal cover and algal species number) and intra-specific competition.Diadema antillarum Philippi presenta unas densidades altísimas en las islas Canarias, eliminando casi por completo la cubierta vegetal de los fondos rocosos litorales. Durante un año, hemos muestreado estacionalmente los cambios en la abundancia de algas y las densidades poblacionales, diámetros de caparazón, contenidos intestinales e índice gonadal de los erizos en dos localidades (Abades y Boca Cangrejo). Boca Cangrejo presenta mayores coberturas y riqueza algal que Abades. La población de erizos en Abades es más densa y esta formada por erizos de menor tamaño que en Boca Cangrejo. La riqueza algal en los contenidos estomacales es mayor en los erizos de Boca Cangrejo que la de los de Abades. Los erizos de Boca Cangrejo presentan una clara periodicidad reproductiva e índices gonadales superiores a los erizos de Abades. Las variaciones espaciales y estacionales en la periodicidad gonadal de Diadema antillarum pueden ser atribuidas, al menos en parte, a la disponibilidad bentónica de alimento (recubrimiento y número de especies de algas) y a la competencia intraespecífica.

Predicting Clinical Outcome with Phenotypic Clusters in COVID-19 Pneumonia: An Analysis of 12,066 Hospitalized Patients from the Spanish Registry SEMI-COVID-19

(1) Background: Different clinical presentations in COVID-19 are described to date, from mild to severe cases. This study aims to identify different clinical phenotypes in COVID-19 pneumonia using cluster analysis and to assess the prognostic impact among identified clusters in such patients. (2) Methods: Cluster analysis including 11 phenotypic variables was performed in a large cohort of 12,066 COVID-19 patients, collected and followed-up from 1 March to 31 July 2020, from the nationwide Spanish Society of Internal Medicine (SEMI)-COVID-19 Registry. (3) Results: Of the total of 12,066 patients included in the study, most were males (7052, 58.5%) and Caucasian (10,635, 89.5%), with a mean age at diagnosis of 67 years (standard deviation (SD) 16). The main pre-admission comorbidities were arterial hypertension (6030, 50%), hyperlipidemia (4741, 39.4%) and diabetes mellitus (2309, 19.2%). The average number of days from COVID-19 symptom onset to hospital admission was 6.7 (SD 7). The triad of fever, cough, and dyspnea was present almost uniformly in all 4 clinical phenotypes identified by clustering. Cluster C1 (8737 patients, 72.4%) was the largest, and comprised patients with the triad alone. Cluster C2 (1196 patients, 9.9%) also presented with ageusia and anosmia; cluster C3 (880 patients, 7.3%) also had arthromyalgia, headache, and sore throat; and cluster C4 (1253 patients, 10.4%) also manifested with diarrhea, vomiting, and abdominal pain. Compared to each other, cluster C1 presented the highest in-hospital mortality (24.1% vs. 4.3% vs. 14.7% vs. 18.6%; p 20 bpm, lower PaO2/FiO2 at admission, higher levels of C-reactive protein (CRP) and lactate dehydrogenase (LDH), and the phenotypic cluster as independent factors for in-hospital death. (4) Conclusions: The present study identified 4 phenotypic clusters in patients with COVID-19 pneumonia, which predicted the in-hospital prognosis of clinical outcomes

Ingeniería Geológica en Terrenos Volcánicos. Métodos, Técnicas y Experiencias en las Islas Canarias

La presente obra es un compendio de conceptos, metodologías y técnicas útiles para acometer proyectos y obras en terrenos volcánicos desde el punto de vista de la ingeniería geológica y la geotecnia. El libro se presenta en tres partes diferenciadas. La primera es conceptual y metodológica, con capítulos que tratan sobre la clasificación de las rocas volcánicas con fines geotécnicos, la caracterización geomecánica, los problemas geotécnicos y constructivos asociados a los distintos materiales, y una guía metodológica para la redacción de informes geotécnicos para la edificación. La segunda parte aborda las aplicaciones a obras de ingeniería, incluyendo deslizamientos, obras subterráneas,infraestructuras marítimas y obras públicas. La tercera parte recoge capítulos dedicados a describir distintos casos prácticos de obras y proyectos en los que la problemática geotécnica en terrenos volcánicos ha tenido un papel relevante. Los capítulos han sido elaborados por técnicos y científicos de reconocido prestigio en el campo de la ingeniería geológica en terrenos volcánicos, que han plasmado en ellos sus conocimientos y experiencias en la materia.Los editores y autores de parte de los capítulos del libro, los Doctores Luis E. Hernández Gutiérrez (Geólogo) y Juan Carlos Santamarta Cerezal (Ingeniero de Montes, Civil y Minas), son los responsables del grupo de investigación INGENIA (Ingeniería Geológica, Innovación y Aguas). Su actividad investigadora comprende más de 200 publicaciones en el área de la ingeniería geológica, la geotecnia, medio ambiente y el aprovechamiento del agua en islas y terrenos volcánicos. En relación a la docencia han impartido y dirigido más de 90 seminarios y cursos de especialización a nivel nacional e internacional, incluyendo la organización de 4 congresos internacionales. Fueron premiados por la Universidad de La Laguna en los años 2012, 2013 y 2014 por su calidad docente e innovación universitaria, y son pioneros en los laboratorios virtuales para la enseñanza de la ingeniería. Participan activamente como profesores colaboradores e investigadores en varias universidades e instituciones españolas e internacionales. Todas sus publicaciones están disponibles en internet, con libre acceso. Ingeniería geológica en terrenos volcánicos, es una obra de gran interés para, consultores, técnicos de administraciones públicas, proyectistas y demás profesionales implicados en obras y proyectos de infraestructuras en terrenos volcánicos; también es útil para académicos y estudiantes de ingeniería o ciencias geológicas que quieran investigar o iniciarse en las singularidades que presentan los materiales volcánicos en la edificación o en la ingeniería civil y minera

Associations of hypomagnesemia in patients seeking a first treatment of alcohol use disorder

Introduction: Hypomagnesemia (hypoMg) has not yet been extensively studied in alcohol use disorder (AUD) . We hypothesize that chronic, excessive alcohol consumption favors oxidative stress and pro-inflammatory alterations that may be exacerbated by hypoMg. The objective of this study was to analyze the prevalence and associations of hypoMg in AUD.Patients and Methods: Cross-sectional study in patients admitted for a first treatment of AUD in six tertiary centers between 2013 and 2020. Socio-demographic, alcohol use characteristics, and blood parameters were ascertained at admission.Results: 753 patients (71% men) were eligible; age at admission was 48 years [IQR, 41-56 years]. Prevalence of hypoMg was 11.2%, higher than that observed for hypocalcemia (9.3%), hyponatremia (5.6%), and hypokalemia (2.8%). HypoMg was associated with older age, longer duration of AUD, anemia, higher erythrocyte sedimen-tation rate, gamma-glutamyl transpeptidase, glucose levels, advanced liver fibrosis (FIB-4 >= 3.25) and estimated glomerular filtration rate (eGFR) < 60 mL/min. In multivariate analysis, advanced liver fibrosis (OR, 8.91; 95% CI, 3.3-23.9) and eGFR < 60 mL (OR, 5.2; 95% CI, 1.0-26.2) were the only factors associated with hypoMg.Conclusions: Mg deficiency in AUD is associated with liver damage and glomerular dysfunction suggesting that both comorbidities should be assessed in the course of serum hypoMg

Treatment variability and its relationships to outcomes among patients with Wernicke's encephalopathy: A multicenter retrospective study

Background: Despite guidelines and recommendations, Wernicke's encephalopathy (WE) treatment lacks evidence, leading to clinical practice variability.Aims: Given the overall lack of information on thiamine use for WE treatment, we analyzed data from a large, well-characterized multicenter sample of patients with WE, examining thiamine dosages; factors associated with the use of different doses, frequencies, and routes; and the influence of differences in thiamine treatment on the outcome.Methods: This retrospective study was conducted with data from 443 patients from 21 centers obtained from a nationwide registry of the Spanish Society of Internal Medicine (from 2000 to 2012). Discharge codes and Caine criteria were applied for WE diagnosis, and treatment-related (thiamine dosage, frequency, and route of administration) demographic, clinical, and outcome variables were analyzed.Results: We found marked variability in WE treatment and a low rate of high-dose intravenous thiamine administration. Seventy-eight patients out of 373 (20.9%) received > 300 mg/day of thiamine as initial dose. Patients fulfilling the Caine criteria or presenting with the classic WE triad more frequently received parenteral treatment. Delayed diagnosis (after 24 h hospitalization), the fulfillment of more than two Caine criteria at diagnosis, mental status alterations, and folic acid deficiency were associated significantly with the lack of complete recovery. Malnutrition, reduced consciousness, folic acid deficiency, and the lack of timely thiamine treatment were risk factors for mortality.Conclusions: Our results clearly show extreme variability in thiamine dosages and routes used in the management of WE. Measures should be implemented to ensure adherence to current guidelines and to correct potential nutritional deficits in patients with alcohol use disorders or other risk factors for WE

re-habitar El Carmen : Un proyecto sobre patrimonio contemporáneo

El proyecto _re-HABITAR suponía para el propio proceder de la institución un avance más allá del reconocimiento, registro, inventario o protección patrimonial de la arquitectura del siglo XX y del Movimiento Moderno para posicionarse en la acción preventiva y conservativa de ese legado contemporáneo. Para ello, la praxis patrimonial se aferraba a un modelo: el de la vivienda social en España en la segunda mitad del siglo XX; a un caso concreto: el de la barriada de Nuestra Señora del Carmen (Recasens Méndez-Queipo de Llano, 1958); y a un requisito fundamental: analizar un objeto vivo y en uso, aún con la presencia de quienes lo vivieron y usaron desde su origen

Role of Salivary MicroRNA and Cytokines in the Diagnosis and Prognosis of Oral Squamous Cell Carcinoma

This study was supported by research group BIO277 (Junta de Andalucia), Department of Nursing (University of Granada) and Department of Stomatology (University of Granada)Oral squamous cell carcinoma (OSCC) is the most prevalent oral malignant tumor worldwide. An early diagnosis can have a major positive impact on its prognosis. Human saliva contains cytokines, DNA and RNA molecules, circulating cells, and derivatives of tissues and extracellular vesicles, among other factors that can serve as biomarkers. Hence, the analysis of saliva may provide useful information for the early diagnosis of OSCC for its prognosis. The objective of this review was to determine the potential usefulness of salivary biomarkers (cytokines and microRNA) to diagnose OSCC and improve its prognosis. A combination of salivary miRNA and proteomic data could allow a definitive and early diagnosis to be obtained. However, there remains a need to optimize and standardize the protocols used to quantify miRNAs.BIO277 (Junta de Andalucia), Department of Nursing (University of Granada)Department of Stomatology (University of Granada) BIO27