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

Belite calcium sulfoaluminate cement early hydration: citric acid sensitivity.

Three buckets, corresponding to three selected samples, of the same type of belite calcium sulfoaluminate (BCSA) cements have been studied. These cements show very similar elemental and mineralogical compositions, and textural properties. Mortars, for mechanical strength characterisation at 3 and 24 hours, were prepared by two different methodologies: i) with w/c of 0.40 without citric acid and ii) with w/c=0.40 and adding 0.375 wt% by weight of cement (bwc) of citric acid used as a retarder. On the one hand, the mechanical strengths, at 24 hours, obtained by the three mortars prepared by both methodologies are almost coincident, 61(5) MPa without citric acid and 61(4) MPa for the mortars prepared with citric acid. On the other hand, the early mechanical strengths at 3 hours for the mortars prepared without citric acid are also almost coincident among the three cements, i.e. ~49(3) MPa. However, when the citric acid is added, the mechanical strengths at 3 hours are quite different among the three buckets, i.e. 34(1), 42(1) and 48(1) MPa, respectively. The main aim of this study is to understand the reasons causing the different early mechanical strengths. First of all, a full characterization of the three cements has been performed: textural properties, elemental composition by X-Ray Fluorescence (XRF) and mineralogical composition, including the amorphous content, by Laboratory X-Ray Powder Diffraction (LXRPD) combined with the Rietveld method. Moreover, the soluble sulphate contents within the first minutes of hydration are being determined. An isothermal calorimetry study at 20ºC for pastes without and with different amounts of citric acid will be presented as well as in situ X-Ray powder diffraction data analysis. The results will be discussed to give a picture of the early hydration behaviour of these BCSA cements.CTS cement corporation, CSA research Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Effect of alkanolamines in kaolinitic calcined clays pozzolanic reactivity.

Five kaolinitic clays with different amounts of kaolinite, ranging between ~70 wt% and ~30 wt%, have been studied to unravel the possible activation effect of alkanolamines on the aluminate fraction of calcined clays. This is of interest for enhancing the reactivity of LC3 binders. These clays were calcinated at 860ºC for 4 h and ground to particle sizes of DV,50 ~10 μm. Three alkanolamines were selected: triisopropanolamine (TIPA), triethanolamine (TEA) and methyldiethanolamine (MDEOA), added in two dosages, 0.025 and 0.050 wt% (by weight of calcined clay, bwcc). The role of alkanolamines as activators in calcined clays was assessed following the ASTM c1897 standard bases on R3-tests. Concretely, first by measuring the heat evolved due to the pozzolanic reaction of the calcined clay and Ca(OH)2 (i.e. R3 mixture) by isothermal calorimetry at 40ºC during 7 days, and second, the bounded water by measuring the weight loss of R3 mixture after heating them at 350ºC.This study concludes that there is no significant activation of the pozzolanic activity of kaolinitic calcined clays just by adding alkanolamines. However, a mild activation was observed, i.e., higher heat evolved up to 7 days, by adding 0.05 wt% bwcc of TIPA, TEA and MDEOA to a high kaolinite content disordered metakaolin with high specific surface area calcined clay.PID2020-114650RB-I00 CTS cement corporation Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Occupational therapy and professional identity: narratives of professionals through life history. study protocol

[Abstract] Project title: Occupational therapy and professional identity: narratives of professionals through life history. Study Protocol. Design: Qualitative research, using a socio-critical paradigm and biographical-narrative method where participants were selected through theoretical sampling and snowball sampling strategy. Data collection techniques were life stories, constructed through biograms, self-reports and biographical interviews. Abductive reasoning was used along with structural analysis techniques, narrative analysis, and ATLAS. ti software. Objective: To describe and analyze the occupational construct of the professional identity of occupational therapists in Spain. Specific Objectives: (1) Analyze life events, transitions, and turning points that contribute to the outlining of the life journey of professional identity. (2) Explore the management of professional tasks. (3) Analyze the nature of the knowledge required to carry out the role. (4) Examine in detail the strategies applied to the personal engagement of occupational therapists. Study Population and Total Number of Participants: The study population consisted of professionals who are currently working as occupational therapists in Spain. The number of participants was established when data saturation was reached, with a total of nine informants

Analysis of occupational therapy students’ pedagogical practices for the forging of professional identity and development of professional intelligence: a scoping review

Review[Abstract] Pedagogical practices contribute to enhancing professional intelligence which is an indicator of maturity and development of professional identity. The research guiding question was: What are the pedagogical practices involved in occupational therapy students' professional identity formation? A scoping review using a six-stage methodological framework was used to capture a variety of evidence describing how professional identity has been conceptualised and integrated into the occupational therapy curriculum while noticing a link to professional intelligence. Databases included were: Ovid MEDLINE, CINAHL, PsycINFO, ProQuest ERIC, Scopus, Web of Science, CSIC, Dialnet, PubMed, Pubmed Central, OTDBASE and Scielo. Qualitative content analysis was used to categorise learning outcomes into five components of professional identity that were associated with the pedagogical practices identified in the studies. n = 58 peer-reviewed journal articles were recorded. The articles were classified as intervention studies (n = 31; 53.4%), reviews (n = 12; 20.7%) and theoretical articles (n = 15; 25.9%). To ensure the feasibility of collecting and reporting results, we narrowed the focus to n = 31 intervention studies that provided information on pedagogical practices and learning outcomes on professional identity forging in students. This scoping review illustrates the variety of contexts in which students learn, the multiple dimensions of identity establishment, and the variety of pedagogical practices. These findings can be used to adapt and design focused formative curricula that support the development of professional identity

La educación interprofesional en el desarrollo de la identidad profesional en terapia ocupacional: una revisión de alcance

[Resumen] Objetivo. analizar el desarrollo histórico, la naturaleza y el volumen de la literatura científica de la Investigación sobre Educación Interprofesional en terapia ocupacional, así como los tipos de intervenciones que se desarrollan. Método. Se utilizó un scoping review con un marco metodológico de cuatro etapas para capturar la evidencia que describe cómo las Investigación sobre Educación Interprofesional y la identidad profesional ha sido conceptualizada e integradas en la terapia ocupacional. Las bases de datos incluidas fueron MEDLINE, EMBASE, PubMed, Pubmed Central, ERIC, PsychInfo, Cinahl, Ciberindex, Dialnet, Scopus, Web of Science, Cochrane y Scielo. Como criterios de inclusión los artículos debían describir conceptos relacionados con la terapia ocupacional y otras disciplinas, identidad profesional y la educación interprofesional en estudiantes y/o profesionales. Del listado final se analizaron las variables: información demográfica, objetivo/propósito del estudio, detalles metodológicos, tipos de intervenciones realizadas y resultados/hallazgos principales. Resultados. 18 artículos cumplieron los criterios y 16 se tuvieron en cuenta para la síntesis cualitativa. Predomina la investigación universitaria (92,3%). El 75% de la muestra de las investigaciones se concentra en estudiantes. La investigación mixta representa el 50% del estudio. Las intervenciones más numerosas en Investigación sobre Educación Interprofesional son prácticas en el aula (62,5%) frente a prácticas de campo (37,5%). Conclusión. este estudio muestra la fortaleza de las prácticas ligadas a la educación interprofesional y su vínculo para desarrollar la identidad profesional. La formación de colaboración interprofesional en comparación con la educación clínica tradicional, aumenta la identidad profesional a través de la autoeficacia percibida de los estudiantes.[Resumo] Objetivo. analisar o desenvolvimento histórico, a natureza e o volume da produção científica sobre pesquisa em educação interprofissional em terapia ocupacional, bem como os tipos de intervenções que são desenvolvidas. Método. Uma revisão de escopo com uma estrutura metodológica de quatro estágios foi usada para capturar evidências que descrevem como a pesquisa em educação interprofissional e a identidade profissional foram conceituadas e integradas à terapia ocupacional. As bases de dados incluídas foram MEDLINE, EMBASE, PubMed, Pubmed Central, ERIC, PsychInfo, Cinahl, Ciberindex, Dialnet, Scopus, Web of Science, Cochrane e Scielo. Como critérios de inclusão, os artigos deveriam descrever conceitos relacionados à terapia ocupacional e outras disciplinas, identidade profissional e educação interprofissional em estudantes e/ou profissionais. Da lista final, foram analisadas as variáveis: informações demográficas, objetivo/finalidade do estudo, detalhes metodológicos, tipos de intervenções realizadas e principais resultados/achados. Resultados. 18 artigos atenderam aos critérios e 16 foram considerados para a síntese qualitativa. Predomina a pesquisa universitária (92,3%). 75% da amostra da pesquisa se concentra nos alunos. A pesquisa mista representa 50% do estudo. As intervenções mais numerosas na Pesquisa em Educação Interprofissional são as práticas de sala de aula (62,5%) em oposição às práticas de campo (37,5%). Conclusão. este estudo mostra a força das práticas vinculadas à educação interprofissional e seu vínculo com o desenvolvimento da identidade profissional. O treinamento interprofissional colaborativo, em comparação com a educação clínica tradicional, aumenta a identidade profissional por meio da autoeficácia percebida pelos alunos.[Abstract] Objective. To analyze the historical development, nature, and volume of scientific literature on Interprofessional Education Research in occupational therapy, as well as the types of interventions carried out. Method. A scoping review was used with a four-stage methodological framework to capture evidence describing how Interprofessional Education Research and professional identity has been conceptualized and integrated into occupational therapy. The databases included were MEDLINE, EMBASE, PubMed, Pubmed Central, ERIC, PsychInfo, Cinahl, Ciberindex, Dialnet, Scopus, Web of Science, Cochrane, and Scielo. As inclusion criteria, articles had to describe concepts related to occupational therapy and other disciplines, professional identity, and interprofessional education in students and/or professionals. From the final list, the following variables were analyzed: demographic information, study objective/purpose, methodological details, types of interventions carried out, and main results/findings. Results. 18 articles met the criteria and 16 were considered for qualitative synthesis. University research predominated (92.3%). 75% of the research sample focuses on students. Mixed research represents 50% of the study. The most numerous interventions in Interprofessional Education Research are in-class practices (62.5%) versus field practices (37.5%). Conclusion. This study shows the strength of practices linked to interprofessional education and their link to developing professional identity. Interprofessional collaboration training compared to traditional clinical education increases professional identity through perceived self-efficacy of students

Buenas Prácticas en los Programas Universitarios para Mayores en España

Ana Isabel Muñoz Alcón y Francisco Trullén Galve (Universidad Catolica de Ávila); María P. García de la Torre y Francisco Ascón Belver (Universidad de A Coruña); M. Isabel Luis Rico, Ángel Gañán Adánez, Tamara de la Torre Cruz, Vanesa Baños Martínez (Universidad de Burgos); Yolanda Lázaro Fernández y Jaime Cuenca Amigo (Universidad de Deusto); Camino Caballero Posado (Universidad de Extremadura); Mª Adoración Holgado Sánchez y Mª Teresa Ramos Bernal (Universidad Pontificia de Salamanca); Sara Serrate González, Javier Alba Barrios y José Manuel Muñoz Rodríguez; Miguel Ángel Nombela Castaño (Universidad de Vigo

Linezolid for infective endocarditis. A structured approach based on a national database experience

Current data on the frequency and efficacy of linezolid (LNZ) in infective endocarditis (IE) are based on small retrospective series. We used a national database to evaluate the effectiveness of LNZ in IE. This is a retrospective study of IE patients in the Spanish GAMES database who received LNZ. We defined 3 levels of therapeutic impact: LNZ 50% of the total treatment, and > 50% of the LNZ doses prescribed in the first weeks of treatment), and LNZ ? 7 days not fulfilling the high-impact criteria (LNZ-NHI). Effectiveness of LNZ was assessed using propensity score matching and multivariate analysis of high-impact cases in comparison to patients not treated with LNZ from the GAMES database matched for age-adjusted comorbidity Charlson index, heart failure, renal failure, prosthetic and intracardiac IE device, left-sided IE, and Staphylococcus aureus. Primary outcomes were in-hospital mortality and one-year mortality. Secondary outcomes included IE complications and relapses

La informática industrial en las ingenierías industriales

[Resumen] El término Informática Industrial se utiliza para dar cabida a un conjunto muy diverso de disciplinas y tecnologías. El encontrar un criterio unificador que articule los diversos enfoques posibles y que ayude, tanto al docente como al alumno, en el proceso de enseñanza/aprendizaje de manera que se brinde conocimiento perdurable y al mismo tiempo actualizado, es una tarea clave. En esta contribución se discuten estas ideas relativas a la docencia de esta disciplina en las diferentes titulaciones de la Escuela de Ingenierías Industriales de la UVA, manifestando ideas de cómo ese marco conceptual puede adaptarse al contexto de las diferentes especialidades.Ministerio de Economía y Competitividad; DPI2015-70975-

Epidemiological and clinical characteristics of Streptococcus tigurinus endocarditis

Background: Streptococcus tigurinus was recently described as a new streptococcal species within the viridans group streptococci (VGS). The objectives of the present work were to analyse the clinical and microbiological characteristics of S. tigurinus isolated from patients with bacteraemias, to determine the prevalence of S. tigurinus among VGS endocarditis in Spain, and to compare the clinical characteristics and outcomes of endocarditis caused by S. tigurinus and other VGS. Methods: Retrospective nationwide study, performed between 2008 and 2016 in 9 Spanish hospitals from 7 different provinces comprising 237 cases of infective endocarditis. Streptococcal isolates were identified by sequencing fragments of their 16S rRNA, sodA and groEL genes. Clinical data of patients with streptococcal endocarditis were prospectively collected according to a pre-established protocol. Results: Patients with endocarditis represented 7/9 (77.8%) and 26/86 (30.2%) of the bacteraemias caused by S. tigurinus and other VGS, respectively (p < 0.001), in two of the hospital participants. Among patients with streptococcal endocarditis, 12 different Streptococcus species were recognized being S. oralis, S. tigurinus and S. mitis the three more common. No relevant statistical differences were observed in the clinical characteristics and outcomes of endocarditis caused by the different VGS species. Conclusions: In this multicenter study performed in Spain, S. tigurinus showed a higher predilection for the endocardial endothelium as compared to other VGS. However, clinical characteristics and outcomes of endocarditis caused by S. tigurinus did not significantly differ from endocarditis caused by other oral streptococci.JMM received a personal 80:20 research grant from the Institut d’InvestigacionsBiomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain during 2017–19. Nofunding entity played any role in the design of the study and data collection,analysis, and interpretation of data and in writing the manuscript