1,527 research outputs found
Preschool Metacognitive Skill Assessment in Order to Promote Educational Sensitive Response From Mixed-Methods Approach: Complementarity of Data Analysis
A child''s metacognitive skills contribute significantly to their learning and success. However, very few studies are focused on these skills at early education andmost of them are carried out from inappropriate methodological perspectives for the characteristics of the youngest students. To overcome such limitations, it is essential to carry out observational studies that analyze children''s metacognitive behaviors in the natural and habitual context of children''s learning, as well as appropriate tasks for their level of development. The aim of this study was to analyze the sequential and associative structure of the metacognitive skills used by 5-year-old children throughout the resolution of a playful task (a puzzle). It was interesting to know if there were different hidden structures in the use of metacognitive skills in the children who solved the puzzle and those who did not. From the methodological approach, this work was located in the perspective of mixed methods which is characterized by the integration of qualitative and quantitative elements. This integration was carried out from the "connect" option. The integration involved developing quantitizing, as one of its possibilities. Recent scientific literature has considered systematic observation, in which the QUAL-QUAN-QUAL macro stages take place, as a mixed method itself. Consequently, systematic observation was applied, because it was suitable for our aim. A Nomothetic/Punctual/Multidimensional observational design was used. The playful activity of 44 preschool children solving the puzzle individually was coded. It allowed us to obtain data matrices that respond to the QUAL stage. Regarding the QUAN stage, once the quality of data was controlled, the records were further analyzed by differentiating two groups of participants (those who had solved the puzzle and those who did not) using three quantitative techniques of observational analysis (T-pattern detection, lag sequential analysis, polar coordinate analysis). Finally data was returned to a QUAL stage to interpret the results. The use of these three techniques allowed a detailed and in-depth analysis of the children''s activity. Results reveal differences in the metacognitive abilities of the children that solved and didn''t solve the puzzle. These results have important implications for educational practice
Hb40-61a: Novel analogues help expanding the knowledge on chemistry, properties and candidacidal action of this bovine α-hemoglobin-derived peptide
AbstractThis study expands the knowledge on chemical synthesis and properties of Hb40-61a as well as provides results of the first steps given towards knowing how it kills Candida cells. For the first time, this peptide, its all-D analogue (D-Hb40-61a) and its fluorescently labeled analogue (FAM-Hb40-61a) were successfully assembled on resin at 60°C using conventional heating in all steps. Purified and characterized, these peptides exhibited very low toxicity on human erythrocytes. Hb40-61a and D-Hb40-61a were equally active against Candida strains, ruling out sterically specific interactions on their working mechanism. Cell permeabilization assays confirmed progressive damage of the yeast plasma membrane with increasing concentrations of Hb40-61a. While experiment using the fluorescent probe DiBAC4(5) revealed that this synthetic hemocidin alters the yeast plasma membrane potential, test employing DPH indicated that Hb40-61a might affect its dynamics. Exposure of the yeast cells to FAM-Hb40-61a showed that the peptide accumulates in the cell membrane at the ½ MIC, but stains about 97% of the cells at the MIC. Such effect is salt-dependent and partially energy-dependent. These new findings indicate that the central target of Hb40-61a in Candida cells is the plasma membrane and that this synthetic hemocidin should be considered as a potential candidacidal for topic uses
A Fully-Integrated CMOS LDO Regulator for Battery-Operated On-Chip Measurement Systems
This paper presents a fully-integrated 0.18 mu m CMOS low drop-out (LDO) regulator designed to drive on-chip low power frontend sensor nodes. The proposed LDO is based on a simple telescopic amplifier stage with internal cascode compensation driving a PMOS pass-device, providing a high precision 1.8 V output voltage for input voltages from 3.6 V to 1.92 V up to a 50 mA load current with only 22 mu A quiescent current. Line and load regulation are respectively better than 0.017 mV/V and 0.003 mV/mA, while recovery times are below 4 mu s over a (-40 degrees C, 120 degrees C) temperature span
A CMOS Mixed Mode Non-Linear Processing Unit for Adaptive Sensor Conditioning in Portable Smart Systems
This paper presents the architecture of a novel non-linear digitally programmable analog unit for sensor output conditioning in battery-operated smart systems. Designed in an 180nm 1.8V standard CMOS technology, by properly setting the 6-bit registers in the arithmetic unit, the voltage inputs are weighted before being processed by a non-linear circuit. Thus, a processing system consisting of a set of these devices suitably tuned and interconnected can be applied to condition a non-linear sensor, improving its behavior both in linearity and operating range, while reducing the effects of cross sensitivity. The robustness of the digital weight tuning is tested simulating a chip-on-the-loop training using a Levenberg-Marquardt-based algorithm. Electric simulations of the proposed unit and the results of its application in a complete neural network-based processing system to improve the linear operating range of a thermistor are presented
Tobacco use worldwide: Legislative efforts to curb consumption
Tobacco smoking is recognized as a major preventable cause of disease worldwide and is linked to 6
million deaths annually, 30% of which are due to cancer. The negative health consequences of smoking
currently represent one of the greatest public health challenges. Secondhand smoke, declared carcinogenic
by the International Agency for Research on Cancer in 2004, is also a major source of morbidity and
premature death in nonsmokers, particularly children. Negative health effects associated with exposure to
secondhand smoke have been well documented and include lung cancer, cardiovascular disease, asthma, and
other respiratory diseases. International and national policies to implement cost-effective strategies to
curtail smoking will have a significant impact on population health and will protect nonsmokers. Effective
interventions, such as a combination of smoke-free laws, tobacco price increases, easy access to tobacco
cessation treatments, and anti-tobacco media campaigns, should continue. Reducing tobacco use would be
a major step towards the goal of decreasing health disparities by 2030 as 80% of the projected tobaccorelated deaths will occur in low- and middle-income countries
Tobacco Use Worldwide: Legislative Efforts to Curb Consumption
Tobacco smoking is recognized as a major preventable cause of disease worldwide and is linked to 6
million deaths annually, 30% of which are due to cancer. The negative health consequences of smoking
currently represent one of the greatest global public health challenges. Additionally, secondhand smoke,
which was declared carcinogenic by the International Agency for Research on Cancer in 2004, is a major
source of morbidity and premature death in nonsmokers, particularly children. Negative health effects
associated with exposure to secondhand smoke have been well documented and include lung cancer,
cardiovascular disease, asthma, and other respiratory diseases. International and national policies to
implement cost-effective strategies to curtail smoking will have a significant impact on population health
and will protect nonsmokers. Effective interventions, such as smoking bans, tobacco price increases, easy
access to tobacco cessation treatments, and anti-tobacco media campaigns, should continue. Reducing
tobacco use would be a major step towards the goal of decreasing health disparities by 2030, as 80% of
the projected tobacco-related deaths will occur in low and middle-income countries
Anthocyanin pigments in strawberry
The anthocyanin composition was analysed in strawberry fruits from five different cultivars (cv. Eris, Oso Grande, Carisma, Tudnew and Camarosa). Twenty-five defined anthocyanin pigments were detected, most of them containing Pelargonidin (Pg) as aglycone; some cyanidin (Cy) derivatives were also found. Glucose and rutinose were the usual substituting sugars, although arabinose and rhamnose were also tentatively identified; some minor anthocyanins showed acylation with aliphatic acids. A relevant aspect was the detection of anthocyanin-derived pigments, namely 5-carboxypyranopelargonidin-3-glucoside and four condensed pigments containing C–C linked
anthocyanin (Pg) and flavanol (catechin and afzelechin) residues. Total anthocyanin content ranged between 200 and 600mg/kg, with
Pg 3-gluc constituting 77–90% of the anthocyanins in the strawberry extracts followed by Pg 3-rut (6–11%) and Cy 3-gluc (3–10%).
A notable variability was found among the anthocyanin concentrations in samples of a same variety and harvest, indicating a strongly influence of the degree of maturity, edaphic-climatic factors and post-harvest storage
The Effect of Balance Training on Postural Control in Patients with Parkinson s Disease Using a Virtual Rehabilitation System
[EN] Objectives: Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor clinical alterations among others. Postural problems have serious consequences for patients, not only limiting their daily life but also increasing some risks, like the risk of fall. Inadequate postural control and postural instability is a major problem in PD patients. A Virtual Motor Rehabilitation System (VMR) has been tested in patients with PD in the intervention period. Our pur-pose was to analyze the evolution of the spatial postural control during the intervention period, to see if there are any changes caused precisely by this intervention.
Methods: Ten people with PD carried out 15 virtual rehabilitation sessions. We tested a groundbreaking system based on Virtual Motor Rehabilitation in two periods of time (baseline evaluation and final evaluation). In the training sessions, the participants performed a customizable treatment using a low-cost system, the Active Balance Rehabilitation system (ABAR). We stored the pressure performed by the participants every five hundredths of a second, and we analyzed the patients' pressure when they maintained their body on the left, on the right, and in the center in sitting position. Our system was able to measure postural control in every patient in each of the virtual rehabilitation sessions.
Results: There are no significant differences in the performance of postural control in any of the positions evaluated throughout the sessions. Moreover, the results show a trend to an improvement in all positions. This improvement is especially remarkable in the left/right positions, which are the most important positions in order to avoid problems such as the risk of fall. With regard to the suitability of the ABAR system, we have found outstanding results in enjoyment, success, clarity, and helpfulness.
Conclusions: Although PD is a progressive neurodegenerative disorder, the results demonstrate that patients with PD maintain or even improve their postural control in all positions. We think that the main factor influencing these results is that patients use more of their available cognitive processing to improve their postural control. The ABAR system allows us to make this assumption because the system requires the continuous attention of patients, promoting cognitive processing.This contribution was partially funded by the Gobierno de Aragon, Departamento de Industria e Innovacion, y Fondo Social Europeo "Construyendo Europa desde Aragon" and by the Programa Ibercaja-CAI de Estancias de Investigacion.Albiol-Perez, S.; Gil-Gómez, J.; Muñoz-Tomás, M.; Gil Gómez, H.; Vial Escolano, R.; Lozano Quilis, JA. (2017). The Effect of Balance Training on Postural Control in Patients with Parkinson s Disease Using a Virtual Rehabilitation System. 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M., Caporaso, G., Stancanelli, A., … Santoro, L. (2008). Sensory deficit in Parkinson’s disease: evidence of a cutaneous denervation. Brain, 131(7), 1903-1911. doi:10.1093/brain/awn102Micieli G, Tosi P, Marcheselli S, Cavallini A. Autonomic dysfunction in Parkinson’s disease. Neurol Sci. 2003; 24 Suppl 1: S32-34Salat-Foix, D., & Suchowersky, O. (2012). The management of gastrointestinal symptoms in Parkinson’s disease. Expert Review of Neurotherapeutics, 12(2), 239-248. doi:10.1586/ern.11.192Nombela, C., Bustillo, P. J., Castell, P. F., Sanchez, L., Medina, V., & Herrero, M. T. (2011). Cognitive Rehabilitation in Parkinson’s Disease: Evidence from Neuroimaging. Frontiers in Neurology, 2. doi:10.3389/fneur.2011.00082Poletti, M., De Rosa, A., & Bonuccelli, U. (2012). Affective symptoms and cognitive functions in Parkinson’s disease. Journal of the Neurological Sciences, 317(1-2), 97-102. doi:10.1016/j.jns.2012.02.022Sotgiu, S., Pugliatti, M., Sotgiu, M. A., Fois, M. L., Arru, G., Sanna, A., & Rosati, G. (2005). Seasonal fluctuation of multiple sclerosis births in Sardinia. Journal of Neurology, 253(1), 38-44. doi:10.1007/s00415-005-0917-6FAHN, S. (2006). Description of Parkinson’s Disease as a Clinical Syndrome. Annals of the New York Academy of Sciences, 991(1), 1-14. doi:10.1111/j.1749-6632.2003.tb07458.xCamara, C., Isasi, P., Warwick, K., Ruiz, V., Aziz, T., Stein, J., & Bakštein, E. (2015). Resting tremor classification and detection in Parkinson’s disease patients. Biomedical Signal Processing and Control, 16, 88-97. doi:10.1016/j.bspc.2014.09.006Deuschl, G., Bain, P., & Brin, M. (2008). Consensus Statement of the Movement Disorder Society on Tremor. Movement Disorders, 13(S3), 2-23. doi:10.1002/mds.870131303Massano, J., & Bhatia, K. P. (2012). Clinical Approach to Parkinson’s Disease: Features, Diagnosis, and Principles of Management. Cold Spring Harbor Perspectives in Medicine, 2(6), a008870-a008870. doi:10.1101/cshperspect.a008870Salarian, A., Russmann, H., Wider, C., Burkhard, P. R., Vingerhoets, F. J. G., & Aminian, K. (2007). Quantification of Tremor and Bradykinesia in Parkinson’s Disease Using a Novel Ambulatory Monitoring System. IEEE Transactions on Biomedical Engineering, 54(2), 313-322. doi:10.1109/tbme.2006.886670Dai, H., Zhang, P., & Lueth, T. (2015). Quantitative Assessment of Parkinsonian Tremor Based on an Inertial Measurement Unit. Sensors, 15(10), 25055-25071. doi:10.3390/s151025055Findley, L. J., Gresty, M. A., & Halmagyi, G. M. (1981). Tremor, the cogwheel phenomenon and clonus in Parkinson’s disease. Journal of Neurology, Neurosurgery & Psychiatry, 44(6), 534-546. doi:10.1136/jnnp.44.6.534Berardelli, A. (2001). Pathophysiology of bradykinesia in Parkinson’s disease. Brain, 124(11), 2131-2146. doi:10.1093/brain/124.11.2131Bronnick, K. (2006). Attentional deficits affect activities of daily living in dementia-associated with Parkinson’s disease. Journal of Neurology, Neurosurgery & Psychiatry, 77(10), 1136-1142. doi:10.1136/jnnp.2006.093146Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006; 35 Suppl 2: ii7-ii11Movement Disorder Society Task Force on Rating Scales for Parkinson’s Disease. The Unified Parkinson’s Disease Rating Scale (UPDRS): status and recommendations. Mov Disord. 2003; 18(7): 738-750. Available from: http://img.medscape.com/fullsize/701/816/58977_UPDRS.pdfGoetz, C. G., Tilley, B. C., Shaftman, S. R., Stebbins, G. T., Fahn, S., Martinez-Martin, P., … LaPelle, N. (2008). Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): Scale presentation and clinimetric testing results. Movement Disorders, 23(15), 2129-2170. doi:10.1002/mds.22340Dibble, L. E., Hale, T. F., Marcus, R. L., Gerber, J. P., & LaStayo, P. C. (2009). High intensity eccentric resistance training decreases bradykinesia and improves quality of life in persons with Parkinson’s disease: A preliminary study. Parkinsonism & Related Disorders, 15(10), 752-757. doi:10.1016/j.parkreldis.2009.04.009Dibble, L. E., Hale, T. F., Marcus, R. L., Droge, J., Gerber, J. P., & LaStayo, P. C. (2006). High-intensity resistance training amplifies muscle hypertrophy and functional gains in persons with Parkinson’s disease. Movement Disorders, 21(9), 1444-1452. doi:10.1002/mds.20997McIntosh, G. C., Brown, S. H., Rice, R. R., & Thaut, M. H. (1997). Rhythmic auditory-motor facilitation of gait patterns in patients with Parkinson’s disease. Journal of Neurology, Neurosurgery & Psychiatry, 62(1), 22-26. doi:10.1136/jnnp.62.1.22Deane KH, Jones D, Playford ED, Ben-Shlomo Y, Clarke CE. Physiotherapy for patients with Parkinson’s Disease: a comparison of techniques. Cochrane Database Syst Rev. 2001; (3): CD002817Albiol-Pérez S, Lozano-Quilis JA, Gil-Gómez H, Gil-Gómez JA, Llorens R. Virtual rehabilitation system for people with Parkinson disease. 9th Intl Conf. Disability, Virtual Reality & Associated Technologies, Laval, France; 2012Mendes, F. A. dos S., Pompeu, J. E., Lobo, A. M., da Silva, K. G., Oliveira, T. de P., Zomignani, A. P., & Piemonte, M. E. P. (2012). Motor learning, retention and transfer after virtual-reality-based training in Parkinson’s disease – effect of motor and cognitive demands of games: a longitudinal, controlled clinical study. Physiotherapy, 98(3), 217-223. doi:10.1016/j.physio.2012.06.001Saposnik, G., & Levin, M. (2011). Virtual Reality in Stroke Rehabilitation. Stroke, 42(5), 1380-1386. doi:10.1161/strokeaha.110.605451Lozano-Quilis, J.-A., Gil-Gómez, H., Gil-Gómez, J.-A., Albiol-Pérez, S., Palacios-Navarro, G., Fardoun, H. M., & Mashat, A. S. (2014). Virtual Rehabilitation for Multiple Sclerosis Using a Kinect-Based System: Randomized Controlled Trial. JMIR Serious Games, 2(2), e12. doi:10.2196/games.2933Badarny, S., Aharon-Peretz, J., Susel, Z., Habib, G., & Baram, Y. (2014). Virtual Reality Feedback Cues for Improvement of Gait in Patients with
Parkinson’s Disease. Tremor and Other Hyperkinetic Movements, 4(0), 225. doi:10.5334/tohm.192Ehgoetz Martens, K. A., Ellard, C. G., & Almeida, Q. J. (2014). Does manipulating the speed of visual flow in virtual reality change distance estimation while walking in Parkinson’s disease? Experimental Brain Research, 233(3), 787-795. doi:10.1007/s00221-014-4154-zAlbiol-Perez, S., Gil-Gomez, J.-A., Llorens, R., Alcaniz, M., & Font, C. C. (2014). The Role of Virtual Motor Rehabilitation: A Quantitative Analysis Between Acute and Chronic Patients With Acquired Brain Injury. IEEE Journal of Biomedical and Health Informatics, 18(1), 391-398. doi:10.1109/jbhi.2013.2272101Forcano-GarcĂa, M., Muñoz-Tomás, M. T., Manzano-Fernández, P., Solsona-Hernández, S., Mashat, M. A., Gil-GĂłmez, J. A., & Albiol-PĂ©rez, S. (2015). A Novel Virtual Motor Rehabilitation System for Guillain-BarrĂ© Syndrome. Methods of Information in Medicine, 54(02), 127-134. doi:10.3414/me14-02-0002Gil-GĂłmez, J.-A., LlorĂ©ns, R., Alcañiz, M., & Colomer, C. (2011). Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury. Journal of NeuroEngineering and Rehabilitation, 8(1), 30. doi:10.1186/1743-0003-8-30Muñoz Tomás, M. T., Gil GĂłmez, J. A., Gil GĂłmez, H., Lozano Quillis, J. A., Albiol-PĂ©rez, S., & Forcano GarcĂa, M. (2013). Suitability of virtual rehabilitation for elderly: A study of a virtual rehabilitation system using the SEQ. European Geriatric Medicine, 4, S109. doi:10.1016/j.eurger.2013.07.358Pompeu, J. E., Mendes, F. A. dos S., Silva, K. G. da, Lobo, A. M., Oliveira, T. de P., Zomignani, A. P., & Piemonte, M. E. P. (2012). Effect of Nintendo Wii™-based motor and cognitive training on activities of daily living in patients with Parkinson’s disease: A randomised clinical trial. 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Capsule endoscopy interpretation: the role of physician extenders
Background and aims: capsule endoscopy (CE) allows for a
new era in small-bowel examination. Nevertheless, physicians’
time for CE-interpretation remains longer than desirable. Alternative
strategies to physicians have not been widely investigated.
The aim of this study was to evaluate the accuracy of physician
extenders in CE-interpretation.
Material and methods: one CE-experienced gastroenterologist
and two physician extenders reviewed independently 20 CEprocedures.
Each reader was blinded to the findings of their colleagues.
A consensus formed by the readers and a second
CE-experienced gastroenterologist was used as gold standard.
Number, type and location of images selected, character of CEexams
and their relationship with indications were recorded. Gastric
emptying time (GEt), small-bowel transit time (SBTt) and time
spent by readers were also noted.
Results: sensitivity and specificity for “overall” lesions was 79
and 99% for the gastroenterologist; 86 and 43% for the nurse;
and 80 and 57% for the resident. All 34 “major” lesions considered
by consensus were found by the readers. Agreement between
consensus and readers for images classification and procedures
interpretation was good to excellent (Îş from 0.55 to 1). No
significant differences were found in the GEt and SBTt obtained
by consensus and readers. The gastroenterologist was faster than
physician extenders (mean time spent was 51.9 ± 13.5 minutes
versus 62.2 ± 19 and 60.9 ± 17.1 for nurse and resident, respectively;
p < 0.05).
Conclusions: physician extenders could be the perfect complement
to gastroenterologists for CE-interpretation but gastroenterologists
should supervise their findings. Future cost-efficacy
analyses are required to assess the benefits of this alternative
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