Improving Cognitive Visual-Motor Abilities in Individuals with Down Syndrome

Down syndrome causes a reduction in cognitive abilities, with visual-motor skills being particularly affected. In this work, we have focused on this skill in order to stimulate better learning. The proposal relies on stimulating the cognitive visual-motor skills of individuals with Down Syndrome (DS) using exercises with a gestural interaction platform based on the KINECT sensor named TANGO:H, the goal being to improve them. To validate the proposal, an experimental single-case study method was designed using two groups: a control group and an experimental one, with similar cognitive ages. Didactic exercises were provided to the experimental group using visual cognitive stimulation. These exercises were created on the TANGO:H Designer, a platform that was designed for gestural interaction using the KINECT sensor. As a result, TANGO:H allows for visual-motor cognitive stimulation through the movement of hands, arms, feet and head. The “Illinois Test of Psycholinguistic Abilities (ITPA)” was applied to both groups as a pre-test and post-test in its four reference sections: visual comprehension, visual-motor sequential memory, visual association, and visual integration. Two checks were made, one using the longitudinal comparison of the pre-test/post-test of the experimental group, and another that relied on comparing the difference of the means of the pre-test/post-test. We also used an observational methodology for the working sessions from the experimental group. Although the statistical results do not show significant differences between the two groups, the results of the observations exhibited an improvement in visual-motor cognitive skills

Mantle flow and deep electrical anisotropy in a main gateway: MT study in Tierra del Fuego

Asthenospheric mantle flow drives lithospheric plate motion and constitutes a relevant feature of Earth gateways. It most likely influences the spatial pattern of seismic velocity and deep electrical anisotropies. The Drake Passage is a main gateway in the global pattern of mantle flow. The separation of the South American and Antarctic plates since the Oligocene produced this oceanic and mantle gateway connecting the Pacific and Atlantic oceans. Here we analyze the deep crustal and upper mantle electrical anisotropy of its northern margin using long period magnetotelluric data from Tierra del Fuego (Argentina). The influence of the surrounding oceans was taken into account to constrain the mantle electrical conductivity features. 3D electrical models were calculated to fit 18 sites responses in this area. The phase tensor pattern for the longest periods reveals the existence of a well-defined NW-SE electrical conductivity anisotropy in the upper mantle. This anisotropy would result from the mantle flow related to the 30 to 6 Ma West Scotia spreading, constricted by the subducted slab orientation of the Pacific plate, rather than the later eastward mantle flow across the Drake Passage. Deep electrical anisotropy proves to be a key tool for a better understanding of mantle flow.This work was supported through projects CTM2014-60451-C2-02/01 and CTM2017-89711-C2-2/1-P from Ministry of Science, Innovation and Universities of Spain and the RNM-148 from Junta de Andalucía (Spain)

Nonorientable spacetime tunneling

Misner space is generalized to have the nonorientable topology of a Klein bottle, and it is shown that in a classical spacetime with multiply connected space slices having such a topology, closed timelike curves are formed. Different regions on the Klein bottle surface can be distinguished which are separated by apparent horizons fixed at particular values of the two angular variables that eneter the metric. Around the throat of this tunnel (which we denote a Klein bottlehole), the position of these horizons dictates an ordinary and exotic matter distribution such that, in addition to the known diverging lensing action of wormholes, a converging lensing action is also present at the mouths. Associated with this matter distribution, the accelerating version of this Klein bottlehole shows four distinct chronology horizons, each with its own nonchronal region. A calculation of the quantum vacuum fluctuations performed by using the regularized two-point Hadamard function shows that each chronology horizon nests a set of polarized hypersurfaces where the renormalized momentum-energy tensor diverges. This quantum instability can be prevented if we take the accelerating Klein bottlehole to be a generalization of a modified Misner space in which the period of the closed spatial direction is time-dependent. In this case, the nonchronal regions and closed timelike curves cannot exceed a minimum size of the order the Planck scale.Comment: 11 pages, RevTex, Accepted in Phys. Rev.

Prediction of depression in European general practice attendees: the PREDICT study

Background Prevention of depression must address multiple risk factors. Estimating overall risk across a range of putative risk factors is fundamental to prevention of depression. However, we lack reliable and valid methods of risk estimation. This protocol paper introduces PREDICT, an international research study to address this risk estimation. Methods/design This is a prospective study in which consecutive general practice attendees in six European countries are recruited and followed up after six and 12 months. Prevalence of depression is assessed at baseline and each follow-up point. Consecutive attendees between April 2003 and September 2004 who were aged 18 to 75 were asked to take part. The possibility of a depressive episode was assessed using the Depression Section of the Composite International Diagnostic Interview. A selection of presumed risk factors was based on our previous work and a systematic review of the literature. It was necessary to evaluate the test-retest reliability of a number of risk factor questions that were developed specifically, or adapted, for the PREDICT study. In a separate reliability study conducted between January and November 2003, consecutive general practice attendees in the six participating European countries completed the risk factor items on two occasions, two weeks apart. The overall response rate at entry to the study was 69%. We exceeded our expected recruitment rate, achieving a total of 10,048 people in all. Reliability coefficients were generally good to excellent. Discussion Response rate to follow-up in all countries was uniformly high, which suggests that prediction will be based on almost a full cohort. The results of our reliability analysis are encouraging and suggest that data collected during the course of PREDICT will have a satisfactory level of stability. The development of a multi-factor risk score for depression will lay the foundation for future research on risk reduction in primary care. Our data will also provide the necessary evidence base on which to develop and evaluate interventions to reduce the prevalence of depression

Issues related to the MEDITS reference list of species

The MEDITS survey programme started in 1994 and adopted the basic protocols by the four first partners, just before the first survey. These protocols included the design of the survey, the sampling gear, the information collected, and the management of the data as far as the production of common standardized analyses of the data (Bertrand et al., 2002). The last updating of protocols has been done in 2007 (MEDITS, 2007). According to it, for each species the total weight and number of individuals is recorded. For a reference list of 38 species of fish, crustaceans and cephalopods, the length frequency by sex must be reported, as well as the maturity stage of the gonads. However, two different things should be taken into account. On one hand, for most works performed using MEDITS data (including assessments), the length frequency distributions are used, without taking into account the sex. On the other hand, the period of the surveys is not always coincident with the spawning season for all the species in the MEDITS reference list. This document attempts to be a practical exercise in relation to these topics, using both surveys and commercial data, and gives some proposals to the reference list of specie

Neurocognitive Function in Acromegaly after Surgical Resection of GH-Secreting Adenoma versus Naïve Acromegaly

Patients with active untreated acromegaly show mild to moderate neurocognitive disorders that are associated to chronic exposure to growth hormone (GH) and insulin-like growth factor (IGF-I) hypersecretion. However, it is unknown whether these disorders improve after controlling GH/IGF-I hypersecretion. The aim of this study was to compare neurocognitive functions of patients who successfully underwent GH-secreting adenoma transsphenoidal surgery (cured patients) with patients with naive acromegaly. In addition, we wanted to determine the impact of different clinical and biochemical variables on neurocognitive status in patients with active disease and after long-term cure. A battery of six standardized neuropsychological tests assessed attention, memory and executive functioning. In addition, a quantitative electroencephalography with Low-Resolution Electromagnetic Tomography (LORETA) solution was performed to obtain information about the neurophysiological state of the patients. Neurocognitive data was compared to that of a healthy control group. Multiple linear regression analysis was also conducted using clinical and hormonal parameters to obtain a set of independent predictors of neurocognitive state before and after cure. Both groups of patients scored significantly poorer than the healthy controls on memory tests, especially those assessing visual and verbal recall. Patients with cured acromegaly did not obtain better cognitive measures than naïve patients. Furthermore memory deficits were associated with decreased beta activity in left medial temporal cortex in both groups of patients. Regression analysis showed longer duration of untreated acromegaly was associated with more severe neurocognitive complications, regardless of the diagnostic group, whereas GH levels at the time of assessment was related to neurocognitive outcome only in naïve patients. Longer duration of post-operative biochemical remission of acromegaly was associated with better neurocognitive state. Overall, this data suggests that the effects of chronic exposure to GH/IGF-I hypersecretion could have long-term effects on brain functions. © 2013 Martín-Rodríguez et al.Funding for this project was provided by an R&D grant from Novartis Oncology and the Plan Andaluz de Investigación (CTS-444). DAC was supported by the “Ramón y Cajal” program (RYC-2006-001071) of the Spanish Ministry of Science and Innovation.Peer Reviewe

Age of Haemonchus contortus third stage infective larvae is a factor influencing the in vitro assessment of anthelmintic properties of tannin containing plant extracts

The larval exsheathment inhibition assay (LEIA) of infective larvae (L3) is an in vitro method used to evaluate the anthelmintic (AH) activity of tannin-containing plant extracts against different species of gastrointestinal nematodes, including Haemonchus contortus. Some conditions remain to be defined in order to standardize the LEIA, i.e. the optimal age of larvae produced from donor animals to use in the assays. Therefore, this study aimed at identifying the effect of age and age-related vitality of H. contortus infective larvae produced under tropical conditions, on the in vitro AH activity measured with the LEIA. The same acetone:water (70:30) extract from Acacia pennatula leaves was used to perform respective LEIA tests with H. contortus L3 of different ages (1–7 weeks). Each week, the L3 were tested against different concentrations of extract (1200, 600, 400, 200, 100, 40μg/mL of extract) plus a PBS control. Bioassays were performed with a benzimidazole (Bz) resistant H. contortus (Paraíso) strain. In order to identify changes in L3 vitality on different weeks (1–7), two assays testing larval motility were included only with PBS: the larval migration assay (LMA) and the larval motility observation assay (LMOA). Mean effective concentrations causing 50% and 90% exsheathment inhibition (EC50, EC90) were obtained for every week using respective Probit analyses. On the first week, the larvae had lowest EC50 and EC90 (39.4 and 65.6μg/mL) compared to older larvae (P0.05), while older larvae tended to show higher EC50 and EC90 (P<0.05). Motility showed strong negative correlations with age of larvae (r≥−0.83; P <0.05) and EC50 (r≥−0.80; P<0.05), suggesting that the lower extract efficacy could be associated with decaying vitality of larvae associated with age. More stable efficacy results were found between two to five weeks of age

Miasis cutánea masiva que simula invasión cerebral. Presentación de caso y revisión de la literatura

ABSTRACTMyiasis is the infestation or parasitism of the humans or animals host´s living or necrotic tissues and organs caused by larvae of Diptera, it is endemic to tropical and subtropical regions of America and Africa; more common in men than in women and in middle and old age, looking mainly affected patients with any medical or anatomical predisposing condition. The differential diagnosis includes common diseases such as cellulitis and furunculosis; treatment is aimed at complete removal of larvae, either by manual pressure or surgical and most feared complication is secondary infection. A review of the literature in the context of the presentation of a clinical case of massive cutaneous myiasis, which mimicked brain invasion and required prolonged hospitalization under medical-surgical treatment is performed; in order to highlight the importance of knowledge of the disease, its evolution and emphasize on the most significant epidemiological, clinical, surgical and preventive aspects on this entity. In conclusion we assume that the myiasis is a preventable disease with a goodprognosis for cure, if detected and diagnosed early. MÉD.UIS. 2016;29(2):145-53.Keywords: Myiasis. Díptera. Larvae. Brain diseases. Treatment.La miasis es la infestación o parasitismo de los tejidos vivos o necróticos y órganos de humanos y animales provocada por larvas de dípteros, es endémica de zonas tropicales y subtropicales de América y África; más frecuente en hombres que en mujeres y en personas de mediana y tercera edad, viéndose afectados principalmente pacientes con alguna condición médica o anatómica predisponente. El diagnóstico diferencial incluye enfermedades comunes como la celulitis y forunculosis; su tratamiento está dirigido a la remoción total de las larvas, ya sea por presión manual o quirúrgica y su complicación más temida es la infección secundaria. Se realiza una revisión de la literatura en el contexto de la presentación de un caso clínico de miasis cutánea masiva, que simuló invasión cerebral y requirió hospitalización prolongada bajo tratamiento médico-quirúrgico, con el objetivo de resaltar la importancia del conocimiento de la enfermedad, su evolución y hacer énfasis sobre los aspectos epidemiológicos, clínicos, quirúrgicos y preventivos más importantes en relación con esta entidad. Como conclusión se asume que la miasis es una enfermedad prevenible, con un buen pronóstico de curación, si es detectada y diagnosticada a tiempo. MÉD.UIS. 2016;29(2):145-53.Palabras clave: Miasis. Dípteros. Larvas. Encefalopatías. Tratamiento

Is there a negative association between the content of condensed tannins, total phenols, and total tannins of tropical plant extracts and in vitro anthelmintic activity against Haemonchus contortus eggs?

In vitro studies using plant extracts suggest a relationship between their polyphenol contents and their anthelmintic (AH) activity against Haemonchus contortus. High polyphenol content appears to increase the efficacy of plant extracts against H. contortus as assessed by the larval exsheathment inhibition assay (LEIA) while appearing to reduce the AH efficacy measured using the egg hatch assay (EHA). In addition, some plants lack AH activity. Therefore, the present study investigated the relationship between the contents of condensed tannins (CT), total phenols (TP), and total tannins (TT) in methanol:water extracts (70:30) obtained from ten tropical plant species consumed by small ruminants as well as their AH activity against H. contortus evaluated by LEIA and EHA. Extracts of Acacia collinsii, Lysiloma latisiliquum, Havardia albicans, Senegalia gaumeri, Mimosa bahamensis, Piscidia piscipula, Acacia pennatula, Gymnopodium floribundum, Leucaena leucocephala, and Bunchosia swartziana were examined. Positive correlations were found between the effective concentration 50% (EC50) (EHA) of extracts and their CT (r = 0.6809, P < 0.05, n = 10) and TP (r = 0.9152, P < 0.05, n = 10) content, suggesting that their concentration negatively affected AH activity against eggs. Based on the LEIA, there was no significant association between the EC50 and the CT, TP, or TT of all extracts evaluated. Thus, if sheep and goats consume a complex feed mixture with high amounts of CT, TP, and TT, it might be difficult to observe an AH effect against H. contortus egg hatching. However, the AH effect upon L3 establishment might be feasible