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Is social media important in adolescents with eating disorders?
- B. Martínez-Núñez, D. S. Cohen, R. Encinas-Encinas, A. Paniagua-Velasco, D. A. Gómez-Guimaraes, C. García-López, B. Muchada-López, M. Faya-Barrios, M. Graell-Berna
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, pp. S522-S523
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Introduction
Eating disorders (ED) are complex entities of multicausal etiology that mainly affect adolescents and young women. For this reason, EDs frequently cause medical and psychological complications that can cause potentially irreversible developmental sequelae during adolescence.
96% of Spanish youth (15-29 years old) use daily Internet. In addition, 83% use Social Networks. Internet could be a good way to spread information through social media, websites, providing material and means to achieve the body culture purpose.
As we have seen in various papers, social media can influence and trigger the development of EDs.
ObjectivesThe objetives of the study are to analyse the preferred social network by adolescents diagnosed with eating disorders, as well as to measure characteristic and time-use of these networks.
MethodsWe decided to undergo a transversal study to analyse the use of social media. For that, we developed a survey to reflect the use of the main social networks (Instagram, Facebook, Snapchat, Twitter, YouTube and Reddit) in adolescents diagnosed with eating disorders in Spain, who are in outpatient treatment in a specialised ED unit.
ResultsThe total number of adolescents interviewed was 65; of these 96.9% were females and 3.1% males. The mean age was 14.8 years.
The preferred social network was Instagram (54%), followed by TikTok (34%) and YouTube (6%).
Most of the patients interviewed (68%) admitted checking Instagram daily, and 31% reflected spending between 1-3 hours/day. None of the adolescents reported using Facebook or Reddit.
The majority of adolescents (89%) admitted having ignored friend requests while 12% reflected the importance of having a high number of followers as a way of external validation, getting more ‘likes’ and getting to know more people.
ConclusionsThe obtained results reinforce the need of exploring and taking into account the use of Social Media in adolescents with ED and how it may influence their pathology. There is a need for further prospective research in this field.
Disclosure of InterestNone Declared
Patient satisfaction in an “open-door” acute inpatient psychiatric unit
- M. Campillo, L. Rius, S. Garcia, M. Olivero, G. Sanchez Tomico, M. Martinez Garcia, I. Garcia Velasco, C. Monserrat, A. Pratdesava, R. Sanchez
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S903
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Introduction
Traditionally, psychiatric wards had established a “locked door” policy but secluded conditions may increase patient’s discomfort1 that could affect the perception of health quality of care2. Recently, the “open-door” policy is being adopted in several European countries but its impact on patient satisfaction remains unknown (Schreiber, LK. BMC Psychiatry. 2019 May 14;19(1):149). Since 2019 our psychiatric hospital has implemented the open-door policy.
ObjectivesThe aim of this study is to investigate the impact of the “open-door” policy on patient satisfaction during their stay in the acute inpatient unit of our psychiatric hospital.
MethodsThis is an observational study. Prior to the implementation of the open door policy 31 patient satisfaction data was collected between October 2018 to April 2019 and it was also assessed with 31 subjects between July to October 2019, after the implementation of the open “door-policy”. The inclusion criteria were being >18 years old, reading Spanish correctly and with a length of stay >72 hours. The patients with dementia disorder and intellectual disability where excluded from the study. We used the Satispsy-22-E scale, a self-administered questionnaire (Frías, V., et al. 2018. Psychiatry Res. Oct;268:8-14). It assesses patient’s experience of hospitalization through 22 items distributed into 6 dimensions. The score range is from 0 to 100. Differences in Satispsy-22-E scores were analysed by applying ANOVA using the IBM-SPSS (v. 25).
ResultsTotal scores in Satispsy-22 are provided in Figure 1. We found that patient satisfaction was increased in the dimensions of “personal experience” and “food” (p<0.05). No significant differences were found in staff, quality of care, information, activity dimensions and Total score (Table 2).
Dimension F-Test Statistic Value Staff 1.402 p=0.241 Quality of Care 841 p=0.362 Personal Experience 4.071 p=0.048* Information 656 p=0.420 Activity 434 p=0.512 Food 4.507 p=0.037* TOTAL 3.645 p=0.61 Image:
ConclusionsOur results provide preliminary evidence indicating that the open-door policy could have a positive impact on patient satisfaction, especially in relation to the personal experience on an acute inpatient psychiatric unit.
Disclosure of InterestNone Declared
Changes in the characteristics of Suicide Attempts during COVID-19 pandemic
- J. Curto Ramos, N. Kishanchandani Chandiramani, M. Torrijos, J. Andreo-Jover, B. Orgaz-Alvarez, M. Velasco, D. García Martínez, G. Juárez, S. Cebolla, P. Aguirre, B. Rodríguez Vega
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S405
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Introduction
Different studies indicate high prevalence’s of suicidal behaviour, anxiety, depression, insomnia, and PTSD associated with the COVID-19 pandemic. There is currently not enough scientific evidence available to analyze the impact that the COVID-19 pandemic has had on the rate of suicide attempts and their characteristics.
ObjectivesTo analyze and compare the characteristics of suicidal behavior (in terms of method, severity, medical damage produced and need for hospitalization) of patients attended during the COVID-19 pandemic compared to previous years.
MethodsA retrospective study was performed based on a standardized data collection of patients attending the University Hospital La Paz between April 2018 and November 2021. 581 patients who attempted suicide at least once were included in this study. We compared the severity using the Beck Suicide Intent Scale. Chi-square ant Student’s t were used to compare clinical characteristics such as medical damage, method of suicide attempt and indication for admission after the attempt, between suicide attempts during the COVID-19 pandemic and previous years.
ResultsOur results suggest that during the COVID-19 pandemic suicide attempts caused more medical damage (p<0.001), had higher severity (p<0.000), and required more admission in Intensive Care Units, General Internal Medicine and Psychiatry compared with pre-Covid years (p<0.000).
ConclusionsThis is the first study in Spain analysing the changes in characteristics of suicide attempts during the COVID-19 pandemic. This has important implications for reducing suicide rates, preventing future attempts, and enabling us to design specific treatments of Suicidal Behaviour.
Disclosure of InterestNone Declared
Benefits of training/playing therapy in a group of captive lowland gorillas (Gorilla gorilla gorilla)
- L Carrasco, M Colell, M Calvo, MT Abelló, M Velasco, S Posada
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- Animal Welfare / Volume 18 / Issue 1 / February 2009
- Published online by Cambridge University Press:
- 01 January 2023, pp. 9-19
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Animal well-being and enrichment continue to gain importance in the maintenance of primates living in captivity. Positive reinforcement training (PRT) and/or playing interaction have been shown to be effective in improving the well-being of several species of primates. This research study evaluated the effects of applying a combination of these two techniques (training/playing therapy) on a group of lowland gorillas (Gorilla gorilla gorilla). The effects of this combination on the behaviour of captive primates have been given very little attention to date. The behaviour of a group of seven females was recorded in two different phases at Barcelona Zoo: before (periods 1 and 2) and after (periods 3 and 4) a series of changes were made to the composition of this social group. In each period, two phases were distinguished: i) baseline condition, after the subjects became used to the researcher, focal recordings were made of the group's regular behaviour and, ii) experimental condition, the training and playing sessions (‘gorilla play’) with two specific subjects began one hour before the group went to the outdoor facility. The frequency and duration of the behaviour observed in each of the recording conditions were compared. The results showed positive changes in the gorillas’ behaviour: stereotypies, interactions with the public, aggression between subjects and inactivity were all reduced, while affiliative behaviour and individual and social play-related behaviour increased. Moreover, the benefits of this therapy were observed in trained individuals and the rest of the gorillas in the group, which would seem to indicate that training/playing can be used to create a more relaxed atmosphere, reducing social tension and improving the well-being of all the subjects involved.
Pediatric complex regional pain syndrome: a review
- A.M. Matas Ochoa, R. Martinez De Velasco, S. Bravo Herrero, I. Moreno Alonso
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 01 September 2022, p. S477
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Introduction
Complex regional pain syndrome (CRPS) is a chronic localized pain condition that can have a significant impact on the quality of life. It affects children and adolescents as well as adults, but is more common among adolescent girls.
ObjectivesTo present up-to-date clinical information regarding CRPS in pediatric population.
MethodsA review of recent literature.
ResultsIn contrast to adults, CRPS appears after an initial event that is typically a minor trauma and occurs more frequently in the lower extremity than in the upper extremity. This syndrome is characterized by spontaneous or stimuli-induced pain, which is disproportionate to the actual incident trauma/stimulus, in the presence of a wide variety of autonomic and motor disturbances. The exact mechanism of CRPS is unknown, although several different mechanisms have been suggested. In many cases, CRPS follows a relatively minor trauma, in some cases, no previous injury was recalled and there are psychological factors implicated. It has been found a high prevalence of anxiety and depression in patients with CRPS and it is considered stress has an important role in inducing or perpetuating CRPS. Standard care consists of a multidisciplinary approach with the implementation of intensive physical therapy in conjunction with psychological counseling; in some patients, pharmacological treatments may help to reduce pain.
ConclusionsA multidisciplinary approach with psychological and psychiatric counseling are needed for effective management of CRPS. Further research in targeting specific mechanisms involved in the pathophysiology of CRPS should lead to prevention of this condition.
DisclosureNo significant relationships.
Varenicline-induced sucidal behavior: Case report and literature review
- T. Gutierrez Higueras, F. Calera Cortés, S. Sainz De La Cuesta Alonso, S. Vicent Forés, B. Hernández Gajate, R.M. Fiestas Velasco
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 01 September 2022, p. S715
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Introduction
Nowdays there are different strategies for the treatment of smoking cessation. The treatment include drugs such as varenicline, which acts as a high-affinity partial agonist for the alpha-4 beta-2 nicotinic acetylcholine receptor subtype (nACh). We report a case of a suicidal behaviour in a 39 year-old woman with no previous history of mental illness, who was brought to the emergency department after intentional intoxication with benzodiazepines. The patient was on 10th day of treatment with varenicline.
ObjectivesTo present a case of sucidal behavior that developed in a 39 year-old woman after starting varenicline. Review of literature and total number of cases reported in the european database of suspected adverse drug reactions (EudraVigilance).
MethodsWe carried out a literature review in Pubmed electing those articles focused on mental disorders in those patients that have been taking varenicline. Review number of cases suicidal behavior reported by the European database of suspected adverse drug reactions.
ResultsA 39-year-old female was brought to the emergency department after voluntary ingestion of Lorazepam 1mg (40 tablets) in a sucide attempt. The family reported the starting of thoughts of suicide after 1 week of treatment. No previous history of mental disorders. The patient reported low mood and drowsiness in the last 5 days not linked to any cause. After 5 days of discontinuation these mood symptoms and sucidal behavior remited.
ConclusionsVarenicline is associated with different neuropsychiatric sypmtoms. In patients with or without history of mental disorders we should warn about the symptoms for discontinuation of the treatment.
DisclosureNo significant relationships.
Anti-NMDA receptor encephalitis and psychosis: case report and literature review
- T. Gutierrez Higueras, B. Hernández Gajate, R.M. Fiestas Velasco, F. Calera Cortés, S. Sainz De La Cuesta Alonso, S. Vicent Forés, M. Reyes Lopez
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- Journal:
- European Psychiatry / Volume 65 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 01 September 2022, pp. S866-S867
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Introduction
Anti-NMDA receptor encephalitis is a disease occurring when antibodies produced by the body’s own immune system attack NMDA receptors in the brain. Their functions are critical for judgement, perception of reality, human interaction, the formation and retrieval of memory, and the control of autonomic functions. The objective of treatment is to reduce the levels of antibodies in the blood and spinal fluid. Treatments include corticosteroids, intravenous immunoglobulin and plasmapheresis in addition to other immunomodulators, such as cyclophosphamide or rituximab.
ObjectivesTo present a case of a 64 year-old patient who came to the emergency service of our hospital with long-standing anxiety, irritability, recurrent amnestic failures, visual hallucinations and recent-onset episodes of aggressiveness with his family. He required admission to the psychiatry department and was finally diagnosed with autoimmune anti-NMDA encephalitis by detecting antibodies in blood and CSF.
MethodsClinical case presentation and literature review of cases, focusing on psychotic symptoms.
ResultsA 65-year-old patient who was being studied by neurology and psychiatry departments for cognitive impairment and psychotic symptoms was admitted to Neurology after a positive lumbar puncture result for NMDA antibodies.During admission, the patient continued with a significant behavioral alteration that gradually remitted with the use of Quetiapine, corticosteroids and rituximab.
ConclusionsNMDA-encephalitis has a highly variable clinical presentation, which can lead to confusion with infectious etiology or psychiatric disorders, making the diagnosis difficult, which is only possible by detecting anti-NMDA antibodies in CSF. Recognition of the disease and coordination between services is essential for early diagnosis and treatment.
DisclosureNo significant relationships.
Suicidal behaviour and cognition: A systematic review with special focus on prefrontal deficits
- J. Fernández-Sevillano, A. González-Pinto, J. Rodríguez-Revuelta, S. Alberich-Mesa, L. González-Blanco, I. Zorrilla-Martínez, Á. Velasco, P. López-Pena, I. Abad-Acebedo, P.A. Saiz
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- Journal:
- European Psychiatry / Volume 64 / Issue S1 / April 2021
- Published online by Cambridge University Press:
- 13 August 2021, p. S584
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Introduction
Suicidal behaviour and cognition: A systematic review with special focus on prefrontal deficits Introduction: Suicide is a major health concern worldwide, thus, identifying risk factors would enable a more comprehensive understanding and prevention of this behaviour. Neuropsychological alterations could lead to difficulties in interpreting and managing life events resulting in a higher risk of suicide.
ObjectivesObjective: Bibliographic review about the influence of neuropsychological deficits on suicidal behaviour.
MethodsMethod: A systematic literature search from 2000 to 2020 was performed in Medline (Pubmed), Web of Science, SciELO Citation Index, PsycInfo, PsycArticles and Cochrane Library databases regarding studies comparing cognition of attempters versus non-attempters that share same psychiatric diagnosis. Results: 1.885 patients diagnosed with an Affective Disorder (n = 1512) and Schizophrenia/ Schizoaffective Disorder (n = 373) were included.
ResultsIn general comparison, attention was found to be clearly dysfunctional. Regarding diagnosis, patients with Schizophrenia and previous history of suicidal behaviour showed a poorer performance in executive function. Patients with current symptoms of an Affective Disorder and a previous history of suicidal attempt had poorer performance in attention and executive function. Similarly, euthymic affective patients with history of suicidal behaviour had worse decision-making, attention and executive function performance compared to euthymic non-attempters.
ConclusionsPatients who have attempted suicide have a poorer neuropsychological functioning than non-attempters with a similar psychiatric disorder in attention and executive function. These alterations increase vulnerability for suicide.
Conflict of interestJessica Fernández-Sevillano is beneficiary of the Pre-PhD Training Programme of the Basque Government. Dr. Gonzalez-Pinto has received grants and served as consultant, advisor or CME speaker for the following entities: Almirall, AstraZeneca, Bristol-Myers
Global calculation of neoclassical impurity transport including the variation of electrostatic potential
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- Keiji Fujita, S. Satake, R. Kanno, M. Nunami, M. Nakata, J. M. García-Regaña, J. L. Velasco, I. Calvo
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- Journal:
- Journal of Plasma Physics / Volume 86 / Issue 3 / June 2020
- Published online by Cambridge University Press:
- 25 June 2020, 905860319
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Recently, the validity range of the approximations commonly used in neoclassical calculation has been reconsidered. One of the primary motivations behind this trend is observation of an impurity hole in LHD (Large Helical Device), i.e. the formation of an extremely hollow density profile of an impurity ion species, such as carbon $\text{C}^{6+}$, in the plasma core region where a negative radial electric field ($E_{r}$) is expected to exist. Recent studies have shown that the variation of electrostatic potential on the flux surface, $\unicode[STIX]{x1D6F7}_{1}$, has significant impact on neoclassical impurity transport. Nevertheless, the effect of $\unicode[STIX]{x1D6F7}_{1}$ has been studied with radially local codes and the necessity of global calculation has been suggested. Thus, we have extended a global neoclassical code, FORTEC-3D, to simulate impurity transport in an impurity hole plasma including $\unicode[STIX]{x1D6F7}_{1}$ globally. Independently of the $\unicode[STIX]{x1D6F7}_{1}$ effect, an electron root of the ambipolar condition for the impurity hole plasma has been found by global simulation. Hence, we have considered two different cases, each with a positive (global) and a negative (local) solution of the ambipolar condition, respectively. Our result provides another support that $\unicode[STIX]{x1D6F7}_{1}$ has non-negligible impact on impurity transport. However, for the ion-root case, the radial $\text{C}^{6+}$ flux is driven further inwardly by $\unicode[STIX]{x1D6F7}_{1}$. For the electron-root case, on the other hand, the radial particle $\text{C}^{6+}$ flux is outwardly enhanced by $\unicode[STIX]{x1D6F7}_{1}$. These results indicate that how $\unicode[STIX]{x1D6F7}_{1}$ affects the radial particle transport crucially depends on the profile of the ambipolar-$E_{r}$, which is found to be susceptible to $\unicode[STIX]{x1D6F7}_{1}$ itself and the global effects.
Fuchsite and other Cr-rich phyllosilicates in ultramafic enclaves from the Almadén mercury mining district, Spain
- D. Morata, P. Higueras, S. Domínguez-Bella, J. Parras, F. Velasco, P. Aparicio
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- Clay Minerals / Volume 36 / Issue 3 / September 2001
- Published online by Cambridge University Press:
- 09 July 2018, pp. 345-354
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Fuchsite and other Cr-rich phyllosilicates, paragenetic with dolomite, are present in some ultramafic enclaves from the ‘frailesca’ rock (a lapilli- to block-size pyroclastic lithic-tuff), in the Almadén mercury mining district, Spain. Analyses (EMPA and TEM) of fuchsite and Cr-chlorite showed a relatively large range in levels of Cr2O3. Petrographic relationships between these phyllosilicates and primary relics of Cr-spinel crystals, as well as their high Cr content, indicate that these Cr-rich minerals originated from primary chromian spinels through an early hydrothermal alteration stage. The hydrothermal fluids accounting for this early alteration would be of relatively high temperature, high aCO2 and aK, and variable aNa/K. In a later alteration stage, fuchsite was partially or totally replaced by illite and Cr-illite, giving rise to an argillitic alteration.
Carbonate volcanism in Calatrava, central Spain: a report on the initial findings
- K. Bailey, M. Garson, S. Kearns, A. P. Velasco
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- Mineralogical Magazine / Volume 69 / Issue 6 / December 2005
- Published online by Cambridge University Press:
- 05 July 2018, pp. 907-915
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Late Tertiary-Quaternary volcanism around Calatrava, within the Hercynian massif of central Spain, is alkaline mafic-ultramafic, with ∼250 centres, mainly monogenetic cones and vents, with melilitite the most abundant eruptive. Carbonatite may be expected in association with melilitite and a clear example of magmatic carbonate emerged from a brief field reconnaissance. It is a vent filled with a mixed eruption of glassy melilitite lapilli in a carbonate matrix. Levels and profiles of trace elements are inseparable from recognized carbonatite, and totally unlike those in local sedimentary limestone and caliche. C and O isotopes are the same as those reported for carbonatite ashes in other provinces. Carbonate is present as globules in the melilitite glass, and as inclusions within large clinopyroxene and olivine grains, which are largely xenocrystic. Euhedral spinels in melilitite and carbonate matrix are chromite mantled with titano-magnetite, reported previously only from high-temperature kimberlite. Wehrlite fragments indicate direct eruption from the mantle. Phlogopite and chromian spinel are found only as inclusions in the olivine, pointing to a phlogopite-carbonate mantle source region of the type favoured for carbonatite and melilitite melt generation. Calatrava represents the most southerly and westerly expression in mainland Europe of intra-continental carbonatite-melilitite volcanism. Follow-up field visits have shown that carbonate volcanism is extensive and voluminous throughout the province, requiring a long-term research programme.
Deep learning for studies of galaxy morphology
- D. Tuccillo, M. Huertas-Company, E. Decencière, S. Velasco-Forero
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- Journal:
- Proceedings of the International Astronomical Union / Volume 12 / Issue S325 / October 2016
- Published online by Cambridge University Press:
- 30 May 2017, pp. 191-196
- Print publication:
- October 2016
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Establishing accurate morphological measurements of galaxies in a reasonable amount of time for future big-data surveys such as EUCLID, the Large Synoptic Survey Telescope or the Wide Field Infrared Survey Telescope is a challenge. Because of its high level of abstraction with little human intervention, deep learning appears to be a promising approach. Deep learning is a rapidly growing discipline that models high-level patterns in data as complex multilayered networks. In this work we test the ability of deep convolutional networks to provide parametric properties of Hubble Space Telescope like galaxies (half-light radii, Sérsic indices, total flux etc..). We simulate a set of galaxies including point spread function and realistic noise from the CANDELS survey and try to recover the main galaxy parameters using deep-learning. We compare the results with the ones obtained with the commonly used profile fitting based software GALFIT. This way showing that with our method we obtain results at least equally good as the ones obtained with GALFIT but, once trained, with a factor 5 hundred time faster.
Iodine status and thyroid function among Spanish schoolchildren aged 6–7 years: the Tirokid study
- L. Vila, S. Donnay, J. Arena, J. J. Arrizabalaga, J. Pineda, E. Garcia-Fuentes, C. García-Rey, J. L. Marín, M. Serra-Prat, I. Velasco, A. López-Guzmán, L. M. Luengo, A. Villar, Z. Muñoz, O. Bandrés, E. Guerrero, J. A. Muñoz, G. Moll, F. Vich, E. Menéndez, M. Riestra, Y. Torres, P. Beato-Víbora, M. Aguirre, P. Santiago, J. Aranda, C. Gutiérrez-Repiso
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- Journal:
- British Journal of Nutrition / Volume 115 / Issue 9 / 14 May 2016
- Published online by Cambridge University Press:
- 10 March 2016, pp. 1623-1631
- Print publication:
- 14 May 2016
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I deficiency is still a worldwide public health problem, with children being especially vulnerable. No nationwide study had been conducted to assess the I status of Spanish children, and thus an observational, multicentre and cross-sectional study was conducted in Spain to assess the I status and thyroid function in schoolchildren aged 6–7 years. The median urinary I (UI) and thyroid-stimulating hormone (TSH) levels in whole blood were used to assess the I status and thyroid function, respectively. A FFQ was used to determine the consumption of I-rich foods. A total of 1981 schoolchildren (52 % male) were included. The median UI was 173 μg/l, and 17·9 % of children showed UI<100 μg/l. The median UI was higher in males (180·8 v. 153·6 μg/l; P<0·001). Iodised salt (IS) intake at home was 69·8 %. IS consumption and intakes of ≥2 glasses of milk or 1 cup of yogurt/d were associated with significantly higher median UI. Median TSH was 0·90 mU/l and was higher in females (0·98 v. 0·83; P<0·001). In total, 0·5 % of children had known hypothyroidism (derived from the questionnaire) and 7·6 % had TSH levels above reference values. Median TSH was higher in schoolchildren with family history of hypothyroidism. I intake was adequate in Spanish schoolchildren. However, no correlation was found between TSH and median UI in any geographical area. The prevalence of TSH above reference values was high and its association with thyroid autoimmunity should be determined. Further assessment of thyroid autoimmunity in Spanish schoolchildren is desirable.
Ultrastructure and phylogeny of Thelohanellussp. (Myxozoa: Myxosporea) infecting the gills ofHypophthalmus marginatus(Actinopterygii: Pimelodidae), a fish from the Amazon River
- S. Rocha, E. Matos, M. Velasco, G. Casal, A. Alves, C. Azevedo
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- Journal:
- Microscopy and Microanalysis / Volume 21 / Issue S6 / August 2015
- Published online by Cambridge University Press:
- 10 September 2015, pp. 46-47
- Print publication:
- August 2015
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- By Masoud Azodi, Patricia Baetens, Steven Bayer, Joel Bernstein, Jonathan D. Black, Christophe Blockeel, Carolien M. Boomsma, Birgit Borgström, Mark Bowman, Nicholas Brook, Elisabeth Carlsen, Peter Carne, Ying Cheong, Jen-Ruei Chen, Erin Clark, S. Alberto Dávila Garza, Sunita De Sousa, Michel De Vos, Leo Doherty, Patricio Donoso, Cindy M. P. Duke, Human M. Fatemi, Alison Fernbach, Juan A. Garcia-Velasco, Elizabeth S. Ginsburg, Dorothy A. Greenfeld, William M. Hague, Daniel Hajioff, Tristan Hardy, Catherine Henry, Outi Hovatta, John Hutton, Gordana Ivanovic, Sameer Jatkar, Shilpa Jesudason, Theo Joseph, Amanda Kallen, Sonal Karia, Bala Karunakaran, Jenneke C. Kasius, Ben Kroon, Dimitra Kyrou, Robert Lahoud, Jennifer M Levine, Inge Liebaers, Shane T. Lipskind, Derek Lok, Nick S. Macklon, Manveen (Manny) Mangat, Tom P. Manolitsas, S. McDowell, Cherise Mooy, Mark R. Morton, Andrew Murray, Robert J. Norman, Sara Ornaghi, Israel Ortega, Michael J. Paidas, Evaggelos Papanikolaou, Pasquale Patrizio, Sofie Piessens, Biljana Popovic Todorovic, Luk Rombauts, Katrina Rowan, Denny Sakkas, P. Sanhueza, Kirsten Tryde Schmidt, Mark Teoh, Hammed A. Tijani, Jelena Todorovic, Saioa Torrealday, Herman Tournaye, Geoffrey Trew, W. Verpoest, Veerle Vloeberghs, A. Yazdani
- Edited by Nick S. Macklon, University of Southampton, Human M. Fatemi, Robert J. Norman, University of Adelaide, Pasquale Patrizio
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- Case Studies in Assisted Reproduction
- Published online:
- 05 February 2015
- Print publication:
- 22 January 2015, pp ix-xiv
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Observational themes of social behavioral disturbances in frontotemporal dementia
- Joseph P. Barsuglia, Frances R. Nedjat-Haiem, Jill S. Shapira, Christina Velasco, Elvira E. Jimenez, Michelle J. Mather, Mario F. Mendez
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- Journal:
- International Psychogeriatrics / Volume 26 / Issue 9 / September 2014
- Published online by Cambridge University Press:
- 20 May 2014, pp. 1475-1481
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Background:
Caregivers report early disturbances in social behavior among patients with behavioral variant frontotemporal dementia (bvFTD); however, there are few direct observational studies of these social behavioral disturbances. This study aimed to identify social behavioral themes in bvFTD by direct observation in naturalistic interactions. The identification of these themes can help caregivers and clinicians manage the social behavioral disturbances of this disease.
Methods:Researchers observed 13 bvFTD patients in their homes and community-based settings and recorded field notes on their interpersonal interactions. A qualitative analysis of their social behavior was then conducted using ATLAS.ti application and a constant comparison method.
Results:Qualitative analysis revealed the following themes: (1) diminished relational interest and initiation, indicating failure to seek social interactions; (2) lack of social synchrony/intersubjectivity, indicating an inability to establish and maintain interpersonal relationships; and (3) poor awareness and adherence to social boundaries and norms. These themes corresponded with changes from caregiver reports and behavioral scales.
Conclusion:This analysis indicates that real-world observation validates the diagnostic criteria for bvFTD and increases understanding of social behavioral disturbances in this disorder. The results of this and future observational studies can highlight key areas for clinical assessment, caregiver education, and targeted interventions that enhance the management of social behavioral disturbances in bvFTD.
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. 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Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
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New rabies virus variant found during an epizootic in white-nosed coatis from the Yucatan Peninsula
- N. ARÉCHIGA-CEBALLOS, A. VELASCO-VILLA, M. SHI, S. FLORES-CHÁVEZ, B. BARRÓN, E. CUEVAS-DOMÍNGUEZ, A. GONZÁLEZ-ORIGEL, A. AGUILAR-SETIÉN
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- 15 April 2010, pp. 1586-1589
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In February 2008, three white-nosed coatis (Nasua narica) were found dead in a recreational park in Cancun, Mexico. The diagnosis of rabies virus (RABV) infection was confirmed by direct immunofluorescence test. The phylogenetic analysis performed with the complete RABV nucleoprotein gene positioned this isolate close to a sequence of a human rabies case reported during 2008 from Oaxaca, Mexico, sharing 93% similarity. In turn, these two variants are related to another variant found in rabid Tadarida brasiliensis mexicana bats across North America. Anti-RABV neutralizing activity (1·3 IU/ml) was found in the serum of one white-nosed coati captured with another five that cohabited with the dead animals. Enhanced rabies surveillance and pathogenesis studies should be conducted in coatis and insectivorous bats of the region to clarify the role of these species as potential emergent or long-term unidentified RABV reservoirs.