Identifying physiological indicators of the cognitive, thermal, and combined (cognitive-thermal) stress conditions.

Physiologically based stress detection systems have proven to be effective in identifying different stress conditions in the body to determine the source of stress and be able to counteract it. However, some stress conditions have not been widely studied, including thermal stress, cognitive stress, and combined (thermal-cognitive) stress conditions, which are frequently encountered in work or school environments. In order to develop systems to detect and differentiate these conditions, it is necessary to identify the physiological indicators that characterize each of them. The present research aims to identify which physiological indicators (heart rate, respiratory rate, galvanic skin response, and local temperature) could differentiate different stress conditions (no-stress, cognitive stress, thermal stress, and combined (thermal-cognitive) stress conditions). Thirty participants were exposed to cognitive, thermal, and combined stress sources while recording their physiological signals. The findings indicate that both mean heart rate and mean galvanic skin response identify moderate thermal and cognitive stress conditions as distinct from a no-stress condition, yet they do not differentiate between the two stress conditions. Additionally, heart rate uniquely identifies the cognitive-thermal stress condition, effectively distinguishing this combined stress condition from the singular stress conditions and the no-stress condition. Mean local temperature specifically signals thermal stress conditions, whereas mean respiratory rate accurately identifies cognitive stress conditions, with both indicators effectively separating these conditions from each other and from the no-stress condition. This is the first basis for differentiating thermal and cognitive stress conditions through physiological indicators.

Epilepsy and electroencephalographic abnormalities in patients with diagnosis of idiopathic autism spectrum disorder in Medellín.

The objective of the present study was to make a clinical and electroencephalographic characterization of the electrical findings and types of seizures in patients with idiopathic autism. Pediatric patients of any age, with the diagnosis of idiopathic ASD, contained within the database of the research "Genetic in autism" were included. An electroencephalographic recording with epilepsy protocol was performed in all the patients. 20 pediatric patients were included with an age media of 10.5 years, SD 5.48 years. The median age for the diagnosis of ASD was 53 months, and epileptic seizures were documented in 45%. 66.6% of patients with epileptic events had anti-epileptic treatment, and only 33.3% had achieved seizure control with medication. Interictal abnormal EEG records were found in 8 patients (40%), with 6 of them having epileptic seizures. The abnormal EEG activity was multifocal in 62.5%, focal in 25% and generalized in 12.5% of the cases. The most frequently compromised location was the temporal lobe.

El objetivo del presente estudio fue caracterizar desde el punto de vista clínico y electroencefalográfico los hallazgos eléctricos y los tipos de crisis en pacientes con autismo idiopático. Se incluyeron pacientes de cualquier edad, con diagnóstico de TEA idiopático y pertenecientes a la base de datos de la investigación "Genética del Autismo". A todos los pacientes se les realizó electroencefalograma de rutina (EEG) con protocolo de epilepsia. Se recolectaron 20 pacientes en edad pediátrica con edad media de 10.5 años, DE de 5.84 años. Para la edad de diagnóstico del TEA, la media era de 53 meses. Se documentaron crisis epilépticas en 45% de los pacientes. De todos los pacientes con crisis, 66.6% tenían tratamiento con medicamentos antiepilépticos, y solo 33.3% habían logrado control de las crisis con el tratamiento. El EEG interictal fue anormal en 8 pacientes (40%), de los cuales 6 tenían crisis epilépticas. La actividad anormal fue multifocal en 62.5% de los pacientes, focal en 25% y generalizada en 12.5% de los casos. La localización más frecuente de las anomalías fue en el lóbulo temporal.

An overview of robotic/mechanical devices for post-stroke thumb rehabilitation.

PURPOSE: This article aims to clarify the current state-of-the-art of robotic/mechanical devices for post-stroke thumb rehabilitation as well as the anatomical characteristics and motions of the thumb that are crucial for the development of any device that aims to support its motion. METHODS: A systematic literature search was conducted to identify robotic/mechanical devices for post-stroke thumb rehabilitation. Specific electronic databases and well-defined search terms and inclusion/exclusion criteria were used for such purpose. A reasoning model was devised to support the structured abstraction of relevant data from the literature of interest. RESULTS: Following the main search and after removing duplicated and other non-relevant studies, 68 articles (corresponding to 32 devices) were left for further examination. These articles were analyzed to extract data relative to (i) the motions assisted/permitted - either actively or passively - by the device per anatomical joint of the thumb and (ii) mechanical-related aspects (i.e., architecture, connections to thumb, other fingers supported, adjustability to different hand sizes, actuators - type, quantity, location, power transmission and motion trajectory). CONCLUSIONS: Most articles describe preliminary design and testing of prototypes, rather than the thorough evaluation of commercially ready devices. Defining appropriate kinematic models of the thumb upon which to design such devices still remains a challenging and unresolved task. Further research is needed before these devices can actually be implemented in clinical environments to serve their intended purpose of complementing the labour of therapists by facilitating intensive treatment with precise and repeatable exercises. Implications for Rehabilitation Post-stroke functional disability of the hand, and particularly of the thumb, significantly affects the capability to perform activities of daily living, threatening the independence and quality of life of the stroke survivors. The latest studies show that a high-dose intensive therapy (in terms of frequency, duration and intensity/effort) is the key to effectively modify neural organization and recover the motor skills that were lost after a stroke. Conventional therapy based on manual interaction with physical therapists makes the procedure labour intensive and increases the costs. Robotic/mechanical devices hold promise for complementing conventional post-stroke therapy. Specifically, these devices can provide reliable and accurate therapy for long periods of time without the associated fatigue. Also, they can be used as a means to assess patients? performance and progress in an objective and consistent manner. The full potential of robot-assisted therapy is still to be unveiled. Further exploration will surely lead to devices that can be well accepted equally by therapists and patients and that can be useful both in clinical and home-based rehabilitation practice such that motor recovery of the hand becomes a common outcome in stroke survivors. This overview provides the reader, possibly a designer of such a device, with a complete overview of the state-of-the-art of robotic/mechanical devices consisting of or including features for the rehabilitation of the thumb. Also, we clarify the anatomical characteristics and motions of the thumb that are crucial for the development of any device that aims to support its motion. Hopefully, this?combined with the outlined opportunities for further research?leads to the improvement of current devices and the development of new technology and knowledge in the field.

Population structure and phylogeography reveal pathways of colonization by a migratory marine reptile (Chelonia mydas) in the central and eastern Pacific.

Climate, behavior, ecology, and oceanography shape patterns of biodiversity in marine faunas in the absence of obvious geographic barriers. Marine turtles are an example of highly migratory creatures with deep evolutionary lineages and complex life histories that span both terrestrial and marine environments. Previous studies have focused on the deep isolation of evolutionary lineages (>3 mya) through vicariance; however, little attention has been given to the pathways of colonization of the eastern Pacific and the processes that have shaped diversity within the most recent evolutionary time. We sequenced 770 bp of the mtDNA control region to examine the stock structure and phylogeography of 545 green turtles from eight different rookeries in the central and eastern Pacific. We found significant differentiation between the geographically separated nesting populations and identified five distinct stocks (F ST = 0.08-0.44, P < 0.005). Central and eastern Pacific Chelonia mydas form a monophyletic group containing 3 subclades, with Hawaii more closely related to the eastern Pacific than western Pacific populations. The split between sampled central/eastern and western Pacific haplotypes was estimated at around 0.34 mya, suggesting that the Pacific region west of Hawaii has been a more formidable barrier to gene flow in C. mydas than the East Pacific Barrier. Our results suggest that the eastern Pacific was colonized from the western Pacific via the Central North Pacific and that the Revillagigedos Islands provided a stepping-stone for radiation of green turtles from the Hawaiian Archipelago to the eastern Pacific. Our results fit with a broader paradigm that has been described for marine biodiversity, where oceanic islands, such as Hawaii and Revillagigedo, rather than being peripheral evolutionary "graveyards", serve as sources and recipients of diversity and provide a mechanism for further radiation.

Densidad y estructura poblacional de Cebus capucinus curtus (Primates: Cebidae) y Bradypus variegatus gorgon (Pilosa: Bradypodidae), en Isla Gorgona, Colombia / Density and structure of populations of Cebus capucinus curtus (Primates: Cebidae) and Bradypus variegatus gorgon (Pilosa:Bradypodidae) in Gorgona Island, ColombiaGorgona

is a continental island in the Pacific of Colombia. Two subspecies of arboreal mammals inhabit the island: the White-throated Capuchin (Cebus capucinus curtus) and the Brown-throated Sloth (Bradypus variegatus gorgon). These organisms are important for conservation since they are endemic and perform an essential role as seed dispersers in the National Park. This paper presents information on the population ecology of these two subspecies by using the transects-of-variable-width method, based on perpendicular detection distance, to establish density and age structure. The density of C. capucinus curtus in Gorgona Island was 170.6ind/km2 (95% CI=122-238.4), while that of B. variegatus gorgon was 2.6ind/km² (IC 95%= 1.3 to 4.9ind/km²). The density of C. capucinus curtus in Isla Gorgona is the highest recorded for this species throughout its geographic range, while that of B. variegatus gorgon is the lowest reported for the species. The high density of C. curtus capucinus could be related to a synergistic effect between low predation and continuous availability of food, while the low density of B. variegates gorgon could be related to past hunting pressure, to the low reproductive rate of the species, and to a pandemic occurred in 2005. We recommend constant monitoring of populations of both subspecies, and population health studies for B. variegatus gorgon. Rev. Biol. Trop. 62 (Suppl. 1): 447-456. Epub 2014 February 01.

En Isla Gorgona se registran dos subespecies endémicas de mamíferos arbóreos, el Mono capuchino de pecho blanco (Cebus capucinus curtus) y el Perezoso de tres dedos de garganta marrón (Bradypus variegatus gorgon), especies importante para la conservación debido a su carácter endémico y papel ecológico como dispersores de semillas en el PNN Gorgona. En este trabajo se presenta información sobre la ecología poblacional de estas dos subespecies, utilizando el método de muestreo por distancia con transectos lineales para establecer la densidad, además se describió la estructura etaria general de cada población con base en los muestreos y observaciones directas. La densidad de C. capucinus curtus en isla Gorgona fue de 170,6 ind/km² (IC 95%=122,0-238,4 ind/km²) mientras que para B. variegatus gorgon fue de 2,6 ind/km² (IC 95%=1,3-4,9 ind/km²). El registro de densidad de C. capucinus curtus en isla Gorgona es el más alto para la especie en todo su rango de distribución geográfica, mientras que el de B. variegatus gorgon es el más bajo reportado para la especie. La alta densidad de C. capucinus curtus estaría relacionada con un efecto sinérgico entre la baja depredación natural y la continua disponibilidad de alimento, mientras que la baja densidad de B. variegatus gorgon estaría relacionada con la presión de caza realizada en el pasado, la baja tasa reproductiva de la especie y una pandemia ocurrida en el año 2005. Se recomienda el monitoreo constante de las poblaciones y estudios de salud poblacional para B. variegatus gorgon.

Obstacle avoidance, visual detection performance, and eye-scanning behavior of glaucoma patients in a driving simulator: a preliminary study.

The objective of this study was to evaluate differences in driving performance, visual detection performance, and eye-scanning behavior between glaucoma patients and control participants without glaucoma. Glaucoma patients (n = 23) and control participants (n = 12) completed four 5-min driving sessions in a simulator. The participants were instructed to maintain the car in the right lane of a two-lane highway while their speed was automatically maintained at 100 km/h. Additional tasks per session were: Session 1: none, Session 2: verbalization of projected letters, Session 3: avoidance of static obstacles, and Session 4: combined letter verbalization and avoidance of static obstacles. Eye-scanning behavior was recorded with an eye-tracker. Results showed no statistically significant differences between patients and control participants for lane keeping, obstacle avoidance, and eye-scanning behavior. Steering activity, number of missed letters, and letter reaction time were significantly higher for glaucoma patients than for control participants. In conclusion, glaucoma patients were able to avoid objects and maintain a nominal lane keeping performance, but applied more steering input than control participants, and were more likely than control participants to miss peripherally projected stimuli. The eye-tracking results suggest that glaucoma patients did not use extra visual search to compensate for their visual field loss. Limitations of the study, such as small sample size, are discussed.

Population assessment of the American crocodile, Crocodylus acutus (Crocodilia: Crocodylidae) on the Pacific coast of Costa Rica

The American crocodile, Crocodylus acutus, is widely distributed in the American neotropics. It is endangered throughout most of its range and is listed as vulnerable by the International Union for the Conservation of Natural Fauna and Flora (IUCN) and on Appendix I of the Convention for the International Trade in Endangered Species of Wild Flora and Fauna (CITES). Despite this listing, there are few published reports on population status throughout most of its range. We investigated the status of the C. acutus, at several locations along the Pacific coast of Costa Rica. We carried out spotlight and nesting surveys from 2007-2009 along the Costa Rican Pacific coast in four distinct areas, coastal areas of Las Baulas (N=40) and Santa Rosa (N=9) National Parks and the Osa Conservation Area (N=13), and upriver in Palo Verde National Park (N=11). We recorded crocodile locations and standard environmental data at each observation. Encounter rates, population structure, distribution within each area and data on successful nesting (presence of hatchlings, nests, etc) were determined. We attempted to capture all crocodiles to record standard morphometrics. A total of 586 crocodiles were observed along 185.8km of survey route. The majority of animals encountered (54.9%) were either hatchlings (<0.5m) or juveniles (0.5-1.25m). The average non-hatchling encounter rate per survey for the Pacific coast was 3.1 crocodiles/km, with individual encounter rates ranging from 1.2 crocodiles/km to 4.3 crocodiles/ km in Las Baulas National Park and the Osa Conservation Area respectively. Distribution of size classes within the individual locations did not differ with the exception of Santa Rosa and Las Baulas National Parks, where hatchlings were found in water with lower salinities. These were the first systematic surveys in several of the areas studied and additional work is needed to further characterize the American crocodile population in Costa Rica.

El cocodrilo americano, Crocodylus acutus, se encuentra ampliamente distribuido en el neotrópico Americano y hay pocos estudios publicados sobre el estado de sus poblaciones en la mayor parte de su rango de distribución. Investigamos el estado del Cocodylus acutus en varias ubicaciones a lo largo de la costa del Pacífico de Costa Rica. Se realizaron muestreos nocturnos y de anidación a lo largo de la Costa Pacífica de Costa Rica en cuatro áreas en particular desde 2007-2009,’áreas costeras en los Parque Nacionales de Las Baulas (N=40) y Santa Rosa (N=9), y en el Área de Conservación de la Osa (N=13) y en el curso alto del Parque Nacional de Palo Verde (N=11). Se registraron datos de la ubicación de los cocodrilos y datos ambientales estándar en cada observación. Se determinó la tasa de encuentros, estructura de la población, distribución dentro de cada área y evidencia de anidación exitosa (presencia de neonatos, nidos, etc.). Intentamos capturar todos los cocodrilos para registrar información morfométrica estándar. En total, se observaron 586 cocodrilos a lo largo de 185.8km de ruta de muestreo. La mayoría de los animales encontrados (54.9%) fueron neonatos (<0.5m) o juveniles (0.5-1.25m). La tasa promedio de encuentros por muestreo de no-neonatos en la costa del Pacífico fue de 3.1 cocodrilos/km; con rangos de encuentro de individuos de entre 1.2 a 4.3 cocodrilos/km en el Parque Nacional de Las Baulas y el Área de Conservación Osa. La distribución por clases de tamaño no varió, a excepción de los Parques Nacionales de Santa Rosa y Las Baulas, donde se encontró a los neonatos en aguas con bajas salinidades. Estos fueron los primeros muestreos sistemáticos en varias de las áreas estudiadas y son necesarios trabajos adicionales para caracterizar las poblaciones de cocodrilo Americano en Costa Rica.

Caracterización clínica, microbiológica y de sensibilidad a antimicrobianos en pacientes con infección nosocomial del tracto urinario: cuatro años y medio de vigilancia epidemiológica / Clinical, microbiological and antimicrobial sensitivity in patients with hospital-adquired urinary tract infections: four and half years surveillance

Antecedentes: Las infecciones nosocomiales son entidades importantes por su aumento en la morbimortalidad y en los costos de tratamiento. En Medellín, Colombia, la del tracto urinario (ITU) es la segunda infección nosocomial más incidente, 16,3% del total. El objetivo del presente estudio fue realizar una caracterización de los aspectos clínicos y microbiológicos de los pacientes con infección nosocomial del tracto urinario en una clínica privada de Medellín, Colombia. Métodos: Estudio retrospectivo, longitudinal, descriptivo de las historias clínicas de los pacientes con infección nosocomial del tracto urinario entre enero/2005 y julio/2009. Resultados: Se diagnosticaron 134 casos en 130 pacientes (tasa institucional de 0,27 infecciones por 100 egresos), con alza de 0,21 por cada 100 egresos en 2005 a 0,59 en 2009. La mayoría de los pacientes fueron mujeres (67,7%), con edad promedio de 55 (IQ 27-72) años. Las comorbilidades más comunes fueron hipertensión arterial (48,5%) y enfermedad renal crónica (16,3%). Los gérmenes más comunes fueron E. coli (54,9%) y K. pneumoniae (12,8%). Hay alta proporción de resistencia a ciprofloxacina, ampicilina/sulbactam y trimetoprim/sulfametoxazol. Conclusión: La ITU nosocomial es una entidad relativamente común en la institución estudiada, aunque su tasa es consistentemente inferior a la encontrada en estudios similares. Para el manejo empírico de esta infección parece recomendable iniciar con amikacina o ceftriaxona, utilizando imipenem o meropenem en pacientes sépticos con comorbilidad seria o con alto riesgo de gérmenes multirresistentes. Para el tratamiento de ITU nosocomial por E. coli, la amikacina y la gentamicina parecen buenas opciones, al igual que la ceftriaxona.

Background: Hospital-acquired infections are important conditions because of their linked increase in morbimortality and in treatment costs. The objective of this study was to perform a characterization of clinical and microbiological aspects of patients with hospital-acquired urinary tract infection on a University Hospital in Medellín, Colombia. Methods: A retrospective, descriptive study was performed, in which the medical records of all patients such an infection were reviewed. Results: A total of 134 infections in 130 patients were detected (rate : 0,27 infections per every 100 hospital discharges), with an upward behavior from 0,21 cases/100 dischrges in 2005 to 0,59 in 2009. Most of the patients (67,7%) were female, with a median age of 55 (IQ 27-72) years. The most commonly found commorbidities were arterial hypertension (48,5%) and chronic kidney disease (16,3%). The most commonly isolated agents were E. coli (54,9%) and K. pneumoniae (12,8%). High rates of resistance t o ci pr of l oxaci n, ampi ci l i n/ sul bact am y t r i met opr i m/sulfametoxazol were found. Discussion: Our study is one of the few characterizations of hospital-acquired urinary tract infection in Colombia; it is shown that our ecology is, up to a point, similar, to that found by international authors, although a higher prevalence of E. coli was found. It is important to recall the relatively high resistance rates to first-line antibiotics. [Jiménez JG, Gaviria ME, Balparda JK, Castrillón DM, Marín AE, Escobar E. Clinical, microbiological and antimicrobial sensitivity in patients with hospital-adquired urinary tract infections: four and half years surveillance. MedUNAB 201 1; 14:145-150].

Population assessment of the American crocodile, Crocodylus acutus (Crocodilia: Crocodylidae) on the Pacific coast of Costa Rica.

The American crocodile, Crocodylus acutus, is widely distributed in the American neotropics. It is endangered throughout most of its range and is listed as vulnerable by the International Union for the Conservation of Natural Fauna and Flora (IUCN) and on Appendix I of the Convention for the International Trade in Endangered Species of Wild Flora and Fauna (CITES). Despite this listing, there are few published reports on population status throughout most of its range. We investigated the status of the C. acutus, at several locations along the Pacific coast of Costa Rica. We carried out spotlight and nesting surveys from 2007-2009 along the Costa Rican Pacific coast in four distinct areas, coastal areas of Las Baulas (N=40) and Santa Rosa (N=9) National Parks and the Osa Conservation Area (N=13), and upriver in Palo Verde National Park (N=11). We recorded crocodile locations and standard environmental data at each observation. Encounter rates, population structure, distribution within each area and data on successful nesting (presence of hatchlings, nests, etc) were determined. We attempted to capture all crocodiles to record standard morphometrics. A total of 586 crocodiles were observed along 185.8km of survey route. The majority of animals encountered (54.9%) were either hatchlings (<0.5m) or juveniles (0.5-1.25m). The average non-hatchling encounter rate per survey for the Pacific coast was 3.1 crocodiles/km, with individual encounter rates ranging from 1.2 crocodiles/km to 4.3 crocodiles/ km in Las Baulas National Park and the Osa Conservation Area respectively. Distribution of size classes within the individual locations did not differ with the exception of Santa Rosa and Las Baulas National Parks, where hatchlings were found in water with lower salinities. These were the first systematic surveys in several of the areas studied and additional work is needed to further characterize the American crocodile population in Costa Rica.