Clinical improvement after intraarticular and intraosseous injections of platelet rich plasma combined with hyaluronic acid for knee osteoarthritis. Case series

INTRODUCTION

knee osteoarthritis (KOA) is known as the most common form of osteoarthrosis with a 6% prevalence in people over 30 years old, and more than 40% in the population over 70 years old. The use of PRP led to diverse results and this disparity can be attributed to the dissimilar methods of PRP preparation. This study aims to assess the functional effects of intraosseous (IO) and intraarticular (IA) injections of platelet rich plasma (PRP) followed by IA injections of hyaluronic acid (HA).

OBJECTIVES

this study aimed to assess the functional effects of intraosseous (IO) and intraarticular (IA) injections of platelet rich plasma (PRP) followed by IA injections of hyaluronic acid (HA), administered 3 and 4 weeks after the initiation of treatment in 33 patients with grade II-III (Ahlback scale) knee osteoarthritis (KOA).

MATERIAL AND METHODS

retrospectively, 33 patients were assessed using the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index and visual analogue scale (VAS) score. They were followed-up for 12.92 months on average. Patients were divided into three groups based on age and four groups based on the follow-up period.

RESULTS

the pre-operative mean of the WOMAC index was 44.35 ± 20.20 and the post-operative mean was 22.81 ± 17.25 (p < 0.001). The pre-operative and post-operative mean of the VAS scores were 5.79 ± 2.01 and 2.41 ± 1.43 (p < 0.001), respectively. The largest improvement in WOMAC (from 42.86 to 13.69) was observed in the youngest patients (44 to 55 years old) and the largest reduction in VAS (from 6.89 to 2.22) was seen in patients aged 56 to 70 years.

CONCLUSION

the combination of IO and IA plasma rich in growth factor (PRGF) treatment with the IA-HA treatment yielded excellent results, diminishing pain and improving motor functionality in patients with KOA.

[Translated article] Implementation of the standardized process of drug therapy evaluation in inpatients and outpatients

OBJECTIVES

The Pharmacotherapeutic follow-up program (PFU) carried out by the clinical pharmacist can be categorized within 3 fundamental activities; identification, resolution and prevention of adverse drug events. These must be adjusted to the requirements and resources of each institution, developing procedures to increase PFU efficiency and to guarantee patient safety. The clinical pharmacists of UC-CHRISTUS Healthcare Network developed a Standardized Pharmacotherapeutic Evaluation Process (SPEP). The main goal of our study is to evaluate the impact of this tool through the pharmacist evaluation number and pharmacist interventions number. Secondarily to determine the potential and direct cost savings associated with the pharmacist interventions in an Intensive care unit (ICU).

METHODS

A quasi-experimental study evaluated the frequency and type of pharmacist evaluation and pharmacist interventions performed by clinical pharmacists in adult patients units of UC-CHRISTUS Healthcare Network, before and after the implementation of SPEP. The distribution of variables was evaluated using the Shapiro-Wilk test and the association between the use of SPEP and the pharmacist evaluation and pharmacist interventions number was performed using the Chi-square test. The cost evaluation associated with pharmacist interventions in the ICU was carried out using methodology proposed by Hammond et al. RESULTS: A total number of 1781 patients was evaluated before and 2129 after the SPEP. The pharmacist evaluation and pharmacist interventions number in the before-SPEP period were 5209 and 2246. In the after-SPEP period were 6105 and 2641, respectively. The increase in both the pharmacist evaluation and pharmacist interventions number was significant only in critical care patients. The potential cost saving in after-SPEP period in the ICU was USD 492,805. Major adverse drug events prevention was the intervention that generated the most savings with a reduction of 60.2%. The total direct savings for sequential therapy was USD 8072 in the study period.

CONCLUSIONS

This study shows a clinical pharmacist developed tool called SPEP that increased the pharmacist evaluation and pharmacist interventions number in multiple clinical scenarios. These were significant only in critical care patients. Future investigations should make effort to evaluate the quality and clinical impact of these interventions.

Arsenic and fluorine in groundwater in northern Mexico: spatial distribution and enrichment factors

North-central Mexico has groundwater contaminated with arsenic (As) and fluoride (F). Based on the dispersion patterns of these solutes, their sources are linked to felsic volcanic rock fragments and secondary minerals (clays, iron oxyhydroxides) within the alluvium fill of the aquifers. However, little is known about the effect of the enrichment factors for F and As in this area. Natural enrichment factors include evaporation, Ca/Na, and competitive adsorption and desorption from solid phases. This study used 1237 groundwater quality data measurements from 305 sampling sites collected between 2012 and 2019 in the state of Durango in north-central Mexico. To determine the contribution of enrichment factors to As and F content, the study area was divided into four sections, two being in the mountainous part of the state and two in the high plateaus. The data were compared among sections and analyzed using Spearman correlation and Piper and Block diagrams. The results indicate that the main solute enrichment mechanisms are evaporation and weathering of silicates and evaporites. Among the four sections, As, pH, and HCO₃ seemed not to vary, F varied slightly, and nitrate and total dissolved solids varied the most. The lack of variation in As among sections is associated to its strong adsorption to clay minerals and iron oxyhydroxides, whereas the diminished F content in the eastern sections is likely linked to the adsorption of F to precipitating calcite (since groundwater is saturated with respect to calcite (SI_calcite = 0.43) and undersaturated for fluorite (SI_fluorite =  - 1.16). These processes shed light on the distribution of F and As in this area, and are likely operating in other states in northern Mexico and in semi-arid areas elsewhere.

A Successful Aging Model Based on Personal Resources, Self-Care, and Life Satisfaction

The most internationally studied models of successful aging defend that there are several pillars for a good aging: absence of disease, good cognitive and physical function, a high commitment and social activity, social capital, personal resources, life satisfaction, and spirituality. This study examines the relationships between personal resources, perceived social support, hope, spirituality, self-care and subjective well-being variables, as bases for a successful aging. One thousand and sixteen community-dwelling Spanish adults, aged 55-92 years, participated in the study. Information on variables assessed was collected using self-reported questionnaires. Confirmatory Factor Analyses and Structural models with latent variables relating all indicators and factors were estimated. The structural model positing background variables affecting personal resources which then affected self-care behaviors and finally affected life satisfaction was supported by the data. The model results emphasize the importance of personality, because largely affects the use of personal resources. The three selected personal resources (support, hope and spirituality) favor self-care behaviors. And finally, these behaviors improved life satisfaction in the old age. This result is of particular importance when policies for a successful and satisfactory aging of the population have to be designed.

Nociceptive related microRNAs and their role in rheumatoid arthritis

Rheumatoid Arthritis (RA) is an autoimmune disease with unknown etiology and a global incidence around 1%, a positive family history increases the risk of RA roughly three to five times. Pain is one of the first symptoms to appear in this disease. MicroRNAs (miRNAs) belong to the class of small non-coding RNAs; they regulate multiple cellular processes including embryonic development, cellular proliferation, differentiation and apoptosis among others. A great deal of evidence points to the employment of miRNAs as therapeutic targets and biomarkers for several pathologies. The main objective of this Review is to assess how miRNAs participate in the pathogenesis of RA. Two advanced searches were conducted in databases, one using "micro-RNA" and "rheumatoid arthritis" as key words, and another one with "micro-RNA", "pain" and "nociception". In this Review, we describe how six miRNAs: miR-16-5p, miR-23b-3b, miR-124-3p, miR-146a-5p, miR-155-5p and miR-223-3p, involved in the modulation and transmission of the nociceptive input are unregulated in RA patients. Key molecular pathways involved in nociception, inflammation and autoimmune responses, are regulated by these miRNAs; the NF-κB, TNF-α, interleukins and TLR4. By means of gene repression, the miRNAs here described modulate the nociceptive process as well as the autoimmune response that characterize this disease.

Retention rates in two naltrexone programmes for heroin addicts in Vitoria, Spain

The main finding of a former Spanish multicenter study (SMS) on the effectiveness of naltrexone maintenance in heroin addicts, was the high retention rate achieved at 24 weeks of follow-up since naltrexone induction (40%). The authors claimed this rate was one of the highest ever reported in the literature for a non-selected sample of opiate addicts and discussed the possible relevance of a set of variables — like motivations and expectations due to a new treatment — on the findings. To assess the possible effects of these variables, we have compared the retention rates in two similar naltrexone programmes. The first programme (hospital sample) included 56 individuals who were also included in the SMS where they accounted for 37% of the total sample. That programme was developed formerly to the naltrexone marketing. The second sample (ambulatory sample) included 67 individuals who were recruited at least a year apart since naltrexone marketing was approved by the Spanish Health Boards. The time-lag between the beginnig of both studies was in the range of 15 to 25 months.

The subjects in both programmes had similar distributions regarding age (p = 0.27), sex (p = 0.79), weeks on treatment after naltrexone induction (p = 0.20), and program compliance (p = 0.78). The retention rates evaluated over a period of 24 weeks were also similar (p = 0.45). The only difference appeared at 12 weeks of follow-up, showing in higher retention the hospital sample than the ambulatory sample (+23%; p < 0.05). The results are discussed according to other studies and it is concluded that findings reported in the former SMS and in this study are not unusual but compatible with recent research. Also underlined is the potential importance of naltrexone as a concomitant treatment for extinguishing high risk behaviours and the conditional stimuli associated with treatment relapse in heroin addicts.

Clima motivacional, satisfacción, compromiso y éxito académico en estudiantes angoleños y dominicanos

Resumen El objetivo fue triple: validar las versiones portuguesa y española de la Escala de Orientación y Clima Motivacional (MOC), evaluar la invarianza métrica en muestras de estudiantes dominicanos y angoleños, y estudiar las relaciones de las orientaciones y climas motivacionales con aspectos educativos relevantes. Participaron 2302 estudiantes dominicanos y 2028 angoleños de 14 a 18 años. Mediante Análisis Factorial Confirmatorio se comprobó que las cuatro dimensiones hipotetizadas del MOC se ajustaban bien a los datos de ambas muestras. Los resultados más relevantes mostraron que las percepciones de los estudiantes sobre el clima de maestría se relacionaron positivamente con el compromiso escolar y el éxito académico en ambas muestras, mientras que las percepciones del clima de ejecución se relacionaron negativamente con estas variables escolares. Los resultados se discuten en el marco de la teoría de las metas de logro (TML) y en relación con las implicaciones para la práctica educativa.

Autonomy Support, Psychological Needs Satisfaction, School Engagement and Academic Success: A Mediation Model

School engagement is a construct of relevance in education and educational psychology, as it has been related to multiple educational constructs and outcomes: school drop-out, satisfaction with school, disruptive behavior, motivational climate, teacher-student relationships, or academic progress and achievement. The current research surveyed 2034 Angolan students and 2302 Dominican Republic students in order to predict academic achievement. The model tested was supported by the data in both samples, and the chain of explicative effects hold again in both samples. School engagement was a powerful mediator among needs satisfaction and academic success. Results are discussed in light of existing literature, and limitations and future directions of research are also highlighted.

[Self-care: New evidence for its measurement in older adults]

INTRODUCTION

A major challenge in today's society is getting older people, not only live longer, but to have a better life, and achieve successful aging. Self-care has been identified as relevant construct in its relation to physical, psychological, and social health. Therefore, this paper aims to provide first evidence of the psychometric properties of a scale to assess self-care in older people.

MATERIAL AND METHODS

The sample consisted of 443 people aged between 60 and 80years (M=66.11, SD=4.72), all of them currently participating in lifelong learning programs. There were 64.2% women, and most participants were married (73.7%). They were asked to complete the Self-Care for Older People Scale (SCOPS), the SF-8 Health Perception scale and, the Life Satisfaction scale (SWLS). Data were analysed using confirmatory factor analysis, and scale correlations between self-care and variables from its nomological network.

RESULTS AND CONCLUSIONS

The tested model provided an adequate fit to the data: χ²(23)=64.257 (P<.001); comparative fit index (CFI)=.936; Tucker Lewis Index (TLI) =.899; standardized root mean square residual (SRMR) =.070; root mean square error of approximation (RMSEA) =.064 (.046-.083), supporting the original structure of three factors: physical, social, and internal self-care. These factors also showed statistically significant correlations with two important variables of their nomological network, perceived health and life satisfaction.

Inestabilidad lunopiramidal

Históricamente, la inestabilidad en el lado radial de la muñeca ha recibido mucha más atención que la inestabilidad en el lado ulnar, a pesar de ser una patología relativamente frecuente. Como consecuencia de ello, suele darse un retraso en el diagnóstico correcto y el tratamiento apropiado. Las lesiones del ligamento lunopiramidal pueden ser parciales o completas, y estas últimas pueden estar asociadas a lesión de los estabilizadores secundarios. Cuando se lesionan estos estabilizadores es cuando se produce una inestabilidad estática del carpo conocida como Volar Intercalated Segmentary Instability (VISI). Entre los test clínicos más utilizados para detectar una inestabilidad del ligamento lunopiramidal están el Ballottement test, descrito por Reagan, y el Shear test, descrito por Kleinman, aunque ambos poseen una sensibilidad y una especificidad bajas. Para el diagnóstico de estas lesiones se emplean técnicas como la radiografía simple (que suele ser normal si no hay una inestabilidad estática del carpo), la artrografía y la RMN, entre otras, aunque el gold standard lo constituye la artroscopia de muñeca. No existe un consenso en cuanto al tipo de tratamiento óptimo, ya que la mayoría de los estudios publicados son retrospectivos de nivel iv sin medidas objetivas estandarizadas mediante instrumentos validados. Además, en su mayoría describen los resultados del tratamiento tardío, ya que no se suelen diagnosticar en la fase aguda. Dentro de los tratamientos descritos se encuentran el tratamiento artroscópico (desbridamiento/termocoagulación asociados o no a estabilización con agujas de Kirscher), la reparación abierta, la reconstrucción del ligamento y la artrodesis del ligamento lunopiramidal.

The added value of musculoskeletal ultrasound to clinical evaluation in the treatment decision of rheumatoid arthritis outpatients: physician experience matters

BACKGROUND

Musculoskeletal ultrasound improves the accuracy of detecting the level of disease activity (DA) in RA patients, although its impact on the final treatment decision in a real clinical setting is uncertain. The objectives were to define the percentage of clinical scenarios from an ongoing cohort of RA outpatients in which the German Ultrasound Score on 7 joints (GUS-7) impacted the treatment and to explore if the impact differed between a senior rheumatologist (SR) vs. a trainee (TR).

METHODS

Eighty-five consecutive and randomly selected RA outpatients underwent 170 assessments, 85 each by the SR and the TR. Initially, both physicians (blinded to each other) performed a rheumatic assessment and recommended a preliminary treatment. Then, the patients underwent the GUS-7 evaluation by an experienced rheumatologist blinded to clinical evaluations; selected joints of the clinically dominant hand were assessed by gray-scale and power Doppler (PD). In the final step, the TR and the SR integrated the GUS-7 findings with their previous evaluation and reviewed their recommendations. The patients received the final recommendation from the SR to avoid patient confusion. The study was approved by the Internal Review Board and all the patients signed informed consent. GUS-7 usefulness was separately evaluated by the SR and the TR according to a visual analogue scale (0 = not useful at all, 10 = very useful). Descriptive statistics were used.

RESULTS

The patients were primarily middle-aged females (91.4%) with (mean ± SD) disease duration of 7.5 ± 3.9 years. The majority of them (69.2% according to TR and 71.8% to SR) were in DAS28-ESR-remission. In 34 of 170 clinical scenarios (20%), the GUS-7 findings modified the final treatment proposal; 24 of these scenarios were determined by the TR vs. 10 by the SR: 70.5% vs. 29.5%, p = 0.01. Treatment changes (increase, decrease and joint injection) were similar between both specialists. As expected, the TR rated the GUS-7 usefulness higher than the SR, particularly in the clinical scenarios where the GUS-7 findings impacted treatment.

CONCLUSIONS

Musculoskeletal ultrasound added to standard rheumatic assessments impacted the treatment proposal in a limited number of patients; the impact was greater in the TR.

Factorial Validity of the General Health Questionnaire 12 in an Angolan Sample

Abstract. Most evidence available has found multidimensional solutions for the General Health Questionnaire’s (GHQ12) structure, contrary to the authors’ original one-factor solution. Recently, the study of method effects associated to negatively worded items has been included in the study of GHQ12’s factor structure, and the most common conclusion has been that the best-fitting structure is a single factor confounded by response bias. Current study analyzes the factor structure of the Portuguese version of the GHQ12. The sample consisted of 1,332 young Angolan adults. Previously-reported structures, including one-factor and multidimensional substantive ones, as well as bifactor structures, and models positing method effects among negatively worded items were tested via Confirmatory Factor Analyses. Results suggested that a three substantive factor solution adequately represented the scale’s underlying structure. The emerging factors were dysphoria, social dysfunction, and loss of confidence. Method effects did not play a clear role in explaining the multidimensionality observed in the factor structures tested for the GHQ12.

Efficient light harvesting within a C153@Zr-based MOF embedded in a polymeric film: spectral and dynamical characterization

Energy transfer within a hybrid C153@Zr-NDC composite material incorporated into PC films. M* and (E*) are the excited monomers and excimers of the MOF, respectively. C153 is Coumarin 153.

Photodynamics of Zr-based MOFs: effect of explosive nitroaromatics

The present work describes the fluorescence spectroscopy and photodynamics of two different Zr mixed-linkers MOFs (Zr-NDC/Tz and Zr-NDC/CN) and their interactions with nitroaromatics.

Predicción del bienestar hedónico y eudaimónico en envejecimiento con éxito

El bienestar psicológico es un constructo de la máxima importancia en psicología, siendo el equivalente a la salud en términos médicos. Es un concepto multifacético. Que ha dado lugar a dos tradiciones, la hedónica y la eudaimónica. Por otro lado, un marco teórico útil en el que enmarcar un envejecimiento óptimo es el paradigma del envejecimiento con éxito. Rowe y Kahn (1998) articularon este paradigma proponiendo un modelo con tres características principales: salud física, función cognitiva y estar activo en términos de actividades productivas y relaciones sociales. El objetivo de este trabajo es ofrecer un modelo predictivo del bienestar, tanto hedónico como eudaimónico, empleando para ello el paradigma del envejecimiento con éxito y adicionalmente un componente de espiritualidad. Los resultados más relevantes de este modelo muestran que el apoyo social presentó un impacto relevante y positivo sobre la satisfacción y algo menor sobre el bienestar. La salud física también juega un papel relevante, especialmente al predecir satisfacción. La espiritualidad también tiene un papel protector sobre el bienestar. El porcentaje de varianza explicado de la satisfacción vital fue un 23.3%, y un 10.4% sobre bienestar.

Socio-Demographic Variables and Successful Aging of the Angolan Elderly

The proportion of elderly people is growing faster than any other age group. Amongst them, the group of oldest old is indeed the segment of the elderly population with the fastest growth rate. The increase in the proportion of elderly in the Angolan population makes research on this area badly needed. Within the theoretical framework of successful aging, the study aims to test for sociodemographic group differences in perceived health, life satisfaction, and social relations in Angolan elderly. The dependent variables are three of the components of what has been called successful aging. Data came from a cross-sectional survey of elderly people living in Luanda. 1003 Angolan elderly were surveyed on sociodemographic information, perceived health, life satisfaction, and social support. MANOVAs were calculated to test for mean differences in the dependent variables. Results permit to conclude that the factors associated with the largest differences on the Angolan elderly's quality of life and social relations were age (becoming oldest old) and institutionalization. The interactions of several factors with age pointed out that the oldest old were clearly a group in which the decreased quality of life due to becoming oldest old could not be compensated by other factors, as it was the case in the group of young old.

Validación de un modelo explicativo del proceso de envejecer con éxito a partir de aspectos psicológicos, físicos, relacionales y de ocio

Cada vez más, la investigación sobre el proceso de envejecimiento tiende a adoptar una doble perspectiva emic (específico a una cultura) y etic (universal), necesitándose más estudios que atiendan un enfoque transcultural. El objetivo es obtener respuesta empírica a la pregunta de si un modelo de envejecimiento con éxito planteado desde un contexto diferente como es el taiwanés, es adecuado para representar este proceso en nuestros mayores. La muestra estuvo formada por 737 personas mayores. Se recabaron datos de variables socio-demográficas y diversas escalas para evaluar satisfacción con la vida, ocio, salud y apoyo social. Se puso a prueba un modelo de ecuaciones estructurales tomado de Lee et al. (2011), en el que ocio, salud y apoyo social predecían satisfacción con la vida. Los resultados obtenidos mostraron un ajuste adecuado. En concreto, se observó que, en el marco de otros factores que teóricamente influyentes -salud y apoyo social-, este novedoso aspecto sobre cómo las personas mayores gestionan su tiempo de ocio, aunque explicativo, no es un factor tan determinante como en el estudio de referencia.

Arbuscular mycorrhizal symbiosis regulates physiology and performance of Digitaria eriantha plants subjected to abiotic stresses by modulating antioxidant and jasmonate levels

This study evaluates antioxidant responses and jasmonate regulation in Digitaria eriantha cv. Sudafricana plants inoculated (AM) and non-inoculated (non-AM) with Rhizophagus irregularis and subjected to drought, cold, or salinity. Stomatal conductance, photosynthetic efficiency, biomass production, hydrogen peroxide accumulation, lipid peroxidation, antioxidants enzymes activities, and jasmonate levels were determined. Stomatal conductance and photosynthetic efficiency decreased in AM and non-AM plants under all stress conditions. However, AM plants subjected to drought, salinity, or non-stress conditions showed significantly higher stomatal conductance values. AM plants subjected to drought or non-stress conditions increased their shoot/root biomass ratios, whereas salinity and cold caused a decrease in these ratios. Hydrogen peroxide accumulation, which was high in non-AM plant roots under all treatments, increased significantly in non-AM plant shoots under cold stress and in AM plants under non-stress and drought conditions. Lipid peroxidation increased in the roots of all plants under drought conditions. In shoots, although lipid peroxidation decreased in AM plants under non-stress and cold conditions, it increased under drought and salinity. AM plants consistently showed high catalase (CAT) and ascorbate peroxidase (APX) activity under all treatments. By contrast, the glutathione reductase (GR) and superoxide dismutase (SOD) activity of AM roots was lower than that of non-AM plants and increased in shoots. The endogenous levels of cis-12-oxophytodienoc acid (OPDA), jasmonic acid (JA), and 12-OH-JA showed a significant increase in AM plants as compared to non-AM plants. 11-OH-JA content only increased in AM plants subjected to drought. Results show that D. eriantha is sensitive to drought, salinity, and cold stresses and that inoculation with AM fungi regulates its physiology and performance under such conditions, with antioxidants and jasmonates being involved in this process.

Exploring coumarin potentialities: development of new enzymatic inhibitors based on the 6-methyl-3-carboxamidocoumarin scaffold

Novel 6-methyl-3-carboxamidocoumarins were synthesized by an effective three step synthetic strategy and screened towards MAO, AChE and BuChE enzymes.

Propiedades psicométricas de la versión española de la Escala Temporal de Satisfacción con la Vida (Temporal Satisfaction With Life Scale, TSLS): Un estudio en mayores que acuden a programas universitarios

Para la operacionalización del bienestar se han desarrollado un gran número de medidas, destacando la Escala de Satisfacción con la Vida (SWLS). Para paliar algunos de sus problemas, se desarrolló la Escala Temporal de Satisfacción con la Vida (TSLS). El objetivo de este estudio es la presentación y primera validación de la TSLS en su versión española, en una muestra de personas mayores que acuden a programas universitarios. La muestra estaba formada por 737 personas mayores. Además de la TSLS, se empleó un indicador de satisfacción general con la vida y la SF-8. Los análisis incluyeron estudio de la validez factorial, estimaciones de la fiabilidad y de validez externa. Los resultados del análisis factorial confirmatorio fueron adecuados: χ2 (87) = 454.593 (p < .001), CFI = .973; RMSEA = .085, mostrando la adecuación del modelo de tres dimensiones propuesto. La consistencia interna de las tres dimensiones fue alta: alfas de .83 para la satisfacción con la vida pasada, .81 para la presente y .86 para la futura. También los resultados de validez externa fueron los esperados. La TSLS incorpora el eje temporal en la medida de la satisfacción con la vida, con garantías psicométricas. Sus utilidades se comentan en la discusión.

Psychometric properties of the Spanish version of the Temporal Satisfaction with Life Scale (TSLS): A study on elderly attending to university programs

Several measures have been developed for the operalization of well-being, standing out the Satisfaction With Life Scale (SWLS). To cope with some of its problems the Temporal Satisfaction with Life Scale (TSLS) was developed. The aim of this study is to present and validate the Spanish version of the TSLS, in a sample elderly attending to University programs. The sample was composed of 737 elderly. Together with the TSLS, an indicator of general life satisfaction and the SF-8 Health Scale were used. Analyses included the study of factorial validity, estimations of reliability and external validity. Results of the confirmatory factor analysis were adequate: χ2(87)=454.593 (p<.001), CFI=.973; RMSEA=.085, showing appropriate fit for the three-dimension model posed. Internal consistency of the three dimensions was high: alpha values of .83 for past, .81 for present, and .86 for future life satisfaction. Additionally, results of external validity were as expected. The TSLS addresses the temporal axis in the measurement of life satisfaction, with psychometric guarantees. Its utilities are explained in the discussion.

Prediction of hedonic and eudaimonic well-being in succesful aging

Psychological well-being is a construct of maximum relevance in psychology, being the equivalent to health in medical sciences. It is a multifaceted construct, with two research traditions: the hedonic and the eudaimonic ones. On the other hand, the paradign of succesful aging is a good theoretical framework to study and understand optimal aging. Rowe and Kahn (1998) articulated this paradign proposing its three main characteristics: physcal health, cognitive functioning and being productive and socially active. The aim of this research is to develop a predictive model of well-being, both hedonic and eudaimonic, using the sucessful aging parading plus a dimension of spirituality. Main results of the model showed that social support had a significant and positive on satisfaction and to a lesser extent on well-being. Pshysical health was also a significant predictor of satisfaction. An finally, spirituality may also be considered a protector of well-being. Percentage of variance explained of life satisfaction was 23.3%, while this percentage on well-being was 10.4%.

Hematotoxicity of magnetite nanoparticles coated with polyethylene glycol: in vitro and in vivo studies

Hematotoxicity of magnetite nanoparticles with different coatings has been evaluated by determining their safety in vitro and in vivo in a rat model up to 30 days.

Predicting life satisfaction of the Angolan elderly: a structural model

Satisfaction with life is of particular interest in the study of old age well-being because it has arisen as an important component of old age. A considerable amount of research has been done to explain life satisfaction in the elderly, and there is growing empirical evidence on best predictors of life satisfaction. This research evaluates the predictive power of some aging process variables, on Angolan elderly people's life satisfaction, while including perceived health into the model. Data for this research come from a cross-sectional survey of elderly people living in the capital of Angola, Luanda. A total of 1003 Angolan elderly were surveyed on socio-demographic information, perceived health, active engagement, generativity, and life satisfaction. A Multiple Indicators Multiple Causes model was built to test variables' predictive power on life satisfaction. The estimated theoretical model fitted the data well. The main predictors were those related to active engagement with others. Perceived health also had a significant and positive effect on life satisfaction. Several processes together may predict life satisfaction in the elderly population of Angola, and the variance accounted for it is large enough to be considered relevant. The key factor associated to life satisfaction seems to be active engagement with others.

Hierarchical structure of the cognitive processes in schizophrenia: the fundamental role of processing speed

OBJECTIVE

Decreased processing speed (PS) is a key feature of schizophrenia with respect to cognition, functional outcome and clinical symptoms. Our objective was to test whether PS slowing mediates other neuropsychological deficits among patients with chronic schizophrenia.

METHOD

One hundred patients with schizophrenia and 53 healthy adults completed a series of neuropsychological measures that assess six cognitive domains. In addition to PS these included attention, verbal memory, visual memory, working memory, and executive functioning. Confirmatory factor analysis (CFA) was used to evaluate the fit of the 6-factor model. The cognitive performances of both groups were compared before and after controlling for the effect of PS, but also after controlling for the effect of each cognitive factor at a time. Finally, the PS-related variance was removed and the effect of the other cognitive factors was tested again.

RESULTS

CFA supported the hypothesized 6-factor cognitive structure. As expected, the patients and controls differed on all cognitive measures. However, after controlling for the effects of PS, group differences on the other five cognitive factors decreased substantially. Controlling for other factors produced smaller attenuation of group differences, and these effects were also partially accounted for by decreased PS.

CONCLUSIONS

PS deficits account for most of the differences in cognition between patients with schizophrenia and healthy controls. PS slowing appears to be a core feature of schizophrenia, one that underlies impairments of working memory, executive functioning, and other abilities.

Longitudinal changes of insight in first episode psychosis and its relation to clinical symptoms, treatment adherence and global functioning: one-year follow-up from the Eiffel study

OBJECTIVES

The Eiffel study is a longitudinal, naturalistic study of patients with first episode psychosis (FEP) designed to evaluate the predictive value of defective insight on treatment adherence and global functioning.

METHODS

Five hundred seventy-seven patients with FEP were assessed at baseline and at a 1-year follow-up. They were compared in terms of sociodemographic factors, psychopathology, insight, treatment adherence and functional outcome. Longitudinal functionality was prospectively assessed with the clinical global impression (CGI) and global assessment of functioning (GAF) rating scales.

RESULTS

At baseline, up to 50% of our sample presented with a lack of insight. Most clinical symptoms, including insight, improved over the follow-up period. Insight, education and social withdrawal significantly predicted CGI and GAF at follow-up. Insight and level of education were predictive of treatment adherence.

CONCLUSIONS

Insight significantly predicted the general clinical course, treatment adherence and functional outcome in our FEP sample after 1 year. Only education additionally accounted for the longitudinal course. Since our results suggest that better insight improves treatment adherence and consequently clinical course and functional outcome, insight could be a specific target of treatment in early intervention programs.

Vascular endothelial growth factor gene polymorphisms in patients with colorectal cancer

BACKGROUND

Angiogenesis plays an important role in tumor progression. The vascular endothelial growth factor (VEGF) is an important regulator of angiogenesis. In the present study we evaluated single nucleotide polymorphisms (SNPs) -2578C > A, -1154G > A, and +936C > T in the VEGF gene, and their prognostic value for patients operated on for colorectal cancer (CRC).

PATIENTS AND METHOD

VEGF polymorphisms have been analyzed in 177 patients who had undergone surgical resection at Hospital Clínico San Carlos. The analysis of these polymorphisms was performed with specific probes for each nucleotide in a multiplex reaction using real-time PCR.

RESULTS

We only found a statistically significant relationship for one of these three polymorphisms, +936C > T, with gender and tumor location; 10.7% of patients heterozygotes for this SNP had tumors located in proximal colon, 35.2% in distal segment and 54.1% in rectum (p = 0.03). Patients with the +936T/T genotype had 100% overall survival (OS).

CONCLUSION

Patients with a +936T/T genotype showed increased survival, therefore the +936C > T SNP could be a useful marker in the follow-up and clinical management of patients with colorectal cancer.