Advanced MRI unravels the nature of tissue alterations in early multiple sclerosis.

INTRODUCTION: In patients with multiple sclerosis (MS), conventional magnetic resonance imaging (MRI) provides only limited insights into the nature of brain damage with modest clinic-radiological correlation. In this study, we applied recent advances in MRI techniques to study brain microstructural alterations in early relapsing-remitting MS (RRMS) patients with minor deficits. Further, we investigated the potential use of advanced MRI to predict functional performances in these patients. METHODS: Brain relaxometry (T1, T2, T2*) and magnetization transfer MRI were performed at 3T in 36 RRMS patients and 18 healthy controls (HC). Multicontrast analysis was used to assess for microstructural alterations in normal-appearing (NA) tissue and lesions. A generalized linear model was computed to predict clinical performance in patients using multicontrast MRI data, conventional MRI measures as well as demographic and behavioral data as covariates. RESULTS: Quantitative T2 and T2* relaxometry were significantly increased in temporal normal-appearing white matter (NAWM) of patients compared to HC, indicating subtle microedema (P = 0.03 and 0.004). Furthermore, significant T1 and magnetization transfer ratio (MTR) variations in lesions (mean T1 z-score: 4.42 and mean MTR z-score: -4.09) suggested substantial tissue loss. Combinations of multicontrast and conventional MRI data significantly predicted cognitive fatigue (P = 0.01, Adj-R (2) = 0.4), attention (P = 0.0005, Adj-R (2) = 0.6), and disability (P = 0.03, Adj-R (2) = 0.4). CONCLUSION: Advanced MRI techniques at 3T, unraveled the nature of brain tissue damage in early MS and substantially improved clinical-radiological correlations in patients with minor deficits, as compared to conventional measures of disease.

Probabilidade de resposta da cana-de-açúcar à adubação potássica em razão da relação K+ (Ca2++Mg2+ )-0,5 do solo

O objetivo deste trabalho foi avaliar a probabilidade de resposta da produção de cana-de-açúcar à adubação potássica, em razão da relação K+ (Ca2++Mg2+ )-0,5 no solo. Foram compilados dados de 106 experimentos de adubação potássica na cana-de-açúcar. Em cada experimento foi registrado o ciclo de cultivo (cana-planta ou cana-soca), os teores de K, Ca e Mg do solo antes da adubação potássica, a relação K+ (Ca2++Mg2+ )-0,5, e se houve, ou não, resposta estatisticamente significativa da produção à adubação potássica. Foi utilizado o método estatístico de regressão logística, efetuado pelo procedimento CATMOD do Statistical Analysis System. A característica ciclo de cultivo foi eliminada do modelo, pois esta se apresentou como não-significativa no ajuste estatístico. A relação K+ (Ca2++Mg2+ )-0,5 do solo influenciou a probabilidade de resposta da produção de cana-de-açúcar à adubação potássica. À medida que a relação K+ (Ca2++Mg2+ )-0,5 aumentou, a probabilidade de resposta da produção de cana-de-açúcar à adubação potássica diminuiu. A relação K+ (Ca2++Mg2+ )-0,5 no solo foi classificada em baixa (<0,2547), média (0,2547 a 0,3349) e alta (>0,3349). A relação K+ (Ca2++Mg2+ )-0,5 no solo deve ser usada como mais um critério para orientar a adubação potássica na cultura da cana-de-açúcar.

Manual de la técnica de rejilla mediante el programa RECORD ver. 2.0: Capítulos I (introducció), II (Etapa de diseño) y III (Fase de administración)

La técnica de rejilla es un instrumento de evaluación de las dimensiones y estructura del significado personal que se deriva de la teoría de los constructos personales. Tanto en la versión original de G. A. Kelly (1955) como en sus continuas actualizaciones, esta técnica pretende captar la forma en que una persona da sentido a su experiencia en sus propios términos. No se trata, por tanto, de un test convencional, sino de una forma de entrevista estructurada orientada a explicitar y analizar los constructos con los que la persona organiza su mundo. De la entrevista se genera una matriz de datos que se somete a varios análisis para revelar su estructura implícita. El programa RECORD ofrece los resultados de una forma clara y proporciona además una serie de gráficos de fácil interpretación. Todo ello permite dibujar la estructura del mapa cognitivo del sujeto desde su propia semántica, culminando así, con rigor metodológico, una vieja aspiración fenomenológica. Se trata de un instrumento muy 'flexible que puede adaptarse a diversas áreas de aplicación: evaluación individual, grupal, familiar y de pareja, intervención psicoeducativa, asesoramiento vocacional, investigación de mercados, asesoramiento empresarial, investigación terapéutica, estudio de la estructura cognitiva de la personalidad, etc.

Manual de la técnica de rejilla mediante el programa RECORD ver. 2.0: Capítulos I (introducció), II (Etapa de diseño) y III (Fase de administración)

La técnica de rejilla es un instrumento de evaluación de las dimensiones y estructura del significado personal que se deriva de la teoría de los constructos personales. Tanto en la versión original de G. A. Kelly (1955) como en sus continuas actualizaciones, esta técnica pretende captar la forma en que una persona da sentido a su experiencia en sus propios términos. No se trata, por tanto, de un test convencional, sino de una forma de entrevista estructurada orientada a explicitar y analizar los constructos con los que la persona organiza su mundo. De la entrevista se genera una matriz de datos que se somete a varios análisis para revelar su estructura implícita. El programa RECORD ofrece los resultados de una forma clara y proporciona además una serie de gráficos de fácil interpretación. Todo ello permite dibujar la estructura del mapa cognitivo del sujeto desde su propia semántica, culminando así, con rigor metodológico, una vieja aspiración fenomenológica. Se trata de un instrumento muy 'flexible que puede adaptarse a diversas áreas de aplicación: evaluación individual, grupal, familiar y de pareja, intervención psicoeducativa, asesoramiento vocacional, investigación de mercados, asesoramiento empresarial, investigación terapéutica, estudio de la estructura cognitiva de la personalidad, etc.

MP2RAGE provides new clinically-compatible correlates of mild cognitive deficits in relapsing-remitting multiple sclerosis.

Despite that cognitive impairment is a known early feature present in multiple sclerosis (MS) patients, the biological substrate of cognitive deficits in MS remains elusive. In this study, we assessed whether T1 relaxometry, as obtained in clinically acceptable scan times by the recent Magnetization Prepared 2 Rapid Acquisition Gradient Echoes (MP2RAGE) sequence, may help identifying the structural correlate of cognitive deficits in relapsing-remitting MS patients (RRMS). Twenty-nine healthy controls (HC) and forty-nine RRMS patients underwent high-resolution 3T magnetic resonance imaging to obtain optimal cortical lesion (CL) and white matter lesion (WML) count/volume and T1 relaxation times. T1 z scores were then obtained between T1 relaxation times in lesion and the corresponding HC tissue. Patient cognitive performance was tested using the Brief Repeatable Battery of Neuro-psychological Tests. Multivariate analysis was applied to assess the contribution of MRI variables (T1 z scores, lesion count/volume) to cognition in patients and Bonferroni correction was applied for multiple comparison. T1 z scores were higher in WML (p < 0.001) and CL-I (p < 0.01) than in the corresponding normal-appearing tissue in patients, indicating relative microstructural loss. (1) T1 z scores in CL-I (p = 0.01) and the number of CL-II (p = 0.04) were predictors of long-term memory; (2) T1 z scores in CL-I (β = 0.3; p = 0.03) were independent determinants of long-term memory storage, and (3) lesion volume did not significantly influenced cognitive performances in patients. Our study supports evidence that T1 relaxometry from MP2RAGE provides information about microstructural properties in CL and WML and improves correlation with cognition in RRMS patients, compared to conventional measures of disease burden.

The Brief Psychiatric Rating Scale (version 4.0) factorial structure and its sensitivity in the treatment of outpatients with unipolar depression.

The 24-item Brief Psychiatric Rating Scale (BPRS, version 4.0) enables the rater to measure psychopathology severity. Still, little is known about the BPRS's reliability and validity outside of the psychosis spectrum. The aim of this study was to examine the factorial structure and sensitivity to change of the BPRS in patients with unipolar depression. Two hundred and forty outpatients with unipolar depression were administered the 24-item BPRS. Assessments were conducted at intake and at post-treatment in a Crisis Intervention Centre. An exploratory factor analysis of the 24-item BPRS produced a six-factor solution labelled "Mood disturbance", "Reality distortion", "Activation", "Apathy", "Disorganization", and "Somatization". The reduction of the total BPRS score and dimensional scores, except for "Activation", indicates that the 24-item BPRS is sensitive to change as shown in patients that appeared to have benefited from crisis treatment. The findings suggest that the 24-item BPRS could be a useful instrument to measure symptom severity and change in symptom status in outpatients presenting with unipolar depression.

Can MRI replace CT in evaluating semicircular canal dehiscence?

BACKGROUND AND PURPOSE: Patients with symptoms of semicircular canal dehiscence often undergo both CT and MR imaging. We assessed whether FIESTA can replace temporal bone CT in evaluating patients for SC dehiscence. MATERIALS AND METHODS: We retrospectively reviewed 112 consecutive patients (224 ears) with vestibulocochlear symptoms who underwent concurrent MR imaging and CT of the temporal bones between 2007 and 2009. MR imaging protocol included a FIESTA sequence covering the temporal bone (axial 0.8-mm section thickness, 0.4-mm spacing, coronal/oblique reformations; 41 patients at 1.5T, 71 patients at 3T). CT was performed on a 64-row multidetector row scanner (0.625-mm axial acquisition, with coronal/oblique reformations). Both ears of each patient were evaluated for dehiscence of the superior and posterior semicircular canals in consensual fashion by 2 neuroradiologists. Analysis of the FIESTA sequence and reformations was performed first for the MR imaging evaluation. CT evaluation was performed at least 2 weeks after the MR imaging review, resulting in a blinded comparison of CT with MR imaging. CT was used as the reference standard to evaluate the MR imaging results. RESULTS: For SSC dehiscence, MR imaging sensitivity was 100%, specificity was 96.5%, positive predictive value was 61.1%, and negative predictive value was 100% in comparison with CT. For PSC dehiscence, MR imaging sensitivity was 100%, specificity was 99.1%, positive predictive value was 33.3%, and negative predictive value was 100% in comparison with CT. CONCLUSIONS: MR imaging, with a sensitivity and negative predictive value of 100%, conclusively excludes SSC or PSC dehiscence. Negative findings on MR imaging preclude the need for CT to detect SC dehiscence. Only patients with positive findings on MR imaging should undergo CT evaluation.

Code 2.0 gestió de pràctiques en núvol

Partint d'un projecte anterior anomenat Code, els objectius d'aquest projecte són: integrar l'aplicació en una eina de software, incorporar les noves versions de les llibreries GWT i Java, i escabilitzar l'aplicació a través de la tecnologia cloud computing concretament amb la infraestructura de Google App Engine

El Land-Art a l'educació 0-3: l'expressió lliure i la comprensió del medi a través de l'art i la natura

Actualment el Land – Art és un moviment poc conegut i difós en la vessant educativa. Aquest treball pretén treure a la llum i transmetre l’essència d’aquest moviment enriquidor cap als infants. Tant és així, que el Land – Art esdevé una eina d’aprenentatge innovadora en el primer cicle d’Educació Infantil a través d’una metodologia constructivista que involucra a tota la comunitat educativa: professionals, família i alumnes. L’objectiu del present projecte és l’ús d’aquest moviment com instrument d’aprenentatge per tal d’observar i analitzar uns resultats que s’han anat construint a partir d’una hipòtesi: “El Land – Art a l’Educació 0-3 fomenta l’expressió lliure i la comprensió del medi”. En aquest treball trobarem, en primer lloc, el marc teòric del projecte; en segon lloc, el seu mètode d’investigació; en tercer lloc, la vessant pràctica del projecte; i, en quart i darrer lloc, les conclusions que reflecteixen la part comparativa entre el marc teòric i la part pràctica, on es finalitzarà amb les reflexions finals.

Can 3T multiparametric magnetic resonance imaging accurately detect prostate cancer extracapsular extension?

BACKGROUND: Accurate staging is essential to determine the correct management of patients diagnosed with prostate cancer. We assess the accuracy of 3T multiparametric magnetic resonance imaging (MRI) with endorectal coil (3TemMRI) in detecting prostate cancer local extension. METHODS: We retrospectively reviewed charts from January 2008 to July 2012 from all patients undergoing radical prostatectomy. Patients were only included if 3TemMRI and radical prostatectomy were performed at our institution. Based on the presence of extracapsular extension (ECE) at 3TemMRI, prostate cancer was dichotomized into locally advanced or organ-confined disease. The accuracy of 3TemMRI local staging was then evaluated using definitive pathology as a reference. RESULTS: Overall, 177 radical prostatectomies were performed within the timeframe. After applying exclusion criteria, 60 patients were included in the final analysis. The mean patient age was 67 ± 7 (standard deviation) years. Mean prostate-specific antigen value was 12.7 ± 12.7 ng/L. Based on preoperative characteristics, we considered 38 of the 60 patients (63%) patients high risk. 3TemMRI identified an organ-confined tumour in 46 patients and locally advanced disease in 14 patients. When correlated to final pathology, 3TemMRI specificity, sensitivity, negative and positive predictive values, and accuracy in detecting locally advanced prostate cancer were 90%, 35%, 57%, 79% and 62%, respectively. INTERPRETATION: This study shows that the use of preoperative 3TemMRI can be used to identify organ-confined prostate cancer when locally advanced disease is suspected.

A new technique with high reproducibility to estimate renal oxygenation using BOLD-MRI in chronic kidney disease.

OBJECTIVES: To assess inter-observer variability of renal blood oxygenation level-dependent MRI (BOLD-MRI) using a new method of analysis, called the concentric objects (CO) technique, in comparison with the classical ROI (region of interest)-based technique. METHODS: MR imaging (3T) was performed before and after furosemide in 10 chronic kidney disease (CKD) patients (mean eGFR 43±24ml/min/1.73m(2)) and 10 healthy volunteers (eGFR 101±28ml/min1.73m(2)), and R2* maps were determined on four coronal slices. In the CO-technique, R2* values were based on a semi-automatic procedure that divided each kidney in six equal layers, whereas in the ROI-technique, all circles (ROIs) were placed manually in the cortex and medulla. The mean R2*values as assessed by two independent investigators were compared. RESULTS: With the CO-technique, inter-observer variability was 0.7%-1.9% across all layers in non-CKD, versus 1.6%-3.8% in CKD. With the ROI-technique, median variability for cortical and medullary R2* values was 3.6 and 6.8% in non-CKD, versus 4.7 and 12.5% in CKD; similar results were observed after furosemide. CONCLUSION: The CO-technique offers a new, investigator-independent, highly reproducible alternative to the ROI-based technique to estimate renal tissue oxygenation in CKD.

La Política 2.0 amb la generació Nintendo

The eruption of Web 2.0 has transformed the uses and strategies of political communication. The campaign developed by Obama's team is a good example of the electoral efficiency of these new tools whose results we are now analysing and evaluating. While our present leaders could be classified as the "fax generation", the North American experience opens the doors to a new way of relating with the electoral masses. With these new instruments of interactive communication, voters have the space to be able to make their voices heard and to be able to affect the electoral programme, something which undoubtedly benefits an election campaign's degree of democratic quality

Iowa Bridge Backwater Software User Manual, Version 2.0, TR-564, 2010

This manual describes how to use the Iowa Bridge Backwater software. It also documents the methods and equations used for the calculations. The main body describes how to use the software and the appendices cover technical aspects. The Bridge Backwater software performs 5 main tasks: Design Discharge Estimation; Stream Rating Curves; Floodway Encroachment; Bridge Backwater; and Bridge Scour. The intent of this program is to provide a simplified method for analysis of bridge backwater for rural structures located in areas with low flood damage potential. The software is written in Microsoft Visual Basic 6.0. It will run under Windows 95 or newer versions (i.e. Windows 98, NT, 2000, XP and later).