Screening for adolescent idiopathic scoliosis: an information statement by the scoliosis research society international task force

Background: Routine screening of scoliosis is a controversial subject and screening efforts vary greatly around the world. METHODS: Consensus was sought among an international group of experts (seven spine surgeons and one clinical epidemiologist) using a modified Delphi approach. The consensus achieved was based on careful analysis of a recent critical review of the literature on scoliosis screening, performed using a conceptual framework of analysis focusing on five main dimensions: technical, clinical, program, cost and treatment effectiveness. FINDINGS: A consensus was obtained in all five dimensions of analysis, resulting in 10 statements and recommendations. In summary, there is scientific evidence to support the value of scoliosis screening with respect to technical efficacy, clinical, program and treatment effectiveness, but there insufficient evidence to make a statement with respect to cost effectiveness. Scoliosis screening should be aimed at identifying suspected cases of scoliosis that will be referred for diagnostic evaluation and confirmed, or ruled out, with a clinically significant scoliosis. The scoliometer is currently the best tool available for scoliosis screening and there is moderate evidence to recommend referral with values between 5 degrees and 7 degrees. There is moderate evidence that scoliosis screening allows for detection and referral of patients at an earlier stage of the clinical course, and there is low evidence suggesting that scoliosis patients detected by screening are less likely to need surgery than those who did not have screening. There is strong evidence to support treatment by bracing. INTERPRETATION: This information statement by an expert panel supports scoliosis screening in 4 of the 5 domains studied, using a framework of analysis which includes all of the World Health Organisation criteria for a valid screening procedure.

Der Einfluss von Neuropeptid Y auf die Glukoseaufnahme im dorsalen Tectum opticum während visueller Stimulation der Unke Bombina orientalis: Quantitative Analyse mit Hilfe der 14C-2-Desoxiglukose-Technik

(1) Neuropeptid Y (NPY), einer der häufigsten peptidergen Neurotransmitter im zentralen und peripheren Nervensystem der Säuger, ist an der Steuerung zahlreicher physiologischer Prozesse beteiligt. Auch Amphibien weisen eine verstärkte NPY-Immunreaktivität im Zentralnervensystem auf. Im Hinblick auf bereits gewonnene Erkenntnisse sollte in der vorliegenden Arbeit eine Modulierbarkeit retino-tectaler Aktivität durch Neuropeptid Y an der chinesischen Rotbauchunke (Bombina orientalis) überprüft und erstmals mit Hilfe der 14[C]-2-Desoxiglukose-Methode (14C-2DG) (Sokoloff et al. 1977) quantitativ analysiert werden. Als Vergleichstier diente die Agakröte (Bufo marinus). Zur Darstellung eines möglichen Effektes auf das Tectum opticum wurde NPY lokal auf die tectale Oberfläche visuell stimulierter Rotbauchunken appliziert. Mit Hilfe der 14C-2DG-Methode und den daraus autoradiographisch ermittelten Daten konnten die zerebralen Aktivitäten visualisiert, quantitativ ausgewertet und miteinander verglichen werden. In einer weiteren Versuchsreihe wurde hinterfragt, welche inhibitorische Wirkung NPY entwickeln kann, wenn zuvor der retinale Input pharmakologisch durch systemische Gabe von Apomorphin (APO) signifikant erhöht wurde. (2) Die 14C-2DG-Methode erlaubt einen Blick in die funktionale Aktivität des Gehirns und ermöglicht es, regional ablaufende physiologische und biochemische Energiestoffwechselprozesse innerhalb des Gehirns quantitativ zu erfassen. Mit Hilfe der 14C-2DG-Methode werden die neuromodulatorischen Wirkungen von NPY kartiert und analysiert. (3) Versuchstiergruppe 1 – Bombina orientalis – unbehandelt Zur Beurteilung pharmakologischer Effekte durch NPY bzw. APO auf den Hirnmetabolismus war es zunächst erforderlich, die Gehirnaktivitäten pharmakologisch unbeeinflusster Tiere nach visueller Reizgabe zu untersuchen. Im Bereich des medialen Mesencephalon wurden die tectalen 14C-2DG-Konzentrationen über zehn Messreihen pro Einzeltier sowohl an der rechten als auch an der linken tectalen Hälfte auf Höhe des ventrolateralen Tectum opticum ermittelt. Beim rechts-links Vergleich zeigen sich gleich verteilte Strahlungsintensitäten. Basierend auf dieser Aussage konnte NPY unilateral auf die tectale Oberfläche aufgebracht und auf seine Wirkung geprüft werden. (4) Versuchstiergruppe 2 – Bombina orientalis – NPY-Applikation Der unilaterale Einsatz von NPY auf die tectale Oberfläche des Versuchstieres bewirkt, dass die unter dem Einfluss von NPY stehende tectale Hälfte, im Gegensatz zur unbehandelten tectalen Hälfte, einen deutlich niedrigeren 14C-2DG-Gebrauch aufweist. Besonders in den oberen Schichten des Tectum opticum (Layer 9) zeigt die 14C-2DG-Methode qualitativ und quantitativ auswertbare Aktivitätsminderungen an. (5) Verhalten unter NPY: Durchschnittlich nach 10 min Versuchsdauer zeigt Bombina orientalis eine deutliche Abnahme in der Beutefangaktivität, die sich gegen Ende der Versuchszeit noch weiter reduziert. (6) Versuchstiergruppe 3 – Bombina orientalis – APO-Applikation Systemisch verabreichtes APO führt bei Bombina orientalis zu einer Verstärkung des retinalen Ausganges in die retino-tectalen Projektionsfelder. Die neuronalen Aktivitäten im Tectum opticum erhöhen sich unter dem Einfluss von APO im Durchschnitt um 40% im Vergleich zu APO-unbehandelten Tieren. (7) Verhalten unter APO: Bombina orientalis zeigt nach systemischer Applikation von APO keine verstärkten stereotypen Schnappreaktionen. Die Tiere reagieren ausschließlich mit Akinese, d.h. einem Ausfall gerichteter Lokomotionen und Orientierungsbewegungen. (8) Versuchstiergruppe 4 – Bombina orientalis – APO/NPY-Applikation Die durch systemisch verabreichtes APO erhöhten retino-tectalen Aktivitäten im Tectum opticum werden unter dem unilateralen Einsatz von NPY deutlich abgeschwächt. Eindeutig niedrigere 14C-2DG-Aufnahmen sind in den oberen Schichten des Tectum opticum messbar, was die starke Wirkung von NPY quantitativ belegt. (9) Versuchstiergruppe 2 – Bufo marinus – NPY-Applikation Der unilaterale Einsatz von NPY auf die tectale Oberfläche von Bufo marinus zeigt ebenfalls, dass die unter dem Einfluss von NPY stehende tectale Hälfte, im Gegensatz zur unbehandelten tectalen Hälfte, einen deutlich niedrigeren 14C-2DG-Gebrauch aufweist. Bufo marinus zeigt aber aufgrund erweiterter Versuchsbedingungen (On-Off-Beleuchtungswechsel) anders verteilte Strahlungsintensitäten über dem Tectum-Querschnitt als Bombina orientalis. Stärkere [14C]-Akkumulationen zeigen sich in den tieferen zentralen Schichten des Tectum opticum. (10) Versuchstiergruppe 4 – Bufo marinus – APO/NPY-Applikation Auch die durch systemisch verabreichtes APO erhöhten retino-tectalen Aktivitäten im Tectum opticum von Bufo marinus werden unter dem unilateralen Einsatz von NPY deutlich abgeschwächt. (11) Die Ergebnisse der vorliegenden Arbeit leisten einen Beitrag zum Einfluss von NPY auf den retino-tectalen Informationstransfer bei Anuren im Sinne einer praetecto-tectalen inhibitorischen Modulation. Im Einklang mit früheren neuroanatomischen, immuncytochemischen und elektro-physiologischen Befunden liefern diese Ergebnisse erstmals ein biochemisches Korrelat auf der Basis des tectalen Energiestoffwechsels. (12) Es ist hervorzuheben, dass NPY-vermittelte inhibitorische Modulationen visuellen Informationstransfers in der vorliegenden Arbeit an Bombina orientalis nachgewiesen wurden, die phylogenetisch zu den ältesten Anuren (Anamnioten) gehört. Vergleichbares ist an verschiedenen Amnioten – einschließlich Primaten – beschrieben worden, was darauf hinweist, dass solche NPY-vermittelten Prozesse sich innerhalb der Tetrapoden relativ früh herausgebildet haben und in der Evolution konserviert worden sind.

Psicología y educación. Realizaciones y tendencias actuales en la investigación y en la práctica : actas de las II Jornadas Internacionales de Psicología y Educación.

Volúmen que recoge las actas de las Segundas Jornadas Internacionales de Psicología y Educación celebrado en Madrid en 1986. El libro se estructura en dos grandes apartados: en el primero se recogen las aportaciones de los conferenciantes, en los que se da un repaso a los avances de la investigación internacional en el ámplio campo de la psicología de la educación : los entornos educativos y los procesos de adquisición del conocimiento y los modelos del desarrollo que se propician en ellos son los protagonistas de esta primera parte. La segunda parte, reúne las ponencias y comunicaciones temáticas con el objetivo de ofrecer una panorámica del trabajo autóctono en áreas específicas de la educación : los procesos de educación, psicología y educación especial, la psicopedagogía del lenguaje oral, de la lectoescritura, la enseñanza de las matemáticas, de las ciencias sociales, de las ciencias físico-naturales y nuevas tecnologías.

Recuperación de niños y niñas tras su adopción.

Resumen basado en el de la publicación

The significance of insecure attachment and disorganization in the development of children's externalizing behavior: A meta-analytic study

This study addresses the extent to which insecure and disorganized attachments increase risk for externalizing problems using meta-analysis. From 69 samples (N = 5,947), the association between insecurity and externalizing problems was significant, d = 0.31 (95% CI: 0.23, 0.40). Larger effects were found for boys (d = 0.35), clinical samples (d = 0.49), and from observation-based outcome assessments (d = 0.58). Larger effects were found for attachment assessments other than the Strange Situation. Overall, disorganized children appeared at elevated risk (d = 0.34, 95% CI: 0.18, 0.50), with weaker effects for avoidance (d = 0.12, 95% CI: 0.03, 0.21) and resistance (d = 0.11, 95% CI: −0.04, 0.26). The results are discussed in terms of the potential significance of attachment for mental health.

Karyotypes of a Cryptic Diploid Form of the Unisexual Leposoma percarinatum (Squamata, Gymnophthalmidae) and the Bisexual Leposoma ferreirai from the Lower Rio Negro, Amazonian Brazil

Karyotypes of Leposoma show a clear differentiation between species of the scincoides group from Brazilian Atlantic Forest (2n = 52, without distinctive size groups of chromosomes) and those of the parietale group from the Amazon (2n = 44, with 20M + 24m). In a previous study, we found that in the parietale group the parthenoform Leposoma percarinatum from the state of Mato Grosso, Brazil, exhibited a triploid karyotype (3n = 66) with 30 macrochromosomes and 36 microchromosomes. It was suggested that this karyotype arose after hybridization between a bisexual species with N = 22 (10M + 12m) and a hypothetical unisexual cryptic diploid form of the L. percarinatum complex. Herein, we describe the karyotypes for two species of the parietale group occurring sympatrically in the Arquipelago das Anavilhanas, lower Rio Negro, in Amazonian Brazil. The first represents a distinctive diploid parthenogenetic clone of the L. percarinatum complex, and the other is the recently described Leposoma ferreirai. Both species have 44 biarmed chromosomes clearly represented by 20 macrochromosomes and 24 microchromosomes and present Ag-NORs in one pair of the smallest sized microchromosomes; heteromorphism of size for these regions was detected in L. percarinatum. C-banding revealed blocks of constitutive heterochromatin on the telomeric and pericentromeric regions of macrochromosomes and some microchromosomes. The description of a diploid karyotype (2n = 44, 20M + 24m) for the L. percarinatum complex and its sympatric congener L. ferreirai provides new insight for a better understanding of the origin of parthenogenesis in the L. percarinatum complex.

Purines, creatine, defective methylation and their biochemical and clinical relationship

Marinus Duran; Isabel G. Tavares de Almeida; Helena P. Gaspar Tomás

Caracterização dos acoplamentos fase-amplitude na região CA1 do hopocampo

Brain oscillation are not completely independent, but able to interact with each other through cross-frequency coupling (CFC) in at least four different ways: power-to-power, phase-to-phase, phase-to-frequency and phase-to-power. Recent evidence suggests that not only the rhythms per se, but also their interactions are involved in the execution of cognitive tasks, mainly those requiring selective attention, information flow and memory consolidation. It was recently proposed that fast gamma oscillations (60 150 Hz) convey spatial information from the medial entorhinal cortex to the CA1 region of the hippocampus by means of theta (4-12 Hz) phase coupling. Despite these findings, however, little is known about general characteristics of CFCs in several brain regions. In this work we recorded local field potentials using multielectrode arrays aimed at the CA1 region of the dorsal hippocampus for chronic recording. Cross-frequency coupling was evaluated by using comodulogram analysis, a CFC tool recently developted (Tort et al. 2008, Tort et al. 2010). All data analyses were performed using MATLAB (MathWorks Inc). Here we describe two functionally distinct oscillations within the fast gamma frequency range, both coupled to the theta rhythm during active exploration and REM sleep: an oscillation with peak activity at ~80 Hz, and a faster oscillation centered at ~140 Hz. The two oscillations are differentially modulated by the phase of theta depending on the CA1 layer; theta-80 Hz coupling is strongest at stratum lacunosum-moleculare, while theta-140 Hz coupling is strongest at stratum oriens-alveus. This laminar profile suggests that the ~80 Hz oscillation originates from entorhinal cortex inputs to deeper CA1 layers, while the ~140 Hz oscillation reflects CA1 activity in superficial layers. We further show that the ~140 Hz oscillation differs from sharp-wave associated ripple oscillations in several key characteristics. Our results demonstrate the existence of novel theta-associated high-frequency oscillations, and suggest a redefinition of fast gamma oscillations

Skin water uptake and renal function in the toad

1. 1. Water balance in the toad Bufo marinus ictericus was studied by evaluating cutaneous water uptake and renal excretion. 2. 2. The permeability of the skin to water was 78 ± 6 nl min -1 cm -2 atm -1 in 60 toads anaesthetized by chloralose and preincubated in water for 3 hr. Injection of Ringer's solution did not reduce the water uptake by the skin, while hemorrhage, or injection of vasopressin, or oxytocin approximately doubled the rates of water transport. In vivo values of skin water permeability were similar to those observed in vitro. 3. 3. The renal parameters of the water balance were significantly reduced by hemorrhage and by injection of vasopressin. Injection of Ringer's solution promoted a significant increase of the urinary flow and osmolar clearance. 4. 4. It is suggested that the fight against water deprivation could proceed initially by the triggering of the urinary mechanisms of water retention, while the increase of the skin water permeability would occur in a later stage. © 1981.

The in vivo electrical parameters of toad skin

1. 1. Open-circuit voltage (PD) and short-circuit current (SCC) across toad skin were studied in in vivo conditions. An improved technique for fastening a lucite chamber on the abdominal region of the animal was developed. 2. 2. Saline bridges (230 mM Nacl in 4% agar solution) were placed subcutaneously to make the connections between the extracellular fluid and the half-cells. 3. 3. A clear relationship was observed between the electrical parameters and sodium transport by the skin, since PD and SCC were related to the sodium concentration of the bathing solution, and abolished by the presence of amiloride-a specific sodium transport inhibitor in epithelia. 4. 4. The initial control values of SCC in vivo were higher than those in vitro, which was attributed to hormonal stimulation. However, these high initial control values of SCC in vivo fell with time, reaching steady levels after a 2 hr period. 5. 5. Vasopressin failed to increase SCC in vivo when the external sodium concentration was 115 mM, being effective only when the sodium concentration was low (5 mM). 6. 6. On the other hand, in isolated preparations vasopressin significantly promoted an increase in both PD and SCC. © 1983.

Cytotaxonomic considerations with the description of two new NOR locations for South American toads, genus Bufo (Anura: Bufonidae)

Cytogenetic studies were made on Brazilian Bufo: B. marinus, B. paracnemis, B. ictericus, B. rufus, B. arenarum, B. crucifer, Bufo granulosus, B. pygmaeus and B. margaritifer (= B. typhonius). All these species had a typical karyotype of 2n = 22. Species from the marinus and crucifer groups had NORs on Chromosome 7, species from the granulosus group had NORs on Chromosome 5, and B. margaritifer had NORs on Chromosome 10. The last two locations of NORs are described for the first time for the genus Bufo in South America.

Taxonomia dos anfíbios da ordem Gymnophiona da Amazônia Brasileira

São conhecidas 89 espécies de Gymnophiona para a região Neotropical sendo para a maioria dessas a taxonomia ainda mal definida. Alguns gêneros são claramente parafiléticos e em nível de espécies a falta de novas coletas e a dificuldade aí implícita, pela natureza fossorial desses anfíbios impedem o conhecimento sobre a variação nos caracteres utilizados para as definições taxonômicas. Este trabalho foi implementado para fornecer conhecimento sobre a variação não geográfica e geográfica em caracteres morfológicos externos das espécies da Amazônia brasileira, além de atualizar as informações sobre a distribuição delas. Foram analisados 623 espécimes provenientes de dez coleções zoológicas nacionais e duas do exterior. Foram reconhecidas 16 espécies de Gymnophiona para a Amazônia brasileira, sendo duas formas incertae sedis. Caecilia marcusi Wake, 1984 é sinonimizada com C. mertensi Taylor, 1973 em base na análise de material recentemente coletado em diferentes localidades no Brasil, além de um dos parátipos de C. marcusi (ZSM 82/1982) e fotos detalhadas do holótipo de C. mertensi. Uma espécie nova do gênero, até então monoespecífico, Rhinatrema Duméril & Bibron 1841 e outra do gênero Microcaecilia são descritas. É constatada baixa variação geográfica nos caracteres examinados. A análise multivariada apontou baixa variação quanto à morfometria entre as populações estudadas de Caecilia gracilis e C. tentaculata. São apresentados alguns problemas na diagnose de espécies a partir de comentários sobre espécimes que permanecem como incertae sedis. São apresentadas a distribuição das espécies em mapas e discussões sobre o seu status de conservação.

Biodiversidade e variação espaço-temporal da abundância das populações de camarões e estrutura populacional de Farfantepenaeus subtilis (Pérez-Farfante, 1967) (Penaeidae) em um estuário do litoral amazônico brasileiro

Este estudo investigou a biodiversidade e a distribuição espaço-temporal da abundância das populações de camarões e descreveu a estrutura populacional de Farfantepenaeus subtilis em um estuário amazônico. Os camarões foram coletados mensalmente de agosto de 2006 a julho de 2007 nos períodos chuvoso (janeiro a junho) e seco (julho a dezembro) com arrasto-de-fundo e arrasto-de-praia nos setores Médio-Superior (MS), Médio (M) e Inferior (I). Em cada setor dois locais foram amostrados, nos quais dois arrastos de fundo de cinco minutos cada e, três arrastos praiais de 150 m² cada um foram realizados. As variáveis: temperatura, pH e salinidade da água e granulometria e matéria orgânica do sedimento foram analisadas. Para cada camarão foram anotados os Comprimentos Total (CT) e do Cefalotórax (CC), peso total, sexo e estádio de maturação gonadal. A salinidade diferiu significativamente entre os setores I e MS (p<0,05) e o M apresentou baixo teor de matéria orgânica. Em todos os setores os grãos arenosos foram predominantes no substrato, destacando-se a areia fina no setor M. Foram coletados 11.939 camarões, distribuídos em doze espécies e seis famílias. Palaemonidae e Penaeidae tiveram maior riqueza com cinco e três espécies, respectivamente. Penaeidae, Sergestidae e Palaemonidae apresentaram maior abundância, com Xiphopenaeus kroyeri, F. subtilis, Acetes marinus e Nematopalaemon schmitti, contribuindo com 43, 31, 21 e 1,3% do total capturado, respectivamente. As espécies F. subtilis, X. kroyeri e Litopenaeus schmitti contribuíram com 97% da biomassa total. A densidade e a biomassa de F. subtilis diferiram entre o chuvoso e seco (p<0,05), sendo maior no chuvoso. No chuvoso, a densidade de X. kroyeri foi mais elevada nos setores M e I e no seco nos setores MS e M, com maior biomassa no I em ambos períodos sazonais. A densidade e a biomassa de A. marinus foi elevada no setor I (p<0,05). A salinidade, areia, silte e argila influenciaram significativamente a distribuição espaço-temporal da abundância dos camarões (p<0,05). O CC das fêmeas de F. subtilis foi superior aos machos com 13,7 mm e 12,8 mm, respectivamente, e diferiu em março (p<0,05). As fêmeas foram mais abundantes e a razão sexual foi de 0,8:1 com destaque para janeiro, fevereiro, maio e o total analisado (p<0,05). Camarões desenvolvidos ocorreram no chuvoso e a abundância de juvenis foi maior de janeiro a junho quando ocorre o pico mais intenso de desova em mar aberto.