Medicina
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Recent research demystifies and redefines high intellectual ability (HIA) against the traditional monolithic and static concept which was based on heritability and identification through an intelligence quotient. This concept is replaced by another in which the HIA is understood as a complex phenomenon of a genetic and environmental nature This is the result of a covariation along the life path between endogenous and exogenous forces, modulators of the high potential (predictor factor) towards the optimal expression, or not, of its eminence in adulthood. ⋯ The aim of this work is to present from a neuroconstructivist perspective a review of the current HIA research on the predictive and modulating factors. In the conclusions, we discuss the incidence of the modulating variables in the various trajectories of potential development towards possible adult eminence and the diagnostic and educational implications that are derived.
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Autism is a neurodevelopmental disorder characterized by a qualitative alteration in social interaction and communication, associated with restricted interests and stereotyped behaviors. People with autism are four times more likely to develop depression, than the general population, it is even considered as the most common mental health condition in people with autism spectrum disorders (ASD). One of the challenges is to recognize the manifestations related to depression in people with ASD, in whom, in general, it is expressed differently in relation to those with typical development. ⋯ Many of them have a history of depression, harassment and loneliness. It is essential the early detection of depression, develop appropriate tools for diagnosis in autism as well as generate awareness of the risk of ideation or suicide, a problem that only in recent years has been addressed with greater depth. In this paper I analyze depression in autism, the risk of suicidal ideation and suicide, prioritizing clinical aspects, their evaluation and risk factors.
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This document aims to provide evidence-based recommendations to estimate the personal protective equipments (PPE), medical devices, and drugs commonly used in the Intensive Care Unit during the COVID-19 pandemic. A systematic literature review and gray literature assessment was performed, and the evidence was categorized using the GRADE methodology. Then a predictive model was built to support the estimation of resources needed during 30 days of the pandemic. ⋯ It is important to remark the difficult in estimating and managing the number of essential supplies and equipment required during a pandemic. The model allowed us to predict the resources required to provide critical care during 30 days of pandemic activity. Given the constant evolution of COVID-19, these recommendations might change as evidence evolves.