Coronavirus disease 2019 in chronic kidney disease

Abstract The clinical spectrum of coronavirus disease 2019 (COVID-19) infection ranges from asymptomatic infection to severe pneumonia with respiratory failure and even death. More severe cases with higher mortality have been reported in older patients and in those with chronic illness such as hypertension, diabetes or cardiovascular diseases. In this regard, patients with chronic kidney disease (CKD) have a higher rate of all-type infections and cardiovascular disease than the general population. A markedly altered immune system and immunosuppressed state may predispose CKD patients to infectious complications. Likewise, they have a state of chronic systemic inflammation that may increase …

GLP-1 Receptor agonists and diabetic kidney disease: A call of attention to nephrologists

Type 2 diabetes mellitus (T2DM) represents the main cause of chronic kidney disease (CKD) and end-stage renal disease (ESKD), and diabetic kidney disease (DKD) is a major cause of morbidity and mortality in diabetes. Despite advances in the nephroprotective treatment of T2DM, DKD remains the most common complication, driving the need for renal replacement therapies (RRT) worldwide, and its incidence is increasing. Until recently, prevention of DKD progression was based around strict blood pressure (BP) control, using renin–angiotensin system blockers that simultaneously reduce BP and proteinuria, adequate glycemic control and control of cardiovascular risk factors. Glucagon-like peptide-1 r…

Dificultades en la comprensión del habla rápida en oyentes mayores con pérdidas auditivas leves o moderadas

Objetivo En este trabajo se evaluan las dificultades de los adultos mayores, sin y con perdidas auditivas (presbiacusia y perdidas moderadas), en la comprension del habla rapida. El habla rapida es habitual en la comunicacion diaria. Sin embargo, no contamos con suficientes estudios que evaluen este problema en oyentes castellanoparlantes, tal como existen para oyentes angloparlantes. Material y metodo Se comparo el reconocimiento de frases presentadas a 3 tasas de aceleracion: normal, rapida y muy rapida, en los 3 grupos de oyentes. Estas medidas se correlacionaron con medidas audiologicas y con la puntuacion obtenida en un cuestionario de problemas de comunicacion. Resultados La ejecucion…

Same–different discrepancy in an exhaustive matching task

In this study, we investigated in a multistimulus matching task the size of the discrepancy between response times for “same” and response times for “different” judgments. Frequently, results have shown that “same” judgments are faster than “different” judgments. Krueger (1984) found inversion in the speed advantage when stimuli were presented simultaneously and concluded that a self-termination factor would explain this result. In the experiment reported here, the subject had to exhaustively scan the whole set of items in the stimulus string. The analysis shows no significant interaction of presentation and response type; that is, the advantage for same stimuli is not reduced for simultane…

Perceptual priming in schizophrenia evaluated by word fragment and word stem completion

Implicit memory seems to be preserved in schizophrenia as a whole, but dissociations between conceptual and perceptual tasks and between accuracy and reaction time measures have appeared. The present research has revealed some methodological limitations in many studies to date that are focused on the study of perceptual implicit memory in schizophrenic patients using accuracy measures. The review of these studies revealed that limitations are related to an inadequate definition of performance and priming measures, a lack of control over the characteristics of the stimuli, and the absence of information on the experimental procedures used in data collection. Moreover, the task used in these …

Implicit memory functioning in schizophrenia: Explaining inconsistent findings of word stem completion tasks

The definitive implicit memory profile of schizophrenia is yet to be clarified. Methodological differences between studies could be the reason for the inconsistent findings reported. In this study, we have examined implicit memory functioning using a word stem completion task. In addition, we have addressed methodological issues related with lexical and perceptual stimuli characteristics, and with the strategy used to calculate priming scores. Our data show similar performance values in schizophrenic patients and healthy controls. Furthermore, we have not detected significant differences in priming between the two groups, even when this parameter was calculated using three different procedu…

Fragment Difficulty in Priming on Word-Completion Tests

Word-fragment completion is a frequently used test in implicit memory research. In this test priming is the relevant variable. Priming is obtained by subtracting the proportion of nonstudied word fragments correctly completed (called “completion difficulty baseline”) from the studied word fragments correctly completed. Since completion difficulty can spuriously vary greatly between experimental conditions, its effect on magnitude of priming is studied. Normative frequency of occurrence of target words was considered because their influence over performance is known. In an experiment using a word-fragment completion test, participants' completion of fragments at three levels of completion d…

Effect of Prime Type on Lexical Decision Time

The present investigation concerns the issues of the control condition and type of related prime-target relationship operationalization in the lexical-decision paradigm. It is shown that the use of a row of asterisks produces strong inhibitory effects on reaction time to the target relative to a control condition formed with the word “neutro” (“neutral”). The operationalization of prime-target relatedness by means of association of category norms seems equally adequate, although category exemplars do not prime category exemplar targets. Both sets of data are discussed in relation to current research trends using lexical-decision time.

Priming index of the Spanish word fragments from the Dasí, Soler, and Ruiz (2004) database

Word-fragment completion is a frequently used test in implicit memory research. A database of 196 Spanish fragments was recently published (Dasi, Soler, & Ruiz, 2004) in which the fragments were described for indices, such as difficulty, familiarity, frequency, number of meanings, and so on (www.psychonomic.org/archive). In this work, a new index, thepriming index, is described for the same 196 fragments. This index is calculated for each fragment by subtracting the difficulty index (the proportion of correct completion when the fragment is not studied) from the proportion of correct completion when the fragment is studied, and it means the capacity of an item to be primed. In order to dete…

Canagliflozin and Renal Events in Diabetes with Established Nephropathy Clinical Evaluation and Study of Diabetic Nephropathy with Atrasentan : what was learned about the treatment of diabetic kidney disease with canagliflozin and atrasentan?

Albuminuria; Atrasentan; Canagliflozin Albuminuria; Atrasentan; Canagliflozina Albuminúria; Atrasentan; Canagliflozina In April 2019, two major Phase 3 randomized clinical trials were published that assessed primary renal outcomes in diabetic kidney disease (DKD) in type 2 diabetes mellitus (T2DM). The Canagliflozin and Renal Events in Diabetes with Established Nephropathy Clinical Evaluation (CREDENCE) tested an already available antidiabetic drug, canagliflozin, and the Study of Diabetic Nephropathy with Atrasentan (SONAR) tested a novel molecule, the endothelin-1 receptor blocker atrasentan, both on top of renin-angiotensin system blockade. Both trials demonstrated significant nephroprot…

Effect of Practice, Mapping, Stimulus and Size on String Matching

The same-different discrepancy on a matching task on which the subject had to determine the number of common elements (physically identical and appearing in the same position) between two strings of size 1 to 4 was investigated. Manipulated also were the type of presentation (fixed or varied sets), amount of practice (four blocks), and type of stimulus (letters, words). Reaction times for pure positive responses (all same at each level) were faster than negative responses (all different), confirming the usual discrepancy shown in previous studies. The discrepancy was smaller for well-learned sets (fixed sets) and for words, indicating the development of a comparison process based on global…

Effect of Prime and Target Repetition on Lexical Decision Time

On a prime-target lexical decision task we manipulated the relatedness between prime and target (semantically related or unrelated), the number of repetitions (from 1 to 5), the type of the repeated stimulus (only the prime, only the target, or both), and the stimulus onset asynchrony (within a range of automatic activation from 60 to 400 msec.) to find whether semantic and repetition priming are additive (or interact), and whether there is episodic priming in an automatic, nonconscious way. Analysis showed repetition and semantic priming were additive rather than interactive. No episodic automatic priming was found. Results are discussed in terms of the predictions made from the main theo…

Study time effects in recognition memory.

We empirically tested the assumption that study time increases recognition accuracy because the storage of information is better when study time is longer as Shiffrin and colleagues have reported, an assumption common to parallel models of recognition. In the present study with 123 subjects, we examined the effect of item strength on four measures: hit rate, false alarm rate, d′, and β, for a single-word recognition task with longer study times than those usually used in the literature. Analysis indicated significant increase for hit rate and d′ and a decrease in false alarm rate, as one goes from weak to stronger study conditions, and a change in ln(β) when study time is greater than 1 se…

The effect of associative strength on semantic priming in schizophrenia

The present research was designed to investigate the pattern of semantic priming in schizophrenia as a function of strength of association (or semantic distance between concepts in the semantic network). Thirty schizophrenia patients, without formal thought disorder, and twenty-nine healthy controls participated in a lexical decision task in which prime-target associative strength (strong, weak and not related) and stimulus-onset asynchrony (SOA: 250 ms and 750 ms) were manipulated. Patients and controls showed the same associative strength effect on RTs. In the short SOA condition priming effects were obtained for both strong and weak prime-target associative conditions. However in the lon…

Social cognition scale (SCS): A newly developed assessment instrument

[Difficulties understanding compressed speech in elderly listeners with mild-to-moderate hearing loss].

Objective In this work we evaluated the difficulties in understanding rapid speech (normal, fast and very fast rates) in elderly listeners with and without hearing loss (presbycusis and moderate hearing loss). Rapid speech is common in daily communication, yet few studies have been conducted to assess this problem in Spanish-speaking listeners, as has been done for English speakers. Material and method We compared the recognition of sentences presented at normal, fast, and very fast speech rates in 3 groups of listeners. Recognition scores were correlated to their audiological measures and the score obtained on a Communication Difficulties Questionnaire. Results Compressed sentences were mo…

A Comparison of implicit memory tests in schizophrenic patients and normal controls

The objective of the current study was to compare the performance of schizophrenic patients and normal controls on implicit memory tests. Two neuropsychological tasks were administered to 29 patients and normal participant samples. The implicit tests were: Word fragment completion and Word production from semantic categories. The priming score was the variable of interest. Priming effects are obtained in normal subjects and schizophrenia patients, regardless of the implicit test used. However, a dissociation in priming between normal and patient groups was observed, depending on the test used. For word fragment test, priming was identical between... (Ver más) the two groups. However, for wo…

Bases para la creación de las unidades clínicas cardiorrenales. Documento de consenso de los grupos de trabajo cardiorrenal de la SEC y la SEN

Resumen La enfermedad renal es una de las comorbilidades halladas con mayor frecuencia en los pacientes con insuficiencia cardiaca. Su presencia se asocia a peor pronostico y genera gran incertidumbre sobre la monitorizacion y abordaje terapeutico. De este modo, las unidades cardiorrenales han surgido como elementos integradores, que desde un punto de vista multidisciplinar pretenden vehiculizar la asistencia, docencia e investigacion de este amplio espectro de pacientes. En el presente documento de consenso elaborado por el Grupo de Trabajo de Sindrome Cardiorrenal y Tratamiento de la Congestion en la Insuficiencia Cardiaca de la Sociedad Espanola de Cardiologia y el Grupo de Trabajo de Me…

Intellectual functioning and memory deficits in schizophrenia

Background: There is converging evidence about the existence of different subgroups of patients with schizophrenia in relation to intellectual ability (intelligence quotient [IQ]). Studying cognitive deficits in such patients in relation to IQ, and more specifically to memory, could help determine the patterns of preserved and impaired functioning in cognitive abilities in association with patterns of preserved and compromised intellect. This information could serve to delimit the possibilities of treatment and rehabilitation in those patients. Methods: A total of 44 patients with schizophrenia completed a cognitive battery that included executive functioning, attention, speed of informatio…

ADDITIVITY FROM MULTIPLE PRIMES IN IDENTIFYING BACKWARD WRITTEN WORDS

Activational theories of memory assume that activation from several sources adds up to an intersecting node. We tested this idea in one experiment where we kept constant the number of primes presented and we manipulated the number of different primes related to the target, the number of presentations of the same prime, or the same target, presented as a prime. We used a task in which the target was always a word, which appeared written backward and had to be identified. We found a strong effect of target repetition and diminished priming in the condition in which the target was repeated. We obtained additivity (greater activation) mainly in the condition in which we presented several diffe…

Short Form of Spanish Version of the WISC–IV for Intelligence Assessment in Elementary School Children

In educational settings, quick assessments of intelligence are often required to screen children with potential special needs. The WISC–IV is administered individually and takes between one and two hours to complete. Given its widespread use in Spain, a short-form of the Spanish version is likely to be of use to professionals. The goal of this research was to develop a short form of the WISC–IV that can be performed in approximately half an hour. Data obtained in 100 elementary school children were analyzed following the criteria of Resnick and Entin (1971). The results showed that the most accurate estimation of intelligence was achieved with a combination of the Vocabulary, Block Design,…

Priming in word stem completion tasks: comparison with previous results in word fragment completion tasks

This study investigates priming in an implicit Word Stem Completion (WSC) task. A total of 305 participants performed a WSC task in two phases (study and test). The test phase included 63 unique-solution stems and 63 multiple-solution stems. After confirming the presence of priming (mean = 0.22), analysis revealed that it was stronger in the case of multiple-solution stems, indicating that the stems were not a homogeneous group of stimuli. Thus, further analyses were performed only for the data of the unique-solution stems. The correlations between priming and a set of conceptual (familiarity, frequency of use, number of meanings) and non-conceptual (letters/blanks ratio and difficulty of c…

Effectiveness of the Cognitive Differentiation Program of the Integrated Psychological Therapy

The aim of the current pilot study was to compare two strategies in the application of the cognitive differentiation program of Integrated Psychological Therapy for people with schizophrenia. Twenty-six outpatients were randomly assigned to the application of the program in group sessions (CDg), or to its application in individualized sessions (CDi). The program provides cognitive exercises to promote better performance in cognition, and both groups of participants completed the same number of exercises following the same number of sessions per week. Outcomes were assessed on neuropsychological measures of attention, executive functioning and everyday memory, and everyday functioning. Effec…

Búsqueda de información en la memoria : efectos de tipo de presentación, estímulo, práctica y consistencia de respuesta sobre el tiempo de reacción

The spontaneous use of memory aids at different educational levels

Three groups of students in different educational levels: 8th–9th grade students (average age 15); 10th–11th grade students (average age 16); and college students (average age 21), completed a metamemory questionnaire on the use of external, general, and formal memory aids in everyday life and study situations. Short-term repetition, mental rehearsing, and summary elaboration were the most frequent aids. The least frequently used were those that require a special training to be used effectively (e.g. Digit-letters and method of loci). There were differences in the use of general memory aids due to education level, but not in the case of external and formal memory aids. Results showed also t…

Título: Effect of practice, mapping, stimulus and size on string matching revista: Perceptual and Motor Skills, 1987, 65, 991-994. Clave: A

The same-different discrepancy on a matching task on which the subject had to determine the number of common elements (physically identical and appearing in the same position) between two strings of size 1 to 4 was investigated. Manipulated also were the type of presentation (fixed or varied sets), amount of practice (four blocks), and type of stimulus (letters, words). Reaction times for pure positive responses (all same at each level) were faster than negative responses (all different), confirming the usual discrepancy shown in previous studies. The discrepancy was smaller for well-learned sets (fixed sets) and for words, indicating the development of a comparison process based on global …

Normative data on the familiarity and difficulty of 196 Spanish word fragments

In this article, normative data on the familiarity and difficulty of 196 single-solution Spanish word fragments are presented. The database includes the following indices: difficulty, familiarity, frequency, number of meanings, number of letters given in the fragment, first and/or last letters given, and ratio of letters to blanks. A factor analysis was performed on difficulty, and two factors were obtained. Frequency, familiarity, and number of meanings loaded highly on the first factor, which we consider to measure lexical processes, whereas number of letters in the fragment, first and/or last letters given, and ratio of letters to blanks loaded highly on the second factor, which we judge…

Sodium-glucose cotransporter 2 inhibition : towards an indication to treat diabetic kidney disease

Sodium-glucose cotransporter 2 inhibitors (SGLT2i) have clearly demonstrated their beneficial effect in diabetic kidney disease (DKD) on top of the standard of care [blood glucose control, renin–angiotensin system blockade, smoking cessation and blood pressure (BP) control], even in patients with overt DKD. However, the indication of this drug class is still blood glucose lowering in type 2 diabetic patients with estimated glomerular filtration rate >45mL/min/1.73m2. Based on the new evidence, several scientific societies have emphasized the preferential prescription of SGLT2i for patients at risk of heart failure or kidney disease, but still within the limits set by health authorities. A r…

More on magnitude of priming in implicit memory tasks.

The effects of word frequency, length of the word, and type of word Fragment in a fragment-completion test were investigated with 57 undergraduate students, 19–22 years. Priming with better performance on studied than on nonstudied words in this task was greater for low frequency words than for high frequency words and greater for fragments without the first letter than for fragments with the first letter. It was inferred that characteristics of fragments should be considered in any implicit memory task when the magnitude of priming is of interest. In general, word fragment-completion processes appear to be based on sources of information available in visual identification tasks.

Influence of articulation rate on two memory tasks in young and older adults.

This study investigated the relation between phonological loop functioning and age. Phonological loop is a time-based subsystem of the Working Memory Model of Baddeley and Wilson, which uses rehearsal of information as an active process to avoid phonological decay. Performance differences were examined between young and older adults in two speech-based memory tasks, such as the immediate serial recall of words and the Digit Ordering Task. Analysis showed that performance on both tasks was lower for the older group. Articulation rate was also measured to test the hypothesis that the impairment of some cognitive functions in adults can be associated to their slowness or the greater time need…

Exploring Sodium Glucose Co-Transporter-2 (SGLT2) Inhibitors for Organ Protection in COVID-19

Hospital admissions and mortality from the Coronavirus disease 2019 (COVID-19) pandemic are spreading throughout the world, and second and third waves are thought to be likely. Risk factors for severe COVID-19 include diabetes, chronic kidney disease and cardiovascular disease. Currently, there is no vaccine and no approved therapy. Therapeutic approaches are aimed at preventing viral replication and spread, limiting the impact of the inflammatory overdrive (cytokine storm), preventing thromboembolic complications and replacing or supporting organ function. However, despite organ support, mortality is currently 65% for those receiving advanced respiratory support and 78% for those requiring…

Perceptual Priming and Reading Speed among Fourth Grade Children

AbstractThis study evaluated the perceptual priming in fourth grade primary school children using a word-fragment completion task. The children were classified into two categories according to their reading speed: high and low. Using several sub-scales of the WISC-IV, their working memory was measured, and their total IQ was estimated, in order to control for their effects on priming. The statistical analyses showed that children with high reading speed were significantly better at word-fragment completion and showed greater priming (p < .01); in other words, the prior processing of the words from which the fragments came produced a greater benefit in the performance of the word-fragment…

SGLT2 inhibitors for non-diabetic kidney disease: drugs to treat CKD that also improve glycaemia

Abstract Sodium–glucose co-transporter-2 (SGLT2) inhibitors decreased cardiovascular (CV) events and improved renal outcomes in CV safety studies in type 2 diabetes melitus (T2DM) patients at high CV risk. Canagliflozin also improved kidney outcomes in diabetic kidney disease in the Canagliflozin and Renal Events in Diabetes and Nephropathy Clinical Evaluationtrial. More recently, the Dapagliflozin and Prevention of Adverse Outcomes in Heart Failure (DAPA-HF) trial showed that dapagliflozin improved CV outcomes in patients with HF with or without diabetes. Protection from HF in non-diabetics was confirmed for empagliflozin in the EMPagliflozin outcomE tRial in Patients With chrOnic heaRt Fa…