Only 12 patients with a duplication of the Williams-Beuren critical region (WBCR) have been reported to date, with variable developmental, psychomotor and language delay, in the absence of marked dysmorphic features. In this paper we present a new WBCR microduplication case, which supports the wide variability displayed by this duplication in the phenotype. The WBCR microduplication may be associated with autistic spectrum disorder, but most reported cases do not show this behavioral disorder, or may even show a hypersociable personality, as with our patient. From the present case and a review of the 12 previously described,1(-)6 we conclude that the phenotype associated with duplication of WBCR can affect the same domains as WBCR deletion, but that they cluster near the polar ends of social relationship (autism-like v hypersociability), language (expressive language impairment v "cocktail party" speech), visuospatial (severe v normal), mental retardation (severe v mild) and dysmorphic (severe v mild) features.

Grief support for relatives of patients in palliative care is recognized as a fundamental practice within palliative medicine. The aim of this research was to determine the nature and extent of grief support programs offered to relatives of patients in palliative care in Spain. A postal survey was carried out among members of the Spanish Society of Palliative Care. The members' names were obtained through the Society's 2000 Directory, which lists 160 different teams, of which 50% answered a questionnaire made up of 34 questions, some open-ended and others multiple choice. Results show that 88.6% of the services include grief support, that mainly emotional and one-to-one care is provided (92.4 and 89.9%, respectively), and that the number of psychologists and social workers in each team is limited. The risk factors most commonly taken into account by professionals are: absence of family support (36.92%) and the bereaved's case history (21.54%); while the most widely used diagnostic criteria for complicated bereavement are blame and depression (12.5 and 11.36%). In conclusion, it can be seen that bereavement services are not completely consolidated in Spain and there is a need for a greater variety of intervention strategies.

Se plantea la combinación binaria y ternaria de cenizas de lodo de depuradora (CLD) con ceniza volante, polvo de mármol y ceniza de cáscara de arroz, como sustitución parcial o como adición respecto al cemento Portland en hormigones, con una dosificación similar a la utilizada en la prefabricación de bloques (consistencia muy seca). Se llevaron a cabo ensayos físico-mecánicos sobre probetas de mortero y hormigón con edades de curado de 28 y 90 días: densidad, absorción y resistencia a compresión. Se comprueba que la sustitución de cemento por CLD supone una disminución de la densidad y de la resistencia respecto a la muestra patrón, sin embargo, las combinaciones con otros residuos mejoran notablemente las características de los materiales cementantes. La adición de CLD proporcionó densidades y resistencias similares a la muestra de control y reduce significativamente la absorción de agua.

Background Approximately 80% of people with a substance use disorder (SUD) are smokers. Starting SUD treatment offers the opportunity to also quit smoking. The ACT-ATAC project aims to identify the predictors associated with smoking cessation among persons treated for alcohol and/or cannabis use disorder in Barcelona. This manuscript reports its methodology and the experience of carrying it out during the COVID-19 pandemic. Methods Mixed methods project with three substudies. Substudy 1 (S1) comprises heterogeneous discussion groups among clinicians. S2 has two prospective cohorts composed of smokers under treatment for alcohol and/or cannabis use disorder and the clinicians in charge of these patients. Participating smokers will be followed for 12 months and interviewed about their substance use and the tobacco cessation services received using the Spanish version of the users’ Knowledge, Attitudes, and Services (S-KAS) scale. The clinicians will be asked about their self-reported practices in smoking cessation using the Knowledge, Attitudes, and Practices (S-KAP) scale. S3 comprises heterogeneous discussion groups with smokers. Data will be triangulated using qualitative and quantitative analyses. To facilitate the recruitment process, the researchers have introduced several strategies (design clear protocols, set monthly online meetings, extend the project, provide gift cards, etc.). Discussion The results of S1 were used to develop the questionnaires. S2 required some adjustments due to the COVID-19 pandemic, particularly the follow-up interviews being conducted by phone instead of face-to-face, and the recruitment rhythm was lower than expected. Recruitment will last until reaching at least 200–250 users. The fieldwork could not have been possible without the collaboration of the ACT-ATAC team and the introduction of several strategies. Trial registration The ACT-ATAC project has been successfully registered at Clinicaltrials.gov [NCT04841655].

Este trabalho estudou algumas características físicas de compósitos de gesso produzidos com a incorporação de resíduos de borracha de pneus. O programa experimental contou com a realização dos seguintes ensaios: densidade de massa (estado fresco e endurecido), resistência à ruptura na flexão, resistência à compressão, resistência à tração na flexão, ultrassom e microscopia eletrônica de varredura (MEV). O teor de incorporação da borracha de pneus foi de 5% e 10% em relação à massa de gesso. Duas diferentes granulometrias de borracha de pneus foram utilizadas: a denominada fina (#0,075 mm) e a grossa (#2,38 mm). Os resultados proporcionaram uma redução no valor da densidade de massa. Identificou-se que a aderência das partículas de borracha na matriz de gesso não é tão boa na granulometria grossa. Esta deficiência de aderência, constatada nos ensaios de MEV, foi responsável pela menor resistência à flexão, à tração na flexão e à compressão nos compósitos de gesso com a granulometria grossa, quando comparados aos resultados dos compósitos com a granulometria fina. Com relação aos ensaios de ultrassom, constatou-se que a borracha de pneus retarda o tempo de propagação do som. Diante do exposto, a viabilidade técnica do estudo foi testada por meio de corpos de prova, onde se mostrou ser eficiente.