Carta al Editor
Trastorno del desarrollo de la coordinación en la infancia: Interacción con la condición física y estado nutricional. Developmental coordination disorder in childhood: Interaction with physical condition and nutritional status.
Dear Editor:
Developmental coordination disorder (DCD), or dyspraxis, is a challenge of interest to both clinical researchers and education professionals, particularly pre-service teachers. This disorder, as described by Castelluci et al., is characterized by impaired motor performance and difficulties learning motor skills in childhood.
Recent evidence suggests that infants with greater motor impairment are at increased risk of developing health problems, given that decreased levels of physical activity and participation in sports activities could aggravate this condition. In this case, infants with probable DCD have demonstrated lower levels of muscle strength, aerobic fitness, and endurance compared to their peers without DCD.
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Mejorando la Atención del Evento Cerebrovascular en Ecuador a través de una Red Articulada de Atención Improving Cerebrovascular Event Care in Ecuador through an Articulated Care Network
In the era of “big data” in health and healthcare, the need for high-quality information on population health has never been more critical. In the context of cerebrovascular events (CVD) in Ecuador, the increasing burden of the disease, the inequity in the distribution of neurologists, and the recent enactment of the Universal Health Care Law underscore the urgency of establishing effective networks between primary care and hospitals prepared to treat CVD. This article reviews the existing literature and evidence highlighting the role of primary care providers (PCPs) and specialists in the different stages of CVD management, as well as care transitions and the use of telemedicine/teleneurology.
The experience in Ecuador with the “Act with Speed” campaign launched by the Vice Presidency of the Republic in coordination with the Global Angels initiative provides a valuable model. This campaign has certified hospitals as Stroke Ready Centers, trained thousands of professionals, and raised awareness among the population about the importance of a rapid response to a CVD. Implementing a CVD referral network between primary care and specialized hospitals could significantly improve patient outcomes, especially in underserved areas.
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Ambientes Saludables en la Infancia Temprana. La clave para el desarrollo de Funciones Ejecutivas Healthy Environments in Early Childhood. The key to the development of Executive Functions.
We would like to complement the findings of the article “Daily Stress, Executive Functions, and Academic Performance in Elementary School Children” by Armstrong-Gallegos and Troncoso-Díaz, published in the Ecuadorian Journal of Neurology (Vol. 33, No. 1, 2024). Along these lines, we propose adding the perspective of the first two years of life, understanding that this is a critical stage in this process.
The brain development of children is rapid and crucial. Nutrition plays a fundamental role during these first years of life. Nutrients such as iron, omega-3 fatty acids, and B vitamins support important processes such as myelination and synaptogenesis. These processes, in turn, are key to executive function (EF) skills such as working memory, inhibitory control, and cognitive flexibility.1,2 Conversely, a lack of these nutrients can lead to long-term difficulties with self-regulation, impacting social and educational environments.3 Furthermore, glucose, as the brain’s primary energy source, when blood levels fluctuate too much, may make it harder for individuals to stay focused or control their impulses, which can affect their performance and interactions with others.