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1.
Foods ; 13(17)2024 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-39272436

RESUMO

Table olives are high in salt, which can negatively impact cardiovascular health. It is essential to reduce their salt content to mitigate such risk. The objectives of the study were to develop an appropriate protocol to determine mineral bioaccessibility in green Spanish-style Manzanilla table olives and to use it to evaluate, for the first time, the effects of replacing 50% NaCl in the packaging brine with KCl, CaCl2, and MgCl2 on this characteristic. After testing, Miller's protocol with a post-digestion re-extraction was chosen. The mineral bioaccessibility found was as follows: Na, 93-98%; K, 94-100%; Ca, 19-27% (the lowest accessibility); Mg, 78-91% (moderately accessible); and non-added P, 55-67%. Bioaccessible amounts (mg/100 g pulp) of added minerals in runs were 151-503 for K, 53-109 for Ca, and 54-143 for Mg. The bioaccessible mineral vs. salt concentrations were modelled and plotted using RSM, illustrating the possible predictions from the tested range of combinations. The bioaccessibility of Ca and Mg was approximately 70% and 15% lower than the values indicated on the label based on the chemical analysis. The results discourage Ca fortification in packaging and suggest including bioaccessibility, markedly influenced by the food matrix, on the label for accurate nutritional information.

2.
Environ Pollut ; 362: 124944, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39265762

RESUMO

Second-generation anticoagulant rodenticides (SGARs) are commonly used for rodent control, affecting various non-target wildlife species. Here, blood samples from common kestrels (Falco tinnunculus, n = 70 chicks) and barn owls (Tyto alba, n = 54 chicks and 12 adults) from Southeastern Spain were analysed using HPLC-TQ. SGAR prevalence was 68.6% in kestrel chicks, 50% in barn owl chicks and 100% in adult barn owls, with multiple SGARs in both species. Prothrombin time analysis in barn owls revealed a positive correlation with blood ΣSGARs, suggesting a potential adverse effect on coagulation. Analysis of variables potentially influencing SGAR prevalence indicated that, for kestrels, it was only related to the extent of artificial surface, showing no differences across study sites. In owlets, the highest prevalence occurred in the most urbanized study site, with human population density being a key factor. This study highlights species-specific differences in SGAR exposure, likely influenced by ecological traits. Barn owls probably encounter contaminated prey near anthropized areas, with widespread SGAR use and higher presence of target rodents. Conversely, kestrels, hunting a variety of prey often near human settlements, face consistently elevated exposure from multiple sources. Understanding these variations is crucial for effective conservation and minimizing SGAR impact on non-target wildlife.

3.
Cir Esp (Engl Ed) ; 2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-39233277

RESUMO

In esophagogastric surgery, the appearance of an anastomotic leak is the most feared complication. Early diagnosis is important for optimal management and successful resolution. For this reason, different studies have investigated the value of the use of markers to predict possible postoperative complications. Because of this, research and the creation of predictive models that identify patients at high risk of developing complications are mandatory in order to obtain an early diagnosis. The PROFUGO study (PRedictivO Model for Early Diagnosis of anastomotic LEAK after esophagectomy and gastrectomy) is proposed as a prospective and multicenter national study that aims to develop, with the help of artificial intelligence methods, a predictive model that allows for the identification of high-risk cases. of anastomotic leakage and/or major complications by analyzing different clinical and analytical variables collected during the postoperative period of patients undergoing esophagectomy or gastrectomy.

4.
Contemp Clin Trials ; 146: 107670, 2024 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-39186971

RESUMO

BACKGROUND: Nearly 2 million U.S. veterans live with co-occurring alcohol use disorder and posttraumatic stress disorder (AUD/PTSD). Extant AUD/PTSD treatments emphasize symptom reduction, sometimes overlooking psychosocial functioning improvements, and have dropout rates as high as 50 %. Additionally, current approaches to measuring psychosocial functioning are limited to self-report. This study protocol describes a 1:1 parallel, two-arm, pilot randomized controlled trial comparing Behavioral Activation (BA) psychotherapy to Relapse Prevention (RP) psychotherapy for veterans with AUD/PTSD. METHODS: Forty-six veterans with AUD/PTSD will be block-randomized to eight weekly, virtual, hour-long individual sessions of BA or RP. Clinical interview, self-report, and geospatial assessments will be administered at pre- and post-treatment. Select outcome and exploratory measures will be administered during treatment. Analyses will focus on trial feasibility, BA acceptability, and preliminary efficacy. Geospatial analyses will explore whether pre- to post-treatment changes in geospatial movement can be used to objectively measure treatment response. The study site and an independent Data and Safety Monitoring Board will monitor trial progress, safety, and quality. De-identified data from consenting participants will be submitted to a sponsor-designated data repository. CONCLUSION: If successful, this trial could help to provide veterans with AUD/PTSD with a more acceptable treatment option. Positive findings would also lay groundwork for testing BA in civilians with AUD/PTSD. Finally, by incorporating novel geospatial methods and technologies, this study could potentially yield a new approach to objectively measuring AUD/PTSD recovery that could be used in other clinical trials. This study was registered in ClinicalTrials.gov (NCT06249386).

5.
Nat Commun ; 15(1): 6792, 2024 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-39117640

RESUMO

The development of the retina is under tight temporal and spatial control. To gain insights into the molecular basis of this process, we generate a single-nuclei dual-omic atlas of the human developing retina with approximately 220,000 nuclei from 14 human embryos and fetuses aged between 8 and 23-weeks post-conception with matched macular and peripheral tissues. This atlas captures all major cell classes in the retina, along with a large proportion of progenitors and cell-type-specific precursors. Cell trajectory analysis reveals a transition from continuous progression in early progenitors to a hierarchical development during the later stages of cell type specification. Both known and unrecorded candidate transcription factors, along with gene regulatory networks that drive the transitions of various cell fates, are identified. Comparisons between the macular and peripheral retinae indicate a largely consistent yet distinct developmental pattern. This atlas offers unparalleled resolution into the transcriptional and chromatin accessibility landscapes during development, providing an invaluable resource for deeper insights into retinal development and associated diseases.


Assuntos
Regulação da Expressão Gênica no Desenvolvimento , Retina , Análise de Célula Única , Humanos , Retina/embriologia , Retina/metabolismo , Retina/citologia , Retina/crescimento & desenvolvimento , Redes Reguladoras de Genes , Fatores de Transcrição/metabolismo , Fatores de Transcrição/genética , Diferenciação Celular/genética , Feto , Núcleo Celular/metabolismo , Núcleo Celular/genética , Atlas como Assunto
6.
Int J Mol Sci ; 25(16)2024 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-39201276

RESUMO

Checkpoint kinases 1 and 2 (CHK1 and CHK2) are enzymes that are involved in the control of DNA damage. At the present time, these enzymes are some of the most important targets in the fight against cancer since their inhibition produces cytotoxic effects in carcinogenic cells. This paper proposes the use of spirostans (Sp), natural compounds, as possible inhibitors of the enzymes CHK1 and CHK2 from an in silico analysis of a database of 155 molecules (S5). Bioinformatics studies of molecular docking were able to discriminate between 13 possible CHK1 inhibitors, 13 CHK2 inhibitors and 1 dual inhibitor for both enzymes. The administration, distribution, metabolism, excretion and toxicity (ADMETx) studies allowed a prediction of the distribution and metabolism of the potential inhibitors in the body, as well as determining the excretion routes and the appropriate administration route. The best inhibition candidates were discriminated by comparing the enzyme-substrate interactions from 2D diagrams and molecular docking. Specific inhibition candidates were obtained, in addition to studying the dual inhibitor candidate and observing their stability in dynamic molecular studies. In addition, Highest Occupied Molecular Orbital-Lowest Unoccupied Molecular Orbital (HOMO-LUMO) interactions were analyzed to study the stability of interactions between the selected enzymes and spirostans resulting in the predominant gaps from HOMOCHKs to LUMOSp (Highest Occupied Molecular Orbital of CHKs-Lowest Unoccupied Molecular Orbital of spirostan). In brief, this study presents the selection inhibitors of CHK1 and CHK2 as a potential treatment for cancer using a combination of molecular docking and dynamics, ADMETx predictons, and HOMO-LUMO calculation for selection.


Assuntos
Quinase 1 do Ponto de Checagem , Quinase do Ponto de Checagem 2 , Simulação de Acoplamento Molecular , Inibidores de Proteínas Quinases , Quinase 1 do Ponto de Checagem/metabolismo , Quinase 1 do Ponto de Checagem/química , Quinase 1 do Ponto de Checagem/antagonistas & inibidores , Quinase do Ponto de Checagem 2/metabolismo , Quinase do Ponto de Checagem 2/química , Humanos , Inibidores de Proteínas Quinases/química , Inibidores de Proteínas Quinases/farmacologia , Neoplasias/tratamento farmacológico , Neoplasias/metabolismo , Simulação por Computador , Antineoplásicos/química , Antineoplásicos/farmacologia , Simulação de Dinâmica Molecular
7.
Neural Netw ; 180: 106640, 2024 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-39180909

RESUMO

Neural ordinary differential equations have emerged as a natural tool for supervised learning from a control perspective, yet a complete understanding of the role played by their architecture remains elusive. In this work, we examine the interplay between the width p and the number of transitions between layers L (corresponding to a depth of L+1). Specifically, we construct explicit controls interpolating either a finite dataset D, comprising N pairs of points in Rd, or two probability measures within a Wasserstein error margin ɛ>0. Our findings reveal a balancing trade-off between p and L, with L scaling as 1+O(N/p) for data interpolation, and as 1+Op-1+(1+p)-1ɛ-d for measures. In the high-dimensional and wide setting where d,p>N, our result can be refined to achieve L=0. This naturally raises the problem of data interpolation in the autonomous regime, characterized by L=0. We adopt two alternative approaches: either controlling in a probabilistic sense, or by relaxing the target condition. In the first case, when p=N we develop an inductive control strategy based on a separability assumption whose probability increases with d. In the second one, we establish an explicit error decay rate with respect to p which results from applying a universal approximation theorem to a custom-built Lipschitz vector field interpolating D.

8.
Sensors (Basel) ; 24(16)2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39205083

RESUMO

The utilization of inertial measurement units as wearable sensors is proliferating across various domains, such as health care, sports, and rehabilitation. This expansion has produced a market of devices tailored to accommodate very specific ranges of operational demands. Simultaneously, this growth is creating opportunities for the development of a new class of devices more oriented towards general-purpose use and capable of capturing both high-frequency signals for short-term, event-driven motion analysis and low-frequency signals for extended monitoring. For such a design, which combines flexibility and low cost, a rigorous evaluation of the device in terms of deviation, noise levels, and precision is essential. This evaluation is crucial for identifying potential improvements and refining the design accordingly, yet it is rarely addressed in the literature. This paper presents the development process of such a device. The results of the design process demonstrate acceptable performance in optimizing energy consumption and storage capacity while highlighting the most critical optimizations needed to advance the device towards the goal of a smart, general-purpose unit for human motion monitoring.


Assuntos
Desenho de Equipamento , Dispositivos Eletrônicos Vestíveis , Humanos , Monitorização Fisiológica/instrumentação , Monitorização Fisiológica/métodos
9.
Int. j. morphol ; 42(4): 918-922, ago. 2024. tab
Artigo em Espanhol | LILACS | ID: biblio-1569250

RESUMO

El análisis de impedancia bioeléctrica (BIA) es un método relativamente económico, rápido y no invasivo para la determinación de la composición corporal. El ángulo de fase (PhA) es un indicador de la salud celular y de la integridad de la membrana y parece estar relacionado con la capacidad física y el rendimiento deportivo. El objetivo de este estudio fue el de analizar las posibles relaciones entre PhA y el porcentaje de masa muscular esquelética (SMM%) y entre PhA y el porcentaje de masa grasa (FM%) en una población caucásica sana, con un amplio rango de edad. Se analizaron 210 sujetos caucásicos sanos (99 mujeres y 111 hombres), de edades comprendidas entre 20 y 70 años. Se utilizó un dispositivo BIA mano-pie (BIA-101, AKERN-Srl, Firenze, Italy) para la determinación de los parámetros bioeléctricos y un escáner DXA de cuerpo entero QDR, serie Horizon (Hologic Inc., Bedford, MA, USA) para la determinación de SMM% y FM%. Se observaron correlaciones significativas positivas fuertes entre PhA y SMM%, independientemente de la franja de edad, (0,520-0,687; p < 0,01) y correlaciones significativas negativas fuertes (o moderadas/fuertes) entre PhA y FM% (0,492-0,657; p < 0,01), también independientemente de la franja de edad. Estas correlaciones indican que PhA podría utilizarse como marcador para ver la evolución de un sujeto activo, sea deportista o no. Se recomienda, por tanto, el desarrollo y la validación de nuevas ecuaciones para determinar la masa muscular y la masa grasa, que incluyan PhA como parámetro bioeléctrico.


SUMMARY: Bioelectrical impedance analysis (BIA) is a non-invasive, economic and fast method for body composition assessment. Phase angle (PhA) is considered an indicator of cellular health and cell membrane integrity, and it seems to be related to physical capacity and performance. The aim of this study was to analyze the possible relationships between PhA and skeletal muscle mass percentage (SMM%) and between PhA and fat mass percentage (FM%) in a healthy Caucasian population with a wide age range. 210 healthy Caucasian participants (99 women and 111 men), aged 20-70 years were analyzed. A BIA foot-to-hand body composition analyzer (BIA-101, AKERN-Srl, Firenze, Italy) was used to determine bioelectrical parameters, and a whole body DXA scanner QDR, serie Horizon (Hologic Inc., Bedford, MA, USA) was used for SMM% and FM% assessment. Irrespective of age range, strong positive significant correlations were observed between PhA and SMM% (0.520-0.687; p < 0.01) and strong (or moderate/strong) negative significant correlations were observed between PhA and FM% (0.492-0.657; p < 0.01). These correlations indicate that PhA could be used as a marker to monitor the evolution of an active subject, whether an athlete or not. It would be useful to develop and validate new equations for skeletal muscle mass and fat mass assessment, which include PhA as a bioelectrical parameter.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Composição Corporal , Impedância Elétrica , Absorciometria de Fóton , Desempenho Atlético
10.
Tob Induc Dis ; 222024.
Artigo em Inglês | MEDLINE | ID: mdl-38978612

RESUMO

INTRODUCTION: The use of emerging tobacco and nicotine products affects tobacco use behaviors among college students. Thus, we aimed to examine transitions in tobacco use patterns and identify their predictors among smokers in a cohort of nursing students in Catalonia (Spain). METHODS: We conducted a prospective longitudinal study of Catalan nursing students between 2015-2016 and 2018-2019. We examined transitions in tobacco use patterns between baseline and follow-up among smokers from: 1) daily to non-daily smoking, 2) non-daily to daily smoking, 3) cigarette-only use to poly-tobacco use, 4) poly-tobacco use to cigarette-only use, 5) between products, 6) reducing consumption by ≥5 cigarettes per day (CPD); and 7) quitting smoking. We applied a Generalized Linear Model with a log link (Poisson regression) and robust variance to identify predictors of reducing cigarette consumption by ≥5 CPD and quitting smoking, obtaining both crude and adjusted (APR) prevalence ratios and their 95% confidence intervals (CIs). RESULTS: Among daily smokers at baseline, 12.1% transitioned to non-daily smoking at follow-up, while 36.2% of non-daily smokers shifted to daily smoking. Among cigarette-only users, 14.2% transitioned to poly-tobacco use, while 48.4% of poly-tobacco users switched to exclusive cigarette use. Among all smokers (daily and non-daily smokers), 60.8% reduced their cigarette consumption by ≥5 CPD and 28.3% quit smoking. Being a non-daily smoker (APR=0.33; 95% CI 0.19-0.55) and having lower nicotine dependence (APR=0.78; 95% CI 0.64-0.96) were inversely associated with reducing cigarette consumption, while being a non-daily smoker (APR=1.19; 95% CI: 1.08-1.31) was directly associated with quitting smoking. CONCLUSIONS: Nursing students who smoked experienced diverse transitions in tobacco use patterns over time. Evidence-based tobacco use preventive and cessation interventions are needed to tackle tobacco use among future nurses.

11.
Int J Mol Sci ; 25(14)2024 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-39062782

RESUMO

Sham control groups are essential in experimental animal studies to reduce the influence of surgical intervention. The intraluminal filament procedure is one of the most common models of middle cerebral artery occlusion (MCAO) used in the study of brain ischemia. However, a sham group is usually not included in the experimental design of these studies. In this study, we aimed to evaluate the relevance of the sham group by analyzing and comparing the brain protein profiles of the sham and MCAO groups. In the sham group, 98 dysregulated proteins were detected, compared to 171 in the ischemic group. Moreover, a comparative study of protein profiles revealed the existence of a pool of 57 proteins that appeared to be dysregulated in both sham and ischemic animals. These results indicated that the surgical procedure required for the intraluminal occlusion of the middle cerebral artery (MCA) induces changes in brain protein expression that are not associated with ischemic lesions. This study highlights the importance of including sham control groups in the experimental design, to ensure that surgical intervention does not affect the therapeutic target under study.


Assuntos
Isquemia Encefálica , Encéfalo , Infarto da Artéria Cerebral Média , Proteômica , Animais , Proteômica/métodos , Encéfalo/metabolismo , Isquemia Encefálica/metabolismo , Infarto da Artéria Cerebral Média/metabolismo , Masculino , Ratos , Modelos Animais de Doenças , Proteoma/metabolismo
12.
Ecol Lett ; 27(6): e14462, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-39031813

RESUMO

The rhizosphere influence on the soil microbiome and function of crop wild progenitors (CWPs) remains virtually unknown, despite its relevance to develop microbiome-oriented tools in sustainable agriculture. Here, we quantified the rhizosphere influence-a comparison between rhizosphere and bulk soil samples-on bacterial, fungal, protists and invertebrate communities and on soil multifunctionality across nine CWPs at their sites of origin. Overall, rhizosphere influence was higher for abundant taxa across the four microbial groups and had a positive influence on rhizosphere soil organic C and nutrient contents compared to bulk soils. The rhizosphere influence on abundant soil microbiomes was more important for soil multifunctionality than rare taxa and environmental conditions. Our results are a starting point towards the use of CWPs for rhizosphere engineering in modern crops.


Assuntos
Produtos Agrícolas , Microbiota , Rizosfera , Microbiologia do Solo , Produtos Agrícolas/microbiologia , Solo/química , Fungos/fisiologia , Animais , Bactérias/classificação , Bactérias/isolamento & purificação , Invertebrados/microbiologia , Invertebrados/fisiologia
13.
Artigo em Inglês | MEDLINE | ID: mdl-39074660

RESUMO

INTRODUCTION: Once the World Health Oraganization (WHO) generic surgical checklist has been standardized and following the itinerary proposed, it is up to the different specialties to continue advancing in the improvement and adjustment of the checklists to their specific procedures. METHODS: Through a Failure Mode and Effects Analysis (FMEA) in which professionals from the surgical area of ​​the Torrecárdenas University Hospital, Jaén Hospital Complex and Gregorio Marañón General University Hospital participated, aspects that threaten patient safety in spine surgery and that are not included in the WHO generic surgical checklist were proposed. The authors scored each of the proposed items incrementally based on the degree of suitability. Based on the score obtained, they selected those who would be incorporated into the specific safety checklist. RESULTS: A total of twenty-one candidate items were proposed to be part of the specific check list. These obtained scores between 15 and 11 points. After scoring them, it was decided to include the thirteen best rated in the definitive surgical checklist, seven of them in the initial phase, two in the phase prior to the incision and another four in the final part of the checklist prior to the completion of the procedure. CONCLUSIONS: Professionals in the surgical area of ​​Neurosurgery can identify aspects not included in the generic checklist whose non-compliance can affect patient safety in spine surgery to at least the same extent as those included in WHO checklist. It is possible to propose a specific complementary checklist for spinal surgery, responsible for collecting aspects related to safety and success in these procedures.

14.
Chemosphere ; 362: 142615, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38880262

RESUMO

The present study examines indoor air pollution in health facilities, focusing on compounds from various sources, such as industrial products, healthcare activities and building materials. It assesses chemical and microbiological concentrations in two public hospitals, two public healthcare centres, and one public health laboratory in Spain. Measurements included indoor air quality, microbiological contaminants, ambient parameters and non-target analysis across ten different locations. Outdoor air quality was also assessed in the surroundings of the hospitals. The results showed that around 350 substances were tentatively identified at a high confidence level, with over 50 % of compounds classified as of high toxicological risk. Three indoor and 26 outdoor compounds were fully confirmed with standards. These confirmed substances were linked to medical, industrial and agricultural activities. Indoor Air Quality (IAQ) results revealed that CO, CO2, formaldehyde (HCHO), O3 and total volatile organic compounds (TVOCs) showed average values above the recommended guideline levels in at least one of the evaluated locations. Moreover, maximum concentrations detected for CO, HCHO, O3 and TVOCs in hospitals surpassed those previously reported in the literature. SARS-CoV-2 was detected in three air environments, corresponding to COVID-19 patient areas. Fungi and bacteria concentrations were acceptable in all assessed locations, identifying different fungi genera, such as Penicillium, Cladosporium, Aspergillus, Alternaria and Botrytis.


Assuntos
Microbiologia do Ar , Poluentes Atmosféricos , Poluição do Ar em Ambientes Fechados , Monitoramento Ambiental , Instalações de Saúde , Espanha , Poluição do Ar em Ambientes Fechados/análise , Poluição do Ar em Ambientes Fechados/estatística & dados numéricos , Poluentes Atmosféricos/análise , Compostos Orgânicos Voláteis/análise , Humanos , COVID-19 , SARS-CoV-2 , Fungos
15.
Neurol Neuroimmunol Neuroinflamm ; 11(4): e200270, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38912898

RESUMO

BACKGROUND AND OBJECTIVES: The complement system is known to play a role in multiple sclerosis (MS) pathogenesis. However, its contribution to disease progression remains elusive. The study investigated the role of the complement system in disability progression of patients with primary progressive MS (PPMS). METHODS: Sixty-eight patients with PPMS from 12 European MS centers were included in the study. Serum and CSF levels of a panel of complement components (CCs) were measured by multiplex enzyme-linked immunosorbent assay at a baseline time point (i.e., sampling). Mean (SD) follow-up time from baseline was 9.6 (4.8) years. Only one patient (1.5%) was treated during follow-up. Univariable and multivariable logistic regressions adjusted for age, sex, and albumin quotient were performed to assess the association between baseline CC levels and disability progression in short term (2 years), medium term (6 years), and long term (at the time of the last follow-up). RESULTS: In short term, CC played little or no role in disability progression. In medium term, an elevated serum C3a/C3 ratio was associated with a higher risk of disability progression (adjusted OR 2.30; 95% CI 1.17-6.03; p = 0.040). By contrast, increased CSF C1q levels were associated with a trend toward reduced risk of disability progression (adjusted OR 0.43; 95% CI 0.17-0.98; p = 0.054). Similarly, in long term, an elevated serum C3a/C3 ratio was associated with higher risk of disability progression (adjusted OR 1.81; 95% CI 1.09-3.40; p = 0.037), and increased CSF C1q levels predicted lower disability progression (adjusted OR 0.41; 95% CI 0.17-0.86; p = 0.025). DISCUSSION: Proteins involved in the activation of early complement cascades play a role in disability progression as risk (elevated serum C3a/C3 ratio) or protective (elevated CSF C1q) factors after 6 or more years of follow-up in patients with PPMS. The protective effects associated with C1q levels in CSF may be related to its neuroprotective and anti-inflammatory properties.


Assuntos
Progressão da Doença , Esclerose Múltipla Crônica Progressiva , Humanos , Masculino , Feminino , Esclerose Múltipla Crônica Progressiva/líquido cefalorraquidiano , Esclerose Múltipla Crônica Progressiva/sangue , Esclerose Múltipla Crônica Progressiva/fisiopatologia , Pessoa de Meia-Idade , Adulto , Seguimentos , Complemento C3/metabolismo , Complemento C3/análise , Complemento C3a/metabolismo , Complemento C3a/líquido cefalorraquidiano , Avaliação da Deficiência , Proteínas do Sistema Complemento/líquido cefalorraquidiano , Proteínas do Sistema Complemento/metabolismo
16.
Cureus ; 16(4): e59217, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38807835

RESUMO

C5 palsy is a potential complication of cervical decompression surgery from which many patients do not recover or partially recover function. We present the case of a 48-year-old patient who developed elbow flexion paralysis after anterior decompression surgery with fusion of the C5-C7 levels. Muscle function was not spontaneously restored until eight months after surgery. In this case, we performed an Oberlin procedure to restore the function of the arm. Muscle strength (5/5) and volume were obtained 13 months after surgery. A reasonable waiting period is required after C5 palsy in case spontaneous recovery occurs. Treatment decision should be based on the patient's symptoms. Nerve transfers have been shown to be effective when performed after six months, especially in Oberlin transfer.

18.
Chemphyschem ; 25(14): e202300877, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-38642347

RESUMO

PEDOT: PSS(poly(3,4-ethylenedioxylthiophene):poly(styrenesulfonate))-based composites often exhibit remarkable characteristics regarding high electrical conductivity and great processability, being a suitable candidate for thermoelectric (TE) applications. To increase its performance, PEDOT:PSS is commonly blended with scarce and toxic inorganic compounds based on Se, Te or Bi. In this work we propose the use of one p-type metal oxide semiconductor (MOs): tin(II) oxide (SnO), motivated by its abundance and low toxicity. Hybrid PEDOT:PSS/SnO composites were obtained by firstly blending Ethylene glycol (EG) with PEDOT:PSS and then by adding p-type SnO, previously synthesized by a chemical route. The mixture was deposited via spin-coating onto glass substrates. The Power Factor (PF) of the composites increased by a factor of 300 with the combined EG/SnO composition.

19.
World Neurosurg ; 187: 19-28, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38583569

RESUMO

BACKGROUND: Ventriculoscopic neuronavigation has been described in several articles. However, there are different ventriculoscopes and navigation systems. Due to these different combinations, it is difficult to find detailed neuronavigation protocols. We describe, step-by-step, a simple method to navigate both the trajectory until reaching the ventricular system, as well as the intraventricular work. METHODS: We use a rigid ventriculoscope (LOTTA, KarlStorz) with an electromagnetic stylet (S8-StealthSystem, Medtronic). The protocol is based on a modified or 3-dimensionally printed trocar for navigating the extraventricular step and on a modified pediatric nasogastric tube for the intraventricular navigation. RESULTS: This protocol can be set up in less than 10 minutes. The extraventricular part is navigated by introducing the electromagnetic stylet inside the modified or 3-dimensionally printed trocar. Intraventricular navigation is done by combining a modified pediatric nasogastric tube with the electromagnetic stylet inside the endoscope's working channel. The most critical point is to obtain a blunt-bloodless ventriculostomy while achieving perfect alignment of all targeted structures via pure straight trajectories. CONCLUSIONS: This protocol is easy-to-set-up, avoids head rigid-fixation and bulky optical-based attachments to the ventriculoscope, and allows continuous navigation of both parts of the surgery. Since we have implemented this protocol, we have noticed a significant enhancement in both simple and complex ventriculoscopic procedures because the surgery is dramatically simplified.


Assuntos
Neuroendoscópios , Neuroendoscopia , Neuronavegação , Ventriculostomia , Fluxo de Trabalho , Humanos , Neuronavegação/métodos , Neuronavegação/instrumentação , Neuroendoscopia/métodos , Neuroendoscopia/instrumentação , Ventriculostomia/métodos , Ventriculostomia/instrumentação , Fenômenos Eletromagnéticos , Impressão Tridimensional
20.
Polymers (Basel) ; 16(8)2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38674988

RESUMO

Graphene nanoplatelets (GNPs)/epoxy composites have been fabricated via gravity molding. The electrical and thermal properties of the composites have been studied with variable GNP type (C300, C500, and C750, whose surface areas are ~300, 500, and 750 m2/g, respectively), GNP loading (5, 10, 12, and 15 wt.%), and dispersion time via ultrasonication (0, 30, 60, and 120 min). By increasing the time of sonication of the GNP into the epoxy matrix, the electrical conductivity decreases, which is an effect of GNP fragmentation. The best results were observed with 10-12% loading and a higher surface area (C750), as they provide higher electrical conductivity, thereby preserving thermal conductivity. The influence of sonication over electrical conductivity was further analyzed via the study of the composite morphology by means of Raman spectroscopy and X-ray diffraction (XRD), providing information about the aspect ratio of GNPs. Moreover, electromagnetic shielding (EMI) has been studied up to 4 GHz. Composites with C750 and 120 min ultrasonication show the best performance in EMI shielding, influenced by their higher electrical conductivity.

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