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1.
Eur J Neurosci ; 59(1): 154-173, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38057955

RESUMEN

Autism spectrum disorder (ASD) is a diverse group of neurodevelopmental conditions with complex origins. Individuals with ASD present various neurobiological abnormalities, including an altered immune response in the central nervous system and other tissues. Animal models like the C58/J inbred mouse strain are used to study biological characteristics of ASD. This strain is considered an idiopathic autism model because of its demonstrated reduced social preference and repetitive behaviours. Notably, C58/J mice exhibit alterations in dendritic arbour complexity, density and dendritic spines maturation in the hippocampus and prefrontal cortex (PFC), but inflammatory-related changes have not been explored in these mice. In this study, we investigated proinflammatory markers in the hippocampus and PFC of adult male C58/J mice. We discovered elevated levels of interferon gamma (IFN-γ) and monocyte chemoattractant protein 1 (MCP-1) in the hippocampus, suggesting increased inflammation, alongside a reduction in the anti-inflammatory enzyme arginase 1 (ARG1). Conversely, the PFC displayed reduced levels of TNF-α and MCP-1. Microglial analysis revealed higher levels of transmembrane protein 119 (TMEM119) and increased microglial density in a region-specific manner of the autistic-like mice, particularly in the PFC and hippocampus. Additionally, an augmented expression of the fractalkine receptor CX3CR1 was observed in the hippocampus and PFC of C58/J mice. Microglial morphological analysis shows no evident changes in the hippocampus of mice with autistic-like behaviours versus wild-type strain. These region-specific changes can contribute to modulate processes like inflammation or synaptic pruning in the C58/J mouse model of idiopathic autism.


Asunto(s)
Trastorno del Espectro Autista , Trastorno Autístico , Ratones , Masculino , Animales , Trastorno Autístico/metabolismo , Trastorno del Espectro Autista/metabolismo , Microglía/metabolismo , Ratones Endogámicos , Corteza Prefrontal/metabolismo , Hipocampo/metabolismo , Inflamación/metabolismo , Modelos Animales de Enfermedad , Ratones Endogámicos C57BL
2.
Opt Lett ; 49(2): 355-358, 2024 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-38194567

RESUMEN

We present an optimal configuration for Stokes polarimeters based on liquid crystal variable retarders, with the minimum number of measurements. Due to the inherent variations of the director orientation of the liquid crystal molecules, we propose a configuration that minimizes the sensibility of the polarimeter to fast-axis variations. For the optimization we consider a scheme that maximizes the volume of a tetrahedron inscribed in the Poincare sphere, to address additive and Poisson noise, with one of the vertices invariant to changes in the axis positions. We provide numerical simulations, considering misalignment errors, to analyze the robustness of the configuration. The results show that the proposed configuration helps to maintain the volume enclosed by the tetrahedron with high tolerance to fast-axis orientation errors. The condition number will remain below 3.07 for common misalignment errors and below 1.88 for more controlled liquid crystals. This optimization will improve the performance of liquid crystals polarimeters, with a more robust configuration that also considers misalignment errors, beyond additive and Poisson noise.

3.
J Foot Ankle Surg ; 63(6): 747-751, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39151648

RESUMEN

Surgical intervention, such as the Broström-Gould procedure, is typically indicated for patients with chronic lateral ankle instability. In this study, we are comparing the safety and efficacy of the Broström-Gould procedure with peroneal tendon debridement, a sliding lateralizing calcaneal osteotomy, and adjuvant procedures performed with a single- versus double-incision approach. Our retrospective analysis included patients who underwent the procedure of interest between 2011 and 2020. Patients were divided into 2 groups: undergoing either a 1-incision (n = 53) or a 2-incision approach (n = 47), both with a lateralizing calcaneal osteotomy. A significant difference in skin bridge breakdown was observed between the 2-incision (n = 6 [13%]) and 1-incision groups (n = 0 [0%]). There were no significant differences in infection, deep wound dehiscence, nerve palsy, or neuroma between patients in the 2 groups. Furthermore, no statistically significant differences in mean PROMIS scores existed between the cohorts. The described Broström-Gould procedure shows promise for treating chronic ankle instability. While patients in both single- and double-incision groups had similar rates of postoperative complications, the decreased incidence of skin bridge breakdown in the 1incision group highlights the approach's safety and potential benefits in reducing wound-related complications.


Asunto(s)
Calcáneo , Desbridamiento , Inestabilidad de la Articulación , Osteotomía , Humanos , Estudios Retrospectivos , Masculino , Osteotomía/métodos , Osteotomía/efectos adversos , Femenino , Adulto , Calcáneo/cirugía , Desbridamiento/métodos , Inestabilidad de la Articulación/cirugía , Persona de Mediana Edad , Articulación del Tobillo/cirugía , Resultado del Tratamiento , Tendones/cirugía , Complicaciones Posoperatorias , Ligamentos Laterales del Tobillo/cirugía
4.
J Foot Ankle Surg ; 2024 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-39245433

RESUMEN

Obesity poses a growing concern, with global predictions estimating over half the population to be overweight or obese by 2030 (1). While prior research has extensively explored the impact of obesity on hip and knee surgeries, a notable gap persists in understanding weight changes following foot and ankle procedures. This retrospective study focuses on the relationship between Body Mass Index (BMI) and Achilles debridement with flexor hallucis longus (FHL) transfer. Despite prevailing research on the adverse effects of obesity on orthopedic outcomes, few studies examine the reciprocal influence of surgeries on weight. A retrospective analysis of 136 patients undergoing primary Achilles debridement with FHL transfer was conducted. Data encompassing BMI, demographic information, and medical comorbidities were extracted from electronic medical records (EMRs). A clinically meaningful BMI change was considered as a 5 % variation. Inferential statistics in the form of analysis of variance, t-test, and linear regression were employed for data analysis. Among the 136 patients in the study, no statistically significant BMI changes were noted up to two years after surgery (p = 0.9967). While obesity remains a significant factor in foot and ankle surgery complications, our study suggests that Achilles debridement with FHL transfer does not induce significant weight changes. Further research exploring factors influencing weight changes and varying outcomes across demographics is warranted. LEVEL OF EVIDENCE: III.

5.
J Clin Apher ; 38(6): 760-763, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37519071

RESUMEN

Guillain-Barré syndrome (GBS) is an immune-mediated polyradiculoneuropathy and the most common cause of acute flaccid paralysis worldwide. GBS classically presents with acute, progressive, ascending weakness, reduced to absent reflexes, and albuminocytological dissociation on cerebrospinal fluid (CSF) analysis. Botulism is a neurotoxin-mediated acute descending flaccid paralysis with cranial nerve palsies and dysautonomia. Botulism in adults is caused by ingestion/inhalation of botulinum toxin or wound infection with Clostridium botulinum. Both GBS and botulism can rapidly precipitate respiratory failure; thus, prompt diagnosis and treatment are crucial to mitigate poor outcomes. Herein, we describe a case of botulism initially diagnosed as GBS given classic laboratory features, and describe the importance of careful consideration of the most appropriate therapeutic modalities in cases of acute flaccid paralysis, particularly regarding empiric administration of botulinum antitoxin and use of intravenous immune globulin in lieu of plasma exchange for potential GBS to prevent removal of antitoxin.


Asunto(s)
Botulismo , Síndrome de Guillain-Barré , Adulto , Humanos , Botulismo/diagnóstico , Botulismo/terapia , Botulismo/etiología , Síndrome de Guillain-Barré/diagnóstico , Síndrome de Guillain-Barré/terapia , Síndrome de Guillain-Barré/complicaciones , Intercambio Plasmático/efectos adversos , Parálisis/complicaciones , Parálisis/terapia
6.
Int J Mol Sci ; 24(9)2023 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-37176144

RESUMEN

In the central nervous system (CNS) there are a greater number of glial cells than neurons (between five and ten times more). Furthermore, they have a greater number of functions (more than eight functions). Glia comprises different types of cells, those of neural origin (astrocytes, radial glia, and oligodendroglia) and differentiated blood monocytes (microglia). During ontogeny, neurons develop earlier (at fetal day 15 in the rat) and astrocytes develop later (at fetal day 21 in the rat), which could indicate their important and crucial role in the CNS. Analysis of the phylogeny reveals that reptiles have a lower number of astrocytes compared to neurons and in humans this is reversed, as there have a greater number of astrocytes compared to neurons. These data perhaps imply that astrocytes are important and special cells, involved in many vital functions, including memory, and learning processes. In addition, astrocytes are involved in different mechanisms that protect the CNS through the production of antioxidant and anti-inflammatory proteins and they clean the extracellular environment and help neurons to communicate correctly with each other. The production of inflammatory mediators is important to prevent changes in brain homeostasis. On the contrary, excessive, or continued production appears as a characteristic element in many diseases, such as Alzheimer's disease (AD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), and in neurodevelopmental diseases, such as bipolar disorder, schizophrenia, and autism. Furthermore, different drugs and techniques have been developed to reverse oxidative stress and/or excess of inflammation that occurs in many CNS diseases, but much remains to be investigated. This review attempts to highlight the functional relevance of astrocytes in normal and neuropathological conditions by showing the molecular and cellular mechanisms of their role in the CNS.


Asunto(s)
Enfermedad de Alzheimer , Astrocitos , Humanos , Ratas , Animales , Astrocitos/patología , Neuroglía/patología , Neuronas/patología , Microglía/fisiología , Enfermedad de Alzheimer/patología
7.
Int J Mol Sci ; 23(19)2022 10 09.
Artículo en Inglés | MEDLINE | ID: mdl-36233271

RESUMEN

Ranolazine (Rn) is a drug used to treat persistent chronic coronary ischemia. It has also been shown to have therapeutic benefits on the central nervous system and an anti-diabetic effect by lowering blood glucose levels; however, no effects of Rn on cellular sensitivity to insulin (Ins) have been demonstrated yet. The present study aimed to investigate the permissive effects of Rn on the actions of Ins in astrocytes in primary culture. Ins (10-8 M), Rn (10-6 M), and Ins + Rn (10-8 M and 10-6 M, respectively) were added to astrocytes for 24 h. In comparison to control cells, Rn and/or Ins caused modifications in cell viability and proliferation. Rn increased protein expression of Cu/Zn-SOD and the pro-inflammatory protein COX-2 was upregulated by Ins. On the contrary, no significant changes were found in the protein expression of NF-κB and IκB. The presence of Rn produced an increase in p-ERK protein and a significant decrease in COX-2 protein expression. Furthermore, Rn significantly increased the effects of Ins on the expression of p-AKT, p-eNOS, p-ERK, Mn-SOD, and PPAR-γ. In addition, Rn + Ins produced a significant decrease in COX-2 expression. In conclusion, Rn facilitated the effects of insulin on the p-AKT, p-eNOS, p-ERK, Mn-SOD, and PPAR-γ signaling pathways, as well as on the anti-inflammatory and antioxidant effects of the hormone.


Asunto(s)
Astrocitos , Insulina , Antiinflamatorios/farmacología , Antioxidantes/farmacología , Astrocitos/metabolismo , Glucemia/metabolismo , Ciclooxigenasa 2/metabolismo , Insulina/metabolismo , Insulina/farmacología , Insulina Regular Humana , FN-kappa B/metabolismo , PPAR gamma/metabolismo , Proteínas Proto-Oncogénicas c-akt/metabolismo , Ranolazina/farmacología , Superóxido Dismutasa/metabolismo
8.
Opt Express ; 29(23): 38811-38823, 2021 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-34808925

RESUMEN

The link between depolarization measures and physical nature and structure of material media inducing depolarization is nowadays an open question. This article shows how the joint use of two complementary sets of depolarizing metrics, namely the Indices of polarimetric purity and the Components of purity, are sufficient to completely describe the integral depolarizing properties of a sample. Based on a collection of illustrative and representative polarimetric configurations, a clear and meaningful physical interpretation of such metrics is provided, thus extending the current tools and comprehension for the study and analysis of the depolarizing properties of material media. This study could be of interest to those users dealing with depolarization or depolarizing samples.

9.
Physiol Plant ; 173(1): 167-179, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33280132

RESUMEN

Biscutella auriculata L. is a plant that belongs to the Brassicaceae family and it has been found growing in a metal-contaminated area of the San Quíntín mine (Ciudad Real, Spain). The purpose of this work was to evaluate the mechanisms that allow this plant to tolerate high concentrations of copper. Seedlings were grown in a semi-hydroponic system for 15 days under 125 µM of Cu (NO3 )2 . Exposure to copper resulted in growth inhibition and reduction in the photosynthetic parameters. Copper was mainly accumulated in vascular tissue and vacuoles of the roots and only a minor proportion was transferred to the shoot. Biothiol analysis showed a greater enhancement of reduced glutathione in leaves and increases of phytochelatins (PC2 and PC3) in both leaves and roots. Copper treatment induced oxidative stress, which triggered a response of the enzymatic and non-enzymatic antioxidant mechanisms. The results show that B. auriculata is able to tolerate high metal levels through the activation of specific mechanisms to neutralize the oxidative stress produced and also by metal sequestration through phytochelatins. The preferential accumulation of copper in roots provides clues for further studies on the use of this plant for phytostabilization and environmental recovery purposes in Cu-contaminated areas.


Asunto(s)
Brassicaceae , Cobre , Antioxidantes , Brassicaceae/metabolismo , Homeostasis , Estrés Oxidativo , Fitoquelatinas/metabolismo , Hojas de la Planta/metabolismo , Raíces de Plantas/metabolismo
10.
Indoor Air ; 31(2): 335-347, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-32866286

RESUMEN

One of the main modes of transmission and propagation of COVID-19 (SARS-CoV-2) is the direct contact with respiratory droplets transmitted among individuals at a certain distance. There are indoor spaces, such as dwellings, in which the transmission risk is high. This research aims to record and analyze risk close contacts in this scope, experimentally assessing the effectiveness of using electronic proximity warning sound devices or systems. For this purpose, the methodology is based on monitoring the location of the occupants of a dwelling. Then, the days in which a proximity warning sound system is installed and activated are compared to the days in which the system is not activated. The results stressed the significant reduction of time and number of close contacts among individuals when the warning was activated. Regarding the relation between the number and the duration of close contacts, together with the reductions mentioned, the possibility of making certain predictions based on the distributions obtained is proved. All this contributes to the progress in the prevention of COVID-19 transmission because of close contacts in dwellings.


Asunto(s)
COVID-19/epidemiología , COVID-19/transmisión , Vivienda/estadística & datos numéricos , Adulto , COVID-19/prevención & control , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Factores de Riesgo , SARS-CoV-2
11.
BMC Public Health ; 21(1): 115, 2021 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-33423659

RESUMEN

BACKGROUND: Maternal and child health have shown important advances in the world in recent years. However, national averages indicators hide large inequalities in access and quality of care in population subgroups. We explore wealth-related inequalities affecting health coverage and interventions in reproductive, maternal, newborn, and child health in Latin America and the Caribbean. METHODS: We analyzed representative national surveys from 15 countries conducted between 2001 and 2016. We estimated maternal-child health coverage gaps using the Composite Coverage Index - a weighted average of interventions that include family planning, maternal and newborn care, immunizations, and treatment of sick children. We measured absolute and relative inequality to assess gaps by wealth quintile. Pearson's correlation coefficient was used to test the association between the coverage gap and population attributable risk. RESULTS: The Composite Coverage Index showed patterns of inequality favoring the wealthiest subgroups. In eight countries the national coverage was higher than the global median (78.4%; 95% CI: 73.1-83.6) and increased significantly as inequality decreased (Pearson r = 0.9; p < 0.01). CONCLUSIONS: There are substantial inequalities between socioeconomic groups. Reducing inequalities will improve coverage indicators for women and children. Additional health policies, programs, and practices are required to promote equity.


Asunto(s)
Salud Infantil , Disparidades en Atención de Salud , Región del Caribe , Niño , Etnicidad , Femenino , Humanos , Recién Nacido , América Latina/epidemiología , Salud Materna , Factores Socioeconómicos
12.
Nurs Educ Perspect ; 42(2): 93-97, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-32947509

RESUMEN

AIM: The aim of this study was to design and validate a questionnaire to analyze students' expectations, along with their level of interest and overall satisfaction with their nursing studies. BACKGROUND: The expectations of students on entering university are closely related to the level of interest that they have in their area of study and their general satisfaction with it. This is certainly a conditioning factor in their learning. In this regard, there are few quantitative instruments that measure the expectations of first-year nursing students. METHOD: A mixed questionnaire was constructed using items validated in previous studies, along with new items formulated following a review of the literature. The questionnaire was validated with a sample of 339 first-year degree program nursing students. RESULTS: The scales of expectations and degree of interest showed strong internal consistency (Cronbach's α > .7). CONCLUSION: The questionnaire to evaluate the expectations and interest of students demonstrated satisfactory psychometric properties.


Asunto(s)
Estudiantes de Enfermería , Humanos , Aprendizaje , Motivación , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
13.
Actas Esp Psiquiatr ; 49(5): 217-227, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34533205

RESUMEN

People with Serious Mental Illness (SMI) could present risk behaviour that may lead to relapses. There are few instruments validated in our context to assess risk factors, but none takes into account several factors at the same time, and is specific for the risk of relapse. The objective of this work is to validate the Functional Analysis of Care Environments (FACE) Risk Profile into Spanish for people with SMI.


Asunto(s)
Trastornos Mentales , Humanos , Trastornos Mentales/epidemiología
14.
Cent Eur J Immunol ; 46(1): 76-81, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33897287

RESUMEN

INTRODUCTION: Infection and inflammation of the reproductive tract by Chlamydia trachomatis (CT) are recognized as significant risk factors for male infertility. This study aimed to evaluate CT infection and its effects on seminal parameters and cytokines in asymptomatic patients with teratozoospermia. MATERIAL AND METHODS: Semen samples from one hundred four male patients were collected, and CT detection was performed by polymerase chain reaction (PCR). The quality (volume, sperm concentration, pH, motility, morphology, and leucocytes) of the semen was measured by standard procedures recommended by the World Health Organization (WHO). Pro-inflammatory cytokines [interleukin (IL)-1 ß, IL-6, IL-8, tumor necrosis factor α (TNF-α), and interferon γ (IFN-γ)], as well as anti-inflammatory cytokines (IL-4, IL-10), were determined by using enzyme-linked immunosorbent assay (ELISA). The frequency of CT infection was expressed as a percentage. Descriptive statistics were used for comparison of cytokines from infertile men, and then the Mann-Whitney U test was applied for the contrast of seminal parameters and cytokines from CT-infected versus non-CT infected men. RESULTS: A ratio of 33/104 (31.7%) patients were positive for CT infection. The ejaculate of positive CT infection was found to have increased pH (pH = 7.65 in non-CT infected vs. 7.94 CT-infected men; p = 0.026). High levels of pro-inflammatory cytokines were found in the population studied; however, infected males were noted to have high levels of IL-1 ß [184.66 (0-3985.33 pg/ml), p = 0.001] and IL-6 [87.8 (0-1042.8 pg/ml), p = 0.001]. CONCLUSIONS: CT infection increased seminal pH, as well as IL-1 ß and IL-6 cytokines, suggesting a potential role of infection and inflammation in asymptomatic patients with teratozoospermia.

15.
Opt Express ; 28(21): 31658-31674, 2020 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-33115134

RESUMEN

In this paper, we propose a phase difference minimization algorithm to measure the specular surface shape in a displacement-free stereoscopic phase measuring deflectometry (PMD) system. The presented system is capable of solving the height-normal ambiguity appearing in a PMD system without moving any system component. Both the surface normal and the absolute height are simultaneously obtained by implementing phase difference minimization between the phase distributions in the LCD screen and the camera image plane. In particular, phase difference minimization is performed by using a second order polynomial fitting iteration method. Bi-cubic sub-pixel interpolation combined with 2D Fourier integration is used to reconstruct the surface. Finally, the performance of the proposed stereoscopic PMD system is verified by measuring the surface shapes of different mirrors and performing repeatability tests.

16.
Opt Express ; 28(8): 10981-11000, 2020 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-32403619

RESUMEN

We study the optimum operating conditions for a rotating retarder fixed polarizer (RRFP) when the measurements are not quasi-instantaneous but time-averaged. We obtain the optimum retardance and retarder orientations as a function of the integrated angle interval. We also study how the increase in the number of time-averaged measurements leads to a better equally weighted variance (EWV) value, and thus, to a better performance of the polarimeter in terms of noise amplification for the case of additive noise. Two different analyzers configurations are studied in this work: uniformly spaced retarder angles and when measurements are taken at optimum angles (non-uniformly spaced angles). We also consider the case of polychromatic illumination. We discuss the best measurement conditions in terms of the signal-to-noise ratio depending on whether there is a fixed or a limited amount of photons per measurement.

17.
Int J Med Sci ; 17(6): 834-843, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32218705

RESUMEN

Aspirin has been used as anti-inflammatory and anti-aggregate for decades but the precise mechanism(s) of action after the presence of the toxic peptide Aß1-42 in cultured astrocytes remains poorly resolved. Here we use low-doses of aspirin (10-7 M) in astrocytes in primary culture in presence or absence of Aß1-42 toxic peptide. We noted an increase of cell viability and proliferation with or without Aß1-42 peptide presence in aspirin treated cells. In addition, a decrease in apoptosis, determined by Caspase 3 activity and the expression of Cyt c and Smac/Diablo, were detected. Also, aspirin diminished necrosis process (LDH levels), pro-inflammatory mediators (IL-ß and TNF-α) and NF-ᴋB protein expression, increasing anti-inflammatory PPAR-γ protein expression, preventing Aß1-42 toxic effects. Aspirin inhibited COX-2 and iNOS without changes in COX-1 expression, increasing anti-oxidant protein (Cu/Zn-SOD and Mn-SOD) expression in presence or absence of Aß1-42. Taken together, our results show that aspirin, at low doses increases cell viability by decreasing inflammation and oxidative stress, preventing the deleterious effects of the Aß1-42 peptide on astrocytes in primary culture. The use of low doses of aspirin may be more suitable for Alzheimer's disease.


Asunto(s)
Enfermedad de Alzheimer/tratamiento farmacológico , Aspirina/farmacología , Inflamación/tratamiento farmacológico , Estrés Oxidativo/efectos de los fármacos , Enfermedad de Alzheimer/genética , Enfermedad de Alzheimer/patología , Péptidos beta-Amiloides/toxicidad , Animales , Astrocitos/efectos de los fármacos , Astrocitos/patología , Proliferación Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Regulación de la Expresión Génica/efectos de los fármacos , Humanos , Inflamación/inducido químicamente , Inflamación/genética , Inflamación/patología , Interleucina-1beta/efectos de los fármacos , FN-kappa B/genética , Estrés Oxidativo/genética , Fragmentos de Péptidos/toxicidad , Cultivo Primario de Células , Ratas , Factor de Necrosis Tumoral alfa/genética
18.
Rev Panam Salud Publica ; 44: e56, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32523606

RESUMEN

OBJECTIVE: To compare inequalities in full infant vaccination coverage at two different time points between 1992 and 2016 in Latin American and Caribbean countries. METHODS: Analysis is based on recent available data from Demographic and Health Surveys, Multiple Indicator Cluster Surveys, and Reproductive Health Surveys conducted in 18 countries between 1992 and 2016. Full immunization data from children 12-23 months of age were disaggregated by wealth quintile. Absolute and relative inequalities between the richest and the poorest quintile were measured. Differences were measured for 14 countries with data available for two time points. Significance was determined using 95% confidence intervals. RESULTS: The overall median full immunization coverage was 69.9%. Approximately one-third of the countries have a high-income inequality gap, with a median difference of 5.6 percentage points in 8 of 18 countries. Bolivia, Colombia, El Salvador, and Peru have achieved the greatest progress in improving coverage among the poorest quintiles of their population in recent years. CONCLUSION: Full immunization coverage in the countries in the study shows higher-income inequality gaps that are not seen by observing national coverage only, but these differences appear to be reduced over time. Actions monitoring immunization coverage based on income inequalities should be considered for inclusion in the assessment of public health policies to appropriately reduce the gaps in immunization for infants in the lowest-income quintile.

19.
Environ Geochem Health ; 42(11): 3529-3542, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32399635

RESUMEN

Soil pollution associated with potentially toxic elements (PTEs) from mining residues is a significant problem worldwide. The decommissioned Jebal Trozza mine, located in central Tunisia, may pose a serious problem because of the possible high concentrations of PTEs present in its wastes. This mine is a potential source of contamination for agriculture in this area due to both direct causes (pollution of agricultural soils) and indirect causes (pollution of sediments that accumulate in a dam used for irrigation). The aim of the study reported here was to assess the effects of local mining activity in two respects: (1) in terms of soil quality, as determined by soil edaphological parameters and PTEs contents in the mining wastes and local soils; and (2) in terms of biological quality, as evaluated by quantification of enzymatic activity as an indicator of bacterial activity in soils and wastes. The mine tailings contained high levels of Pb (1.83-5.95%), Zn (7.59-12.48%) and Cd (85.95-123.25 mg kg-1). The adjacent soils were also highly contaminated with these elements, with average concentrations of Pb, Zn and Cd that exceeded the European standard values for agricultural soils (3, 300 and 300 mg kg-1 for Cd, Pb and Zn, respectively). Enzymatic dehydrogenase showed zero activity in waste piles and very low activity in PTE-contaminated soils, but this activity returned to normal values as the pollution decreased, thus demonstrating the effect that the contamination load had on the health of the studied soils. A Statistical Factor Analysis clearly distinguished three groups of samples, and these are related to the influence that mining on the soils and sediments had on the PTE concentrations and their effects on the biological quality of the soil. An environmental assessment based on the enrichment factor criteria indicated risk levels that varied from strongly to severely polluted. The risk appears to be greater close to the mine, where the highest PTE levels were determined.


Asunto(s)
Minería , Contaminantes del Suelo/análisis , Suelo/química , Zinc , Cadmio/análisis , Monitoreo del Ambiente , Contaminación Ambiental/análisis , Residuos Industriales , Plomo/análisis , Túnez , Zinc/análisis
20.
Int J Med Sci ; 16(11): 1473-1479, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31673239

RESUMEN

Microglia cells during aging, neurodegeneration and neuroinflammation show different morphological and transcriptional profiles (related to axonal direction and cell adhesion). Furthermore, expressions of the receptors on the surface and actin formation compared to young are also different. This review delves into the role of glia during aging and the development of the diseases. The susceptibility of different regions of the brain to disease are linked to the overstimulation of signals related to the immune system during aging, as well as the damaging impact of these cascades on the functionality of different populations of microglia present in each region of the brain. Furthermore, a decrease in microglial phagocytosis has been related to many diseases and also has been detected during aging. In this paper we also describe the role of glia in different illness, such as AD, ALS, pain related disorders, cancer, developmental disorders and the problems produced by opening of the blood brain barrier. Future studies will clarify many points planted by this review.


Asunto(s)
Envejecimiento/genética , Encefalopatías/genética , Microglía/metabolismo , Neuroglía/metabolismo , Barrera Hematoencefálica/metabolismo , Barrera Hematoencefálica/patología , Encéfalo/metabolismo , Encéfalo/patología , Encefalopatías/patología , Regulación de la Expresión Génica/genética , Humanos , Microglía/patología , Neuroglía/patología
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