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1.
Molecules ; 28(3)2023 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-36770845

RESUMEN

In this work, a new analytical approach is proposed for monitoring biogenic volatile organic compounds (BVOCs) by combining headspace bar adsorptive microextraction (HS-BAµE) with gas chromatography-mass spectrometry (GC-MS). The HS-BAµE methodology was developed, optimized, validated and applied for the analysis of BVOCs emitted from two tree species (Eucalyptus globulus Labill. and Pinus pinaster Aiton) and compared with headspace solid phase microextraction (HS-SPME), commonly accepted as a reference technique. To achieve optimum experimental conditions, numerous assays were carried out by both methodologies, studying the release of the five major monoterpenoids (α-pinene, ß-pinene, myrcene, limonene and 1,8-cineole) from the leaves of the tree species, whereas the maximum selectivity and efficiency were obtained using an activated carbon and PDMS/DVB fiber as sorbent phases for HS-BAµE and HS-SPME, respectively. Under optimized experimental conditions, both methodologies showed similar profiling and proportional responses, although the latter present a higher sensitivity in the analytical configuration used. For the five monoterpenoids studied, acceptable detection limits (LODs = 5.0 µg L-1) and suitable linear dynamic ranges (20.0-100.0 mg L-1; r2 ≥ 0.9959) were achieved, and intra- and inter-day studies proved that both methodologies exhibited good results (RSD and %RE ≤ 19.9%), which indicates a good fit for the assessment of BVOCs by the HS-BAµE/GC-MS methodology. Assays performed on sampled leaves by both optimized and validated methodologies showed high levels of the five major BVOCs released from E. globulus Labill. (10.2 ± 1.3 to 7828.0 ± 40.0 µg g-1) and P. pinaster Aiton (9.2 ± 1.4 to 3503.8 ± 396.3 µg g-1), which might act as potential fuel during forest fire's propagation, particularly under extreme atmospheric conditions. This is the first time that BAµE technology was applied in the HS sampling mode, and, in addition to other advantages, it has proven to be an effective and promising analytical alternative for monitoring VOCs, given its great simplicity, easy handling and low cost.


Asunto(s)
Árboles , Compuestos Orgánicos Volátiles , Adsorción , Microextracción en Fase Sólida/métodos , Cromatografía de Gases y Espectrometría de Masas , Eucaliptol
2.
Int J Health Plann Manage ; 37(1): 189-201, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34505319

RESUMEN

Monitoring the costs is one of the key components underlying value-based health care. This study aimed to evaluate the cost-saving opportunities of interventional coronary procedures (ICPs). Data from 90 patients submitted to elective ICP were evaluated in five Brazilian hospitals. Time-driven activity-based costing, that guides the cost estimates using the time consumed and the capacity cost rates per resource as the data input, was used to assess costs and the time spent over the care pathway. Descriptive cost analyses were followed by a labour cost-saving estimate potentially achieved by the redesign of the ICP pathway. The mean cost per patient varied from $807 to $2639. The length of the procedure phase per patient was similar among the hospitals, while the post-procedure phase presented the highest variation in length. The highest direct cost saving opportunities are concentrated in the procedure phase. By comparing the benchmark service with the most expensive one, it was estimated that redesigning physician practices could decrease 51% of the procedure cost. This application is pioneered in Brazil and demonstrates how detailed cost information can contribute to driving health care management to value by identifying cost-saving opportunities.


Asunto(s)
Atención a la Salud , Hospitales , Brasil , Costos y Análisis de Costo , Humanos , Factores de Tiempo
3.
Sensors (Basel) ; 21(21)2021 Oct 29.
Artículo en Inglés | MEDLINE | ID: mdl-34770504

RESUMEN

The determination of the surface energy balance fluxes (SEBFs) and evapotranspiration (ET) is fundamental in environmental studies involving the effects of land use change on the water requirement of crops. SEBFs and ET have been estimated by remote sensing techniques, but with the operation of new sensors, some variables need to be parameterized to improve their accuracy. Thus, the objective of this study is to evaluate the performance of algorithms used to calculate surface albedo and surface temperature on the estimation of SEBFs and ET in the Cerrado-Pantanal transition region of Mato Grosso, Brazil. Surface reflectance images of the Operational Land Imager (OLI) and brightness temperature (Tb) of the Thermal Infrared Sensor (TIRS) of the Landsat 8, and surface reflectance images of the MODIS MOD09A1 product from 2013 to 2016 were combined to estimate SEBF and ET by the surface energy balance algorithm for land (SEBAL), which were validated with measurements from two flux towers. The surface temperature (Ts) was recovered by different models from the Tb and by parameters calculated in the atmospheric correction parameter calculator (ATMCORR). A model of surface albedo (asup) with surface reflectance OLI Landsat 8 developed in this study performed better than the conventional model (acon) SEBFs and ET in the Cerrado-Pantanal transition region estimated with asup combined with Ts and Tb performed better than estimates with acon. Among all the evaluated combinations, SEBAL performed better when combining asup with the model developed in this study and the surface temperature recovered by the Barsi model (Tsbarsi). This demonstrates the importance of an asup model based on surface reflectance and atmospheric surface temperature correction in estimating SEBFs and ET by SEBAL.


Asunto(s)
Algoritmos , Productos Agrícolas , Brasil , Temperatura
4.
Molecules ; 26(8)2021 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-33918766

RESUMEN

The analysis of controlled drugs in forensic matrices, i.e., urine, blood, plasma, saliva, and hair, is one of the current hot topics in the clinical and toxicological context. The use of microextraction-based approaches has gained considerable notoriety, mainly due to the great simplicity, cost-benefit, and environmental sustainability. For this reason, the application of these innovative techniques has become more relevant than ever in programs for monitoring priority substances such as the main illicit drugs, e.g., opioids, stimulants, cannabinoids, hallucinogens, dissociative drugs, and related compounds. The present contribution aims to make a comprehensive review on the state-of-the art advantages and future trends on the application of microextraction-based techniques for screening-controlled drugs in the forensic context.


Asunto(s)
Medicina Legal , Microextracción en Fase Líquida/métodos , Preparaciones Farmacéuticas/análisis , Microextracción en Fase Sólida/métodos , Humanos , Drogas Ilícitas/análisis
5.
Molecules ; 26(11)2021 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-34067333

RESUMEN

This work entailed the development, optimization, validation, and application of a novel analytical approach, using the bar adsorptive microextraction technique (BAµE), for the determination of the six most common tricyclic antidepressants (TCAs; amitriptyline, mianserin, trimipramine, imipramine, mirtazapine and dosulepin) in urine matrices. To achieve this goal, we employed, for the first time, new generation microextraction devices coated with convenient sorbent phases, polymers and novel activated carbons prepared from biomaterial waste, in combination with large-volume-injection gas chromatography-mass spectrometry operating in selected-ion monitoring mode (LVI-GC-MS(SIM)). Preliminary assays on sorbent coatings, showed that the polymeric phases present a much more effective performance, as the tested biosorbents exhibited low efficiency for application in microextraction techniques. By using BAµE coated with C18 polymer, under optimized experimental conditions, the detection limits achieved for the six TCAs ranged from 0.2 to 1.6 µg L-1 and, weighted linear regressions resulted in remarkable linearity (r2 > 0.9960) between 10.0 and 1000.0 µg L-1. The developed analytical methodology (BAµE(C18)/LVI-GC-MS(SIM)) provided suitable matrix effects (90.2-112.9%, RSD ≤ 13.9%), high recovery yields (92.3-111.5%, RSD ≤ 12.3%) and a remarkable overall process efficiency (ranging from 84.9% to 124.3%, RSD ≤ 13.9%). The developed and validated methodology was successfully applied for screening the six TCAs in real urine matrices. The proposed analytical methodology proved to be an eco-user-friendly approach to monitor trace levels of TCAs in complex urine matrices and an outstanding analytical alternative in comparison with other microextraction-based techniques.


Asunto(s)
Antidepresivos Tricíclicos/orina , Microextracción en Fase Sólida/métodos , Urinálisis/métodos , Adsorción , Materiales Biocompatibles/química , Carbón Orgánico/química , Cromatografía de Gases y Espectrometría de Masas , Humanos , Concentración de Iones de Hidrógeno , Iones , Límite de Detección , Microextracción en Fase Líquida/métodos , Polímeros/química , Polipropilenos/química , Reproducibilidad de los Resultados , Urinálisis/normas , Agua/química
6.
J Clin Microbiol ; 57(2)2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30487303

RESUMEN

Previous studies suggested that herpes simplex virus (HSV) PCR testing can be safely deferred in patients with normal cerebrospinal fluid (CSF) white blood cell (WBC) counts and protein levels as long as they are older than 2 years of age and are not immunocompromised, the so-called Reller criteria. In this multicenter study, we retrospectively assessed the validity of these screening criteria in our setting. A total of 4,404 CSF specimens submitted for HSV PCR testing to the respective microbiology laboratories at the participating hospitals between 2012 and 2018 were included. Six commercially available HSV PCR assays were used across the participating centers. Ninety-one of the 4,404 CSF specimens (2.1%) tested were positive for HSV DNA (75 samples for HSV-1 and 16 for HSV-2). Nine patients failed to meet the Reller criteria, of whom seven were deemed to truly have HSV encephalitis. Overall, no significant correlation between HSV PCR cycle threshold (CT ) values and WBC counts or total protein levels was found. In addition, median HSV PCR CT s were comparable between patients who met the Reller criteria and those who did not (P = 0.531). In summary, we show that HSV DNA may be detected in CSF specimens with normal WBC and protein levels collected from immunocompetent individuals older than 2 years with HSV encephalitis. Nevertheless, the data also indicate that the number of cases detected could be lowered at least by half if CSF specimens with borderline WBC counts (4 cells/mm3) as well as children of any age are systematically tested.


Asunto(s)
Líquido Cefalorraquídeo/virología , Errores Diagnósticos/estadística & datos numéricos , Pruebas Diagnósticas de Rutina/métodos , Encefalitis por Herpes Simple/diagnóstico , Reacción en Cadena de la Polimerasa/métodos , Simplexvirus/aislamiento & purificación , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Líquido Cefalorraquídeo/química , Líquido Cefalorraquídeo/citología , Niño , Preescolar , ADN Viral/genética , ADN Viral/aislamiento & purificación , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Simplexvirus/genética , Adulto Joven
7.
Glob Chang Biol ; 25(6): 1967-1981, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30854765

RESUMEN

Wetlands are important sources of methane (CH4 ) and sinks of carbon dioxide (CO2 ). However, little is known about CH4 and CO2 fluxes and dynamics of seasonally flooded tropical forests of South America in relation to local carbon (C) balances and atmospheric exchange. We measured net ecosystem fluxes of CH4 and CO2 in the Pantanal over 2014-2017 using tower-based eddy covariance along with C measurements in soil, biomass and water. Our data indicate that seasonally flooded tropical forests are potentially large sinks for CO2 but strong sources of CH4 , particularly during inundation when reducing conditions in soils increase CH4 production and limit CO2 release. During inundation when soils were anaerobic, the flooded forest emitted 0.11 ± 0.002 g CH4 -C m-2  d-1 and absorbed 1.6 ± 0.2 g CO2 -C m-2  d-1 (mean ± 95% confidence interval for the entire study period). Following the recession of floodwaters, soils rapidly became aerobic and CH4 emissions decreased significantly (0.002 ± 0.001 g CH4 -C m-2  d-1 ) but remained a net source, while the net CO2 flux flipped from being a net sink during anaerobic periods to acting as a source during aerobic periods. CH4 fluxes were 50 times higher in the wet season; DOC was a minor component in the net ecosystem carbon balance. Daily fluxes of CO2 and CH4 were similar in all years for each season, but annual net fluxes varied primarily in relation to flood duration. While the ecosystem was a net C sink on an annual basis (absorbing 218 g C m-2 (as CH4 -C + CO2 -C) in anaerobic phases and emitting 76 g C m-2 in aerobic phases), high CH4 effluxes during the anaerobic flooded phase and modest CH4 effluxes during the aerobic phase indicate that seasonally flooded tropical forests can be a net source of radiative forcings on an annual basis, thus acting as an amplifying feedback on global warming.


Asunto(s)
Dióxido de Carbono/química , Inundaciones , Bosques , Metano/química , Ciclo del Carbono , Ecosistema , Calentamiento Global , Estaciones del Año , Suelo , América del Sur , Clima Tropical , Humedales
8.
Int J Clin Pract ; : e13425, 2019 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-31573737

RESUMEN

Purpose To know the predictive factors for Pseudomonas aeruginosa (PA) urinary sepsis in hospitalised elderly patients coming from community, the adequacy of empirical antibiotic therapy and its outcomes. Methods Retrospective case-control study conducted between 2007 and 2017. Patients aged 65 years or older with PA urinary sepsis were included as cases. Three age-matched controls, with urinary sepsis caused by other microorganisms, were selected for each case. Predictors for PA urinary sepsis were determined by logistic regression analysis. Adequacy of empirical antibiotic therapy and outcomes were compared between both groups. Results A total of 332 patients, from which 83 were cases, were included. Predictive factors for PA urinary sepsis were as follows: male sex (OR 3.16, 95% CI 1.61-6.10; P < .001), urinary catheter (OR 3.25, 95% CI 1.73-6.11; P < .001) and healthcare-associated infection (OR 5.52, 95% CI 1.76 -17.29; P = .003). Inadequate empirical antimicrobial therapy (IEAT) and length of hospital stay were higher in PA group (42% vs 24%, P = .002; 7.45 ± 4.36 days vs 6.43 ± 3.82 days, P = .045, respectively), but mortality was not different (7.2% vs 8.8%, P = .648). Conclusions Pseudomonas aeruginosa urinary sepsis in elderly people was associated with male sex, urinary catheter and healthcare-associated infection. These infections had a higher rate of IEAT and a longer hospital stay than urinary sepsis caused by other microorganisms.

9.
Molecules ; 24(5)2019 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-30866456

RESUMEN

Multi-spheres adsorptive microextraction using powdered activated carbons (ACs) was studied as a novel enrichment approach, followed by liquid desorption and high-performance liquid chromatography with diode array detection (MSAµE(AC)-LD/HPLC-DAD) to monitor caffeine (CAF) and acetaminophen (ACF) traces in environmental matrices. In this study, commercial activated carbons (N, NOX, and R) were tested, with the latter showing a much better performance for the analysis of both anthropogenic drugs. The main parameters affecting the efficiency of the proposed methodology are fully discussed using commercial AC(R). Textural and surface chemistry properties of the ACs sample were correlated with the analytical results. Assays performed on 30 mL of water samples spiked at 10 µg L-1 under optimized experimental conditions, yielding recoveries of 75.3% for ACF and 82.6% for CAF. The methodology also showed excellent linear dynamic ranges for both drugs with determination coefficients higher than 0.9976, limits of detection and quantification of 0.8⁻1.2 µg L-1 and 2.8⁻4.0 µg L-1, respectively, and suitable precision (RSD < 13.8%). By using the standard addition method, the application of the present method to environmental matrices, including superficial, sea, and wastewater samples, allowed very good performance at the trace level. The proposed methodology proved to be a feasible alternative for polar compound analysis, showing to be easy to implement, reliable, and sensitive, with the possibility to reuse and store the analytical devices loaded with the target compounds for later analysis.


Asunto(s)
Acetaminofén/aislamiento & purificación , Cafeína/aislamiento & purificación , Microextracción en Fase Sólida/métodos , Agua/análisis , Adsorción , Carbón Orgánico/química , Cromatografía Líquida de Alta Presión/métodos , Límite de Detección , Contaminantes Químicos del Agua/aislamiento & purificación
10.
Eur J Clin Microbiol Infect Dis ; 37(11): 2069-2074, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30105621

RESUMEN

A questionnaire-based cross-sectional study was conducted to gather information on current microbiological practices for active surveillance of carriage of multidrug-resistant (MDR) bacteria in hospitals from 14 health departments of the Autonomous Community of Valencia (ACV), Spain, which together provided medical attention to 3,271,077 inhabitants in 2017, approximately 70% of the population of the ACV. The survey consisted of 35 questions on MDR bacteria screening policies, surveillance approach chosen (universal vs. targeted), and microbiological methods and processes in use for routine detection and reporting of colonization by MDR bacteria, including the anatomical sites scheduled to be sampled for each MDR bacterial species, and the methodology employed (culture-based, molecular-based, or both). Our study revealed striking differences across centers, likely attributable to the lack of consensus on optimal protocols for sampling, body sites for screening, and microbiological testing, thus underscoring the need for consensus guidelines on these issues.


Asunto(s)
Infecciones Bacterianas/epidemiología , Infecciones Bacterianas/microbiología , Portador Sano/epidemiología , Portador Sano/microbiología , Infección Hospitalaria , Farmacorresistencia Bacteriana Múltiple , Hospitales Comunitarios , Infecciones Bacterianas/transmisión , Estudios Transversales , Geografía , Humanos , Vigilancia en Salud Pública , España/epidemiología , Encuestas y Cuestionarios
11.
Anal Bioanal Chem ; 410(12): 2911-2920, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29523942

RESUMEN

A new hybrid microextraction technique (hollow fiber microextraction) is presented that uses the main concepts and advantages of the modern miniaturized devices used for trace analysis. This novel analytical approach uses devices made of polypropylene membranes (10.0 mm long and 0.6 mm internal diameter) in which convenient organic solvents are embedded that promote fast kinetics during the enrichment process, using the floating sampling technology concept. An innovative analytical cycle is also proposed by use of low-cost disposable devices during the microextraction stage together with a user-friendly ("single liquid desorption step") back-extraction stage in compliance with green analytical chemistry principles. To evaluate the performance of the proposed technique, 18 polycyclic aromatic hydrocarbons (PAHs) were used as model compounds and were monitored by gas chromatography coupled with mass spectrometry. Under optimized experimental conditions, assays performed on 25 mL aqueous samples spiked with the PAHs at trace level yielded average recoveries between (14.5 ± 8.2)% (dibenzo[a,h]anthracene) and (90.4 ± 8.4)% (benzo[a]anthracene) with use of a device in which n-nonane had been embedded. Low detection limits were also achieved (2.50-6.00 ng L-1), as well as good linear dynamic ranges (20.00-2000.00 ng L-1), with suitable coefficients of determination (r2 > 0.9905) and appropriate precision (relative standard deviation below 15%). By use of the standard addition method, the proposed hybrid microextraction technique had remarkable performance to monitor PAHs at the ultratrace level in several types of matrices, including surface water, wastewater, soil, tea, and fish liver samples. From the data obtained, the new hybrid hollow fiber microextraction technique proved to be user-friendly, eco-friendly, cost-effective, and very competitive for routine work. In short, the novel microextraction technique proposed herein is a remarkable alternative to other well-established microextraction techniques for ultratrace analysis of emerging compounds in real matrices. Graphical abstract Innovative analytical procedure for hollow fiber microextraction (HFµE). GC gas chromatography, LD liquid desorption.

12.
J Nerv Ment Dis ; 206(7): 507-512, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-29905661

RESUMEN

The aim of this work was to investigate the association between traumatic experiences and posttraumatic stress disorder (PTSD) with the academic performance of university students. This is a one-phase study that included 2213 students, enrolled at one of seven college institutions in their first or final semesters in all programs, who filled out the self-response questionnaires. From this student population, 14% presented with PTSD, with 13.3% in their first semester and 14.9% in their final semester. The students who presented lower academic results (low scoring) had a higher prevalence of PTSD in both the first and final semesters. Nonsexual violence was related with low scoring in the first-semester students. Thus, we conclude that students in the PTSD group present worse academic performance. These results indicate a need to pay attention to students who have been through traumatic experiences and gone on to develop PTSD, to ensure their undergraduate success and enable their future performance as professionals.


Asunto(s)
Rendimiento Académico , Acontecimientos que Cambian la Vida , Trastornos por Estrés Postraumático/psicología , Estudiantes/psicología , Víctimas de Crimen , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , Autoinforme , Trastornos por Estrés Postraumático/epidemiología , Encuestas y Cuestionarios , Universidades , Violencia , Adulto Joven
13.
Eur J Neurosci ; 45(6): 785-796, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-27992085

RESUMEN

Involuntary choreiform movements are clinical hallmark of Huntington's disease, an autosomal dominant neurodegenerative disorder caused by an increased number of CAG trinucleotide repeats in the huntingtin gene. Involuntary movements start with an impairment of facial muscles and then affect trunk and limbs muscles. Huntington's disease symptoms are caused by changes in cortex and striatum neurons induced by mutated huntingtin protein. However, little is known about the impact of this abnormal protein in spinal cord motoneurons that control movement. Therefore, in this study we evaluated abnormalities in the motor unit (spinal cervical motoneurons, motor axons, neuromuscular junctions and muscle) in a mouse model for Huntington's disease (BACHD). Using light, fluorescence, confocal, and electron microscopy, we showed significant changes such as muscle fibers atrophy, fragmentation of neuromuscular junctions, axonal alterations, and motoneurons death in BACHD mice. Noteworthy, the surviving motoneurons from BACHD spinal cords were smaller than WT. We suggest that this loss of larger putative motoneurons is accompanied by a decrease in the expression of fast glycolytic muscle fibers in this model for Huntington's disease. These observations show spinal cord motoneurons loss in BACHD that might help to understand neuromuscular changes in Huntington's disease.


Asunto(s)
Enfermedad de Huntington/patología , Neuronas Motoras/patología , Atrofia Muscular/patología , Animales , Vértebras Cervicales/patología , Masculino , Ratones , Músculo Esquelético/patología , Unión Neuromuscular/patología , Médula Espinal/patología
14.
Anal Bioanal Chem ; 409(8): 2093-2106, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28091717

RESUMEN

In the present work, bar adsorptive microextraction using miniaturized devices (7.5 × 3.0 mm) coated with suitable sorbent phases, combined with microliquid desorption (100 µL) followed by high-performance liquid chromatography with diode array detection (BAµE-µLD/HPLC-DAD), is proposed for the determination of trace level of six pharmaceuticals (furosemide, mebeverine, ketoprofen, naproxen, diclofenac and mefenamic acid) in environmental water and urine matrices. By comparing ten distinct sorbent materials (five polymeric and five activated carbons), the polymer P5 proved to be the most suitable to achieve the best selectivity and efficiency. The solvent volume minimization in the liquid desorption stage demonstrated remarkable effectiveness, being more environmentally friendly, and simultaneously increased the microextraction enrichment factor two-fold. Assays performed through BAµE(P5, 0.9 mg)-µLD(100 µL)/HPLC-DAD on 25 mL of ultrapure water samples spiked at the 4.0 µg/L level yielded average recoveries ranging from 91.4% (furosemide) to 101.0% (ketoprofen) with good precision (RSD < 10.6%), under optimized experimental conditions. The analytical performance showed convenient detection limits (25.0 - 120.0 ng/L), good linear dynamic ranges (0.1 to 24.0 µg/L), appropriate determination coefficients (r 2 > 0.9983), and excellent repeatability through intraday (RSD < 10.4%)) and interday (RSD < 10.0%) assays. By using the standard addition methodology, the application of the present analytical approach on environmental waters and urine samples revealed the occurrence of trace levels of some pharmaceuticals. The solvent minimization during the back-extraction step associated with the miniaturization of BAµE devices proved to be a very promising analytical technology for static microextraction analysis. Graphical abstract BAµE operating under the floating sampling technology for the determination of pharmaceuticals in aqueous media.


Asunto(s)
Preparaciones Farmacéuticas/química , Adsorción
15.
Int J Clin Pract ; 71(9)2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28873266

RESUMEN

BACKGROUND: Extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli are currently common in community-onset infections, limiting therapeutic options. In this work we aim to identify the prevalence of and risk factors for ESBL-producing E. coli in elderly patients with urinary tract infections (UTI) admitted to hospital. METHODS: Prospective cohort study on elderly patients with E. coli UTI admitted to a university hospital in Spain, from January 2013 to December 2015. Clinical features, microbiology and outcomes were recorded from the electronic medical records and reviewed by two researchers. Cases were segregated according to ESBL-producing E. coli. Risk factors for ESBL-producing E. coli were analysed by multivariate analysis. RESULTS: The prevalence of ESBL-producing E. coli was 27.4% (85/310). Healthcare-associated UTI was the only risk factor for ESBL-producing E. coli (OR 6.79; 95% CI 3.22-14.31, P < .001) by multivariate analysis. ESBL-producing E. coli was 43.9% in the healthcare-associated UTI group and 8.9% in the community-acquired UTI group (P < .001). Inadequate empirical antibiotic therapy and length of stay in hospital were higher in the ESBL-producing E. coli group than in the non-ESBL-producing E. coli group (62.3% vs 5.3% and 6.60 ± 3.69 days vs 5.61 ± 3.16 days, respectively). Mortality was not significantly different between groups (13% in ESBL-producing E. coli group vs 7.5% in non-ESBL-producing E. coli group, P = .140). SUMMARY: Healthcare-associated UTI was a risk factor for ESBL-producing E. coli in elderly patients with UTI admitted to hospital. Our results might help clinicians in choosing empirical antibiotics in an overall high rate setting of ESBL-producing E. coli.


Asunto(s)
Infecciones por Escherichia coli/etiología , Escherichia coli/enzimología , Infecciones Urinarias/etiología , beta-Lactamasas/metabolismo , Anciano , Anciano de 80 o más Años , Biomarcadores/metabolismo , Infecciones por Escherichia coli/epidemiología , Femenino , Hospitalización , Humanos , Masculino , Prevalencia , Estudios Prospectivos , Factores de Riesgo , España/epidemiología , Infecciones Urinarias/epidemiología , Infecciones Urinarias/microbiología
16.
Pharm Biol ; 55(1): 1348-1357, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28301958

RESUMEN

CONTEXT: Several Polygonum species (Polygonaceae) are used in traditional medicine in Asia, Europe and Africa to treat inflammation and diabetes. OBJECTIVE: Evaluate the in vitro antioxidant, anti-inflammatory and antidiabetic potential of methanol and dichloromethane extracts of leaves and roots of the halophyte Polygonum maritimum L. MATERIAL AND METHODS: Antioxidant activity was determined (up to 1 mg/mL) as radical-scavenging activity (RSA) of 2,2-diphenyl-1-picrylhydrazyl (DPPH), 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid) (ABTS), copper (CCA) and iron (ICA) chelating activities and iron reducing power (FRAP). NO production was measured in lipopolysaccharide (LPS)-stimulated macrophages for 24 h at concentrations up to 100 µg/mL and antidiabetic potential was assessed by α-amylase and α-glucosidase inhibition (up to 10 mg/mL) assays. The phytochemical composition of the extracts was determined by gas chromatography-mass spectrometry (GC-MS). RESULTS: The methanol leaf extract had the highest activity against DPPH• (IC50 = 26 µg/mL) and ABTS+• (IC50 = 140 µg/mL), FRAP (IC50 = 48 µg/mL) and CCA (IC50 = 770 µg/mL). Only the dichloromethane leaf extract (LDCM) showed anti-inflammatory activity (IC50 = 48 µg/mL). The methanol root (IC50 = 19 µg/mL) and leaf (IC50 = 29 µg/mL) extracts strongly inhibited baker's yeast α-glucosidase, but LDCM had higher rat's α-glucosidase inhibition (IC50 = 2527 µg/mL) than acarbose (IC50 = 4638 µg/mL). GC-MS analysis identified ß-sitosterol, stigmasterol, 1-octacosanol and linolenic acid as possible molecules responsible for the observed bioactivities. CONCLUSIONS: Our findings suggest P. maritimum as a source of high-value health promoting commodities for alleviating symptoms associated with oxidative and inflammatory diseases, including diabetes.


Asunto(s)
Antiinflamatorios/farmacología , Hipoglucemiantes/farmacología , Extractos Vegetales/farmacología , Polygonum , Animales , Antioxidantes/farmacología , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , Cromatografía de Gases y Espectrometría de Masas , Ratones , Fitoquímicos/análisis , Polygonum/química , Ratas
17.
J Sep Sci ; 39(4): 756-61, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26632142

RESUMEN

This manuscript addresses the determination of triazines (ametryn, atrazine, simazine, and terbutryn) in corn matrices using bar adsorptive microextraction coated with a selective molecularly imprinted polymer phase following microliquid desorption and high-performance liquid chromatography with diode array detection. The molecularly imprinted polymer was synthesized using atrazine as a template and methacrylic acid as a functional monomer. Assays performed in 25 mL of ultrapure water samples spiked at 8.0 µg/L yielded 80-120 % recoveries under the evaluated experimental conditions. The method showed an accuracy (0.2 < bias < 17.9%), precision (relative standard deviation <17.4%), convenient detection (0.2 µg/L), and quantification (0.7 µg/L) limits, as well as linear dynamic ranges (0.8-24.0 µg/L) with remarkable determination coefficients (R(2) > 0.9926). The proposed analytical method was applied to monitor triazines in three types of corn matrices using the standard addition methodology. Experiments performed in corn samples spiked with triazines at the trace level (8.0 µg/kg of each analyte) gave rise to recoveries (81.0-119.4%) with good reproducibility and robustness. The proposed methodology is also easy to implement and showed to be a good analytical alternative to monitor triazines in complex matrices, when compared with other sorption-based microextraction techniques.


Asunto(s)
Polímeros/química , Microextracción en Fase Sólida/métodos , Triazinas/química , Adsorción , Cromatografía de Gases , Cromatografía Líquida de Alta Presión , Gasolina , Geles/química , Hidrocarburos/química , Microextracción en Fase Líquida , Tamaño de la Partícula , Reproducibilidad de los Resultados , Dióxido de Silicio/química , Temperatura , Zea mays
18.
An Acad Bras Cienc ; 88(4): 2195-2209, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27925031

RESUMEN

Matter and energy flux dynamics of wetlands are important to understand environmental processes that govern biosphere-atmosphere interactions across ecosystems. This study presents analyses about hourly interaction between wind speed and energy fluxes in Brazilian Wetlands - Mato Grosso - Brazil. This study was conducted in Private Reserve of Natural Heritage (PRNH SESC, 16º39'50''S; 56º47'50''W) in Brazilian Wetland. According to Curado et al. (2012), the wet season occurs between the months of January and April, while the June to September time period is the dry season. Results presented same patterns in energies fluxes in all period studied. Wind speed and air temperature presented same patterns, while LE was relative humidity presented inverse patterns of the air temperature. LE was predominant in all seasons and the sum of LE and H was above 90% of net radiation. Analyses of linear regression presented positive interactions between wind speed and LE, and wind speed and H in all seasons, except in dry season of 2010. Confidence coefficient regression analyses present statistical significance in all wet and dry seasons, except dry season of 2010, suggest that LE and H had interaction with other micrometeorological variables.

19.
An Acad Bras Cienc ; 88(3): 1387-95, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27556220

RESUMEN

The study of radiation entrance and exit dynamics and energy consumption in a system is important for understanding the environmental processes that rule the biosphere-atmosphere interactions of all ecosystems. This study provides an analysis of the interaction of energy in the form of photosynthetically active radiation (PAR) in the Pantanal, a Brazilian wetland forest, by studying the variation of PAR reflectance and its interaction with local rainfall. The study site is located in Private Reserve of Natural Heritage, Mato Grosso State, Brazil, where the vegetation is a monodominant forest of Vochysia divergens Phol. The results showed a high correlation between the reflection of visible radiation and rainfall; however, the behavior was not the same at the three heights studied. An analysis of the hourly variation of the reflected waves also showed the seasonality of these phenomena in relation to the dry and rainy seasons. A predictive model for PAR was developed with a neural network that has a hidden layer, and it showed a determination coefficient of 0.938. This model showed that the Julian day and time of measurements had an inverse association with the wind profile and a direct association with the relative humidity profile.


Asunto(s)
Bosques , Redes Neurales de la Computación , Fotosíntesis , Radiación , Humedales , Brasil , Humedad , Análisis Multivariante , Lluvia , Estaciones del Año , Factores de Tiempo , Viento
20.
Mar Drugs ; 13(6): 3531-49, 2015 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-26047482

RESUMEN

Four lipid-rich microalgal species from the Red Sea belonging to three different genera (Nannochloris, Picochlorum and Desmochloris), previously isolated as novel biodiesel feedstocks, were bioprospected for high-value, bioactive molecules. Methanol extracts were thus prepared from freeze-dried biomass and screened for different biological activities. Nannochloris sp. SBL1 and Desmochloris sp. SBL3 had the highest radical scavenging activity against 1,1-diphenyl-2-picrylhydrazyl, and the best copper and iron chelating activities. All species had potent butyrylcholinesterase inhibitory activity (>50%) and mildly inhibited tyrosinase. Picochlorum sp. SBL2 and Nannochloris sp. SBL4 extracts significantly reduced the viability of tumoral (HepG2 and HeLa) cells with lower toxicity against the non-tumoral murine stromal (S17) cells. Nannochloris sp. SBL1 significantly reduced the viability of Leishmania infantum down to 62% (250 µg/mL). Picochlorum sp. SBL2 had the highest total phenolic content, the major phenolic compounds identified being salicylic, coumaric and gallic acids. Neoxanthin, violaxanthin, zeaxanthin, lutein and ß-carotene were identified in the extracts of all strains, while canthaxanthin was only identified in Picochlorum sp. SBL2. Taken together, these results strongly suggest that the microalgae included in this work could be used as sources of added-value products that could be used to upgrade the final biomass value.


Asunto(s)
Biomasa , Microalgas/química , Extractos Vegetales/farmacología , Animales , Antineoplásicos/aislamiento & purificación , Antineoplásicos/farmacología , Butirilcolinesterasa/efectos de los fármacos , Quelantes/aislamiento & purificación , Quelantes/farmacología , Inhibidores de la Colinesterasa/aislamiento & purificación , Inhibidores de la Colinesterasa/farmacología , Depuradores de Radicales Libres/aislamiento & purificación , Depuradores de Radicales Libres/farmacología , Células HeLa , Células Hep G2 , Humanos , Océano Índico , Lípidos/química , Metanol/química , Fenoles/aislamiento & purificación , Fenoles/farmacología
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