Hypersaline water from desalinization plants causes oxidative damage in Posidonia oceanica meadows.

Posidonia oceanica is an endemic marine phanerogam of the Mediterranean Sea for that is very sensitive to the environmental changes, especially those related to human activities. The aim of this study was to evaluate the oxidative stress status of P. oceanica meadows exposed to spillage of hypersaline water from a desalination station by using biomarkers. Leaf samples of P. oceanica were obtained from 4 different points exposed to different levels of salinity water. Samples from the area with the highest salinity conditions were 75% shorter than the samples from the control area. Exposure to high salinity induced an increase in the levels of oxidative stress markers (malondialdehyde (MDA) and protein carbonyls). Interestingly, in the area with the highest salinity the activities of glutathione peroxidase, glutathione reductase and glutathione-s-transferase were significantly induced respect to the other studies areas, while catalase (CAT) and superoxide dismutase (SOD) activities were lower. In addition, salinity induced a progressive increase in non-enzymatic antioxidants (polyphenols and glutathione) and in total antioxidant capacity reaching the highest concentrations in samples directly affected by the saline discharge. In conclusion chronic exposure to high salinity induced an increase in total antioxidant capacity in P. oceanica. However, this increase was not enough to protect the plant against oxidative stress as it is evidenced by the raise in oxidative stress markers. The obtained data suggest that high salinity conditions deactivated CAT and SOD antioxidant enzymes and caused an increase in non-enzymatic antioxidants (polyphenols and glutathione) and in glutathione-related enzymes.

Microencapsulation as a tool to counteract the typical low bioavailability of polyphenols in the management of diabetes.

Polyphenols are secondary metabolites widely distributed in many plant foods, such a tea, coffee, chocolate and fruits. The consumption of these compounds is related to the improvement or amelioration of many diseases, including diabetes. Nevertheless, the great barrier to the therapeutic use of polyphenols is the low bioavailability of these compounds once ingested. For that reason, the encapsulation of polyphenols in different matrices may protect them from digestion and improve their release and subsequent absorption to obtain target-specific health effects. Some studies have reported the beneficial effect of encapsulation to increase both bioavailability and bioaccessibility. However, these works have mostly been carried out in vitro and few studies are specifically addressed at improving diabetes. In the current work, an overview of the knowledge related to nanoparticles and their use in the diabetic condition has been reviewed.

A comprehensive overview on the molecular biology of human glioma: what the clinician needs to know.

The molecular biology of human glioma is a complex and fast-growing field in which basic research needs to meet clinical expectations in terms of anti-tumor efficacy. Although much effort is being done in molecular biology research, significant contribution to the quality of life and overall survival still lacks. The vastness of molecular biology literature makes it virtually impossible for clinicians to keep up to date in the field. This paper reviews some practical concepts regarding glioma tumorigenesis from the clinician's perspective. Five main aspects are discussed: major intracellular signaling pathways involved in glioma formation; genomic, epigenetic and transcriptomic relevant features of glioma; the prognostic and predictive values of molecular markers according to the new WHO classification of glial tumors; the importance of molecular and cellular heterogeneity in glioblastoma, responsible for its therapy resistance; and the interaction between glioma and the immune system, in view of the novel and promising targeted therapies.

Práctica pedagógica en la formación para el cuidado de enfermería / Pedagogical practice in nursing care formation / Prática pedagógica na formação para o cuidado de enfermagem

Objetivo: Explorar la práctica pedagógica docente en la formación para el cuidado de enfermería en la Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas. Material y método: Estudio cualitativo, exploratorio, descriptivo: la muestra la conformaron 21 informantes. La recolección de información fue por medio de entrevista semi estructurada. El análisis siguió un proceso de codificación abierta, axial y selectiva hasta obtener categorías emergentes. Resultados: Se identificaron las siguientes categorías: I) Convivencia y relaciones de cuidado/descuido en la formación de enfermería; II) (Des)articulación teórico- práctica en la enseñanza/aprendizaje del cuidado de enfermería: hacia la integración docente-asistente; III) Complementariedad docente/estudiante para la construcción de conocimiento y estrategias didácticas. Conclusiones: La pedagogía para el cuidado de enfermería se evidencia en un espacio de cuidado/descuido, demandan integración docencia-asistencia y se motivan para el fortalecimiento de competencias pedagógico didácticas, a través del aprendizaje basado en problemas, casos hipotéticos, laboratorios vivenciales y sociodramas e incluir como ejes trasversales el cuidado y la investigación.

Objective: To explore the pedagogical practice in nursing care formation among teachers of the Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas. Method and materials: This is a qualitative, exploratory and descriptive study, with a sample of 21 informants. Data were gathered using semi-structured interviews. The analysis followed an open, axial, and selective coding process, until emerging categories were identified. Results: The following categories emerged: I) Co-living and care/negligence relationships in nursing formation; II) (Lack of) theory-practice articulation in teaching/learning nursing care: towards the teacher-assistant integration; III) Teacher/student complementarity in the construction of knowledge and didactical strategies. Conclusions: Pedagogy in nursing care is evidenced within a care/negligence space, and thus, it is necessary to strengthen the integration among teaching and assistance improving the pedagogical competencies through methodologies such as learning based on problem solving, presentation of hypothetical cases, use of laboratories, including those for high-fidelity simulation, among others.

Objetivo: Explorar a prática pedagógica docente na formação para o cuidado de enfermagem na Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas. Material e método: Estudo qualitativo, exploratório, descritivo: a amostra a conformaram 21 informantes. A recolecção de informação foi por meio de entrevista semiestruturada. A análise seguiu um processo de codificação aberta, axial e seletiva até obter categorias emergentes. Resultados: Identificaram-se as seguintes categorias: I) Convivência e relações de cuidado/descuido na formação de enfermagem; II) (Des)articulação teórico -prática no ensino/aprendizagem do cuidado de enfermagem: para a integração docente- assistente; III) Complementaridade docente/estudante para a construção de conhecimento e estratégias didáticas. Conclusões: A pedagogia para o cuidado de enfermagem evidencia-se em um espaço de cuidado/descuido, demandam integração, docência-assistência e motivam-se para o fortalecimento de competências pedagógico didáticas, através da aprendizagem, baseada em problemas, casos hipotéticos, laboratórios vivenciais e sociodramas e incluir como eixos transversais o cuidado e a pesquisa.

[Selective dorsal rhizotomy: a review of the literature on this technique for the treatment of spasticity in infantile cerebral palsy]. / Rizotomia dorsal selectiva: revision bibliografica de esta tecnica para el tratamiento de la espasticidad en la paralisis cerebral infantil.

INTRODUCTION: Infantile cerebral palsy is a well-known condition, the prevalence of which has varied only slightly over the years. The most common subtype is spastic diplegia, and spasticity is the most disabling symptom. Its treatment involves a multidisciplinary intervention that includes rehabilitation, the use of drugs, and orthopaedic and nervous system surgery, where selective dorsal rhizotomy is a prominent procedure. AIM: To present a thorough review of the use, indication and long-term consequences of selective dorsal rhizotomy. DEVELOPMENT: It is a minimally invasive procedure aimed at reducing spasticity in the lower extremities in order to improve the ability to walk, lessen pain, facilitate care in everyday life and diminish the need for orthopaedic surgery. The literature contains a wide range of criteria for its use, and the main indication is spastic diplegia with the absence of dystonia. It is routinely performed in several countries, while we have no evidence of its application in ours. CONCLUSIONS: Following the literature review, we believe there is enough experience to state that selective dorsal rhizotomy is a safe and simple technique from which many patients with spasticity of the lower limbs secondary to infantile cerebral palsy can benefit in both the short and the long term.

TITLE: Rizotomia dorsal selectiva: revision bibliografica de esta tecnica para el tratamiento de la espasticidad en la paralisis cerebral infantil.Introduccion. La paralisis cerebral infantil conforma una entidad bien conocida cuya prevalencia ha variado poco a lo largo de los años. El subtipo mas comun es la diplejia espastica, y la espasticidad es el sintoma mas incapacitante. Para su tratamiento es preciso una intervencion multidisciplinar que auna rehabilitacion, uso de farmacos y cirugia ortopedica y del sistema nervioso, donde destaca la rizotomia dorsal selectiva. Objetivo. Mostrar una amplia revision del uso, indicaciones y consecuencias a largo plazo de la rizotomia dorsal selectiva. Desarrollo. Se trata de una intervencion minimamente invasiva dirigida a disminuir la espasticidad en las extremidades inferiores con el fin de mejorar la deambulacion, aminorar el dolor, facilitar los cuidados de la vida diaria y reducir la necesidad de cirugias ortopedicas. En la bibliografia hay una amplia variabilidad de criterios para su uso, y la principal indicacion es la diplejia espastica con ausencia de distonia. Diversos paises lo practican de forma rutinaria, mientras que en el nuestro no tenemos aun constancia de ello. Conclusiones. Tras la revision de la bibliografia consideramos que existe suficiente experiencia como para afirmar que la rizotomia dorsal selectiva es una tecnica segura y sencilla de la que muchos pacientes con espasticidad de las extremidades inferiores secundaria a paralisis cerebral infantil se pueden beneficiar a corto y largo plazo.

Intraoperative 3 tesla magnetic resonance imaging: our experience in tumors. / Resonancia magnética intraoperatoria de 3 teslas: Nuestra experiencia en patología tumoral.

OBJECTIVE: To report our experience in the use of 3 tesla intraoperative magnetic resonance imaging (MRI) in neurosurgical procedures for tumors, and to evaluate the criteria for increasing the extension of resection. MATERIAL AND METHODS: This retrospective study included all consecutive intraoperative MRI studies done for neuro-oncologic disease in the first 13 months after the implementation of the technique. We registered possible immediate complications, the presence of tumor remnants, and whether the results of the intraoperative MRI study changed the surgical management. We recorded the duration of surgery in all cases. RESULTS: The most common tumor was recurrent glioblastoma, followed by primary glioblastoma and metastases. Complete resection was achieved in 28%, and tumor remnants remained in 72%. Intraoperative MRI enabled neurosurgeons to improve the extent of the resection in 85% of cases. The mean duration of surgery was 390±122minutes. CONCLUSION: Intraoperative MRI using a strong magnetic field (3 teslas) is a valid new technique that enables precise study of the tumor resection to determine whether the resection can be extended without damaging eloquent zones. Although the use of MRI increases the duration of surgery, the time required decreases as the team becomes more familiar with the technique.

Quantitative volumetric analysis of gliomas with sequential MRI and ¹¹C-methionine PET assessment: patterns of integration in therapy planning.

PURPOSE: The aim of the study was to evaluate the volumetric integration patterns of standard MRI and (11)C-methionine positron emission tomography (PET) images in the surgery planning of gliomas and their relationship to the histological grade. METHODS: We studied 23 patients with suspected or previously treated glioma who underwent preoperative (11)C-methionine PET because MRI was imprecise in defining the surgical target contour. Images were transferred to the treatment planning system, coregistered and fused (BrainLAB). Tumour delineation was performed by (11)C-methionine PET thresholding (vPET) and manual segmentation over MRI (vMRI). A 3-D volumetric study was conducted to evaluate the contribution of each modality to tumour target volume. All cases were surgically treated and histological classification was performed according to WHO grades. Additionally, several biopsy samples were taken according to the results derived either from PET or from MRI and analysed separately. RESULTS: Fifteen patients had high-grade tumours [ten glioblastoma multiforme (GBM) and five anaplastic), whereas eight patients had low-grade tumours. Biopsies from areas with high (11)C-methionine uptake without correspondence in MRI showed tumour proliferation, including infiltrative zones, distinguishing them from dysplasia and radionecrosis. Two main PET/MRI integration patterns emerged after analysis of volumetric data: pattern vMRI-in-vPET (11/23) and pattern vPET-in-vMRI (9/23). Besides, a possible third pattern with differences in both directions (vMRI-diff-vPET) could also be observed (3/23). There was a statistically significant association between the tumour classification and integration patterns described above (p < 0.001, κ = 0.72). GBM was associated with pattern vMRI-in-vPET (9/10), low-grade with pattern vPET-in-vMRI (7/8) and anaplastic with pattern vMRI-diff-vPET (3/5). CONCLUSION: The metabolically active tumour volume observed in (11)C-methionine PET differs from the volume of MRI by showing areas of infiltrative tumour and distinguishing from non-tumour lesions. Differences in (11)C-methionine PET/MRI integration patterns can be assigned to tumour grades according to the WHO classification. This finding may improve tumour delineation and therapy planning for gliomas.

Fumonisin B1 and hydrolyzed fumonisin B1 (AP1) in tortillas and nixtamalized corn (Zea mays L.) from two different geographic locations in Guatemala.

Fumonisin B1 (FB1) is a common contaminant of corn worldwide and is responsible for several diseases of animals. In the preparation of tortillas, corn is treated with lime (producing nixtamal) that when heated hydrolyzes at least a portion of the FB1 to the aminopentol backbone (AP1), another known toxin. This study analyzed the amounts of FB1 and AP1 in tortillas and nixtamal from two communities in the central highlands of Guatemala where corn is a major dietary staple (Santa Maria de Jesus, Sacatepequez, and Patzicia, Chimaltenango). The amounts of FB1 and AP1 in tortillas from Santa Maria de Jesus were, respectively, 0.85 +/- 2.0 and 26.1 +/- 38.5 microg/g dry weight (mean +/- SD), and from Patzicia were 2.2 +/- 3.6 and 5.7 +/- 9.4 microg/g dry weight. Less than 6% of the tortillas from both locations contained > or = 10 microg FB1/g dry weight; whereas, 66% of the samples from Santa Maria de Jesus and 29% from Patzicia contained > or = 10 microg AP1/g dry weight. The highest amount of AP1 (185 microg/g dry weight) was found in tortillas from Santa Maria de Jesus. The highest amounts of FB1 were 6.5 and 11.6 microg/g dry weight in tortillas from Santa Maria de Jesus and Patzicia, respectively. The mean concentration of FB1 in nixtamal was significantly higher in Santa Maria de Jesus compared to Patzicia. Surprisingly, AP1 was not detected in any of the nixtamal samples. The human impact of exposure to these amounts of fumonisins is not known. However, based on findings with other animals, where corn is a dietary staple, long-term consumption of FB1 and AP1 (especially at > or = 10 microg/g of the diet) may pose a risk to human health.

Bioavailability of 1-nitropyrene from model coal fly ash and its uptake by alveolar macrophages.

Alveolar macrophage cultures exposed to coal fly ash vapor-coated with 1-nitropyrene were used as a model system to study the bioavailability and the uptake of a nitroaromatic hydrocarbon from coal combustion emissions. Initially, 1-nitropyrene-coated fly ash and uncoated fly ash were examined for cytotoxicity using rabbit alveolar macrophages and for mutagenicity in the Salmonella typhimurium plate incorporation assay. The results were compared to determine the effects of vapor deposition. The distribution and recovery of 1-nitropyrene from macrophage cultures treated with coated fly ash were determined by using a reverse-phase high-performance liquid chromatography-fluorescence method. 1-Nitropyrene alone was not very toxic, nor did vapor deposition of 1-nitropyrene onto coal fly ash significantly affect the toxicity of the fly ash. Most toxicity resulted from the original, uncoated fly ash particles. 1-Nitropyrene after being coated onto the particles was bioavailable in agar and aqueous culture medium. The coated fly ash showed mutagenic activity when the particles were tested directly; the uncoated fly ash did not show mutagenic activity. 1-Nitropyrene recovery from alveolar macrophage cultures exposed to the coated fly ash diminished as cell number increased. The rate of 1-nitropyrene loss was 2.7 ng/10(6) macrophages for medium and 4.1 ng/10(6) macrophages for the whole culture. The mutagenic activity recovered from these macrophage cultures also decreased with increasing cell number.

Evaluation of the release of mutagens and 1-nitropyrene from diesel particles in the presence of lung macrophages in culture.

The release and recovery of mutagenic activity and 1-nitropyrene from diesel particles phagocytized and cultured with lung macrophages were studied. The Ames Salmonella typhimurium plate incorporation assay was used to measure mutagenic activity. Quantitative analysis of 1-nitropyrene was performed with liquid chromatography/fluorescence analysis. The cytotoxicity and phagocytosis of diesel particles with and without fetal calf serum were evaluated to select exposure concentrations that resulted in minimal toxicity and maximal engulfment of particles by the macrophages. The diesel-particle exposure concentrations for the mutagenicity studies were 200 micrograms/ml in the absence of serum and 375 micrograms/ml in the presence of serum. Engulfment and incubation of diesel particles with lung macrophages resulted in the loss of considerable mutagenic activity (97-98%) and significantly less 1-nitropyrene (10-25%). These studies suggest that lung macrophages have the capability to metabolize mutagenic nitroaromatics found in diesel particles.