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1.
Chemistry ; 30(23): e202304130, 2024 Apr 22.
Artículo en Inglés | MEDLINE | ID: mdl-38350013

RESUMEN

Magnesium-based catalysts are becoming popular for hydroelementation reactions specially using p-block reagents. Based on the seminal report from Schäfer's group (ChemCatChem 2022, 14, e202201007), our study demonstrates that the reaction mechanisms exhibit a far greater degree of complexity than originally presumed. Magnesium has a variety of coordination modes (and access to different hybridizations) which allows this electron-deficient centre to modulate its catalytic power depending on the σ-donor properties of the reagent. DFT calculations demonstrate several reaction channels closely operating in these versatile catalysts. In addition, variations in limiting energy barriers resulting from catalyst modifications were examined as a function of the Hammett constant, thereby predicting enhanced efficiency in reaction conversions.

2.
Int J Mol Sci ; 25(6)2024 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-38542528

RESUMEN

Spider silk has extraordinary mechanical properties, displaying high tensile strength, elasticity, and toughness. Given the high performance of natural fibers, one of the long-term goals of the silk community is to manufacture large-scale synthetic spider silk. This process requires vast quantities of recombinant proteins for wet-spinning applications. Attempts to synthesize large amounts of native size recombinant spidroins in diverse cell types have been unsuccessful. In these studies, we design and express recombinant miniature black widow MaSp1 spidroins in bacteria that incorporate the N-terminal and C-terminal domain (NTD and CTD), along with varying numbers of codon-optimized internal block repeats. Following spidroin overexpression, we perform quantitative analysis of the bacterial proteome to identify proteins associated with spidroin synthesis. Liquid chromatography with tandem mass spectrometry (LC MS/MS) reveals a list of molecular targets that are differentially expressed after enforced mini-spidroin production. This list included proteins involved in energy management, proteostasis, translation, cell wall biosynthesis, and oxidative stress. Taken together, the purpose of this study was to identify genes within the genome of Escherichia coli for molecular targeting to overcome bottlenecks that throttle spidroin overexpression in microorganisms.


Asunto(s)
Fibroínas , Arañas , Animales , Fibroínas/química , Proteómica , Espectrometría de Masas en Tándem , Seda/química , Proteínas Recombinantes/química , Bacterias , Arañas/genética
3.
Ann Hepatol ; 27(3): 100684, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35167956

RESUMEN

INTRODUCTION AND OBJECTIVES: The emergence of SARS-CoV-2, which causes the coronavirus disease (COVID-19) has caused a great impact on healthcare systems worldwide, including hepatitis B and C viruses screening and elimination programs. The high number of COVID-19 hospitalizations represent a great opportunity to screen patients for hepatitis B virus (HBV) and hepatitis C virus (HCV), which was the aim of this study. MATERIAL AND METHODS: Cross-sectional, retrospective study performed between April 2020 and 20201 at a referral center in Mexico dedicated to the care of adults with severe/critical COVID-19. We retrieved clinical, demographic, and laboratory results from each patient´s medical records, including antibodies against HCV (anti-HCV), HBV surface antigen (HBsAg), antibodies against the HBV core antigen (anti-HBcAg), and antibodies against HBsAg (anti-HBsAg). RESULTS: Out of 3620 patients that were admitted to the hospital, 24 (0.66%), 4 (0.11%), and 72 (1.99%) tested positive for anti-HCV, HBsAg, and anti-HBcAg, respectively. Of all seronegative patients, 954 (27%) had undetectable anti-HBsAg and 401 (12%) had anti-HBsAg at protective levels. Blood transfusion was the most relevant risk factor. Only 9.7% of the anti-HBc positive, 25% of the HBsAg positive, and 52% of the anti-HCV positive were aware of their serological status. CONCLUSIONS: In this study we found a prevalence of anti-HCV of 0.66%, HBsAg in 0.11%, and isolated anti-HBcAg in 1.99%. We also found that HBV vaccination coverage has been suboptimal and needs to be reinforced. This study gave us a trustworthy insight of the actual seroprevalence in Mexico, which can help provide feedback to the Hepatitis National Elimination Plan.


Asunto(s)
COVID-19 , Hepatitis B , Hepatitis C , Adulto , COVID-19/diagnóstico , COVID-19/epidemiología , Estudios Transversales , Hepacivirus , Hepatitis B/diagnóstico , Hepatitis B/epidemiología , Anticuerpos contra la Hepatitis B , Antígenos del Núcleo de la Hepatitis B , Antígenos de Superficie de la Hepatitis B , Virus de la Hepatitis B , Hepatitis C/diagnóstico , Hepatitis C/epidemiología , Anticuerpos contra la Hepatitis C , Humanos , Pacientes Internos , México/epidemiología , Derivación y Consulta , Estudios Retrospectivos , SARS-CoV-2 , Estudios Seroepidemiológicos
4.
Opt Lett ; 46(23): 5786-5789, 2021 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-34851890

RESUMEN

In this Letter, we show 3D steady-state trapping and manipulation of vapor bubbles in liquids employing a low-power continuous-wave laser using the Marangoni effect. Light absorption from photodeposited silver nanoparticles on the distal end of a multi-mode optical fiber is used to produce bubbles of different diameters. The thermal effects produced by either the nanoparticles on the fiber tip or the light bulk absorption modulate the surface tension of the bubble wall and creates both longitudinal and transversal forces just like optical forces, effectively creating a 3D potential well. Using numerical simulations, we obtain expressions for the temperature profiles and present analytical expressions for the Marangoni force. In addition, using an array of three fibers with photodeposited nanoparticles is used to demonstrate the transfer of bubbles from one fiber to another by sequentially switching on and off the lasers.

5.
Sensors (Basel) ; 21(2)2021 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-33477479

RESUMEN

In the present paper, we show the experimental measurement of the growth of a microbubble created on the tip of a single mode optical fiber, in which zinc nanoparticles were photodeposited on its core by using a single laser source to carry out both the generation of the microbubble by photothermal effect and the monitoring of the microbubble diameter. The photodeposition technique, as well as the formation of the microbubble, was carried out by using a single-mode pigtailed laser diode with emission at a wavelength of 658 nm. The microbubble's growth was analyzed in the time domain by the analysis of the Fabry-Perot cavity, whose diameter was calculated with the number of interference fringes visualized in an oscilloscope. The results obtained with this technique were compared with images obtained from a CCD camera, in order to verify the diameter of the microbubble. Therefore, by counting the interference fringes, it was possible to quantify the temporal evolution of the microbubble. As a practical demonstration, we proposed a vibrometer sensor using microbubbles with sizes of 83 and 175 µm as a Fabry-Perot cavity; through the time period of a full oscillation cycle of an interferogram observed in the oscilloscope, it was possible to know the frequency vibration (500 and 1500 Hz) for a cuvette where the microbubble was created.

6.
Opt Express ; 28(12): 17672-17682, 2020 Jun 08.
Artículo en Inglés | MEDLINE | ID: mdl-32679972

RESUMEN

The most common approach to optically generate and manipulate bubbles in liquids involves temperature gradients induced by CW lasers. In this work, we present a method to accomplish both the generation of microbubbles and their 3D manipulation in ethanol through optothermal forces. These forces are triggered by light absorption from a nanosecond pulsed laser (λ = 532 nm) at silver nanoparticles photodeposited at the distal end of a multimode optical fiber. Light absorbed from each laser pulse quickly heats up the silver-ethanol interface beyond the ethanol critical-point (∼ 243 °C) before the heat diffuses through the liquid. Therefore, the liquid achieves a metastable state and owing to spontaneous nucleation converted to a vapor bubble attached to the optical fiber. The bubble grows with semi-spherical shape producing a counterjet in the final stage of the collapse. This jet reaches the hot nanoparticles vaporizing almost immediately and ejecting a microbubble. This microbubble-generation mechanism takes place with every laser pulse (10 kHz repetition rate) leading to the generation of a microbubbles stream. The microbubbles' velocities decrease as they move away from the optical fiber and eventually coalesce forming a larger bubble. The larger bubble is attracted to the optical fiber by the Marangoni force once it reaches a critical size while being continuously fed with each bubble of the microbubbles stream. The balance of the optothermal forces owing to the laser-pulse drives the 3D manipulation of the main bubble. A complete characterization of the trapping conditions is provided in this paper.

7.
Sci Comput Program ; 182: 42-63, 2019 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-32029957

RESUMEN

Common chronic conditions are routinely treated following standardised procedures known as clinical guidelines. For patients suffering from two or more chronic conditions, known as multimorbidity, several guidelines have to be applied simultaneously, which may lead to severe adverse effects when the combined recommendations and prescribed medications are inconsistent or incomplete. This paper presents an automated formal framework to detect, highlight and resolve conflicts in the treatments used for patients with multimorbidities focusing on medications. The presented extended framework has a front-end which takes guidelines captured in a standard modelling language and returns the visualisation of the detected conflicts as well as suggested alternative treatments. Internally, the guidelines are transformed into formal models capturing the possible unfoldings of the guidelines. The back-end takes the formal models associated with multiple guidelines and checks their correctness with a theorem prover, and inherent inconsistencies with a constraint solver. Key to our approach is the use of an optimising constraint solver which enables us to search for the best solution that resolves/minimises conflicts according to medication efficacy and the degree of severity in case of harmful combinations, also taking into account their temporal overlapping. The approach is illustrated throughout with a real medical example.

8.
Int J Obes (Lond) ; 42(1): 95-101, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-28924264

RESUMEN

BACKGROUND/OBJECTIVES: Sleep-disordered breathing (SDB) has been associated with neurocognitive and behavioral problems in young children; however, this association is less studied in adolescents. Evidence suggests that obesity plays a key role in the development of SDB, although its relative association with neurobehavioral functioning remains unclear. We examined whether SDB and obesity are associated with neurocognitive and behavioral problems in adolescents. SUBJECTS/METHODS: A total of 421 adolescents (17.0±2.2y, 53.9% male) from the Penn State Child Cohort, a general population sample, underwent a 9-h polysomnography, clinical history, physical examination, neurocognitive evaluation and Dual-energy X-ray Absorptiometry (DXA) scan, and completed the Child or Adult Behavior Checklist. Obstructive sleep apnea (OSA) was defined as an apnea-hypopnea index (AHI)⩾2, primary snoring (PS) as AHI<2+snoring and no-SDB as AHI<2 without snoring. Body weight measures included body mass index (BMI) percentile, waist circumference (WC) and DXA-measured total adipose tissue (TAT). RESULTS: WC and TAT were significantly associated with impaired vigilance, processing speed, working memory, and control interference and greater internalizing and externalizing behaviors, while BMI percentile was marginally associated. SDB per se (PS, AHI or OSA) was not significantly associated with impaired neurocognitive outcomes or greater behavioral problems. However, TAT was significantly associated with impaired vigilance and greater internalizing and externalizing behaviors and, to a lesser extent, slower processing speed and greater control interference, only in adolescents with OSA. CONCLUSIONS: Central obesity, an etiopathogenic mechanism of OSA, is more strongly associated with neurocognitive and behavioral problems in adolescents than SDB alone. Deficits in low-order (vigilance) and high-order (executive) functions and behavioral problems observed in adolescents with OSA are primarily associated with increased central adiposity, a finding not entirely captured with less precise measures of obesity. These data support that OSA and its associated neurocognitive and behavioral morbidity are related to underlying metabolic dysfunction as early as adolescence.


Asunto(s)
Conducta del Adolescente/fisiología , Tamaño Corporal/fisiología , Cognición/fisiología , Síndromes de la Apnea del Sueño/epidemiología , Síndromes de la Apnea del Sueño/fisiopatología , Absorciometría de Fotón , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Pruebas Neuropsicológicas , Obesidad/complicaciones , Obesidad/epidemiología , Síndromes de la Apnea del Sueño/complicaciones , Adulto Joven
9.
Opt Express ; 26(6): 6653-6662, 2018 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-29609352

RESUMEN

The generation and manipulation of microbubbles by means of temperature gradients induced by low power laser radiation is presented. A laser beam (λ = 1064 nm) is divided into two equal parts and coupled to two multimode optical fibers. The opposite ends of each fiber are aligned and separated a distance D within an ethanol solution. Previously, silver nanoparticles were photo deposited on the optical fibers ends. Light absorption at the nanoparticles produces a thermal gradient capable of generating a microbubble at the optical fibers end in non-absorbent liquids. The theoretical and experimental studies carried out showed that by switching the thermal gradients, it is possible to generate forces in opposite directions, causing the migration of microbubbles from one fiber optic tip to another. Marangoni force induced by surface tension gradients in the bubble wall is the driving force behind the manipulation of microbubbles. We estimated a maximum Marangoni force of 400nN for a microbubble with a radius of 110 µm.

10.
Exp Eye Res ; 166: 1-12, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-29030174

RESUMEN

There is increasing evidence to suggest a beneficial neuroprotective effect of growth hormone (GH) in the nervous system. While our previous studies have largely focused on retinal ganglion cells (RGCs), we have also found conclusive evidence of a pro-survival effect of GH in cells of the inner nuclear layer (INL) as well as a protective effect on the dendritic trees of the inner plexiform layer (IPL) in the retina. The administration of GH in primary neuroretinal cell cultures protected and induced neural outgrowths. Our results, both in vitro (embryo) and in vivo (postnatal), showed neuroprotective actions of GH against kainic acid (KA)-induced excitotoxicity in the chicken neuroretina. Intravitreal injections of GH restored brain derived neurotrophic factor (BDNF) expression in retinas treated with KA. In addition, we demonstrated that GH over-expression and exogenous administration increased BDNF and neurotrophin-3 (NT3) gene expression in embryonic neuroretinal cells. Thus, GH neuroprotective actions in neural tissues may be mediated by a complex cascade of neurotrophins and growth factors which have been classically related to damage prevention and neuroretinal tissue repair.


Asunto(s)
Factor Neurotrófico Derivado del Encéfalo/metabolismo , Agonistas de Aminoácidos Excitadores/farmacología , Hormona del Crecimiento/farmacología , Ácido Kaínico/farmacología , Fármacos Neuroprotectores/farmacología , Neurotrofina 3/metabolismo , Retina/efectos de los fármacos , Animales , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , Pollos , Modelos Animales de Enfermedad , Neuroprotección/efectos de los fármacos , Retina/embriología , Retina/metabolismo , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
11.
Nutr Metab Cardiovasc Dis ; 28(8): 810-815, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29754716

RESUMEN

BACKGROUND AND AIMS: The aim of this study was to assess whether women differ from men with regard to lowering lipid levels, achieving target of optimal lipid levels, and analyzing evidence-based dose and intensity of statin prescription in primary care patients. METHODS AND RESULTS: A multicenter cross-sectional survey was conducted among 1046 patients with dyslipidemia (554 women) who were receiving statin therapy from the Primary Health Care of Andalucía (Spain). A random sample was obtained using data from the electronic health record system. The primary outcomes were the prescription of statin therapy (intensity and dose), lowering lipid levels, and achieving target of optimal lipid levels. Women were less likely to be treated with a more potent statin than men (9.2% vs. 14.4%, p = 0.009), and they received lower doses (45 ± 59 mg/day vs. 56 ± 71 mg/day, p = 0.004) than men. Total cholesterol and LDL-C levels were higher in women than in men (5.7 ± 1.3 mmol/l vs. 5.2 ± 1.2 mmol/l, p < 0.0001 and 3.5 ± 1.2 mmol/l vs. 3.1 ± 1.0 mmol/l, p < 0.0001, respectively). Compliance with established goals for total cholesterol (47.7% vs. 31.3%, p < 0.0001) and LDL-C (39.7% vs. 25.4%, p < 0.0001) was superior in men than in women. In multivariate analysis, adjusted for age, the variables male gender and CVD were associated with a higher compliance with total cholesterol and LDL-C target levels, and the variable diabetes mellitus 2 was associated with a lower compliance with HDL-C and triglycerides target levels. CONCLUSIONS: Women were less likely to be prescribed high-intensity statin to achieve total cholesterol and LDL-C target levels, and mean doses of statin were lower in women than in men. Dyslipidemia is less closely controlled in women than in men.


Asunto(s)
Enfermedades Cardiovasculares/prevención & control , LDL-Colesterol/sangre , Dislipidemias/tratamiento farmacológico , Disparidades en Atención de Salud/tendencias , Inhibidores de Hidroximetilglutaril-CoA Reductasas/administración & dosificación , Pautas de la Práctica en Medicina/tendencias , Anciano , Biomarcadores/sangre , Enfermedades Cardiovasculares/epidemiología , HDL-Colesterol/sangre , Estudios Transversales , Prescripciones de Medicamentos , Dislipidemias/sangre , Dislipidemias/diagnóstico , Dislipidemias/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Primaria de Salud/tendencias , Medición de Riesgo , Factores de Riesgo , Factores Sexuales , España/epidemiología , Factores de Tiempo , Resultado del Tratamiento , Triglicéridos/sangre
12.
J Anim Physiol Anim Nutr (Berl) ; 102(4): 1102-1110, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29654620

RESUMEN

Functional characteristics of digestive proteases and in vitro digestibility of several protein sources were studied in hatchlings of Central American river turtles, Dermatemys mawii. Acidic and alkaline proteases from the stomach and intestines were used, and optimums for acidic proteases were registered at 55°C and pH 2, while alkaline proteases were found at 55°C and pH 9. Ten protein ingredients, both vegetable and animal sources, were explored by the pH-STAT method, only for alkaline proteases. The degree of hydrolysis was at its highest for squid meal and lowest for blood meal, while the total free amino acids level was at its highest for squid meal, and lowest for wheat gluten meal. Our results indicate that D. mawii has a broad capacity to digest both animal and vegetable sources, and suggests some ingredients more suitable to design artificial diets for this species.


Asunto(s)
Dieta/veterinaria , Digestión/fisiología , Péptido Hidrolasas/metabolismo , Tortugas/metabolismo , Aminoácidos , Alimentación Animal , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Estados Unidos
13.
Int J Dent Hyg ; 16(4): 527-534, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29608039

RESUMEN

BACKGROUND: Hypochlorous acid (HOCl) is a non-antibiotic antimicrobial substance with significant effects on pathogenic oral micro-organisms. The effects of HOCl as an antiplaque agent have not been studied. OBJECTIVE: The aim of this study was to evaluate the substantivity of HOCl mouthwashes compared with chlorhexidine (CHX) rinses and a placebo. MATERIALS AND METHODS: A double-blind randomized controlled trial with 75 participants was conducted. Participants were divided into five groups using block randomization: 0.025% HOCl, 0.05% HOCl, 0.12% CHX, 0.2% CHX, and sterile water as a placebo. Participants were instructed to use each rinse solution for 30 seconds after dental prophylaxis. Samples of saliva were taken at baseline and after 30 seconds, 1, 3, 5 and 7 hours to assess substantivity, and bacterial viability was established by the fluorescence method. Visible plaque in all participants was assessed with the Turesky index at baseline and at 7 hours, and adverse events were also assessed. RESULTS: HOCl led to a 33% reduction in bacterial counts in the saliva after 30 seconds compared with a 58% reduction by CHX. HOCl has no substantivity, and bacterial counts returned to baseline after 1 hour. Placebo treatment led to the highest plaque count after 7 hours compared with the CHX and HOCl groups, although the differences were not significant. HOCl rinsing induced the highest percentages of unpleasant taste and dryness sensations. CONCLUSIONS: HOCl rinses have an initial effect on bacterial viability in saliva but have no substantivity. Other mechanisms may explain its antiplaque effect.


Asunto(s)
Antiinfecciosos/administración & dosificación , Placa Dental/prevención & control , Ácido Hipocloroso/administración & dosificación , Antisépticos Bucales/administración & dosificación , Oxidantes/administración & dosificación , Adolescente , Adulto , Antiinfecciosos/farmacología , Carga Bacteriana/efectos de los fármacos , Clorhexidina/administración & dosificación , Placa Dental/etiología , Método Doble Ciego , Femenino , Humanos , Ácido Hipocloroso/farmacología , Masculino , Viabilidad Microbiana/efectos de los fármacos , Mucosa Bucal/microbiología , Antisépticos Bucales/farmacología , Oxidantes/farmacología , Saliva/microbiología , Factores de Tiempo , Adulto Joven
14.
Gene Ther ; 24(12): 757-767, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29106403

RESUMEN

DNA vaccines delivered using electroporation (EP) have had clinical success, but these EP methods generally utilize invasive needle electrodes. Here, we demonstrate the delivery and immunogenicity of a DNA vaccine into subcutaneous adipose tissue cells using noninvasive EP. Using finite element analysis, we predicted that plate electrodes, when oriented properly, could effectively concentrate the electric field within adipose tissue. In practice, these electrodes generated widespread gene expression persisting for at least 60 days in vivo within interscapular subcutaneous fat pads of guinea pigs. We then applied this adipose-EP protocol to deliver a DNA vaccine coding for an influenza antigen into guinea pigs. The resulting host immune responses elicited were of a similar magnitude to those achieved by skin delivery with EP. The onset of the humoral immune response was more rapid when the DNA dose was spread over multiple injection sites, and increasing the voltage of the EP device increased the magnitude of the immune response. This study supports further development of EP protocols delivering gene-based therapies to subcutaneous fat.


Asunto(s)
Tejido Adiposo/metabolismo , Electroporación/métodos , Terapia Genética , Vacunas de ADN/administración & dosificación , Animales , Anticuerpos Antivirales/biosíntesis , Electrodos , Ensayo de Inmunoadsorción Enzimática , Análisis de Elementos Finitos , Expresión Génica , Cobayas , Humanos , Inmunidad Celular , Gripe Humana/inmunología , Orthomyxoviridae/inmunología , Transfección , Vacunas de ADN/inmunología
15.
Int J Obes (Lond) ; 40(9): 1397-404, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-27143032

RESUMEN

BACKGROUND: It is postulated that obstructive sleep apnea (OSA) is a risk factor for the development of depression. However, obesity and excessive daytime sleepiness (EDS) are associated with both OSA and depression. The goal of this study was to examine the relative contribution of OSA, obesity and EDS to incident depression. METHODS: A representative random sample of 1137 adults without depression from the Penn State Adult Cohort was followed up after 7.5 years. All subjects underwent a full medical examination and polysomnography at baseline. OSA was defined as an apnea/hypopnea index (AHI) ⩾5, overweight as a body mass index (BMI) of 25-29.9 kg m(-)(2), obesity as a BMI⩾30 kg m(-)(2) and EDS as moderate-to-severe drowsiness/sleepiness and/or irresistible sleep attacks. RESULTS: Overweight, obesity and EDS were associated with incident depression, whereas OSA alone was not. Overweight was associated with incident depression in women, while obesity and EDS were associated with incident depression in both genders. The association of overweight and obesity with incident depression was independent of premorbid emotional distress, while that of EDS was not. The association between BMI and EDS with incident depression was stronger in women 20-40 years old. The severity of EDS predicted incident depression in those with OSA, while AHI or oxygen desaturation did not. CONCLUSIONS: Overweight, obesity and EDS are the main predictors of incident depression. Obesity may be linked to depression through psychobiological mechanisms, while EDS may be an early sign of depression. Obesity should be a target of our preventative strategies for depression.


Asunto(s)
Depresión/fisiopatología , Obesidad/complicaciones , Obesidad/fisiopatología , Apnea Obstructiva del Sueño/complicaciones , Apnea Obstructiva del Sueño/fisiopatología , Privación de Sueño/complicaciones , Privación de Sueño/fisiopatología , Fases del Sueño , Adulto , Anciano , Depresión/etiología , Depresión/psicología , Femenino , Humanos , Incidencia , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Obesidad/psicología , Polisomnografía , Prevalencia , Factores de Riesgo , Factores Sexuales , Apnea Obstructiva del Sueño/psicología , Privación de Sueño/psicología , Adulto Joven
16.
Med Intensiva ; 40(8): 483-490, 2016 Nov.
Artículo en Inglés, Español | MEDLINE | ID: mdl-27017441

RESUMEN

OBJECTIVE: To improve critical patient safety in the prevention of venous thromboembolic disease, using failure mode and effects analysis as safety tool. DESIGN: A contemporaneous cohort study covering the period January 2014-March 2015 was made in 4 phases: phase 1) prior to failure mode and effects analysis; phase 2) conduction of mode analysis and implementation of the detected improvements; phase 3) evaluation of outcomes, and phase 4) (post-checklist introduction impact. SETTING: Patients admitted to the adult polyvalent ICU of a third-level hospital center. PATIENTS: A total of 196 patients, older than 18 years, without thromboembolic disease upon admission to the ICU and with no prior anticoagulant treatment. INTERVENTIONS: A series of interventions were implemented following mode analysis: training, and introduction of a protocol and checklist to increase preventive measures in relation to thromboembolic disease. VARIABLES OF INTEREST: Indication and prescription of venous thrombosis prevention measures before and after introduction of the measures derived from the failure mode and effects analysis. RESULTS: A total of 59, 97 and 40 patients were included in phase 1, 3 and 4, respectively, with an analysis of the percentage of subjects who received thromboprophylaxis. The failure mode and effects analysis was used to detect potential errors associated to a lack of training and protocols referred to thromboembolic disease. An awareness-enhancing campaign was developed, with staff training and the adoption of a protocol for the prevention of venous thromboembolic disease. The prescription of preventive measures increased in the phase 3 group (91.7 vs. 71.2%, P=.001). In the post-checklist group, prophylaxis was prescribed in 97.5% of the patients, with an increase in the indication of dual prophylactic measures (4.7, 6.7 and 41%; P<.05). There were no differences in complications rate associated to the increase in prophylactic measures. CONCLUSIONS: The failure mode and effects analysis allowed us to identify improvements in the prevention of thromboembolic disease in critical patients. We therefore consider that it may be a useful tool for improving patient safety in different processes.


Asunto(s)
Análisis de Modo y Efecto de Fallas en la Atención de la Salud , Trombosis de la Vena , Anticoagulantes , Lista de Verificación , Estudios de Cohortes , Cuidados Críticos , Hospitalización , Humanos
17.
Opt Express ; 23(14): 18721-9, 2015 Jul 13.
Artículo en Inglés | MEDLINE | ID: mdl-26191931

RESUMEN

In this work, the simultaneous presence of saturable (SA) and two-photon absorption (TPA) in zinc nanoparticles (ZnNPs) photodeposited onto the core of an optical fiber was studied in the nanosecond regime with the P-scan method using a high gain pulsed erbium-doped fiber amplifier. An analysis based on Mie theory was carried out to demonstrate the influence of the absorption coefficient with the particles sizes in the proximity of surface plasmon resonance (SPR). The shift from TPA to SA has been observed as the irradiance is increased. It was found that for irradiances lower than 5 MW/cm², TPA is dominant, whereas for irradiances higher than 5 MW/cm², the SA becomes dominant. Furthermore, the values of the nonlinear absorption coefficient and the imaginary part of third-order nonlinear optical susceptibility were calculated numerically from the transmittance measured. Such TPA makes ZnNPs a candidate for optical limiting applications, and SA makes them a candidate for applications in pulsed fiber laser systems.

18.
Neurobiol Learn Mem ; 118: 198-208, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25543024

RESUMEN

The infralimbic medial prefrontal cortex (IL) has been posited as a common node in distinct neural circuits that mediate the extinction of appetitive and aversive conditioning. However, appetitive extinction is typically assessed using instrumental conditioning procedures, whereas the extinction of aversive conditioning is customarily studied using Pavlovian assays. The role of the IL in the extinction of appetitive Pavlovian conditioning remains underexplored. We investigated the involvement of the IL and prelimbic medial prefrontal cortex (PrL) in appetitive extinction in Pavlovian and instrumental conditioning assays in male, Long-Evans rats. Following acquisition, a gamma-aminobutyric acid agonist solution (0.03 nmol muscimol; 0.3 nmol baclofen; 0.3 µl/side) was bilaterally microinfused into the IL or PrL to pharmacologically inactivate each region before the first extinction session. Compared to saline, PrL inactivation did not affect the acquisition of extinction or the recall of extinction memory 24-h later. IL inactivation caused a more rapid extinction of Pavlovian conditioning, but had no effect on the extinction of instrumental conditioning or extinction recall. IL inactivation during a Pavlovian conditioning session in which conditioned stimulus (CS) trials were paired with sucrose did not affect CS-elicited behaviour, but increased responding during intervals that did not contain the CS. The same manipulation did not impact lever pressing for sucrose. These findings suggest that the IL may normally maintain Pavlovian conditioned responding when an anticipated appetitive CS is unexpectedly withheld, and that this region has distinct roles in the expression of Pavlovian conditioning when an appetitive unconditioned stimulus is either presented or omitted.


Asunto(s)
Conducta Apetitiva , Condicionamiento Clásico/fisiología , Condicionamiento Operante/fisiología , Extinción Psicológica/fisiología , Corteza Prefrontal/fisiología , Animales , Baclofeno/farmacología , Condicionamiento Clásico/efectos de los fármacos , Condicionamiento Operante/efectos de los fármacos , Extinción Psicológica/efectos de los fármacos , Agonistas de Receptores de GABA-A/farmacología , Agonistas de Receptores GABA-B/farmacología , Masculino , Muscimol/farmacología , Corteza Prefrontal/efectos de los fármacos , Ratas , Ratas Long-Evans
19.
Int J Obes (Lond) ; 38(6): 825-32, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24100421

RESUMEN

OBJECTIVE: Several epidemiologic, longitudinal studies have reported that short sleep duration is a risk factor for the incidence of obesity. However, the vast majority of these studies used self-reported measures of sleep duration and did not examine the role of objective short sleep duration, subjective sleep disturbances and emotional stress. DESIGN: Longitudinal, population-based study. SUBJECTS: We studied a random sample of 815 non-obese adults from the Penn State Cohort in the sleep laboratory for one night using polysomnography (PSG) and followed them up for a mean of 7.5 years. Subjective and objective measures of sleep as well as emotional stress were obtained at baseline. Obesity was defined as a body mass index (BMI) ≥30 kg/ m(-2). RESULTS: The incidence of obesity was 15% and it was significantly higher in women and in individuals who reported sleep disturbances, shorter sleep duration and higher emotional stress. Significant mediating effects showed that individuals with subjective sleep disturbances who developed obesity reported the shortest sleep duration and the highest emotional stress, and that subjective sleep disturbances and emotional stress were independent predictors of incident obesity. Further analyses revealed that the association between short sleep duration, subjective sleep disturbances and emotional stress with incident obesity was stronger in young and middle-age adults. Objective short sleep duration was not associated with a significantly increased risk of incident obesity. CONCLUSION: Self-reported short sleep duration in non-obese individuals at risk of developing obesity is a surrogate marker of emotional stress and subjective sleep disturbances. Objective short sleep duration is not associated with a significant increased risk of incident obesity. The detection and treatment of sleep disturbances and emotional stress should become a target of our preventive strategies against obesity.


Asunto(s)
Obesidad/etiología , Trastornos del Sueño-Vigilia/complicaciones , Estrés Psicológico/complicaciones , Adulto , Biomarcadores , Índice de Masa Corporal , Estudios de Cohortes , Femenino , Humanos , Incidencia , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Obesidad/fisiopatología , Obesidad/prevención & control , Pennsylvania , Polisomnografía , Factores de Riesgo , Trastornos del Sueño-Vigilia/fisiopatología , Trastornos del Sueño-Vigilia/prevención & control , Estrés Psicológico/fisiopatología , Estrés Psicológico/prevención & control
20.
J Fish Dis ; 37(10): 877-90, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24697556

RESUMEN

The sea louse Caligus rogercresseyi is a major threat to Chilean salmonid farming. Pyrethroids have been used for anticaligus treatments since 2007, but have shown reduced effect, most likely due to resistance development. Pyrethroid resistance is also a known problem in Lepeophtheirus salmonis in the Northern Hemisphere. This study describes the development of deltamethrin resistance in C. rogercresseyi based on bioassays and usage data for pyrethroids in Chilean aquaculture. These results were compared to bioassays from L. salmonis from Norway and to Norwegian usage data. Available deltamethrin bioassay results from 2007 and 2008, as well as bioassays from Norway, were collected and remodelled. Bioassays were performed on field-collected sea lice in region X in Chile in 2012 and 2013. Bioassays from 2007 were performed prior to the introduction of pyrethroids to the Chilean market. Both the results from 2008 and 2012 showed an increased resistance. Increased pyrethroid resistance was also indicated by the increased use of pyrethroids in Chilean aquaculture compared with the production of salmonids. A similar trend was seen in the Norwegian usage data. The bioassay results from Chile from 2012 and 2013 also indicated a difference in the susceptibility to deltamethrin between male and female caligus.


Asunto(s)
Copépodos/efectos de los fármacos , Resistencia a Medicamentos , Peces/parasitología , Nitrilos/farmacología , Piretrinas/farmacología , Animales , Antiparasitarios/farmacología , Bioensayo/veterinaria , Chile , Femenino , Masculino , Noruega
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