Análisis de la tasa de cesáreas por grupos de Robson en Clínica Universidad de los Andes

Introducción: La tasa de cesáreas es importante para cualquier centro de atención hospitalaria. Es un indicador de calidad utilizado en muchas publicaciones y, aunque no es una estadística vital, se ha reconocido como un indicador de la calidad de atención. Objetivo: Conocer la tasa de cesáreas en una institución utilizando los grupos de Robson. Métodos: Estudio retrospectivo de bases de datos de la maternidad. Se consideraron las variables de paridad, cesárea anterior, trabajo de parto, inducción, para poder clasificar la población según los grupos de Robson. El análisis consideró los nacimientos desde octubre del 2014 hasta junio del 2021. Resultados: Se observó una tasa de 27,9% en el periodo de estudio. El grupo 5 de Robson, que considera pacientes con una o más tasa de cesáreas, mostró una elevada tasa (68%), contribuyó con el 36% de todas las cesáreas, siendo solamente el 15% de la población. El grupo 3, de multíparas con trabajo de parto espontáneo, tuvo una tasa del 1,8%, contribuyó al 0,4% de las cesáreas, siendo el 20% de la población de estudio. Se encontró una correlación significativa entre uso de parto instrumental y menor tasa de cesáreas, al realizar análisis por operador (Spearman rho: -0,45; IC95%: -0,788 a -0,0190; p = 0,043). Conclusión: La tasa de cesáreas observada fue 27,9%, y las pacientes con cesárea anterior son un grupo donde pueden concentrarse mayores esfuerzos para bajar la tasa global. Entre los operadores, los usuarios de parto instrumental tuvieron menor proporción cesáreas.

Introduction: The cesarean section rate is important for any hospital care center. It is a quality indicator used in many publications, and although not a vital statistic, it has been recognized as an indicator of the quality of care. Objective:: To know the cesarean section rate in an institution using Robson groups. Methods: Retrospective study of maternity databases. The variables of parity, previous cesarean section, labor, induction was considered in order to classify the population according to Robson groups. The analysis considered births from October 2014 to June 2021. Results: A rate of 27.9% was observed in the study period. Robson's group 5, which considers patients with one or more rate of cesarean sections, showed a high rate (68%), contributing to 36% of all cesarean sections, being only 15% of the population. Group 3, multiparas with spontaneous labor, had a rate of 1.8%, contributing to 0.4% of cesarean sections, making up 20% of the study population. A significant correlation was found between the use of instrumental delivery and a lower rate of cesarean sections, when analyzing by operator (Spearman rho: -0.45; IC95%: -0.788 to -0.0190; p = 0.043). Conclusion: The observed cesarean section rate was 27.9%, and patients with a previous cesarean section are a group where greater efforts can be concentrated to lower the overall rate. Among the operators, users of instrumental delivery had a lower proportion of cesarean sections.

Removal of toxic metals from sewage sludge by EDTA and hydrodynamic cavitation and use of the sludge as fertilizer.

Sewage sludge (SS) is rich in plant nutrients, including P, N, and organic C, but often contains toxic metals (TMs), which hinders its potential use in agriculture. The efficiency of removal of TMs by washing with ethylenediamine tetraacetate (EDTA), in combination with hydrodynamic cavitation (HC) and the usability of washed sewage sludge as fertilizer were investigated. The environmental risk was assessed. During 8 wash batches an average 35, 68, 47 and 45 % of Pb, Zn, Cd and Cu, respectively, as well as 22 and 5 % Mn and Fe were removed from the SS. The process solutions and EDTA were recycled at a pH gradient of 12.5-2, which was achieved by adding quicklime (CaO) and then acidification by H2SO4, so that no wastewater was produced, only solid waste (ReSoil® method). The quality of the recycled process solutions (they remained unsaturated with salts) and the efficiency of the washing process were maintained across all batches. On average, 46 % of the EDTA was lost during the process and was replenished. The initial leachability of EDTA-mobilized Pb, Zn, Cu, Cr and Fe remaining in the washed SS increased 6-, 17-, 3-, 11- and 11-fold, respectively, but not to hazardous levels except for Zn. After washing, P and K remained in the SS, plant-available P increased 3.3-fold, while total N and C were reduced by 20.28 and 2.44 %, respectively. Washed SS was used as fertilizer in the pot experiment. The yield of Brassica juncea did not improve, the uptake of TMs by the plants and the leaching of TMs from the soil were minimal. Our study highlighted the drawbacks and potential feasibility of the new SS washing method.

Indicación de amigdalectomía en pacientes pediátricos por sospecha de trastorno linfoproliferativo postrasplante / Indication for tonsillectomy in pediatric patients with suspected post-transplant lymphoproliferative disorder

Un sitio común de hiperplasia linfoidea en los trastornos linfoproliferativos postrasplante (TLPT) son las amígdalas palatinas. Sin embargo, la hipertrofia amigdalina es extremadamente común en niños, lo que dificulta la sospecha de estos trastornos. Se realizó un estudio de una serie de casos de pacientes trasplantados intervenidos de amigdalectomía por sospecha de TLPT en un hospital pediátrico de alta complejidad en Argentina desde enero de 2014 hasta diciembre de 2021. El objetivo de este trabajo es exponer las características clínicas de los pacientes trasplantados a los que se les indicó amigdalectomía con fin diagnóstico de TLPT.

A common site of lymphoid hyperplasia in post-transplant lymphoproliferative disorders (PTLD) is the palatine tonsils. However, tonsillar hypertrophy is extremely common in children, which hinders the suspicion of PTLD. A case series of transplanted patients undergoing tonsillectomy for suspected PTLD was conducted at a tertiary care children's hospital in Argentina between January 2014 and December 2021. The objective of this study is to expose the clinical characteristics of transplanted patients who underwent a tonsillectomy to diagnose PTLD

Removal of Toxic Metals from Sewage Sludge by Acid Hydrolysis Coupled with EDTA Washing in a Closed-Loop Process.

Contamination with toxic metals prevents the use of sewage sludge (SS) as a soil fertilizer. Hydrodynamic cavitation, thermal microwaving, microwave-assisted alkaline, and acid hydrolysis coupled with ethylenediaminetetraacetate (EDTA) washing were tested as a method to remove toxic metals from SS. Acid hydrolysis coupled with EDTA washing was most effective and was used in a closed-loop process based on ReSoil technology. EDTA and process solutions were recycled at a pH gradient of 12.5-2, which was imposed by the addition of quicklime (CaO) and H2SO4. An average of 78%-Pb, 76%-Zn, 1%-Cu, and 17%-Cr were removed from SS in five consecutive batches. No wastewater was generated, only solid waste (40%). The EDTA lost in the process (42%) was resupplied in each batch. In a series of batches, the process solutions retained metal removal efficiency and quality. The treatment removed 70% and 23% of P and N, respectively, from SS and increased the leachability of Zn, Cu, Mn, and Fe in the washed SS by 11.7, 6.8, 1.4, and 5.2 times, respectively. Acid hydrolysis coupled with EDTA washing proved to be a technically feasible, closed-loop process but needs further development to reduce reagent, material, and nutrient loss and to reduce toxic emissions from the washed sludge.

Conocimientos, actitudes y prácticas sobre Leishmaniasis visceral en tres comunas de Neiva, Huila

Introducción: La leishmaniasis visceral es una enfermedad zoonótica, transmitida por vectores del género Lutzomyia, de distribución en 98 países, incluyendo Colombia y que puede ocasionar un cuadro clínico grave, que en ausencia de tratamiento puede ser fatal. Objetivo: Determinar los conocimientos, actitudes y prácticas (CAP) adquiridas sobre vectores, reservorios y características de la Leishmaniasis visceral en las comunas 8, 9 y 10 de Neiva (Huila) en 2019. Materiales y métodos: Se realizó un estudio descriptivo de corte transversal en el período de junio a diciembre de 2019, en el que se muestrearon tres comunas (8, 9 y 10), en un total de 30 barrios de la ciudad de Neiva-Huila. Se aplicaron 385 encuestas tipo CAP, con un margen de error de 5 % y una confiabilidad de 95 %. Se incluyeron personas adultas de 18 años o más (267 mujeres y 117 hombres), que voluntariamente desearon participar, con previo consentimiento informado. Resultados: Según la información analizada, se determinó que 77 % de los encuestados no conoce la leishmaniasis visceral, 52 % no la identifican como una enfermedad zoonótica, 82 % no conocen el agente causal y 44 % no tienen claridad sobre los síntomas que se presentan en humanos. Conclusiones: Aunque se han realizado campañas preventivas en las comunas afectadas, el nivel de conocimiento sobre la enfermedad, el vector, el reservorio y las prácticas preventivas específicas para contrarrestar la leishmaniasis visceral son poco conocidos en la población de estudio, a pesar de que las prácticas y actitudes identificadas son positivas.

Introduction: Visceral leishmaniasis is a zoonotic disease transmitted by vectors of the Lutzomyia genus, distributed in 98 countries, including Colombia, which can cause a serious clinical picture that, in the absence of treatment, can be fatal. Objective: To determine the knowledge, attitudes, and practices (KAP) acquired on vectors and reservoirs, as well as the characteristics of visceral Leishmaniasis in communes 8, 9 and 10 of the city of Neiva in 2019. Material and Methods: A descriptive cross-sectional study was carried out from June to December 2019. Three communes (8, 9 y 10) were sampled from a total of 30 neighborhoods of the city of Neiva - Huila. In addition, 385 CAP-type surveys were applied, with a margin of error of 5% and a reliability of 95%. People aged 18 years or older (267 women and 117 men) who voluntarily wished to participate, with prior informed consent, were included. Results: According to the analyzed information, it was determined that the majority of the surveyed population did not know about visceral leishmaniasis (77%), did not identify it as a zoonotic disease (52%), nor did they know who the causative agent is (82%); furthermore, they were not clear about the symptoms that occur in humans, nor the treatment used to manage them. Conclusions: Although preventive campaigns have been carried out in the affected communes, the level of knowledge about the disease, the vector, the reservoir, and the specific preventive practices to counteract visceral leishmaniasis are little known in the study population, despite the fact that the identified practices and attitudes are positive.

RANKL interferes with osteoclastogenesis in PEG-fused U937 cells through LGR4.

INTRODUCTION: RANKL plays an important role in the differentiation and maturation process of preosteoclast cells. The osteoclast is a multinucleated cell that can have various sizes and a variable number of nuclei. However, there are no models that allow us to understand how successive cell fusions have a limit, or how cell fusion is regulated. METHODOLOGY: The present investigation was aimed to determine whether fusing U937 cells with PEG to generate osteoclast-like cells expresses LGR4 and whether applying RANKL to these cells modifies osteoclastic activity compared to non-PEG-fused and RANKL-treated cells. RESULTS: By fusing U937 cells with PEG, it was found that the LGR4 receptor expression was promoted as early as 24 hours of culture. Applying RANKL before or after fusion inhibits osteoclastic activity. Interfering RANKL interaction with LGR4 in PEG-treated cells recovers and increases cell fusion and osteoclastic activity. PEG-fused U937 cells show osteoclast markers similar to those observed in the classical RANKL-stimulated cell model. CONCLUSION: Our model allows us to understand that RANKL has fusogenic activity during the first days of culture and in fused cells modulates fusion, contributing to differentiate the role of RANKL before and after fusion through LGR4.

Indication for tonsillectomy in pediatric patients with suspected post-transplant lymphoproliferative disorder. / Indicación de amigdalectomía en pacientes pediátricos por sospecha de trastorno linfoproliferativo postrasplante.

A common site of lymphoid hyperplasia in post-transplant lymphoproliferative disorders (PTLD) is the palatine tonsils. However, tonsillar hypertrophy is extremely common in children, which hinders the suspicion of PTLD. A case series of transplanted patients undergoing tonsillectomy for suspected PTLD was conducted at a tertiary care children's hospital in Argentina between January 2014 and December 2021. The objective of this study is to expose the clinical characteristics of transplanted patients who underwent a tonsillectomy to diagnose PTLD.

Un sitio común de hiperplasia linfoidea en los trastornos linfoproliferativos postrasplante (TLPT) son las amígdalas palatinas. Sin embargo, la hipertrofia amigdalina es extremadamente común en niños, lo que dificulta la sospecha de estos trastornos. Se realizó un estudio de una serie de casos de pacientes trasplantados intervenidos de amigdalectomía por sospecha de TLPT en un hospital pediátrico de alta complejidad en Argentina desde enero de 2014 hasta diciembre de 2021. El objetivo de este trabajo es exponer las características clínicas de los pacientes trasplantados a los que se les indicó amigdalectomía con fin diagnóstico de TLPT.

A network-based analysis to assess COVID-19 disruptions in the Bogotá BRT system.

The global COVID-19 crisis has severely affected mass transit in the cities of the global south. Fear of widespread propagation in public spaces and the dramatic decrease in human mobility due to lockdowns have resulted in a significant reduction of public transport options. We analyze the case of TransMilenio in Bogotá, a massive Bus Rapid Transit system that is the main mode of transport for an urban area of roughly 10 million inhabitants. Concerns over social distancing and new health regulations reduced the number of trips to under 20% of its historical values during extended periods of time during the lockdowns. This has sparked a renewed interest in developing innovative data-driven responses to COVID-19 resulting in large corpora of TransMilenio data being made available to the public. In this paper we use a database updated daily with individual passenger card swipe validation microdata including entry time, entry station, and a hash of the card's ID. The opportunity of having daily detailed minute-to-minute ridership information and the challenge of extracting useful insights from the massive amount of raw data (∼1,000,000 daily records) require the development of tailored data analysis approaches. Our objective is to use the natural representation of urban mobility offered by networks to make pairwise quantitative similarity measurements between daily commuting patterns and then use clustering techniques to reveal behavioral disruptions as well as the most affected geographical areas due to the different pandemic stages. This method proved to be efficient for the analysis of large amount of data and may be used in the future to make temporal analysis of similarly large datasets in urban contexts.

Removal of toxic metals from sewage sludge by EDTA in a closed-loop washing process.

Sewage sludge (SS) is a potential resource for P and other nutrients, but often contaminated with metals. SS containing Pb-102, Zn-968, Cu-267, Cr-101, Mn-222, and Fe-8374 mg kg-1 was washed in a batch process for 1 h with a recycled washing solution containing 50 mmol L-1 of recycled EDTA and 50 mmol L-1 H2SO4, solid/liquid ratio 1/7 (w/V). After solid/liquid separation, the washed SS was further rinsed 3-times with cleansed recycled solutions. EDTA and process solutions were recycled/cleansed in a pH gradient of 12.5-2.0 imposed by addition of CaO and H2SO4 (the ReSoil® method). EDTA, recycled as ineffective Ca-EDTA, was activated by capturing Ca with H2SO4. The process was closed-looped, no wastewater was generated, solid waste was centrifuged away. 10 consecutive SS washing batches preserved the quality of the process solutions. Metals were mainly removed from the SS organic fraction, the average removal was Pb-35, Zn-59, Cu-60, Cr-19, Mn-25, and Fe-1%. Washing reduced the leachability of Cu and Cr from SS by 13.4 and 3.5 times, but increased the leachability of Pb, Zn, Mn, and Fe by 2.5, 3.8, 1.9, and 1.6 times, respectively. Metal concentrations in the leachates were below the limits stipulated as hazardous. The content of accessible P and K in washed SS decreased by 24 and 45%, and the total N decreased by 10%. Overall, the results prove the feasibility of the novel SS washing process.

A potential pesticides exposure index (PPEI) for developing countries: Applied in a transboundary basin.

The potential risk of pesticide exposure in developing countries needs further study as data are limited and simple tools to assess the risks on human health and the environment caused by pesticides are lacking. This article introduces a potential pesticides exposure index (PPEI) as a modeling tool to assess the risk of human and environmental pesticide exposure in agricultural basins. The PPEI is based on a number of factors including: human population centers and their proximity to agricultural crops, the toxicological properties of pesticides, and their application frequency. The index was applied to a region in southern Ecuador (approximately 7200 km2 ) where corn, rice, and sugarcane are the predominant crops, and where hot spots with the highest vulnerability to pesticide residues were identified. Of the total of 5326 neighborhoods for the entire study area, 1030 had high, 1124 had medium, and 1009 had low PPEI scores. Among the practical uses of PPEI are to help to assist regulatory agencies and academics evaluate the effects of land use policies on pesticide vulnerability. Also, it can be easily expanded to include other parameters, such as data from other agricultural crops, or frequency of pesticide application. The PPEI can be a valuable indicator of risk of pesticide exposure, as it is reliable and applicable to developing countries, where data and resources are limited. Integr Environ Assess Manag 2022;18:187-197. © 2021 SETAC.

Integral analysis of hydrodynamic cavitation effects on waste activated sludge characteristics, potentially toxic metals, microorganisms and identification of microplastics.

Wastewater treatment plants, the last barrier between ever-increasing human activities and the environment, produce huge amounts, of unwanted semi-solid by-product - waste activated sludge. Anaerobic digestion can be used to reduce the amount of sludge. However, the process needs extensive modernisation and refinement to realize its full potential. This can be achieved by using efficient pre-treatment processes that result in high sludge disintegration and solubilization. To this end, we investigated the efficiency of a novel pinned disc rotational generator of hydrodynamic cavitation. The results of physical and chemical evaluation showed a reduction in mean particle size up to 88%, an increase in specific surface area up to 300% and an increase in soluble COD, NH4-N, NO3-N, PO4-P up to 155.8, 126.3, 250 and 29.7%, respectively. Microscopic images confirmed flocs disruption and damage to yeast cells and Epistilys species due to mechanical effects of cavitation such as microjets and shear forces. The observed cell ruptures and cracks were sufficient for the release of small soluble biologically relevant dissolved organic molecules into the bulk liquid, but not for the release of microbial DNA. Cavitation treatment also decreased total Pb concentrations by 70%, which was attributed to the reactions triggered by the chemical effects of cavitation. Additionally, the study confirmed the presence of microplastic particles and fibers of polyethylene, polyethylene terephthalate, polypropylene, and nylon 6 in the waste activated sludge.

Simultaneous removal of arsenic and toxic metals from contaminated soil: Laboratory development and pilot scale demonstration.

Soil chemistry of toxic metalloids and metals differs, making their simultaneous removal difficult. Soil contaminated with As, Pb, Zn and Cd was washed with oxalic acid, Na-dithionite and EDTA solution. Toxic elements were removed from the washing solution by alkalinisation with CaO to a pH 12.5: As was co-precipitated with Fe from Fe-EDTA chelate formed after the soil washing. The toxic metals precipitated after substitution of their EDTA chelates with Ca. The novel method was scaled up on the ReSoil® platform. On average, 60, 76, 29, and 53% of As, Pb, Zn, and Cd were removed, no wastewater was generated and EDTA was recycled. Addition of zero-valent iron reduced the toxic elements' leachability. Remediation was most effective for As: phytoaccessibility (CaCl2 extraction), mobility (NH4NO3), and accessibility from human gastric and gastrointestinal phases were reduced 22, 104, 6, and 51 times, respectively. Remediation increased pH but had no effect on soil functioning assessed by fluorescein diacetate hydrolysis, dehydrogenase, ß-glucosidase, urease, acid and alkaline phosphatase activities. Brassica napus produced 1.9 times more biomass on remediated soil, accumulated no As and 5.0, 2.6, and 9.0 times less Pb, Zn and Cd, respectively. We demonstrated the novel remediation technology as cost-efficient (material cost = 41.86 € t-1) and sustainable.

Estructura, propiedades y genética de las caseínas de la leche: una revisión / Structure, properties and genetic of milk caseins: a review / Estrutura, propriedades e genética das caseínas do leite: uma revisão

Resumen La leche es un alimento esencial para los humanos y una de sus importancias radica en el contenido de proteínas lácteas. Las proteínas más frecuentes en este preciado líquido son las caseínas (αS1-caseína, αS2-caseína, β-caseína y κ-caseína), las cuales son fuente de aminoácidos para la dieta de los mamíferos en sus primeros días de vida. En la leche, las caseínas, están formadas por agregados moleculares de proteínas de tamaños variables denominados micelas. El objetivo de esta revisión es presentar un panorama general de la estructura, propiedades y genética de las caseínas lácteas y su relación con la salud humana. A partir de esta revisión, se pudo establecer, que las αs1 y αs2 caseínas se encuentran en conjunto con la β-caseína, formando el núcleo micelar, interactuando con los iones de calcio, para formar y mantener la micela estable. Animales caracterizados genéticamente con algunas variantes de estas proteínas, se asocian con un rendimiento en el volumen de leche. La κ-caseína, por su parte, está asociada con un aumento en el rendimiento y calidad de los quesos, de ahí su importancia económica, mientras que las formas más comunes de β-caseína en razas de ganado lechero son A1 y A2. La β-caseína A2 no presenta efectos negativos a la salud humana, por el contrario, ha sido asociada con propiedades reductoras de colesterol y triacilglicéridos. Sin embargo, la variante A1 de la β-caseína produce un péptido bioactivo denominado β-casomorfina-7 (BCM-7), que puede desempeñar un papel etiológico poco claro en el desarrollo de algunas enfermedades en humanos, tales como: enfermedad isquémica del corazón, diabetes mellitus tipo 1, síndrome de muerte súbita infantil (SIDS), desórdenes neurológicos, como autismo y esquizofrenia.

Abstract Milk is an essential food for humans and one of the reasons of its importance lies in the content of milk proteins. The most frequent proteins in this precious liquid are caseins (αS1-casein, αS2-casein, β-casein and κ-casein), which are a source of amino acids for the diet of mammals in their first days of life. In milk, caseins are made up of molecular aggregates of proteins of varying sizes called micelles. The objective of this review is to present an overview of the structure, properties and genetics of dairy caseins and their relation with human health. From this review, it was established that αs1 and αs2 caseins are found together with β-casein, forming the micellar nucleus and interacting with calcium ions, to form and maintain stable the micelle. Animals genetically characterized with some variants of these proteins are associated with a yield in milk volume. For its part, κ-casein is associated with an increase in the yield and quality of cheeses, hence its economic importance, while the most common forms of β-casein in dairy cattle are A1 and A2. β-casein A2 does not have negative effects on human health; on the contrary, it has been associated with lowering properties of cholesterol and triacylglycerides. However, the A1 variant of β-casein produces a bioactive peptide called β-casomorphin-7 (BCM-7), which may play an unclear etiological role in the development of some diseases in humans, such as: ischemic heart disease, type 1 diabetes mellitus, sudden infant death syndrome (SIDS), neurological disorders, such as autism and schizophrenia.

Resumo O leite é um alimento essencial para o ser humano e uma de suas principais característica é o teor de proteínas do leite. As proteínas mais frequentes neste líquido são as caseínas (αS1-caseína, αS2-caseína, β-caseína e κ-caseína), que são uma fonte de aminoácidos para a dieta dos mamíferos nos primeiros dias de vida. As caseínas no leite são constituídas por agregados moleculares de proteínas de variados tamanhos, chamados micelas. O objetivo desta revisão é apresentar uma visão geral da estrutura, propriedades e genética das caseínas lácteas e sua relação com a saúde humana. A partir desta revisão, foi estabelecido que as caseínas αs1 e αs2 são encontradas em conjunto com a β-caseína, formando o núcleo micelar, interagindo com os íons cálcio, para formar e manter a micela estável. Animais geneticamente caracterizados com algumas variantes dessas proteínas estão associados com o rendimento da produção de leite. Por sua vez, a κ-caseína está associada ao aumento do rendimento da produção e da qualidade dos queijos, por isso sua importância econômica, enquanto as formas mais comuns de β-caseína em bovinos leiteiros são A1 e A2. A Β-caseína A2 não tem efeitos negativos na saúde humana, pelo contrário, tem sido associada a propriedades redutoras do colesterol e dos triacilglicéridos. No entanto, a variante A1 da β-caseína produz um peptídeo bioativo denominado β-casomorfina-7 (BCM-7), que pode desempenhar uma função etiológico ainda desconhecida no desenvolvimento de algumas doenças em humanos, tais como: doença isquêmica do coração, diabetes mellitus tipo 1, síndrome da morte súbita infantil (SMSL), distúrbios neurológicos, como autismo e esquizofrenia.

De las tertulias a la conspiración: la disputa por la belleza y las amistades peligrosas de Alejandro Malaspina en Madrid / From gatherings to conspiracy: the dispute about beauty and Alejandro Malaspina´s dangerous liaisons in madrid

Este artículo revisa el periodo transcurrido por Malaspina en Madrid tras su “viaje alrededor del mundo”, hasta su detención en noviembre de 1795. A la luz de fuentes hasta ahora ignoradas por la historiografía malaspiniana, se analiza la participación de Malaspina en una disputa literaria en el Diario de Madrid, donde llegó a publicar bajo seudónimo cuatro cartas filosóficas sobre la belleza que constituyen un antecedente directo de su Meditación filosófica, su obra más personal, escrita en presidio tras su arresto. Por último, se analiza la relación de Malaspina con su vecina madrileña Fernanda O’Connock, marquesa de Matallana, mujer vinculada a la oposición política a Godoy y destacada agente conspiradora contra el primer ministro en dicho periodo, quien muy posiblemente tuvo un papel mucho más activo de lo que hasta ahora se le había reconocido en la conspiración Malaspina. (AU)

This article reviews the period spent by Malaspina in Madrid after his “voyage around the world”, until his arrest in November 1795. Exploring sources hitherto ignored by Malaspinian historiography, the article focuses on Malaspina’s participation in a literary dispute which took place in the Diario de Madrid, where he published under pseudonym four philosophical letters on Beauty. These letters constitute the direct antecedent of his Meditation on Beauty, his most personal work, written in prison after his arrest. Lastly, the paper analyses Malaspina’s relationship with his neighbour in Madrid, Fernanda O’Connock, Marchioness of Matallana, a woman linked to the political opposition to Manuel Godoy and an outstanding conspirator agent against the Prime Minister, who very possibly played a much more active role than previously recognised in the so-called “Malaspina conspiracy”.(AU)

Soluble nitrogen forms in sand soil of Pallag: a quantitative report.

Nitrogen (N) is a crop macronutrient of major importance, which affects both plant growth and yield. In this paper we discuss the humus content (%) and various soluble N forms (NO 3-, total N, nitrate-N, ammonium-N, and organic nitrogen) available in humus sand soil samples originating from the Pallag Experimental Station of Horticulture at the University of Debrecen, Hungary. We found 45.4% nitrate-N and 13.8% nitrite-N of total N content present in the soil. Considering the percentage distribution of soluble N forms present at the Pallag Experimental Station, we recommend using this soil in further pot experiments, given that this has optimal nutrient supply capacity. In addition, we examined possible statistical correlations between humus% and N forms.

Las dislipidemias y su tratamiento en centros de alta complejidad en Colombia / Dyslipidaemias and their treatment in high complexity centres in Colombia

ANTECEDENTES Y OBJETIVO: Los datos sobre la distribución de las dislipidemias en Colombia son limitados. El objetivo primario de este estudio fue describir la frecuencia de las dislipidemias; los objetivos secundarios fueron: la frecuencia de comorbilidades cardiovasculares, el uso de estatinas y otros hipolipemiantes, la frecuencia de intolerancia a estatinas, el porcentaje de pacientes en metas de c-LDL, y estimar la distribución del riesgo cardiovascular (RCV). MATERIALES Y MÉTODOS: Estudio transversal con recolección de datos retrospectiva que incluyó a 461 pacientes con diagnóstico de dislipidemia tratados en 17 centros cardiovasculares de alta complejidad en las 6 principales áreas geográficas y económicas de Colombia. RESULTADOS: La media (DE) de edad de los pacientes incluidos fue de 66,4 (±12,3) años. El 53,4% (246) eran mujeres. Las dislipidemias se distribuyeron así: dislipidemia mixta (51,4%), hipercolesterolemia (41,0%), hipertrigliceridemia (5,4%), hipercolesterolemia familiar (3,3%) y c-HDL bajo (0,7%). El medicamento más prescrito fue atorvastatina (75,7%), seguido de rosuvastatina (24,9%). El 55% del total de pacientes y el 28,6% de aquellos con enfermedad coronaria no estaban en metas de c-LDL a pesar del tratamiento. La frecuencia de intolerancia a estatinas fue del 2,6%. CONCLUSIONES: La dislipidemia mixta y la hipercolesterolemia son las dislipidemias más frecuentes. Un porcentaje considerable de pacientes en tratamiento, incluidos aquellos con enfermedad coronaria, no lograron sus objetivos de c-LDL. Este inadecuado control lipídico influye en el RCV y requiere un cambio en las estrategias terapéuticas, intensificando el tratamiento con estatinas o adicionando nuevos fármacos en los pacientes con mayor RCV

BACKGROUND AND OBJECTIVE: Data is scarce on the distribution of different types of dyslipidaemia in Colombia. The primary objective was to describe the frequency of dyslipidaemias. The secondary objectives were: frequency of cardiovascular comorbidity, statins and other lipid-lowering drugs use, frequency of statins intolerance, percentage of patients achieving c-LDL goals, and distribution of cardiovascular risk (CVR). MATERIALS AND METHODS: Cross-sectional study with retrospective data collection from 461 patients diagnosed with dyslipidaemia and treated in 17 highly specialised centres distributed into six geographic and economic regions of Colombia. RESULTS: Mean (SD) age was 66.4 (±12.3) years and 53.4% (246) were women. Dyslipidaemias were distributed as follows in order of frequency: mixed dyslipidaemia (51.4%), hypercholesterolaemia (41.0%), hypertriglyceridaemia (5.4%), familial hypercholesterolaemia (3.3%), and low c-HDL (0.7%). The most prescribed drugs were atorvastatin (75.7%) followed by rosuvastatin (24.9%). As for lipid control, 55% of all patients, and 28.6% of those with coronary heart disease, did not achieve their personal c-LDL goal despite treatment. The frequency of statin intolerance was 2.6% in this study. CONCLUSIONS: Mixed dyslipidaemia and hypercholesterolaemia are the most frequent dyslipidaemias in Colombia. A notable percentage of patients under treatment with lipid-lowering drugs, including those with coronary heart disease, did not achieve specific c-LDL goals. This poor lipid control may worsen patient's CVR, so that therapeutic strategies need to be changed, either with statin intensification or addition of new drugs in patients with higher CVR

Dyslipidaemias and their treatment in high complexity centres in Colombia. / Las dislipidemias y su tratamiento en centros de alta complejidad en Colombia.

BACKGROUND AND OBJECTIVE: Data is scarce on the distribution of different types of dyslipidaemia in Colombia. The primary objective was to describe the frequency of dyslipidaemias. The secondary objectives were: frequency of cardiovascular comorbidity, statins and other lipid-lowering drugs use, frequency of statins intolerance, percentage of patients achieving c-LDL goals, and distribution of cardiovascular risk (CVR). MATERIALS AND METHODS: Cross-sectional study with retrospective data collection from 461 patients diagnosed with dyslipidaemia and treated in 17 highly specialised centres distributed into six geographic and economic regions of Colombia. RESULTS: Mean (SD) age was 66.4 (±12.3) years and 53.4% (246) were women. Dyslipidaemias were distributed as follows in order of frequency: mixed dyslipidaemia (51.4%), hypercholesterolaemia (41.0%), hypertriglyceridaemia (5.4%), familial hypercholesterolaemia (3.3%), and low c-HDL (0.7%). The most prescribed drugs were atorvastatin (75.7%) followed by rosuvastatin (24.9%). As for lipid control, 55% of all patients, and 28.6% of those with coronary heart disease, did not achieve their personal c-LDL goal despite treatment. The frequency of statin intolerance was 2.6% in this study. CONCLUSIONS: Mixed dyslipidaemia and hypercholesterolaemia are the most frequent dyslipidaemias in Colombia. A notable percentage of patients under treatment with lipid-lowering drugs, including those with coronary heart disease, did not achieve specific c-LDL goals. This poor lipid control may worsen patient's CVR, so that therapeutic strategies need to be changed, either with statin intensification or addition of new drugs in patients with higher CVR.

Síndrome autoinmune tirogástrico (SAT): serie de casos / Thyrogastric syndrome: Case Series

Resumen Un porcentaje importante de pacientes con gastritis crónica atrófica corporal autoinmune, o gastritis tipo A, desarrollan enfermedad autoinmune tiroidea (enfermedad de Graves o de Hashimoto) y viceversa, situación conocida como síndrome autoinmune tirogástrico (SAT), pero no se conoce su prevalencia, por lo que puede pasarse sin el diagnóstico completo. El desarrollo de la gastritis atrófica limita la absorción de la vitamina B12, lo que lleva a alteraciones hematológicas, neurológicas y metabólicas, por tanto, es importante realizar las pruebas necesarias para su diagnóstico y seguir de cerca la evolución de los pacientes. La detección serológica de los autoanticuerpos contra la glándula tiroides y el cuerpo gástrico muestran la etiología autoinmune y un estado inflamatorio con daño tisular. Todo paciente con enfermedad autoinmune debe ser valorado para descartar la presencia de otras patologías de etiología inmunológica.

Abstract A significant percentage of patients with chronic autoimmune atrophic body gastritis (type A gastritis) develop thyroid autoimmune disease (Graves' disease or Hashimoto's disease) and vice versa. This situation is known as thyrogastric syndrome. Its prevalence is unknown, due to incomplete diagnoses. Since the development of atrophic gastritis limits the absorption of vitamin B12 leading to hematological, neurological and metabolic alterations, it is important to perform necessary diagnostic tests and to closely monitor the evolution of patients. Serological detection of autoantibodies against the thyroid gland and the gastric body show the autoimmune etiology and an inflammatory state with tissue damage. Every patient with autoimmune disease should be evaluated to rule out the presence of other pathologies of immunological etiology.

Decision support algorithm for the selection of analytical methods in organic compounds detection for future extraterrestrial exploratory missions.

The search for biotic compounds beyond planet Earth is among the highest priorities in space discovery. We sought to detect organic molecules in various earth soil samples collected from environments with extreme climatic conditions comparable to extraterrestrial environments using HPLC, spectrophotometry (UV, IR), GC/MS and vertical gel electrophoresis analyses systems. The applied methods in the study were compared using a self-developed software tool that was designed to evaluate the viability of instrument selection for organics detection in any given exploratory mission. The tool was created to aid further development and refinements of rapidly improving technological solutions such as MCE and MS instruments. Such comparison can be done quickly and easily, acting as a decision support tool when choosing between analytical methods during any planning phase of future exploration missions led by space agencies (i.e., NASA).

Characterization of brain anatomical patterns by comparing region intensity distributions: Applications to the description of Alzheimer's disease.

Purpose: This work presents an automatic characterization of the Alzheimer's disease describing the illness as a multidirectional departure from a baseline defining the control state, being these directions determined by a distance between functional-equivalent anatomical regions. Methods: After a brain parcellation, a region is described by its histogram of gray levels, and the Earth mover's distance establishes how close or far these regions are. The medoid of the control group is set as the reference and any brain is characterized by its set of distances to this medoid. Evaluation: This hypothesis was assessed by separating groups of patients with mild Alzheimer's disease and mild cognitive impairment from control subjects, using a subset of the Open Access Series of Imaging Studies (OASIS) database. An additional experiment evaluated the method generalization and consisted in training with the OASIS data and testing with the Minimal Interval Resonance Imaging in Alzheimer's disease (MIRIAD) database. Results: Classification between controls and patients with AD resulted in an equal error rate of 0.1 (90% of sensitivity and specificity at the same time). The automatic ranking of regions resulting is in strong agreement with those regions described as important in clinical practice. Classification with different databases results in a sensitivity of 85% and a specificity of 91%. Conclusions: This method automatically finds out a multidimensional expression of the AD, which is directly related to the anatomical changes in specific areas such as the hippocampus, the amygdala, the planum temporale, and thalamus.