A retrospective study on 198 mpox cases in South Florida: Clinical characteristics and outcomes with focus on human immunodeficiency virus status.

BACKGROUND: Men who have sex with men (MSM) and persons living with human immunodeficiency virus (PLWH) were disproportionately affected by global mpox outbreak in 2022. In this retrospective review, we describe epidemiology and clinical characteristics of mpox infection in South Florida with a focus on human immunodeficiency virus (HIV) status. METHODS: This was a retrospective observational study of 198 adult patients with confirmed diagnosis of mpox between 01 January 2020, and 10 September 2022, in two large health systems in South Florida. A descriptive analysis was performed to summarize demographic, clinical and laboratory characteristics, and outcomes of the patients. RESULTS: Young male patients and PLWH were disproportionately represented among patients with mpox. HIV positive patients were less likely to have adenopathy and myalgia and were more likely to have oral or facial lesions. 22.7% of studied patients were diagnosed with one or more concurrent STI at the time of mpox diagnosis. CONCLUSIONS: We suggest screening for sexually transmitted infections and HIV for patients diagnosed with mpox. We suggest prompt consultation or referral to infectious disease specialist if needed for the patients who are diagnosed with mpox especially in the severely immunocompromised host.

Distinct Clinical Presentations and Outcomes of Hospitalized Adults with the SARS-CoV-2 Infection Occurring during the Omicron Variant Surge.

The COVID-19 Omicron variant has imposed a tremendous burden on healthcare services. We characterized the types of the Omicron variant-associated hospitalizations and their associations with clinical outcomes. Consecutive adults hospitalized with COVID-19 during the Omicron variant surge period of 1-14 January 2022, were classified into one of three groups based on their clinical presentations on admission: Group 1-primary COVID-19; Group 2-extrapulmonary manifestations of COVID-19; and Group 3-incidental COVID-19. Of the 500 patients who were hospitalized, 51.4% fell into Group 1, 16.4% into Group 2, and 32.2% into Group 3. The patients in Groups 1 and 2 were older, with higher proportions of comorbidities than patients in Group 3. The Group 1 patients had the highest mortality rate (15.6%), followed by Group 2 (8.5%), and Group 3 (0.6%), with adjusted odds ratios (OR) of 22.65 (95% confidence interval [CI], 2.75-239.46; p = 0.004) and 10.95 (95% CI, 1.02-117.28; p = 0.048), respectively, compared to Group 3. Those in Group 1 showed a greater utilization of intensive care services (15.9%), followed by Group 2 (10.9%), and Group 3 (2.5%), with adjusted ORs of 7.95 (95% CI, 2.52-25.08; p < 0.001) and 5.07 (95% CI, 1.34-19.15; p = 0.017), respectively, compared to Group 3. The patients in Groups 1 and 2 had longer hospitalization stays than the patients in Group 3 (p < 0.001 and p = 0.002, respectively). Older age (≥65 years) was an independent factor associated with longer hospital stays (OR = 1.72, 95% CI, 1.07-2.77). These findings can help hospitals prioritize patient care and service planning for future SARS-CoV-2 variants.

Fortification of Maize Tortilla with an Optimized Chickpea Hydrolysate and Its Effect on DPPIV Inhibition Capacity and Physicochemical Characteristics.

Chickpea hydrolysates have shown bioactivity towards type 2 diabetes by inhibiting dipeptidyl peptidase (DPPIV) activity. The objective was to compare the effect of adding different levels of an optimized bromelain hydrolysate from chickpea isolated protein on DPPIV inhibition capacity and physicochemical properties of maize tortilla. White and blue maize tortillas, with no added chickpea hydrolysates were compared with fortified tortillas at the levels of 5%, 10%, and 15% w/w. Changes in color (L* a* b*, hue angle, and ΔE), texture (hardness, cohesiveness, and puncture force), and moisture were tested. Soluble protein determination and SDS-PAGE electrophoresis were used to characterize the protein profiles, and LC-MS-MS was used to sequence the peptides. DPPIV inhibition was evaluated before and after simulated gastrointestinal digestion. Peptides in the hydrolysates had high hydrophobicity (7.97-27.05 kcal * mol -1) and pI (5.18-11.13). Molecular docking of peptides showed interaction with DPPIV with an energy of affinity of -5.8 kcal/mol for FDLPAL in comparison with vildagliptin (-6.2 kcal/mol). The lowest fortification level increased soluble protein in 105% (8 g/100 g tortilla). DPPIV inhibition of white maize tortilla increased from 11% (fresh control) to 91% (15% fortification), and for blue tortilla from 26% to 95%. After simulated digestion, there was not a difference between blue or maize tortillas for DPPIV inhibition. Fortification of maize tortilla with chickpea hydrolysate inhibits DPPIV and can potentially be used in the prevention and management of type 2 diabetes. However, due to observed physicochemical changes of the fortified tortilla, sensory properties and consumer acceptance need to be evaluated.

Comparison of five chickpea varieties, optimization of hydrolysates production and evaluation of biomarkers for type 2 diabetes.

The objective was to compare five varieties of chickpea (Cicer arietinum), sequence the peptides obtained with pepsin-pancreatin digestion, and evaluate their potential as modulators of biochemical markers for type-2 diabetes. In addition, to produce a functional ingredient, by the optimization in the production of hydrolysates using bromelain. Proteins of ground raw, precooked and cooked chickpea, were extracted, isolated, and characterized using SDS-PAGE gel electrophoresis. Hydrolysates were obtained by simulated digestion with pepsin-pancreatin, and resulting peptides were sequenced with LC-MSMS. Response surface methodology was used to optimize the production of hydrolysates with dipeptidyl peptidase IV (DPPIV) inhibition using bromelain. Protein profiles showed fractions of convicilin (>70 kDa), 7S vicilin (43-53 kDa), 11S legumin (35 kDa) and lectins (30-32 kDa) in raw varieties. Albumin fractions 2S (20-26 kDa) were still present in most varieties after 2 h of heat treatment. DPPIV IC50 values from digestive enzymes were better (0.17-2.21 mg/mL) in raw chickpea than in cooked chickpea. α-Glucosidase inhibition at 10 mg protein/mL was highest (32-66%) in precooked chickpea hydrolysates. Hydrolysis with bromelain showed a DPPIV inhibition of 94% for Sierra variety cooked for 15 min with 1:10 E/S ratio and hydrolysis time of 60 min. Peptides with DPPIV inhibition were present from albumin fractions (EVLSEVSF) with 908.44 Da and high hydrophobicity; and from legumin (VVFW, FDLPAL) with 549.29 and 674.36 Da, respectively. In conclusion, high DDPIV inhibition can be obtained from chickpea bromelain hydrolysates, with potential as ingredients in different food applications.

Technological properties of chickpea (Cicer arietinum): Production of snacks and health benefits related to type-2 diabetes.

Chickpea (Cicer arietinum) is one of the most consumed pulses worldwide (over 2.3 million tons enter the world market annually). Some chickpea components have shown, in preclinical and clinical studies, several health benefits, including antioxidant capacity, and antifungal, antibacterial, analgesic, anticancer, antiinflammatory, and hypocholesterolemic properties, as well as angiotensin I-converting enzyme inhibition. In the United States, chickpea is consumed mostly in the form of hummus. However, the development of new products with value-added bioactivity is creating new opportunities for research and food applications. Information about bioactive compounds and functional properties of chickpea ingredients in the development of new products is needed. The objective of this review was to summarize available scientific information, from the last 15 years, on chickpea production, consumption trends, applications in the food industry in the elaboration of plant-based snacks, and on its bioactive compounds related to type 2 diabetes (T2D). Areas of opportunity for future research and new applications of specific bioactive compounds as novel food ingredients are highlighted. Research is key to overcome the main processing obstacles and sensory challenges for the application of chickpea as ingredient in snack preparations. The use of chickpea bioactive compounds as ingredient in food products is also a promising area for accessibility of their health benefits, such as the management of T2D.

Patterns of Industry Payments to Urologists From 2014-2018.

OBJECTIVES: To evaluate the patterns of financial transaction between industry and urologists in the first 5 years of reporting in the Open Payments Program (OPP) by comparing transactions over time, between academic and nonacademic urologists, and by provider characteristics among academic urologists. METHODS: The Center for Medicare & Medicaid Services OPP database was queried for General Payments to urologists from 2014-2018. Faculty at ACGME-accredited urology training programs were identified and characterized via publicly available websites. Industry transfers were analyzed by year, practice setting (academic vs nonacademic), provider characteristics, and AUA section. Payment nature and individual corporate contributions were also summarized. RESULTS: A total of 12,521 urologists - representing 75% of the urology workforce in any given year - received $168 million from industry over the study period. There was no significant trend in payments by year (P = .162). Urologists received a median of $1602 over the study period, though 14% received >$10,000. Payment varied significantly by practice setting (P <.001), with nonacademic urologists receiving more but smaller payments than academic urologists. Among academic urologists, gender (P <.001), department chair status (P <.001), fellowship training (P <.001), and subspecialty (P <.001) were significantly associated with amount of payment from industry. Annual payments from industry varied significantly by AUA section. CONCLUSION: Reporting of physician-industry transactions has not led to a sustained decline in transactions with urologists. Significant differences in industry interaction exist between academic and nonacademic urologists, and values transferred to academic urologists varied by gender, chair status, subspecialty, and AUA section.

La metodología de simulación en la enseñanza de los contenidos de parto y atención del recién nacido en enfermería / The simulation technology in teaching contents regarding delivery and newborn care in nursing

Introducción: la simulación clínica provee a los estudiantes de capacidades cognitivas, psicomotrices, afectivas y experiencias de aprendizaje que mejoran el desarrollo de habilidades en la evaluación, pensamiento crítico, análisis y resolución de problemas y la toma de decisiones, otorgando oportunidades similares para todos los estudiantes. Objetivos: incorporar la metodología de simulación clínica para la enseñanza de los contenidos de atención integral del parto y atención inmediata del recién nacido en estudiantes de enfermería. Resultados: mejoraron los contenidos referentes a la identificación de las etapas del parto, las acciones específicas involucradas en su atención, y las acciones específicas presentes en la atención del recién nacido. Los estudiantes evaluaron los aspectos introductorios del escenario y debriefing como extremadamente eficaz o excelente, el 96,9 por ciento se manifestó completamente de acuerdo que recurriría nuevamente a esta metodología, recomendándola a un compañero. Conclusión: la implementación de la metodología de simulación en la enseñanza de los contenidos de atención integral del parto y atención inmediata del recién nacido debe ser un proceso sistemático y riguroso, que incluya los pasos de creación, validación y aplicación de los escenarios, además de la evaluación de su efectividad en el proceso de enseñanza aprendizaje y satisfacción del estudiante(AU)

Introduction: Clinical simulation provides students with cognitive, psychomotor, affective and learning experiences that improve the development of skills in evaluation, critical thinking, analysis and problem solving and decision making, granting similar opportunities for all students. Objectives: To incorporate the clinical simulation methodology with nursing students for the teaching of contents regarding comprehensive and immediate delivery care for the newborn. Results: The contents regarding the identification of the stages of the birth they improved, as wee as the specific actions involved in their attention, and the specific actions present in newborn care. The students evaluated the introductory aspects on setting and debriefing as extremely effective or excellent: 96.9 percent completely agreed that they would apply again this methodology, recommending it to a classmate. Conclusion: The implementation of the simulation methodology in teaching the contents regarding comprehensive delivery and immediate newborn care must be a systematic and rigorous process, which includes the steps of creation, validation and application of the setting, in addition to the evaluation of its effectiveness in the teaching-learning process and student satisfaction(AU)

La metodología de simulación en la enseñanza de los contenidos de parto y atención del recién nacido en enfermería / The simulation technology in teaching contents regarding delivery and newborn care in nursing

Introducción: la simulación clínica provee a los estudiantes de capacidades cognitivas, psicomotrices, afectivas y experiencias de aprendizaje que mejoran el desarrollo de habilidades en la evaluación, pensamiento crítico, análisis y resolución de problemas y la toma de decisiones, otorgando oportunidades similares para todos los estudiantes. Objetivos: incorporar la metodología de simulación clínica para la enseñanza de los contenidos de atención integral del parto y atención inmediata del recién nacido en estudiantes de enfermería. Resultados: mejoraron los contenidos referentes a la identificación de las etapas del parto, las acciones específicas involucradas en su atención, y las acciones específicas presentes en la atención del recién nacido. Los estudiantes evaluaron los aspectos introductorios del escenario y debriefing como extremadamente eficaz o excelente, el 96,9 por ciento se manifestó completamente de acuerdo que recurriría nuevamente a esta metodología, recomendándola a un compañero. Conclusión: la implementación de la metodología de simulación en la enseñanza de los contenidos de atención integral del parto y atención inmediata del recién nacido debe ser un proceso sistemático y riguroso, que incluya los pasos de creación, validación y aplicación de los escenarios, además de la evaluación de su efectividad en el proceso de enseñanza aprendizaje y satisfacción del estudiante(AU)

Introduction: Clinical simulation provides students with cognitive, psychomotor, affective and learning experiences that improve the development of skills in evaluation, critical thinking, analysis and problem solving and decision making, granting similar opportunities for all students. Objectives: To incorporate the clinical simulation methodology with nursing students for the teaching of contents regarding comprehensive and immediate delivery care for the newborn. Results: The contents regarding the identification of the stages of the birth they improved, as wee as the specific actions involved in their attention, and the specific actions present in newborn care. The students evaluated the introductory aspects on setting and debriefing as extremely effective or excellent: 96.9 percent completely agreed that they would apply again this methodology, recommending it to a classmate. Conclusion: The implementation of the simulation methodology in teaching the contents regarding comprehensive delivery and immediate newborn care must be a systematic and rigorous process, which includes the steps of creation, validation and application of the setting, in addition to the evaluation of its effectiveness in the teaching-learning process and student satisfaction(AU)

LEDGF/p75 Overexpression Attenuates Oxidative Stress-Induced Necrosis and Upregulates the Oxidoreductase ERP57/PDIA3/GRP58 in Prostate Cancer.

Prostate cancer (PCa) mortality is driven by highly aggressive tumors characterized by metastasis and resistance to therapy, and this aggressiveness is mediated by numerous factors, including activation of stress survival pathways in the pro-inflammatory tumor microenvironment. LEDGF/p75, also known as the DFS70 autoantigen, is a stress transcription co-activator implicated in cancer, HIV-AIDS, and autoimmunity. This protein is targeted by autoantibodies in certain subsets of patients with PCa and inflammatory conditions, as well as in some apparently healthy individuals. LEDGF/p75 is overexpressed in PCa and other cancers, and promotes resistance to chemotherapy-induced cell death via the transactivation of survival proteins. We report in this study that overexpression of LEDGF/p75 in PCa cells attenuates oxidative stress-induced necrosis but not staurosporine-induced apoptosis. This finding was consistent with the observation that while LEDGF/p75 was robustly cleaved in apoptotic cells into a p65 fragment that lacks stress survival activity, it remained relatively intact in necrotic cells. Overexpression of LEDGF/p75 in PCa cells led to the upregulation of transcript and protein levels of the thiol-oxidoreductase ERp57 (also known as GRP58 and PDIA3), whereas its depletion led to ERp57 transcript downregulation. Chromatin immunoprecipitation and transcription reporter assays showed LEDGF/p75 binding to and transactivating the ERp57 promoter, respectively. Immunohistochemical analysis revealed significantly elevated co-expression of these two proteins in clinical prostate tumor tissues. Our results suggest that LEDGF/p75 is not an inhibitor of apoptosis but rather an antagonist of oxidative stress-induced necrosis, and that its overexpression in PCa leads to ERp57 upregulation. These findings are of significance in clarifying the role of the LEDGF/p75 stress survival pathway in PCa.

Multi-Server Approach for High-Throughput Molecular Descriptors Calculation based on Multi-Linear Algebraic Maps.

The present report introduces a novel module of the QuBiLS-MIDAS software for the distributed computation of the 3D Multi-Linear algebraic molecular indices. The main motivation for developing this module is to deal with the computational complexity experienced during the calculation of the descriptors over large datasets. To accomplish this task, a multi-server computing platform named T-arenal was developed, which is suited for institutions with many workstations interconnected through a local network and without resources particularly destined for computation tasks. This new system was deployed in 337 workstations and it was perfectly integrated with the QuBiLS-MIDAS software. To illustrate the usability of the T-arenal platform, performance tests over a dataset comprised of 15 000 compounds are carried out, yielding a 52 and 60 fold reduction in the sequential processing time for the 2-Linear and 3-Linear indices, respectively. Therefore, it can be stated that the T-arenal based distribution of computation tasks constitutes a suitable strategy for performing high-throughput calculations of 3D Multi-Linear descriptors over thousands of chemical structures for posterior QSAR and/or ADME-Tox studies.

QuBiLS-MIDAS: a parallel free-software for molecular descriptors computation based on multilinear algebraic maps.

The present report introduces the QuBiLS-MIDAS software belonging to the ToMoCoMD-CARDD suite for the calculation of three-dimensional molecular descriptors (MDs) based on the two-linear (bilinear), three-linear, and four-linear (multilinear or N-linear) algebraic forms. Thus, it is unique software that computes these tensor-based indices. These descriptors, establish relations for two, three, and four atoms by using several (dis-)similarity metrics or multimetrics, matrix transformations, cutoffs, local calculations and aggregation operators. The theoretical background of these N-linear indices is also presented. The QuBiLS-MIDAS software was developed in the Java programming language and employs the Chemical Development Kit library for the manipulation of the chemical structures and the calculation of the atomic properties. This software is composed by a desktop user-friendly interface and an Abstract Programming Interface library. The former was created to simplify the configuration of the different options of the MDs, whereas the library was designed to allow its easy integration to other software for chemoinformatics applications. This program provides functionalities for data cleaning tasks and for batch processing of the molecular indices. In addition, it offers parallel calculation of the MDs through the use of all available processors in current computers. The studies of complexity of the main algorithms demonstrate that these were efficiently implemented with respect to their trivial implementation. Lastly, the performance tests reveal that this software has a suitable behavior when the amount of processors is increased. Therefore, the QuBiLS-MIDAS software constitutes a useful application for the computation of the molecular indices based on N-linear algebraic maps and it can be used freely to perform chemoinformatics studies.

Extracellular, cell-permeable survivin inhibits apoptosis while promoting proliferative and metastatic potential.

The tumour microenvironment is believed to be involved in development, growth, metastasis, and therapy resistance of many cancers. Here we show survivin, a member of the inhibitor of apoptosis protein (IAP) family, implicated in apoptosis inhibition and the regulation of mitosis in cancer cells, exists in a novel extracellular pool in tumour cells. Furthermore, we have constructed stable cell lines that provide the extracellular pool with either wild-type survivin (Surv-WT) or the previously described dominant-negative mutant survivin (Surv-T34A), which has proven pro-apoptotic effects in cancer cells but not in normal proliferating cells. Cancer cells grown in conditioned medium (CM) taken from Surv-WT cells absorbed survivin and experienced enhanced protection against genotoxic stresses. These cells also exhibited an increased replicative and metastatic potential, suggesting that survivin in the tumour microenvironment may be directly associated with malignant progression, further supporting survivin's function in tumourigenesis. Alternatively, cancer cells grown in CM taken from the Surv-T34A cells began to apoptose through a caspase-2- and caspase-9-dependent pathway that was further enhanced by the addition of other chemo- and radiotherapeutic modalities. Together our findings suggest a novel microenvironmental function for survivin in the control of cancer aggressiveness and spread, and should result in the genesis of additional cancer treatment modalities.

Quantitative study of the structure-retention index relationship in the imine family.

The Kováts retention index is one of the most popular descriptors of the performance of organic compounds in gas chromatography (GC). The mathematical modeling of this index is an interesting and open problem in analytical chemistry. In this paper, two models for the prediction of the Kováts retention index are presented. Topologic, topographic and quantum-chemical descriptors were used as structural descriptors. Multiple linear regression (MLR) analysis provides the first model using the forward stepwise procedure for the variable selection. For the second one, an ensemble of artificial neural network (ANN) was constructed using the pruning algorithm. Both methods were validated by an external set of compounds, by the Golbraikh and Tropsha method and by the leave-one-out (LOO) and the leave many out (LMO) procedures. The R2, RMScv and Q2, values for the training sets were 0.884, 0.589 and 0.830 for NN and 0.974, 0.417 and 0.970 for MLR models, respectively. The robustness of both models was demonstrated. Both portrait the chromatographic performance of the sample but in this case, the results of MLR equation are better than the NN ones. The MLR model is recommended because of its simplicity.

Teratoma gigante y embarazo. A propósito de un caso / Giant dermoid and pregnancy. A case report

Se presenta el caso de una masa anexial asociada a gestación. La actitud ante este hallazgo depende de la sospecha de benignidad-malignidad y del tamaño de la tumoración. En nuestro caso el tamaño mayor a 8 cm de la tumoración obligaba a una laparotomía por la posibilidad de complicaciones posteriores.El diagnóstico ecográfico de teratoma gigante en el primer trimestre permitió esperar al segundo trimestre de gestación cuando la pérdida fetal es prácticamente nula.La evolución de la gestación tras la laparotomía fue satisfactoria siendo un embarazo y parto normales (AU)