Sequencing paired tumor DNA and white blood cells improves circulating tumor DNA tracking and detects pathogenic germline variants in localized colon cancer.

BACKGROUND: In the setting of localized colon cancer (CC), circulating tumor DNA (ctDNA) monitoring in plasma has shown potential for detecting minimal residual disease (MRD) and predicting a higher risk of recurrence. With the tumor-only sequencing approach, however, germline variants may be misidentified as somatic variations, precluding the possibility of tracking in up to 11% of patients due to a lack of known somatic mutations. In this study, we assess the potential value of adding white blood cells (WBCs) to tumor tissue sequencing to enhance the accuracy of sequencing results. PATIENTS AND METHODS: A total of 148 patients diagnosed with localized CC were prospectively recruited at the Hospital Clínico Universitario in Valencia (Spain). Employing a custom 29-gene panel, sequencing was conducted on tumor tissue, plasma and corresponding WBCs. Droplet digital PCR and amplicon-based NGS were performed on plasma samples post-surgery to track MRD. Oncogenic somatic variants were identified by annotating with COSMIC, OncoKB and an internal repository of pathogenic mutations database. A variant prioritization analysis, mainly characterized by the match of oncogenic mutations with the evidence levels defined in OncoKB, was carried out to select specific targeted therapies. RESULTS: Utilizing paired tumor and WBCs sequencing, we identified somatic mutations in all patients (100%) within our cohort, compared to 89% using only tumor tissue. Consequently, the top 10 most frequently mutated genes for plasma monitoring were altered. The sequencing of WBCs identified 9% of patients with pathogenic mutations in the germline, with APC and TP53 being the most frequently mutated genes. Additionally, mutations in genes related to clonal hematopoiesis of indeterminate potential were detected in 27% of the cohort, with TP53, KRAS, and KMT2C being the most frequently altered genes. There were no observed differences in the sensitivity of monitoring MRD using ddPCR or amplicon-based NGS (p = 1). Ultimately, 41% of the patients harbored potentially targetable alterations at diagnosis. CONCLUSION: The germline testing method not only enhanced sequencing results and raised the proportion of patients eligible for plasma monitoring, but also uncovered the existence of pathogenic germline variations, thereby aiding in the identification of patients at a higher risk of hereditary cancer syndromes.

Análisis del combate en la iniciación al karate: un ejemplo de utilización de árboles de decisión en metodología observacional / Análise do combate na iniciação ao karatê: um exemplo do uso de árvores de decisão na metodologia observacional / Combat analysis in initiation to karate: decision trees in observational methodology

El presente trabajo persigue delimitar el desempeño técnico-táctico en combate en la iniciación al karate y mostrar las posibilidades de aplicación de la técnica de análisis de árbol de decisión en metodología observacional. El muestreo observacional ha ascendido a 887 acciones técnico-tácticas ofensivas realizadas en 40 combates por participantes de la franja de 8-9 años de edad. El instrumento de observación se ha introducido en el seno del softwarede registro y codificación, Lince. La calidad del dato ha quedado garantizada, por un lado, mediante un procedimiento de concordancia inter-observadores a partir del coeficiente Kappa de Cohen y, por otro lado, por un diseño de generalizabilidad. Se han realizado dos árboles de decisiónutilizando dos algoritmos diferentes (CHAID y CART). Los resultados obtenidos con ambos algoritmos coinciden en señalar como mejor predictor de la “zona del cuerpo a la que se dirige la técnica” a la dimensión “segmento”; pero se diferencian en el segundo mejor pronosticador: dimensión“grupo de técnica” mediante el algoritmo CHAID,y dimensión “técnica detallada” con el algoritmo CART. (AU)

This work analyze the technical-tactical performance in combat in the initiation to karate and show the possibilities of application of the decision tree analysis technique in observational methodology. The observational sampling is made up of 887 offensive technical-tactical actions executed in 40 combats by participants of the 8-9 age group. Regarding the recording and coding process, the observation instrument has been introduced in the software LINCE. The quality of the data has been guaranteed bymeans of an inter-observer concordance procedure based on Cohen's Kappa coefficient and by a design of generalizability. Two decision trees have been made using two different algorithms (CHAID and CART). The results obtained with both algorithms coincide in pointing out the "segment" dimension as the best predictor of the "body area to which the technique is directed";but they differ in the second best forecaster: dimension "technique group" through the CHAID algorithm,and "concrete technique" dimension with the CART algorithm. (AU)

Este trabalho analisa o desempenho técnico-tático em combate na iniciação ao karatê e mostra as possibilidades de aplicação da técnica de análise de árvore de decisão na metodologia observacional. A amostragem observacional é composta por 887 ações técnico-táticas ofensivas executadas em 40 combates por participantes da faixa etária de 8 a 9 anos. Em relação ao processo de registro e codificação, o instrumento de observação foi introduzido no softwareLINCE. A qualidade dos dados foi garantida por meio de um procedimento de concordância interobservador baseado no coeficiente Kappa de Cohen e por um desenho de generalização. Duas árvores de decisão foram feitas usando dois algoritmos diferentes (CHAID e CART). Os resultados obtidos com ambos os algoritmos coincidem em apontar a dimensão "segmento" como o melhor preditor da “área do corpo para a qual a técnica é direcionada”; mas diferem no segundo melhor preditor: dimensão “grupo de técnicas” usando o algoritmo CHAID,e dimensão “técnica detalhada” com o algoritmo CART. (AU)

Alineamiento comisural preciso durante el TAVI con ACURATE neo. Prueba de concepto / Accurate commissural alignment during ACURATE neo TAVI procedure. Proof of concept

Introducción y objetivos: La posición final de las neocomisuras en el implante percutáneo de válvula aórtica (TAVI) es aleatoria, lo que podría dificultar el acceso coronario y procedimientos futuros. Nuestro objetivo es desarrollar un método estandarizado para conseguir el alineamiento de las comisuras con ACURATE neo. Métodos: La relación entre las comisuras nativas y las neocomisuras de la válvula se analizó en 11 pacientes con estenosis aórtica grave sometidos a TAVI. Con base en la tomografía computarizada, se desarrolló un modelo in silico para predecir la posición final de los postes comisurales. A continuación, se desarrolló una técnica modificada de implante con alineamiento comisural adecuado (ACA) y un dispositivo específico para orientar el sistema de liberación. Por último, el implante de TAVI con alineamiento comisural se simuló en modelos impresos en 3D e in vivo. Se analizó el grado de mal alineamiento y de solapamiento coronario (SC). Resultados: El modelo in silico predijo con precisión la posición de los postes comisurales tanto para implantes convencionales (2) como aquellos con técnica de ACA (9) (coeficiente de correlación=0,994; IC95%, 0,989-0,998; p <0,001). El TAVI con una rotación del sistema específica para cada paciente se simuló con éxito en biomodelos y en 9 pacientes (mal alineamiento comisural medio in vivo, 7,7±3,9°). Ninguno de los implantes con técnica ACA presentó SC, mientras que la simulación in silico para los mismos casos pero mediante implante convencional predijo SC en 6 de los 9 casos. Conclusiones: El alineamiento comisural preciso del dispositivo ACURATE neo es factible mediante la inserción del sistema de liberación rotado específicamente para cada paciente basándose en el análisis de la tomografía computarizada. Este método sencillo y reproducible de alineamiento comisural podría utilizarse con todo tipo de dispositivos para TAVI (AU)

Introduction and objectives: Final position of the neo-commissures is uncontrolled during transcatheter aortic valve implantation (TAVI), potentially hindering coronary access and future procedures. We aimed to develop a standard method to achieve commissural alignment with the ACURATE neo valve. Methods: The relationship between native and TAVI neo-commissures was analyzed in 11 severe aortic stenosis patients undergoing TAVI. Based on computed tomography analysis, an in silico model was developed to predict final TAVI commissural posts position. A modified implantation technique, accurate commissural alignment (ACA) and a dedicated delivery system were developed. TAVI implants were tested in 3-dimensional (3D) printed models and in vivo. Commissural misalignment and coronary overlap (CO) were analyzed. Results: The in silico model accurately predicted final position of commissural posts irrespective of the implantation technique performed (correlation coefficient, 0.994; 95%CI, 0.989-0.998; P<.001). TAVI implant with patient-specific rotation was simulated in 3D printed models and in 9 patients. ACA-oriented TAVI implants presented adequate commissural alignment in vivo (mean commissural misalignment of 7.7 ±3.9°). None of the ACA oriented implants showed CO, whereas in silico conventional implants predicted CO in 6 of the 9 cases. Conclusions: Accurate commissural alignment of the ACURATE neo device is feasible by inserting the delivery system with a patient-specific rotation based on computed tomography analysis. This is a simple and reproducible method for commissural alignment that can be potentially used for all kinds of TAVI devices (AU)

Dispositivos de modificación de placa en oclusiones coronarias crónicas totales: estudio PLACCTON / Plaque modification in calcified chronic total occlusions: the PLACCTON study

Introducción y objetivos: La calcificación grave está presente en más del 50% de las oclusiones coronarias crónicas totales (OCT) tratadas mediante intervención percutánea. Nuestro objetivo fue describir el uso contemporáneo de los dispositivos de modificación de placa (DMP) en este contexto. Métodos: Los pacientes se incluyeron en el Registro Ibérico de OCT de forma prospectiva y consecutiva (32 centros de España y Portugal), de 2015 a 2020. Se compararon en función del uso o no de DMP. Resultados: Se incluyó a 2.235 pacientes, en 1.900 de los cuales se logró cruzar con éxito la lesión con guía. Se utilizó al menos un DMP en un 7% (134 pacientes) y más de uno en 24 pacientes (1%). Los DMP seleccionados fueron: aterectomía rotacional (35,1%), litotricia (5,2%), láser (11,2%), balones de corte (27,6%), balones OPN (2,9%) o combinaciones de más de uno (18%). Se utilizaron DMP en pacientes más ancianos, con mayor riesgo cardiovascular y puntuaciones Syntax y J-CTO más elevados. Esta mayor complejidad se asoció con procedimientos más prolongados, pero similar longitud total de stent (52 frente a 57mm; p=0,105). Cuando la guía cruzó con éxito la oclusión, la tasa de éxito final del procedimiento fue del 87,2%, pero se incrementó al 96,3% cuando se utilizaron DMP (p=0,001). Por el contrario, los DMP no se asociaron con mayor tasa de complicaciones en el procedimiento (3,7 frente a 3,2%; p=0,615). Pese al peor perfil de riesgo basal, a los 2 años de seguimiento no hubo diferencias en la tasa de supervivencia (94,3% DPM frente a no-DMP: 94,3% no-DPM, respectivamente, p=0,967). Conclusiones: Cuando la guía cruzó con éxito una OCT, la tasa de uso de los DMP fue del 7% y se asoció a una tasa de éxito final del procedimiento significativamente mayor. Los resultados a medio plazo fueron comparables cuando se precisaron DMP pese a su mayor riesgo basal, lo que sugiere que un mayor uso adecuado de estas técnicas en este contexto (AU)

Introduction and objectives: Severe calcification is present in> 50% of coronary chronic total occlusions (CTOs) undergoing percutaneous intervention. We aimed to describe the contemporary use and outcomes of plaque modification devices (PMDs) in this context. Methods: Patients were included in the prospective, consecutive Iberian CTO registry (32 centers in Spain and Portugal), from 2015 to 2020. Comparison was performed according to the use of PMDs. Results: Among 2235 patients, wire crossing was achieved in 1900 patients and PMDs were used in 134 patients (7%), requiring more than 1 PMD in 24 patients (1%). The selected PMDs were rotational atherectomy (35.1%), lithotripsy (5.2%), laser (11.2%), cutting/scoring balloons (27.6%), OPN balloons (2.9%), or a combination of PMDs (18%). PMDs were used in older patients, with greater cardiovascular burden, and higher Syntax and J-CTO scores. This greater complexity was associated with longer procedural time but similar total stent length (52 vs 57mm; P=.105). If the wire crossed, the procedural success rate was 87.2% but increased to 96.3% when PMDs were used (P=.001). Conversely, PMDs were not associated with a higher rate of procedural complications (3.7 vs 3.2%; P=.615). Despite the worse baseline profile, at 2 years of follow-up there were no differences in the survival rate (PMDs: 94.3% vs no-PMDs: 94.3%, respectively; P=.967). Conclusions: Following successful wire crossing in CTOs, PMDs were used in 7% of the lesions with an increased success rate. Mid-term outcomes were comparable despite their worse baseline profile, suggesting that broader use of PMDs in this setting might have potential technical and prognostic benefits (AU)

Influence of Water on the Oxidation of NO on Pd/TiO2 Photocatalysts.

Two series of new photocatalysts were synthesized based on modification with Pd of the commercial P25 photocatalyst (EVONIK®). Two techniques were employed to incorporate Pd nanoparticles on the P25 surface: photodeposition (series Pd-P) and impregnation (series Pd-I). Both series were characterized in depth using a variety of instrumental techniques: BET, DRS, XRD, XPS, TEM, FTIR and FESEM. The modified series exhibited a significant change in pore size distribution, but no differences compared to the original P25 with respect to crystalline phase ratio or particle size were observed. The Pd0 oxidation state was predominant in the Pd-P series, while the presence of the Pd2+ oxidation state was additionally observed in the Pd-I series. The photoactivity tests were performed in a continuous photoreactor with the photocatalysts deposited, by dip-coating, on borosilicate glass plates. A total of 500 ppb of NO was used as input flow at a volumetric flow rate of 1.2 L·min-1, and different relative humidities from 0 to 65% were tested. The results obtained show that under UV-vis or Vis radiation, the presence of Pd nanoparticles favors NO removal independently of the Pd incorporation method employed and independently of the tested relative humidity conditions. This improvement seems to be related to the different interaction of the water with the surface of the photocatalysts in the presence or absence of Pd. It was found in the catalyst without Pd that disproportionation of NO2 is favored through its reaction with water, with faster surface saturation. In contrast, in the catalysts with Pd, disproportionation took place through nitro-chelates and adsorbed NO2 formed from the photocatalytic oxidation of the NO. This different mechanism explains the greater efficiency in NOx removal in the catalysts with Pd. Comparing the two series of catalysts with Pd, Pd-P and Pd-I, greater activity of the Pd-P series was observed under both UV-vis and Vis radiation. It was shown that the Pd0 oxidation state is responsible for this greater activity as the Pd-I series improves its activity in successive cycles due to a reduction in Pd2+ species during the photoactivity tests.

Broiler chicken myofiber morphometrics and myogenic stem cell population heterogeneity1,2.

Myogenic stem cells (MSC), also known as satellite cells, play a key role in mediating post-hatch skeletal muscle growth in broiler chickens. Information regarding the heterogeneity of MSC populations and myofiber size distributions in different muscles of modern broiler strains of both sexes is scarce. Thus, myofiber cross-sectional area (CSA) and myogenic regulatory factor expression by MSC populations in 2 functionally different muscles (Biceps femoris, BF and Pectoralis major, PM) from both sexes of broilers from 2 strains, Ross 708 x Ross 708 (ROSS; Aviagen Group, Huntsville, AL) and Red Ranger (RR; S&G Poultry, Clanton, AL) was evaluated. Female and male broilers from both strains (n = 80 birds per strain) were reared for 43 d on a common corn and soybean meal-based diet. At 43 d of age, 8 birds per sex per strain (n = 32 total) were euthanized and PM and BF muscle samples from each bird were analyzed using cryohistology, immunofluorescence (IF) staining, and fluorescence microscopy. Cryosections from each muscle from each bird were IF stained to detect Myf-5, MyoD, and Pax7-expressing MSC. The CSA of every fiber in each digital image was measured and MSC populations (Myf-5+, MyoD+, Pax7+, Myf-5+: MyoD+, Myf-5+: Pax7+, MyoD+: Pax7+, and Myf-5+: MyoD+: Pax7+) were enumerated. Myofiber CSA was similar among the 2 strains and 2 sexes (P > 0.05). As expected, mean myofiber CSA was greater in the predominantly fast-twitch PM than the predominantly slow-twitch BF muscle (P = 0.006). At 43 d of age, ROSS broilers had a 32% larger population of Myf-5+: MyoD+: Pax7+ MSC compared with RR (P = 0.04). The heterogeneity of MSC was similar among the sexes. While the total MSC population was larger in the BF muscle compared with the PM (P < 0.05), the Myf-5+ and Pax7+ MSC densities were similar among muscles (P > 0.05). The major differences in myofiber morphometrics and MSC heterogeneity were not among the different broiler strains or sexes but were instead, between the 2 functionally different muscles.

Search for antibodies to Taenia solium cysticerci in paediatric patients with seizures.

Neurocysticercosis is a leading cause of seizures in adults, but in paediatric patients, the diagnosis is controversial. The aim of this study was to search for antibodies to Taenia solium cysticerci in paediatric patients with seizures. We retrospectively studied a cohort of 41 serum samples from paediatric patients and 40 serum samples from healthy children. Antibodies were analysed by ELISA (vesicular fluid) and by Western blot (glycoproteins). Clinical, image and socio-demographic data were obtained from the medical records. The frequency of positive by ELISA was of 12% (n=5) in patients with seizures, while no positive samples were found in the healthy group. Results of Western blot were negatives. The analysis of the medical records showed a cyst of unknown origin in 2/5 ELISA positive samples. According to the diagnostic criteria for neurocysticercosis, three minor criteria (positive serology, active seizures and compatible image) were associated to an epidemiological condition (Mexico is endemic for neurocysticercosis); thus, the probable frequency of neurocysticercosis in the studied sample of patients with seizures was 4.9% (2/41 patients). The three remaining positive samples were associated with problems of noninfectious origin. The positivity was associated with the identification of cysts by magnetic resonance imaging (p = 0.047; chi-square), but found no association with the socio-economic characteristics of the patients, family history or to clinical symptoms. In conclusion, scarce frequency of antibodies to T. solium cysticerci was determined in paediatric patients with seizures. The low prevalence of antibodies detected in children is an indirect indicator of the interruption of T. solium transmission. Further studies are needed to design an algorithm for the conclusive diagnosis of seizures.

[The neural networks of facial expression]. / Redes neuronales de la expresion facial.

INTRODUCTION: Face perception involves a broad network of connections between cortical and subcortical regions for the exchange and synchronization of information using white matter fibers. This precise communication system can be affected by the structures and the pathways that connect them. AIMS: To establish the neural substrate underlying the perception of facial expression and to analyze the different factors involved in modulating the integrity of this neural network, with the aim being to introduce improvements into rehabilitation programs. DEVELOPMENT: When the complex neural network involved in the perception of facial expression is altered by trauma, neurodegenerative disorders, developmental disorders, social isolation or negative contexts, the adaptive capacity to interact with the environment also deteriorates. CONCLUSIONS: Maintaining the neural network integrity responsible for processing facial expression requires considering different variables. To a greater or lesser extent, these variables modify the structure or function of neural networks, such as aerobic training, transcranial magnetic stimulation, transcranial electrical stimulation, and learning. These variables are affected by age, and the type and course of the condition or generator context, and raise the need for rehabilitation protocols that are adapted and designed to delimit the deficient neuronal substrate.

TITLE: Redes neuronales de la expresion facial.Introduccion. La percepcion de caras involucra una amplia red de conexiones entre regiones corticales y subcorticales que intercambian y sincronizan informacion a traves de haces de sustancia blanca. Este preciso sistema de comunicacion puede verse afectado tanto a traves de las propias estructuras como por las vias que las conectan. Objetivos. Delimitar el sustrato neuronal que subyace a la percepcion de la expresion facial y analizar los diferentes factores que participan modulando la integridad de esta red neuronal, con el fin de proponer mejoras en los programas de rehabilitacion. Desarrollo. Cuando la compleja red de conexiones que participa en la percepcion de la expresion facial se altera por traumatismos, patologias neurodegenerativas, trastornos del desarrollo, incluso por aislamiento social o contextos negativos, se deteriora tambien la capacidad para interactuar de manera adaptativa con el entorno. Conclusiones. La posibilidad de restaurar la integridad de la red neuronal encargada del procesamiento de la expresion facial pasa por tener en cuenta diferentes variables que en mayor o menor grado se han mostrado capaces de modificar la estructura o funcionalidad de las redes neuronales, como el entrenamiento aerobico, la estimulacion magnetica transcraneal, la estimulacion electrica transcraneal y el aprendizaje, sin bien estas variables estarian condicionadas por la edad, el tipo y evolucion del trastorno o el contexto generador, lo que plantearia la necesidad de protocolos de rehabilitacion ajustados y orientados a delimitar el sustrato neuronal del deficit.

Breast cancer: determining the genetic profile from ultrasound-guided percutaneous biopsy specimens obtained during the diagnostic workups. / Cáncer de mama: determinación del perfil genético a partir de la biopsia percutánea ecoguiada diagnóstica.

OBJECTIVES: To evaluate the possibility of determining the genetic profile of primary malignant tumors of the breast from specimens obtained by ultrasound-guided percutaneous biopsies during the diagnostic imaging workup. MATERIAL AND METHODS: This is a retrospective study in 13 consecutive patients diagnosed with invasive breast cancer by B-mode ultrasound-guided 12 G core needle biopsy. After clinical indication, the pathologist decided whether the paraffin block specimens seemed suitable (on the basis of tumor size, validity of the sample, and percentage of tumor cells) before sending them for genetic analysis with the MammaPrint® platform. RESULTS: The size of the tumors on ultrasound ranged from 0.6cm to 5cm. In 11 patients the preserved specimen was considered valid and suitable for use in determining the genetic profile. In 1 patient (with a 1cm tumor) the pathologist decided that it was necessary to repeat the core biopsy to obtain additional samples. In 1 patient (with a 5cm tumor) the specimen was not considered valid by the genetic laboratory. The percentage of tumor cells in the samples ranged from 60% to 70%. In 11/13 cases (84.62%) it was possible to do the genetic analysis on the previously diagnosed samples. CONCLUSION: In most cases, regardless of tumor size, it is possible to obtain the genetic profile from tissue specimens obtained with ultrasound-guided 12 G core biopsy preserved in paraffin blocks.

Palm tree mulch as substrate for primary treatment wetlands processing high strength urban wastewater.

The life span of subsurface flow treatment wetlands is determined by the clogging of the substrate. Thus, the influent should undergo primary treatment to reduce loadings of suspended solids and dissolved organic matter. An-organic based substrate should be less prone to clogging because of its remarkably higher porosity and plasticity. Mulch obtained from branches of the Canarian palm tree (Phoenix canariensis) has been tested as substrate for mixed flow, intermittently fed treatment wetland mesocosms processing high strength urban wastewater. The effect of the presence of plants (Phragmites and Cyperus), influent pressure and hydraulic loading rate was studied. The best removals (SS: 89%, COD: 77%, turbidity: 82%) have been obtained with planted reactors treating highly concentrated influents at the lower hydraulic loading rates tested. The palm tree mulch units achieved similar removals of SS, COD and turbidity to one having gravel as substrate and planted with common reed. Mulch obtained from stems of giant reed (Arundo donax) provided similar removals of SS and turbidity but that of COD was lower. The combination of organic-based TWs with gravel-based ones provided high removals (SS: 95%, COD: 78%, turbidity: 95%) while the risk of clogging was strongly reduced.

Tratamiento y seguimiento del plastrón apendicular / Management of appendicular mass

Introducción. El tratamiento del plastrón apendicular continúa siendo controvertido. Hay autores que defienden un tratamiento conservador inicial seguido de una apendicectomía programada. Objetivos. Nuestro propósito ha sido analizar la utilidad de este tratamiento y el momento óptimo para la intervención. Material y métodos. Se trata de un estudio retrospectivo de los casos tratados en nuestro Hospital durante los últimos 8 años. Se han analizado: tasa de éxito del tratamiento conservador, tiempo de espera hasta la apendicectomía, dificultad técnica y complicaciones. Resultados. Nuestra serie incluye 19 casos. En todos ellos se administró antibioterapia intravenosa y, en 14 de ellos, además, se realizó drenaje peritoneal (estancia media de 11,5 días). En 3 pacientes (16%) fue necesario realizar la apendicectomía de manera precoz (a los 12, 30 y 40 días). En 16 (84%), el manejo conservador funcionó y la apendicectomía se realizó transcurridos entre 3 y 12 meses (media: 6,6 meses): cuatro por abordaje abierto y 12 mediante laparoscopia (siendo necesario reconvertirla en 3 casos). La estancia media fue de 1,8 días, con sólo una complicación (absceso de pared). De los 16 casos, en 11 la intervención fue sencilla (no adherencias o leves) y el tiempo medio de espera fue de 5,5 meses (rango 3-6). En 5 casos había muchas adherencias, la intervención fue difícil y la espera media de 9,4 meses (rango 9-12).Conclusiones. El manejo conservador es una opción eficaz de tra tamiento para el plastrón apendicular, con una tasa de éxito del 84% en nuestra serie. Según nuestra experiencia, la apendicectomía resulta más sencilla cuando se realiza entre 3-6 meses (AU)

Objectives. Our aim has been to revise the usefulness of this management and the optimal time to carry out the appendectomy. Methods. We made a retrospective review of all the appendicular mass cases treated in our hospital during the last 8 years. We analyzed the success rate of the non-operative approach, the interval until the delayed appendectomy was performed, difficulty found at surgery and the occurred complications. Results. Our series includes 19 appendicular mass cases managed initially by a non-operative approach. Intravenous antibiotics were administered to all of them and in 14 cases a peritoneal drainage was placed (the average length of stay was of 11.5 days). In 3 cases (16%) early appendectomy was performed (12, 30 and 40 days after the onset of the symptoms). In 16 (84%) the conservative approach succeeded and the appendectomy was delayed 3-12 months (average: 6.6 months). Four of them were performed by an open approach and 12 by laparoscopy (in 3 of which conversion was needed). The average length of stay was of 1.8 days, with only one complication (wound abscess). Of these 16 delayed appendectomies, 11 were not technically difficult to perform (average wait of 5.5 months) and in 5 cases the procedure was difficult due to multiple adhesions (average wait of 9.4 months).Conclusion: Conservative management of appendicular mass is useful, with a success rate of 84% in our series. The appendectomy was less hazardous if performed 3-6 months after the onset of the symptoms (AU)

Análisis de la fluencia lectora en pacientes con la enfermedad de Alzheimer y controles asintomáticos / Oral reading fluency analysis in patients with Alzheimer disease and asymptomatic control subjects

Introducción: Numerosos estudios han puesto de manifiesto que la alteración en la capacidad comunicativa es uno de los síntomas característicos de la enfermedad de Alzheimer (EA). Objetivo: Estudiar la organización temporal del habla en una tarea de lectura en un grupo de pacientes con EA y otro de controles sanos, utilizando un procedimiento semiautomático, así como valorar su capacidad para discriminar entre ambos grupos. Sujetos y método: Se aplicó una prueba de lectura a 70 sujetos: 35 con EA y otros tantos controles. Antes del registro del habla, los sujetos fueron sometidos a una batería de pruebas neuropsicológicas. Los grupos no diferían en edad, sexo o nivel de estudios. Resultados: Todas las variables analizadas se mostraron alteradas en el grupo con EA. Los resultados señalan que la lectura de los pacientes con EA se caracteriza por una reducida velocidad de elocución y articulación, una baja efectividad del tiempo de fonación, así como en un incremento del número y la proporción de las pausas. Los algoritmos de procesamiento de la señal aplicados a las grabaciones de fluidez lectora demostraron su capacidad para discriminar entre ambos grupos con una precisión del 80% (especificidad 74,2%; sensibilidad 77,1%) mediante la velocidad de elocución. Conclusión: El análisis de la fluidez de lectura oral puede representar una herramienta potencial para el análisis objetivo y la cuantificación de los déficits del lenguaje en la EA (AU)

Introduction: Many studies highlight that an impaired ability to communicate is one of the key clinical features of Alzheimer disease (AD). Objective: To study temporal organisation of speech in an oral reading task in patients with AD and in matched healthy controls using a semi-automatic method, and evaluate that method's ability to discriminate between the 2 groups. Subjects and methods: A test with an oral reading task was administered to 70 subjects, comprising 35 AD patients and 35 controls. Before speech samples were recorded, participants completed a battery of neuropsychological tests. There were no differences between groups with regard to age, sex, or educational level. Results: All of the study variables showed impairment in the AD group. According to the results, AD patients’ oral reading was marked by reduced speech and articulation rates, low effectiveness of phonation time, and increases in the number and proportion of pauses. Signal processing algorithms applied to reading fluency recordings were shown to be capable of differentiating between AD patients and controls with an accuracy of 80% (specificity 74.2%, sensitivity 77.1%) based on speech rate. Conclusion: Analysis of oral reading fluency may be useful as a tool for the objective study and quantification of speech deficits in AD (AU)

Antimicrobial peptides as parasiticidal against human trypanosomatids: mechanisms of action and current status in development.

Trypanosomes cause a variety of tropical diseases that affect the livelihood of individuals worldwide. The currently used pharmaceutical treatments rely on chemotherapy. However, many of these drugs are very expensive, and highly toxic. In addition, parasite resistance to several of the therapeutic drugs used is increasing. Therefore, there is a growing need for new control measures for many of these diseases. One new approach is the use of antimicrobial peptides (AMPs) to disease control, since these peptides can be used as potential anti-parasite effector molecules. This review summarizes and discusses the parasiticidal properties of AMPs for treating trypanosome infections, highlighting their mechanisms of action and current status in development.

[Management of appendicular mass]. / Tratamiento y seguimiento del plastrón apendicular.

BACKGROUND: Management of appendicular mass is still controversial. Some authors plead for an initial non-operative approach followed by a delayed appendectomy. OBJECTIVES: Our aim has been to revise the usefulness of this management and the optimal time to carry out the appendectomy. METHODS: We made a retrospective review of all the appendicular mass cases treated in our hospital during the last 8 years. We analyzed the success rate of the non-operative approach, the interval until the delayed appendectomy was performed, difficulty found at surgery and the occurred complications. RESULTS: Our series includes 19 appendicular mass cases managed initially by a non-operative approach. Intravenous antibiotics were administered to all of them and in 14 cases a peritoneal drainage was placed (the average length of stay was of 11.5 days). In 3 cases (16%) early appendectomy was performed (12, 30 and 40 days after the onset of the symptoms). In 16 (84%) the conservative approach succeeded and the appendectomy was delayed 3-12 months (average: 6.6 months). Four of them were performed by an open approach and 12 by laparoscopy (in 3 of which conversion was needed). The average length of stay was of 1.8 days, with only one complication (wound abscess). Of these 16 delayed appendectomies, 11 were not technically difficult to perform (average wait of 5.5 months) and in 5 cases the procedure was difficult due to multiple adhesions (average wait of 9.4 months). CONCLUSION: Conservative management of appendicular mass is useful, with a success rate of 84% in our series. The appendectomy was less hazardous if performed 3-6 months after the onset of the symptoms.

Oral reading fluency analysis in patients with Alzheimer disease and asymptomatic control subjects.

INTRODUCTION: Many studies highlight that an impaired ability to communicate is one of the key clinical features of Alzheimer disease (AD). OBJECTIVE: To study temporal organisation of speech in an oral reading task in patients with AD and in matched healthy controls using a semi-automatic method, and evaluate that method's ability to discriminate between the 2 groups. SUBJECTS AND METHODS: A test with an oral reading task was administered to 70 subjects, comprising 35 AD patients and 35 controls. Before speech samples were recorded, participants completed a battery of neuropsychological tests. There were no differences between groups with regard to age, sex, or educational level. RESULTS: All of the study variables showed impairment in the AD group. According to the results, AD patients' oral reading was marked by reduced speech and articulation rates, low effectiveness of phonation time, and increases in the number and proportion of pauses. Signal processing algorithms applied to reading fluency recordings were shown to be capable of differentiating between AD patients and controls with an accuracy of 80% (specificity 74.2%, sensitivity 77.1%) based on speech rate. CONCLUSION: Analysis of oral reading fluency may be useful as a tool for the objective study and quantification of speech deficits in AD.

Effect of additives in photocatalytic degradation of commercial azo dye Lanaset Sun Yellow 180.

The photocatalytic degradation of the commercial dye Lanaset Sun Yellow 180 was studied in the presence and absence of the different additives used in the dye's formulation. The experiments were performed with Degussa P25 as received and doped with Fe (Fe-TiO2) and a new catalyst synthesized by our research group (ECT-1023). The best efficiency was achieved with Fe-TiO2. With this catalyst, the formation of a photoactive complex was observed between the dye and Fe atoms of the catalyst surface that accelerated degradation. FTIR studies revealed that the complex was formed by interaction between the dye's carbonyl groups and the atoms of the metal. In mixtures of the dye containing citric acid or acetate, degradation was notably inhibited with the catalysts Fe-TiO2 and ECT-1023 because of the formation of carboxylates on their surface. This inhibitory effect was neutralized when all the additives were present in the solution. Toxicity analyses indicated that intermediates were not toxic. Thus, the photocatalytic methods seem to be optimal for the decolourization of wastewaters containing this dye.

A study on parasites in Mexican rheumatic disease patients.

Blastocystis hominis is a common human parasite with infection rates up to 50% in developing countries, and giardiasis is the commonest intestinal one in Mexico. No doubt, various parasites as Giardia lamblia and Entamoeba histolytica can cause rheumatic diseases. This study coproparasitoscopic analysis evaluated the cysts by B. hominis, G. lamblia, E. hartmani, E. coli and E. histolytica in Mexican rheumatic disease patients. Also, ELISA was used to detect E. histolytica, Ascaris lumbricoides, Toxocara canis, and Trichinella spiralis in Mexican patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS). Thirty-six patients (24 with AS and 12 with RA) and 77 healthy control individuals were enrolled in this study. The frequencies of protozoan cysts were comparable in rheumatic disease patients (AS and RA) and healthy control donors (33 and 25 vs. 26%, respectively; p > 0.05). The frequency of antibodies to T. canis was significantly higher in AS patients than in healthy control donors (16 vs. 2.6%, respectively; p = 0.027), whereas no differences were observed for the prevalence of antibodies for the other parasites (E. histolytica, A. lumbricoides and T. spiralis) (p > 0.05). This information indicates the need to intensify educational efforts for the prevention of parasite infections associated with AS disease that cannot be controlled only by drugs.

Morphometric analysis of nodules in human onchocerciasis collected in communities of the southern Chiapas focus, México.

Human onchocerciasis is a disease that remains as an important public health problem. The morphometric and physical characteristics of 363 Onchocerca volvulus nodules collected in the major endemic focus of onchocerciasis in Southern Chiapas (Soconusco), was assessed. In the present work we found that treatment the morphometry of 363 onchocercal nodules preserved in a 67% glycerol solution was determined by measuring the length, width and thick of each nodule with a Vernier caliper. The mass was determined with an analytical balance and the volume by measuring the water displacement, while the specific gravity was calculated by dividing mass over the volume. Statistical analysis was calculated for each parameter. The results showed that the nodules were rather longer than wider or thicker. Morphometric characteristics were 9.87 +/-3.70 (mean +/- standard deviation), 7.52 +/- 2.81, and 4.62 +/-+/- 2.06 mm for length, width and thick respectively. In regard to the shape, 62.81% of the nodules showed a lenticular shape, while 18.18% were spherical and 19.01% were ovoid. Based on the distribution of frequencies of the length, the nodules were classified in three groups: the "small" (5.77 +/- 0.73 mm; n = 104, 28.65%), the "medium" group (9.86 +/- 2.05 mm; n = 203 nodules, 55.92%), and the group of the "big" ones (16.03 +/- 1.91 mm; n = 56, 15.43%). Moreover, the physical characteristics were: for the mass 0.33 +/- 0.24 g, the volume of displaced water was 0.28 +/- 0.26 ml, and the specific gravity was 1.10 +/- 0.55 g/ml. The results indicated that most of the Mexican Onchocerca nodules have a lenticular shape with average size of 10x7x5 mm, which is useful in the knowledge of the genus biodiversity and can be taken as a parameter in clinical or epidemiological trials, where onchocerciasis remains as a public health problem.

Degradation and detoxification of 4-nitrophenol by advanced oxidation technologies and bench-scale constructed wetlands.

The degradation and detoxification towards the duckweed Lemna minor of 4-nitrophenol (4NP) was studied by means of bench-scale constructed wetlands (CWs), TiO(2)-photocatalysis and Fenton + photoFenton reactions. The main goal of this work was to compare the three treatment techniques to evaluate their possible combination for the efficient, low cost treatment of 4NP effluents. In CWs, adsorption on the substrate of 4NP was found to achieve 34-45%. Low concentrations (up to 100 ppm) of 4NP were successfully treated by CWs in 8-12 h. The microbial degradation of 4NP started after a lag phase which was longer with higher initial concentrations of the pollutant. The greatest degradation rate was found to occur at initial concentrations of 4NP between 60 and 90 ppm. Solar TiO(2)-photocatalysis was faster than the CWs. The greatest removals in terms of mass of 4NP removed after 6 h of irradiation were found to occur at 4NP concentrations of about 200 ppm. Fenton reaction provided complete 4NP degradation up to 500 ppm in only 30 min but TOC was removed by only about 40%. The resulting toxicities were below 20% for initial 4NP concentrations below 300 ppm. It was the Fenton + photoFenton combination (180 min in total) that provided TOC reductions up to 80% and negative L. minor growth inhibition for almost all the 4NP concentrations tested. The combination of solar TiO(2)-photocatalysis (6 h) with CWs (16 h) was able to completely treat and detoxify 4NP effluents with concentrations as high as 200 ppm of the organic.