Teriparatida en el tratamiento sustitutivo del hipoparatiroidismo crónico. A propósito de un caso / Teriparatide in the substitutive treatment of chronic hypoparathyroidism. A case report

Objetivo: Comunicar la experiencia del uso de teriparatida como tratamiento sustitutivo eficaz para el hipoparatiroidismo crónico.Material y métodos: Se plantea el caso clínico de un paciente con hipoparatiroidismo crónico postquirúrgico que presentaba previamente difícil control con el tratamiento convencional (sales de calcio y calcitriol) por lo que se inició teriparatida como tratamiento sustitutivo.Resultados: El paciente presentó valores analíticos del metabolismo fosfocálcico compatibles con la normalidad a partir de la 4º semana de tratamiento con teriparatida, permitiendo la suspensión de los tratamientos previos y manteniendo un buen control pasado un año del cambio de terapia.Conclusiones: Teriparatida es una opción eficaz para el tratamiento del hipoparatiroidismo crónico. Hemos observado una fase de latencia hasta iniciarse el efecto hormonal por lo que recomendamos monitorización analítica frecuente y desescalar gradualmente el tratamiento con calcitriol y sales de calcio para un adecuado control. (AU)

First-principles study of Mn3 adsorbed on Au(111) and Cu(111) surfaces.

A theoretical study of the Mn trimer adsorbed on the noble metal surfaces Au(111) and Cu(111) is reported. The calculations were performed using first-principles methods within the density functional theory and the generalized gradient approximation in the collinear and non-collinear magnetic phases. The system was modeled by considering a surface unit cell of 25 atoms to improve the trimer's isolation on the surface. We evaluated the trimer as a linear chain and forming triangular structures. The triangular trimer can be adsorbed in two possible configurations, above an empty surface triangle site (Δ) or on a triangle with a surface atom at the center in a hexagonal structure (H). The difference is the coordination of the Mn with surface atoms. We studied the antiferromagnetic (AF), ferromagnetic (FM), and non-collinear (NC) magnetic cases. As a result, the lowest energy configuration on both metals is the AFΔ configuration, which has an isosceles triangle shape. In comparison, the NC and the FM configurations adopt an equilateral geometry. The same trend was observed for the H configurations, but they are less bonded. The results are supported by calculating the spin-polarized electronic structure and the electronic charge transfer. Finally, we computed the energy barriers that inhibit the transformation of the linear chain to a delta Mn trimer on both substrates.

First-principles study of Ni adatom migration on graphene with vacancies.

A theoretical study based on first-principles calculations about the interaction and diffusion of Ni atoms on pristine graphene and graphene with a single vacancy is presented. In the first case, we explored the structural changes due to the adsorption of Ni on graphene and the effects on the electronic structure. In the case of graphene with a vacancy, we analyzed the impact of the adsorbed Ni atom on the distortion of the graphene structure and how it depends on the distance from the graphene defect. In the analysis, we observed the changes in the electron localization function and the charge density. By knowing the interaction map of Ni with graphene, and the structural changes of the network, we performed energy barrier calculations within the climbing image nudged elastic band methodology to study the nickel diffusion. Finally, we explored how the vacancy and structural distortions affect the minimum energy paths and the saddle points for nickel moving away, around, and towards the vacancy.

Growth of Ni nanoclusters on irradiated graphene: a molecular dynamics study.

We studied the soft landing of Ni atoms on a previously damaged graphene sheet by means of molecular dynamics simulations. We found a monotonic decrease of the cluster frequency as a function of its size, but few big clusters comprise an appreciable fraction of the total number of Ni atoms. The aggregation of Ni atoms is also modeled by means of a simple phenomenological model. The results are in clear contrast with the case of hard or energetic landing of metal atoms, where there is a tendency to form mono-disperse metal clusters. This behavior is attributed to the high diffusion of unattached Ni atoms, together with vacancies acting as capture centers. The findings of this work show that a simple study of the energetics of the system is not enough in the soft landing regime, where it is unavoidable to also consider the growth process of metal clusters.

Klinefelter syndrome and short stature: an unusual combination.

Klinefelter syndrome is not easy to diagnose in childhood because of the absence of significant manifestations before puberty. Three main clinical signs should suggest the diagnosis in a child: small testes, tall stature, and mental retardation or learning problems. We present a patient with Klinefelter syndrome and short stature due to growth hormone deficiency. His height was below the third percentile for age and his bone age delayed. Maximal serum GH levels after insulin-induced hypoglycemia and clonidine were low, demonstrating GH deficiency. He received growth hormone treatment with good response. The diagnosis of Klinefelter syndrome was made at puberty, because the patient did not present a normal progression of testicular development and puberty. At that moment, a karyotype was made confirming the suspected diagnosis. We wish to emphasize the rare association between Klinefelter syndrome and growth hormone deficiency.

Creation of helical vortices during magnetization of aligned carbon nanotubes filled with Fe: theory and experiment.

We report a novel magnetic phenomenon consisting of the formation of helical spin configurations during the magnetization of densely packed ferromagnetic nanowires encapsulated inside carbon nanotubes. We studied the hysteresis loops when the magnetic fields are applied parallel and perpendicular to the nanotubes axes. We also performed theoretical calculations on aligned nanowire arrays that clearly indicate the creation of helical spin vortices in the hysteresis loops. The latter are caused by the presence of strong dipolar interactions among neighboring wires.