Cirugía radioguiada de tumores mesenquimales con semilla de 125I / Radioguided surgery of mesenchymal tumors with 125I seeds

Introducción La cirugía radioguiada emplea fuentes radioactivas para identificar y extirpar lesiones de difícil localización. Los tumores mesenquimales constituyen un grupo heterogéneo de neoplasias derivados del mesodermo, incluyendo lesiones benignas y sarcomas malignos. El objetivo de este estudio fue evaluar la capacidad de la semilla radioactiva de 125I para guiar la localización intraoperatoria de tumores mesenquimales, analizando sus tasas de complicación y evaluando los márgenes de las piezas quirúrgicas recuperadas. Métodos Estudio observacional retrospectivo de todos los pacientes consecutivos sometidos a cirugía radioguiada de un tumor mesenquimal con semilla radioactiva de 125I desde enero de 2012 hasta enero de 2020 en un centro de referencia terciario en España. La semilla fue insertada mediante punción percutánea guiada con ecografía o tomografía computarizada de forma ambulatoria. Resultados Se extirparon 15 lesiones en 11 cirugías a 11 pacientes, recuperando todas las lesiones marcadas (100%) con semilla de 125I. Las lesiones incluyeron áreas de fibrosis benigna (26,7%), angiofibroma celular (6,7%), tumor desmoide (20%), tumor fibroso solitario (13,3%), condrosarcoma (6,7%) y sarcoma pleomórfico (26,7%), con una tasa elevada de tumores recurrentes (60%). Solo hubo una complicación (6,7%) por caída de la semilla dentro del lecho quirúrgico. Según la clasificación de la Union for International Cancer Control de tumor residual, el 80% de las lesiones resultaron en una resección R0, el 6,7% fueron una resección R1 y el 13,3% fueron una resección R2. Conclusión La cirugía radioguiada fue una técnica precisa para la extirpación de tumores mesenquimales de difícil localización (AU)

Introduction Radioguided surgery uses radioactive substances to identify and remove hard-to-locate lesions. Mesenchymal tumors constitute a heterogeneous group of neoplasms derived from the mesoderm, including benign lesions and malignant sarcomas. The aim of this study was to evaluate the ability of the 125I radioactive seed to guide intraoperative localization of mesenchymal tumors, analyzing its complication rates and evaluating the margins of the surgical specimens retrieved. Methods Retrospective observational study of all consecutive patients undergoing radioguided surgery of a mesenchymal tumor with a 125I radioactive seed from January 2012 to January 2020 at a tertiary referral center in Spain. The seed was inserted percutaneously guided by ultrasound or computed tomography on an outpatient setting. Results Fifteen lesions were removed in 11 surgeries on 11 patients, recovering all marked lesions (100%) with a 125I seed. The lesions included areas of benign fibrosis (26.7%), cellular angiofibroma (6.7%), desmoid tumor (20%), solitary fibrous tumor (13.3%), chondrosarcoma (6.7%), and pleomorphic sarcoma (26.7%), with a high rate of recurrent tumors (60%). There was only one complication (6.7%) due to the seed falling within the surgical bed. According to the UICC classification of residual tumor, 80% of the lesions resulted in an R0 resection, 6.7% were an R1 resection, and 13.3% were an R2 resection. Conclusion Radioguided surgery was a precise technique for the removal of hard-to-locate mesenchymal tumors (AU)

Inflammatory map of the gastroduodenal mucosa in patients with upper gastrointestinal symptoms. The role of H. pylori infection.

INTRODUCTION AND AIM: The gastric mucosa has been studied since the pre-Helicobacter pylori (H. pylori) era, but the complete descriptions of the stomach and duodenum have been anecdotal, and those of the distal duodenum, exceptional. Our aim was to evaluate the different epidemiologic characteristics and the gastroduodenal inflammatory status in patients with upper gastrointestinal symptoms. MATERIALS AND METHODS: We studied 138 patients divided into: the non-ulcer group (functional dyspepsia [n = 77] and GERD [n = 27]) and the ulcer group (peptic ulcer [n = 13] and duodenal ulcer [n = 21]). Ten biopsy samples (2 from the corpus, 3 from the antrum, 3 from the proximal duodenum, and 2 from the distal duodenum) were taken in each patient for histologic and/or microbiologic study. RESULTS: The prevalence of dyspepsia, functional dyspepsia, and H. pylori was 80.4%, 69.4%, and 82.6%, respectively. The frequency of superficial chronic gastritis in the corpus was significantly higher in the ulcer group vs. the non-ulcer group, whereas there was more chronic atrophic gastritis in the antrum in the ulcer group (P < 0.05). Duodenitis was significantly more frequent in the ulcer group vs. the non-ulcer group, in both the proximal and distal duodenum. Pangastroduodenitis was a significant finding in the ulcer group. In both groups, chronic gastritis (corpus and antrum) and duodenitis (proximal and distal) were significantly related to the presence of H. pylori. Proximal duodenitis is not an uncommon finding in functional dyspepsia (37.7%) and is twice as frequent as distal duodenitis (16.9%). CONCLUSIONS: The ulcer group presented with a gastroduodenal inflammatory map different from that of the non-ulcer group and was characterized by a higher frequency of superficial chronic gastritis in the corpus, chronic atrophic gastritis in the antrum, and a very high frequency of proximal duodenitis.

Fungal Planet description sheets: 1478-1549.

Novel species of fungi described in this study include those from various countries as follows: Australia, Aschersonia mackerrasiae on whitefly, Cladosporium corticola on bark of Melaleuca quinquenervia, Penicillium nudgee from soil under Melaleuca quinquenervia, Pseudocercospora blackwoodiae on leaf spot of Persoonia falcata, and Pseudocercospora dalyelliae on leaf spot of Senna alata. Bolivia, Aspicilia lutzoniana on fully submersed siliceous schist in high-mountain streams, and Niesslia parviseta on the lower part and apothecial discs of Erioderma barbellatum on a twig. Brazil, Cyathus bonsai on decaying wood, Geastrum albofibrosum from moist soil with leaf litter, Laetiporus pratigiensis on a trunk of a living unknown hardwood tree species, and Scytalidium synnematicum on dead twigs of unidentified plant. Bulgaria, Amanita abscondita on sandy soil in a plantation of Quercus suber. Canada, Penicillium acericola on dead bark of Acer saccharum, and Penicillium corticola on dead bark of Acer saccharum. China, Colletotrichum qingyuanense on fruit lesion of Capsicum annuum. Denmark, Helminthosphaeria leptospora on corticioid Neohypochnicium cremicolor. Ecuador (Galapagos), Phaeosphaeria scalesiae on Scalesia sp. Finland, Inocybe jacobssonii on calcareous soils in dry forests and park habitats. France, Cortinarius rufomyrrheus on sandy soil under Pinus pinaster, and Periconia neominutissima on leaves of Poaceae. India, Coprinopsis fragilis on decaying bark of logs, Filoboletus keralensis on unidentified woody substrate, Penicillium sankaranii from soil, Physisporinus tamilnaduensis on the trunk of Azadirachta indica, and Poronia nagaraholensis on elephant dung. Iran, Neosetophoma fici on infected leaves of Ficus elastica. Israel, Cnidariophoma eilatica (incl. Cnidariophoma gen. nov.) from Stylophora pistillata. Italy, Lyophyllum obscurum on acidic soil. Namibia, Aureobasidium faidherbiae on dead leaf of Faidherbia albida, and Aureobasidium welwitschiae on dead leaves of Welwitschia mirabilis. Netherlands, Gaeumannomycella caricigena on dead culms of Carex elongata, Houtenomyces caricicola (incl. Houtenomyces gen. nov.) on culms of Carex disticha, Neodacampia ulmea (incl. Neodacampia gen. nov.) on branch of Ulmus laevis, Niesslia phragmiticola on dead standing culms of Phragmites australis, Pseudopyricularia caricicola on culms of Carex disticha, and Rhodoveronaea nieuwwulvenica on dead bamboo sticks. Norway, Arrhenia similis half-buried and moss-covered pieces of rotting wood in grass-grown path. Pakistan, Mallocybe ahmadii on soil. Poland, Beskidomyces laricis (incl. Beskidomyces gen. nov.) from resin of Larix decidua ssp. polonica, Lapidomyces epipinicola from sooty mould community on Pinus nigra, and Leptographium granulatum from a gallery of Dendroctonus micans on Picea abies. Portugal, Geoglossum azoricum on mossy areas of laurel forest areas planted with Cryptomeria japonica, and Lunasporangiospora lusitanica from a biofilm covering a biodeteriorated limestone wall. Qatar, Alternaria halotolerans from hypersaline sea water, and Alternaria qatarensis from water sample collected from hypersaline lagoon. South Africa, Alfaria thamnochorti on culm of Thamnochortus fraternus, Knufia aloeicola on Aloe gariepensis, Muriseptatomyces restionacearum (incl. Muriseptatomyces gen. nov.) on culms of Restionaceae, Neocladosporium arctotis on nest of cases of bag worm moths (Lepidoptera, Psychidae) on Arctotis auriculata, Neodevriesia scadoxi on leaves of Scadoxus puniceus, Paraloratospora schoenoplecti on stems of Schoenoplectus lacustris, Tulasnella epidendrea from the roots of Epidendrum × obrienianum, and Xenoidriella cinnamomi (incl. Xenoidriella gen. nov.) on leaf of Cinnamomum camphora. South Korea, Lemonniera fraxinea on decaying leaves of Fraxinus sp. from pond. Spain, Atheniella lauri on the bark of fallen trees of Laurus nobilis, Halocryptovalsa endophytica from surface-sterilised, asymptomatic roots of Salicornia patula, Inocybe amygdaliolens on soil in mixed forest, Inocybe pityusarum on calcareous soil in mixed forest, Inocybe roseobulbipes on acidic soils, Neonectria borealis from roots of Vitis berlandieri × Vitis rupestris, Sympoventuria eucalyptorum on leaves of Eucalyptus sp., and Tuber conchae from soil. Sweden, Inocybe bidumensis on calcareous soil. Thailand, Cordyceps sandindaengensis on Lepidoptera pupa, buried in soil, Ophiocordyceps kuchinaraiensis on Coleoptera larva, buried in soil, and Samsoniella winandae on Lepidoptera pupa, buried in soil. Taiwan region (China), Neophaeosphaeria livistonae on dead leaf of Livistona rotundifolia. Türkiye, Melanogaster anatolicus on clay loamy soils. UK, Basingstokeomyces allii (incl. Basingstokeomyces gen. nov.) on leaves of Allium schoenoprasum. Ukraine, Xenosphaeropsis corni on recently dead stem of Cornus alba. USA, Nothotrichosporon aquaticum (incl. Nothotrichosporon gen. nov.) from water, and Periconia philadelphiana from swab of coil surface. Morphological and culture characteristics for these new taxa are supported by DNA barcodes. Citation: Crous PW, Osieck ER, Shivas RG, et al. 2023. Fungal Planet description sheets: 1478-1549. Persoonia 50: 158- 310. https://doi.org/10.3767/persoonia.2023.50.05.

Implementación de un programa de optimización de la farmacoterapia en pacientes institucionalizados (ÓPTIMA) / Implementation of a pharmacotherapy optimisation programme for institutionalised patients (ÓPTIMA)

Objetivo: Las personas institucionalizadas en centros sociosanitarios (CSS) tienen una mayor probabilidad de presentar más problemas relacionados con los medicamentos (PRM) que el resto de la población. El objetivo del presente trabajo ha sido describir la implementación de un proceso de mejora continua (ciclo PDCA) de la prescripción farmacológica de pacientes institucionalizados en CSS concertados/ privados orientado a reducir los PRM.Metodología: Tras una búsqueda bibliográfica, se seleccionaron varias recomendaciones sobre los PRM detectados con mayor frecuencia en los pacientes institucionalizados de nuestra área, que abarca aproximadamente 5.000 residentes en 55 CSS, y se identificaron aquellos que presentaban alguno de los PRM seleccionados. Posteriormente, se constituyó un panel de expertos multidisciplinar para definir los objetivos del proyecto, realizar un análisis de causas y determinar posibles acciones de mejora.Resultados: Tras presentarse el proyecto a los centros de salud (CS), se crearon comisiones ejecutivas entre los farmacéuticos de atención primaria, los profesionales de los CSS y de sus CS de referencia para adaptar las diferentes acciones de mejora. En el análisis intermedio se puede ver una reducción del 4,5% de los pacientes con algún PRM y del 5,2% de las prescripciones por paciente asociadas a los mismos. Debido al elevado número de pacientes institucionalizados, la revisión transversal de PRM permite disminuir la iatrogenia medicamentosa con los recursos disponibles. El ciclo de mejora continua PDCA, tras analizar la prevalencia de los PRM, nos permitirá implementar nuevas acciones o valorar iniciar el ciclo con otros PRM.  (AU)

Objective: People institutionalised in social and healthcare centres (SHCs) are more likely to present more drug related problems (DRPs) than the rest of the population. The aim of this study was to describe the implementation of a process of continuous improvement (PDCA cycle) of the pharma- cological prescription of institutionalised patients in private/contracted SHCs to reduce DRPs.Method: Following a literature search, recommendations were selected on the most frequently detected DRPs in institutionalised patients in our area (approximately 5,000 residents in 55 SHCs). Those presenting any of the selected DRPs were identified. Subsequently, a multidisciplinary panel of experts was formed to define the objectives of the project, carry out an analysis of causes and determine possible actions for improvement.Results: The project was presented to health centres (HCs) and executive committees were set up between primary care pharmacists, professionals from SHCs and their reference HCs to adapt the different improvement actions. The interim analysis shows a 4.5% reduction in the number of patients with DRPs and a 5.2% reduction in the number of prescriptions per patient associated with DRPs. Due to the high number of institutionalised patients, the cross-sectional review of DRPs allows us to reduce drug iatrogenesis. The PDCA cycle will allow us to implement new actions or consider starting the cycle with other DRPs.  (AU)

Utilidad de la diferencia venoarterial de PCO2 como predictor de complicaciones en el postoperatorio inmediato del trasplante hepático / Utility of the central venous-to-arterial CO2 difference to predict adverse outcomes after liver transplantation

Objetivo: Evaluar la relación de la diferencia venoarterial de PCO2 (ΔPCO2) con la aparición de complicaciones en el manejo postoperatorio precoz del trasplante hepático. Materiales y métodos: Estudio observacional y prospectivo realizado en una unidad de cuidados intensivos médico-quirúrgica de un hospital universitario. Se incluyó a 150 pacientes adultos que recibieron un trasplante de hígado ortotópico entre enero de 2015 y noviembre de 2018. Los pacientes fueron clasificados en 4grupos predefinidos de acuerdo con la evolución de la ΔPCO2 durante las primeras 6 h del postoperatorio en la unidad de cuidados intensivos, al considerar ese periodo como el de mayor riesgo de alteraciones hemodinámicas: 1) ΔPCO2 persistentemente normal (normal en T0 y T6); 2) ΔPCO2 descendente (alta en T0, normal en T6); 3) ΔPCO2 ascendente (normal en T0, alta en T6) y 4) ΔPCO2 persistentemente alta (alta en T0 y T6). Se comparó la relación de dichos grupos con la aparición de disfunción multiorgánica a las 72 h y las probabilidades de supervivencia globales y en el día 30 se describieron mediante curvas de Kaplan-Meier; las diferencias se calcularon mediante un test log-rank. Para el estudio de la correlación entre índice cardiaco y ΔPCO2 se utilizó el coeficiente de correlación de Spearman. Resultados: La disfunción multiorgánica representada mediante el SOFA a las 72 h (p=0,86) y el Δ-SOFA (p=0,088) no presentó diferencias significativas entre los 4grupos a estudio, de la misma forma que ocurrió con la mortalidad hospitalaria (χ2=5,72; p=0,126) y a los 30 días (χ2=2,23; p=0,5252). Con respecto a la relación entre índice cardiaco y ΔPCO2, se demostró una correlación inversa estadísticamente significativa de valor bajo (rho de Spearman: −0,17; p=0,002). Conclusiones: En pacientes críticos admitidos tras un trasplante hepático, la diferencia venoarterial de PCO2 no predice la mortalidad ni la incidencia de complicaciones en el periodo postoperatorio inmediato.(AU)

Objective: Test whether the development of abnormal venous-to arterial CO2 difference (ΔPCO2) during the early phases of postoperative care after a liver transplantation is related to multi-organ dysfunction and outcomes. Materials and methods: Prospective cohort study accomplished in a mixed intensive care unit at a university hospital. We included 150 eligible patients after a liver transplantation between 2015 and 2018. Patients were classified in 4predefined groups according to the ΔPCO2 evolution during the first 6h of resuscitation: 1) persistently normal ΔPCO2 (normal at T0 and T6); 2) decreasing ΔPCO2 (high at T0, normal at T6); 3) increasing ΔPCO2 (normal at T0, high at T6); and 4) persistently high ΔPCO2 (high at T0 and T6). Multiorgan dysfunction at day-3 was compared for predefined groups and a Kaplan Meier curve was constructed to show the survival probabilities using a log-rank test to evaluate differences between groups. A Spearman-rho was used to test the agreement between cardiac output and ΔPCO2. Results: There were no significant differences between the study groups regarding higher SOFA scores at day-3 (P=0.86), Δ-SOFA (P=0.088), as well as global mortality rates (χ2=5.72; P=0.126) and mortality rates at day-30 (χ2=2.23; P=0.5252). A significantly poor inverse agreement between cardiac output and ΔPCO2 was observed (rho de Spearman −0,17; P=0,002) at different points of resuscitation. Conclusions: After a liver transplantation, central venous-to-arterial CO2 difference was not associated with survival or postoperative adverse outcomes in a critical care patients population.(AU)

Utility of the central venous-to-arterial CO2 difference to predict adverse outcomes after liver transplantation.

OBJECTIVE: Test whether the development of abnormal venous-to arterial CO2 difference (ΔPCO2) during the early phases of postoperative care after a liver transplantation (LT) is related to multi-organ dysfunction and outcomes. MATERIALS AND METHODS: Prospective cohort study accomplished in a mixed intensive care unit (ICU) at a university hospital. We included 150 eligible patients after a LT between 2015 and 2018. Patients were classified in four predefined groups according to the ΔPCO2 evolution during the first 6 h of resuscitation: (1) persistently normal ΔPCO2 (normal at T0 and T6); (2) decreasing ΔPCO2 (high at T0, normal at T6); (3) increasing ΔPCO2 (normal at T0, high at T6); and (4) persistently high ΔPCO2 (high at T0 and T6). Multiorgan dysfunction at day-3 was compared for predefined groups and a Kaplan Meier curve was constructed to show the survival probabilities using a log-rank test to evaluate differences between groups. A Spearman-Rho was used to test the agreement between cardiac output and ΔPCO2. RESULTS: There were no significant differences between the study groups regarding higher SOFA scores at day-3 (P = .86), Δ-SOFA (P = .088), as well as global mortality rates (χ²â€¯= 5.72; P = .126) and mortality rates at day-30 (χ²â€¯= 2.23; P = .5252). A significantly poor inverse agreement between cardiac output and ΔPCO2 was observed (r2 -0,17; P = ,002) at different points of resuscitation. CONCLUSIONS: After a LT, central venous-to-arterial CO2 difference was not associated with survival or postoperative adverse outcomes in a critical care patients population.

Pérdida de peso y mejora de perfil lipídico tras consejo nutricional por farmacéutico comunitario. A propósito de un caso / Weight loss and improvement of lipid profile after nutritional advice by community pharmacist. A case report

PRESENTACIÓN DEL CASO/ANTECEDENTES: paciente varón de 78 años que acude en marzo de 2021 a la farmacia comunitaria solicitando ayuda para la pérdida de peso. Situación inicial: IMC=32,8 kg/m 2; PAS/PAD/FC: 143/77/56; Ct/cHDL/cLDL/TG (mg/dl): 164/48/87/144. En tratamiento con amlodipino 5mg (1-0-0); Simvastatina 20mg (0-0-1); ácido fólico (1-0-0).EVALUACIÓN: se pautaron visitas semanales, durante el primer mes, y quincenales los meses siguientes en las que se dio consejo nutricional basado en la dieta mediterránea y de actividad física. Las consultas se realizaron en la zona de atención personalizada (ZAP) donde se hizo seguimiento del peso, bioimpedancia con porcentaje de grasa corporal, porcentaje de masa muscular, y presión arterial.RESULTADO/SEGUIMIENTO: tras ocho meses de seguimiento el paciente perdió un total de 15,100 Kg disminuyendo el IMC a 28,1 Kg/m2 y pasando de obesidad a sobrepeso según la clasificación de la Organización Mundial de la Salud (OMS). Se produjo una mejora de los resultados de bioimpedancia pasando de un porcentaje inicial de grasa corporal de 32,4% a un 27,9%, mientras que el porcentaje de masa muscular aumentó desde un 28,3% inicial a un 30,1%. Los valores de PAS/PAD/FC en noviembre de 2011 son de 121/70/53 y los de Ct/cHDL/cLDL/TG (mg/dl):151/51/84/86.COMENTARIO FINAL/CONCLUSIONES: el farmacéutico comunitario por sus conocimientos, profesionalidad y cercanía al paciente contribuye a la instauración de un estilo de vida más saludable de los pacientes con la consiguiente mejora de la salud de los mismos. (AU)

Instauración del Servicio de realización de test de antígeno para la emisión de certificados oficiales por Farmacia Comunitaria en Zaragoza / Establishment of the antigen testing service for the issuing of official certificates by the Community Pharmacy in Zaragoza

JUSTIFICACIÓN: dentro del marco de la pandemia por SARS-CoV-2 y con fecha 3 de agosto de 2021 se firmó una “acuerdo de colaboración entre el Departamento de Sanidad del Gobierno de Aragón para la trazabilidad y el correcto seguimiento de la información derivada de la realización de test de antígenos de SAR_CoV-2 (test de autodiagnóstico de venta libre en Farmacia y test de diagnóstico profesional)” por el cual se autorizaba a las Farmacias Comunitarias de Aragón a la realización de dichos test y la emisión de certificados oficiales.OBJETIVOS: describir el modus operandi para instaurar el Servicio de realización de test de antígeno para la emisión de certificados oficiales por una Farmacia Comunitaria en Zaragoza.MATERIAL Y MÉTODOS: los farmacéuticos comunitarios que iban a realizar el servicio se formaron mediante cursos disponibles en www.campussefac.org y se aclararon dudas con farmacéuticos que habían realizado test de antígeno de diagnóstico con toma nasofaríngea en Madrid y Cataluña. Se adquirió material necesario para la realización del servicio: test de diagnóstico/autodiagnóstico autorizados; batas desechables impermeables con puños ajustables; guantes; mascarillas FFP2/FFP3; pantalla protectora; gorro; material para la desinfección de superficies. Se destinó una zona de atención personalizada ventilada .Para obtener la acreditación se presentó en el Colegio Oficial de Farmacéuticos de Zaragoza una declaración responsable mediante la que se asegura que se dispone material necesario y personal cualificado y se preparó el PNT, así como una hoja de registro donde conservar un listado de los resultados. Los test se realizaron con cita previa. (AU)

Nivel de ansiedad de los profesionales de sala de partos durante la pandemia por COVID-19 / Anxiety level of the healthcare workers of an obstetric unit during the COVID-19 pandemic

AntecedentesEl estrés laboral, el miedo a infectarse y la falta de medios para combatir la pandemia de la COVID-19, sumados a la situación de reclusión domiciliaria, podrían provocar un fuerte impacto en la salud mental.El objetivo fue determinar el nivel de ansiedad a través del cuestionario State-Trait Anxiety Inventory (STAI), realizado por los profesionales de una sala de partos que atendieron a embarazadas COVID-19 positivas.Material y métodosEstudio descriptivo transversal en un área obstétrica de Barcelona desde el 14 de marzo al 24 de mayo de 2020. Población de estudio: personal sanitario mayor de 18 años, sin trastornos de ansiedad diagnosticados antes de la pandemia.Los principales parámetros a estudiar fueron el nivel de «ansiedad estado» y «ansiedad rasgo», según el cuestionario STAI.Se realizó una estadística descriptiva e inferencial. El nivel de significación estadística utilizado fue p < 0,05.ResultadosSetenta y siete profesionales participaron en este estudio.La puntuación media para la «ansiedad estado» fue de 26,3 puntos (valor p = 0,067) y para la «ansiedad rasgo» de 14,3 puntos (valor p = 0,091).Se observó que los profesionales que tienen hijos (valor p = 0,048) y los profesionales que manifestaron haber disminuido sus ingresos económicos familiares (valor p = 0,026) mostraron puntuaciones medias más altas de «ansiedad estado». Se observó una asociación positiva entre los años de experiencia laboral y el nivel de «ansiedad estado», observándose diferencias estadísticamente significativas, valor p = 0,030.ConclusionesLos profesionales que habían sufrido una reducción de sus ingresos, junto con los que vivían con hijos fueron los que presentaron mayores puntuaciones de «ansiedad estado».

BackgroundWork-related stress, fear of becoming infected, and the lack of means to combat the COVID-19 pandemic, added to the situation of lockdown at home could lead to a strong impact on mental health.The objective was to determine the level of anxiety through the State-Trait Anxiety Inventory, STAI completed by the professionals of a delivery room who treated COVID-19-positive pregnant women.Material and methodsDescriptive cross-sectional study in an obstetric area in Barcelona from March 14th to May 24th, 2020. Study population: healthcare staff over 18 years old, without diagnosed anxiety disorders prior to the pandemic.The main parameters to study were the level of «state anxiety» and «trait anxiety» according to the STAI questionnaire.Descriptive and inferential statistics were performed. The level of statistical significance used was p<.05.ResultsSeventy-seven professionals participated in this study.The mean score for «state anxiety» was 26.3 points (p-value = .067) and for «strait anxiety», 14.3 points (p-value = .091).It was observed that the professionals who had children (p-value = .048) and the professionals who stated that their family economic income had decreased (p-value = .026) showed higher average scores of «state anxiety». A positive association was observed between years of working experience and the level of «state anxiety», observing statistically significant differences, p-value = .030.

[Anxiety level of the healthcare workers of an obstetric unit during the COVID-19 pandemic]. / Nivel de ansiedad de los profesionales de sala de partos durante la pandemia por COVID-19.

BACKGROUND: Work-related stress, fear of becoming infected, and the lack of means to combat the COVID-19 pandemic, added to the situation of lockdown at home could lead to a strong impact on mental health.The objective was to determine the level of anxiety through the State-Trait Anxiety Inventory, STAI completed by the professionals of a delivery room who treated COVID-19-positive pregnant women. MATERIAL AND METHODS: Descriptive cross-sectional study in an obstetric area in Barcelona from March 14th to May 24th, 2020. Study population: healthcare staff over 18 years old, without diagnosed anxiety disorders prior to the pandemic.The main parameters to study were the level of «state anxiety¼ and «trait anxiety¼ according to the STAI questionnaire.Descriptive and inferential statistics were performed. The level of statistical significance used was p<.05. RESULTS: Seventy-seven professionals participated in this study.The mean score for «state anxiety¼ was 26.3 points (p-value = .067) and for «strait anxiety¼, 14.3 points (p-value = .091).It was observed that the professionals who had children (p-value = .048) and the professionals who stated that their family economic income had decreased (p-value = .026) showed higher average scores of «state anxiety¼. A positive association was observed between years of working experience and the level of «state anxiety¼, observing statistically significant differences, p-value = .030. CONCLUSIONS: The professionals who had suffered a reduction in their income together with those who lived with children presented higher scores of «state anxiety¼.

Fungal Planet description sheets: 1436-1477.

Novel species of fungi described in this study include those from various countries as follows: Argentina, Colletotrichum araujiae on leaves, stems and fruits of Araujia hortorum. Australia, Agaricus pateritonsus on soil, Curvularia fraserae on dying leaf of Bothriochloa insculpta, Curvularia millisiae from yellowing leaf tips of Cyperus aromaticus, Marasmius brunneolorobustus on well-rotted wood, Nigrospora cooperae from necrotic leaf of Heteropogon contortus, Penicillium tealii from the body of a dead spider, Pseudocercospora robertsiorum from leaf spots of Senna tora, Talaromyces atkinsoniae from gills of Marasmius crinis-equi and Zasmidium pearceae from leaf spots of Smilaxglyciphylla. Brazil, Preussia bezerrensis from air. Chile, Paraconiothyrium kelleni from the rhizosphere of Fragaria chiloensis subsp. chiloensis f. chiloensis. Finland, Inocybe udicola on soil in mixed forest with Betula pendula, Populus tremula, Picea abies and Alnus incana. France, Myrmecridium normannianum on dead culm of unidentified Poaceae. Germany, Vexillomyces fraxinicola from symptomless stem wood of Fraxinus excelsior. India, Diaporthe limoniae on infected fruit of Limonia acidissima, Didymella naikii on leaves of Cajanus cajan, and Fulvifomes mangroviensis on basal trunk of Aegiceras corniculatum. Indonesia, Penicillium ezekielii from Zea mays kernels. Namibia, Neocamarosporium calicoremae and Neocladosporium calicoremae on stems of Calicorema capitata, and Pleiochaeta adenolobi on symptomatic leaves of Adenolobus pechuelii. Netherlands, Chalara pteridii on stems of Pteridium aquilinum, Neomackenziella juncicola (incl. Neomackenziella gen. nov.) and Sporidesmiella junci from dead culms of Juncus effusus. Pakistan, Inocybe longistipitata on soil in a Quercus forest. Poland, Phytophthora viadrina from rhizosphere soil of Quercus robur, and Septoria krystynae on leaf spots of Viscum album. Portugal (Azores), Acrogenospora stellata on dead wood or bark. South Africa, Phyllactinia greyiae on leaves of Greyia sutherlandii and Punctelia anae on bark of Vachellia karroo. Spain, Anteaglonium lusitanicum on decaying wood of Prunus lusitanica subsp. lusitanica, Hawksworthiomyces riparius from fluvial sediments, Lophiostoma carabassense endophytic in roots of Limbarda crithmoides, and Tuber mohedanoi from calcareus soils. Spain (Canary Islands), Mycena laurisilvae on stumps and woody debris. Sweden, Elaphomyces geminus from soil under Quercus robur. Thailand, Lactifluus chiangraiensis on soil under Pinus merkusii, Lactifluus nakhonphanomensis and Xerocomus sisongkhramensis on soil under Dipterocarpus trees. Ukraine, Valsonectria robiniae on dead twigs of Robinia hispida. USA, Spiralomyces americanus (incl. Spiralomyces gen. nov.) from office air. Morphological and culture characteristics are supported by DNA barcodes. Citation: Tan YP, Bishop-Hurley SL, Shivas RG, et al. 2022. Fungal Planet description sheets: 1436-1477. Persoonia 49: 261-350. https://doi.org/10.3767/persoonia.2022.49.08.