Multidisciplinary Team Care in Pituitary Tumours.

The optimal care for patients with pituitary tumours is best provided in a multidisciplinary and collaborative environment, which requires the contribution of multiple medical specialties working together. The benefits and advantages of the pituitary multidisciplinary team (MDT) are broad, and all relevant international consensus and guidelines in the field recommend that patients with pituitary tumours should always be managed in a MDT. Endocrinologists and neurosurgeons are normally the leading specialties within the pituitary MDT, supported by many other specialties with significant contributions to the diagnosis and management of pituitary tumours, including neuropathology, neuroradiology, neuro-ophthalmology, and otorhinolaryngology, among others. Here, we review the literature concerning the concepts of Pituitary MDT/Pituitary Tumour Centre of Excellence (PTCOE) in terms of their mission, goals, benefits, structure, proposed models of function, and barriers, and we also provide the views of different specialists involved in our Pituitary MDT.

Changing human hair fibre colour and shape from the follicle.

INTRODUCTION: Natural hair curvature and colour are genetically determined human traits, that we intentionally change by applying thermal and chemical treatments to the fibre. Presently, those cosmetic methodologies act externally and their recurrent use is quite detrimental to hair fibre quality and even to our health. OBJECTIVES: This work represents a disruptive concept to modify natural hair colour and curvature. We aim to model the fibre phenotype as it is actively produced in the follicle through the topical delivery of specific bioactive molecules to the scalp. METHODS: Transcriptome differences between curly and straight hairs were identified by microarray. In scalp samples, the most variable transcripts were mapped by in situ hybridization. Then, by using appropriate cellular models, we screened a chemical library of 1200 generic drugs, searching for molecules that could lead to changes in either fibre colour or curvature. A pilot-scale, single-centre, investigator-initiated, prospective, blind, bilateral (split-scalp) placebo-controlled clinical study with the intervention of cosmetics was conducted to obtain a proof of concept (RNEC n.92938). RESULTS: We found 85 genes transcribed significantly different between curly and straight hair, not previously associated with this human trait. Next, we mapped some of the most variable genes to the inner root sheath of follicles, reinforcing the role of this cell layer in fibre shape moulding. From the drug library screening, we selected 3 and 4 hits as modulators of melanin synthesis and gene transcription, respectively, to be further tested in 33 volunteers. The intentional specific hair change occurred: 8 of 14 volunteers exhibited colour changes, and 16 of 19 volunteers presented curvature modifications, by the end of the study. CONCLUSION: The promising results obtained are the first step towards future cosmetics, complementary or alternative to current methodologies, taking hair styling to a new level: changing hair from the inside out.

Evaluation of Psychophysical Fitness in Drivers over 65 Years of Age.

BACKGROUND: The deterioration of cognitive and psychophysical ability associated with aging has an effect on road safety, especially in the driving of vehicles. The current study's main objective is to evaluate the psychophysical aptitudes in drivers over 65 years of age in a sample of drivers in Spain. METHODS: The sample was formed of a total of 1663 drivers who attended a Driver Recognition Center. The evaluation of their psychophysical aptitudes was carried out following the Medical-Psychological Exploration Protocol for Driver Recognition Centers, edited by the Ministry of Health and the General Directorate of Traffic. RESULTS: The results show increased restrictions in the evaluation of driving ability with age, which are especially significant after 75 years of age. Regarding sex, 70.1% of women have an approved evaluation, compared to men aged between 65-69, although from 69 onwards, the percentage of approved women decreases significantly. The loss of visual capabilities and poor performance in psycho-technical tests are the main causes associated with an evaluation with restrictions, with the number of restrictive conditions increasing with age. CONCLUSIONS: There is an increase in the number of cases with age-related restrictions, especially in the case of women and ophthalmologic-related problems, although the majority of drivers over 65 years old continue driving, thus continuing with a practice that has been related to the well-being and quality of life of older adults.

Effects of Cannabis Legalization on Road Safety: A Literature Review.

BACKGROUND: Legalizing medical and recreational cannabis and decriminalizing this substance may have unanticipated effects on traffic safety. The present study aimed to assess the impact of cannabis legalization on traffic accidents. METHODS: A systematic review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) declaration of the articles included in the Web of Science (WoS) and Scopus databases. The number of papers included in the review was 29. RESULTS: The results show that in 15 papers, there is a relationship between the legalization of medical and/or recreational cannabis and the number of traffic accidents, while in 5 papers, no such relationship is observed. In addition, nine articles indicate a greater number of risk behaviors related to driving after consumption, identifying young, male, and alcohol consumption together with cannabis as the risk profile. CONCLUSIONS: It can be concluded that the legalization of medical and/or recreational cannabis has negative effects on road safety when considering the number of jobs that affect the number of fatalities.

De Colegio oficial de psicólogos a Consejo general de colegios. Posicionamiento nacional y proyección internacional / From the college of psychologists to the Spanish psychological association. National positioning and international projection

La creación del COP tuvo enorme trascendencia para dotar de identidad la psicología española. Esta Corporación destinada a ordenar y representar la profesión no ha dejado de crecer, a pesar de graves problemáticas internas y externas. El artículo ofrece una revisión legislativa y documental, sobre todo desde su revista oficial, Papeles del Psicólogo. Analiza la segunda etapa del COP, la de la profesionalización, la descentralización y la reorganización como Consejo General de Colegios, atendiendo a su papel en la proyección interna e internacional de la disciplina en su conjunto. (AU)

The creation of the COP (Spanish College of Psychologists) was of enormous significance in establishing the identity of psychology in Spain. Theorganization, aimed at organizing and representing the profession, has not stopped growing, despite the serious internal and external issues it hashad. This article presents a legislative and documentary review, particularly based on its representative publication, Papeles del Psicólogo/Psychologist Papers. We analyze the second stage of the COP, that of professionalization, decentralization, and reorganization as theSpanish Psychological Association, taking into account its role in the internal and international projection of the discipline as a whole. (AU)

High-intensity infrasound effects on glucose metabolism in rats.

Recent focus has been given on the effects of high-intensity infrasound (HII) exposure, and whether it induces changes in pancreatic morphology and glucose metabolism is still unknown. As such, we have studied the impact of HII exposure on glucose tolerance, insulin sensitivity, pancreatic islet morphology, muscle GLUT4 and plasma insulin and corticosterone levels. Normal and glucose intolerant wild-type Wistar rats were randomly divided in two groups: one group not exposed to HII and the other continuously exposed to HII. Animals were sacrificed at three timepoints of exposure (1, 6 or 12 weeks). An intraperitoneal glucose tolerance test was performed, blood samples were collected and the pancreas and the quadriceps femoris muscle were excised. Circulating insulin and corticosterone levels were determined and pancreatic and muscular tissue were routinely processed for histochemistry and immunohistochemistry with an anti-GLUT4 antibody. Animals exposed to HII had higher corticosterone levels than animals not exposed. No differences were found on insulin concerning HII exposure or glucose intolerance. Glucose intolerant animals had pancreatic islet fibrosis and no differences were found in GLUT4 ratio concerning HII exposure. In conclusion, we found that continuous exposure to HII increases stress hormone levels without inducing glucose intolerance in rats.

Environmental challenges of intensive woody crops: The case of super high-density olive groves.

Super high-density olive groves (>800 trees ha-1) are rapidly expanding in olive oil producer countries, which entails a strong modification of the olive growing system with important agronomic, economic, sociocultural, and environmental consequences. Among them, the latter is particularly unknown. The aim of this paper is to bring the attention on the environmental impacts of super high-density olive groves, by systematically reviewing the current evidence and identifying knowledge gaps yet to be filled. As a result, we can argue that new super high-density olive plantations reduce habitat heterogeneity and complexity, and the younger trees of these plantations impoverish habitat quality for farmland biodiversity. In addition, the high input use (e.g. phytosanitary treatments, fertilisers and water supply) may entail ecological impacts as well. Therefore, we conclude that i) new highly intensive olive groves should be limited to areas with lower ecological value; ii) consumers should have more information concerning how is produced the olive oil they buy, including the environmental impacts produced; iii) agricultural policies should be reformulated following the provider-gets principle; iv) input use (fertilisers, pesticides, water, etc.) should be gradually optimised to reduce the environmental impact; and finally, v) more research is necessary to foster decisions based on science.

Psicología Y Profesión En España. Los Primeros Años Del Colegio Oficial De Psicólogos / Psychology And Profession In Spain. The Early Years Of The Spanish Psychological Association

La creación del COP tuvo enorme trascendencia para el establecimiento de la Psicología y para dotarla de identidad. Desde la Ley de creación en 1980, esta organización de carácter semipúblico destinada a ordenar y representar la profesión no ha dejado de crecer, a pesar de graves problemáticas internas y externas. El COP ha pasado por diversas etapas, que reflejan y al tiempo ayudan a caracterizar la corta historia disciplinar de la psicología, sobre todo su definición, frente a otras profesiones. El artículo ofrece una amplia revisión legislativa y documental, sobre todo desde su revista portavoz, Papeles del Psicólogo. Analiza sus complicados primeros años, hasta 1993, bajo la dirección de Carlos Camarero y de Adolfo Hernández, marcados por la configuración interna de la Organización, una grave problemática profesional, y la lucha por conseguir la Licenciatura. (AU)

The creation of the Spanish Psychological Association (Spanish acronym, COP) was of enormous significance in the establishing of psychology in Spain, and in the creation of its identity. Since the publication of the 1980 Law of Creation [of the COP], this organization-aimed at regulating and representing the psychology profession-has not stopped growing, despite the serious internal and external issues it has had. The Spanish Psychological Association has gone through different stages over the past 40 years, which reflect and help us to characterize the short history of Spanish psychology, in particular the history of its delimitation with respect to other professions. This article presents an extensive legislative and documentary review, particularly based on its representative publication, Papeles del Psicólogo/Psychologist Papers. We analyze the complicated early years, up to 1993, under the direction of Carlos Camarero and Adolfo Hernández, a phase marked by the internal configuration of the organization, a serious challenge for the profession, and the fight to approve the master’s degree. (AU)

Natural and anthropogenic-induced stressors affecting the composition of fish communities on the rocky reefs of Ecuador.

Natural and human-induced stressors have threatened the sustainability of the fish communities of coral-rocky reefs worldwide in the last decades. The composition of the fish communities on the reefs of Ecuador and the factors affecting spatiotemporal changes are unknown. We studied the influence of the descriptors of structural complexity, the current status of coral and human-induced variables over fish communities. A video transect method was used to assess fish communities in three zones (slope, crest, and bottom) of two reefs during two seasons (rainy and dry). The structure of fish communities was highly influenced by the zones and season; rugosity and live coral affected the fish composition on the crest and slope zones. The fractured coral and derelict fishing gear on coral produced an adverse effect on fish composition over the crest. A multifactorial process causing loss of structural complexity and affecting fish composition was identified, however, periodical assessment is required for a greater understanding of this process.

Historia, Dificultades Y Retos De La Federación Iberoamericana De Asociaciones De Psicología / History, Difficulties, And Challenges Of The Ibero-American Federation Of Psychology Associations

El objetivo del artículo es presentar y describir los principales elementos fundacionales, así como los eventos icónicos y misionales dela Federación Iberoamericana de Asociaciones de Psicología (FIAP). Se señalan las contribuciones, las tareas de la Federación y las dificultades para construir una psicología organizada que es vulnerable a las fragilidades y la diversidad de las realidades socioeconómicas y sociopolíticas de la región, para finalmente discutir su papel dentro de la organización y representación de la profesión psicológica, así como las insuficiencias, los retos y las tareas de la misma para continuar favoreciendo el posicionamiento y la internacionalización de la ciencia psicológica y la profesión de los países de lengua española y portuguesa. (AU)

The main aim of the article is to present and describe the main foundational elements, as well as the iconic events and mission, ofthe Ibero-American Federation of Psychology Associations (FIAP). The contributions and tasks of this organization are described, as well as the difficulties of building an organized psychology, vulnerable to the fragilities and diversities of the socio-economicand socio-political realities of the region. The final purpose is to discuss the role of the FIAP within the organization and representation of the psychology profession, as well as its shortcomings, challenges, and tasks, in order to continue to promote thepositioning and internationalization of the psychological science and profession in Spanish and Portuguese speaking countries. (AU)

General Microbiota of the Soft Tick Ornithodoros turicata Parasitizing the Bolson Tortoise (Gopherus flavomarginatus) in the Mapimi Biosphere Reserve, Mexico.

The general bacterial microbiota of the soft tick Ornithodoros turicata found on Bolson tortoises (Gopherus flavomarginatus) were analyzed using next generation sequencing. The main aims of the study were to establish the relative abundance of bacterial taxa in the tick, and to document the presence of potentially pathogenic species for this tortoise, other animals, and humans. The study was carried-out in the Mapimi Biosphere Reserve in the northern-arid part of Mexico. Bolson tortoises (n = 45) were inspected for the presence of soft ticks, from which 11 tortoises (24.4%) had ticks in low loads (1-3 ticks per individual). Tick pools (five adult ticks each) were analyzed through 16S rRNA V3-V4 region amplification in a MiSeq Illumina, using EzBioCloud as a taxonomical reference. The operational taxonomic units (OTUs) revealed 28 phyla, 84 classes, 165 orders, 342 families, 1013 genera, and 1326 species. The high number of taxa registered for O. turicata may be the result of the variety of hosts that this tick parasitizes as they live inside G. flavomarginatus burrows. While the most abundant phyla were Proteobacteria, Actinobacteria, and Firmicutes, the most abundant species were two endosymbionts of ticks (Midichloria-like and Coxiella-like). Two bacteria documented as pathogenic to Gopherus spp. were registered (Mycoplasma spp. and Pasteurella testudinis). The bovine and ovine tick-borne pathogens A. marginale and A. ovis, respectively, were recorded, as well as the zoonotic bacteria A. phagocytophilum,Coxiella burnetii, and Neoehrlichia sp. Tortoises parasitized with O. turicata did not show evident signs of disease, which could indicate a possible ecological role as a reservoir that has yet to be demonstrated. In fact, the defense mechanisms of this tortoise against the microorganisms transmitted by ticks during their feeding process are still unknown. Future studies on soft ticks should expand our knowledge about what components of the microbiota are notable across multiple host-microbe dynamics. Likewise, studies are required to better understand the host competence of this tortoise, considered the largest terrestrial reptile in North America distributed throughout the Chihuahuan Desert since the late Pleistocene.

Antitumour and Toxicity Evaluation of a Ru(II)-Cyclopentadienyl Complex in a Prostate Cancer Model by Imaging Tools.

BACKGROUND: Ruthenium complexes have been extensively investigated for their prospective value as alternatives to cisplatin. Recently, we reported the in vitro anticancer properties of a family of organometallic ruthenium( II)-cyclopentadienyl complexes and have explored their mechanism of action. OBJECTIVE: The purpose of this study was to evaluate the in vivo antitumour efficacy and toxicity of one of these Ru(II) compounds, [RuCp(mTPPMSNa)(2,2'-bipy)][CF3SO2] (TM85) which displayed an interesting spectrum of activity against several cancer cells. METHODS: Studies to assess the antitumour activity and toxicity were performed in a metastatic prostate (PC3) mice model using ICP-MS, nuclear microscopy, elemental analysis and Transmission Electron Microscopy (TEM). RESULTS: TM85 showed low systemic toxicity but no significant tumour reduction, when administered at tolerated dose (20mg/kg) over 10 days. Ru was mainly retained in the liver and less in kidneys, with low accumulation in tumour. Increased bilirubin levels, anomalous Ca and Fe concentrations in liver and mitochondria alterations were indicative of liver injury. The hepatotoxicity observed was less severe than that of cisplatin and no nephrotoxicity was found. CONCLUSION: Under the experimental conditions of this study, TM85 is less toxic than cisplatin, induces similar tumour reduction and avoids the formation of metastatic foci. No renal toxicity was observed by the analysis of creatinine levels and the effective renal plasma flow by 99mTc-MAG3 clearance. Hence, it can be considered a valuable compound for further studies in the field of Ru-based anticancer drugs.

A surprising "gastric" biopsy / Biopsia gástrica inesperada

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El paradigma benigno-maligno en tumores neuroendocrinos hipofisarios y la metáfora del semáforo: reflexiones de un patólogo / The benign-malignant paradigm in pituitary neuroendocrine tumors and the metaphor of the semaphore: Reflections of a pathologist

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Comunicación científica o cualificación para una carrera académica: ¿Qué uso tienen los artículos en las revistas de psicología? / Scientific communication or a qualification for an academic career? What use is publishing papers in psychology journals?

Este trabajo analiza todas las revistas de psicología que se hallan incluidas en las diversas categorías de las bases de datos JCR (SCI y SSCI) y SJR durante el periodo 2014-2016 para tratar de identificar las revistas que se encuentran mejor posicionadas en esta disciplina, sus especialidades y los países con mayor número de publicaciones indexados en dichas bases de datos. Método: Se analizó la distribución de revistas por países, cuartil y categoría para determinar la posición de las revistas en cada país e identificar los que tuviesen mayor cantidad de revistas de excelencia en psicología en la escena internacional. Resultados: Estados Unidos y Reino Unido tienen el mayor número de revistas incluidas en las bases de datos, así como Holanda, Alemania, Francia y España. Sólo 11 países poseen revistas en el cuartil 1 en la base de datos JCR, y 14 en SRJ. Conclusiones: Como resultado de la aplicación de los nuevos criterios evaluadores en la investigación psicológica en España, este trabajo aborda las dificultades y consecuencias que algunas de estas medidas pueden tener para la supervivencia de las revistas de psicología que no se encuentran posicionadas en cuartil 1 o 2 en las bases de datos usadas para la evaluación de los profesionales investigadores en esta disciplina

This paper analyses all psychology journals included in the different categories of the JCR (SCI and SSCI) and SJR databases during the period 2014-2016 in order to identify the journals that are better positioned in the discipline, and the specialities and countries with the highest number of publications indexed in such databases. Method: The distribution of psychology journals by country, quartile, and subject category was studied in order to determine the total number and position of journals in each country, and to identify the countries with more journals of 'excellence' in psychology in the international scene. Results: The United States and the United Kingdom had the highest number of journals included in the databases, as well as the Netherlands, Germany, France and Spain. Only 11 countries have psychology journals in quartile 1 in JCR, and 14 in SJR databases. Conclusions: As a result of the application of new evaluation criteria in psychology research in Spain, the paper addresses the difficulties and consequences that some of these measures may have for the survival of psychology journals that do not have a position in quartile 1 or 2 in the databases used for the evaluation of professionals' research in this discipline

Does gender really matter? A structural equation model to explain risky and positive cycling behaviors.

INTRODUCTION: While the use of bicycles as mean of transport is growing worldwide, the increasing rates of traffic crashes involving cyclists have turned into a relevant scientific, public health, and road safety concern. According to several studies, and despite the fact that some countries are taking part in preventive actions, the data indicate that the problem of cycling injuries implies high costs for the community welfare, for the economy, and for healthcare systems, thus proving a clear need for solutions. In this regard, and considering the available empirical evidence, risky and positive riding behaviors have gained significant weight in terms of explaining, intervening in, and preventing traffic crashes of cyclists, and some evidence suggests that gender may influence the road behavior of users. OBJECTIVE: The objective of this study was to examine the effect of gender on cyclists' risky and positive riding behavior, considering a set of demographic, psychosocial and bike-use-related variables as potential predictors. METHOD: For this cross-sectional study, data from 1064 cyclists (61.2% males and 38.8% females, aged between 17 and 80) from 20 countries, responding an electronic survey, were analyzed through a multi-group structural equation modeling approach. RESULTS: Although hourly intensity, psychological distress and level of knowledge of traffic rules similarly predict the risky road behaviors of both genders, age and risk perception are significant behavioral predictors only in the case of male cyclists. On the other hand, positive behaviors of men are predicted by cycling intensity, knowledge of traffic rules and risk perception, while in the case of women psychological distress predicts -to a significant extent- positive behaviors. Age had no significant effect on the explanation of positive behaviors. CONCLUSION: The findings of this study support the influence of gender in the statistical explanation of risky and protective behaviors, and they also reveal differentiating variables predicting the riding behavior of male and female cyclists.

Sympathetic neuron-associated macrophages contribute to obesity by importing and metabolizing norepinephrine.

The cellular mechanism(s) linking macrophages to norepinephrine (NE)-mediated regulation of thermogenesis have been a topic of debate. Here we identify sympathetic neuron-associated macrophages (SAMs) as a population of cells that mediate clearance of NE via expression of solute carrier family 6 member 2 (SLC6A2), an NE transporter, and monoamine oxidase A (MAOA), a degradation enzyme. Optogenetic activation of the sympathetic nervous system (SNS) upregulates NE uptake by SAMs and shifts the SAM profile to a more proinflammatory state. NE uptake by SAMs is prevented by genetic deletion of Slc6a2 or inhibition of the encoded transporter. We also observed an increased proportion of SAMs in the SNS of two mouse models of obesity. Genetic ablation of Slc6a2 in SAMs increases brown adipose tissue (BAT) content, causes browning of white fat, increases thermogenesis, and leads to substantial and sustained weight loss in obese mice. We further show that this pathway is conserved, as human sympathetic ganglia also contain SAMs expressing the analogous molecular machinery for NE clearance, which thus constitutes a potential target for obesity treatment.