El uso de aplicaciones móviles como herramienta para abordar el estrés en trabajadores: revisión bibliográfica / Use of mobile apps as a tool to address stress in workers: a bibliographic review

Introducción: El estrés es la respuesta física y emocional a un daño causado por un desequilibrio entre las exi-gencias percibidas y los recursos y capacidades percibidos de un individuo para hacer frente a esas exigencias. La OMS ha instado a los responsables en la toma de decisiones y los defensores de la salud mental a intensificar el compromiso para cambiar las actitudes, las acciones y los enfoques de la salud mental. Entre los diferentes tipos de estrategias consideradas, las intervenciones de salud móvil están recibiendo especial atención.Método: Se llevó a cabo una búsqueda en las principales bases de datos en ciencias de la salud (Medline, WOS y LILACS). Se seleccionaron ensayos clínicos en los que la intervención consistió en el uso de aplicaciones en teléfo-nos móviles con el fin de disminuir el estrés en población trabajadora, cuyo idioma original fue el inglés o español y publicados en los últimos 5 años.Resultados: Se seleccionaron 10 artículos. La aplicación más empleada fue HeadSpace. El 70% obtuvieron diferen-cias significativas en los niveles de estrés antes y después del periodo de estudio. En el 90% la muestra tuvo mayor proporción del sexo femenino.Conclusiones: La mayoría de los estudios revisados demostraron efectividad en la reducción de las puntuaciones de las escalas utilizadas. Las investigaciones no han profundizado en la relación del estrés con las condiciones de trabajo. Sin una razón que lo objetive las trabajadoras del ámbito sanitario son la población más estudiada (AU)

Introduction: Stress is the harmful physical and emotional response caused by an imbalance between the percei-ved demands and the perceived resources and abilities of individuals to cope with those demands. The WHO urges mental health decision makers and advocates to step up commitment and action to change attitudes, actions and approaches to mental health. Mobile health apps have become increasingly popular.Method: A search was carried out in the main databases in health sciences (Medline, WOS and LILACS). Clinical trials were selected in which the intervention consisted in using applications on mobile phones in order to reduce stress in the working population. Articles whose original language was English or Spanish and published in the last 5 years were selected.Results: 10 articles were selected, 70% of them obtained significant differences in the levels of stress. Headspace was the most used application. The sample had greater proportion of the female sex in 90% of the studies.Conclusions: Most of the reviewed studies demonstrated effectiveness in reducing the scores of the used scales. Re-searchs have not delved into the relationship between stress and working conditions. Without an objective reason, female healthcare workers are the most studied population (AU)

Antioxidant Activities and Selenogene Transcription in the European Sea Bass (Dicentrarchus labrax) Liver Depend, in a Non-linear Manner, on the Se/Hg Molar Ratio of the Feeds.

Feeding 3.9 and 6.7 mg Hg/kg (Se/Hg molar ratios of 0.8 and 0.4, respectively) for 14 days negatively affected Dicentrarchus labrax growth and total DNTB- and thioredoxin-reductase (TrxR) activities and the transcription of four redox genes (txn1, gpx1, txnrd3, and txnrd2) in the liver, but a diet with 0.5 mg Hg/kg (Se/Hg molar ratio 6.6) slightly increased both reductase activities and the transcription of txn1, gpx1, and txnrd2. Feeding 6.7 mg Hg/kg for 53 days downregulated the genes of the thioredoxin system (txn1, txnrd3, and txnrd2) but upregulated gpx1, confirming the previously proposed complementarity among the antioxidant systems. Substitution of 20% of the feed by thawed white fish (hake) slightly counteracted the negative effects of Hg. The effects were not statistically significant and were dependent, in a non-linear manner, on the Se/Hg molar ratio of the feed but not on its Hg concentration. These results stress the need to consider the Se/Hg molar ratio of the feed/food when evaluating the toxicity of Hg.

La gestión de las personas fallecidas a causa de la pandemia de COVID-19 y los retos organizativos desde la óptica de los servicios medicolegales / The management of the deceased from the COVID-19 pandemic and its organizational challenges from the medico-legal services perspective

La enfermedad por el nuevo coronavirus (COVID-19), surgida a fínales de 2019 en la ciudad china de Wuhan, fue declarada como pandemia por la Organización Mundial de la Salud el 11 de marzo de 2020. En los países y regiones más afectadas, paralelamente al elevado número de pacientes y a la saturación de los servicios de salud, la cantidad inhabitual de fallecidos supone un importante esfuerzo de gestión para las autoridades. El presente artículo tiene como objetivo identificar los retos particulares de una adecuada gestión y coordinación de las instituciones implicadas y proponer recomendaciones de actuación para el manejo correcto y digno de los fallecidos y la protección del derecho de sus familiares a un trato respetuoso, a conocer la suerte y el paradero de sus seres queridos y a honrarlos de acuerdo con sus creencias. Se destaca el importante papel que los servicios medicolegales deben jugar para ello. (AU)

The new coronavirus disease (COVID-19), which emerged at the end of 2019 in the Chinese city of Wuhan, was declared as a pandemic by the World Health Organization on 11 March 2020. In the most affected countries and regions, in parallel to the high number of patients and the consequent saturation of the health services, the unusually high number of deaths adds a very sensitive burden to authorities regarding the management of corpses. The purpose of this article is to identify the particular challenges of an appropriate management and coordination of the institutions involved and to propose recommendations for action for the proper and dignified management of the deceased and the protection of the rights of their families to a respectful treatment, to know the fate and whereabouts of their loved ones and to honor them according to their beliefs and customs. The important role that medical-legal services may play for this is highlighted. (AU)

Development of a novel method for the in-situ dechlorination of immovable iron elements: optimization of Cl- extraction yield through experimental design.

The conservation of iron objects exposed to marine aerosol is threatened by the formation of akaganeite, a highly unstable Cl-bearing corrosion phase. As akaganeite formation is responsible of the exfoliation of the rust layer, chlorides trigger a cyclic alteration phenomenon that often ends with the total consumption of the iron core. To prevent this degradation process, movable iron elements (e.g. archaeometallurgical artefacts) are generally immersed in alkaline dechlorination baths. Aiming to transfer this successful method to the treatment of immovable iron objects, we propose the in-situ application of alkaline solutions through the use of highly absorbent wraps. As first step of this novel research line, the present work defines the best desalination solution to be used and optimizes its extraction yield. After literature review, a screening experimental design was performed to understand the single and synergic effects of common additives used for NaOH baths. Once the most effective variables were selected, an optimization design was carried out to determine the optimal conditions to be set during treatment. According to the experimental work here presented, the use of 0.7 M NaOH solutions applied at high temperatures (above 50 °C) is recommended. Indeed, these conditions enhance chloride extraction and iron leaching inhibition, while promoting corrosion stabilization.

Naturally growing grimmiaceae family mosses as passive biomonitors of heavy metals pollution in urban-industrial atmospheres from the Bilbao Metropolitan area.

In analytical chemistry, biomonitoring is known as the methodology, which consider the use of living organisms to monitor and assess the impact of different contaminants in a known area. This type of monitoring is a relatively inexpensive method and easy to implement, being a viable alternative to be developed in sites where there is no infrastructure/instruments for a convenctional air quality monitoring. These organisms, having the capability to monitor the pollution, are also known as passive biomonitors (PBs), since they are able to identify possible contamination sources without the need of any additional tool. In this work, a multianalytical methodology was applied to verify the usefulness of naturally growing Grimmia genus mosses as PBs of atmospheric heavy metals pollution. Once mosses were identified according to their morphology and taxonomy, thei ability to accumulate particulate matter (PM) was determined by SEM. EDS coupled to SEM also allowed to identify the main metallic particles deposited and finally, an acid digestion of the mosses and a subsequent ICP-MS study define more precisely the levels of metals accumulated on each collected moss. The study was focused on six sampling locations from the Bilbao Metropolitan area (Biscay, Basque Country, north of Spain). The experimental evidences obtained allowed to propose naturally growing Grimmia genus as PB of atmospheric heavy metals pollution and to identify the anthropogenic sources that contribute to the emission of the airborne particulate matter rich in metals, evaluating in this sense the atmospheric heavy metals pollution of the selected locations.

Intra-Arterial Infusion of Magnetic Nanoparticle-Based Theragnostic Agent to Treat Colorectal Cancer Liver Implants in Rats.

INTRODUCTION: Nowadays, surgical excision remains the gold standard to treat liver metastases of colorectal cancer (CRCLM). However, as more than 50% of patients are not eligible for surgery, other alternatives such as percutaneous or intravascular interventional therapies (thermal ablation, chemoembolization, or radioembolization), are quite relevant. Recently, the use of magnetic nanoparticles (MNPs) has been suggested as an adjuvant for these therapies, as they could increase their necrotising effect on the tumour while reducing doses and exposure times of thermal therapies. To investigate the potential curative effect of these compounds, animal models are needed, both for the development of experimental interventional procedures and for MNPs toxicity and distribution assessment. Herein, we describe both an experimental infusion procedure in CRCLM-bearing rats and analytical and histological methods to evaluate MNPs deposits in the tissue. METHODS: Eighteen male WAG/RijHsd rats were subjected to intrahepatic injection of 250,000 colorectal cancer cells. Twenty-eight days later, half of the tumour-positive animals (n = 6) were administered with MNPs while the other half (n = 6) did not receive any injection and were used as control. Under microscope magnification, the splenic artery was carefully and completely dissected, and a catheter was inserted through the splenic artery to the common hepatic artery where 1 mL MNPs suspension was administered in 5 min; then STIR, DP*, and T2 MRI sequences were obtained (and signal intensity measured) and both tumour and liver tissue samples were collected for elemental and histological analyses. CONCLUSION: Our method for selective administration of MNPs is reproducible and well-tolerated and it fairly mimics the approach used in clinical practice when intravascular interventional therapies are applied.

Impact assessment of metals on soils from Machu Picchu archaeological site.

Machu Picchu is an archaeological Inca sanctuary from the 15th century, located 2430 m above the sea level in the Cusco Region, Peru. In 1983, it was declared World Heritage Site by UNESCO. The surroundings and soils from the entire archaeological site are carefully preserved together with its grass parks. Due to the importance of the archaeological city and its surroundings, the Decentralized Culture Directorate of Cusco-PAN Machu Picchu decided to carry out a careful monitoring study in order to determine the ecological status of the soils. In this work, elemental and molecular characterization of 17 soils collected along the entire park was performed by means of X-ray Diffraction (XRD) and Inductively Coupled Plasma Mass Spectrometry (ICP-MS) after acidic digestion assisted by microwave energy. Thanks to the combination of these analytical techniques, it was possible to obtain the mineral composition and metal concentrations of all soils from these 17 sampling points. Finally, different statistical treatments were carried out in order to confirm the ecological status of the different sampling points from Machu Picchu archaeological site concluding that soils are not impacted.

Wine markers in archeological potteries: detection by GC-MS at ultratrace levels.

The detection of organic residues that remain absorbed into the pores of ceramic artifacts constitutes a source of information regarding their management. Taking into account the poor conservation state of the potteries and the low amount of the organic tracers together with the main drawbacks to get the relevant information concerning different aspects of past societies, the detection of organic biomarkers is still an analytical challenge. In this work, an improved analytical methodology to maximize the recovery of organic markers related to wine in archeological ceramics is presented. The developed method consists on the extraction of wine-related organic compounds including tartaric acid, malic acid, fumaric acid, succinic acid, citric acid, and syringic acid by means of ultrasonic probe-assisted extraction (UPAE) followed by a preconcentration step by mixed-mode strong anion exchange and reversed-phase solid-phase extraction (SPE) and a derivatization step prior to analysis by means of gas chromatography-mass spectrometry (GC-MS). Finally, the method was applied to real archeological ceramic fragments (two dolia), suspected to have been used to store wine, together with organic residues found inside two amphorae from Zaragoza (Spain). Graphical abstract.

Mixed-mode SPE followed by GC-MS analysis to determine water soluble organic compounds in aerosol and historical mortars affected by marine atmosphere: The case of Punta Begoña Galleries (Getxo, North of Spain).

This work describes the development of an analytical procedure for the determination of short chain dicarboxylic acids (C2-C10) both in aqueous and solid matrices such as aerosols and mortars. The developed and validated methodology was based on the preconcentration of compounds by means of mixed-mode solid phase extraction and gas chromatography-mass spectrometry, regardless the analyzed samples. In the case of solid samples, a prior extraction of target compounds using ultrasonic probe-assisted solid-liquid extraction was required. In general terms, the developed procedure rendered good results in terms of accuracy (apparent recoveries in the range 90-130% and 86-98% for marine aerosol and mortar samples, respectively) and repeatability (%RSD < 25%) except for those compounds interacting more strongly with the solid matrix and being more reactive. The method was applied to detect dicarboxylic acids in marine aerosol water samples and in mortars of a 20th century historical building (Punta Begoña Galleries, Getxo) located in a coastal environment (Biscay Gulf, Basque Country, Northern Spain) with industrial activity. According to the results, harbor activities may have effect on the concentrations of dicarboxylic acids found in both matrices since the façade of the building exposed to the industrial harbor (southwest orientation) appears to be more contaminated than the one oriented to the northwest.

Are children playgrounds safe play areas? Inorganic analysis and lead isotope ratios for contamination assessment in recreational (Brazilian) parks.

In city playgrounds, there is a potential risk of harming children's health by contamination coming from anthropogenic activities. With the aim to determinate the sources and the risk of hazardous elements, soil samples were collected in 19 selected playgrounds of different urban and rural areas from the Rio Grande do Sul state (Brazil). The concentration of 23 metals and metalloids and lead isotopic ratios were determined by ICP-MS. The methodology proposed here, firstly, classified the parks according to the average metal content by means of the NWACs (Normalized-and-Weighted Average Concentrations) and assess the contamination risk determining the Contamination Factors (CFs). Finally, statistical tools (correlation analysis and principal component analysis) were used to identify the most important contamination sources. The statistical tools used, together with lead isotopic composition analysis of the samples, revealed that coal combustion is the main source of contamination in the area. Vegetation was identified as a barrier for the contamination coming from the city. Nonetheless, some of the soils present a possible toxicological risk for humans. In fact, Cr, Sb, and Pb concentrations were higher than the Residential Intervention Values (VIRs) defined by the Environmental Protection Agency of the State of São Paulo, also in Brazil.

Development of X-ray Fluorescence Quantitative Methodologies To Analyze Aqueous and Acid Extracts from Building Materials Belonging to Cultural Heritage.

Energy dispersive X-ray fluorescence spectrometry (ED-XRF) is widely used in art and cultural heritage for direct measurements and elemental quantification of solid samples. However, in the literature there are not works dealing with the quantitative application of ED-XRF to liquid extracts coming from samples belonging to cultural heritage. In this work, a novel methodology based on the use of ED-XRF spectrometry after thin film deposition on special sample retainers and a subsequent evaporation was developed to quantify light elements (Z ≤ 20) in aqueous extracts and heavy elements (Z > 20) in acid extracts, coming from materials and degradation products belonging to built heritage (mortars, black crusts, and calcium carbonate formations). For this purpose, special sample retainers were used instead of more common adsorbent filter papers. Three different ED-XRF calibration methodologies were designed as elemental quantification tools and "green chemistry" alternatives to conventional techniques. On the one hand, the developed external ED-XRF calibration methodology for elements with Z ≤ 20 was proposed as an alternative to ion chromatography to obtain information about the degradation processes that the building materials suffered. On the other hand, the external ED-XRF calibration for elements with Z > 20 in acid extracts was optimized as a faster and cleaner quantification alternative to inductively coupled plasma mass spectrometry (ICPMS). Finally, with the aim to reduce the matrix effect and to improve the quantitative results for elements with Z > 20 in acid extracts, a novel ED-XRF calibration methodology based on standard additions was successfully designed and applied to real samples belonging to built heritage.

Understanding the local food environment: A participatory photovoice project in a low-income area in Madrid, Spain.

There is a need to partner between researchers, practitioners and residents to increase our understanding of environmental influences on dietary behaviors. We used the participatory method of Photovoice to understand key determinants of the local food environment influencing residents' diets. This project was conducted in Villaverde, a low-income area located in Madrid, Spain. From February to May 2015, 24 residents working in four Photovoice groups, took photographs related to their local food environment. Each group analyzed and critically discussed their photographs in small group sessions. Through a consensus-building process, participants identified 30 emerging categories, which followed five conceptual themes related to their food environment: 1) eating in moderation, 2) cultural diversity, 3) food stores, 4) social relationships and 5) economic crisis and poverty. Participants, researchers and practitioners successfully collaborated in analyzing, writing, disseminating the project results, and directly informing local policy-makers, media, and other residents. The project results may guide community-generated interventions for promoting a healthier food environment.

Multispectroscopic and Isotopic Ratio Analysis To Characterize the Inorganic Binder Used on Pompeian Pink and Purple Lake Pigments.

Because of the fact that pigments are not ubiquitous in the archeological record, the application of noninvasive analytical methods is a necessity. In this work, pink and purple lake pigments recovered from the excavations of the ancient city of Pompeii (Campania, Italy) and preserved in their original bowls at the Naples National Archaeological Museum (Italy) were analyzed to characterize the composition of their inorganic binders (mordants). In situ preliminary analyses using a hand-held energy dispersive X-ray fluorescence spectrometer (HH-ED-XRF) allowed us to determine the use of an aluminosilicate enriched in Cu and Pb. Scanning electron microscopy coupled to energy dispersive X-ray spectrometry (SEM-EDS) and benchtop ED-XRF analyses confirmed these results, while inductively coupled plasma mass spectrometry (ICPMS) allowed one to determine the concentration of major, minor, and trace elements. The use of other techniques such as X-ray diffraction (XRD), and micro-Raman and infrared spectroscopies allowed one to characterize the pigments at the molecular level. The high concentration of Cu detected in the pigments (1228-12937 µg g(-1)) could be related to the addition of Cu salts to obtain the desired final hue. The concentrations of Pb (987-2083 µg g(-1)) was also remarkable. Lead isotopic ratio analysis ((206)Pb/(207)Pb) suggested a possible origin related to the leaching of the ancient lead pipes from Pompeii and the subsequent transfer to the buried pigments or to the inorganic binder. Molecular analysis also showed that the binder is composed of an allophane-like clay. Moreover, it was possible to determine that to obtain the final purple hue of a specific pigment, Pompeian blue pigment was also mixed into the dyed clay.

The cauliflower-like black crusts on sandstones: A natural passive sampler to evaluate the surrounding environmental pollution.

Black crust in buildings can be formed as a result of different kind of chemical and physical reactions between the stone surface and environmental factors (e.g. acid aerosols emitted to the atmosphere, airborne particulate matter, etc.). Moreover, biological colonizations can also be present on them. This kind of pathology is widely present in limestones, but fewer are the case study dealing with the characterization of black crusts on sandstones. In this work we present an innovative methodology based on the use of cauliflower-like black crusts formed on sandstone material as natural passive sampler to evaluate the environmental pollution related with the emission of natural (crustal particles and marine aerosol particles) and metallic elements in the airborne particulate matter from the surrounding atmosphere. To illustrate its usefulness, different cauliflower-like black crusts growing in areas protected from the rain growing in an historical construction, La Galea Fortress, made up of sandstone and placed in the Abra Bay (Getxo, Basque Country, Spain) were characterized. This area suffers the anthropogenic emissions coming from the surrounding industry, traffic, sea port, and the natural ones coming from the surrounding marine atmosphere. The applied analytical methodology began with a previous elemental in situ screening in order to evaluate and compare the presence of the metals trapped in black crusts from different orientations using a hand-held energy dispersive X-Ray Fluorescence spectrometer. After this preliminary study, samples of black crusts were taken in order to characterize them in the laboratory using molecular techniques (Raman spectroscopy and XRD) and elemental techniques (ICP-MS, SEM-EDS and micro energy dispersive X-Ray Fluorescence). With the last two elemental techniques, imaging analyses were performed at different lateral resolutions in order to observe the distribution of the metals and other kind of particles trapped in the black crust samples. Additionally, a biological colonization found beneath the black crusts was also characterized using Phase Contrast microscopy.

The influence of rainwater composition on the conservation state of cementitious building materials.

Rainwater is one of the main pollution tracers around the world. There are many reasons that can explain the presence of high concentrations of certain hazardous elements (HEs) in the rainwater (traffic, marine port activities, industry, etc.). In this work, rainwater samples were collected at six different locations in the Metropolitan Bilbao (Basque Country, north of Spain) during November 2014. HE concentrations were determined by means of inductively coupled plasma mass spectrometry (ICP-MS) and anions by ion chromatography. The pH and redox potential values on these samples were also assessed. According to the obtained results, different trends along the estuary of Bilbao have been observed. To corroborate some hypothesis, thermodynamic simulations and correlation analyses were also carried out using quantitative data. These trends are closely related to the surrounding pollution and marine influence. Finally, in order to ascertain the influence of the Metropolitan Bilbao rainwater on buildings materials, a recent construction was characterized. Using techniques such as Scanning Electron Microscopy coupled with Energy Dispersive X-Ray Spectroscopy (SEM­EDS) and Raman Spectroscopy, different types of sulfates and nitrates were observed.

Accumulation and Translocation of Essential and Nonessential Elements by Tomato Plants (Solanum lycopersicum) Cultivated in Open-Air Plots under Organic or Conventional Farming Techniques.

A 5-month experiment was performed to study the accumulation of several inorganic elements in tomato plants cultivated using organic or synthetic fertilizer. Plants were harvested in triplicate at six sampling dates during their life cycle. Statistical and chemometric analysis of data indicated the sequestration of toxic elements and of Na, Zn, Fe, and Co in roots, while the rest of the elements, including Cd, were mainly translocated to aboveground organs. A general decreasing trend in element concentrations with time was observed for most of them. A negative correlation between some element concentrations and ripening stage of fruits was identified. Conventionally grown plants seemed to accumulate more Cd and Tl in their tissues, while organic ones were richer in some nutrients. However, there was no clear effect of the fertilizer used (organic vs synthetic) on the elemental composition of fruits.

The usefulness of a sediment bioassay with the gastropod Nassarius reticulatus in tributyltin monitoring programs.

Despite the use of tributyltin (TBT) had been banned worldwide in 2008 there is still evidence of its deleterious presence in environment. We evaluate the usefulness of a 28days sediment bioassay with Nassarius reticulatus females to monitor TBT pollution, using imposex as endpoint. In addition, butyltins were determined in sediments and tissues, and, whenever posible, imposex was assessed in native N. reticulatus at the same sites where sediments were sampled. In the bioassay, a significant increase in imposex parameters was obtained with three sediments (Vi2, Vi3, and Vi4). No correlation was found between this and TBT concentrations in sediment although good correlations were obtained for TBT in tissues, putting in evidence TBT bioavailability in sediment. A significant decrease in imposex from 2008 to 2013 in native snails was only observed at sites that did not cause any effect in the bioassay. In contrast, imposex levels in 2013 were kept as high as 2008 in one of the sites where a significant imposex increase in the bioassay was observed. The bioassay proves thus to be a practical and ecological relevant tool, as: (i) it can be conducted in sites with no native populations of snails, (ii) it provides early identification of polluted sites, anticipating future imposex levels or early identification of recovering, and (iii) it yields information on the bioavailable fraction of the TBT in the sediment. Therefore, this tool can be of extreme usefulness under the scope of recent European legislative frameworks.

Sample pretreatment to differentiate between bioconcentration and atmospheric deposition of polycyclic aromatic hydrocarbons in mosses.

In this first approach a comparison using different sample pretreatment methodologies has been made to differentiate between total atmospheric deposition and bioconcentration of polycyclic aromatic hydrocarbons (PAHs) in moss samples (Brachythecium rutabulum). Samples were collected in a densely polluted urban area in Barakaldo (Biscay, Basque Country) and submitted to different cleaning procedures with the aim to remove as many deposited atmospheric particles as possible. Analysis by means of Scanning Electron Microscopy coupled to Energy Dispersive Spectroscopy (SEM-EDS) allowed to quantify the removal efficiency of each cleaning procedure and to chemically characterise particles still present in the pre-cleaned sample. Cleaning moss samples twice with deionised water in an ultrasound bath showed up as the most suitable way to remove solid particles deposited on their surface. Discerning between bioconcentration and atmospheric deposition is therefore possible after GC-MS quantitative analysis of non-washed and washed moss samples.

Células inflamatorias en la secreción nasal y citocinas proinflamatorias Th1, Th2, Th17 y reguladoras en el suero de pacientes con leishmaniasis cutánea Americana / Inflammatory cells in the nasal secretion and serum pro-inflammatory Th1, Th2, Th17 and regulatory cytokines from American cutaneous leishmaniasis patients

En la forma mucocutánea (LCM) y cutánea (LCL) de la leishmaniasis, se genera una respuesta inflamatoria cuyos mediadores (células y citocinas) se han involucrado en la severidad de las úlceras y en el daño tisular observado en estos pacientes, particularmente en los LCM. Por ello, nos propusimos identificar los grupos celulares predominantes en la secreción nasal de pacientes con LCL y LCM, y relacionarlos con citocinas proinflamatorias y reguladoras. Evaluamos en pacientes LCL (n=20), LCM (n=14) y 20 individuos sanos: a) La cuantificación de tipos de leucocitos en "frotis" de secreción nasal, úlceras cutáneas y sangre periférica teñidos con Giemsa empleando microscopía óptica, b) Concentraciones séricas de IL-8, IL-4 e IL-10 por citometría de flujo (CBA array) e IFN-γ, TNF-α e IL-17 por ELISA. El grupo celular predominante en la secreción nasal de pacientes con LCM fueron los neutrófilos (80,7%) y escasos eosinófilos (0,6%), comparados con los LCL y controles, en los que no se observaron estas células. Mientras que los "frotis" de las ulceras de los LCL presentaron 45,3% de neutrófilos y 43% de linfocitos. En contraste, en sangre periférica, de los pacientes se observó un incremento de neutrófilos y linfocitos junto a una frecuencia significativa de monocitos (LCM: 5,3; LCL: 6,3%) y eosinófilos (LCM: 8,2%; LCL: 5,2%). Todo esto sugiere la participación de los neutrófilos en la inmunopatogénesis en la LCM. Adicionalmente, se demostró una mayor (P=0,03) concentración sérica de IL-8 en los pacientes con LCL (18,5ρg/mL) y LCM (18,2ρg/mL) respecto a los individuos sanos, sugiriendo que esta citocina promueve el reclutamiento de neutrófilos al sitio de infección en los LCM, mientras que en los LCL contribuyen junto con los linfocitos T CD4+ de la subpoblación Th1 y productores de IFN-γ, en la activación de mecanismos leishmanicidas.

In mucocutaneous (MCL) and cutaneous (LCL) leishmaniasis, the inflammatory mediators (cytokines and cells) have been associated with ulcers severity and tissue damage observed in these patients, particularly in MCL. Therefore, we decided to identify the predominant cell groups in the nasal secretion of LCL and MCL patients, and related pro-inflammatory and regulatory cytokines. It was evaluated in LCL (n = 20), MCL patients (n = 14) and 20 healthy volunteers: a) Differential leukocyte count by optical microscopy performed in: smear of a runny nose, skin ulcers and peripheral blood dyed with Giemsa, b) serum levels of IL-8, IL-4 and IL-10 using cytometric bead array (CBA) assay and IFN-γ, TNF-α and IL-17 by ELISA. In MCL patients, neutrophils (80.7%) were the most abundant cellular group in nose secretion, followed by a small amount of eosinophils (0.6%) compared to the LCL and controls, where no such cells were observed. In contrast, in peripheral blood from ACL patients were observed an abundant amount of neutrophils and lymphocytes together with a significant frequency of monocytes (MCL:5.3%; LCL: 6.3%) and eosinophils (MCL:8.2%; LCL:5.2%). While the smear from skin ulcers of LCL patients showed 45.3% of neutrophils and 43% lymphocytes. All of these indicate that neutrophils might play a role in the MCL immunopathogenesis. Moreover, an increased serum levels of IL-8 (P=0.03) were found in LCL (18.5ρg/mL) and MCL (18.2ρg/mL) patients, suggesting that this cytokine promotes the recruitment of neutrophils to the infection site in MCL; while in LCL patients may contribute with CD4 + Th1 (IFN-γ) cells in the activation of leishmanicida mechanisms.

Emerging application of a structural and chemical analyzer for the complete characterization of metal-rich particulate matter.

Clean air is considered to be a basic requirement of human health and well-being. An increasing range of adverse health effects has been linked to air pollution, at ever-lower concentrations. This research shows the newly developed Structural and Chemical Analyzer (SCA) to be a successful combination of Raman spectroscopy and scanning electron microscope-energy dispersive X-rays that opens up new insight into the composition of particulate matter (PM). The results obtained with soil and lichen samples demonstrate the capability of the technique to obtain elemental and molecular information of every single atmospheric PM focused at the micrometer and submicrometer levels. The SCA approach permitted the individual PM analysis, allowing the identification of the molecular (most commonly as sulphides, sulphates, carbonates, or oxides) form in which several hazardous metals (Zn, Pb, Cu, etc.) are evolved into potentially inhalable PM. During the present research, the synchronization of both techniques at a time revealed the morphological, elemental, and molecular forms of metal-rich PM, avoiding some analysis precautions and making the sample preparation and measurement steps more dynamic. In addition, the thermodynamic simulations carried out with the information obtained were helpful to differentiate whether the PM may be retained in the alveoli (i.e., galena) or if it may be dissolved and pass into the bloodstream (i.e., plattnerite).