Exploring tear viscosity with quartz crystal microbalance technology.

Tear viscosity is a critical property affecting tear distribution and ocular surface stability. While not widely established as a primary diagnostic marker, deviations from normal viscosity can impact ocular health, potentially contributing to conditions such as dry eye syndrome. Despite their importance, traditional viscometers require sample volumes that are not feasible to use with tear volume. This research introduces a novel Quartz Crystal Microbalance (QCM)-based method for tear viscosity measurement, offering a viscometer prototype that operates with minimal sample volumes. Human tear samples, solutions used in artificial eye drops, and various commercial eye drop brands were evaluated. Results show that the QCM method aligns with established viscosity ranges. The average viscosity of healthy human tears was found to be 1.73 ± 0.61 cP, aligning with the typical range of 1-10 cP. Variability in the viscosities of eye drop can be attributed to differences in their chemical compositions. The QCM method offers benefits such as reduced sample consumption and rapid results, enhancing understanding of tear dynamics for ocular health. Further research with larger sample sizes is needed to establish normative viscosity values in healthy individuals and those with dry eye syndrome, which is crucial for validating the device's clinical efficacy.

Quartz crystal Microbalance with dissipation monitoring for biomedical applications: Open source and low cost prototype with active temperature control.

Advances in sensors have revolutionized the biomedical engineering field, having an extreme affinity for specific analytes also providing an effective, real-time, point-of-care testing for an accurate diagnosis. Quartz Crystal Microbalance (QCM) is a well-established sensor that has been successfully applied in a broad range of applications to monitor and explore various surface interactions, in situ thin-film formations, and layer properties. This technology has gained interest in biomedical applications since novel QCM systems are able to work in liquid media. QCM with dissipation monitoring (QCM-D) is an expanded version of a QCM that measures changes in damping properties of adsorbed layers thus providing information on its viscoelastic nature. In this article, an open source and low cost QCM-D prototype for biomedical applications was developed. In addition, the system was validated using different Polyethylene Glycol (PEG) concentrations due to its importance for many medical applications. The statistics show a bigger dissipation of the system as the fluid becomes more viscous, also having a very acceptable sensibility when temperature is controlled.

AntVideoRecord: Autonomous system to capture the locomotor activity of leafcutter ants.

The leafcutter ants (LCA) are considered plague in a great part of the American continent, causing great damage in production fields. Knowing the locomotion and foraging rhythm in LCA on a continuous basis would imply a significant advance for ecological studies, fundamentally of animal behavior. However, studying the forage rhythm of LCA in the field involves a significant human effort. This also adds a risk of subjective results due to the operator fatigue. In this work a new development named 'AntVideoRecord' is proposed to address this issue. This device is a low-cost autonomous system that records videos of the LCA path in a fixed position. The device can be easily reproduced using the freely accessible source code provided. The evaluation of this novel device was successful because it has exceeded all the basic requirements in the field: record continuously for at least seven days, withstand high and low temperatures, capture acceptable videos during the day and night, and have a simple configuration protocol by mobile devices and laptops. It was possible to confirm the correct operation of the device, being able to record more than 1900 h in the field at different climate conditions and times of the day.

Síndrome de Cowden. Importancia del diagnóstico precoz / Cowden's syndrome. Importance of early diagnosis

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Estudio descriptivo de la mejora de la calidad percibida en los pacientes sometidos a cirugía bariátrica tras la implantación de una vía clínica / Descriptive study on the improvement of quality perceived after the introduction of a clinical pathway by patients subjected to bariatric surgery

Objetivo. Evaluar el grado de satisfacción de los pacientes incluidos en una vía clínica de cirugía laparoscópica de la obesidad y analizar los factores relacionados con la satisfacción. Material y métodos. A una cohorte consecutiva de pacientes se les invitó a cumplimentar, de forma anónima y voluntaria, la encuesta SERVQHOS el penúltimo día de su alta hospitalaria. Resultados. De un total de 103 pacientes (53 mujeres), 71 (70%) respondieron la encuesta. Un 97,3% respondió «como se esperaba» o «por encima de las expectativas» a las cuestiones planteadas. El 98,6% se mostró «muy satisfecho» o «satisfecho» con la atención recibida y el 97,2% recomendaría el hospital a otras personas. Las cuestiones mejor relacionadas con la satisfacción global fueron la tecnología empleada (p=0,008), la apariencia del personal (p=0,019), el interés del personal sanitario por cumplir lo que promete (p=0,002) y para solucionar los problemas del enfermo (p=0,021), la información prestada por el equipo médico (p=0,039) y el tiempo de espera para ser atendido por el médico (p=0,002). En el estudio multivariante, la única variable con capacidad predictiva, en relación con la satisfacción global, fue el trato personalizado (r=0,52). La mediana de estancia hospitalaria fue de 3 días, y el 76% de los encuestados la consideró suficiente. El porcentaje de máxima satisfacción fue significativamente inferior en las mujeres, los solteros, aquellos sin ocupación profesional y con estudios universitarios. Conclusiones. Los pacientes obesos mórbidos incluidos en una vía clínica de cirugía bariátrica tienen una buena percepción de la asistencia sanitaria recibida(AU)

Objectives. To evaluate the level of perceived satisfaction in patients undergoing bariatric procedures after implementing a clinical pathway, and to analyse factors related to a high degree of satisfaction. Material and methods. A cohort of patients was invited to fulfil, anonymously and voluntarily, a SERVQHOS survey the day before hospital discharge. Results. Seventy-one (53 female) out of 103 patients (70%) responded to the questionnaire. A total of 97.3% of patients who completed the survey answered to the questions "as expected" or "above expectations". Most (98.6%) of the patients were "very satisfied" or "satisfied" with the care received, and 97.2% would recommend the hospital to others. Questions better related to overall satisfaction were technology used (P=.008), staff appearance (P=.019), the interest of staff to fulfil a promise (P=.002), and to solve the problems of the patient (P=.021), information provided by the medical staff (P=.039) and waiting time until being seen by the doctor (P=.002). In the multivariate study, only the "personalized care" achieved the category of a predictive variable (r=0.52). Median hospital stay was 3 days, and 76% of patients considered it adequate. The percentage of highest satisfaction was significantly lower in female, singles, unemployed, and those with academic studies. Conclusions. Morbid obese patients included in a clinical pathway of bariatric surgery had a good perception with the care received(AU)

[Descriptive study on the improvement of quality perceived after the introduction of a clinical pathway by patients subjected to bariatric surgery]. / Estudio descriptivo de la mejora de la calidad percibida en los pacientes sometidos a cirugía bariátrica tras la implantación de una vía clínica.

OBJECTIVES: To evaluate the level of perceived satisfaction in patients undergoing bariatric procedures after implementing a clinical pathway, and to analyse factors related to a high degree of satisfaction. MATERIAL AND METHODS: A cohort of patients was invited to fulfil, anonymously and voluntarily, a SERVQHOS survey the day before hospital discharge. RESULTS: Seventy-one (53 female) out of 103 patients (70%) responded to the questionnaire. A total of 97.3% of patients who completed the survey answered to the questions "as expected" or "above expectations". Most (98.6%) of the patients were "very satisfied" or "satisfied" with the care received, and 97.2% would recommend the hospital to others. Questions better related to overall satisfaction were technology used (P=.008), staff appearance (P=.019), the interest of staff to fulfil a promise (P=.002), and to solve the problems of the patient (P=.021), information provided by the medical staff (P=.039) and waiting time until being seen by the doctor (P=.002). In the multivariate study, only the "personalized care" achieved the category of a predictive variable (r=0.52). Median hospital stay was 3 days, and 76% of patients considered it adequate. The percentage of highest satisfaction was significantly lower in female, singles, unemployed, and those with academic studies. CONCLUSIONS: Morbid obese patients included in a clinical pathway of bariatric surgery had a good perception with the care received.