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1.
Neotrop Entomol ; 53(4): 1002-1008, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38833136

ABSTRACT

This is the first record of Melanoloma viatrix Hendel as well as in its host (pineapple) in Brazil. Previously, M. viatrix had been found in pineapple plantations in Peru, Colombia, Venezuela, and Ecuador. In Brazil, this fly was initially reported in pineapple purchased from a commercial establishment in the municipality of Porto Grande, Amapá State, in 2020. Subsequently, M. viatrix was found in a commercial pineapple plantation, Ananas comosus (L.) Merr. cv. Pérola, also in Porto Grande, Amapá State. In the pineapple samples, 2,320 specimens of M. viatrix were collected on a single day on that rural property (approximately 2 ha). The larvae open galleries in the pulp that cause the pineapple to rot, making it unviable for consumption and commercial sale. This communication aims to alert phytosanitary authorities of the need to establish control strategies to prevent the spread of the pineapple fly to other states in Brazil.


Subject(s)
Ananas , Diptera , Larva , Brazil , Animals
2.
Comp Biochem Physiol C Toxicol Pharmacol ; 283: 109963, 2024 Jun 16.
Article in English | MEDLINE | ID: mdl-38889876

ABSTRACT

Given that Agaricus bisporus, an edible mushroom, has demonstrated antioxidant properties, our investigation aimed to assess whether Agaricus bisporus could mitigate the toxic effects of lead (Pb) on Caenorhabditis elegans (C. elegans) model. A dose-response study was conducted involving Pb and Agaricus bisporus to determine appropriate doses. Subsequently, a co-exposure study utilizing C. elegans strains N2 and CL2166 was implemented, with groups designated as Control, Pb, Agaricus bisporus, and Pb + Agaricus bisporus. Our findings revealed that co-exposure to Pb + 100 mg/mL Agaricus bisporus resulted in reduced embryonic and larval lethality, increased brood size, and enhanced motility compared to nematodes exposed solely to Pb. Notably, our observations indicated a transfer of reproductive toxicity from nematode parents to their offspring. Thus, Agaricus bisporus may play a significant role in Pb detoxification, suggesting its potential as a natural antioxidant for neutralizing the detrimental effects of Pb on reproductive health.

3.
Environ Pollut ; 348: 123816, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38508369

ABSTRACT

The increase of plastic production together with the incipient reuse/recycling system has resulted in massive discards into the environment. This has facilitated the formation of micro- and nanoplastics (MNPs) which poses major risk for environmental health. Although some studies have investigated the effects of pristine MNPs on reproductive health, the effects of weathered MNPs have been poorly investigated. Here we show in Caenorhabditis elegans that exposure to photoaged polystyrene nanoplastics (PSNP-UV) results in worse reproductive performance than pristine PSNP (i.e., embryonic/larval lethality plus a decrease in the brood size, accompanied by a high number of unfertilized eggs), besides it affects size and locomotion behavior. Those effects were potentially generated by reactive products formed during UV-irradiation, since we found higher levels of reactive oxygen species and increased expression of GST-4 in worms exposed to PSNP-UV. Those results are supported by physical-chemical characterization analyses which indicate significant formation of oxidative degradation products from PSNP under UV-C irradiation. Our study also demonstrates that PSNP accumulate predominantly in the gastrointestinal tract of C. elegans (with no accumulation in the gonads), being completely eliminated at 96 h post-exposure. We complemented the toxicological analysis of PSNP/PSNP-UV by showing that the activation of the stress response via DAF-16 is dependent of the nanoplastics accumulation. Our data suggest that exposure to the wild PSNP, i.e., polystyrene nanoplastics more similar to those actually found in the environment, results in more important reprotoxic effects. This is associated with the presence of degradation products formed during UV-C irradiation and their interaction with biological targets.


Subject(s)
Caenorhabditis elegans Proteins , Caenorhabditis elegans , Animals , Polystyrenes/metabolism , Microplastics/toxicity , Microplastics/metabolism , Oxidative Stress , Caenorhabditis elegans Proteins/metabolism
4.
Virus Evol ; 9(2): vead073, 2023.
Article in English | MEDLINE | ID: mdl-38131006

ABSTRACT

The Philippines has had a rapidly growing human immunodeficiency virus (HIV) epidemic with a shift in the prevalent subtype from B to CRF01_AE. However, the phylodynamic history of CRF01_AE in the Philippines has yet to be reconstructed. We conducted a descriptive retrospective study reconstructing the history of HIV-1 CRF01_AE transmissions in the Philippines through molecular epidemiology. Partial polymerase sequences (n = 1144) collected between 2008 and 2018 from three island groups were collated from the Research Institute for Tropical Medicine drug resistance genotyping database. Estimation of the time to the most recent common ancestor (tMRCA), effective reproductive number (Re), effective viral population size (Ne), relative migration rates, and geographic spread of CRF01_AE was performed with BEAST. Re and Ne were compared between CRF01_AE and B. Most CRF01_AE sequences formed a single clade with a tMRCA of June 1996 [95 per cent highest posterior density (HPD): December 1991, October 1999]. An increasing CRF01_AE Ne was observed from the tMRCA to 2013. The CRF01_AE Re reached peaks of 2.46 [95 per cent HPD: 1.76, 3.27] in 2007 and 2.52 [95 per cent HPD: 1.83, 3.34] in 2015. A decrease of CRF01_AE Re occurred in the intervening years of 2007 to 2011, reaching as low as 1.43 [95 per cent HPD: 1.06, 1.90] in 2011, followed by a rebound. The CRF01_AE epidemic most likely started in Luzon and then spread to the other island groups of the country. Both CRF01_AE and Subtype B exhibited similar patterns of Re fluctuation over time. These results characterize the subtype-specific phylodynamic history of the largest CRF01_AE cluster in the Philippines, which contextualizes and may inform past, present, and future public health measures toward controlling the HIV epidemic in the Philippines.

5.
Heliyon ; 9(10): e20505, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37842594

ABSTRACT

The upsurge of multifarious endeavors across scientific fields propelled Big Data in the scientific domain. Despite the advancements in management systems, researchers find that mathematical knowledge remains one of the most challenging to manage due to the latter's inherent heterogeneity. One novel recourse being explored is variable typing where current works remain preliminary and, thus, provide a wide room for contribution. In this study, a primordial attempt to implement the end-to-end Entity Recognition (ER) and Relation Extraction (RE) approach to variable typing was made using the BERT (Bidirectional Encoder Representations from Transformers) model. A micro-dataset was developed for this process. According to our findings, the ER model and RE model, respectively, have Precision of 0.8142 and 0.4919, Recall of 0.7816 and 0.6030, and F1-Scores of 0.7975 and 0.5418. Despite the limited dataset, the models performed at par with values in the literature. This work also discusses the factors affecting this BERT-based approach, giving rise to suggestions for future implementations.

6.
J Gastrointest Surg ; 27(10): 2187-2198, 2023 10.
Article in English | MEDLINE | ID: mdl-37550589

ABSTRACT

BACKGROUND: The efficacy of routine admission of high-risk patients to a critical care unit after surgery is not clear. The aim of our study was to investigate the association between critical care admission after scheduled colorectal surgery and postoperative complications, 30-day mortality, and length of stay in hospital. METHODS: A pre-defined secondary substudy of POWER study was performed. POWER study was a prospective multicenter observational study of patients undergoing elective primary colorectal surgery during a single period of two months of recruitment between September and December 2017. RESULTS: A total of 2084 patients from 80 Spanish hospitals were included, of which 722 (34.6%) were admitted to critical care unit (CCU) after elective surgery. After adjusting for confounding factors in the multivariate analysis, postoperative CCU admission was independently associated with a higher incidence of moderate-to-severe postoperative complications (adjusted OR 1.951, 95% CI 1.570, 2.425; p < 0.001). Regarding secondary outcomes, postoperative critical care admission was independently associated with higher 30-day mortality (adjusted OR 6.736; 95% CI 2.507, 18.101; p < 0.001) and independently associated with an increased hospital length of stay (adjusted OR 1.143, 95% CI 1.112, 1.175; p < 0.001). CONCLUSIONS: Direct admission to CCU after scheduled colorectal surgery was not associated with a reduction in moderate-to-severe postoperative complications.


Subject(s)
Colorectal Surgery , Humans , Prospective Studies , Hospitalization , Critical Care , Elective Surgical Procedures/adverse effects , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Length of Stay
7.
J. bras. econ. saúde (Impr.) ; 15(2): 146-153, Agosto/2023.
Article in English, Portuguese | LILACS, ECOS | ID: biblio-1518988

ABSTRACT

Objetivo: Identificar estudos sobre políticas públicas, ações de saúde e análises econômicas relacionados aos distúrbios de sono no Brasil e discutir os seus resultados para o sistema de saúde, gestores de políticas públicas e a sociedade. Métodos: Revisão integrativa da literatura nas bases de dados Lilacs (via BVS), SciELO e PubMed (via Medline), incluindo estudos publicados nos idiomas português, inglês e espanhol, entre os anos de 1960-2023; foram excluídos estudos que não apresentaram a perspectiva brasileira ou aqueles cuja versão integral não estava disponível (seja gratuitamente ou na versão paga). Resultados: A busca retornou 536 resultados, dos quais apenas dois atendiam aos critérios de inclusão e mais cinco trabalhos foram incluídos manualmente, após consulta com especialistas de sono (todos abordaram apneia obstrutiva do sono, sendo: um relato sobre alteração na legislação de trânsito focada em prevenção de acidentes por sonolência excessiva; uma revisão de escopo sobre análises de custo-efetividade do tratamento da doença com uso de CPAP; dois relatos sobre linha de cuidado em um município e outros três em Secretarias Estaduais de Saúde). Conclusões: A revisão integrativa encontrou poucas evidências acerca do tema e aponta para a necessidade de futuros estudos que visem a suprir essa lacuna científica e de que seja necessário o desenvolvimento de futura linha de cuidado que amplie o acesso ao tratamento de doenças do sono no Sistema Único de Saúde.


Objective: To identify studies on public policies, health actions, and economic analyses related to sleep disorders in Brazil and discuss their results for public policy managers and society. Methods: Integrative literature review using Lilacs (via BVS), SciELO, and PubMed (via Medline) databases, including studies published in Portuguese, English, and Spanish languages, between years of 1960-2023; studies that did not present the Brazilian perspective or whose full version was not available were excluded (free or paid version). Results: The search returned 536 results, of which only two met the inclusion criteria, and five more studies were included manually after consulting sleep experts (all addressing obstructive sleep apnea, namely: a report on changes in traffic legislation focused on preventing accidents caused by excessive sleepiness; a scoping review on cost-effectiveness analysis of CPAP for sleep apnea treatment; two reports on care lines in one municipality and another three in State Secretariats). Conclusions: The integrative review found few evidences on the topic and points to the need for future studies aimed at filling this scientific gap and the development of a care line that expands access to sleep disorder treatment in Brazilian Public Health System.


Subject(s)
Public Health , Sleep Apnea, Obstructive , Sleep Disorders, Intrinsic , Health Care Economics and Organizations , Disorders of Excessive Somnolence
8.
Stud Health Technol Inform ; 305: 349-352, 2023 Jun 29.
Article in English | MEDLINE | ID: mdl-37387036

ABSTRACT

In this paper we present a demonstration of a prototype national Electronic Health Record platform for Cyprus. This prototype is developed using the HL7 FHIR interoperability standard in combination with terminologies widely adopted by the clinical community such as the SNOMED CT and the LOINC. The system is organized in such a way to be user-friendly for its users, being the doctors and the citizens. The health-related data of this EHR are separated into three main sections, being the "Medical History", the "Clinical Examination" and the "Laboratory results". Business requirements include the Patient Summary as defined by the guidelines of the eHealth network and the International Patient Summary which are used as the base for all the sections of our EHR, together with additional medical information and functionality such as the organization of medical teams or the history of medical visits and episodes of care. From the doctor's point of view, one can search for patients who have granted the doctor with a consent and read or add/edit their EHR data by initiating a new visit as defined in the Cyprus National Law for eHealth. At the same time, doctors can organize their medical teams by managing the locations of each team and the members that belong to each team.


Subject(s)
Commerce , Electronic Health Records , Humans , Cyprus , Laboratories , Logical Observation Identifiers Names and Codes
9.
Sensors (Basel) ; 22(21)2022 Nov 01.
Article in English | MEDLINE | ID: mdl-36366070

ABSTRACT

The rapid development of deep-learning-based edge artificial intelligence applications and their data-driven nature has led to several research issues. One key issue is the collaboration of the edge and cloud to optimize such applications by increasing inference speed and reducing latency. Some researchers have focused on simulations that verify that a collaborative edge-cloud network would be optimal, but the real-world implementation is not considered. Most researchers focus on the accuracy of the detection and recognition algorithm but not the inference speed in actual deployment. Others have implemented such networks with minimal pressure on the cloud node, thus defeating the purpose of an edge-cloud collaboration. In this study, we propose a method to increase inference speed and reduce latency by implementing a real-time face recognition system in which all face detection tasks are handled on the edge device and by forwarding cropped face images that are significantly smaller than the whole video frame, while face recognition tasks are processed at the cloud. In this system, both devices communicate using the TCP/IP protocol of wireless communication. Our experiment is executed using a Jetson Nano GPU board and a PC as the cloud. This framework is studied in terms of the frame-per-second (FPS) rate. We further compare our framework using two scenarios in which face detection and recognition tasks are deployed on the (1) edge and (2) cloud. The experimental results show that combining the edge and cloud is an effective way to accelerate the inferencing process because the maximum FPS achieved by the edge-cloud deployment was 1.91× more than the cloud deployment and 8.5× more than the edge deployment.


Subject(s)
Artificial Intelligence , Facial Recognition , Algorithms , Computer Systems
10.
Int J Mol Sci ; 23(3)2022 Jan 28.
Article in English | MEDLINE | ID: mdl-35163419

ABSTRACT

The soma, dendrites and axon of neurons may display calcium-dependent release of transmitters and peptides. Such release is named extrasynaptic for occurring in absence of synaptic structures. This review describes the cooperative actions of three calcium sources on somatic exocytosis. Emphasis is given to the somatic release of serotonin by the classical leech Retzius neuron, which has allowed detailed studies on the fine steps from excitation to exocytosis. Trains of action potentials induce transmembrane calcium entry through L-type channels. For action potential frequencies above 5 Hz, summation of calcium transients on individual action potentials activates the second calcium source: ryanodine receptors produce calcium-induced calcium release. The resulting calcium tsunami activates mitochondrial ATP synthesis to fuel transport of vesicles to the plasma membrane. Serotonin that is released maintains a large-scale exocytosis by activating the third calcium source: serotonin autoreceptors coupled to phospholipase C promote IP3 production. Activated IP3 receptors in peripheral endoplasmic reticulum release calcium that promotes vesicle fusion. The Swiss-clock workings of the machinery for somatic exocytosis has a striking disadvantage. The essential calcium-releasing endoplasmic reticulum near the plasma membrane hinders the vesicle transport, drastically reducing the thermodynamic efficiency of the ATP expenses and elevating the energy cost of release.


Subject(s)
Calcium Signaling , Calcium/metabolism , Neurons/metabolism , Serotonin/metabolism , Action Potentials , Animals , Exocytosis , Gene Expression Regulation , Humans , Mitochondria/metabolism , Thermodynamics
11.
ISA Trans ; 123: 482-491, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34099276

ABSTRACT

This paper presents an estimation method for the capacitor and input voltages in Flying Capacitor Multilevel Converters (FCMC). The scheme uses only the output current and voltage measurements. Furthermore, the estimation scheme is represented as a Petri Net, allowing a compact and formal approach to represent the estimation process. This scheme simplifies the needed hardware by using only one voltage sensor, simplifying its associated electronics and communication channels, allowing its real-time implementation in systems with a high number of levels. Simulation and experimental results obtained with a nine-level FCMC current-controlled chopper are presented. The converter control loops use the estimates. Different operating conditions are used to evaluate the system, verifying that the estimation scheme can successfully replace the (n-1) needed voltage sensors with only one.

12.
Annu Int Conf IEEE Eng Med Biol Soc ; 2021: 2159-2162, 2021 11.
Article in English | MEDLINE | ID: mdl-34891716

ABSTRACT

The aim of this paper is to present Cyprus' initiative for the design and the implementation of the prototype of the integrated electronic health record at a national level that will establish the foundations of the country's broader eHealth ecosystem. The latter, requires an interdisciplinary approach and scientific collaboration among various fields, including medicine, information and communication technologies, management, and finance, among others. The objective, is to design the system architecture, specify the requirements in terms of clinical content as well as the hardware infrastructure, but also implement European and national legislation with respect to privacy and security that govern sensitive medical data manipulation. The present study summarizes the outcomes of the 1st phase of this initiative, which comprises of the healthcare as well as the administrative requirements, user stories, data-flows and associated functionality. Moreover, leveraging the HL7 Fast Healthcare Interoperability Resources (FHIR) standard we highlight the concluded interoperability framework that allows genuine cross-system communication and defines third-party systems connectivity.Clinical Relevance- This work is strongly correlated with medicine since it describes the system requirements and the architecture of a national integrated electronic health records system.


Subject(s)
Electronic Health Records , Telemedicine , Cyprus , Software
13.
Diabetes Res Clin Pract ; 180: 109046, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34530062

ABSTRACT

AIMS: Gestational diabetes mellitus (GDM) is a common complication during pregnancy affecting the mother and fetus. With the problems encountered with the oral glucose tolerance test (OGTT), we aim to identify potential early biomarkers of GDM. METHODS: A cross-sectional study was conducted among 80 pregnant women. Blood samples were collected every trimester, and total RNA was isolated. After quality control and library preparation, next-generation sequencing was performed. Differential expression analysis was done. Enriched Gene Ontology: Biological Processes (GO: BP) terms and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways were identified. Gene co-expression networks were constructed. Protein-protein Interaction (PPI) networks were then built from modules significantly correlated with Hemoglobin A1c. Genes with the highest degree of interaction were identified as hub genes. RESULTS: IGKV2D-28 and PTPRG were consistently differentially expressed among the three comparisons. Top enriched GO: BP terms and KEGG pathways are linked to immune responses. Orange (r = 0.59, p = 0.02) and purple modules (r = 0.41, p = 0.02) of the GDM cohorts in the first and second trimesters, respectively, significantly correlated with Hemoglobin A1c. HDAC8 of the orange module and MPO and CRISP3 of the purple module were identified as hub genes. CONCLUSIONS: In this study, potential biomarkers of GDM were identified, namely, IGKV2D-28, PTPRG, HDAC8, MPO, and CRISP3.


Subject(s)
Gene Expression Profiling , Transcriptome , Biomarkers , Computational Biology , Cross-Sectional Studies , Female , Histone Deacetylases , Humans , Placenta , Pregnancy , Repressor Proteins
14.
Front Mol Neurosci ; 14: 638858, 2021.
Article in English | MEDLINE | ID: mdl-33994942

ABSTRACT

Streams of action potentials or long depolarizations evoke a massive exocytosis of transmitters and peptides from the surface of dendrites, axons and cell bodies of different neuron types. Such mode of exocytosis is known as extrasynaptic for occurring without utilization of synaptic structures. Most transmitters and all peptides can be released extrasynaptically. Neurons may discharge their contents with relative independence from the axon, soma and dendrites. Extrasynaptic exocytosis takes fractions of a second in varicosities or minutes in the soma or dendrites, but its effects last from seconds to hours. Unlike synaptic exocytosis, which is well localized, extrasynaptic exocytosis is diffuse and affects neuronal circuits, glia and blood vessels. Molecules that are liberated may reach extrasynaptic receptors microns away. The coupling between excitation and exocytosis follows a multistep mechanism, different from that at synapses, but similar to that for the release of hormones. The steps from excitation to exocytosis have been studied step by step for the vital transmitter serotonin in leech Retzius neurons. The events leading to serotonin exocytosis occur similarly for the release of other transmitters and peptides in central and peripheral neurons. Extrasynaptic exocytosis occurs commonly onto glial cells, which react by releasing the same or other transmitters. In the last section, we discuss how illumination of the retina evokes extrasynaptic release of dopamine and ATP. Dopamine contributes to light-adaptation; ATP activates glia, which mediates an increase in blood flow and oxygenation. A proper understanding of the workings of the nervous system requires the understanding of extrasynaptic communication.

15.
BMC Genomics ; 22(1): 215, 2021 Mar 25.
Article in English | MEDLINE | ID: mdl-33765928

ABSTRACT

BACKGROUND: While leeches in the genus Hirudo have long been models for neurobiology, the molecular underpinnings of nervous system structure and function in this group remain largely unknown. To begin to bridge this gap, we performed RNASeq on pools of identified neurons of the central nervous system (CNS): sensory T (touch), P (pressure) and N (nociception) neurons; neurosecretory Retzius cells; and ganglia from which these four cell types had been removed. RESULTS: Bioinformatic analyses identified 3565 putative genes whose expression differed significantly among the samples. These genes clustered into 9 groups which could be associated with one or more of the identified cell types. We verified predicted expression patterns through in situ hybridization on whole CNS ganglia, and found that orthologous genes were for the most part similarly expressed in a divergent leech genus, suggesting evolutionarily conserved roles for these genes. Transcriptional profiling allowed us to identify candidate phenotype-defining genes from expanded gene families. Thus, we identified one of eight hyperpolarization-activated cyclic-nucleotide gated (HCN) channels as a candidate for mediating the prominent sag current in P neurons, and found that one of five inositol triphosphate receptors (IP3Rs), representing a sub-family of IP3Rs absent from vertebrate genomes, is expressed with high specificity in T cells. We also identified one of two piezo genes, two of ~ 65 deg/enac genes, and one of at least 16 transient receptor potential (trp) genes as prime candidates for involvement in sensory transduction in the three distinct classes of leech mechanosensory neurons. CONCLUSIONS: Our study defines distinct transcriptional profiles for four different neuronal types within the leech CNS, in addition to providing a second ganglionic transcriptome for the species. From these data we identified five gene families that may facilitate the sensory capabilities of these neurons, thus laying the basis for future work leveraging the strengths of the leech system to investigate the molecular processes underlying and linking mechanosensation, cell type specification, and behavior.


Subject(s)
Leeches , Animals , Central Nervous System , In Situ Hybridization , Leeches/genetics , Neurons
16.
Front Synaptic Neurosci ; 13: 785361, 2021.
Article in English | MEDLINE | ID: mdl-35242023

ABSTRACT

Neuromuscular transmission, from spontaneous release to facilitation and depression, was accurately reproduced by a mechanistic kinetic model of sequential maturation transitions in the molecular fusion complex. The model incorporates three predictions. First, calcium-dependent forward transitions take vesicles from docked to preprimed to primed states, followed by fusion. Second, prepriming and priming are reversible. Third, fusion and recycling are unidirectional. The model was fed with experimental data from previous studies, whereas the backward (ß) and recycling (ρ) rate constant values were fitted. Classical experiments were successfully reproduced with four transition states in the model when every forward (α) rate constant had the same value, and both backward rate constants were 50-100 times larger. Such disproportion originated an abruptly decreasing gradient of resting vesicles from docked to primed states. By contrast, a three-state version of the model failed to reproduce the dynamics of transmission by using the same set of parameters. Simulations predict the following: (1) Spontaneous release reflects primed to fusion spontaneous transitions. (2) Calcium elevations synchronize the series of forward transitions that lead to fusion. (3) Facilitation reflects a transient increase of priming following the calcium-dependent maturation transitions. (4) The calcium sensors that produce facilitation are those that evoke the transitions form docked to primed states. (5) Backward transitions and recycling restore the resting state. (6) Depression reflects backward transitions and slow recycling after intense release. Altogether, our results predict that fusion is produced by one calcium sensor, whereas the modulation of the number of vesicles that fuse depends on the calcium sensors that promote the early transition states. Such finely tuned kinetics offers a mechanism for collective non-linear transitional adaptations of a homogeneous vesicle pool to the ever-changing pattern of electrical activity in the neuromuscular junction.

17.
HPB (Oxford) ; 23(5): 685-699, 2021 05.
Article in English | MEDLINE | ID: mdl-33071151

ABSTRACT

BACKGROUND: Several guidelines have put forward recommendations about the perioperative process of cholecystectomy. Despite the recommendations, controversy remains concerning several topics, especially in low- and middle-income countries. The aim of this study was to develop uniform recommendations for perioperative practices in cholecystectomy in Mexico to standardize this process and save public health system resources. METHODS: A modified Delphi method was used. An expert panel of 23 surgeons anonymously completed two rounds of responses to a 29-item questionnaire with 110 possible answers. The consensus was assessed using the percentage of responders agreeing on each question. RESULTS: From the 29 questions, the study generated 27 recommendations based on 20 (69.0%) questions reaching consensus, one that was considered uncertain (3.4%), and six (20.7%) items that remained open questions. In two (6.9%) cases, no consensus was reached, and no recommendation could be made. CONCLUSIONS: This study provides recommendations for the perioperative management of cholecystectomy in public hospitals in Mexico. As a guide for public institutions in low- and middle-income countries, the study identifies recommendations for perioperative tests and evaluations, perioperative decision making, postoperative interventions and institutional investment, that might ensure the safe practice of cholecystectomy and contribute to conserving resources.


Subject(s)
Cholecystectomy , Hospitals, Public , Consensus , Delphi Technique , Humans , Mexico
18.
Evol Dev ; 22(6): 471-493, 2020 11.
Article in English | MEDLINE | ID: mdl-33226195

ABSTRACT

In the animal kingdom, behavioral traits encompass a broad spectrum of biological phenotypes that have critical roles in adaptive evolution, but an EvoDevo approach has not been broadly used to study behavior evolution. Here, we propose that, by integrating two leech model systems, each of which has already attained some success in its respective field, it is possible to take on behavioral traits with an EvoDevo approach. We first identify the developmental changes that may theoretically lead to behavioral evolution and explain why an EvoDevo study of behavior is challenging. Next, we discuss the pros and cons of the two leech model species, Hirudo, a classic model for invertebrate neurobiology, and Helobdella, an emerging model for clitellate developmental biology, as models for behavioral EvoDevo research. Given the limitations of each leech system, neither is particularly strong for behavioral EvoDevo. However, the two leech systems are complementary in their technical accessibilities, and they do exhibit some behavioral similarities and differences. By studying them in parallel and together with additional leech species such as Haementeria, it is possible to explore the different levels of behavioral development and evolution.


Subject(s)
Behavior, Animal , Biological Evolution , Leeches/embryology , Leeches/physiology , Animals , Leeches/growth & development , Models, Animal , Species Specificity
19.
Biomed Opt Express ; 11(3): 1432-1448, 2020 Mar 01.
Article in English | MEDLINE | ID: mdl-32206420

ABSTRACT

The vital molecule serotonin modulates the functioning of the nervous system. The chemical characteristics of serotonin provide multiple advantages for its study in living or fixed tissue. Serotonin has the capacity to emit fluorescence directly and indirectly through chemical intermediates in response to mono- and multiphoton excitation. However, the fluorescent emissions are multifactorial and their dependence on the concentration, excitation wavelength and laser intensity still need a comprehensive study. Here we studied the fluorescence of serotonin excited multiphotonically with near-infrared light. Experiments were conducted in a custom-made multiphoton microscope coupled to a monochromator and a photomultiplier that collected the emissions. We show that the responses of serotonin to multiphoton stimulation are highly non-linear. The well-known violet emission having a 340 nm peak was accompanied by two other emissions in the visible spectrum. The best excitor wavelength to produce both emissions was 700 nm. A green emission with a ∼ 500 nm peak was similar to a previously described fluorescence in response to longer excitation wavelengths. A new blue emission with a ∼ 405 nm peak was originated from the photoconversion of serotonin to a relatively stable product. Such a reaction could be reproduced by irradiation of serotonin with high laser power for 30 minutes. The absorbance of the new compound expanded from ∼ 315 to ∼ 360 nm. Excitation of the irradiated solution monophotonically with 350 nm or biphotonically with 700 nm similarly generated the 405 nm blue emission. Our data are presented quantitatively through the design of a single geometric chart that combines the intensity of each emission in response to the serotonin concentration, excitation wavelengths and laser intensity. The autofluorescence of serotonin in addition to the formation of the two compounds emitting in the visible spectrum provides diverse possibilities for the quantitative study of the dynamics of serotonin in living tissue.

20.
Rev. bras. entomol ; 64(1): e201993, 2020. graf
Article in English | LILACS-Express | LILACS | ID: biblio-1092598

ABSTRACT

Abstract The species Anastrepha zacharyi Norrbom has recently been recorded in the Amazon, however the species is subsampling in the biome. In this research, we report a new occurrence of A. zacharyi in the state of Pará and, through climate suitability modelling, present new possible distribution areas of the species in the Brazilian eastern Amazon.

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