Low muscle mass in COVID-19 critically-ill patients: Prognostic significance and surrogate markers for assessment.

INTRODUCTION: Low muscle mass is a common condition in the critically ill population and is associated with adverse clinical outcomes. The primary aim of this study was to analyze the prognostic significance of low muscle mass using computed tomography (CT) scans in COVID-19 critically ill patients. A second objective was to determine the accuracy and agreement in low muscle mass identification using diverse markers compared to CT as the gold standard. METHODS: This was a prospective cohort study of COVID-19 critically ill patients. Skeletal muscle area at the third lumbar vertebra was measured. Clinical outcomes (intensive care unit [ICU] and hospital length of stay [LOS], tracheostomy, days on mechanical ventilation [MV], and in-hospital mortality) were assessed. Phase angle, estimated fat-free mass index, calf circumference, and mid-upper arm circumference were measured as surrogate markers of muscle mass. RESULTS: Eighty-six patients were included (mean age ± SD: 48.6 ± 12.9; 74% males). Patients with low muscle mass (48%) had a higher rate of tracheostomy (50 vs 20%, p = 0.01), prolonged ICU (adjusted HR 0.53, 95%CI 0.30-0.92, p = 0.024) and hospital LOS (adjusted HR 0.50, 95% CI 0.29-0.86, p = 0.014). Bedside markers of muscle mass showed poor to fair agreement and accuracy compared to CT-assessed low muscle mass. CONCLUSION: Low muscle mass at admission was associated with prolonged length of ICU and hospital stays. Further studies are needed to establish targeted nutritional interventions to halt and correct the catabolic impact of COVID-19 in critically ill patients, based on standardized and reliable measurements of body composition.

Multiple insecticide resistance in Aedes aegypti (Diptera: Culicidae) from Boyeros municipality, Cuba and associated mechanisms.

In this study, insecticide resistance and the mechanisms responsible were characterized in Ae. aegypti of Boyeros municipality from Havana, Cuba. Boyeros represents a high epidemiological risk because it is located near the Havana International Airport, it is highly urbanized, and it has a large influx of people from endemic countries so that it qualifies as a sentinel site for surveillance. The larvae collected from five areas of this municipality showed resistance to temephos associated with metabolic enzymes. The adult mosquitoes displayed a deltamethrin resistance and less distinctly to other pyrethroids associated with a high frequency of sodium channel gene mutations (F1534C and V1016I), detected for the first time in a field population from Cuba. The presence in the field populations of two insecticide resistance mechanisms represents a limiting factor in the success of the control operations of this vector, so other strategies should be considered to preserve the effectiveness of the insecticides available in public health for vector control in Cuba.

[Rapidly progressive dementia and parkinsonism associated to multiple dural arteriovenous fistulas]. / Demencia rapidamente progresiva y parkinsonismo asociados a multiples fistulas arteriovenosas durales.

INTRODUCTION: Rapidly progressive dementias are an infrequent group of diseases characterised by cognitive deterioration and other neurological disorders that develop over a period ranging from weeks to months. Their causation is varied and includes a large number of neurodegenerative, toxic, metabolic, autoimmune, infectious and vascular conditions. CASE REPORT: We report the case of a 69-year-old male who was admitted to hospital due to a rapidly progressive dementia and parkinsonism caused by multiple dural arteriovenous fistulas, which were successfully treated by means of endovascular therapy. CONCLUSION: Dural arteriovenous fistulas are anomalous connections between the dural arteries and the venous sinuses or cortical veins that are an unusual cause of rapidly progressive dementia. They must, however, be taken into account, given the availability of a specific treatment with reversal of the symptoms.

TITLE: Demencia rapidamente progresiva y parkinsonismo asociados a multiples fistulas arteriovenosas durales.Introduccion. Las demencias rapidamente progresivas son un grupo poco frecuente de enfermedades caracterizadas por un deterioro cognitivo y otras alteraciones neurologicas que evolucionan en el transcurso de semanas a meses. Su etiologia es diversa e incluye un gran numero de condiciones neurodegenerativas, toxicas, metabolicas, autoinmunes, infecciosas y vasculares. Caso clinico. Varon de 69 años, que ingreso por demencia rapidamente progresiva y parkinsonismo causado por multiples fistulas arteriovenosas durales tratadas exitosamente mediante terapia endovascular. Conclusion. Las fistulas arteriovenosas durales son conexiones anomalas entre las arterias durales y los senos venosos o venas corticales que constituyen una causa inusual de demencia rapidamente progresiva, pero que debe considerarse, dada la disponibilidad de un tratamiento especifico con reversion de los sintomas.

Hipotermia y onda de Osborn / No disponible

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Photocatalytic treatment of diuron by solar photocatalysis: evaluation of main intermediates and toxicity.

The technical feasibility, mechanisms, and performance of degradation of aqueous diuron (22 mg/L) have been studied at pilot scale in two well-defined photocatalytic systems of special interest because natural UV light can be used: heterogeneous photocatalysis with titanium dioxide and homogeneous photocatalysis by photo-Fenton. Equivalent pilot-scale (made up of Compound Parabolic Collectors (CPCs) specially designed for solar photocatalytic applications) and field conditions used for both allowed adequate comparison of the degree of mineralization and toxicity achieved as well as the transformation products generated en route to mineralization by both systems. Total disappearance of diuron is attained by both phototreatments in 45 min. 100% of chlorine was recovered as chloride, but total recovery of nitrogen as inorganic ions was not attained. 90% of mineralization was reached after 200 min of photocatalytic treatment, but toxicity measured by two different bioassays (Daphnia magna and a Microalga) was reduced to below the threshold (EC50%) in a shorter time. Transformation products evaluated by LC-IT-MS by direct injection of the samples were the same in both cases. The main differences between the two processes were in the amount of transformation products (DPs) generated, not in the DPs detected, which were always the same.

Toxicity of single and mixed contaminants in seawater measured with acute toxicity bioassays.

Different types of organic pollutants commonly detected in seawater have been evaluated by acute toxicity bioassays. Vibrio fischeri, Daphnia magna, and Selenastrum capricornotum were selected to test toxic effects of individual compounds and mixtures of these compounds, obtaining EC50 values in the range of 0.001 to 28.9 mg/l. In the case of mixtures, synergistic toxic responses were seen for a clear majority of the cases (>60%). Mixtures containing methyl-tertiary-butyl ether (MTBE) exhibit accelerated processes that result in a change in concentration required to produce a toxic effect; for example, in the case of mixtures containing MTBE and Diuron and Dichlofluanid.

Gas chromatographic determination of pesticides in vegetable samples by sequential positive and negative chemical ionization and tandem mass spectrometric fragmentation using an ion trap analyser.

A selective and sensitive chromatographic method is described for the determination of nine organochlorine and organophosphorus pesticides in vegetable samples by gas chromatography-mass spectrometry. The proposed method combines the use of positive and negative chemical ionisation and tandem mass spectrometric fragmentation, resulting in a significant increase in selectivity and allowing the simultaneous confirmation and quantification of trace levels of pesticides in complex vegetable matrices. Parameters relative to ionisation and fragmentation processes were optimised to obtain maximum sensitivity. Repeatability and reproducibility studies yielded relative standard deviations lower than 25% in all cases. Identification criteria, such as retention time and relative abundance of characteristic product ions, were also evaluated in order to guarantee the correct identification of the target compounds. The method was applied to real vegetable samples to demonstrate its use in routine analysis.

Determination of traces of five antifouling agents in water by gas chromatography with positive/negative chemical ionisation and tandem mass spectrometric detection.

A highly selective and sensitive gas chromatography-mass spectrometry methodology has been developed for the determination of five antifouling compounds, currently licensed for use in marine antifouling paints. The procedure uses an ion trap mass spectrometer provided with an external ion source that allows the combined use, in the same analysis, of positive (PCI) and negative (NCI) chemical ionisation and tandem mass spectrometric fragmentation (MS-MS). Ionisation and fragmentation processes were optimised individually for each compound, thus, permitting maximum sensitivity and selectivity to be obtained. A complete validation study, including those aspects that affect both correct quantification and unequivocal confirmation, demonstrated the good performance of the proposed method. Detection limits obtained were lower than 0.005 microg l(-1), except for Irgarol 1051 (0.050 microg l(-1)). The method was applied to real seawater samples from different

Multiresidue method for the analysis of five antifouling agents in marine and coastal waters by gas chromatography-mass spectrometry with large-volume injection.

A simple multiresidue method has been developed for the determination of five pesticides, commonly used as active ingredients in antifouling paints, in seawater samples. The pesticides studied were: chlorothalonil (2,4,5,6-tetrachloroisophthalonitrile), dichlofluanid (N-dimethyl-N-phenylsulphamide), Sea-Nine 211 (4,5-dichloro-2-n-octyl-4-isothazolin-3-one), Irgarol 1051 (2-methylthio-4-tert.-butylamino-6-cyclopropylamino-s-triazine) and TCMTB (2-thiocyanomethylthiobenzothiazole). The analytes were extracted from 200 ml water samples, using solid-phase extraction. A copolymer with hydrophilic-lipophilic balance was used as sorbent yielding good recoveries (82-95%) for most compounds except dichlofluanid and Sea-Nine 211 (<60%). Large volume injection (10 microl) gas chromatography and electron impact ionization MS (selected ion monitoring mode) detection enabled these compounds to be identified and quantified at the 1.2-3.0 ng/l level. Analysis of samples performed in three marinas in Almería (Spain) revealed the presence of Irgarol 1051 in all the cases, at concentration levels between 25 and 450 ng/l.

Splitless large-volume GC-MS injection for the analysis of organophosphorus and organochlorine pesticides in vegetables using a miniaturised ethyl acetate extraction.

A simple, rapid and sensitive multiresidue method has been developed for the determination of ten organophosphorus and organochlorine pesticides, commonly used in crop protection. The analysis uses a miniaturised extraction with ethyl acetate followed by large volume injection (10 microL) GC-EI-MS analysis in SIM (selective ion monitoring) mode. Sensitivity and selectivity of the method were acceptable with limits of detection (LODs) lower than 0.01 mg kg-1, except for endosulfan alpha and beta (0.05 mg kg-1). Average recoveries of between 63-99% were obtained and good linearity was observed in the range from 0.01 to 1.00 mg kg-1. Repeatability and reproducibility studies yielded relative standard deviations lower than 20% in all the cases. The method was applied to the analysis of 110 tomato, pepper and cucumber samples, as part of the monitoring programme of the Association of Producers and Exporters of Fruits and Vegetables of Almería.

[Diagnosis and treatment of ameloblastoma]. / Diagnostico y tratamiento del ameloblastoma.

In the light of current knowledge, a discussion is made on 10 patients with ameloblastoma operated on in Josina Machel General Hospital, in the People's Republic of Angola. This tumor, which has a high incidence in that country, can be operated on in spite of the shortage of a vailable resources, by means of an autogenous graft. Age, sex, location, course of the disease, and results in this group of patients are discussed.