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1.
Chem Sci ; 15(2): 431-441, 2024 Jan 03.
Article in English | MEDLINE | ID: mdl-38179527

ABSTRACT

Humankind's manipulation of platinum dates back more than two millennia to burial objects. Since then, its use has evolved from purely decorative purposes in jewelry to more functional applications such as in catalysts, pharmaceuticals, and bioimaging agents. Platinum offers a range of properties arguably unmatched by any other metal, including electroactivity, photoluminescence, chromic behaviour, catalysis, redox reactivity, photoreactivity, and stimuli-controlled intermetallic interactions. The vast body of knowledge generated by the exploration of these and other properties of platinum has recently merged with other areas of chemistry such as supramolecular and host-guest chemistry. This has shown us that platinum can incorporate its responsive character into supramolecular assemblies (e.g., macrocycles and polymers) to produce materials with tailorable functions and responses. In this Perspective Article, we cover some platinum-powered supramolecular structures reported by us and others, hoping to inspire new and exciting discoveries in the field.

2.
Dalton Trans ; 52(36): 12968-12977, 2023 Sep 19.
Article in English | MEDLINE | ID: mdl-37650238

ABSTRACT

The quest for advanced water purification technologies has been vigorous over recent decades, motivated by the promise of ever more efficient, greener, and affordable tools. Halloysite nanotubes (HNTs) are naturally-occurring materials that have shown potential as dye sorbents. Unfortunately, these nanoclays suffer from low permeation during water treatment, which limits their widespread application. Here, we use cellulose nanocrystals (CNCs) as structural scaffolds to support HNTs and fabricate permeable aerogel sorbent materials with mechanical stability. Aerogels containing 40 wt% HNTs showed a maximum dye adsorption capacity of 60 mg g-1 towards methylene blue, with only 15% decay in efficiency after 5 cycles. The good mechanical properties of these materials allowed for their incorporation into free-flowing purification columns that displayed excellent dye removal ability. Overall, this work provides a new strategy to fabricate green, renewable, and low-cost sorbent materials for the removal of dyes and shows potential for the sorption of other ionic pollutants.

3.
Angew Chem Int Ed Engl ; 62(30): e202305525, 2023 Jul 24.
Article in English | MEDLINE | ID: mdl-37208297

ABSTRACT

Metal-metal bonds have rarely been explored as active elements in supramolecular assemblies despite their unique potential to introduce responsive behavior. In this report, a dynamic molecular container composed of two cyclometalated Pt units is constructed using Pt-Pt bonds. This molecule-the flytrap-has a flexible jaw composed of two [18]crown-6 ethers that can adapt their shape to bind large inorganic cations with sub-micromolar affinity. Along with the spectroscopic and crystallographic characterization of the flytrap, we report its photochemical assembly, which allows the capture of ions and their transport from solution to the solid state. In addition, we have been able to recycle the flytrap to regenerate its starting material due to the reversible nature of the Pt-Pt bond. We believe that other molecular containers and materials for harvesting valuable substrates from solution could be assembled using the advances presented here.

4.
Dalton Trans ; 52(21): 7136-7142, 2023 May 30.
Article in English | MEDLINE | ID: mdl-37159279

ABSTRACT

Films of cellulose nanocrystals (CNCs) with chiral nematic organization can show vivid iridescence that arises from their hierarchical structure. Unfortunately, the brittleness of the films limits their potential applications. In this paper, we investigate the incorporation of halloysite nanotubes (HNTs) into CNC films to prepare organic-inorganic composite films with enhanced mechanical properties, while preserving the chiral nematic structure and brilliant iridescence. The hybrid composite films containing 10 wt% HNTs are more elastic than pristine CNC films, with a 1.3-fold increase in tensile strength and a 1.6-fold increase in maximum strain. As well, the incorporation of HNTs slightly improves the thermal stability of the composite films. These materials mimic the hybrid composite structures of crab shells, leading to enhanced mechanical properties and thermal stability of CNC films while maintaining iridescence.

5.
Adv Mater ; 35(29): e2301060, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37019850

ABSTRACT

Stimulus-responsive materials that display circularly polarized luminescence (CPL) have attracted great attention for application in chiral sensors and smart displays. However, due to difficulties in the regulation of chiral structures, fine control of CPL remains a challenge. Here, it is demonstrated that cellulose nanocrystal shape-memory polymers (CNC-SMPs) with luminescent components enable mechanically responsive CPL. The chiral nematic organization of CNCs in the material gives rise to a photonic bandgap. By manipulating the photonic bandgap or luminescence wavelengths of the luminescent CNC-SMPs, precise control of CPL emission with varied wavelengths and high dissymmetry factors (glum ) is achieved. Specifically, CPL emission can be switched reversibly by treating the luminescent CNC-SMPs with hot-pressing and recovery by heating. Pressure-responsive CPL with tunable glum values is ascribed to the pressure-responsive photonic bandgaps. Moreover, colorimetric and CPL-active patterns are created by imprinting desired forms into SMP samples. This study demonstrates a novel way to fabricate smart CPL systems using biomaterials.

6.
ACS Appl Mater Interfaces ; 15(6): 8406-8414, 2023 Feb 15.
Article in English | MEDLINE | ID: mdl-36719931

ABSTRACT

Gels are useful materials for drug delivery, wound dressings, tissue engineering, and 3D printing. These various applications require gels with different mechanical properties that can be easily tuned, also preferably excluding the use of chemical additives, which can be toxic or harmful to the body or environment. Here, we report a novel strategy to synthesize cellulose nanocrystal (CNC) gels with tunable mechanical properties. Sequential freeze-thaw cycling and hydrothermal treatments were applied to CNC suspensions in different orders to give a series of pristine CNC hydrogels. Freeze-drying of the hydrogels also afforded a series of lightweight CNC aerogels. The mechanical properties of the hydrogels and aerogels were studied by rheological measurements and compression strength tests, respectively. Specifically, the complex modulus of CNC hydrogels ranged from 160 to 32,000 Pa among eight different hydrogels, while Young's modulus of CNC aerogels was tuned from 0.114 to 3.98 MPa across five different aerogels. The microstructures of aerogels were also investigated by scanning electron microscopy and X-ray microtomography, which revealed remarkable differences between the materials. Solvent sorption-desorption tests showed that the reinforced networks have excellent stability over the basic CNC aerogels in ethanol, demonstrating a material enhancement from the preparation strategies we developed. Thermal conductivity and thermal stability for these materials were also investigated, and it was found that the lowest thermal conductivity was 0.030 W/m K, and all of the aerogels are generally stable below 280 °C. These characteristics also expand the potential applications of this family of CNC gels to lightweight supporting materials and thermal insulators.

7.
Angew Chem Int Ed Engl ; 62(4): e202216029, 2023 Jan 23.
Article in English | MEDLINE | ID: mdl-36426408

ABSTRACT

Macrocycle engineering is a key topic in supramolecular chemistry. When synthesizing a ring, one can obtain either complex mixtures of macrocycles of different sizes or a single ring if a template is utilized. Here, we unite these approaches along with post-synthetic modifications to transform a single tether into multiple rings-up to five per tether. The macrocycles contain two bridged phenylpyridine ligands that are connected through a Pt atom, which defines the rings' shape, size, and host activity. All rings undergo redox reactions (between PtII and PtIV ) that allow for large conformational changes. Their reactivity, together with their host performance, is a convenient way to control the capture and release of guests, to mediate ring transformations, and to control pseudorotaxane-to-pseudorotaxane conversions. This novel approach could serve to assemble other libraries of small ring molecules, create cyclic polymers bridged by responsive-at-metal nodes, and produce processable mechanically interlocked molecules.

8.
Chemistry ; 28(54): e202200862, 2022 Sep 27.
Article in English | MEDLINE | ID: mdl-35920581

ABSTRACT

Ring-opening metathesis polymerization (ROMP) of strained macrocycles is a key method to prepare diverse polymers. However, lack of ring strain in most macrocycles is an impediment to polymerization. In this paper, the polymerization/oligomerization of unstrained macrocycles was achieved using a supramolecular approach, leading selectively to cyclic products. Diphenyl thiourea and other guest molecules were used as additives to the ROMP reaction of unstrained macrocycles. An intermediate host-guest complex leads to the stabilization of the open form of the macrocycle after treatment with Grubbs catalysts, thereby favoring polymerization by inhibiting the ring-closing reaction back to the monomer. This proof-of-concept enables ring-expansion polymerization of unstrained macrocycles leading to cyclic polymers with molecular weights up to 6700 Da.

9.
Front Genet ; 13: 807381, 2022.
Article in English | MEDLINE | ID: mdl-35669185

ABSTRACT

Background: Plasma lipid levels are a major risk factor for cardiovascular diseases. Although international efforts have identified a group of loci associated with the risk of dyslipidemia, Latin American populations have been underrepresented in these studies. Objective: To know the genetic variation occurring in lipid-related loci in the Mexican population and its association with dyslipidemia. Methods: We searched for single-nucleotide variants in 177 lipid candidate genes using previously published exome sequencing data from 2838 Mexican individuals belonging to three different cohorts. With the extracted variants, we performed a case-control study. Logistic regression and quantitative trait analyses were implemented in PLINK software. We used an LD pruning using a 50-kb sliding window size, a 5-kb window step size and a r2 threshold of 0.1. Results: Among the 34251 biallelic variants identified in our sample population, 33% showed low frequency. For case-control study, we selected 2521 variants based on a minor allele frequency ≥1% in all datasets. We found 19 variants in 9 genes significantly associated with at least one lipid trait, with the most significant associations found in the APOA1/C3/A4/A5-ZPR1-BUD13 gene cluster on chromosome 11. Notably, all 11 variants associated with hypertriglyceridemia were within this cluster; whereas variants associated with hypercholesterolemia were located at chromosome 2 and 19, and for low high density lipoprotein cholesterol were in chromosomes 9, 11, and 19. No significant associated variants were found for low density lipoprotein. We found several novel variants associated with different lipemic traits: rs3825041 in BUD13 with hypertriglyceridemia, rs7252453 in CILP2 with decreased risk to hypercholesterolemia and rs11076176 in CETP with increased risk to low high density lipoprotein cholesterol. Conclusions: We identified novel variants in lipid-regulation candidate genes in the Mexican population, an underrepresented population in genomic studies, demonstrating the necessity of more genomic studies on multi-ethnic populations to gain a deeper understanding of the genetic structure of the lipemic traits.

10.
Nanomaterials (Basel) ; 12(5)2022 Feb 25.
Article in English | MEDLINE | ID: mdl-35269267

ABSTRACT

Nanostructured silver (Ag) and gold (Au) are widely known to be potent biocidal and cytotoxic agents as well as biocompatible nanomaterials. It has been recently reported that combining both metals in a specific chemical composition causes a significant enhancement in their antibacterial activity against antibiotic-resistant bacterial strains, as well as in their anticancer effects, while preserving cytocompatibility properties. In this work, Ag/Au bimetallic nanoparticles over a complete atomic chemical composition range were prepared at 10 at% through a green, highly reproducible, and simple approach using starch as a unique reducing and capping agent. The noble metal nanosystems were thoroughly characterized by different analytical techniques, including UV-visible and FT-IR spectroscopies, XRD, TEM/EDS, XPS and ICP-MS. Moreover, absorption spectra simulations for representative colloidal Ag/Au-NP samples were conducted using FDTD modelling. The antibacterial properties of the bimetallic nanoparticles were determined against multidrug-resistant Escherichia coli and methicillin-resistant Staphylococcus aureus, showing a clear dose-dependent inhibition even at the lowest concentration tested (5 µg/mL). Cytocompatibility assays showed a medium range of toxicity at low and intermediate concentrations (5 and 10 µg/mL), while triggering an anticancer behavior, even at the lowest concentration tested, in a process involving reactive oxygen species production per the nanoparticle Au:Ag ratio. In this manner, this study provides promising evidence that the presently fabricated Ag/Au-NPs should be further studied for a wide range of antibacterial and anticancer applications.

11.
Microorganisms ; 10(2)2022 Feb 14.
Article in English | MEDLINE | ID: mdl-35208888

ABSTRACT

Sucralose consumption alters microbiome and carbohydrate metabolism in mouse models. However, there are no conclusive studies in humans. Our goals were to examine the effect of sucralose consumption on the intestinal abundance of bacterial species belonging to Actinobacteria, Bacteroidetes, and Firmicutes and explore potential associations between microbiome profiles and glucose and insulin blood levels in healthy young adults. In this open-label clinical trial, volunteers randomly drank water, as a control (n = 20), or 48 mg sucralose (n = 20), every day for ten weeks. At the beginning and the end of the study, participants were subjected to an oral glucose tolerance test (OGTT) to measure serum glucose and insulin every 15 min for 3 h and provided fecal samples to assess gut microbiota using a quantitative polymerase chain reaction. Sucralose intake altered the abundance of Firmicutes without affecting Actinobacteria or Bacteroidetes. Two-way ANOVA revealed that volunteers drinking sucralose for ten weeks showed a 3-fold increase in Blautia coccoides and a 0.66-fold decrease in Lactobacillus acidophilus compared to the controls. Sucralose consumption increased serum insulin and the area under the glucose curve compared to water. Long-term sucralose ingestion induces gut dysbiosis associated with altered insulin and glucose levels during an OGTT.

12.
Inorg Chem ; 61(7): 2999-3006, 2022 Feb 21.
Article in English | MEDLINE | ID: mdl-34797043

ABSTRACT

Multiresponsive materials can adapt to numerous changes in their local environment, which makes them highly valuable for various applications. Although nanostructured and polymeric multiresponsive materials are plentiful, small-molecule analogues are scarce. This work presents a compact cyclometalated platinum(II) complex that bears a crown ether cavity (18C6-PtII); the intimate ring/emitter connectivity is key to unlocking multiresponsiveness. Complex 18C6-PtII responds to (i) cationic guests, producing changes in luminescence in both solution and the solid state, (ii) solvent molecules, which perturb the packing of the complex in the solid state and cause reversible color changes, and (iii) solvent polarity, which leads to controlled aggregation. These responses may enable 18C6-PtII to function as a sensor for ions and solvents, or as a functional unit for the fabrication of hybrid supramolecular polymers and metallogels.

13.
Commun Chem ; 5(1): 155, 2022 Nov 21.
Article in English | MEDLINE | ID: mdl-36698032

ABSTRACT

In our daily life, some of the most valuable commodities are preprogrammed or preassembled by a manufacturer; the end-user puts together the final product and gathers properties or function as desired. Here, we present a chemical approach to preassembled materials, namely supramolecular polymer networks (SPNs), which wait for an operator's command to organize autonomously. In this prototypical system, the controlled disassembly of a metastable interlocked molecule (rotaxane) liberates an active species to the medium. This species crosslinks a ring-containing polymer and assembles with a reporting macrocycle to produce colorful SPNs. We demonstrate that by using identical preprogrammed systems, one can access multiple supramolecular polymer networks with different degrees of fluidity (µ* = 2.5 to 624 Pa s-1) and color, all as desired by the end-user.

14.
Angew Chem Int Ed Engl ; 59(26): 10348-10352, 2020 Jun 22.
Article in English | MEDLINE | ID: mdl-32222012

ABSTRACT

We report the synthesis, characterization, and spectroscopic investigations of a new responsive-at-metal cyclometalated platinum(II) complex. With mild chemical oxidants and reductants, it was possible to obtain the same complex in three different oxidation states and each of these complexes was structurally characterized by single-crystal X-ray diffraction. We discovered that the platinum(II) complex displays strong solvatochromism in the solid state, which can be attributed to modulation of Pt⋅⋅⋅Pt interactions that results in switching between optical and photoluminescent states. Incorporating responsive-at-metal species as dynamic components in nanostructured materials might facilitate response amplification, sensing, actuation, or self-healing processes.

15.
Angew Chem Int Ed Engl ; 59(12): 4705-4710, 2020 03 16.
Article in English | MEDLINE | ID: mdl-31943580

ABSTRACT

Cellulose nanocrystals (CNCs) spontaneously assemble into gels when mixed with a polyionic organic or inorganic salt. Here, we have used this ion-induced gelation strategy to create functional CNC gels with a rigid tetracationic macrocycle, cyclobis(paraquat-p-phenylene) (CBPQT4+ ). Addition of [CBPQT]Cl4 to CNCs causes gelation and embeds an active host inside the material. The fabricated CNC gels can reversibly absorb guest molecules from solution then undergo molecular recognition processes that create colorful host-guest complexes. These materials have been implemented in gel chromatography (for guest exchange and separation), and as elements to encode 2- and 3-dimensional patterns. We anticipate that this concept might be extended to design a set of responsive and selective gel-like materials functioning as, for instance, water-pollutant scavengers, substrates for chiral separations, or molecular flasks.

16.
Ground Water ; 58(3): 432-440, 2020 05.
Article in English | MEDLINE | ID: mdl-31187874

ABSTRACT

This study presents an extension of the concept of "quasi-saturation" to a quasi-saturated layer, defined as the uppermost dynamic portion of the saturated zone subject to water table fluctuations. Entrapped air here may cause substantial reductions in the hydraulic conductivity (K) and fillable pore water. Air entrapment is caused by a rising water table, usually as a result of groundwater recharge. The most significant effects of entrapped air are recharge overestimation based on methods that use specific yield (Sy ), such as the water table fluctuation method (WTF), and reductions in K values. These effects impact estimation of fluid flow velocities and contaminant migration rates in groundwater. In order to quantify actual groundwater recharge rates and the effects of entrapped air, numerical simulations with the FEFLOW (Version 7.0) groundwater flow model were carried out using a quasi-saturated layer for a pilot area in Rio Claro, Brazil. The calculated recharge rate represented 16% of the average precipitation over an 8-year period, approximately half of estimates using the WTF method. Air entrapment amounted to a fillable porosity of 0.07, significant lower that the value of 0.17 obtained experimentally for Sy . Numerical results showed that the entrapped air volume in the quasi-saturated layer can be very significant (0.58 of the air fraction) and hence can significantly affect estimates of groundwater recharge and groundwater flow rates near the water table.


Subject(s)
Groundwater , Brazil , Porosity , Water , Water Movements
17.
PLoS One ; 14(12): e0225030, 2019.
Article in English | MEDLINE | ID: mdl-31790415

ABSTRACT

The Mexican population is characterized by high and particular admixture, and the picture of variants associated with disease remains unclear. Here we investigated the distribution of single nucleotide polymorphisms (SNPs) in the Mexican population. We focused on two non-synonymous and three synonymous SNPs in the beta-2 adrenergic receptor gene (ADRB2), which plays key roles in energy balance regulation. These SNPs were genotyped in 2,011 Mexican Amerindians (MAs) belonging to 62 ethnic groups and in 1,980 geographically matched Mexican Mestizos (MEZs). The frequency distribution of all five ADRB2 variants significantly differed between MAs, MEZs, and other continental populations (CPs) from the 1000 Genomes database. Allele frequencies of the three synonymous SNPs rs1042717A, rs1042718A, and rs1042719C were significantly higher in Mexican individuals, particularly among MAs, compared to in the other analyzed populations (P<0.05). The non-synonymous ADRB2 Glu27 allele (rs1042714G), which is associated with several common conditions, showed the lowest frequency in MAs (0.03) compared to other populations worldwide. Among MEZs, this allele showed a frequency of 0.15, intermediate between that in MAs and in Iberians (0.43). Moreover, Glu27 was the only SNP exhibiting a geographic gradient within the MEZ population (from 0.22 to 0.11), reflecting admixed mestizo ancestry across the country. Population differentiation analysis demonstrated that Glu27 had the highest FST value in MAs compared with Europeans (CEU) (0.71), and the lowest between MAs and Japanese (JPT) (0.01), even lower than that observed between MAs and MEZs (0.08). This analysis demonstrated the genetic diversity among Amerindian ethnicities, with the most extreme FST value (0.34) found between the Nahuatls from Morelos and the Seris. This is the first study of ADRB2 genetic variants among MA ethnicities. Our findings add to our understanding of the genetic contribution to variability in disease susceptibility in admixed populations.


Subject(s)
Black People/genetics , Ethnicity/genetics , Genetics, Population/methods , Indians, North American/genetics , Polymorphism, Single Nucleotide/genetics , Receptors, Adrenergic, beta-2/genetics , White People/genetics , Adult , Africa/ethnology , Alleles , Europe/ethnology , Female , Gene Frequency/genetics , Genetic Predisposition to Disease/genetics , Haplotypes/genetics , Humans , Male , Mexico/ethnology
18.
Bol. méd. Hosp. Infant. Méx ; 76(5): 237-240, sep.-oct. 2019.
Article in English | LILACS | ID: biblio-1089137

ABSTRACT

Abstract Background: Severe infections due to Streptococcus dysgalactiae subsp. equisimilis (SDSE) have been identified in adults and may cause toxic shock syndrome, although with a low frequency. Case report: A preschool-age female patient, who started with an upper respiratory tract infection developing a gradual deterioration in the following three days, is described. She was admitted to the hospital in severe conditions, with tachypnea, tachycardia (200/min), hypotension (blood pressure 68/40 mmHg), capillary refill of 7 s, and erythematous maculopapular rash in thorax, abdomen and lower extremities. She received intensive management with an inadequate response. Furthermore, she developed multiple organ failure and died 8 h after admission. The blood culture was positive for S. dysgalactiae subsp. equisimilis. Conclusions: SDSE is a rare pathogen in children. In Mexico, cases of SDSE have not been reported probably due to an inaccurate identification. Mexican pediatricians should be alert to this situation.


Resumen Introducción: En adultos, se han identificado infecciones graves por Streptococcus dysgalactiae subsp. equisimilis (SDSE), que pueden causar el síndrome de choque tóxico causado por SDSE, aunque es de baja frecuencia. Caso clínico: Paciente de sexo femenino en edad preescolar. Comenzó con una infección del tracto respiratorio superior, y desarrolló un deterioro gradual en los siguientes tres días. Ingresó en el hospital en condiciones graves, con taquipnea, taquicardia (200/min), hipotensión (tensión arterial, TA 68/40 mmHg), llenado capilar de 7 s y erupción maculopapular eritematosa en el tórax, abdomen y extremidades inferiores. Recibió manejo intensivo, sin una buena respuesta. Posteriormente, desarrolló datos de falla orgánica múltiple y murió 8 h después de su ingreso. El hemocultivo fue positivo para S. dysgalactiae subsp. equisimilis. Conclusiones: El SDSE es un patógeno raro en los niños. En México, no se han reportado casos de SDSE probablemente debido a una identificación errónea. Los pediatras mexicanos deben estar atentos a esta situación.


Subject(s)
Child, Preschool , Female , Humans , Shock, Septic/diagnosis , Streptococcal Infections/diagnosis , Streptococcus/isolation & purification , Shock, Septic/physiopathology , Shock, Septic/microbiology , Streptococcal Infections/physiopathology , Streptococcal Infections/microbiology , Fatal Outcome , Mexico , Multiple Organ Failure/microbiology
19.
Bol Med Hosp Infant Mex ; 76(5): 237-240, 2019.
Article in English | MEDLINE | ID: mdl-31536040

ABSTRACT

Background: Severe infections due to Streptococcus dysgalactiae subsp. equisimilis (SDSE) have been identified in adults and may cause toxic shock syndrome, although with a low frequency. Case report: A preschool-age female patient, who started with an upper respiratory tract infection developing a gradual deterioration in the following three days, is described. She was admitted to the hospital in severe conditions, with tachypnea, tachycardia (200/min), hypotension (blood pressure 68/40 mmHg), capillary refill of 7 s, and erythematous maculopapular rash in thorax, abdomen and lower extremities. She received intensive management with an inadequate response. Furthermore, she developed multiple organ failure and died 8 h after admission. The blood culture was positive for S. dysgalactiae subsp. equisimilis. Conclusions: SDSE is a rare pathogen in children. In Mexico, cases of SDSE have not been reported probably due to an inaccurate identification. Mexican pediatricians should be alert to this situation..


Introducción: En adultos, se han identificado infecciones graves por Streptococcus dysgalactiae subsp. equisimilis (SDSE), que pueden causar el síndrome de choque tóxico causado por SDSE, aunque es de baja frecuencia. Caso clínico: Paciente de sexo femenino en edad preescolar. Comenzó con una infección del tracto respiratorio superior, y desarrolló un deterioro gradual en los siguientes tres días. Ingresó en el hospital en condiciones graves, con taquipnea, taquicardia (200/min), hipotensión (tensión arterial, TA 68/40 mmHg), llenado capilar de 7 s y erupción maculopapular eritematosa en el tórax, abdomen y extremidades inferiores. Recibió manejo intensivo, sin una buena respuesta. Posteriormente, desarrolló datos de falla orgánica múltiple y murió 8 h después de su ingreso. El hemocultivo fue positivo para S. dysgalactiae subsp. equisimilis. Conclusiones: El SDSE es un patógeno raro en los niños. En México, no se han reportado casos de SDSE probablemente debido a una identificación errónea. Los pediatras mexicanos deben estar atentos a esta situación.


Subject(s)
Shock, Septic/diagnosis , Streptococcal Infections/diagnosis , Streptococcus/isolation & purification , Child, Preschool , Fatal Outcome , Female , Humans , Mexico , Multiple Organ Failure/microbiology , Shock, Septic/microbiology , Shock, Septic/physiopathology , Streptococcal Infections/microbiology , Streptococcal Infections/physiopathology
20.
JMIR Pediatr Parent ; 2(2): e12549, 2019 Jul 31.
Article in English | MEDLINE | ID: mdl-31518333

ABSTRACT

BACKGROUND: Almost 80% of adolescents do not achieve 60 minutes or more of physical activity each day as recommended by current US national guidelines. There is a need to develop and promote interventions that increase physical activity among adolescents. With increased interest in digital technologies among adolescents, robotic-assisted platforms are a novel and engaging strategy to deliver physical activity interventions. OBJECTIVE: This study sought to assess the potential acceptability of robotic-assisted exercise coaching among diverse youth and to explore demographic factors associated with acceptance. METHODS: This pilot study used a cross-sectional survey design. We recruited adolescents aged 12-17 years at three community-based sites in Rochester, MN. Written informed consent was obtained from participants' parents or guardians and participants gave consent. Participants watched a brief demonstration of the robotic system-human interface (ie, robotic human trainer). The exercise coaching was delivered in real time via an iPad tablet placed atop a mobile robotic wheel base and controlled remotely by the coach using an iOS device or computer. Following the demonstration, participants completed a 28-item survey that assessed sociodemographic information, smoking and depression history, weight, and exercise habits; the survey also included the eight-item Technology Acceptance Scale (TAS), a validated instrument used to assess perceived usefulness and ease of use of new technologies. RESULTS: A total of 190 adolescents participated in this study. Of the participants, 54.5% were (103/189) male, 42.6% (81/190) were racial minorities, 5.8% (11/190) were Hispanic, and 28.4% (54/190) lived in a lower-income community. Their mean age was 15.0 years (SD 2.0). A total of 24.7% (47/190) of participants met national recommendations for physical activity. Their mean body mass index (BMI) was 21.8 kg/m2 (SD 4.0). Of note, 18.4% (35/190) experienced depression now or in the past. The mean TAS total score was 32.8 (SD 7.8) out of a possible score of 40, indicating high potential receptivity to the technology. No significant associations were detected between TAS score and gender, age, racial minority status, participant neighborhood, BMI, meeting national recommendations for physical activity levels, or depression history (P>.05 for all). Of interest, 67.8% (129/190) of participants agreed that they and their friends were likely to use the robot to help them exercise. CONCLUSIONS: This preliminary study found that among a racially and socioeconomically diverse group of adolescents, robotic-assisted exercise coaching is likely acceptable. The finding that all demographic groups represented had similarly high receptivity to the robotic human exercise trainer is encouraging for ultimate considerations of intervention scalability and reach among diverse adolescent populations. Next steps will be to evaluate consumer preferences for robotic-assisted exercise coaching (eg, location, duration, supervised or structured, choice of exercise, and/or lifestyle activity focus), develop the treatment protocol, and evaluate feasibility and consumer uptake of the intervention among diverse youth.

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