[The effect of the treatmet of iron on patients with failure heart and insufficient of iron. An Meta-analisis of randomized clinical trials]. / El efecto del tratamiento de hierro en pacientes con insuficiencia cardiaca e insuficiencia de hierro. Un metaanálisis de ensayos aleatorizados.

INTRODUCTION: Approximately 45% of patients with heart failure had iron deficiency for the rest of their lives. OBJECTIVE: To determine the effect of iron treatment in patients with heart failure and iron deficiency or anemia. MATERIALS AND METHODS: The studies were selected in: PubMed, Scopus, Cochrane and Google Scholar, from the beginning of June to July 2023. The selected articles that met the inclusion criteria, the relevant information of the studies were collected according to the selection variables and were recorded in the Revman 5.0 program of the Cochrane collaboration. The primary outcome was composed of hospitalization for heart failure or cardiovascular death. RESULTS: Of the 7 included studies, 6717 patients were obtained, the average age was 70 years with a predominance of the male gender (57%). The primary outcome was lower in patients in the control group compared to the placebo group (OR, 0.62; 95%CI, 0.54-0.70). The 6-minute walk test (6-MWT) was improved in the iron-supplemented group compared to the placebo group (OR, 0.79; 95%CI, 0.64-0.98). Adverse events were fewer in the iron supplement group compared to the placebo group (OR, 0.78; 95%CI, 0.67-0.91). CONCLUSION: In this meta-analysis of randomized controlled trials, the effect of iron supplementation is found to reduce the incidence rate of hospitalization for heart failure or cardiovascular death. In addition to a reduction in adverse events, such as gastrointestinal and neurological disorders, it also improves 6-MWT.

Design, Development and Testing of a Monitoring System for the Study of Proton Exchange Fuel Cells and Stacks.

This article is about the design, development and validation of a new monitoring architecture for individual cells and stacks to facilitate the study of proton exchange fuel cells. The system consists of four main elements: input signals, signal processing boards, analogue-to-digital converters (ADCs) and a master terminal unit (MTU). The latter integrates a high-level graphic user interface (GUI) software developed by National Instruments LABVIEW, while the ADCs are based on three digital acquisition units (DAQs). Graphs showing the temperature, currents and voltages in individual cells as well as stacks are integrated for ease of reference. The system validation was carried out both in static and dynamic modes of operation using a Ballard Nexa 1.2 kW fuel cell fed by a hydrogen cylinder, with a Prodigit 32612 electronic load at the output. The system was able to measure the voltage distributions of individual cells, and temperatures at different equidistant points of the stack both with and without an external load, validating its use as an indispensable tool for the study and characterization of these systems.

Current Status of Indications, Timing, Management, Complications, and Outcomes of Tracheostomy in Traumatic Brain Injury Patients.

Tracheostomy is the commonest bedside surgical procedure performed on patients needing mechanical ventilation with traumatic brain injury (TBI). The researchers made an effort to organize a narrative review of the indications, timing, management, complications, and outcomes of tracheostomy in relation to neuronal and brain-injured patients following TBI. The study observations were collated from the published literature, namely original articles, book chapters, case series, randomized studies, systematic reviews, and review articles. Information sorting was restricted to tracheostomy and its association with TBI. Care was taken to review the correlation of tracheostomy with clinical correlates including indications, scheduling, interventions, prognosis, and complications of the patients suffering from mild, moderate and severe TBIs using Glasgow Coma Scale, Glasgow Outcome Scale, intraclass correlation coefficient, and other internationally acclaimed outcome scales. Tracheostomy is needed to overcome airway obstruction, prolonged respiratory failure and as indispensable component of mechanical ventilation due to diverse reasons in intensive care unit. Researchers are divided over early tracheostomy or late tracheostomy from days to weeks. The conventional classic surgical technique of tracheostomy has been superseded by percutaneous techniques by being less invasive with lesser complications, classified into early and late complications that may be life threatening. Additional studies have to be conducted to validate and streamline varied observations to frame evidence-based practice for successful weaning and decannulation. Tracheostomy is a safer option in critically ill TBI patients for which a universally accepted protocol for tracheostomy is needed that can help to optimize indications and outcomes.

Thermally driven molecular linear motors: a molecular dynamics study.

We conduct molecular dynamics simulations of a molecular linear motor consisting of coaxial carbon nanotubes with a long outer carbon nanotube confining and guiding the motion of an inner short, capsulelike nanotube. The simulations indicate that the motion of the capsule can be controlled by thermophoretic forces induced by thermal gradients. The simulations find large terminal velocities of 100-400 nm/ns for imposed thermal gradients in the range of 1-3 K/nm. Moreover, the results indicate that the thermophoretic force is velocity dependent and its magnitude decreases for increasing velocity.

[Regression of acute Chagas cardiopathy in an infant with a suspected transfusion infection]. / Regresión de la cardiopatía chagásica aguda en un lactante menor con sospecha de infección transfusional. Nueve años de seguimiento.

Chagas disease was described in Mexico by Mazzotti in 1940. Post-transfusional cases have not been described. We report proved case of acute chagasic cardiopathy in a nine months old infant with suspected transfusional infection during neonatal period. She was treated with nifurtimox with disappearance of parasites and regression of cardiopathy. She is asymptomatic nine years afterwards with normal growth and negative parasitology and serology.

Strategic control of fasciolosis in the inter-Andean valley of Cajamarca, Peru.

Fasciolosis is recognised as a major problem in dairy cattle in Cajamarca, Peru. The infection has an annual cycle, with the major period of infection from January to March. A control programme, involving two doses of the fasciolicide triclabendazole aimed at reducing the passage of Fasciola hepatica eggs on to the pasture, together with the use of the molluscicide, niclosamide, was evaluated against traditional treatment programmes. The double treatment regimen did not significantly reduce the overall parasite burden, as measured by faecal egg counts, but did control the parasites to a level similar to that achieved by traditional programmes averaging 3-7 treatments per year. The cows' eosinophil counts and serum liver enzyme activities were significantly lower than in animals treated by the traditional programmes. The use of niclosamide in addition to the triclabendazole treatments gave no clear advantage, although there was a significant reduction in the number of intermediate host snails after the application of the molluscicide.

[Isolated central nervous system demyelinating syndrome as the clinical expression of late multiple sclerosis. Report of one case]. / Sindrome desmielinizante aislado del sistema nervioso central como expresión de una esclerosis múltiple tardía. Estudio anatomoclínico de un caso.

We report a 56 years old male who developed a transverse myelopathy with cuadriparesis, neurogenic bladder and a sensitive level at C4. Cerebral and spinal cord magnetic resonance imaging showed only one demyelinative lesion at the cervical level. Post mortem neuropathological study showed segmental myelin loss without anatomical limits and with axonal preservation in the involved spinal cord segment. This lesion had the classical features of multiple sclerosis. The isolated lesion, the pathological findings and the delayed age of onset allow the definition of this case as an isolated nervous system demyelinative syndrome.