Altered apoptosis and proliferation in milk cells and PBMc from BLV-infected bovines with different proviral loads: Possible role of the BCL-2 family proteins, TNF-alpha, and receptors.

Bovines infected by bovine leukemia virus (BLV) are characterized by presenting low proviral load (LPL) or high proviral load (HPL). It is reported that animals with HPL in peripheral blood mononuclear cells (PBMCs) present a decrease in apoptosis, an increase in viability and the proliferation rate, while animals that maintain an LPL have an intrinsic ability to control the infection, presenting an increased apoptosis rate of their PBMCs. However, there is little information on the effect of BLV on these mechanisms when the virus infects somatic milk cells (SC). This study investigates the mechanisms underlying apoptosis in milk and blood from BLV-infected animals with HPL and LPL. Relative levels of mRNA of tumor necrosis factor-α (TNF-α), TNF receptor 1 (TNF-RI), TNF receptor 2 (TNF-RII), anti-apoptotic B-cell lymphoma 2 protein (Bcl-2), and pro-apoptotic Bcl-2-like protein 4 (Bax) were measured in SC and PBMCs using quantitative reverse transcription-polymerase chain reaction (RT-qPCR) assay. A significant decrease in the expression of TNF-α in SC from HPL animals vs non-infected bovines was observed, but the infection in SC with BLV did not show a modulation on the expression of TNF receptors. A significant increase in TNF-RI expression in PBMCs from HPL bovines compared to LPL bovines was observed. No significant differences in PBMCs between HPL and LPL compared to non-infected animals concerning TNF-α, TNF-RI, and TNF-RII expression were found. There was a significant increase of both Bcl-2 and Bax in SC from LPL compared to non-infected bovines, but the Bcl-2/Bax ratio showed an anti-apoptotic profile in LPL and HPL bovines compared to non-infected ones. Reduced mRNA expression levels of Bax were determined in the PBMCs from HPL compared to LPL subjects. In contrast, BLV-infected bovines did not differ significantly in the mRNA expression of Bax compared to non-infected bovines. Our data suggest that the increased mRNA expression of Bax corresponds to the late lactation state of bovine evaluated and the exacerbated increase of mRNA expression of Bcl-2 may be one of the mechanisms for the negative apoptosis regulation in the mammary gland induced by BLV infection. These results provide new insights into the mechanism of mammary cell death in HPL and LPL BLV-infected bovine mammary gland cells during lactation.

Derivación desde el Servicio de Indicación Farmacéutica al de Revisión del uso de medicamentos / Referral from the Pharmaceutical Indication Service to the Medicines Use Review Service

Paciente acude a la farmacia comunitaria por un trastorno del sueño solicitando tratamiento. Se indica Melatonina tras presentar insomnio clínico moderado en el Insomnia Severity Index. Pese a que 2 semanas después del principio del tratamiento refirió estar mejor, 2 meses después deja de ser así. Al realizar un seguimiento se sospecha de la existencia de problemas relacionados con los medicamentos por lo que se le deriva al servicio de Revisión de Uso de los Medicamentos. En dicho servicio se detectan varios problemas con su medicación habitual. Entre ellos, se detecta una confusión entre cápsulas de cafeína pertenecientes a su nieto con el que convive y el producto indicado en el servicio de indicación farmacéutica. Gracias al seguimiento del servicio de indicación farmacéutica se ha producido una derivación que ha solventado varios problemas relacionados con los medicamentos. (AU)

3D conformal bandpass millimeter-wave frequency selective surface with improved fields of view.

Conventional planar frequency selective surfaces (FSSs) are characterized in the far-field region and they are sensitive to the incidence angle of impinging waves. In this paper, a spherical dome FSS is presented, aiming to provide improved angular stable bandpass filtering performance as compared to its planar counterpart when the FSS is placed in the near-field region of an antenna source. A comparison between the conformal FSS and a finite planar FSS is presented through simulations at the frequency range between 26 to 40 GHz in order to demonstrate the advantages of utilizing the conformal FSS in the near-field. The conformal FSS is 3D printed and copper electroplated, which leads to a low-cost and lightweight bandpass filter array. Placing it in the near-field region of a primary antenna can be used as radomes to realize compact high-performance mm-wave systems. The comparison between simulated and measured conformal FSS results is in good agreement. The challenges that arise when designing, manufacturing, and measuring this type of structure are reported and guidelines to overcome these are presented.

[Characteristics of motor behaviour in premature infants during the first months of postnatal life. A literature review]. / Rasgos característicos del comportamiento motor del niño con prematurez durante los primeros meses de vida posnatal: una revisión de la literatura.

OBJECTIVE: To describe the characteristics of motor behaviour in premature infants during the first months of postnatal life, according to the available evidence. MATERIALS AND METHODS: A systematic literature review was carried out; this method forms part of secondary studies under investigation and describes a phenomenon in detail based on primary sources of information. RESULTS: The literature search in the databases consulted yielded 7,228 articles; of these, 15 more were identified through "snowball" search strategies. At the start of the screening process, 63 eligible records were chosen based on their title and summary, and 14 were excluded because they were duplicates. A total of 49 articles were selected for a full text revision and, of these, 37 were excluded because they did not meet all the inclusion criteria. Finally, 12 articles were selected to prepare the qualitative synthesis of the present research work. CONCLUSIONS: In comparison with neonates born at term, premature infants demonstrate a particular motor repertoire, due to the immaturity of their systems; their motor behaviour follows a line of development mainly characterised by deficits in muscle tone, postural control, muscle balance, and antigravity muscle activation.

Factores psicosociales, estrés psicológico y burnout en enfermería: un modelo de trayectorias / Psychosocial factors, psychological stress, and burnout in nursing: a model of trajectories / Fatores psicossociais, estresse psicológico e burnout em enfermagem: um modelo de trajetórias

Resumen Introducción: El personal de enfermería se enfrenta cotidianamente a diferentes eventos asociados al estrés, factores psicosociales y otros mecanismos que afectan su salud mental. Objetivo: Evaluar la correlación entre la demanda psicológica, el control laboral, el apoyo social, el estrés psicológico, y las dimensiones del Síndrome de Burnout (ilusión por el trabajo, desgaste psíquico, indolencia y culpa), en un modelo de trayectorias en enfermeras mexicanas. Metodología: Estudio transversal, observacional, analítico, conducido en 357 profesionales de enfermería de Morelos, México, seleccionados por conveniencia. Los datos fueron colectados empleando tres cuestionarios, la Escala de Estrés Percibido, el Cuestionario del Contenido del Trabajo y el Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo. Los programas SPSS 19 y LISREL 8.3 fueron empleados para el procesamiento y modelaje de los datos. Resultados: En el modelo de trayectorias, se especificó como variable mediadora de los factores psicosociales y de las dimensiones del Síndrome de Quemarse por el Trabajo (SQT), al estrés psicológico. Los índices de ajuste fueron aceptables. Se encontraron altos niveles de apoyo social, control laboral e ilusión por el trabajo; grados moderados de demanda psicológica y estrés psicológico; y bajos niveles de desgaste psíquico, indolencia y culpa. Conclusión: Implicaciones para la disciplina, se propone implementar estrategias de intervención efectivas para mantener en el personal de enfermería bajos niveles de demandas psicológicas, altos niveles de control laboral, altos niveles de apoyo social, y niveles moderados de estrés, para prevenir, el SQT.

Abstract Introduction: Nurses frequently face different events associated with stress, psychosocial factors, and other issues which have impacts on their mental health. Objective: To assess the correlation between psychological demand, work control, social support, psychological stress, and burnout dimensions (illusion for the activity, psychic wear, indolence, guilt), within a model of trajectories among Mexican nurses. Methodology: This is a transversal, observational, and analytical study conducted on a convenience sample of 357 nursing professionals from the state of Morelos, Mexico. Data were gathered using three questionnaires, the Perceived Stress Scale, the Job Content Questionnaire, y el Maslach Burnout Inventory. SPSS 19 and LISREL 8.3 were used to process and model the data. Results: Psychological Stress was specified as the mediating variable of the psychosocial factors and dimensions of burnout within the model of trajectories. Adjustment indexes were acceptable. High levels of social support, work control, and illusion for the activity were found. Moderate degrees of psychological demand and psychological stress were found. Low levels of psychic wear, indolence, and guilt were found. Conclusion: It is recommended to implement effective intervention strategies to maintain nursing personnel within low levels of psychological demand, high levels of work control, high levels of social support, and moderate levels of stress, all these in order to prevent the Syndrome of Burnout.

Resumo Introdução: O pessoal de enfermagem se enfrenta cotidianamente a diferentes eventos associados ao estresse, fatores psicossociais e outros mecanismos que afetam sua saúde mental. Objetivo: Avaliar a correlação entre a demanda psicológica, o controle laboral, o apoio social, o estresse psicológico, e as dimensões e da Síndrome de Burnout (ilusão pelo trabalho, desgaste psíquico, indolência e culpa), em um modelo de trajetórias em enfermeiras mexicanas. Metodologia: Estudo transversal, observacional, analítico, conduzido em 357 profissionais de enfermagem de Morelos, México, selecionados por conveniência. Os dados foram coletados empregando três questionários, a Escala de Estresse Percebido, o Questionário do Conteúdo do Trabalho e o Questionário para a Avaliação da Síndrome de Burnout no Trabalho. Os programas SPSS 19 e LISREL 8.3 foram empregados para o processamento e modelagem dos dados. Resultados: No modelo de trajetórias, especificou-se como variável mediadora dos fatores psicossociais e das dimensões da Síndrome de Burnout no Trabalho (SQT), ao estresse psicológico. Os índices de ajuste foram aceitáveis. Encontraram-se altos níveis de apoio social, controle laboral e ilusão pelo trabalho; graus moderados de demanda psicológica e estresse psicológico; e baixos níveis de desgaste psíquico, indolência e culpa. Conclusão: Implicações para a disciplina, propõe-se implementar estratégias de intervenção efetivas para manter no pessoal de enfermagem baixos níveis de demandas psicológicas, altos níveis de controle laboral, altos níveis de apoio social, e níveis moderados de estresse, para prevenir, o SQT.

Update of the role of Nuclear Medicine techniques in the pre-surgical localization of primary hyperparathyroidism. / Actualización sobre el papel de las técnicas de Medicina Nuclear en el diagnóstico de localización prequirúrgico en el hiperparatiroidismo primario.

Primary hyperparathyroidism is one of the most frequent endocrine disorders. Its diagnosis is biochemical. Imaging techniques are not useful for the diagnosis of this pathology; they are just tools for pre-surgical localization. In this continuing education, we will analyze the different imaging modalities used in this indication, focusing on Nuclear Medicine. The most commonly used imaging technique in this context is the parathyroid scintigraphy, nowadays double phase protocol with 99mTc-MIBI and the double tracer with 99mTc-MIBI/99mTc-pertechnetate, associated in the first case to SPECT or SPECT/CT, in an early or late phase. The PET/CT with different tracers is showing good results, especially applied to cases of failure in the pre-surgical scintigraphic localization. We expose the results of the morphological imaging techniques as well as the usefulness of combining techniques.

The impact of straw mulching and salvage logging on post-fire runoff and soil erosion generation under Mediterranean climate conditions.

Forest fires-affected landscapes enhance sudden runoff discharges, high sediment loads and extreme soil erosion rates. Different soil stabilisation treatments, such as mulching, can be applied to avoid runoff and soil erosion after wildfires. To characterise the post-fire soil erosion rates and runoff generation, we selected a Mediterranean forest affected by a wildfire in Lietor (Spain) to determine the sediment yield (dry sediment (DS), total suspended sediment (TSS), total dissolved sediment (TDS)) and runoff discharge in twelve 200 m2 (10 × 20 m) plots. Immediately after the wildfire, six plots were covered by straw and six other plots were set up as controls. Three months after the wildfire, logging activities were performed and the experimental designs were as follows: mulching + logging (three replicates), non-mulching + logging (three replicates), non-mulching + non-logging (three replicates) and mulching + non-logging (three replicates). During the period after wildfire and before salvage logging, the straw mulch controlled the soil erosion rates (DS, TSS and TDS) versus the non-mulched plots, but straw had no real impact on runoff discharge. For the period after salvage logging, once again runoff did not differ when comparing all the treatments. DS was higher in the non-mulched and non-logging plots, whereas the highest TSS was found in the non-mulched plots (in logged or non-logged plots). TDS was higher in the mulched and non-logged plots. We conclude that straw mulch is efficient management in recent fire-affected mountainous terrains to control soil loss immediately after wildfire. Moreover, logging operations done 3 months after wildfire did not necessary generate higher DS, TSS, TDS rates, mainly because of the type of machinery used for forest operations.

Psychometric properties of the parent́s perception uncertainty in illness scale, spanish version. / Escala de incertidumbre en la enfermedad­forma padres/hijos: validación de la adaptación al español.

OBJECTIVE: To analyze the psychometric properties of the Parents' Perception of Uncertainty in Illness Scale, parents/children, adapted to Spanish. METHOD: A descriptive methodological study involving the translation into Spanish of the Parents' Perception of Uncertainty in Illness Scale, parents/children, and analysis of their face validity, content validity, construct validity and internal consistency. RESULTS: The original version of the scale in English was translated into Spanish, and approved by its author. Six face validity items with comprehension difficulty were reported; which were reviewed and adapted, keeping its structure. The global content validity index with expert appraisal was 0.94. In the exploratory analysis of factors, 3 dimensions were identified: ambiguity and lack of information, unpredictability and lack of clarity, with a KMO=0.846, which accumulated 91.5% of the explained variance. The internal consistency of the scale yielded a Cronbach alpha of 0.86 demonstrating a good level of correlation between items. CONCLUSION: The Spanish version of "Parent's Perception of Uncertainty in Illness Scale" is a valid and reliable tool that can be used to determine the level of uncertainty of parents facing the illness of their children.

Increased flavour diversity of Chardonnay wines by spontaneous fermentation and co-fermentation with Hanseniaspora vineae.

Discovery, characterisation and use of novel yeast strains for winemaking is increasingly regarded as a way for improving quality and to provide variation, including subtle characteristic differences in fine wines. The objective of this work was to evaluate the use of a native apiculate strain, selected from grapes, Hanseniaspora vineae (H. vineae) 02/5A. Fermentations were done in triplicate, working with 225 L oak barrels, using a Chardonnay grape must. Three yeast fermentation strategies were compared: conventional inoculation with a commercial Saccharomyces cerevisiae strain, ALG 804, sequential inoculation with H. vineae and then strain ALG 804 and spontaneous fermentation. Yeast strain identification was performed during fermentation, in which the apiculate strain was found to be active, until 9% of alcohol in volume, for the co-fermentation and the spontaneous fermentation was completed by three native S. cerevisiae strains. Basic winemaking parameters and some key chemical analysis, such as concentration of glycerol, biogenic amines, organic acids, and aroma compounds were analysed. Sensory analysis was done using a trained panel and further evaluated with professional winemakers. Sequential inoculation with H. vineae followed by S. cerevisiae resulted in relatively dry wines, with increased aroma and flavour diversity compared with wines resulting from inoculation with S. cerevisiae alone. Wines produced from sequential inoculations were considered, by a winemaker's panel, to have an increased palate length and body. Characteristics of wines derived from sequential inoculation could be explained due to significant increases in glycerol and acetyl and ethyl ester flavour compounds and relative decreases in alcohols and fatty acids. Aroma sensory analysis of wine character and flavour, attributed to winemaking using H. vineae, indicated a significant increase in fruit intensity described as banana, pear, apple, citric fruits and guava. GC analysis of the relative accumulation of 23 compounds to significantly different concentrations for the three fermentation strategies is discussed in relation to aroma compound composition.

Reproducibilidad de la Escala Motriz del Infante de Alberta (Alberta Infant Motor Scale) aplicada por fisioterapeutas en formación / Reliability of the Alberta Infant Motor Scale applied by physiotherapists in training

Objetivo Evaluar la reproducibilidad intra e interevaluador de la Escala Motriz del Infante de Alberta (AIMS), Canadá, aplicada por fisioterapeutas en formación de último nivel. Materiales y métodos Se realizó un estudio de evaluación de pruebas diagnósticas en 21 infantes clínicamente sanos de ambos géneros, entre 0 y 18 meses residentes de la ciudad de Bucaramanga, Colombia. La evaluación fue realizada por 12 evaluadores, 11 fisioterapeutas en formación de último nivel y un fisioterapeuta con experiencia en el área pediátrica, con un intervalo de una semana y mediante vídeo. El análisis de reproducibilidad intra y entre evaluadores se estableció con el coeficiente de correlación intraclase (CCI) y adicionalmente se calculó el error estándar de la medición (EEM), considerando un α=0,05.ResultadosSe encontró una muy buena reproducibilidad interevaluadores para el puntaje total de la escala (CCI>0,98) y para la subescala en sedente (CCI>0,97). El análisis para las otras subescalas mostró CCI moderados entre 0,54 y 0,64. La reproducibilidad intraevaluador registró coeficientes entre bajos y excelentes. El EEM fue bajo para las subescalas de pie, en prono y el puntaje total (0,20-0,77).Conclusiones La AIMS es un instrumento reproducible, que puede ser utilizado en nuestro contexto por fisioterapeutas en formación para la evaluación del desarrollo motor en niños clínicamente sanos (AU)

Objective To evaluate the intra- and inter-rater reliability of the Alberta Infant Motor Scale (AIMS) applied by final level undergraduate physiotherapy students. Materials and methods An assessment of evaluation of diagnostic tests was done in 21 clinically healthy infants of both genders, aged 0 to 18 months, residents at Bucaramanga, Colombia. The evaluation was conducted by 12 raters, 11 physiotherapy students in final level and a physiotherapist with experience in pediatrics. The assessments were performed with an interval of one week and by video. An Intraclass Correlation Coefficient (ICC) was applied for the reliability analysis and Standard Error of Measurement (SEM) was obtained, considering an α=0.05.ResultsA very good inter-rater reliability for the total score (ICC>0.98) and the sitting subscale (ICC>0.97) were registered. The other subscales showed moderate reliability, ICC between 0.54 and 0.64. Intra-rater reliability showed low to excellent ICC. The SEM was low for the standing, prone subscales and total score (0.20 to 0.77).Conclusions The AIMS is a reliable tool that can be used in our context by undergraduate physical therapy students in their year of study in order to assess motor development in clinically healthy children (AU)

Fabrication and characterization of a diluted magnetic semiconducting TM co-doped Al:ZnO (TM=Co, Ni) thin films by sol-gel spin coating method.

Effect of transition metal oxides (TM=Co and Ni) co-doping on the crystallinity, surface morphology, grain growth and magnetic properties of nanostructure Al:ZnO thin films has been studied for diluted magnetic semiconductor applications. Al:ZnO thin films were fabricated by sol-gel spin coating on p-type Si (100) substrates. Fabrication of hexagonal wurtzite TM co-doped Al:ZnO thin films having thickness 2µm was successfully achieved. The Raman spectra of the TM co-doped Al:ZnO thin films showed a broad vibrational mode in the range 520-540cm(-1) due to crystal defects created co-doping elements in the ZnO host lattice. Scanning electron microscopy (SEM) revealed that the films are composed of uniform size, polycrystalline dense ZnO particles with defect free, smooth surfaces. The surface roughness was further verified with atomic force microscopy (AFM). The energy dispersive X-ray spectroscopic analysis (EDX) confirmed the stoichiometric compositions of the TM co-doped Al:ZnO films. The magnetic measurements exhibited that the Co, Al:ZnO and Ni, Al:ZnO thin films were ferromagnetic at room temperature.

Genotoxicity of the copper antineoplastic coordination complexes casiopeinas.

Casiopeinas is the generic name of a group of coordination complexes with a central copper atom bound to organic ligands, designed to be an alternative to cancer therapy. Indeed, some of these compounds can reduce implanted tumors in mice. Casiopeinas were expressly designed to interact with the genetic material, so the aim of the present work is to determine if these compounds have genotoxic activity. The results indicate that casiopeinas produce DNA fragmentation and base oxidation and suggest that their mode of action is related to reactive oxygen species (ROS) generation after copper reduction.

Cirugía radioguiada de las lesiones no palpables de mama (ROLL): ¿cómo lo hacemos? / No disponible

El objetivo de este trabajo es describir la técnica ROLL tal como nosotros la venimos aplicando, aprendida durante estancias realizadas en el Instituto Europeo de Oncología de Milán. S e describen los aspectos más importantes que tenemos en cuenta en las distintas fases: diagnóstica, pre-quirúrgica, quirúrgica y de cuidados postoperatorios. El procedimiento ROLL es una técnica multidisciplinar sencilla y reproducible que permite conseguir resultados óptimos y una tasa baja de reintervenciones, así como un buen resultado estético cuando se adquiere la suficiente experiencia(AU)

The aim of this paper is to describe the ROLL technique as we perform after having it learned during stays at the European Institute of Oncology in Milan. We describe the most important aspects that we consider in the different phases such as diagnostic, pre-surgical, surgical and postoperative care. The ROLL procedure is a multidisciplinary technique, simple and reproducible, that allows optimum results with a low rate of reintervention and a good cosmetic result when sufficient experience is gained(AU)

Copper compounds in cancer chemotherapy.

Transitional metals have a large variety of coordination numbers and geometries, accessible redox states in physiological conditions and a wide range of thermodynamic and reactivity properties which can be successfully tuned by selection of suitable ligands. These characteristics can be used to develop new drugs with numerous advantages over the organic based drugs. Historically, research in this field has focus on platinum and DNA targeting; however, anticancer drug research may be expanded to include alternative metal compounds with different mode of action resulting in markedly different cytotoxic response profiles. Cooper complexes with selected ligands are being extensively studied as agents for the treatment of cancer. Current research on copper compounds as antitumoral compounds is being reviewed in this chapter particularly focused on the family of copper Casiopeinas.

Comparison of the efficacy and safety of a novel meloxicam ophthalmic formulation with a reference diclofenac solution in cataract surgery.

A novel topical ophthalmic formulation of the preferential COX-2 inhibitor meloxicam has recently been developed. The purpose of the present study was to evaluate the efficacy and safety of this novel 0.03% meloxicam solution with regard to a reference 0.1% diclofenac formulation in a prospective, parallel, randomized, multicenter, double-blind study. Two groups of patients submitted to phacoemulsification with intraocular lens implantation were formed. Patients in one group were treated with meloxicam and those in the other group with diclofenac. Dosing was 1 drop t.i.d. for 30 days, beginning the first day after surgery, for both treatments. Inflammation was assessed by the presence of cells in the anterior chamber, anterior chamber flare, ciliary flush, photophobia and pain. Both treatments significantly reduced these indicators. Topical meloxicam and diclofenac produced a similar degree of burning sensation and conjunctival hyperemia. There was no significant difference between treatments in any of the measured parameters. It is concluded that the novel meloxicam solution is effective and safe. Meloxicam, however, did not offer any significant benefit over the diclofenac formulation in patients submitted to cataract surgery.

Episodio de glaucoma agudo de ángulo cerrado tras cirugía ginecológica con anestesia general / No disponible

No disponible