Metabolomic and transcriptomic profiles after immune stimulation in the zebrafish testes.

Fish farms are prone to disease outbreaks and stress due to high-density rearing conditions in tanks and sea cages, adversely affecting growth, reproduction, and metabolism. To understand the molecular mechanisms affected in the gonads of breeder fish after an immune challenge, we investigated the metabolome and the transcriptome profiles in zebrafish testes after inducing an immune response. After 48 h of the immune challenge, ultra-high-performance liquid chromatography (LC-MS) and transcriptomic analysis by RNA-seq (Illumina) resulted in 20 different released metabolites and 80 differentially expressed genes. Among these, glutamine and succinic acid were the most abundant metabolites released and 27,5% of the genes belong to either the immune or reproduction systems. Pathway analysis based on metabolomic and transcriptomic crosstalk identified cad and iars genes that act simultaneously with succinate metabolite. This study deciphers interactions between reproduction and immune systems and provides a basis to improve protocols in generating more resistant broodstock.

Three-dimensional imaging from single-element holographic data.

We present a holographic imaging approach for the case in which a single source-detector pair is used to scan a sample. The source-detector pair collects intensity-only data at different frequencies and positions. By using an appropriate illumination strategy, we recover field cross correlations over different frequencies for each scan location. The problem is that these field cross correlations are asynchronized, so they have to be aligned first in order to image coherently. This is the main result of the paper: a simple algorithm to synchronize field cross correlations at different locations. Thus, one can recover full field data up to a global phase that is common to all scan locations. The recovered data are, then, coherent over space and frequency so they can be used to form high-resolution three-dimensional images. Imaging with intensity-only data is therefore as good as coherent imaging with full data. In addition, we use an ℓ1-norm minimization algorithm that promotes the low dimensional structure of the images, allowing for deep high-resolution imaging.

Frailty and Vulnerability as Predictors of Chemotherapy Toxicity in Older Adults: A Longitudinal Study in Peru.

BACKGROUND: Multiple markers are used to assess frailty and vulnerability, conditions associated with the development of chemotherapy toxicity (CTT). However, there is still no consensus on which condition has stronger association with this adverse effect of chemotherapy in the elderly. OBJECTIVES: To evaluate the association between frailty and vulnerability with the development of CTT in oncogeriatric patients. DESIGN, SETTING, AND PARTICIPANTS: Through a retrospective cohort, a secondary database of 496 male oncogeriatric military patients treated at the Geriatrics Service of the Naval Medical Centre of Peru during 2013-2015 was analyzed. MEASUREMENTS: With prior informed consent, the presence of frailty, assessed by Fried Phenotype; and vulnerability, assessed by the Vulnerable Elders Survey-13 (VES-13) and G-8, was determined. The follow-up of patients in chemotherapy was performed every 8 weeks, to determine the development of CTT (according to the Common Terminology Criteria for Adverse Events v4.0). In addition, we included sociodemographic characteristics, medical background information and functional assessment variables. The data collected was encoded and imported into STATA v14.0 statistical package for analysis. Multivariate analysis was performed using crude and adjusted Cox regression models. The reported measure was the hazard ratio (HR) with their respective 95% confidence intervals (95%CI). RESULTS: The average age was 79.2 ± 4.3 years. 129 (26.01%) developed CTT during follow-up. Similarly, 129 older adults (26.01%) were positive for frailty according to Fried phenotype; 101 (20.36%) were positive for vulnerability with VES-13, and 112 (22.58%) with G-8. In the adjusted Cox model, by type of cancer and adverse effects, a statistically significant association was found between the 3 scales evaluated and the development of CTT, with the Fried Phenotype as the scale with the strongest association (HR=2.01; 95%CI: 1.04-4.90). CONCLUSIONS: The frailty and vulnerability in the elderly are conditions associated with the development of CTT. The Fried phenotype was the scale with the most significant association with the outcome studied.

Medical education from the point of view of medical students: Results from four participatory Delphi panels in Quito, Ecuador.

BACKGROUND: Medical curricula have historically been designed in a top-down approach, usually excluding students. While Delphi panels have been used as a tool for medical education curricula design, none have been conducted in Ecuador. In addition, no such approach has ever included students both as panelists and researchers. MATERIAL AND METHODS: Four Delphi panels were developed and conducted using a participatory approach that allowed medical students to take part both as expert panelists and researchers: specifically, students developed the questionnaire and conducted a qualitative synthesis. Questionnaire responses were anonymized and dispatched online to panelists. The information was organized and collected to develop the qualitative syntheses and prepare the final statements. RESULTS: Thirty-two medical students participated between February and May 2018. A total of 32 questions were developed, corresponding to five different categories. For some questions, consensus was reached; for other questions, general statements were obtained.Discussion and conclusion: Developing the questionnaire, responding to it and analyzing the answers allowed students to raise significant concerns regarding medical education topics proposing relevant policy and curricula change. Participatory Delphi panels can be an efficient tool to obtain organized feedback, improve student class involvement, and promote research skills.

Role of mHealth in overcoming the occurrence of post-stroke depression.

Depression associated with stroke affects roughly one-third of stroke survivors. Post-stroke depression (PSD) is thought to adversely influence functional outcome by limiting participation in rehabilitation, decreasing physical, social, and cognitive function, and affecting neuroplasticity thereby placing stroke survivors at high risk for future vascular events. PSD has also been associated with higher mortality rates after stroke. In Peru, a country where there is no national stroke program and mental health disorders are largely underdiagnosed and untreated, people with PSD are likely to be further challenged by dependency and impoverished conditions that will limit their use of ambulatory services, leading to inadequate clinical follow-up. In this scenario, mobile health (mHealth) technology offers a promising approach to extend access to high-quality and culturally tailored evidence-based psychological care to address PSD given that cell phone use, Internet connectivity, and digital health technology have met a rapid growth in the last years and thus contribute to the attainment of broader Sustainable Development Goals (SDGs). The limited evidence of the effectiveness of mHealth for PSD calls for researchers to fill a knowledge gap where Peru poses as an ideal setting because rapid expansion of digital technology and current mental healthcare reform could be leveraged to enhance post-stroke outcomes. This article proposes the rationale for a suitable evidence-driven, mHealth-based, PSD self-management intervention called iMOODS-Investigating the role of mHealth in overcoming occurrence of depression after stroke-that could be tested among recent stroke patients with PSD in resource constrained settings.

pH del agua potable que consumen estudiantes del segundo año de la Carrera de Medicina, Universidad Mayor de San Andrés Gestión 2017 / pH of drinking water that second year students of medicine of the Universidad Mayor de San Andres consume term 2017

INTRODUCCIÓN: El pH es una propiedad básica del agua potable y cuyos valores extremos pueden originar reacciones secundarias dañinas, entendiéndose por agua potable aquel que puede ser consumido sin restricción para el consumo humano, OBJETIVO: Determinar el valor del pH de agua potable que consumen los estudiantes de segundo año de la carrera de medicina de la Universidad Mayor de San Andrés (UMSA). MATERIAL Y MÉTODOS: Se analizaron 388 muestras de agua potable del domicilio de estudiantes regulares de segundo año cátedra de bioquímica entre los meses de julio y agosto del 2017, realizándose un estudio de tipo descriptivo con un enfoque transeccional. RESULTADOS: Se obtuvieron los siguientes resultados, 1) la media del pH total fue de 7,24; con x=7,22 en la ciudad de la Paz y x=7,28 en la ciudad de el Alto. 2) en cuanto al sistema de potabilización se obtuvo: x=7,34 en la planta el Alto, x=7,21 en la planta de Tilata, x=7,15 en la planta de Achachicala y de x=7,20 en la planta de Pampahasi. CONCLUSIONES: El pH del agua potable consumida se encontró dentro de parámetros establecidos con un valor medio de 7,24.

INTRODUCTION: The pH is a basic property of potable water and whose extreme values may cause harmful secondary reactions. It is understood that potable water can be consumed without any restriction by human beings. OBJECTIVE: To determine the pH value of potable water consumed by medicine students of second year at UMSA university. MATERIAL AND METHODS: 388 samples of potable water were analyzed which were taken from the homes of the second year students of the biochemistry department between July and August 2017, developing a descriptive study with a cross-sectional approach. RESULTS: The following results were obtained: 1) the average of the pH was 7.24; with x = 7.22 in La Paz city and x = 7.29 in El Alto city. 2) in relation to the drinking water was obtained: x=7.34 in El Alto plant, x=7.21 in Tilata plant, x=7.16 in Achachicala plant and x=7.21 in Pampahasi plant. CONCLUSION: The pH of the drinking water drunk is established within parameters with an average value of 7.24.

Robust depth selectivity in mesoscopic scattering regimes using angle-resolved measurements.

We study optical imaging of tissues in the mesoscopic scattering regime in which light multiply scatters in tissues but is not fully diffusive. We use the radiative transport equation to model light propagation and an ℓ1-optimization method to solve the inverse source problem. We show that recovering the location and strength of several point-like sources that are close to each other is not possible when using angle-averaged measurements. The image reliability is limited by a spatial scale that is on the order of the transport mean-free path, even under the most ideal conditions. However, by using just a few angle-resolved measurements, the proposed method is able to overcome this limitation.

Recovering fluorophore location and orientation from lifetimes.

In this paper, we study the possibility of using lifetime data to estimate the position and orientation of a fluorescent dipole source within a disordered medium. The vector Foldy-Lax equations are employed to calculate the interaction between the fluorescent source and the scatterers that are modeled as point-scatterers. The numerical experiments demonstrate that if good prior knowledge about the positions of the scatterers is available, the position and orientation of the dipole source can be retrieved from its lifetime data with precision. If there is uncertainty about the positions of the scatterers, the dipole source position can be estimated within the same level of uncertainty.

Source location from fluorescence lifetime in disordered media.

We show that the source location problem can be solved in a scattering medium using the fluorescence lifetime and realistic a priori information. The intrinsic ill-posedness of the problem is reduced when the level of scattering increases. This work is a proof of principle demonstrating the high potential of quantitative lifetime imaging in complex media.

Risk and protective factors associated with youth violence among secondary school students in a nationally representative sample in Puerto Rico

During the past decade, youth violence has received increasing attention as a major public health issue in Puerto Rico as well as in the United States. This study sought to identify risk and protective factors of youth violence in a representative sample of school adolescents in Puerto Rico. Risk and protective factors were grouped into five domains: individual, family, peer group, school and community. From a total of 2,385 participants, 10.7 reported at least one violent behavior and 3.4 reported two or more violent behaviors. In multiple regression analysis the risk factors identified were male gender, junior grade students, having a favorable attitude towards antisocial behavior, use of ecstasy, involvement with antisocial peers and reporting antisocial parents. Participation in family decisions was the only protective factor associated with violence. Findings from this study could have important implications for the development of preventive programs for the adolescent population in Puerto Rico

Risk and protective factors associated with youth violence among secondary school students in a nationally representative sample in Puerto Rico.

During the past decade, youth violence has received increasing attention as a major public health issue in Puerto Rico as well as in the United States. This study sought to identify risk and protective factors of youth violence in a representative sample of school adolescents in Puerto Rico. Risk and protective factors were grouped into five domains: individual, family, peer group, school and community. From a total of 2,385 participants, 10.7% reported at least one violent behavior and 3.4% reported two or more violent behaviors. In multiple regression analysis the risk factors identified were male gender, junior grade students, having a favorable attitude towards antisocial behavior, use of ecstasy, involvement with antisocial peers and reporting antisocial parents. Participation in family decisions was the only protective factor associated with violence. Findings from this study could have important implications for the development of preventive programs for the adolescent population in Puerto Rico.

Síndrome de Tolosa - Hunt en el embarazo / Tolosa-Hunt Syndrome in pregnancy

El síndrome de Tolosa-Hunt es una entidad neurológica que consiste en una oftalmoplejia dolorosa causada por una inflamación granulomatosa del seno cavernoso anterior. Se reporta un caso clínico de una paciente embarazada con esta rara enfermedad.

Influence of the relative refractive index on the depolarization of multiply scattered waves.

Using the theory of radiative transfer, we investigate the interaction between polarized waves and a multiple scattering medium as functions of the relative index of refraction. To study this problem, we consider circularly and linearly polarized continuous waves incident upon a medium containing spherical scatterers. With an accurate spectral method, we compute the transmitted Stokes parameters through media containing different sized scatterers and different indices of refraction. Our numerical results show that the circular depolarization length exhibits a strong dependence on the relative index of refraction, while the linear depolarization length does not.

Depolarization and blurring of optical images by biological tissue.

We present a study of the image blurring and depolarization resulting from the transmission of a narrow beam of light through a continuous random medium. We investigate the dependence of image quality degradation and of depolarization on optical thickness, correlation length of the inhomogeneities, and incident polarization state. This is done numerically with a Monte Carlo method based on a transport equation that takes into account polarization of light. We compare our results with those for transport in media with discrete spherical scatterers. We show that depolarization effects are different in these two models of biological tissue.

[Actual status of multiple sclerosis in Cuba. National cooperative group for the clinical trial "Recombinant interferon alpha-2b in multiple sclerosis"]. / Estado actual de la esclerosis múltiple en Cuba. Grupo Cooperativo Nacional para el Ensayo Clínico 'Interferón alfa-2b recombinante en la esclerosis múltiple'.

INTRODUCTION: Multiple sclerosis (MS) has been considered to be an uncommon disorder in Cuba. In recent years many Cuban investigators have worked hard studying MS in Cuba. DEVELOPMENT: We review the history, epidemiology, clinical characteristics, complementary investigations and clinical trials of recent studies published in national and international journals on the most important investigations done on MS in Cuba. There is an outstanding placebo-controlled, double blind, multicentric randomised clinical trial using recombinant alpha 2b-IFN in the relapsing-remitting clinical form in which the results obtained in the first 30 patients who completed 2 years treatment show a statistically significant reduction in the frequency of relapses and the number of patients free of relapses in patients who received alpha-IFN as compared with those given placebo treatment. CONCLUSIONS: There has been an increase in the number of studies made on MS in Cuba in the past two years. Numerous clinical, neuroepidemiological, neurophysiological, biochemical, immunological, imaging and neuropsychological investigations and clinical trials indicate a marked increase in understanding of MS. The results of all these studies indicated the need for the creation of a National Reference Centre for Patients with Multiple Sclerosis, due to the complexity of this type of patients and the need to offer improved medical attention from a specialist team and to integrate the investigations in Cuba and internationally so as to reach the level of more developed countries.

Characterization of the DNA replication module of bacteriophage A2 and use of its origin of replication as a defense against infection during milk fermentation by Lactobacillus casei.

Adjacent to the lysis/lysogeny cassette of the A2 phage genome lies a stretch of over 8 kb, which contains a series of genes probably involved in DNA replication. Fifteen open reading frames (orfs) were identified, 13 of which are encoded on the main coding strand and only two on the complementary strand. Database searches and comparative analyses allowed the identification of an open reading frame (orf455) that shows similarity with DNA helicases and contains a variant zinc-finger motif known from the phage T7 helicase/primase. Orf770 showed similarity to putative plasmid and phage DNA primases. Downstream of orf770 is a noncoding 258-bp region rich in direct and inverted repeats, which specifically binds to proteins whose synthesis is induced during phage infection. When present in a plasmid, this region can direct a partial bacteriophage resistance phenotype due to interference with phage DNA replication, both under laboratory conditions and during milk fermentation. It is deduced that this stretch contains the origin of replication of phage A2.

Tuberculosis mamaria / Breast tuberculosis

Objetivo: presentar tres casos de tuberculosis mamaria. Material y método: Se revisó las historias clínicas de tres pacientes con tuberculosis mamaria diagnosticados clínica e histopatológicamente en el Centro de Salud Progreso entre 1998 y 1999. resultados: Los tres casos fueron pacientes mujeres con edades entre 27 y 31 años. La tumoración era flogótica y de consistencia variada, sin adenopatía axilar. El diagnóstico de la biopsia fue proceso inflamatorio crónico granulomatoso consistente con etiología tuberculosa. Todas tuvieron evolución favorable postratamiento antituberculoso y quirúrgico. Conclusión: comunicamos tres casos de tuberculosis mamaria donde no se objetiva afectación extramamaria.

In vivo definition of the functional origin of leading strand replication on the lactococcal plasmid pFX2.

The lactococcal plasmid pFX2 belongs to a family of plasmids, whose prototype is the streptococcal plasmid pMV158, that replicates by the rolling circle mechanism. Determination of the nucleotide sequence of the repX gene of pFX2 allowed us to make some minor corrections in the published sequence, and to show that the repX gene is identical to the rep gene of plasmid pWV01. We have established pFX2 in Escherichia coli and in Streptococcus pneumoniae. In the latter host, we have defined in vivo the nick site introduced by the RepX protein. Plasmid pFX2 and the pMV158 derivative pLS1 exhibit a moderate degree of incompatibility in S. pneumoniae. Cloning of the double strand origin (dso) of pFX2 into a high-copy-number plasmid that is compatible with the pMV158 replicon led to an increase in incompatibility toward pLS1. Plasmids pFX2 and pLS1 exhibit homologies in their Rep proteins and in their dso sequences, but not in their negative control elements. Thus, the observed incompatibility indicates that cross-recognition of Rep proteins and dso takes place.

El ambiente interno y externo del adolescente puertorriqueño en el uso del alcohol, las drogas y la violencia / Internal and external environment of the Puerto Rican adolescent in the use of alcohol, drugs and violence

PURPOSE: Identify risk factors associated to violent behavior among adolescent students. METHODS: A survey was conducted using a two-staged stratified cluster sampling design. It represents all junior and high school students of Puerto Rico. Students from 117 schools were administered an anonymous questionnaire. RESULTS: Alcohol use was reported by 78.7 of students, and 14 reported illegal drug use. About 25 committed one violent act during the previous year, and 22 committed two acts or more. Drug use, alcohol use, not getting along with their parents, being a male, school failure and drug use by siblings were identified as risk factors for violent behavior. Church attendance was identified as a protective factor. DISCUSSION: Primary physicians can play an important role in violence prevention through early identification of family violence