Biomaterials for Cardiac Tissue Engineering

Semiotics / semiolog

Dynamic electrostatic force microscopy in liquid media

We present the implementation of dynamic electrostatic force microscopy in liquid media. This implementation enables the quantitative imaging of local dielectric properties of materials in electrolyte solutions with nanoscale spatial resolution. Local imaging capabilities are obtained by probing the frequency-dependent and ionic concentration-dependent electrostatic forces at high frequency (>1 MHz), while quantification of the interaction forces is obtained with finite-element numerical calculations. The results presented open a wide range of possibilities in a number of fields where the dielectric properties of materials need to be probed at the nanoscale and in a liquid environment

Does low-energy sweetener consumption affect energy intake and body weight? A systematic review, including meta-analyses, of the evidence from human and animal studies

By reducing energy density, low-energy sweeteners (LES) might be expected to reduce energy intake (EI) and body weight (BW). To assess the totality of the evidence testing the null hypothesis that LES exposure (versus sugars or unsweetened alternatives) has no effect on EI or BW, we conducted a systematic review of relevant studies in animals and humans consuming LES with ad libitum access to food energy. In 62 of 90 animal studies exposure to LES did not affect or decreased BW. Of 28 reporting increased BW, 19 compared LES with glucose exposure using a specific ‘learning’ paradigm. Twelve prospective cohort studies in humans reported inconsistent associations between LES use and Body Mass Index (-0.002 kg/m2/year, 95%CI -0.009 to 0.005). Meta-analysis of short- term randomized controlled trials (RCTs, 129 comparisons) showed reduced total EI for LES- versus sugar-sweetened food or beverage consumption before an ad libitum meal (-94 kcal, 95%CI -122 to -66), with no difference versus water (-2 kcal, 95%CI -30 to 26). This was consistent with EI results from sustained intervention RCTs (10 comparisons). Meta-analysis of sustained intervention RCTs (4 weeks to 40 months) showed that consumption of LES versus sugar led to relatively reduced BW (nine comparisons; -1.35 kg, 95%CI –2.28 to - 0.42), and a similar relative reduction in BW versus water (three comparisons; -1.24 kg, 95%CI –2.22 to -0.26). Most animal studies did not mimic LES consumption by humans, and reverse causation may influence the results of prospective cohort studies. The preponderance of evidence from all human RCTs indicates that LES do not increase EI or BW, whether compared with caloric or non-caloric (e.g., water) control conditions. Overall, the balance of evidence indicates that use of LES in place of sugar, in children and adults, leads to reduced EI and BW, and possibly also when compared with water

Estudio de la no participación en el programa de prevención de cáncer de mama en la ciudad de Valencia

ResumenObjetivoConocer los motivos de no participación de las mujeres en el Programa poblacional de Prevención de Cáncer de Mama.MétodosEs un estudio observacional transversal, en mujeres que fueron invitadas para participar en el Programa de Prevención de Cáncer de Mama en la ciudad de Valencia y no acudieron. Se realizó una entrevista con cuestionario en el domicilio con 25 preguntas, agrupadas en: conocimiento sobre el programa, motivos de la no participación, actitudes o creencias y características de las encuestadas (variables socioeconómicas, culturales y edad). Se analizaron las diferencias en las características de las mujeres con un análisis bivariante y multivariante mediante regresión logística.ResultadosSe utilizaron 783 direcciones, se obtuvieron 411 cuestionarios, y analizaron 361, y se excluyeron del análisis los 50 cuestionarios utilizados en la prueba piloto, ya que ésta produjo una modificación del cuestionario. El 93,4% (intervalo de confianza [IC] del 95%: 3-95,7) recordaba haber recibido una citación. El motivo principal de no participación fue estar estudiada por otros servicios sanitarios en el 48,8% (IC del 95%: 43,6-53,9), seguido de diversos motivos personales en el 16,1% (IC del 95%: 12,3-19,9) y del horario de citación que no les resultó adecuado en el 15,5% (IC del 95%:11,8-19,2). Analizando la clase social media y alta frente a la clase baja, se observan importantes diferencias: las mujeres de clase media o alta tenían mayor probabilidad de conocer el programa y llevar tratamiento hormonal sustitutivo (THS) y el motivo principal de no asistencia era el estar estudiada por otros servicios sanitarios y para las mujeres de la clase baja el temor, no considerarlo importante para su salud y problemas de accesibilidad horaria. En el análisis multivariante las variables que entraron en el modelo fueron: THS, la clase social y el nivel cultural; de tal forma que aquellas mujeres de clase social media o alta, que llevan THS y de nivel cultural medio o alto tienen mayor probabilidad de estar estudiadas.ConclusionesEl perfil de las mujeres que no participan, pertenece, por un lado, a la clase social media o alta, que toman THS y que están siendo revisadas por otros servicios sanitarios, y por otro, a un grupo de mujeres con nivel socioeconómico bajo y cuyo motivo de no participación es por temor o dificultades de horario.AbstractAimTo determine the reasons for non-participation of women in a breast cancer screening program.MethodsWe performed an observational, cross-sectional study in women who were invited to participate in the breast cancer screening program in the city of Valencia and who failed to attend. The women were interviewed in their homes through a questionnaire consisting of 25 questions grouped as follows: knowledge of the program, reasons for nonparcitipation, attitudes or beliefs and characteristics of the interviewees (socioeconomic and educational variables and age). A descriptive analysis was performed. Differences in the characteristics of women were evaluated thorugh bivariate analysis. Multivariate analysis was performed through logistic regression.ResultsA total of 783 addreses were used, 411 questionnaires were completed and 361 were analyzed. The 50 questionnaires used in the pilot study were excluded because, as a consequence of this study, the questionnaire had been modified. Most of the women (93,4%) (CI: 90.3-95.7) remembered having an appointment. The main reason for not attending was being screened in another health service in 48.8% (CI: 43.6-53.9), followed by various personal reasons in 16.1% (CI: 12.3-19.9) and inability to keep the appointment at the specified time in 15.5% (CI: 11.8-19.2). Comparison of women in the middle and upper social classes with those in the lower classes revealed important differences. Middle and upper class women had a higher probability of knowing about the program and of being on hormone replacement therapy (HRT) and the most frequent reason for non-attendance was attendance at another program run by another health service. In lower class women the reasons for non-attendance were fear, not believing the program to be important to health and inability to keep the appointment at the specified time. In the multivariate analysis, the variables that entered the model were HRT, social class and education. Thus, middle or upper class women undergoing HRT and with secondary or higher education had a higher probability of being screened.ConclusionsThe profile of non-participating women belongs on the one hand to those in the middle or upper social classes, undergoing HRT and being screened by other health services and, on the other, to a group of women of low social class, whose reason for non-participation is fear and timetable difficulties

Nanoscale measurement of the dielectric constant of supported lipid bilayers in aqueous solutions with electrostatic force microscopy

We present what is, to our knowledge, the first experimental demonstration of dielectric constant measurement and quantification of supported lipid bilayers in electrolyte solutions with nanoscale spatial resolution. The dielectric constant was quantitatively reconstructed with finite element calculations by combining thickness information and local polarization forces which were measured using an electrostatic force microscope adapted to work in a liquid environment. Measurements of submicrometric dipalmitoylphosphatidylcholine lipid bilayer patches gave dielectric constants of εr ∼ 3, which are higher than the values typically reported for the hydrophobic part of lipid membranes (εr ∼ 2) and suggest a large contribution of the polar headgroup region to the dielectric response of the lipid bilayer. This work opens apparently new possibilities in the study of biomembrane electrostatics and other bioelectric phenomena

Exploiting the Hierarchical Structure of Rule-Based Specifications for Decision Planning

Rule-based specifications have been very successful as a declarative approach in many domains, due to the handy yet solid foundations offered by rule-based machineries like term and graph rewriting. Realistic problems, however, call for suitable techniques to guarantee scalability. For instance, many domains exhibit a hierarchical structure that can be exploited conveniently. This is particularly evident for composition associations of models. We propose an explicit representation of such structured models and a methodology that exploits it for the description and analysis of model- and rule-based systems. The approach is presented in the framework of rewriting logic and its efficient implementation in the rewrite engine Maude and is illustrated with a case study.

Channeled polymeric scaffolds with polypeptide gel filling for lengthwise guidance of neural cells

CNS damages are often irreversible since neurons of the central nervous system are unable to regenerate after an injury. As a new strategy within the nervous system tissue engineering, multifunctional systems based on two different biomaterials to support axonal guidance in damaged connective tracts have been developed herein. These systems are composed of a channeled scaffold made of ethyl acrylate and hydroxyethyl acrylate copolymer, P(EA-co-HEA), with parallel tubular micropores, combined with an injectable and in situ gelable self-assembling polypeptide (RAD16-I) as pores filler. The polymer scaffold is intended to provide a three-dimensional context for axon growth; subsequently, its morphology and physicochemical parameters have been determined by scanning electron microscopy, density measurements and compression tests. Besides, the hydrogel acts as a cell-friendly nanoenvironment while it creates a gradient of bioactive molecules (nerve growth factor, NGF) along the scaffolds channels; the chemotactic effect of NGF has been evaluated by a quantitative ELISA assay. These multifunctional systems have shown ability to keep circulating NGF, as well as proper short-term in vitro biological response with glial cells and neural progenitors.The authors acknowledge funding through the Spanish Ministerio de Ciencia e Innovacion (MAT2011-28791-C03-02 and -03). Dr. J.M. Garcia Verdugo (Department of Comparative Neurobiology, Cavanilles Institute of Biodiversity and Evolutive Biology, Universitat de Valencia) is thanked for kindly providing the cells employed in this work.Conejero García, Á.; Vilarino-Feltrer, G.; Martínez Ramos, C.; Monleón Pradas, M.; Vallés Lluch, A. (2015). Channeled polymeric scaffolds with polypeptide gel filling for lengthwise guidance of neural cells. European Polymer Journal. 70:331-341. doi:10.1016/j.eurpolymj.2015.07.033S3313417

El portafolio del alumno como instrumento de autoaprendizaje reflexivo tutorizado

La ponencia que se presenta es un Proyecto de Innovación Docente que se lleva a cabo desde la Unidad de Enfermería de Salud Mental de la Escuela de Enfermería de la Universidad de Barcelona dentro de la formación especializada de Enfermería de Salud Mental. Esta especialidad se desarrolla en régimen de residencia clínica donde el EIR (Enfermero Interno Residente) recibe formación desde el ámbito asistencial y docente. El portafolio del alumno se plantea como un instrumento de autoaprendizaje reflexivo que ha de contribuir a facilitar la adaptación de la formación global del EIR a los criterios del Espacio Europeo de Formación Superior donde el trabajo del alumno (concretado en el crédito ECTS) es el eje central de las metodologías docentes.Eje: Educación universitaria: Experiencias educativasRed de Universidades con Carreras en Informática (RedUNCI