Lupus eritematoso sistémico en un gato

Describimos el caso clínico de un gato macho de dos años de edad con un historial de gingivoestomatitis ulcerativa. Los análisis realizados revelan fallo renal con proteinuria, trombocitopenia e hipoalbuminemia. Tras el diagnóstico diferencial de glomerulonefropatía se procede a realizar un análisis de anticuerpos antinucleares, obteniéndose un resultado positivo. Se realiza el diagnóstico de lupus eritematoso sistémico basándonos en la presencia de cuatro de los criterios establecidos por la Asociación Americana de Reumatismo para el diagnóstico de lupus en humanos

Hydrogeological, hydrodynamic and anthropogenic factors affecting the spread of pharmaceuticals and pesticides in water resources of the Granada plain (Spain)

The anthropogenic organic contaminants contemplated in the environmental legislation, as well as those of emerging concern, threaten the quality of water resources to a degree that remains largely unknown. Contaminant exposure in the aquatic environment is a crucial element if a full understanding of the risk is pursued. There are still many uncertainties about the occurrence of organic pollutants and behavior in the hydro(geo)logical media in large scale areas. The case study of the unconfined aquifer of the Granada Plain (approximately 200 km2) is presented here. Two surface and groundwater monitoring campaigns were conducted (March 2017 and June 2018). In total, 41 out of 171 target organic pollutants were detected, at least once: 17 pharmaceuticals or drugs of abuse, 21 pesticides or their metabolites and three polyaromatic hydrocarbons. In addition, physico-chemical parameters were measured during the monitoring campaigns and hydrochemical parameters and stable isotopes (δ2H, δ18O, δ13C) were analyzed. Statistical tests confirmed the significance of seasonal changes for some of these parameters (e.g., EC, Cl-, F-, δ18O, δ13C), revealing the influence from snowmelt water input on streams and the intensification of irrigation. In March 2017, the group of pesticides (largely represented by triazines) predominated, whereas the frequency of detection of pharmaceuticals increased substantially in June 2018. Results suggest four main factors affecting the spatial and seasonal variation of organic pollutants in the aquifer: the anthropogenic factor determining the period of contaminant release throughout the year (pesticide application period and growth of tourism) along with irrigation practices that include reclaimed wastewater; unsaturated zone thickness; [...]This article is a contribution to the Research Groups RNM-308 and RNM 128 of the “Junta de Andalucía” and the project “Study, detection and behavior of emerging contaminants in anthropized watersheds in Andalusia-EMAN (P20_397)”. We are grateful to technical translation specialists GeoTranslations for proofreading the English version. We would also like to thank the Associate Editor, and the anonymous reviewers, who largely contributed to the improvement of the manuscript. Funding for open access charge: Universidad de Málaga / CBU

Un nuevo grupo de manos paleolíticas pintadas en el sur de la Península Ibérica. La cueva de las Estrellas (Castellar de la Frontera, Cádiz)

Presentamos en este trabajo la revisión de las manifestaciones de arte rupestre conservadas en una estación localizada en la comunidad autónoma de Andalucía, conocida en la literatura precedente como cueva de Las Estrellas (Castellar de la Frontera, Cádiz). Se trata de un abrigo rocoso de grandes dimensiones, abierto al aire libre, en el que ya se había constatado, en los primeros años del presente siglo, la presencia de diversas pictografías de estilo esquemático. Durante una visita reciente al enclave se ha advertido, además, la existencia de un importante conjunto figurativo de cronología paleolítica que incluye representaciones de fauna y una pequeña serie de improntas de manos en negativo. Este artículo aborda el análisis genérico de las grafías catalogadas hasta el momento en la cavidad, atendiendo con especial detalle al conjunto de las citadas huellas de manos paleolíticas, que han sido documentadas usando tecnología digital 3d. De igual modo, se tendrán en cuenta su contextualización en el arte paleolítico andaluz y una primera aproximación cronológica a este interesante y variado complejo figurativo

Coordination of subjects in the program as a formative activity of the multidisciplinary educational team for the degree in Pharmacy

La Universidad de Granada, dentro del Plan Estratégico y el Contrato Programa 2007-2011 de las Universidades Públicas de Andalucía puso en marcha la convocatoria de apoyo a la formación del profesorado principiante y mejora de la docencia por el Vicerrectorado para la Garantía de la Calidad (http://calidad.ugr.es/pages/secretariados/form_apoyo_calidad/apoyo_formacion_principiante/convoca toria). En el proyecto participan 15 profesores, 5 profesores experimentados y 10 profesores noveles de seis departamentos diferentes.. Entre los objetivos se incluye la optimización de la actividad docente de profesorado principiante. En este sentido se estudió la situación en el nuevo plan de estudio de Grado en Farmacia de las asignaturas que dichos profesores impartimos, así como la relación entre ellas y la posible existencia de solapamientos de contenidos docentes. Las fichas docentes muestran ciertos solapamientos de competencias y carencias en algunos casos. Esto supuso una revisión exhaustiva para llevar a cabo una correcta coordinación entre los profesores que le permita al alumnado un aprendizaje organizado y coherente.The University of Granada, inside the Strategic Plan and the Contract Program 2007-2011 of the Public Universities of Andalusia started a public call to improve the formation of young lecturers and the teaching activity (http://calidad.ugr.es/pages/secretariados/form_apoyo_calidad/apoyo_formacion_principiante/convoca toria). In the project there take part 15 lecturers, 5 experienced and 10 young lecturers from six different departments. Within the objectives it is included the optimisation of the teaching activity of young lecturers. In this sense, it was studied the situation of the subjects that the above mentioned lecturers give within the new degree in Pharmacy, as well as the relation between they and the possible existence of any overlapping in the contents. The teaching contents showed the existence of certain overlapping within competences and deficiencies in some cases. This supposed an exhaustive review to carry out the correct coordination between the different lecturers so that it will allow the organized and coherent learning of the students

Fin Spine Bone Resorption in Atlantic Bluefin Tuna, Thunnus thynnus, and Comparison between Wild and Captive-Reared Specimens

Bone resorption in the first spine of the first dorsal fin of Atlantic bluefin tuna (ABFT) has long been considered for age estimation studies. In the present paper spine bone resorpion was assessed in wild (aged 1 to 13 years) and captive-reared (aged 2 to 11 years) ABFT sampled from the Mediterranean Sea. Total surface (TS), solid surface (SS) and reabsorbed surface (RS) were measured in spine transverse sections in order to obtain proportions of SS and RS. The spine section surface was found to be isometrically correlated to the fish fork length by a power equation. The fraction of solid spine bone progressively decreased according to a logarithmic equation correlating SS/TS to both fish size and age. The values ranged from 57% in the smallest examined individuals to 37% in the largest specimens. This phenomenon was further enhanced in captive-reared ABFT where SS/TS was 22% in the largest measured specimen. The difference between the fraction of SS of wild and captive-reared ABFT was highly significant. In each year class from 1- to 7-year-old wild specimens, the fraction of spine reabsorbed surface was significantly higher in specimens collected from March to May than in those sampled during the rest of the year. In 4-year-old fish the normal SS increase during the summer did not occur, possibly coinciding with their first sexual maturity. According to the correlations between SS/TS and age, the rate of spine bone resorption was significantly higher, even almost double, in captive-reared specimens. This could be attributed to the wider context of systemic dysfunctions occurring in reared ABFT, and may be related to a number of factors, including nutritional deficiencies, alteration of endocrine profile, cortisol-induced stress, and loss of spine functions during locomotion in rearing conditions.Versión del editor4,411

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

7th Drug hypersensitivity meeting: part two

No abstract availabl

Recomendaciones sobre el diagnóstico e informe anatomopatológico de los tumores neuroendocrinos hipofisarios. Consenso de expertos de la Sociedad Española de Endocrinologia y Nutrición y de la Sociedad Española de Anatomía Patológica.

Pituitary neuroendocrine tumors (PitNETs) constitute, together with other tumors of the sellar region, 15-25% of intracranial neoplasms. In 2017, the World Health Organization proposed a new classification of PitNETs. The main innovation with respect to the 2004 classification was the recommendation to include in the immunohistochemical evaluation of PitNETs the determination of the transcription factors of the 3 pituitary cell lineages: Pit-1, Tpit and SF-1. Additionally, other clinicopathological classifications with a predictive capacity of tumor behavior during follow-up were proposed. Given these changes, it is appropriate to adapt the knowledge generated during the last 15 years to the daily practice of the treatment and monitoring of PitNETs at the Centers of Excellence in Pituitary Pathology. This document includes the positioning of the Spanish Society of Endocrinology and Nutrition (SEEN) and the Spanish Society of Pathology (SEAP) on the classification and denomination of the PitNETs and the information that the pathologist should provide to the clinician to facilitate the treatment and monitoring of these tumors