Sonication of intramedullary nails: Clinically-related infection and contamination

Background and Aim: Sonication is currently considered the best procedure for microbiological diagnosis of implant-related osteoarticular infection, but studies in nail-related infections are lacking. The study aim was to evaluate implant sonication after intramedullary nail explantation, and relate it to microbiological cultures and clinical outcome. Patients and Methods: A study was performed in two University Hospitals from the same city. Thirty-one patients with implanted nails were prospectively included, whether with clinical infection (8 cases) or without (23 cases). Retrieved nails underwent sonication according a previously published protocol. The clinical and microbiological outcome patient was related to the presence of microorganisms in the retrieved implant. Results: Positive results appeared in 15/31 patients (9 with polymicrobial infections) almost doubling those clinically infected cases. The most commonly isolated organisms were Staphylococcus epidermidis (19.2 %) and Staphylococcus aureus (15.4 %). A significant relationship was found between the presence of positive cultures and previous local superficial infection (p=0.019). The presence of usual pathogens was significantly related to clinical infection (p=0.005) or local superficial infection (p=0.032). All patients with positive cultures showed pain diminution or absence of pain after nail removal (15/15), but this only occurred in 8 (out of 16) patients with negative cultures. Conclusions: In patients with previously diagnosed infection or local superficial infection, study of the hardware is mandatory. In cases where pain or patient discomfort is observed, nail sonication can help diagnose the implant colonization with potential pathogens that might require specific treatment to improve the final outcomePart of this work was funded by grants from the Comunidad de Madrid (S2009/MAT-1472) and from the CONSOLIDER-INGENIO Program (FUNCOAT-CSD2008- 00023). DMM was funded by a grant from the Fundación Conchita Rábago de Jiménez Día

Behavioral Modeling of Mixed-Mode Integrated Circuits

Open Access.-- et al.This work is partially supported by CONACyT through the grant for the sabbatical stay of the first author at University of California at Riverside, during 2009-2010. The authors acknowledge the support from UC-MEXUS-CONACYT collaboration grant CN-09-310; by Promep México under the project UATLX-PTC-088, and by Consejeria de Innovacion Ciencia y Empresa, Junta de Andalucia, Spain, under the project number TIC-2532. The third author thanks the support of the JAE-Doc program of CSIC, co-funded by FSE.Peer Reviewe

Compact Multilayer Filter in Empty Substrate Integrated Waveguide With Transmission Zeros

© 2018 IEEE. Personal use of this material is permitted. Permissíon from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertisíng or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.[EN] The empty substrate integrated waveguide (ESIW) technology is recently receiving special attention, since it preserves the many advantages of SIW circuits but provides an enhanced behavior due to avoidance of dielectric filling. Many circuits have been designed in the ESIW technology, including several filters with different performances. The next challenge is to achieve the maximum possible compactness degree for these circuits. In this paper, we present the design of a multilayer empty substrate integrated filter with the same performance as if it were manufactured in a single layer but significantly increasing its compactness and mechanical resistance.This work was supported by the Ministerio de Economia y Competitividad, Spanish Government, under Grant TEC2016-75934-C4-3-R and Grant TEC2016-75934-C4-1-R.Belenguer Martínez, Á.; Fernández-Berlanga, MD.; Ballesteros, JA.; De Dios, JJ.; Esteban González, H.; Boria Esbert, VE. (2018). Compact Multilayer Filter in Empty Substrate Integrated Waveguide With Transmission Zeros. IEEE Transactions on Microwave Theory and Techniques. 66(6):2993-3000. https://doi.org/10.1109/TMTT.2018.2823306S2993300066

Biofilm development by clinical strains of non-pigmented rapidly growing mycobacteria

AbstractThe relationship between clinical significance of non-pigmented, rapidly growing mycobacteria (NPRGM), in vitro biofilm development and sliding motility was evaluated in this study. One hundred and sixty-eight clinical strains of NPRGM were included. Forty-one of these were clinically significant isolates. Biofilm was formed by 123 strains. Seventy-six biofilm-positive and 25 biofilm-negative strains showed sliding motility. There was a relationship between clinical significance and biofilm development (p <0.000 001), sliding motility (p 0.0037) and species (p <0.000 001). No relationship was found between motility and biofilm development. The ability to develop biofilm is a characteristic that can have importance in the development of infections caused by NPRGM

APLICACIÓN, ADAPTACIÓN Y MEJORAS DEL FUSIL DE ASALTO EN UNIDADES MECANIZADAS

Las unidades mecanizadas de la infantería española disponen actualmente en dotación del fusil HK-G36. Sin embargo. las características especiales de estas unidades lleva a cuestionarse la idoneidad de este fusil y la necesidad, en su caso, de la búsqueda de alternativas de mejora.Por ello, el objetivo principal de este TFG será el de analizar la adecuación del fusil HK-G36 a las necesidades propias de estas unidades, y la identificación de posibles vías de mejora a desarrollar.<br /

Positron Emission Tomography-Computed Tomography and Magnetic Resonance Imaging Assessments in a Mouse Model of Implant-Related Bone and Joint Staphylococcus aureus Infection.

Osteomyelitis is an infection of the bone, associated with an inflammatory process. Imaging plays an important role in establishing the diagnosis and the most appropriate patient management. However, data are lacking regarding the use of preclinical molecular imaging techniques to assess osteomyelitis progression in experimental models. This study aimed to compare structural and molecular imaging to assess disease progression in a mouse model of implant-related bone and joint infections caused by Staphylococcus aureus. In SWISS mice, the right femur was implanted with a resorbable filament impregnated with S. aureus (infected group, n = 10) or sterile culture medium (uninfected group, n = 6). Eight animals (5 infected, 3 uninfected) were analyzed with magnetic resonance imaging (MRI) at 1, 2, and 3 weeks postintervention, and 8 mice were analyzed with [18F]fluorodeoxyglucose (FDG)-positron emission tomography (PET)-computed tomography (CT) at 48 h and at 1, 2, and 3 weeks postintervention. In infected animals, CT showed bone lesion progression, mainly in the distal epiphysis, although some uninfected animals presented evident bone sequestra at 3 weeks. MRI showed a lesion in the articular area that persisted for 3 weeks in infected animals. This lesion was smaller and less evident in the uninfected group. At 48 h postintervention, FDG-PET showed higher joint uptake in the infected group than in the uninfected group (P = 0.025). Over time, the difference between groups increased. These results indicate that FDG-PET imaging was much more sensitive than MRI and CT for differentiating between infection and inflammation at early stages. FDG-PET clearly distinguished between infection and postsurgical bone healing (in uninfected animals) from 48 h to 3 weeks after implantation. IMPORTANCE Our results encourage future investigations on the utility of the model for testing different therapeutic procedures for osteomyelitis.We thank Yolanda Sierra, Alexandra de Francisco, and María de la Jara Felipe, from the Imaging Laboratory for Small Animals of the Instituto de Investigación Sanitaria, Gregorio Marañón, for their excellent work with animal preparation and imaging protocols. Additionally, we thank Daniel Calle, from the Advanced Imaging Unit of CNIC, for his help in imaging postprocessing. This study was partially supported by the Instituto de Salud Carlos III (grants PI20/ 01632 and PT20/00044), cofunded by the European Regional Development Fund (ERDF), A way to make Europe. This work was also supported by the Diagnosis and Treatment Follow-up of Severe Staphylococcal Infections with Anti-Staphylococcal Antibodies and Immune-PET project of the Grant Fundación BBVA a Equipos de Investigación Científica 2018, by the Fundación Ramón Areces, and by Comunidad de Madrid (S2022/BMD-7403 RENIM-CM). The CNIC is supported by the Instituto de Salud Carlos III (ISCIII), the Ministerio de Ciencia e Innovación (MCIN), and the Pro CNIC Foundation, and it is a Severo Ochoa Center of Excellence (grant CEX2020-001041-S, funded by MICIN/AEI/10.13039/501100011033).S

Cunning defects: Emission control by structural point defects on Cu(i)I double chain coordination polymers

The following version is an accepted manuscript in Journal of Materials Chemistry C 8.4 (2020): 1448-1458 and may be found at ttps://doi.org/10.1039/C9TC05185FThe direct reaction between CuI and 3,5-dichloropyridine, in acetonitrile at room temperature, gives rise to [Cu(Cl2-py)I]n (Cl2-py = 3,5-dichloropyridine), which consists of a Cu(i)-I double chain based coordination polymer (CP) grafted with 3,5-dichloropyridine. In this simple one-pot process, the modulation of the reaction conditions, i.e. slight variations in the CuI and Cl2-py ratio caused by in situ disproportion, can, however, produce significant changes in the physical properties of the materials. For instance, the reaction carried out in a 1 : 1 ratio under ambient conditions leads to compound 1, while compound 1′ is obtained upon a solvothermal process of stoichiometric reaction mixture, Cl2-py and CuI, which produces partial disproportion (<0.5% in weight) of the initial Cu(i). Interestingly, compounds 1 and 1′ show an identical chemical composition and structure as determined by both single crystal and powder X-ray diffraction. However, they display remarkable differences in the luminescence behavior, featuring broad emission bands centered at 515 and 670 nm and associated to photoluminescence quantum yields of 12 and 5% for 1 and 1′, respectively. Density functional theory (DFT) calculations allowed us to rationalize the nature of this rare behavior. This is attributed to structural defects related to the weaker coordination bond present in these structures that provoke the strong red-shifted emissionThe authors thank financial support from the Spanish Ministerio de Economıa y Competitividad (MAT2016-77608-C3-1-P, MAT2016-75883-C2-2-P, MAT2010-20843-C02-01, CTQ2016-75816- C2-1P, MAT2016-75586-C4-4-P) and by EU-FEDER funds. JGP thanks to Servicios Generales de Apoyo a la Investigacion (SEGAI) at La Laguna University. J. I. M. acknowledges the financial support by the ‘‘Ramo´n y Cajal’’ Program of MINECO (Grant RYC-2015- 17730) and the EU via the ERC-Synergy Program (Grant ERC-2013- SYG-610256 NANOCOSMOS). J. C. E. acknowledges the financialsupport by the ‘‘FPI-MINECO’’ Program of MINECO (Grant BES2015-071534). R. D. C. acknowledges the program ‘‘Ayudas para la atraccio´n de talento investigador—Modalidad 1 of the Consejerı´a de Educacio´n, Juventud y Deporte—Comunidad de Madrid with the Reference No. 2016-T1/IND-1463.’’, Spanish MINECO for the Ramo´n y Cajal program (RYC-2016-20891), the Europa Excelencia program (ERC2019-092825), and HYNANOSC (RTI2018-099504-A-C22). R. D. C. also acknowledges the 2018 Leonardo Grant for Researchers and Cultural Creators from BBVA Foundation and the FOTOART-CM project funded by Madrid region under programm P2018/NMT-4367. J. F.-C. acknowledges the Marie Skłodowska-Curie Individual Fellowships (H2020-MSCA-IF-2017). This paper is dedicated to Dmitri Mendele´yev in honour of the 150th anniversary of the discovery of the periodic tabl

Integrated study of factors affecting fetal weight in singleton pregnancies. Nomogram and development of basic and advanced fetal growth customized models

We have performed a multivariate analysis to explore the influence on birth and ultrasound fetal weight estimation of traditional factors as biochemical data and maternal characteristics in combination with non- traditionally explored predictors as paternal height, Pregnancy-associated plasma protein A (PAPP-A), single umbilical artery or Free-beta Human Chorionic Gonadotropin (fß- HCG). The study was performed for a Spanish population (region of Aragon) in singleton pregnancies at term (37-42 weeks). Also, we have created a nomogram and in order to predict the occurrence of SGA (small for gestational age) and LGA (large for gestational age) cases we provide a multivariate predictive model of fetal weight that have been compared with other models in the prediction of ultrasound and birth weights. After study we have created a software application for automated calculation of percentile fetal weight, adjusting the variables when they were significant

Biogas from anaerobic digestion as an energy vector: Current upgrading development

Producción CientíficaThe present work reviews the role of biogas as advanced biofuel in the renewable energy system, summarizing the main raw materials used for biogas production and the most common technologies for biogas upgrading and delving into emerging biological methanation processes. In addition, it provides a description of current European legislative framework and the potential biomethane business models as well as the main biogas production issues to be addressed to fully deploy these upgrading technologies. Biomethane could be competitive due to negative or zero waste feedstock prices, and competitive to fossil fuels in the transport sector and power generation if upgrading technologies become cheaper and environmentally sustainable.Unión Europea - (URBIOFIN project 745785, H2020-BBI-JTI-2016)Junta de Castilla y León y Fondo Europeo de Desarrollo Regional (FEDER) - (grant CLU 2017-09

Risk factors for premature aging of placenta: comparative study of perinatal outcomes between grannum grade III placentas and grannum grade I-II placentas

Introduction: The placenta aging has been related with intrauterine fetal growth, low maternal age, Caucasian, multiparity, hypertensive states and smoking habit. Grannum P. classification is the most used for its assessment. The association between grade III placenta (G3P) and ex-smoking or smokeexposed pregnants has not been studied Main outcome: To asses if smoking, being an ex-smoker or a passive-smoker is a risk factor for developing grade III placenta, as well as if there is a smoking-free period of time to avoid the effect of smoking over placenta Material and methods: A retrospective case-control study of single pregnancies followed-up at the Obstetric Ultrasound Unit between January 2013 and January 2014. Placental grading according to Grannum classification was stablished through abdominal approach between 34-36 weeks of gestation and two groups were established: grade III placenta and grade I-II placenta (G1-2P) Maternal and paternal characteristics, type of delivery and perinatal outcomes were collected Results: Baseline characteristics were similar between the two groups. In G3P the incidence of hypertensive disease of pregnancy was higher(p=0,0107). The percentage was similar for premature birth, 1st and 5th minute Apgar, type of delivery and cesarean due to risk of loss of fetal wellbeing. A lower neonatal weight was found in G3P, at the same median days at delivery, with a mean difference of 148,156(p=0,008313. Regarding weight percentile, it was found a p35 in G3P and a p47,5 in G1- 2P(p=0,08235) 15% of the total pregnant were smokers. In G3P group it was found a higher frequency of smokers and ex-smokers since 1st trimester of pregnancy (p=0.0001), as well as pregnant non-smokers with an smoking partner(p=0,0001). There was an strong evidence for association between pregnant smokers and smoking partners(p=0,0001). No difference was found regarding to neonatal weight comparing smokers, ex-smokers and ex-smokers since 1st trimester of pregnancy. The length of pregnancy was lower between G3P pregnant smokers compared to G1-2P pregnant smokers, with a mean difference of 8 days (p=0,00091) Conclusions: There is a strong evidence for association between smoking during pregnancy, quitting smoking at the beginning of the pregnancy or being a passive smoker with development of G3P Some pregnant smokers don`t develop premature aging of placenta, it could be due to either other parameters or a later aging (data were collected between 34-36 weeks). The association between quitting smoking at the beginning of the pregnancy and not having a smoking partner reduces the risk of developing G3