Complex regional pain syndrome (CRPS), a review

Complex regional pain syndrome is a chronic and painful condition that affects the quality of life of patients. It is usually triggered by a traumatic event of the soft tissues involving the nervous tissue. Although the factors that cause the syndrome are varied and not well known, different etiopathologic concepts have been proposed to explain the presence of this syndrome, such as autonomic dysfunction and changes in CNS plasticity, among others. The patient characteristically presents pain, sensory abnormalities, vasomotor disturbances in the skin, edema, changes in sweating, and motor alterations. The pain is associated with changes in the autonomic nervous system and has a distal predominance. Since there is no definitive diagnostic test, diagnosis is mainly based on a complete medical history and physical examination. Treatment is multidisciplinary and based on pain relief. Although in most cases evolution is favorable, rapid diagnosis and treatment are recommended to avoid dystrophic stage as much as possibl

Energy scales of Lu(1-x)Yb(x)Rh2Si2 by means of thermopower investigations

We present the thermopower S(T) and the resistivity rho(T) of Lu(1-x)Yb(x)Rh2Si2 in the temperature range 3 K < T < 300 K. S(T) is found to change from two minima for dilute systems (x < 0.5) to a single large minimum in pure YbRh2Si2. A similar behavior has also been found for the magnetic contribution to the resistivity rho_mag(T). The appearance of the low-T extrema in S(T) and rho_mag(T) is attributed to the lowering of the Kondo scale with decreasing x. The evolution of the characteristic energy scales for both the Kondo effect and the crystal electric field splitting are deduced. An extrapolation allows to estimate the Kondo temperature of YbRh2Si2 to 29 K.Comment: 15 pages, 4 figures, accepted in Phys. Rev.

Pan-active imidazolopiperazine antimalarials target the Plasmodium falciparum intracellular secretory pathway.

A promising new compound class for treating human malaria is the imidazolopiperazines (IZP) class. IZP compounds KAF156 (Ganaplacide) and GNF179 are effective against Plasmodium symptomatic asexual blood-stage infections, and are able to prevent transmission and block infection in animal models. But despite the identification of resistance mechanisms in P. falciparum, the mode of action of IZPs remains unknown. To investigate, we here combine in vitro evolution and genome analysis in Saccharomyces cerevisiae with molecular, metabolomic, and chemogenomic methods in P. falciparum. Our findings reveal that IZP-resistant S. cerevisiae clones carry mutations in genes involved in Endoplasmic Reticulum (ER)-based lipid homeostasis and autophagy. In Plasmodium, IZPs inhibit protein trafficking, block the establishment of new permeation pathways, and cause ER expansion. Our data highlight a mechanism for blocking parasite development that is distinct from those of standard compounds used to treat malaria, and demonstrate the potential of IZPs for studying ER-dependent protein processing

Perception of the risk of adverse reactions to analgesics: Differences between medical students and residents

Low permeability of many wood species due to their anatomical properties causes problems during timber drying as well as impregnating with preservatives and resins. Microwave (MW) treatment influences heartwood permeability and improves preservative uptake and distribution. In the present study, microwave treatment of chir pine (Pinus roxburghii) wood was done at 2,45 GHz frequency at different level of intensity and radiation time. The gas permeability of chir pine wood was measured in an in-house built apparatus. Preservative uptake was tested using acid copper chromate (ACC) preservative by a dipping process. The effect of radiation intensity and time on preservative uptake and air permeability were studied. The results revealed remarkable increase in longitudinal woodair permeability and preservative uptake with the increase of intensity and time of treatment. The results indicate that this technology can be tested and applied on pilot scale for application in wood preservation industry

Evaluación geológica y geodinámica en la quebrada Chicón: aluvión del 17 de octubre del 2010 que afectó Urubamba-Cusco

En la quebrada Chicón del distrito de Urubamba, provincia de Urubamba, el día domingo 17 de Octubre del 2010 alrededor de las 23.35 hrs ocurrió un proceso de movimiento en masa. En el nevado Chicón (5530 msnm) el desprendimiento de un bloque de hielo (de aproximadamente 100 x 30m) provocó el rebalse de una pequeña laguna localizada a 4870 msnm. Este rebalse incrementó el caudal de un pequeño riachuelo que nace de esta laguna y la conecta con la laguna Pucacocha, a 4670 msnm. La laguna Pucacocha también rebalsó luego de superar su capacidad. Es a partir de la desembocadura de esta laguna, el que coincide con el cambio brusco de pendiente, que las aguas rebalsadas empiezan a erosionar el material morrénico, los cuales se hallan colgados en la ladera de pendiente muy alta (> 60º). La erosión de este material, por la gran cantidad de agua, originó un flujo de detritos (aluvión) que descendió por la Ladera Norte hasta la quebrada Occororuyoc donde se depositó gran parte del volumen aluviónico. Sin embargo, la parte liquida con sedimentos finos siguió su camino por la quebrada hasta alcanzar la quebrada de Chicón, donde producto de nuevas erosiones da lugar a otros aluviones menores que llegan hasta la ciudad de Urubamba donde destruyen numerosas viviendas en las localidades de Yanacona, Chichubamba y San Isidro de Chicón. En Urubamba afectó principalmente la Av. Ramón Castlla, el Jr. Arica y las calles transversales a estas, llegando incluso a una esquina de la Plaza de Armas. Este fenómeno afectó unas 300 viviendas, destruyó tierras de cultivo, y dejó más de 1,200 damnificados

Prediction of cardiovascular events in rheumatoid arthritis using risk age calculations: evaluation of concordance across risk age models

Background: In younger individuals, low absolute risk of cardiovascular disease (CVD) may conceal an increased risk age and relative risk of CVD. Calculation of risk age is proposed as an adjuvant to absolute CVD risk estimation in European guidelines. We aimed to compare the discriminative ability of available risk age models in prediction of CVD in rheumatoid arthritis (RA). Secondly, we also evaluated the performance of risk age models in subgroups based on RA disease characteristics. Methods: RA patients aged 30?70 years were included from an international consortium named A Trans-Atlantic Cardiovascular Consortium for Rheumatoid Arthritis (ATACC-RA). Prior CVD and diabetes mellitus were exclusión criteria. The discriminatory ability of specific risk age models was evaluated using c-statistics and their standard errors after calculating time until fatal or non-fatal CVD or last follow-up. Results: A total of 1974 patients were included in the main analyses, and 144 events were observed during followup, the median follow-up being 5.0 years. The risk age models gave highly correlated results, demonstrating R2 values ranging from 0.87 to 0.97. However, risk age estimations differed > 5 years in 15?32% of patients. C-statistics ranged 0.68?0.72 with standard errors of approximately 0.03. Despite certain RA characteristics being associated with low c-indices, standard errors were high. Restricting analysis to European RA patients yielded similar results. Conclusions: The cardiovascular risk age and vascular age models have comparable performance in predicting CVD in RA patients. The influence of RA disease characteristics on the predictive ability of these prediction models remains inconclusive

Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico

Objective: Stress and trauma are psychosocial factors with an impact on the course of systemic lupus erythematosus (SLE). The influence of violence on SLE has not been entirely explored, even though women (including patients with rheumatic diseases) are a vulnerable population to any form of violence. This study aims to assess the prevalence and impact of intimate partner violence (IPV) on healthrelated quality of life in women with SLE. Methods: An observational, cross-sectional, and analytical study was conducted at a rheumatology clinic of a university hospital from September 2022 and September 2023. We evaluated the presence of IPV in 85 women with SLE with the Hurt, Insulted, Threatened with Harm and Screamed at (HITS) questionnaire and the Index of Spouse Abuse (ISA), and quality of life with LupusQoL. Results: The prevalence by HITS score of past-year IPV was 24.4% and of lifetime IPV was 36.5%. Past-year non-physical violence was present in 17.1% of patients by ISA, and 27.1% were victims in their lifetime. While in physical violence, 7.3% were victims in the previous year and 21.2% in their lifetime. The total quality of life and the emotional domain by LupusQoL were diminished in victims of past-year IPV, compared to those who weren’t exposed (p = 0.018 and p = 0.036, respectively). Past-year HITS score correlated with the physician global assessment (PGA) (rho = 0.301, p = 0.006), while lifetime HITS score correlated with PGA (rho = 0.329, p = 0.002) and SLEDAI-2K (rho = 0.277, p = 0.010). Conclusion: We found that 1 in 4 women suffered IPV in the previous year, and those who were exposed had diminished quality of life. Also, the severity of the abuse correlated with disease activity. The findings of this study highlight the relevance of assessing psychosocial factors in these patients to achieve better comprehensive care

Global chemical effects of the microbiome include new bile-acid conjugations

A mosaic of cross-phylum chemical interactions occurs between all metazoans and their microbiomes. A number of molecular families that are known to be produced by the microbiome have a marked effect on the balance between health and disease. Considering the diversity of the human microbiome (which numbers over 40,000 operational taxonomic units), the effect of the microbiome on the chemistry of an entire animal remains underexplored. Here we use mass spectrometry informatics and data visualization approaches to provide an assessment of the effects of the microbiome on the chemistry of an entire mammal by comparing metabolomics data from germ-free and specific-pathogen-free mice. We found that the microbiota affects the chemistry of all organs. This included the amino acid conjugations of host bile acids that were used to produce phenylalanocholic acid, tyrosocholic acid and leucocholic acid, which have not previously been characterized despite extensive research on bile-acid chemistry. These bile-acid conjugates were also found in humans, and were enriched in patients with inflammatory bowel disease or cystic fibrosis. These compounds agonized the farnesoid X receptor in vitro, and mice gavaged with the compounds showed reduced expression of bile-acid synthesis genes in vivo. Further studies are required to confirm whether these compounds have a physiological role in the host, and whether they contribute to gut diseases that are associated with microbiome dysbiosis

7th Drug hypersensitivity meeting: part two

No abstract availabl