82 research outputs found

    A severe cutaneous reaction caused by acetaminophen in a pediatric patient

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    A Mix Model of Discounted Cash-Flow and OWA Operators for Strategic Valuation

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    The stock market volatility and the actual stock Exchange activity have increased the need of counting with effective methods on the part of financial analysts to achieve a division in relation to the investment actions, being also growing the demand of methodological instruments that reduce and minimize the risks and uncertainty when valuating financial actives and companies. These systems not only must use quantitative information but the inclusion of qualitative information must also bear heavily on them, as an improvement element in the adjustment of these valuating methods, with the aim of throwing a more well-conceived or less mistaken decision. In this work, the use of Discounted Cash-Flow model is proposed, with quantitative information together with the OWA operators as an inclusion method of ualitative information in the traditional valuating models, with the aim of generating an strategic valuating system which allows to develop more agreed and less mistaken valuations

    Thermal-infrared spectral and angular characterization of crude oil and seawater emissivities for oil slick identification

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    Previous work has shown that crude oil emissivity is lower than that of seawater in the thermal-infrared (TIR) spectrum. Thus, oil slicks cause an emissivity decrease relative to seawater in that region. The aim of this paper was to carry out experimental measurements to characterize crude oil and seawater emissivity spectral and angular variations. The results showed that crude oil emissivity is lower than seawater emissivity and essentially flat in the 8 - 13 μm atmospheric window. Crude oil emissivity has a marked emissivity decrease with angle (from 0.956±0.005 at 15º to 0.873±0.007 at 65º), even higher than that of seawater, and thus the seawater-crude emissivity difference increases with angle (from +0.030±0.007 at close-to-nadir angles up to +0.068±0.010 in average at 65º). In addition, the experimental results were checked by using the dual-angle viewing capability of the ENVISAT-AATSR images (i.e., 0º-22º and 53º-55º for nadir and forward views respectively), with data acquired during the BP Deepwater Horizon oil slick in 2010. The objective was to explore the applicability to satellite observations. Nadir-forward emissivity differences of +0.028 and +0.017 were obtained for the oil slick and surrounding clean seawater respectively. Emissivity differences between the seawater and oil slick were +0.035 and +0.046 for nadir and forward views respectively, in agreement with the experimental data. The increase of seawater-crude emissivity difference with angle gives significant differences for off-nadir observation angles, showing a new chance of crude oil slick identification from satellite TIR data

    The influence of the carrier molecule on amoxicillin recognition by specific IgE in patients with immediate hypersensitivity reactions to betalactams

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    10 p.-4 fig.-1 tab.The optimal recognition of penicillin determinants, including amoxicillin (AX), by specific IgE antibodies is widely believed to require covalent binding to a carrier molecule. The nature of the carrier and its contribution to the antigenic determinant is not well known. Here we aimed to evaluate the specific-IgE recognition of different AX-derived structures. We studied patients with immediate hypersensitivity reactions to AX, classified as selective or cross-reactors to penicillins. Competitive immunoassays were performed using AX itself, amoxicilloic acid, AX bound to butylamine (AXO-BA) or to human serum albumin (AXO-HSA) in the fluid phase, as inhibitors, and amoxicilloyl-poli-L-lysine (AXO-PLL) in the solid-phase. Two distinct patterns of AX recognition by IgE were found: Group A showed a higher recognition of AX itself and AX-modified components of low molecular weights, whilst Group B showed similar recognition of both unconjugated and conjugated AX. Amoxicilloic acid was poorly recognized in both groups, which reinforces the need for AX conjugation to a carrier for optimal recognition. Remarkably, IgE recognition in Group A (selective responders to AX) is influenced by the mode of binding and/or the nature of the carrier; whereas IgE in Group B (cross-responders to penicillins) recognizes AX independently of the nature of the carrier.The present study has been supported by Institute of Health “Carlos III” of the Ministry of Economy and Competitiveness (grants cofunded by European Regional Development Fund (ERDF): PI12/02529, PI15/01206, CP15/00103,Red de Reacciones Adversas a Alergenos y Farmacos RD12/0013/0001, RD12/0013/0003 and RD12/0013/0008,RD09/0076/00112 for the Biobank network and PT13/0010/0006 for the Biobank platform) and by State Secretariat for Research, Development and Innovation of the Ministry of Economy and Competitiveness (grants cofunded by European Regional Development Fund (ERDF): MINECO SAF2012-36519, SAF2015-68590-R/FEDER and CTQ2013-41339-P). Andalusian Regional Ministry of Economy and Knowledge (grants cofunded by European Regional Development Fund (ERDF): CTS-06603); Andalusian Regional Ministry Health (grants:PI-0699-2011, PI-0159-2013 and PI-0179-2014) and Merck-Serono Research Grant from Fundación Salud 2000. CM holds a ‘Nicolas Monardes’ research contract by Andalusian Regional Ministry Health: C-0044-2012 SAS 2013. MIM holds a ‘Miguel Servet I’ research contract by Institute of Health “Carlos III” of the Ministry of Economy and Competitiveness (grants cofunded by European Social Fund (ESF)): CP15/00103. AA thanks “pFIS fellowship” (FI08/00385) from ISCIII and Andalucia “Talent Hub Fellowship” (TAHUB/II-004) cofunded by the Junta de Andalucia and the European Union, VII Framework Programme of the European Commission (grant agreement No. 291780).Peer reviewe

    Practical Guidelines for Perioperative Hypersensitivity Reactions

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    Perioperative hypersensitivity reactions constitute a first-line problem for anesthesiologists and allergists. Therefore, hospitals should have a consensus protocol for the diagnosis and management of these reactions. However, this kind of protocol is not present in many hospitals, leading to problems with treatment, reporting of incidents, and subsequent etiological diagnosis. In this document, we present a systematic review of the available scientific evidence and provide general guidelines for the management of acute episodes and for referral of patients with perioperative hypersensitivity reactions to allergy units. Members of the Drug Allergy Committee of the Spanish Society of Allergy and Clinical Immunology (SEAIC) have created this document in collaboration with members of the Spanish Anesthesia Society (SEDAR). A practical algorithm is proposed for the etiologic diagnosis, and recommendations are provided for the management of hypersensitive patients

    Photocatalytic activity of nanostructured anatase coatings obtained by cold gas spray

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    This article describes a photocatalytic nanostructured anatase coating deposited by cold gas spray (CGS)supported on titanium sub-oxide (TiO22x) coatings obtained by atmospheric plasma spray (APS) onto stainless steel cylinders. The photocatalytic coating was homogeneous and preserved the composition and nanostructure of the starting powder. The inner titanium sub-oxide coating favored the deposition of anatase particles in the solid state. Agglomerated nano-TiO2 particles fragmented when impacting onto the hard surface of the APS TiO22x bond coat. The rough surface provided by APS provided an ideal scenario for entrapping the nanostructured particles, which may be adhered onto the bond coat due to chemical bonding; a possible bonding mechanism is described. Photocatalytic experiments showed that CGS nano-TiO2 coating was active for photodegrading phenol and formic acid under aqueous conditions. The results were similar to the performance obtained by competitor technologies and materials such as dip-coating P25 photocatalysts. Disparity in the final performance of the photoactive materials may have been caused by differences in grain size and the crystalline composition of titanium dioxide

    Hypersensitivity to Nonsteroidal Anti-inflammatory Drugs in Children and Adolescents: Cross-Intolerance Reactions.

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    Journal Article; Research Support, Non-U.S. Gov't; Review;Nonsteroidal anti-inflammatory drugs (NSAIDs) are used worldwide and are responsible for several types of drug hypersensitivity reactions (DHRs) in all age groups. The 2 major groups of DHRs to NSAIDs are those induced by immunological mechanisms (selective reactions) and those where inflammatory mediators are released through activation of the prostaglandin-leukotriene pathway without specific immunological recognition (cross-intolerance). In the present review, we focus on cross-intolerance reactions, which are the most frequent DHRs and are becoming a topic of major interest in children and adolescents. Paracetamol and ibuprofen are the drugs that most frequently cause DHRs in children; other NSAIDs are responsible for reactions in adolescents. In vivo and in vitro tests are of limited diagnostic value, with some exceptions for the less common selective reactions. In cross-intolerance, the clinical history and controlled administration are in many instances the only way to establish a diagnosis and look for alternatives. The clinical history is diagnostic when consistent symptoms occur repeatedly after exposure to NSAIDs with different chemical structures. Cutaneous and respiratory symptoms often co-occur in young children. The natural history of these reactions in children is unknown, and some patients can develop tolerance over time. Atopy remains a major risk factor for cross-intolerant reactions. The increasing interest in hypersensitivity to NSAIDs with improvements in patient phenotyping and the information provided by pharmacogenetics will improve our understanding and management of these reactions in the near future.The present study was supported by grants from the Carlos III National Health Institute RD12/0013 (RIRAAF Network), FIS PI12/02247, and FIS PI13/02598. It was also supported by Marie Curie (IAPP 7th Framework Program Mr. SymBioMath, no. 324554) and the Andalusian Public Health Service (PI-0279-2012 and PI-0463-2013).YesLos antiinflamatorios no esteroideos (AINEs) son ampliamente utilizados en todo el mundo y en todos los tramos de edad. Son responsables de un número importante de reacciones de hipersensibilidad a fármacos (RHFs), que no sólo afectan a adultos sino también a niños y adolescentes. Existen dos grandes grupos: reacciones selectivas, inducidas por mecanismos inmunológicos específicos, y de intolerancia cruzada (IC), donde se liberan mediadores inflamatorios en ausencia de reconocimiento inmunológico específico. En esta revisión nos ocuparemos de la IC, que es la causa más frecuente de RHFs y resulta de gran interés en niños y adolescentes. El paracetamol y el ibuprofeno son los medicamentos más frecuentemente implicados en las RHFs en niños. El uso diagnóstico de los tests in vivo e in vitro es muy limitado, con algunas excepciones en las reacciones selectivas. En las de IC, la historia clínica y la administración controlada son en ocasiones la única vía para confirmar el diagnóstico y determinar las alternativas terapéuticas más adecuadas. La historia clínica tiene valor diagnóstico cuando se reproducen síntomas consistentes repetidamente tras la exposición a AINEs no relacionados estructuralmente. En niños de corta edad es especialmente frecuente la combinación de síntomas cutáneos y respiratorios. Aunque se desconoce la historia natural de la IC en niños, es probable que se desarrolle tolerancia a lo largo de la vida. El fenotipado detallado junto con la información proporcionada por la fármaco-genética no sólo proporcionarán un conocimiento más preciso de la IC sino que también facilitará el manejo clínico de estos pacientes

    7th Drug hypersensitivity meeting: part two

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