Citrato de cafeína: ¿por qué usarlo en los recién nacidos?

ResumenEl citrato de cafeína, es uno de los medicamentos más comúnmente usado en cualquier unidad de cuidados intensivos neonatales; es una metilxantina e inhibidor de los receptores de adenosina. Desde hace más de 30 años es bien conocida su eficacia en el tratamiento de la apnea del prematuro, actualmente se le reconocen otros beneficios como disminución en la incidencia de displasia broncopulmonar, disminución de la falla a la extubación y ser un factor de neuroprotección entre otros. El objetivo del presente artículo fue realizará una revisión sobre las propiedades farmacológicas, mecanismos de acción, dosis adecuadas, niveles séricos y efectos terapéuticos de la cafeína en los recién nacidos.AbstractCaffeine, a methylxantine and nonspecific inhibitor of adenosine receptors, is commonly prescribed in the Neonatal Intensive Care Units. The efficacy of caffeine in an episode of apnea of prematurity has been known for over thirty years, but now it has been found that caffeine have others beneficial actions, such as reduction in the incidence of bronchopulmonary dysplasia, less extubation failure, the need for patent ductus arteriosus treatment, and neuroprotective role. The objective is this review was to update the current knowledge of pharmacologic properties, the mechanisms of action, caffeine dosing and therapeutic effects, in the neonatal population

Long-term immune response accompanies clinical outcomes in severe asthmatics treated with anti-IL-5/IL-5R biologics

This work was supported by ISCIII - Instituto de Salud Carlos III, FIS (Fondo de Investigación Sanitaria - Spanish Health Research Fund) grants PI21/00896 and FI19/00067; Ciber de Enfermedades Respiratorias (CIBERES); SEAIC grants 22A07; BASEAS STUDY (Basophils in EosinophilicAsthma) Study Code ESR-20-20764 AstraZeneca International; Comunidad de Madrid grant PEJ2021-AI_BMD-22320 and FEDER funds (Fondo Europeo de Desarrollo Regiona

Chiapas : entre el autoritarismo y la transición democrática, desde Acteal hasta el diálogo EZLN y sociedad civil

Obra cuya intención es dar cuenta de los diversos actores sociales involucrados en el conflicto de Chiapas, a nivel político, económico y sociocultural. El texto recupera un taller de análisis de coyuntura sobre el tema, realizado en agosto de 1998.ITESO, A.C

6-m Telescope Spectroscopic Observations of The Bubble Complex in NGC 6946

We describe the results of a long-slit spectroscopic study of an unusual star complex in the nearby spiral galaxy NGC 6946 using the SAO 6-m telescope and the Keck 10-m telescope. The complex resembles a circular bubble 600 pc in diameter with a young super star cluster (SSC) near the center. The kinematics of ionized gas is studied through Ha emission with several slit positions. Position-velocity diagrams show two distinct features with high speed motions. One is an irregularly shaped region to the east of the SSC, 270 pc in size, in which most of the Ha emission is blue shifted by 120 km/s, and another is a 350 pc shell centered on the SSC with positive and negative velocity shifts of 60 km/s. Balmer and HeI absorption lines in the SSC give an age of 12-13 Myr, which is consistent with the photometric age but significantly older than the kinematic ages of the high speed regions. The energetics of the SSC and its interaction with the environment are considered. The expansion energies exceed 10^52 ergs, but the power outputs from winds and supernova in the SSC are large enough to account for this. The intensities of Balmer, [NII], and [SII] emission lines within and around the complex indicate that shock excitation makes a significant contribution to the emission from the most energetic region.Comment: LaTeX, 11 pages and 11 GIF files in tar-archive with figures. A&A, accepted 16.05.2002. Full A&A version of the paper is available via http://precise.sao.ru/Laboratory/Publications/2002/NGC6946.ps.g

Resources for the practice of pediatric neuro-oncology in Mexico: a cross-sectional evaluation

BackgroundThe evaluation of existing resources and services is key to identify gaps and prioritize interventions to expand care capacity for children with central nervous system (CNS) tumors. We sought to evaluate the resources for pediatric neuro-oncology (PNO) in Mexico.MethodsA cross-sectional online survey with 35 questions was designed to assess PNO resources and services, covering aspects including number of patients, infrastructure, human resources, and diagnostic and treatment time intervals. The survey was distributed to the members of the Mexican Association of Pediatric Oncology and Hematology (AMOHP) who belong to the nation’s many different health systems.ResultsResponses were obtained from 33 institutions, distributed throughout the country and part of the many health systems that exist in Mexico. Twenty-one (64%) institutions had less than 10 new cases of pediatric CNS tumors per year. Although 30 (91%) institutions saw pediatric patients up to the age of 18 years, 2 (6%) had a cutoff of 15 years. Twenty-four (73%) institutions had between 1 and 3 pediatric oncologists providing care for children with CNS tumors. Six (18%) institutions did not have a neurosurgeon, while 19 (57%) institutions had a pediatric neurosurgeon. All centers had a pathology department, but 13 (39%) institutions only had access to basic histopathology. Eleven (33%) institutions reported histopathological diagnoses within one week, but 3 (9%) took more than 4 weeks. Radiotherapy for pediatric CNS tumors was referred to outside centers at 18 (55%) institutions. All centers had access to conventional cytotoxic chemotherapy, but only 6 (18%) had access to targeted therapy. Eighteen (55%) respondents estimated a survival rate of less than 60%. Fifteen (45%) centers attributed the main cause of mortality to non-tumor related factors, including infection and post-surgical complications.ConclusionsThis is the first national assessment of the resources available in Mexico for the treatment of CNS tumors. It shows disparities in resource capacity and a lack of the specific and efficient diagnoses that allow timely initiation of treatment. These data will enable the prioritization of collaborative interventions in the future

Dickkopf1 - A New Player in Modelling the Wnt Pathway

The Wnt signaling pathway transducing the stabilization of β-catenin is essential for metazoan embryo development and is misregulated in many diseases such as cancers. In recent years models have been proposed for the Wnt signaling pathway during the segmentation process in developing embryos. Many of these include negative feedback loops where Axin2 plays a key role. However, Axin2 null mice show no segmentation phenotype. We therefore propose a new model where the negative feedback involves Dkk1 rather than Axin2. We show that this model can exhibit the same type of oscillations as the previous models with Axin2 and as observed in experiments. We show that a spatial Wnt gradient can consistently convert this temporal periodicity into the spatial periodicity of somites, provided the oscillations in new cells arising in the presomitic mesoderm are synchronized with the oscillations of older cells. We further investigate the hypothesis that a change in the Wnt level in the tail bud during the later stages of somitogenesis can lengthen the time period of the oscillations and hence the size and separation of the later somites

Photography-based taxonomy is inadequate, unnecessary, and potentially harmful for biological sciences

The question whether taxonomic descriptions naming new animal species without type specimen(s) deposited in collections should be accepted for publication by scientific journals and allowed by the Code has already been discussed in Zootaxa (Dubois & Nemésio 2007; Donegan 2008, 2009; Nemésio 2009a–b; Dubois 2009; Gentile & Snell 2009; Minelli 2009; Cianferoni & Bartolozzi 2016; Amorim et al. 2016). This question was again raised in a letter supported by 35 signatories published in the journal Nature (Pape et al. 2016) on 15 September 2016. On 25 September 2016, the following rebuttal (strictly limited to 300 words as per the editorial rules of Nature) was submitted to Nature, which on 18 October 2016 refused to publish it. As we think this problem is a very important one for zoological taxonomy, this text is published here exactly as submitted to Nature, followed by the list of the 493 taxonomists and collection-based researchers who signed it in the short time span from 20 September to 6 October 2016