Multimodal treatment of myophasal chronic pelvic pain in women: institutional experience

Background: Chronic pelvic pain of myofascial origin is an underdiagnosed condition and with partial responses to the different treatment modalities. The objective of this study was to report the results of the multimodal management of Myofascial Chronic Pelvic Pain.Methods: Retrospective cohort of 33 patients with myofascial chronic pelvic pain, during the period 01 January 2016 to August 31, 2018, who were treated based on trigger point infiltration and analgesic vaginal electrostimulation. The analogous visual pain scale (VAS) was used at the beginning, sixth, twelfth and six months after the last electrostimulation session, in order to measure the effect of the treatment.Results: During the study period, 32 patients with chronic myofascial pelvic pain were found who received the multimodal scheme that is offered in our clinic. The average score of the EVA before starting the treatment was 8.5 points, at the sixth session of the treatment the average EVA was 3.6 points, at the twelfth session of 1.3 points and the average score of the EVA at six months after the last session of the multimodal treatment was 2.9 points. A significant difference was demonstrated in the average EVA score in the first with respect to the sixth, twelfth and six months (p = <0.000). There were no complications or adverse effects secondary to the multimodal treatment.Conclusions: Multimodal treatment was associated with progressive improvement in 80% of patients with miofascial chronic pelvic pain

Biodiversidad de parásitos Micropterus salmoides en la presa La Boca (Rodrigo Gómez), en el estado de Nuevo león, México.

Los estudios referentes al conocimiento de la helmintofauna de Micropterus salmoides son recientes en el estado de Nuevo León, México. En el presente estudio se identificaron a los metazoarios parásitos de la lobina negra. Se calculó la prevalencia, intensidad y abundancia y su relación estadística con el peso, la talla y el sexo en la presa La Boca. Se realizaron colectas mensuales de enero del 2011 a enero de 2012. Se capturaron 116 peces en total, mediante diferentes artes de pesca. Todos los peces fueron positivos para al menos una especie de helminto, identificándose un total de cinco grupos de metazoarios parásitos: monogeneos con dos géneros (Cleidodiscus floridanus y Acolpenteron ureteroecetes; trematodo digeneo (Neascus vancleavei), un céstodo (Proteocephalus ambloplitis); un nematodo (Contracaecum sp.), un acantocéfalo (Neoechinorhynchus cylindratus); un copépodo (Ergasilus versicolor). Las especies más importantes por los valores de abundancia y prevalencia fueron los tremátodos Neascus vancleavei y Cleidodiscus floridanus y las larvas del nematodo Contracaecum sp

Preclinical Characterization of Antioxidant Quinolyl Nitrone QN23 as a New Candidate for the Treatment of Ischemic Stroke

Nitrones are encouraging drug candidates for the treatment of oxidative stress-driven diseases such as acute ischemic stroke (AIS). In a previous study, we found a promising quinolylnitrone, QN23, which exerted a neuroprotective effect in neuronal cell cultures subjected to oxygen–glucose deprivation and in experimental models of cerebral ischemia. In this paper, we update the biological and pharmacological characterization of QN23. We describe the suitability of intravenous administration of QN23 to induce neuroprotection in transitory four-vessel occlusion (4VO) and middle cerebral artery occlusion (tMCAO) experimental models of brain ischemia by assessing neuronal death, apoptosis induction, and infarct area, as well as neurofunctional outcomes. QN23 significantly decreased the neuronal death and apoptosis induced by the ischemic episode in a dose-dependent manner and showed a therapeutic effect when administered up to 3 h after post-ischemic reperfusion onset, effects that remained 11 weeks after the ischemic episode. In addition, QN23 significantly reduced infarct volume, thus recovering the motor function in a tMCAO model. Remarkably, we assessed the antioxidant activity of QN23 in vivo using dihydroethidium as a molecular probe for radical species. Finally, we describe QN23 pharmacokinetic parameters. All these results pointing to QN23 as an interesting and promising preclinical candidate for the treatment of AIS.This work was supported by the Instituto de Salud Carlos III and co-financed by the European Development Regional Fund (FEDER) through grants PI18/00255, RD16/0019/0006, and RD21/0006/0019 to J.M. and A.A., and RD16/0019/0008 and RD21/0006/0014 to J.B.S.; the MINECO grant SAF2015-65586-R to J.M.-C.; and the Comunidad de Madrid Neurocentro project B2017/BMD-3760 to D.G.-N

Evaluation of shoulder-specific patient-reported outcome measures: A systematic and standardized comparison of available evidence

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record.Background: The aim of this study was to perform a standardized and systematic evaluation of the available evidence on multi-item shoulder-specific patient-reported outcome measures that are applicable to a wide spectrum of disorders. Materials and methods: A systematic review was conducted in PubMed to identify articles with information regarding the development process, metric properties, and administration issues of shoulder-specific patient-reported outcome measures. Two experts independently reviewed all the articles identified for one instrument and applied the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool, which was designed to assess the quality of attributes in a standardized way. An overall EMPRO score and 6 attribute-specific scores were calculated (range, 0-100) to describe the quality of instrument performance. Results: We identified 11 instruments and 112 articles (2-30 articles per instrument). The American Shoulder and Elbow Surgeons (ASES) shoulder assessment, Simple Shoulder Test (SST), and Oxford Shoulder Score (OSS) were the best rated, with overall scores of 77.4 points, 72.6 points, and 69.7 points, respectively. They have been shown to be valid, reliable, and responsive, with a low administration burden. Acceptable results were also found for the Flexilevel Scale of Shoulder Function, Shoulder Pain and Disability Index, and Dutch Shoulder Disability Questionnaire, but some of their attributes need further evaluation. Conclusions: Current evidence supports the use of the ASES, SST, or OSS. We recommend the SST for longitudinal studies or clinical trials, the Dutch Shoulder Disability Questionnaire for clinical practice to minimize administration burden, and the ASES or OSS to discriminate among patients' or groups' evaluations at one point of time. © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees.Department of HealthGovernment of the Basque Country, Spai

Proposal of a principle cum scale analytical framework for analyzing agroecological development projects

Because agroecology has different meanings, it may be used in an arbitrary and potentially abusive way when deployed by development cooperation actors conceiving “agroecology-based” development projects. To make the appropriation of agroecology more transparent, we first review the recent attempts in academia to clarify the concept and identify two main trends: a principle-based agroecology and a series of different agroecologies. Based on a critical assessment of these attempts, we then propose a new framework to program, implement and analyze agroecological development projects: it distinguishes different agroecologies with their corresponding categories of principles and their scales of intervention. Further, we argue in favor of a specific category of methodological principles.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Pesticides in soil, groundwater and food in Latin America as part of one health.

We here report of a conference about "Pesticides in Soil, Groundwater and Food in Latin America as part of One Health" that took place at the "IV Seminario Internacional de Sanidad Agropecuaria (SISA)" in Varadero, Cuba, 8-12 May 2023. Researchers of Latin America (Argentina, Brazil, Chile, Costa Rica, Colombia, Cuba, Mexico) and Switzerland (workshop initiator) held presentations about occurrence and effects of pesticides on the environment, human health, the replacement of highly hazardous pesticides (HHP) by agroecological alternatives and the agri-food value chain. In a subsequent round table discussion, the presenters identified deficits, needs, interests and opportunities. According to them, the lack of awareness of pesticide use affects the health and safety of workers applying the chemicals. Despite Latin America representing the main agricultural area in the world with a very intense pesticide use, monitoring data of pesticides in soil, surface and groundwaters, food, as well as in humans are missing. Risks of pesticides to humans should be assessed so that authorities can withdraw or limit within "short time" the access to corresponding formulations on the market. Also, communication is not state of the art and should be improved as, e.g. the teaching of workers and farmers, how to correctly use and apply pesticides or the briefing of decision makers. Pollinators suffer from multiple stressors not the least due to pesticides, and alternatives are badly needed. On the technical side, the different analytical methods to determine residues of active ingredients and transformation products in matrices of concern should be harmonized among laboratories.Seven future actions and goals were identified to overcome the above deficits. Next steps after the publishing of this conference report are to harmonize and complete the information status of the presenters by exchanging the results/data already present. Therefore, a platform of interaction to address issues described above and to enhance collaboration shall be created. Samples of different matrices shall be exchanged to harmonize the chemical analysis and establish interlaboratory comparisons. Such activities might be facilitated by joining international associations or organizations, where researchers can offer their expertise, or by forming a new pesticide network for Central and South America that could present tailored projects to national and international organizations and funding agencies

Hazardous faults of South America; compilation and overview

The heterogeneous South American geology has coined a wide variety of neotectonic settings where crustal seismogenic sources do occur. This fact has led to different approaches for mapping and inventory neotectonic structures. The South American Risk Assessment project promoted the discussion and update under uniform standards of the available information on neotectonic deformation, for its application in regional Probabilistic Seismic Hazard Assessments. As a result, 1533 hazardous faults have been inventoried onshore South America, 497 of them qualifying to feed the engine model driving probabilistic maps. Main hazardous structures are concentrated throughout the eastern boundary of the Northern Andean Sliver and along the foreland-facing Andean Thrust Front. Space geodesy and seismicity illuminate the seismogenic significance of these deformation belts, although few neotectonic surveys have been conducted to date in the latter region. The characteristics of the main structures or deformation zones are here outlined according to their filiation to neotectonic domains, which are dependant on the geologic, seismotectonic, or morphotectonic settings in Andean and extra-Andean regions. The knowledge accrued on the hazardous faults in South America here compiled, reinforces the fact that some of these structures constitute significant hazard sources for many urban areas and critical facilities and should be incorporated in seismic hazard assessments. However, the available fault data are insufficient in many cases or carry significant epistemic uncertainties for fault source characterization. This contribution aims to summarize the present knowledge on the South American hazardous faults as well as the main challenges for successful fault data incorporation into seismic hazard models

Chemical vapor deposition growth of boron-carbon-nitrogen layers from methylamine borane thermolysis products

This is the Accepted Manuscript version of an article accepted for publication in Nanotechnology. IOP Publishing Ltd is not responsible for any errors or omissions in this version of the manuscript or any version derived from it. The Version of Record is available online at https://doi.org/10.1088/1361-6528/aa9c07This work investigates the growth of B-C-N layers by chemical vapor deposition using methylamine borane (MeAB) as the single-source precursor. MeAB has been synthesized and characterized, paying particular attention to the analysis of its thermolysis products, which are the gaseous precursors for B-C-N growth. Samples have been grown on Cu foils and transferred onto different substrates for their morphological, structural, chemical, electronic and optical characterizations. The results of these characterizations indicate a segregation of h-BN and graphene-like (Gr) domains. However, there is an important presence of B and N interactions with C at the Gr borders, and of C interacting at the h-BN-edges, respectively, in the obtained nano-layers. In particular, there is a significant presence of C-N bonds, at Gr/h-BN borders and in the form of N doping of Gr domains. The overall B:C:N contents in the layers is close to 1:3:1.5. A careful analysis of the optical bandgap determination of the obtained B-C-N layers is presented, discussed and compared with previous seminal works with samples of similar compositio