Síndrome de Reiter exacerbado por indometacina

A 26-year-old man, with a personal history of drug abuse and positive serology for HIV, had Reiter's syndrome for six years. He experienced progressive worsening of his cutaneous lesions after initiation of indomethacin therapy. The skin lesions were almost completely resolved after the discontinuance of the drug and its reintroduction resulted in a similar deterioration. To our knowledge, indomethacin has not been reported to aggravate Reiter's syndrome. This case study documents anti-inflammatory drugs as possible causal factors for triggering Reiter's syndrome. Possible implicated mechanisms are also discussed

A review of the role of spatial resolution in energy systems modelling:Lessons learned and applicability to the North Sea region

The importance of spatial resolution for energy modelling has increased in the last years. Incorporating more spatial resolution in energy models presents wide benefits, but it is not straightforward, as it might compromise their computational performance. This paper aims to provide a comprehensive review of spatial resolution in energy models, including benefits, challenges and future research avenues. The paper is divided in four parts: first, it reviews and analyses the applications of geographic information systems (GIS) for energy modelling in the literature. GIS analyses are found to be relevant to analyse how meteorology affects renewable production, to assess infrastructure needs, design and routing, and to analyse resource allocation, among others. Second, it analyses a selection of large scale energy modelling tools, in terms of how they can include spatial data, which resolution they have and to what extent this resolution can be modified. Out of the 34 energy models reviewed, 16 permit to include regional coverage, while 13 of them permit to include a tailor-made spatial resolution, showing that current available modelling tools permit regional analysis in large scale frameworks. The third part presents a collection of practices used in the literature to include spatial resolution in energy models, ranging from aggregated methods where the spatial granularity is non-existent to sophisticated clustering methods. Out of the spatial data clustering methods available in the literature, k-means and max-p have been successfully used in energy related applications showing promising results. K-means permits to cluster large amounts of spatial data at a low computational cost, while max-p ensures contiguity and homogeneity in the resulting clusters. The fourth part aims to apply the findings and lessons learned throughout the paper to the North Sea region. This region combines large amounts of planned deployment of variable renewable energy sources with multiple spatial claims and geographical constraints, and therefore it is ideal as a case study. We propose a complete modelling framework for the region in order to fill two knowledge gaps identified in the literature: the lack of offshore integrated system modelling, and the lack of spatial analysis while defining the offshore regions of the modelling framework

From circular paths to elliptic orbits: A geometric approach to Kepler's motion

The hodograph, i.e. the path traced by a body in velocity space, was introduced by Hamilton in 1846 as an alternative for studying certain dynamical problems. The hodograph of the Kepler problem was then investigated and shown to be a circle, it was next used to investigate some other properties of the motion. We here propose a new method for tracing the hodograph and the corresponding configuration space orbit in Kepler's problem starting from the initial conditions given and trying to use no more than the methods of synthetic geometry in a sort of Newtonian approach. All of our geometric constructions require straight edge and compass only.Comment: 9 pages, 4 figure

H(z)H(z) diagnostics on the nature of dark energy

The two dominant components of the cosmic budget today, pressureles matter and dark energy, may or may not be interacting with each other. Currently, both possibilities appear compatible with observational data. We propose several criteria based on the history of the Hubble factor that can help discern whether they are interacting and whether dark energy is phantom or quintessence in nature.Comment: 22 pages, 7 figures. Accepted for publication in IJMP

SEOM clinical guidelines for pancreatic and biliary tract cancer (2020)

Pancreatic cancer (PC) and biliary tract cancer (BTC) are both aggressive and highly fatal malignancies. Nowadays we have a profound knowledge about the molecular landscape of these neoplasms and this has allowed new therapeutic options. Surgery is the only potentially curative therapy in both cancers, but disease recurrence is frequent. In PC, adjuvant treatment with mFOLFIRINOX has improved overall survival (OS) and in BTC adjuvant treatment with capecitabine seems to improve OS and relapse-free survival. Concomitant radio-chemotherapy could also be considered following R1 surgery in both neoplasms. Neoadjuvant treatment represents the best option for achieving an R0 resection in borderline PC. Upfront systemic chemotherapy is the treatment of choice in unresectable locally advanced PC and BTC; then locoregional therapy could be considered after an initial period of at least 3-4 months of systemic chemotherapy. In metastatic PC, FOLFIRINOX or Gemcitabine plus nab-paclitaxel have improved OS compared with gemcitabine alone. In metastatic BTC, cisplatin plus gemcitabine constitute the standard treatment. Progress in the knowledge of molecular biology has enabled the identification of new targets for therapy with encouraging results that could in the future improve the survival and quality of life of patients with PC and BTC

Cultivation of Gongolaria barbata (Fucales, Phaeophyceae) with a seaweed-derived biostimulant in order to improve photophysiological fitness and promote fertility to advance the restoration of marine macroalgal forests

As a result of several anthropogenic factors, Cystoseira sensu lato forests have declined or become regionally extinct in many coastal regions of the Mediterranean. Given the low natural recovery of lost populations, research efforts have been encouraged to develop sustainable and efficient restoration of macroalgal forests on a large scale. By promoting growth and fertility of collected thallus branches under controlled laboratory conditions, the availability of seedlings for restoration could be ensured without jeopardizing natural populations. Here we investigated the effect of a commercial algal biostimulant (AlgatronCifo (R)) on the photophysiology, growth and fertility of Gongolaria barbata (Stackhouse) Kuntze (Fucales, Phaeophyceae). In a factorial laboratory experiment, two different temperatures (10 oC and 14 degrees C) and two culture media [i.e. seawater (SW) and Algatron (AT)] were tested. The photosynthetic performance of G. barbata doubled after three weeks of culture with AT, while it decreased by 25% when cultivated in SW. The highest photosynthetic performance and growth were achieved at 14oC with AT, where fertile receptacles also developed, followed by seedling settlements. The thalli cultured in AT had similar or better photosynthetic performance than the initial control thalli. AT-cultured thalli had a greater ability to quench energy via photochemical pathways (q(P)) than those from the SW, which on the contrary, had higher levels of non-photochemical responses (q(N), NPQ(max)). This limited photosynthetic performance was probably linked to the higher P-limitation experienced under that treatment. The algal biostimulant enhanced the physiological performance and induced fertility of G. barbata, demonstrating its valorization potential and setting a new path for improved restoration applications

Risk Allocation in Toll Highway Concessions in Spain: Lessons from Economic Recession

Spain has a long tradition of encouraging toll highways by granting concessions to private companies. Concessions in Spain have been characterized by a willingness to transfer considerable risk to the private sector. Traffic demand, acquisition of the right-of-way, and financial risk have often been allocated to the private sector. From 1996 to 2011, 16 toll highway concessions, covering a total distance of 835 km, were awarded by the central government of Spain with this approach. Some of those highways started their operations just before the economic recession began. The recession had negative consequences for Spain's economy. The gross domestic product per capita plummeted, and the unemployment rate increased from 9% to 20% of the working population in just 2 years. The recession also had severe consequences for the economic performance of toll highway concessions. Traffic levels declined at a much greater rate than did the gross domestic product. In addition, the conditions imposed by the financial markets on borrowers became much stricter because of the liquidity crisis. This study analyzes the impact that the economic recession ultimately had on the performance of toll highway concessions in Spain and the actions that the government adopted to avoid the bankruptcy of the concessionaires. It was found that the economic recession helped identify some deficiencies in how risk had been allocated in Spain. The measures that both Spain and the European Union are adopting so as to improve risk allocation are discussed