Queilitis granulomatosa de Miescher

La queilitis granulomatosa es un raro proceso de etiología desconocida que se considera una forma oligosintomática del síndrome de Melkersson-Rosenthal. En este artículo presentamos un caso y hacemos una revisión de los procesos granulomatosos en la región oral, los procesos que cursan con hinchazón labial y del tratamiento de la queilitis granulomatosa

Complicaciones orales de la quimioterapia antineoplásica

Las complicaciones orales debidas a la quimioterapia antineoplásica pueden disminuir de forma importante el éxito terapéutico, así como la calidad de vida y la supervivencia de los paciente. En el presente trabajo describimos las principales complicaciones (mucositis, xerostomía, infecciones y hemorragia), así como las medidas adecuadas para su prevención y tratamiento, haciendo referencia a las pautas que debe seguir el odontólogo para higienizar el medio oral, realizar un correcto manejo estomatológico de estos pacientes y prevenir secuelas como la caríes

Amelogénesis imperfecta tipo IE. a propósito de una familia afectada

En este artículo se revisa el concepto de Amelogénesis imperfecta a propósito de una familia afectada de Amelogénesis imperfecta tipo lE, según la clasificación de WITKOP. En primer lugar se hace un breve repaso de la entidad y de las complejas clasificaciones que sobre ella se han realizado, para pasar posteriormente a detallar la clínica, etiopatogenia y modo de transmisión del subtipo lE (IIa según la clasificación tradicional). Después se detalla el caso clínico de la familia que nos ocupa y finalmente se comentan las posibilidades terapéuticas, así como la importancia de la prevención en este tipo de pacientes

Sistema de programación y control automático de un riego por goteo subterráneo en un cultivo de olivar

En esta comunicación se presenta un nuevo sistema de programación y control automático del riego por goteo subterráneo para un cultivo de olivar ecológico de una finca situada en el T.M. de Tabernas en Almería (España) y propiedad de la empresa Rafael Alonso Aguilera S.L. La finca se riega mediante un novedoso sistema de riego subterráneo patentado por esta empresa. El sistema de control propuesto está basado en el establecimiento de un balance hídrico diario en el en el sistema suelo-planta a partir de la estimación de las necesidades de riego del cultivo en tiempo real a partir de los datos climáticos medidos en tiempo real a partir de una estación agroclimática. Se presentan también los resultados de la evaluación del funcionamiento del sistema a lo largo de un periodo de 5 años y se analiza el ahorro de agua proporcionado por la combinación del sistema de control del riego y del método de riego subterráneo

Prevención de la mucositis bucal inducida por la radioterapia de cabeza y cuello

La mucositis es una importante complicación de la radioterapia de cabeza y cuello que tiene un notable impacto en la calidad de vida del paciente, puede condicionar la nutrición y forzar la interrupción de la radioterapia, comprometiendo el pronóstico de la enfermedad neoplásica. Este artículo presenta los resultados de un estudio retrospectivo que recoge la experiencia de un año aplicando un protocolo de prevención y tratamiento de mucositis inducida por radioterapia, que incluye colutorios con clorhexidina, bencidamina y sucralfato. Aparecen diferencias significativas en las semanas 3' y 5' de tratamiento a favor de los pacientes que siguieron el protocolo

Regular insulin added to total parenteral nutrition vs subcutaneous glargine in non-critically ill diabetic inpatients, a multicenter randomized clinical trial: INSUPAR trial

Background: There is no established insulin regimen in T2DM patients receiving parenteral nutrition. Aims: To compare the effectiveness (metabolic control) and safety of two insulin regimens in patients with diabetes receiving TPN. Design: Prospective, open-label, multicenter, clinical trial on adult inpatients with type 2 diabetes on a non-critical setting with indication for TPN. Patients were randomized on one of these two regimens: 100% of RI on TPN or 50% of Regular insulin added to TPN bag and 50% subcutaneous Gl. Data were analyzed according to intention-to-treat principle. Results: 81 patients were on RI and 80 on GI. No differences were observed in neither average total daily dose of insulin, programmed or correction, nor in capillary mean blood glucose during TPN infusion (165.3 +/- 35.4 in RI vs 172.5 +/- 43.6 mg/dL in GI; p = 0.25). Mean capillary glucose was significantly lower in the GI group within two days after TPN interruption (160.3 +/- 45.1 in RI vs 141.7 +/- 43.8 mg/dL in GI; p = 0.024). The percentage of capillary glucose above 180 mg/dL was similar in both groups. The rate of capillary glucose <= 70 mg/dL, the number of hypoglycemic episodes per 100 days of TPN, and the percentage of patients with non-severe hypoglycemia were significantly higher on GI group. No severe hypoglycemia was detected. No differences were observed in length of stay, infectious complications, or hospital mortality. Conclusion: Effectiveness of both regimens was similar. GI group achieved better metabolic control after TPN interruption but non-severe hypoglycemia rate was higher in the GI group. (C) 2019 The Author(s). Published by Elsevier Ltd

The Level of DING Proteins Is Increased in HIV-Infected Patients: In Vitro and In Vivo Studies

DING proteins constitute an interesting family, owing to their intriguing and important activities. However, after a decade of research, little is known about these proteins. In humans, at least five different DING proteins have been identified, which were implicated in important biological processes and diseases, including HIV. Indeed, recent data from different research groups have highlighted the anti-HIV activity of some DING representatives. These proteins share the ability to inhibit the transcriptional step of HIV-1, a key step of the viral cycle that is not yet targeted by the current therapies. Since such proteins have been isolated from humans, we undertook a comprehensive study that focuses on the relationship between these proteins and HIV-infection in an infectious context. Hence, we developed a home-made ELISA for the quantification of the concentration of DING proteins in human serum. Using this method, we were able to determine the concentration of DING proteins in healthy and HIV-infected patients. Interestingly, we observed a significant increase of the concentration of DING proteins in non treated and treated HIV-infected patients compared to controls. In addition, cell cultures infected with HIV also show an increased expression of DING proteins, ruling out the possible role of antiretroviral treatment in the increase of the expression of DING proteins. In conclusion, results from this study show that the organism reacts to HIV-infection by an overexpression of DING proteins

Safety and Revisit Related to Discharge the Sixty-one Spanish Emergency Department Medical Centers Without Hospitalization in Patients with COVID-19 Pneumonia. A Prospective Cohort Study UMC-Pneumonia COVID-19

Background: Information is needed on the safety and efficacy of direct discharge from the emergency department (ED) of patients with COVID-19 pneumonia. Objectives: The objectives of the study were to study the variables associated with discharge from the ED in patients presenting with COVID-19 pneumonia, and study ED revisits related to COVID-19 at 30 days (EDR30d). Methods: Multicenter study of the SIESTA cohort including 1198 randomly selected COVID patients in 61 EDs of Spanish medical centers from March 1, 2020, to April 30, 2020. We collected baseline and related characteristics of the acute episode and calculated the adjusted odds ratios (aOR) for ED discharge. In addition, we analyzed the variables related to EDR30d in discharged patients. Results: We analyzed 859 patients presenting with COVID-19 pneumonia, 84 (9.8%) of whom were discharged from the ED. The variables independently associated with discharge were being a woman (aOR 1.890; 95%CI 1.176-3.037), age 1200/mm(3) (aOR 4.667; 95%CI 1.045-20.839). The EDR30d of the ED discharged group was 40.0%, being lower in women (aOR 0.368; 95%CI 0.142-0.953). A total of 130 hospitalized patients died (16.8%) as did two in the group discharged from the ED (2.4%) (OR 0.121; 95%CI 0.029-0.498). Conclusion: Discharge from the ED in patients with COVID-19 pneumonia was infrequent and was associated with few variables of the episode. The EDR30d was high, albeit with a low mortality

A DNA Vaccine Encoding Multiple HIV CD4 Epitopes Elicits Vigorous Polyfunctional, Long-Lived CD4+ and CD8+ T Cell Responses

T-cell based vaccines against HIV have the goal of limiting both transmission and disease progression by inducing broad and functionally relevant T cell responses. Moreover, polyfunctional and long-lived specific memory T cells have been associated to vaccine-induced protection. CD4+ T cells are important for the generation and maintenance of functional CD8+ cytotoxic T cells. We have recently developed a DNA vaccine encoding 18 conserved multiple HLA-DR-binding HIV-1 CD4 epitopes (HIVBr18), capable of eliciting broad CD4+ T cell responses in multiple HLA class II transgenic mice. Here, we evaluated the breadth and functional profile of HIVBr18-induced immune responses in BALB/c mice. Immunized mice displayed high-magnitude, broad CD4+/CD8+ T cell responses, and 8/18 vaccine-encoded peptides were recognized. In addition, HIVBr18 immunization was able to induce polyfunctional CD4+ and CD8+ T cells that proliferate and produce any two cytokines (IFNγ/TNFα, IFNγ/IL-2 or TNFα/IL-2) simultaneously in response to HIV-1 peptides. For CD4+ T cells exclusively, we also detected cells that proliferate and produce all three tested cytokines simultaneously (IFNγ/TNFα/IL-2). The vaccine also generated long-lived central and effector memory CD4+ T cells, a desirable feature for T-cell based vaccines. By virtue of inducing broad, polyfunctional and long-lived T cell responses against conserved CD4+ T cell epitopes, combined administration of this vaccine concept may provide sustained help for CD8+ T cells and antibody responses- elicited by other HIV immunogens

Genome-Wide Meta-Analysis Identifies Regions on 7p21 (AHR) and 15q24 (CYP1A2) As Determinants of Habitual Caffeine Consumption

We report the first genome-wide association study of habitual caffeine intake. We included 47,341 individuals of European descent based on five population-based studies within the United States. In a meta-analysis adjusted for age, sex, smoking, and eigenvectors of population variation, two loci achieved genome-wide significance: 7p21 (P = 2.4×10−19), near AHR, and 15q24 (P = 5.2×10−14), between CYP1A1 and CYP1A2. Both the AHR and CYP1A2 genes are biologically plausible candidates as CYP1A2 metabolizes caffeine and AHR regulates CYP1A2