221 research outputs found
Microtensile bond strength of several adhesive systems to different dentin depths
Abstract no. 15published_or_final_versio
MEDICIÓN DEL DESARROLLO LOCAL DEL MUNICIPIO PILOTO “EL SALVADOR” DE LA PROVINCIA GUANTÁNAMO
En el presente artículo constituyó como objetivo: aplicar un índice sintético de desarrollo local asociado a variables económicas, sociales y ambientales, como punto de partida para la toma de decisiones por el gobierno del municipio en la fundamentación de las acciones estratégicas y su direccionalidad. La investigación desarrollada se basó en el método marxista del materialismo dialéctico e histórico, de lo general a lo particular, para el análisis y tratamiento teórico de la temática y de series históricas de hechos y datos. De forma particular, se utilizó el método de criterios de expertos. Mediante la investigación, se determinó el nivel de desarrollo del municipio El Salvador, cuyos resultados permiten accionar en las problemáticas de un territorio en específico. Por otra parte, como consecuencia de este trabajo se obtuvo que la aplicación de diagnósticos estratégicos municipales constituyen puntos de obligatoria referencia que manifiestan las posibilidades de los territorios, donde puedan existir fuentes de sinergias en la estructuración de un sistema coherente de políticas de desarrollo local. Los resultados mostraron que el municipio Guantánamo refleja el más alto nivel de desarrollo; los de Baracoa, El Salvador y Manuel Támes revelan un nivel medio, lo que hace ineludible prever objetivos, estrategias y políticas de desarrollo; para atenuar las desproporciones socioeconómicas que aún persisten, a pesar de la voluntad política y los esfuerzos realizados para reducir las mismas. El Salvador mostró avances significativos en el período evaluado desde el 2007 hasta el 2011
affections and impacts among the spanish primary care workforce
Background: The literature review shows that most studies on the psychological impact of
COVID-19 on healthcare professionals have focused on hospital staff, with few specifically addressing
the primary care workforce. This study aims to explore primary care workers’ verbal accounts of
the emotions they experienced. Methods: This is a qualitative study carried out between July and
December 2020 in Spain. Semi-structured interviews and focus groups were conducted with primary
care workers. Data were analysed through thematic content analysis. Participants were selected
using purposive sampling. Results: A total of 53 primary care workers participated in the study, of
whom 38 were individually interviewed, and 15 participated in three focus groups. Our analysis
revealed themes in two categories: (1) from infection to affection; and (2) affected, but not patients—a
discourse based on the acceptance of their experience as part of their work in primary care, creating
an ideological construct or “shield” based on emotional self-management. Conclusions: Self-reflection
on the emotional impact of COVID-19 is scarce. Examples of emotional affections include an obsessive
focus on hygiene, the inability to establish clear boundaries between the personal and the professional
spheres, and experiencing—and having to self-manage—emotional strain
Chagas Cardiomiopathy: The Potential of Diastolic Dysfunction and Brain Natriuretic Peptide in the Early Identification of Cardiac Damage
Chagas disease remains a major cause of morbidity and mortality in several
countries of Latin America and has become a potential public health problem in
countries where the disease is not endemic as a result of migration flows.
Cardiac involvement represents the main cause of mortality, but its diagnosis is
still based on nonspecific criteria with poor sensitivity. Early identification
of patients with cardiac damage is desirable, since early treatment may improve
prognosis. Diastolic dysfunction and elevated brain natriuretic peptide levels
are present in different cardiomyopathies and in advanced phases of Chagas
disease. However, there are scarce data about the role of these parameters in
earlier forms of the disease. We conducted a study to assess the diastolic
function, regional systolic abnormalities and brain natriuretic peptide levels
in the different forms of Chagas disease. The main finding of our investigation
is that diastolic dysfunction occurs before any cardiac dilatation or motion
abnormality. In addition, BNP levels identify patients with diastolic
dysfunction and Chagas disease with high specificity. The results reported in
this study could help to early diagnose myocardial involvement and better
stratify patients with Chagas disease
Garden and landscape-scale correlates of moths of differing conservation status: significant effects of urbanization and habitat diversity
Moths are abundant and ubiquitous in vegetated terrestrial environments and are pollinators, important herbivores of wild plants, and food for birds, bats and rodents. In recent years, many once abundant and widespread species have shown sharp declines that have been cited by some as indicative of a widespread insect biodiversity crisis. Likely causes of these declines include agricultural intensification, light pollution, climate change, and urbanization; however, the real underlying cause(s) is still open to conjecture. We used data collected from the citizen science Garden Moth Scheme (GMS) to explore the spatial association between the abundance of 195 widespread British species of moth, and garden habitat and landscape features, to see if spatial habitat and landscape associations varied for species of differing conservation status. We found that associations with habitat and landscape composition were species-specific, but that there were consistent trends in species richness and total moth abundance. Gardens with more diverse and extensive microhabitats were associated with higher species richness and moth abundance; gardens near to the coast were associated with higher richness and moth abundance; and gardens in more urbanized locations were associated with lower species richness and moth abundance. The same trends were also found for species classified as increasing, declining and vulnerable under IUCN (World Conservation Union) criteria
The 10th Biennial Hatter Cardiovascular Institute workshop: cellular protection—evaluating new directions in the setting of myocardial infarction, ischaemic stroke, and cardio-oncology
Due to its poor capacity for regeneration, the heart is particularly sensitive to the loss of contractile cardiomyocytes. The onslaught of damage caused by ischaemia and reperfusion, occurring during an acute myocardial infarction and the subsequent reperfusion therapy, can wipe out upwards of a billion cardiomyocytes. A similar program of cell death can cause the irreversible loss of neurons in ischaemic stroke. Similar pathways of lethal cell injury can contribute to other pathologies such as left ventricular dysfunction and heart failure caused by cancer therapy. Consequently, strategies designed to protect the heart from lethal cell injury have the potential to be applicable across all three pathologies. The investigators meeting at the 10th Hatter Cardiovascular Institute workshop examined the parallels between ST-segment elevation myocardial infarction (STEMI), ischaemic stroke, and other pathologies that cause the loss of cardiomyocytes including cancer therapeutic cardiotoxicity. They examined the prospects for protection by remote ischaemic conditioning (RIC) in each scenario, and evaluated impasses and novel opportunities for cellular protection, with the future landscape for RIC in the clinical setting to be determined by the outcome of the large ERIC-PPCI/CONDI2 study. It was agreed that the way forward must include measures to improve experimental methodologies, such that they better reflect the clinical scenario and to judiciously select combinations of therapies targeting specific pathways of cellular death and injury
The colorectal cancer-associated faecal microbiome of developing countries resembles that of developed countries
Background
The incidence of colorectal cancer (CRC) is increasing in developing countries, yet limited research on the CRC- associated microbiota has been conducted in these areas, in part due to scarce resources, facilities, and the difficulty of fresh or frozen stool storage/transport. Here, we aimed (1) to establish a broad representation of diverse developing countries (Argentina, Chile, India, and Vietnam); (2) to validate a ‘resource-light’ sample-collection protocol translatable in these settings using guaiac faecal occult blood test (gFOBT) cards stored and, importantly, shipped internationally at room temperature; (3) to perform initial profiling of the collective CRC-associated microbiome of these developing countries; and (4) to compare this quantitatively with established CRC biomarkers from developed countries.
Methods
We assessed the effect of international storage and transport at room temperature by replicating gFOBT from five UK volunteers, storing two in the UK, and sending replicates to institutes in the four countries. Next, to determine the effect of prolonged UK storage, DNA extraction replicates for a subset of samples were performed up to 252 days apart. To profile the CRC-associated microbiome of developing countries, gFOBT were collected from 41 treatment-naïve CRC patients and 40 non-CRC controls from across the four institutes, and V4 16S rRNA gene sequencing was performed. Finally, we constructed a random forest (RF) model that was trained and tested against existing datasets from developed countries.
Results
The microbiome was stably assayed when samples were stored/transported at room temperature and after prolonged UK storage. Large-scale microbiome structure was separated by country and continent, with a smaller effect from CRC. Importantly, the RF model performed similarly to models trained using external datasets and identified similar taxa of importance (Parvimonas, Peptostreptococcus, Fusobacterium, Alistipes, and Escherichia).
Conclusions
This study demonstrates that gFOBT, stored and transported at room temperature, represents a suitable method of faecal sample collection for amplicon-based microbiome biomarkers in developing countries and suggests a CRC-faecal microbiome association that is consistent between developed and developing countries
Physicochemical and biological characterization of 1E10 Anti-Idiotype vaccine
<p>Abstract</p> <p>Background</p> <p>1E10 monoclonal antibody is a murine anti-idiotypic antibody that mimics N-glycolyl-GM3 gangliosides. This antibody has been tested as an anti-idiotypic cancer vaccine, adjuvated in Al(OH)<sub>3</sub>, in several clinical trials for melanoma, breast, and lung cancer. During early clinical development this mAb was obtained <it>in vivo </it>from mice ascites fluid. Currently, the production process of 1E10 is being transferred from the <it>in vivo </it>to a bioreactor-based method.</p> <p>Results</p> <p>Here, we present a comprehensive molecular and immunological characterization of 1E10 produced by the two different production processes in order to determine the impact of the manufacturing process in vaccine performance. We observed differences in glycosylation pattern, charge heterogeneity and structural stability between <it>in vivo</it>-produced 1E10 and bioreactor-obtained 1E10. Interestingly, these modifications had no significant impact on the immune responses elicited in two different animal models.</p> <p>Conclusions</p> <p>Changes in 1E10 primary structure like glycosylation; asparagine deamidation and oxidation affected 1E10 structural stability but did not affect the immune response elicited in mice and chickens when compared to 1E10 produced in mice.</p
Age-Related Alteration of Arginase Activity Impacts on Severity of Leishmaniasis
It is well documented that ageing alters many aspects of immune responses; however, a causal relation between impaired immune functions in ageing individuals and the response to infection has not been established. Experimental leishmaniasis is an excellent model to analyse protective and pathological immune responses. Leishmania parasites are obligate intracellular pathogens and invade mainly macrophages, which have dual function: they can kill the parasites or promote their growth. We have recently shown that arginase, an enzyme induced in infected macrophages, is a key factor for parasite survival. Here, we show that ageing reduces the expression levels of arginase in macrophages, resulting in more efficient control of parasite growth. Our results suggest that age-related differences in the metabolism of arginase in macrophages might contribute to the higher susceptibility of children to leishmaniasis
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