Systemic Effects Induced by Hyperoxia in a Preclinical Model of Intra-abdominal Sepsis

Supplemental oxygen is a supportive treatment in patients with sepsis to balance tissue oxygen delivery and demand in the tissues. However, hyperoxia may induce some pathological effects. We sought to assess organ damage associated with hyperoxia and its correlation with the production of reactive oxygen species (ROS) in a preclinical model of intra-abdominal sepsis. For this purpose, sepsis was induced in male, Sprague-Dawley rats by cecal ligation and puncture (CLP). We randomly assigned experimental animals to three groups: control (healthy animals), septic (CLP), and sham-septic (surgical intervention without CLP). At 18 h after CLP, septic (n = 39), sham-septic (n = 16), and healthy (n = 24) animals were placed within a sealed Plexiglas cage and randomly distributed into four groups for continuous treatment with 21%, 40%, 60%, or 100% oxygen for 24 h. At the end of the experimental period, we evaluated serum levels of cytokines, organ damage biomarkers, histological examination of brain and lung tissue, and ROS production in each surviving animal. We found that high oxygen concentrations increased IL-6 and biomarkers of organ damage levels in septic animals, although no relevant histopathological lung or brain damage was observed. Healthy rats had an increase in IL-6 and aspartate aminotransferase at high oxygen concentration. IL-6 levels, but not ROS levels, are correlated with markers of organ damage. In our study, the use of high oxygen concentrations in a clinically relevant model of intra-abdominal sepsis was associated with enhanced inflammation and organ damage. These findings were unrelated to ROS release into circulation. Hyperoxia could exacerbate sepsis-induced inflammation, and it could be by itself detrimental. Our study highlights the need of developing safer thresholds for oxygen therapy

Employment Expectations and Gross Flows by Type of Work Contract

There is growing interest in understanding firms’ temporary and permanent employment practices and how institutional changes shape them. Using data on Spanish establishments, we examine: (a) how employers adjust temporary and permanent job and worker flows to prior employment expectations, and (b) how the 1994 and 1997 labour reforms promoting permanent employment affected establishments’ employment practices. Generally, establishments’ prior employment expectations are realized through changes in all job and worker flows. However, establishments uniquely rely on temporary hires as a buffer to confront diminishing long-run employment expectations. None of the reforms significantly affected establishments’ net temporary or permanent employment flows.http://deepblue.lib.umich.edu/bitstream/2027.42/40032/3/wp646.pd

Tachyonic preheating using 2PI-1/N dynamics and the classical approximation

We study the process of tachyonic preheating using approximative quantum equations of motion derived from the 2PI effective action. The O(N) scalar (Higgs) field is assumed to experience a fast quench which is represented by an instantaneous flip of the sign of the mass parameter. The equations of motion are solved numerically on the lattice, and the Hartree and 1/N-NLO approximations are compared to the classical approximation. Classical dynamics is expected to be valid, since the occupation numbers can rise to large values during tachyonic preheating. We find that the classical approximation performs excellently at short and intermediate times, even for couplings in the larger region currently allowed for the SM Higgs. This is reassuring, since all previous numerical studies of tachyonic preheating and baryogenesis during tachyonic preheating have used classical dynamics. We also compare different initializations for the classical simulations.Comment: 32 pages, 21 figures. Published version: Some details added, section added, references added, conclusions unchange

Effect of antiseptic gels in the microbiologic colonization of the suture threads after oral surgery

Three different bioadhesive gels were evaluated in a double-blind randomized clinical trial in which microbial growth in the suture thread was assessed following post-surgical application of the aforementioned gels. Also assessed in this trial were, the intensity of post-surgical pain as well as the degree of healing of the patients' surgical wounds. A total of 21 patients (with 42 wisdom teeth) participated in this trial. Chlorhexidine gel, chlorhexidine-chitosan gel, and hyaluronic acid gel were evaluated, with a neutral water-based gel serving as the control agent. The aerobic and facultative anaerobic bacterial recovery on blood agar was lower in the placebo group than in the experimental groups. The most significant difference (p = 0.04) was observed in the chlorhexidine-chitosan group. in which the growth of Blood Agar and Mitis Salivarius Agar was significantly higher than in the placebo group. The intensity of post-surgical pain was very similar among all the groups. Significantly better healing rates were observed in the patients treated with chlorhexidine-chitosan gel when compared with those who used the placebo gel (p = 0.03), and in particular when compared with those patients who used hyaluronic acid gel (p = 0.01). Through our microbiological analyses, we were able to conclude that none of the bioadhesive gels tested resulted in beneficial reductions in the bacterial/fungal populations. However, the healing rates of patients who were treated with chlorhexidine-chitosan were better than those of the patients who used either the placebo gel or the hyaluronic acid gel

The generating function for a particular class of characters of SU(n)

We compute the generating function for the characters of the irreducible representations of SU(n) whose associated Young diagrams have only two rows with the same number of boxes. The result is a rational determinantal expression in which both the numerator and the denominator have a simple structure when expressed in terms of Schur polynomials.Comment: 7 pages, no figure

Causal symmetries

Based on the recent work \cite{PII} we put forward a new type of transformation for Lorentzian manifolds characterized by mapping every causal future-directed vector onto a causal future-directed vector. The set of all such transformations, which we call causal symmetries, has the structure of a submonoid which contains as its maximal subgroup the set of conformal transformations. We find the necessary and sufficient conditions for a vector field \xiv to be the infinitesimal generator of a one-parameter submonoid of pure causal symmetries. We speculate about possible applications to gravitation theory by means of some relevant examples.Comment: LaTeX2e file with CQG templates. 8 pages and no figures. Submitted to Classical and Quantum gravit

Treatment strategy optimization for patients with non-small-cell lung cancer harboring EGFR mutation: a Delphi consensus

AIM: To stablish a consensus on the treatment strategy for advanced non-small-cell lung cancer (aNSCLC) with epidermal growth factor receptor mutation (EGFRm) in Spain. METHODS: After a systematic literature review, the scientific committee developed 33 statements in 4 fields: molecular diagnosis (10 items); histologic profile and patient clinical characteristics (7 items); first-line (1L) treatment in EGFRm aNSCLC (8 items); and subsequent-line treatment (8 items). A panel of 31 experts completed 2 Delphi online questionnaires rating their degree of agreement/disagreement for each statement through a 1-9 range scale (1-3 = disagree, 7-9 = agree). Consensus was reached if 2/3 of the participants are in the median range. RESULTS: In the first Delphi round consensus was achieved for 24/33 of the statements. One of the assertions was deleted, proceeding to a second round with the eight remaining questions with no consensus or in the range of indeterminacy. Determination of the EGFR status from tissue and analysis of the different biomarkers are two important variables that influenced treatment decision in patients with aNSCLC. 1L treatment should be the best therapeutic option, independently of the subsequent lines of treatment. For patients with the most common activating mutations osimertinib was considered the most efficient and safe 1L option. In case of disease progression, a new biopsy was needed. CONCLUSIONS: A consensus document is proposed to optimize the treatment strategy for untreated patients with a NSCLC with EGFR sensitizing mutations

Monolayered versus multilayered electroless NiP coatings: Impact of the plating approach on the microstructure, mechanical and corrosion properties of the coatings

Electroless nickel-phosphorous (NiP) coatings were produced on low carbon steel substrates for a total plating time of 3\u202fh. Different preparation modalities were pursued. Multilayered coatings were produced by stacking three layers of the same composition by successive electroless plating with rinsing steps in between. On the other hand, coatings termed \u2018monolayered\u2019 for the sake of comparison were deposited by one step electroless process, with and without undergoing bath replenishment of the electrolyte during plating. All the samples were subjected to thermal annealing at 400\u202f\ub0C for 1\u202fh under argon atmosphere. The results show that the multilayer approach prevents crack propagation in the as-deposited coatings because the interfaces between layers block the advance of defects. Bath replenishment during monolayered coatings production creates pseudo-interfaces similar to those of the multilayered case but they are ineffective in terms of corrosion protection. Un-replenishment of the electrolyte promotes a change in the coating's microstructure from lamellar to columnar which severely worsens their performance. Upon annealing, the presence of interfaces, along with the recrystallization of the metallic matrix, promotes an upgrading of the corrosion performance of the multi-layered coatings. The corrosion products spread laterally at the interface where they stockpile. At a certain point, the accumulation of these by-products provokes the exfoliation of the outermost layer exposing the layer underneath to the corrosive media, thereby delaying the advancement of the corrosion attack. The results of this study highlight the importance of the plating approach selection, as well as the need for proper electrolyte maintenance during the production of high-performance electroless coatings

Spin dynamics for bosons in an optical lattice

We study the internal dynamics of bosonic atoms in an optical lattice. Within the regime in which the atomic crystal is a Mott insulator with one atom per well, the atoms behave as localized spins which interact according to some spin Hamiltonian. The type of Hamiltonian (Heisenberg, Ising), and the sign of interactions may be tuned by changing the properties of the optical lattice, or applying external magnetic fields. When, on the other hand, the number of atoms per lattice site is unknown, we can still use the bosons to perform general quantum computation

Study of factors influencing preoperative detection of alveolar antral artery by CBCT in sinus floor elevation

This study aimed at assessing the prevalence of alveolar antral artery (AAA) detection by CBCT, its related variables, and at describing explanatory models useful in surgical planning, by retrospective evaluation of CBCT explorations. The modelling of the probability for detecting AAA was undertaken using logistic generalized additive models (GAM). The capacity for discriminating detection/no detection was assessed by receiver operating characteristic curves. A total of 466 sinuses were studied. Univariate models showed detection probability was linked to sinus width and thickness of the lateral bony wall, together with the shape and height of the osseous crest. AAA detection probability increased steadily until the thickness of the bony wall reached 6 mm. Multivariate models resulted good discriminators for AAA detection, particularly for females, showing an area under the curve (AUC) of 0.85. Models considering patients altogether, and those including only males offered slightly lower values (AUC = 0.79). The probability of AAA detection by CBCT was influenced by gender (higher in males and for narrow sinuses) and increases with the thickness of the sinus lateral bony wall and the height of the residual alveolar ridge. Besides, and particularly for women, the thickness of the ridge at the basal level seems to improve the explanatory model for AAA detection