Management of wet age-related macular degeneration in Spain: challenges for treat and extend implementation in routine clinical practice

Age-related macular degeneration; Ophthalmology services; Anti-VEGFDegeneración macular relacionada con la edad; Servicios de oftalmología; Anti-VEGFDegeneració macular relacionada amb l’edat; Serveis d’oftalmologia; Anti-VEGFPurpose. To ascertain wet AMD (wAMD) management patterns in Spain. Methods. A two-round Delphi study conducted through a questionnaire-based survey designed from literature review and validated by an independent Steering Committee. Results. Forty-nine retina specialists experienced in wAMD participated by answering the two-round study questionnaire. Retina specialists are the main responsible for wAMD diagnosis and monitoring, including visits and associated procedures, with a median time per visit of 15 minutes. Standard treatment strategies are based on anti-VEGF administration, including standard loading dose administration followed by maintenance with aflibercept or ranibizumab (81% of patients). Although treat and extend (T&E) dosing strategy is considered as optimal for wAMD management (78% of the panelists), the main routine healthcare limitations (i.e., visits overload, reduced staff, short visit time, coordination issues, lack of facilities) conduct to self-defined “flexible” strategies, based on T&E and pro-re-nata (PRN) protocols. Conclusion. Proactive treatment patterns (T&E) are the preferred ones by the retina specialists in Spain. However, their proper implementation is difficult due to healthcare resource limitations, as well as organisation and logistic issues. The use of anti-VEGF agents with longer duration of action could facilitate the use of strict T&E approaches according to routine clinical practices

Structural and magnetic characterization of oleic acid and oleylamine-capped gold nanoparticles

In this work the study of oleic acid and oleylamine-capped gold nanoparticles is presented. The structural characterization of the sample shows 6.7 nm gold nanoparticles with a narrow size distribution. The experimental optical absorption spectrum has a maximum at 2.35 eV. The calculated optical absorption spectrum is shifted and narrower than the experimental one, indicating that the oleic acid and oleylamine do not merely passivate the metallic nanoparticles but modify its electronic structure. These gold nanoparticles show in addition a kind of magnetic order similar to other organic passivated gold nanoparticles as thiol-capped gold nanoparticles. Although the magnetic interactions seem to be weaker than in thiol-capped ones, the magnetic behavior looks similar to that, i.e., an invariant temperature dependence of the magnetization from 5 to 300 K and a noticeable coercive field. We analyze the influence of the organic layer bonding the nanoparticles on the magnetic behavior. © 2006 American Institute of Physics.Financial support from the Spanish MCyT under Project No. MAT2002–04246-c05–05 and CAM under Project No. S-0505/MAT/0194 are acknowledged.Peer Reviewe

Metabolismo hepático y renal de los cuerpos cetónicos. Características de las principales enzimas implicadas

Ketone bodies, B-hydroxybutyrate and acetoacetate, constitute an excellent alternating energetic combustible to glucose by the most of the cells from the peripheric tissues mainly the brain. The most important aim of this work has been to deep in fue knowledge of ketone body metabolism, analyzing the main ernzymes implied. Also, this paper studies, in a comparative form, the metabolic behaviour of these compounds in both liver and kidney tissues.Los cuerpos cetónicos, B-hidroxibutirato y acetoacetato constituyen un excelente combustible alternativo a la glucosa para el metabolismo energético de la mayoría de las células de los tejidos periféricos, y fundamentalmente del cerebro. El principal objetivo de este trabajo ha sido profundizar en el conocimiento del metabolismo de los cuerpos cetónicos, caracterizando los principales enzimas implicados. AsÍmismo se trata de forma comparada el comportamiento metabólico de estos compuestos en hígado (principal productor de cuerpos cetónicos) y riñón

Anestesia local y Sedación para Intubación con Fibrobroncoscopio de paciente con Vía Aérea Difícil

Presentamos el caso clínico de un varón de 60 años con vía aérea difícil que debía realizarse una tiroidectomía total por el diagnóstico de bocio multinodular tóxico y que, un mes antes, había tenido un intento fallido de intubación con fibrobroncoscopio

Prognostic Factors in Patients with Rocky Mountain Spotted Fever

Background: Rocky Mountain Spotted Fever (RMSF) is a disease with a high mortality rate, caused by Rickettsia rickettsii, a bacteria transmitted to humans by infected ticks. In 2008 there was a Rocky Mountain Spotted Fever (RMSF) outbreak in the city of Mexicali, México, resulting in an increased mortality rate amongst the area population. Methods: Case-series study of patients admitted to the General Hospital of Mexicali between 2014 and 2019 with a confirmed diagnosis of RMSF. Mortality was compared dividing the population on those ?20 and younger than ?21 years of age. Results: A total of 129 patients’ records during a 5-year period whose diagnosis was RMSF confirmed with PCR were included. Mortality was compared among patients admitted who were younger than ?20 years of age with that among patients who were older than ?20 years of age (61 versus 68 respectively), the latter being higher with an OR 4.2 (p<0.0001). Conclusion: RMSF in hospitalized patients has a high mortality rate in spite of early treatment in all age groups, without showing any predominance in gender. However, patients older than 20 years of age had a higher mortality rate than those younger than 20 years, without any predominance in gender

Electrochemical Detection of Iron in a Lixiviant Solution of Polluted Soil Using a Modified Glassy Carbon Electrode

This paper presents preliminary results on the modification of glassy carbon electrodes with Multiwall Carbon Nanotubes with or without Polyaniline and Pt nanoparticles as electrocatalytic materials for metallic pollutants detection. Electrodes were constructed and incorporated as amperometric detectors of ionic iron electroreduction using the Flow Injection Amperometric technique in aqueous solution. The results not only revealed the modified electrode with nanotubes, polyaniline and platinum nanoparticles were the most selective and sensitive, but also provided an electroanalytic tool to analyze iron in lixiviated samples of polluted soil. The proposed iron sensor exhibited a linear response between 0 and 10 mM with detection and quantification limits of 0.003 and 0.012 μM, respectively. The aqueous samples were taken from a lixiviated solution of polluted soil from Mineral de Pozos, Guanajuato, Mexico, to define the erosion grade of soil

Osvaldo and Isis retrotransposons as markers of the Drosophila buzzatii colonization in Australia

Background: Transposable elements (TEs) constitute an important source of genetic variability owing to their jumping and regulatory properties, and are considered to drive species evolution. Several factors that are able to induce TE transposition in genomes have been documented (for example environmental stress and inter- and intra-specific crosses) but in many instances the reasons for TE mobilisation have yet to be elucidated. Colonising populations constitute an ideal model for studying TE behaviour and distribution as they are exposed to different environmental and new demographic conditions. In this study, the distribution of two TEs, Osvaldo and Isis, was examined in two colonising populations of D. buzzatii from Australia. Comparing Osvaldo copy numbers between Australian and Old World (reported in previous studies) colonisations provides a valuable tool for elucidating the colonisation process and the effect of new conditions encountered by colonisers on TEs. Results: The chromosomal distributions of Osvaldo and Isis retrotransposons in two colonising populations of D. buzzatii from Australia revealed sites of high insertion frequency (>10%) and low frequency sites. Comparisons between Osvaldo insertion profiles in colonising populations from the Old World and Australia demonstrate a tendency towards a higher number of highly occupied sites with higher insertion frequency in the Old World than in Australian populations. Tests concerning selection against deleterious TE insertions indicate that Isis is more controlled by purifying selection than Osvaldo. The distribution of both elements on chromosomal arms follows a Poisson distribution and there are non-significant positive correlations between highly occupied sites and chromosomal inversions. Conclusions: The occupancy profile of Osvaldo and Isis retrotransposons is characterised by the existence of high and low insertion frequency sites in the populations. These results demonstrate that Australian D. buzzatii populations were subjected to a founder effect during the colonisation process. Moreover, there are more sites with high insertion frequency in the Old World colonisation than in the Australian colonisation, indicating a probable stronger bottleneck effect in Australia. The results suggest that selection does not seem to play a major role, compared to demography, in the distribution of transposable elements in the Australian populations

Many body physics from a quantum information perspective

The quantum information approach to many body physics has been very successful in giving new insight and novel numerical methods. In these lecture notes we take a vertical view of the subject, starting from general concepts and at each step delving into applications or consequences of a particular topic. We first review some general quantum information concepts like entanglement and entanglement measures, which leads us to entanglement area laws. We then continue with one of the most famous examples of area-law abiding states: matrix product states, and tensor product states in general. Of these, we choose one example (classical superposition states) to introduce recent developments on a novel quantum many body approach: quantum kinetic Ising models. We conclude with a brief outlook of the field.Comment: Lectures from the Les Houches School on "Modern theories of correlated electron systems". Improved version new references adde