Unusual finding during laparoscopic cholecystectomy: liver choristoma in the gallbladder wall

Hepatic choristomas or ectopic livers are rare developmental anomalies and are usually located in the abdomen, retroperitoneum and thorax. A 34-year-old male patient underwent a scheduled laparoscopic cholecystectomy, the findings during surgery were a gallbladder with multiple lithiasis inside, with a smooth fragment of reddish-brown tissue attached to the anterolateral surface of the gallbladder. The patient evolved satisfactorily and was discharged 24 hours after surgery. Objective was to describe a clinical case of hepatic choristoma adhered to the anterolateral wall of the gallbladder, as well as its etiology, clinical picture and therapeutic conduct. Hepatic choristoma in the gallbladder is due to an anomaly in the embryologic development of the liver, due to its potential for malignant degeneration, it should be resected as soon as it is detected, being laparoscopic cholecystectomy an adequate approach

Can Physical Activity Reduce the Risk of Cognitive Decline in Apolipoprotein e4 Carriers? A Systematic Review

Physical activity (PA) reduces the risk of cognitive decline (CD) in the general population. However, little is known about whether the presence of the apolipoprotein E epsilon 4 allele (APOE e4) could modify this beneficial effect. The aim of this systematic review was to analyze and synthetize the scientific evidence related to PA levels and CD risk in cognitively healthy APOE e4 carriers. Four electronic databases were analyzed. Only original articles with longitudinal study design were selected to analyze the relationship between PA and CD in APOE e4 carriers. Five studies were included in the systematic review. All studies except one stated that PA is a protective factor against CD in APOE e4 carriers. Moreover, partial support was found for the hypothesis that a greater amount and intensity of PA are more beneficial in CD prevention. The results support the idea that PA is a protective factor against CD in APOE e4 carriers. Nevertheless, it would be necessary to carry out further studies that would allow these findings to be contrasted

Variaciones climáticas en la Zona Metropolitana de la Ciudad de Toluca, Estado de México: 1960-2007

Los científicos del Panel Intergubernamental para el Cambio Climático (ipcc, 2001), han analizado las posibles consecuencias que pueden representar los cambios climáticos en distintos espacios geográficos de la Tierra. En México, el cambio climático empieza a ser notorio, por esta razón se realizó una investigación en la Zona Metropolitana de la Ciudad de Toluca y su hinterland para estudiar el comportamiento de la temperatura y la precipitación entre 1960 y 2007, y demostrar la existencia de variaciones que pueden contribuir al cambio climático. El sustento teórico de esta investigación fue la geografía ambiental, y el metodológico se basó en la estadística, trabajo de campo, el método comparativo y la cartografía automatizada. Con los resultados obtenidos se puede concluir que el clima en la zmct y su hinterland están en proceso de cambio y, de acuerdo con las investigaciones e informes de la nasa y el ipcc, éste seguirá cambiando globalmente.Los cientíÀcos del Panel Intergubernamental para el Cambio Climático (ipcc, 2001), han analizado las posibles consecuencias que pueden representar los cambios climáticos en distintos espacios geográÀcos de la Tierra. En México, el cambio climático empieza a ser notorio, por esta razón se realizó una investigación en la Zona Metropolitana de la Ciudad de Toluca y su hinterland para estudiar el comportamiento de la temperatura y la precipitación entre 1960 y 2007, y demostrar la existencia de variaciones que pueden contribuir al cambio climático. El sustento teórico de esta investigación fue la geografía ambiental, y el metodológico se basó en la estadística, trabajo de campo, el método comparativo y la cartografía automatizada. Con los resultados obtenidos se puede concluir que el clima en la zmct y su hinterland están en proceso de cambio y, de acuerdo con las investigaciones e informes de la nasa y el ipcc, éste seguirá cambiando globalmente

The OTELO survey: A case study of [O III] lambda 4959,5007 emitters at z=0.83

Context. The OSIRIS Tunable Filter Emission Line Object (OTELO) survey is a very deep, blind exploration of a selected region of the Extended Groth Strip and is designed for finding emission-line sources (ELSs). The survey design, observations, data reduction, astrometry, and photometry, as well as the correlation with ancillary data used to obtain a final catalogue, including photo-z estimates and a preliminary selection of ELS, were described in a previous contribution. Aims. Here, we aim to determine the main properties and luminosity function (LF) of the [O III] ELS sample of OTELO as a scientific demonstration of its capabilities, advantages, and complementarity with respect to other surveys. Methods. The selection and analysis procedures of ELS candidates obtained using tunable filter pseudo-spectra are described. We performed simulations in the parameter space of the survey to obtain emission-line detection probabilities. Relevant characteristics of [O III] emitters and the LF ([O III]), including the main selection biases and uncertainties, are presented. Results. From 541 preliminary emission-line source candidates selected around z = 0.8, a total of 184 sources were confirmed as [O III] emitters. Consistent with simulations, the minimum detectable line flux and equivalent width in this ELS sample are ∼5 × 10−19 erg s−1 cm2 and ∼6 Å, respectively. We are able to constrain the faint-end slope (α = −1.03 ± 0.08) of the observed LF ([O III]) at a mean redshift of z = 0.83. This LF reaches values that are approximately ten times lower than those from other surveys. The vast majority (84%) of the morphologically classified [O III] ELSs are disc-like sources, and 87% of this sample is comprised of galaxies with stellar masses of M⋆ <  1010 M⊙

Field Evaluation of Malaria Microscopy, Rapid Malaria Tests and Loop-Mediated Isothermal Amplification in a Rural Hospital in South Western Ethiopia

Background In up to one third of the hospitals in some rural areas of Africa, laboratory services in malaria diagnosis are limited to microscopy by thin film, as no capability to perform thick film exists (gold standard in terms of sensitivity for malaria diagnosis). A new rapid molecular malaria diagnostic test called Loop-mediated isothermal DNA amplification (LAMP) has been recently validated in clinical trials showing exceptional sensitivity and specificity features. It could be a reliable diagnostic tool to be implemented without special equipment or training. Objective The objective of this proof of concept study was to confirm the feasibility of using LAMP technique for diagnosis of malaria in a rural Ethiopian hospital with limited resources. Methodology/Principal Findings This study was carried out in Gambo General Hospital, West Arsi Province (Ethiopia), from November 1st to December 31st 2013. A total of 162 patients with a non-focal febrile syndrome were investigated. The diagnostic capability (sensitivity, specificity, positive predictive and negative predictive values) of rapid malaria tests and microscopy by thin film was evaluated in comparison with LAMP. Eleven (6.79%) out of the 162 patients with fever and suspected malaria, tested positive for LAMP, 3 (1.85%) for rapid malaria tests and none of the eleven cases was detected by thin film microscopy. Conclusions/Significance LAMP can be performed in basic rural laboratories without the need for specialized infrastructure and it may set a reliable tool for malaria control to detect a low level parasitemia.Peer reviewe

Intramuscular Stimulation of Muscle Afferents Attains Prolonged Tremor Reduction in Essential Tremor Patients

This study proposes and clinically tests intramuscular electrical stimulation below motor threshold to achieve prolonged reduction of wrist flexion/extension tremor in Essential Tremor (ET) patients. The developed system consisted of an intramuscular thin-film electrode structure that included both stimulation and electromyography (EMG) recording electrodes, and a control algorithm for the timing of intramuscular stimulation based on EMG (closed-loop stimulation). Data were recorded from nine ET patients with wrist flexion/extension tremor recruited from the Gregorio Mara\uf1\uf3n Hospital (Madrid, Spain). Patients participated in two experimental sessions comprising: 1) sensory stimulation of wrist flexors/extensors via thin-film multichannel intramuscular electrodes; and 2) surface stimulation of the nerves innervating the same target muscles. For each session, four of these patients underwent random 60-s trials of two stimulation strategies for each target muscle: 1) selective and adaptive timely stimulation (SATS) - based on EMG of the antagonist muscle; and 2) continuous stimulation (CON) of target muscles. Two patients underwent SATS stimulation trials alone while the other three underwent CON stimulation trials alone in each session. Kinematics of wrist, elbow, and shoulder, together with clinical scales, were used to assess tremor before, right after, and 24 h after each session. Intramuscular SATS achieved, on average, 32% acute (during stimulation) tremor reduction on each trial, while continuous stimulation augmented tremorgenic activity. Furthermore, tremor reduction was significantly higher using intramuscular than surface stimulation. Prolonged reduction of tremor amplitude (24 h after the experiment) was observed in four patients. These results showed acute and prolonged (24 h) tremor reduction using a minimally invasive neurostimulation technology based on SATS of primary sensory afferents of wrist muscles. This strategy might open the possibility of an alternative therapeutic approach for ET patients

Theme key points through educational mini-videos

[EN] The creation of educational mini-videos is one of the strategies that helps the student to synthesize and organize the information, since it encourages its correct filing. The students of the Faculty of Physical Activity and Sports Sciences (CAFD) convey to the teaching staff the difficulty of assimilating the main ideas of the topics in the “Motor Skills” subject. Likewise, teaching in Secondary Education is one of the most demanded professional opportunities in this degree. Consequently, the main objective is to strengthen the key points of each theoretical topic of the subject through the realization, by groups, of mini-videos and the possible future employment of teaching through its presentation in a Secondary Education center. The videos had a maximum duration of 5 minutes and were published in private virtual environments for being watched by students and teachers. The results were obtained from the evaluations of the mini-videos by CAFD teachers and Secondary students. The contents of the subject were strengthened in CAFD students, although Secondary students were more critical than teachers, demonstrating a lack of teaching skills.[ES] Una de las estrategias que ayuda al estudiante a sintetizar y organizar la información, puesto que fomenta su correcto archivado, es la creación de minivídeos educativos. Los estudiantes del Grado de Ciencias de la Actividad Física y el Deporte (CAFD) transmiten al profesorado la dificultad de asimilar las ideas principales de los temas de la asignatura “Habilidad Motriz”. Asimismo, la docencia en Educación Secundaria es una de las salidas profesionales más demandadas en este grado. En consecuencia, se plantea el objetivo principal de afianzar los puntos clave de cada tema teórico de la asignatura mediante la realización, por grupos, de minivídeos y el posible futuro laboral de la docencia a través de su exposición en un centro de Educación Secundaria. Los vídeos tuvieron una duración máxima de 5 minutos y se publicaron en entornos virtuales privados para su visualización por parte de alumnos y profesores. Los resultados se obtuvieron de las evaluaciones de los minivídeos por parte del profesorado de CAFD y el alumnado de Secundaria. Los contenidos de la asignatura se vieron afianzados en los alumnos de CAFD aunque los estudiantes de Secundaria fueron más críticos que el profesorado, demostrando una falta de competencias de carácter docente.Aparicio Aparicio, I.; Priego Quesada, J.; Perez Soriano, P.; Encarnacion Martínez, A.; Pellicer Chenoll, M.; Sanchis Sanchis, R.; Tortosa Aparicio, M.... (2022). Puntos clave del tema en minivídeos educativos. Editorial Universitat Politècnica de València. 1264-1275. https://doi.org/10.4995/INRED2022.2022.158091264127

Identification of tissue microRNAs predictive of sunitinib activity in patients with metastatic renal cell carcinoma

PURPOSE: To identify tissue microRNAs predictive of sunitinib activity in patients with metastatic renal-cell-carcinoma (MRCC) and to evaluate in vitro their mechanism of action in sunitinib resistance. METHODS: We screened 673 microRNAs using TaqMan Low-density-Arrays (TLDAs) in tumors from MRCC patients with extreme phenotypes of marked efficacy and resistance to sunitinib, selected from an identification cohort (n = 41). The most relevant differentially expressed microRNAs were selected using bioinformatics-based target prediction analysis and quantified by qRT-PCR in tumors from patients presenting similar phenotypes selected from an independent cohort (n = 101). In vitro experiments were conducted to study the role of miR-942 in sunitinib resistance. RESULTS: TLDAs identified 64 microRNAs differentially expressed in the identification cohort. Seven candidates were quantified by qRT-PCR in the independent series. MiR-942 was the most accurate predictor of sunitinib efficacy (p = 0.0074). High expression of miR-942, miR-628-5p, miR-133a, and miR-484 was significantly associated with decreased time to progression and overall survival. These microRNAs were also overexpressed in the sunitinib resistant cell line Caki-2 in comparison with the sensitive cell line. MiR-942 overexpression in Caki-2 up-regulates MMP-9 and VEGF secretion which, in turn, promote HBMEC endothelial migration and sunitinib resistance. CONCLUSIONS: We identified differentially expressed microRNAs in MRCC patients presenting marked sensitivity or resistance to sunitinib. MiR-942 was the best predictor of efficacy. We describe a novel paracrine mechanism through which high miR-942 levels in MRCC cells up-regulates MMP-9 and VEGF secretion to enhance endothelial migration and sunitinib resistance. Our results support further validation of these miRNA in clinical confirmatory studies

Oseltamivir-Resistant Pandemic (H1N1) 2009 Virus, Mexico

During May 2009–April 2010, we analyzed 692 samples of pandemic (H1N1) 2009 virus from patients in Mexico. We detected the H275Y substitution of the neuraminidase gene in a specimen from an infant with pandemic (H1N1) 2009 who was treated with oseltamivir. This virus was susceptible to zanamivir and resistant to adamantanes and oseltamivir

Surgical treatment for colorectal cancer: Analysis of the influence of an enhanced recovery programme on long-term oncological outcomes-a study protocol for a prospective, multicentre, observational cohort study

Introduction The evidence currently available from enhanced recovery after surgery (ERAS) programmes concerns their benefits in the immediate postoperative period, but there is still very little evidence as to whether their correct implementation benefits patients in the long term. The working hypothesis here is that, due to the lower response to surgical aggression and lower rates of postoperative complications, ERAS protocols can reduce colorectal cancer-related mortality. The main objective of this study is to analyse the impact of an ERAS programme for colorectal cancer on 5-year survival. As secondary objectives, we propose to analyse the weight of each of the predefined items in the oncological results as well as the quality of life. Methods and analysis A multicentre prospective cohort study was conducted in patients older than 18 years of age who are scheduled to undergo surgery for colorectal cancer. The study involved 12 hospitals with an implemented enhanced recovery protocol according to the guidelines published by the Spanish National Health Service. The intervention group includes patients with a minimum implementation level of 70%, and the control group includes those who fail to reach this level. Compliance will be studied using 18 key performance indicators, and the results will be analysed using cancer survival indicators, including overall survival, cancer-specific survival and relapse-free survival. The time to recurrence, perioperative morbidity and mortality, hospital stay and quality of life will also be studied, the latter using the validated EuroQol Five questionnaire. The propensity index method will be used to create comparable treatment and control groups, and a multivariate regression will be used to study each variable. The Kaplan-Meier estimator will be used to estimate survival and the log-rank test to make comparisons. A p value of less than 0.05 (two-tailed) will be considered to be significant. Ethics and dissemination Ethical approval for this study was obtained from the Aragon Ethical Committee (C.P.-C.I. PI20/086) on 4 March 2020. The findings of this study will be submitted to peer-reviewed journals (BMJ Open, JAMA Surgery, Annals of Surgery, British Journal of Surgery). Abstracts will be submitted to relevant national and international meetings.The present research study was awarded a Ministerio de Ciencia e Innovación health research project grant (PI19/00291) from the Carlos III Institute of the Spanish National Health Service as part of the 2019 call for Strategic Action in Health