Supervisión multidistribuida de transportes refrigerados mediante tecnología inalámbrica: diagrama de fases una nueva metodología de análisis.

El estudio de los gradientes de temperatura en cámaras frigoríficas y contenedores es un problema crítico en la industria alimentaria para el aseguramiento de la calidad de los productos durante el transporte, así como para minimizar las pérdidas. El objetivo de este trabajo es el desarrollo de una nueva metodología de análisis de datos basada en la reconstrucción del espacio de fases de la serie temporal de temperaturas, registradas por una red multidistribuida de sensores inalámbricos autónomos y de bajo coste. Se monitorizó un transporte transoceánico en barco de limones en un contenedor multimodal refrigerado, desde Montevideo (Uruguay) a Cartagena (España), utilizando una red de 39 tarjetas RFID semi-pasivas TurboTag ®. El viaje completo incluyó el transporte transoceánico de larga distancia, un cambio de buque para un segundo transporte en barco de corta distancia y finalmente un viaje en camión hasta la central. El análisis de datos se basó en un estudio cualitativo de las series temporales mediante la representación de diagramas de fases calculados sobre la teoría de reconstrucción de atractores de Takens-Ruelle. El estrés de la fruta se cuantificó en términos del área que sobre el diagrama de fases ocupó el ciclo o atractor de la temperatura. Esta nueva metodología para el análisis de los datos pone de relieve la significativa heterogeneidad de las condiciones térmicas en diferentes puntos del contenedor

Supervisión multidistribuida de transportes refrigerados mediante redes de sensores: diagramas de fases, una nueva metodología de análisis

El estudio de la variabilidad de la temperatura en cámaras frigoríficas y contenedores es un problema crítico en la industria alimentaria para el aseguramiento de la calidad de los productos durante el transporte, así como para minimizar las pérdidas. El objetivo de este trabajo es el desarrollo de una nueva metodología de análisis de datos basada en la reconstrucción del espacio de fases de la serie temporal de temperaturas, registradas por una red multidistribuida de sensores inalámbricos autónomos y de bajo coste

Comparison of seven prognostic tools to identify low-risk pulmonary embolism in patients aged <50 years

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Identification of regulatory variants associated with genetic susceptibility to meningococcal disease.

Non-coding genetic variants play an important role in driving susceptibility to complex diseases but their characterization remains challenging. Here, we employed a novel approach to interrogate the genetic risk of such polymorphisms in a more systematic way by targeting specific regulatory regions relevant for the phenotype studied. We applied this method to meningococcal disease susceptibility, using the DNA binding pattern of RELA - a NF-kB subunit, master regulator of the response to infection - under bacterial stimuli in nasopharyngeal epithelial cells. We designed a custom panel to cover these RELA binding sites and used it for targeted sequencing in cases and controls. Variant calling and association analysis were performed followed by validation of candidate polymorphisms by genotyping in three independent cohorts. We identified two new polymorphisms, rs4823231 and rs11913168, showing signs of association with meningococcal disease susceptibility. In addition, using our genomic data as well as publicly available resources, we found evidences for these SNPs to have potential regulatory effects on ATXN10 and LIF genes respectively. The variants and related candidate genes are relevant for infectious diseases and may have important contribution for meningococcal disease pathology. Finally, we described a novel genetic association approach that could be applied to other phenotypes

Plasma lipid profiles discriminate bacterial from viral infection in febrile children

Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are often non-specific, and there is no definitive test for the accurate diagnosis of infection. The 'omics' approaches to identifying biomarkers from the host-response to bacterial infection are promising. In this study, lipidomic analysis was carried out with plasma samples obtained from febrile children with confirmed bacterial infection (n = 20) and confirmed viral infection (n = 20). We show for the first time that bacterial and viral infection produces distinct profile in the host lipidome. Some species of glycerophosphoinositol, sphingomyelin, lysophosphatidylcholine and cholesterol sulfate were higher in the confirmed virus infected group, while some species of fatty acids, glycerophosphocholine, glycerophosphoserine, lactosylceramide and bilirubin were lower in the confirmed virus infected group when compared with confirmed bacterial infected group. A combination of three lipids achieved an area under the receiver operating characteristic (ROC) curve of 0.911 (95% CI 0.81 to 0.98). This pilot study demonstrates the potential of metabolic biomarkers to assist clinicians in distinguishing bacterial from viral infection in febrile children, to facilitate effective clinical management and to the limit inappropriate use of antibiotics

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Diving into the zebrafish locomotor network : A study on dI6 interneurons

The generation and coordination of locomotion comprise of inhibitory and excitatory interneurons that govern motor neuron output to muscles. This neuronal network is known as the central pattern generator (CPG). Spinal inhibitory interneurons that originate from the dI6 population play a crucial role in the coordination of locomotor output. This thesis provides new insights into the role of two subsets of interneurons within the dI6 population, marked by the expression of Doublesex and mab-3 related transcription factor 3 (dmrt3a) or Wilms tumor 1 (wt1a).  We showed that dmrt3a neurons play an important role during zebrafish locomotion by using a transgenic line lacking dmrt3a expression. The absence of Dmrt3a generated acceleration and coordination problems in larvae and reduced the maximum speed in juveniles. Analysis of the transcriptome of the dmrt3a subpopulation in both mice and zebrafish established their characteristics as well as revealed unique markers for novel dI6 subpopulations. The knock-down of Wt1a protein resulted in impaired left-right alternation and a reduction of fast swims. On a cellular level, we found alterations in dmrt3a-, wt1a- and evx2- interneuron composition, indicating a link between the two dI6 populations and changes in their fate assignments affecting cell type composition within the locomotor network. Moreover, we linked the absence of specific subtypes of dI6 interneurons with the observed locomotor phenotype in knock-down animals. While searching for unique markers genes within dmrt3a-expressing interneurons, we observed calb2b (encoding for calretinin) expression in one specific subpopulation. Following the generation of a calb2b transgenic line, we found it expressed in interneurons and motor neurons. Knock-down of calretinin generated a development disorder of dmrt3a interneurons and motor neurons, leading to a disruption of the left-right alternation and escape responses performance.  Together, the work presented here provides new cellular, molecular, and behavioral information related to the dI6 population, helping us to better understand their role within the CPG of zebrafish specifically and vertebrates as a whole

Deterministic fate assignment of Müller glia cells in the zebrafish retina suggest a clonal backbone during development

The optic cup houses multipotent retinal progenitor cells that proliferate and differentiate to form the mature retina, containing five main types of neurons and a single glial cell type, the Müller cell. Progenitors of the zebrafish optic cup generate clones that vary regarding the number and types of neurons, a process we previously showed could be described by stochastic models. Here, we present data indicating that each retinal progenitor cell, in the 24 hrs post‐fertilization optic cup, is predestined to form a single Müller cell. This striking fate assignment of Müller cells reveals a dual nature of retinal lineages where stochastic mechanisms produce variable numbers of neurons while there is a strong deterministic component governing the formation of glia cells. A possible mechanism for this stereotypic fate assignment could be the maintenance of a clonal backbone during retina development, which would be similar to invertebrate and rodent cortical neurogenesis