Endoscopic diagnosis of gastric peptic ulcer penetrating into the liver

A 61-year-old man was admitted with upper gastrointestinal bleeding. Endoscopy showed a large gastric peptic ulcer with a pseudotumoral mass protruding from the ulcer bed. Histological examination of biopsies taken from the mass revealed distorted hepatic tissue and inflammatory changes. Hepatic penetration was diagnosed as the cause of bleeding. Surgery findings confirmed the endoscopic diagnosis

The Skeletal Atlas: A holistic approach to transcriptomics in the skeleton.

Gene expression atlases are powerful bioinformatics tools that allow access to the scientific community to explore omics data. In biomedicine, numerous gene expression databases are available, yet none provide enough information about localized transcriptomics in the skeletal system. In this work we try to solve this gap of knowledge by creating a transcriptomic atlas which brings together different works across the skeletal system, analyzing several key tissue compartments in normal and pathological conditions from mouse and human after analyzing more than 200 studies. Our atlas shows a user-friendly representation which allows the comparison of multiple genes across the different tissues of the skeleton: bone, cartilage, tendon, ligament, growth plate and skeletal muscle. As expected, our first finding was the identification of a significant heterogeneity between experiments from similar studies but from different labs, so we have created a dataset processing pipeline with inclusive/exclusive criteria of RNAseq experiments based in sequencing quality and purity of the analyzed tissues in search of a normalization protocol. We believe that this atlas will allow the homogenization of the public transcriptomic studies in the skeleton and will settle the basis to incorporate the upcoming data from single cell transcriptomics studies.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Dos casos de Tinea nigra palmaris en Ciego de Avila (Cuba)

Se presentan 2 casos de Tinea nigra palmaris, uno no relacionado con ninguna fuente de contagio determinada y el otro con posibles adquisición desde el medio ambiente.Se describen los datos clínicos y micológicos, identificandose al agente micótico causal como Phaeoannellomyces werneckii.Se comenta la poca frecuencia de esta afección en el país, los casos reportados con anterioridad, la terapia empleada y la efectiva respuesta de los antimicóticos administrados

Discrete-event simulation to reduce waiting time in accident and emergency departments: a case study in a district general clinic

Waiting time is a crucial performance metric in A&E departments. In this regard, longer waiting times are related to low patient satisfaction, high mortality rates and more severe physical health complications. To analyze patient flow in these departments, discrete-event simulation (DES) has been used; however, its application has not been extended to evaluate the impact of improvement strategies. Therefore, this paper aims to design and pretest operational strategies for better ED care delivery using DES. First, input data analysis is carried out. Afterward, the DES model is developed and validated to establish whether it is statistically comparable with the real-world. Then, performance indicators of the current system are computed and analyzed. Finally, improvement strategies are proposed and evaluated by simulation modelling and statistical tests. A case study of an A&E department from a district general clinic is presented to validate the proposed framework. In particular, we will validate the effectiveness of introducing a triage system (Scenario 3), a strategy that is not currently adopted by the clinic. Results demonstrate that waiting times could be meaningfully diminished based on the proposed approaches within this paper

Mind the numt: Finding informative mitochondrial markers in a giant grasshopper genome

H2020 Marie Sklodowska-Curie Actions, Grant/Award Number: 658706; Ministerio de Ciencia, Innovacion y Universidades, Grant/Award Number: PID2019-104952GB-I00/AEI/10.13039/501100011033The barcoding of the mitochondrial COX1 gene has been instrumental in cataloguing the tree of life, and in providing insights in the phylogeographic history of species. Yet, this strategy has encountered difficulties in major clades characterized by large genomes, which contain a high frequency of nuclear pseudogenes originating from the mitochondrial genome (numts). Here, we use the meadow grasshopper (Chorthippus parallelus), which possesses a giant genome of ~13 Gb, to identify mitochondrial genes that are underrepresented as numts, and test their use as informative phylogeographic markers. We recover the same full mitochondrial sequence using both whole genome and transcriptome sequencing, including functional protein‐coding genes and tRNAs. We show that a region of the mitogenome containing the COX1 gene, typically used in DNA barcoding, has disproportionally higher diversity and coverage than the rest of the mitogenome, consistent with multiple insertions of that region into the nuclear genome. By designing new markers in regions of less elevated diversity and coverage, we identify two mitochondrial genes that are less likely to be duplicated as numts. We show that, while these markers show high levels of incomplete lineage sorting between subspecies, as expected for mitochondrial genes, genetic variation reflects their phylogeographic history accurately. These findings allow us to identify useful mitochondrial markers for future studies in C. parallelus, an important biological system for evolutionary biology. More generally, this study exemplifies how non‐PCR‐based methods using next‐generation sequencing can be used to avoid numts in species characterized by large genomes, which have remained challenging to study in taxonomy and evolution.H2020 Marie Sklodowska-Curie Actions 658706Ministerio de Ciencia, Innovacion y Universidades PID2019-104952GB-I00/AEI/10.13039/50110001103

Evaluation of the potential use of biosolids in corn crop in the municipality of Puebla, Mexico

Purpose Due to the urgent need for sustainable agro-industrial waste management, a field experiment was conducted to evaluate the application of biosolids as organic fertilizer in a corn cultivation crop. In addition, to achieve food security, the study aimed to assess metals concentrations in soil and maize plants and enrichment factors (EF) for soils and plants.Method Four sites with a biosolids application were studied and  compared against a control. Physicochemical properties of soils and heavy metal contents were evaluated after one year of application of biosolids. Metal concentrations, average kernel yield and biomass were measured in corn plants.Results The results demonstrated that the biosolids increased the content of organic matter, nitrogen, phosphorus, and exchangeable bases in the soil. In addition, the concentration of heavy metals in soils with biosolids was higher than in soils without treatment, and the concentration of heavy metals in the corn kernels did not exceed the maximum recommended limits. However, EF values showed a considerable contamination grade due to the accumulation of metals.Conclusion Some of the physical and chemical characteristics of soil were improved by incorporating biosolids, but the metal content in the soil increased. Also, the application of biosolids increased the plant height  and corn yield. Therefore, biosolids can be used as organic fertilizer sources; however, it is necessary to carry out periodic evaluations to ensure low levels of enrichment in crops and soil, thus guaranteeing the safety of biosolids as soil fertilizers

Evaluation of the volatility basis-set approach for the simulation of organic aerosol formation in the Mexico City metropolitan area

New primary and secondary organic aerosol modules have been added to PMCAMx, a three dimensional chemical transport model (CTM), for use with the SAPRC99 chemistry mechanism based on recent smog chamber studies. The new modeling framework is based on the volatility basis-set approach: both primary and secondary organic components are assumed to be semivolatile and photochemically reactive and are distributed in logarithmically spaced volatility bins. This new framework with the use of the new volatility basis parameters for low-NOx [low - NO subscript x] and high-NOx [high - NO subscript x] conditions tends to predict 4–6 times higher anthropogenic SOA concentrations than those predicted with older generation of models. The resulting PMCAMx-2008 was applied in Mexico City Metropolitan Area (MCMA) for approximately a week during April of 2003. The emission inventory, which uses as starting point the MCMA 2004 official inventory, is modified and the primary organic aerosol (POA) emissions are distributed by volatility based on dilution experiments. The predicted organic aerosol (OA) concentrations peak in the center of Mexico City reaching values above 40 μg [mu g] m−3 [m superscript -3]. The model predictions are compared with Aerosol Mass Spectrometry (AMS) observations and their Positive Matrix Factorization (PMF) analysis. The model reproduces both Hydrocarbon-like Organic Aerosol (HOA) and Oxygenated Organic Aerosol (OOA) concentrations and diurnal profiles. The small OA underprediction during the rush hour periods and overprediction in the afternoon suggest potential improvements to the description of fresh primary organic emissions and the formation of the oxygenated organic aerosols respectively, although they may also be due to errors in the simulation of dispersion and vertical mixing. However, the AMS OOA data are not specific enough to prove that the model reproduces the organic aerosol observations for the right reasons. Other combinations of contributions of primary, aged primary, and secondary organic aerosol production rates may lead to similar results. The model results suggest strongly that during the simulated period transport of OA from outside the city was a significant contributor to the observed OA levels. Future simulations should use a larger domain in order to test whether the regional OA can be predicted with current SOA parameterizations. Sensitivity tests indicate that the predicted OA concentration is especially sensitive to the volatility distribution of the emissions in the lower volatility bins.Seventh Framework Programme (European Commission)European UnionMEGAPOLI (Project) (Grant agreement no. 212520)Molina Center for Energy and the EnvironmentUnited States. National Oceanic and Atmospheric Administration. Office of Global Programs (Grant NA08OAR4310565)National Science Foundation (U.S.) (Grant ATM-0528634)National Science Foundation (U.S.) (Grant ATM-0528227)United States. Dept. of Energy. Office of Biological and Environmental Research. Atmospheric Science Program (DEFG0208ER64627

EMOTIONAL PERCEPTION AND CULTURAL MOTIVATION ON LOYALTY TO A WORLD HERITAGE SITES DESTINATION

The aim of this paper is to contribute to the scientific literature in the field of tourism in Latin America (Sucre, Bolivia was named a World Heritage Site (WHS) by UNESCO). This study analyses the relevance of the cultural motivation and emotional experience of the tourist to positively influence the image or the perceived value of the heritage site visited. The research shall also analyse other relationships, such as the positive effect of the perceived value on the loyalty of tourists and the influence of the visitor’s place of origin as a moderating variable in the formation of the image and loyalty to the destination. The analysis was performed by means of structural equation models (SEMs). The data were extracted through fieldwork consisting of interviews with visitors to the city. The results of the research revealed that the perceived value of a heritage destination not only depends on the functional and tangible aspects of the attributes but also on the emotional experience and cultural interest regarding the heritage site visited. Similarly, there is evidence of a relationship between perceived value and a loyal attitude and that it is moderated by the origin of the tourist, this being a great influence in the case of the domestic tourist