Severe odontogenic infections : epidemiological, microbiological and therapeutic factors

Objectives: A retrospective study is made of the odontogenic infections treated in La Paz University Hospital (Madrid, Spain) during 2007 and 2008, with an epidemiological and microbiological analysis of a large group of patients.Study Design: A retrospective descriptive study was made, involving the consecutive inclusion of all patients with odontogenic infection requiring admission to our hospital in the period between January 2007 and December 2008. Results: A total of 151 patients were included, with a mean age of 40.3 years and a balanced gender distribution. The most frequently affected teeth were those located in the posterior mandibular segments, caries being the main underlying cause. Most isolates comprised mixed flora, particularly viridans streptococci, different species of Prevotella, Micromonas micros, and different species of Actinomyces. Susceptibility analysis of the microbial isolates showed a high percentage resistance to clindamycin (42.8% of all isolates), particularly among viridans streptococci.Conclusions: The use of antibiotics in head and neck infections requires updated protocols based not only on the existing scientific evidence but also on the epidemiological reality of each center. On the other hand, identification is required of the surgical factors determining infection and how they influence morbidity associated with this type of pathology. © Medicina Oral

Nota corológica sobre la flora de Extremadura (España)

Floristic records for the Flora of Extremadura (Spain)Palabras clave. Badajoz, Cáceres, Corología, Extremadura, Flora. Key words. Badajoz, Cáceres, Corology, Extremadura, Flora

Hemostatic markers in surgery: a different fibrinolytic activity may be of pathophysiological significance in orthopedic versus abdominal surgery

Without prophylaxis, patients subjected to major abdominal surgery have a risk of deep vein thrombosis of approximately 30%, while the rate varies between 40% and 60% in orthopedic surgery. The reasons for this discrepancy are not completely understood. The present study was designed to compare the pre- and postoperative behavior of different coagulation and fibrinolysis parameters in patients undergoing both types of surgery, receiving low molecular weight heparin prophylaxis. Samples were taken before operation and on postoperative days 1, 3, and 7. The following parameters were assessed: prothrombin fragment 1 + 2, thrombin-antithrombin III complexes, fibrinopeptide A, tissue plasminogen activator, plasminogen activator inhibitor, plasmin-alpha 2-antiplasmin complexes, and fibrin degradation products. We found a significant increase in the clotting markers postoperatively compared with preoperative values (P < 0.05), both in abdominal and orthopedic surgery, indicating a marked hemostatic activation which remained until postoperative day 7. A significant increase in plasminogen activator inhibitor (P < 0.01) and a decrease in tissue plasminogen activator and plasmin-alpha 2-antiplasmin complexes was also observed early after operation. The plasminogen activator inhibitor activity decreased, while tissue plasminogen activator and plasmin-alpha 2-antiplasmin levels increased significantly on days 3 and 7 (P < 0.05). Fibrin degradation products significantly increased throughout the postoperative period (P < 0.01). Preoperatively, we found higher plasminogen activator inhibitor activity and lower tissue plasminogen activator and plasmin-alpha 2-antiplasmin complexes (P < 0.05) in patients undergoing hip replacement compared with abdominal surgery. Fibrin degradation products were also significantly lower on postoperative day 3 in patients undergoing hip replacement (P < 0.01). We suggest that the lower preoperative fibrinolytic activation observed in patients undergoing orthopedic surgery compared with abdominal surgery might have pathophysiological consequences. Our results also indicate that the hemostatic activation persists beyond the 7th postoperative day despite prophylaxis

The role of two families of bacterial enzymes in putrescine synthesis from agmatine via agmatine deiminase

Putrescine, one of the main biogenic amines associated to microbial food spoilage, can be formed by bacteriafrom arginine via ornithine decarboxylase (ODC), or from agmatine via agmatine deiminase (AgDI). This study aims to correlate putrescine production from agmatine to the pathway involving N-carbamoylputrescine formation via AdDI (the aguAproduct) and N-carbamoylputrescine amidohydrolase (the aguB product), or putrescine carbamoyltransferase (the ptcA product) in bacteria. PCR methods were developed to detect the two genes involved in putrescine production from agmatine.Putrescine production from agmatine could be linked to the &nbsp;aguA and &nbsp;ptcA genes in &nbsp;Lactobacillus hilgardii X1B,Enterococcus faecalis ATCC 11700, and Bacillus cereus ATCC 14579. By contrast Lactobacillus sakei 23K was unable toproduce putrescine, and although a fragment of DNA corresponding to the gene aguA was amplified, no amplification wasobserved for the ptcA gene. Pseudomonasaeruginosa PAO1 produces putrescine and is reported to harbour aguA and aguBgenes, responsible for agmatine deiminase and N-carbamoylputrescine amidohydrolase activities. The enzyme from P. aeruginosa PAO1 that converts N-carbamoylputrescine to putrescine (the aguB product) is different from other microorganismsstudied (the ptcA product). Therefore, the aguB gene from P. aeruginosa PAO1 could not be amplified with ptcA specificprimers. The aguB and ptcA genes have frequently been erroneously annotated in the past, as in fact these two enzymes areneither homologous nor analogous. Furthermore, the aguA, aguB and ptcA sequences available from GenBank were subjected to phylogenetic analysis, revealing that gram-positive bacteria harboured ptcA, whereas gram-negative bacteria harbouraguB. This paper also discusses the role of the agmatine deiminase system (AgDS) in acid stress resistance.&nbsp

Advanced characterization and optical simulation for the design of solar selective coatings based on carbon: transition metal carbide nanocomposites

Solar selective coatings based on carbon transition metal carbide nanocomposite absorber layers were designed. Pulsed filtered cathodic arc was used for depositing amorphous carbon:metal carbide (a-C:MeC, Me = V, Mo) thin films. Composition and structure of the samples were characterized by ion beam analysis, X-ray diffraction, Raman spectroscopy, and transmission electron microscopy. The optical properties were determined by ellipsometry and spectrophotometry. Three effective medium approximations (EMA), namely Maxwell-Garnett, Bruggeman, and Bergman, were applied to simulate the optical behaviour of the nanocomposite thin films. Excellent agreement was achieved between simulated and measured reflectance spectra in the entire wavelength range by using the Bergman approach, where in-depth knowledge of the nanocomposite thin film microstructure is included. The reflectance is shown to be a function of the metal carbide volume fraction and its degree of percolation, but not dependent on whether the nanocomposite microstructure is homogeneous or a self-organized multilayer. Solar selective coatings based on an optimized a-C:MeC absorber layer were designed exhibiting a maximum solar absorptance of 96% and a low thermal emittance of ~5% and 15% at 25 and 600 °C, respectively. The results of this study can be considered as a predictive design tool for nanomaterial-based optical coatings in general

Dynamic & Cyclic behaviour of ballast in the long term as determined in Cedex's track box

The 6 cylinder servo-hydraulic loading system of CEDEX's track box (250 kN, 50 Hz) has been recently implemented with a new piezoelectric loading system (±20 kN, 300 Hz) allowing the incorporation of low amplitude high frequency dynamic load time histories to the high amplitude low frequency quasi-static load time histories used so far in the CEDEX's track box to assess the inelastic long term behavior of ballast under mixed traffic in conventional and high- speed lines. This presentation will discuss the results obtained in the first long-duration test performed at CEDEX's track box using simultaneously both loading systems, to simulate the pass-by of 6000 freight vehicles (1M of 225 kN axle loads) travelling at a speed of 120 km/h over a line with vertical irregularities corresponding to a medium quality lin3e level. The superstructure of the track tested at full scale consisted of E 60 rails, stiff rail pads (mayor que 450 kN/mm), B90.2 sleepers with USP 0.10 N/mm and a 0.35 m thick ballast layer of ADIF first class. A shear wave velocity of 250 m/s can be assumed for the different layers of the track sub-base. The ballast long-term settlements will be compared with those obtained in a previous long-duration quasi- static test performed in the same track, for the RIVAS [EU co-funded] project, in which no dynamic loads where considered. Also, the results provided by a high diameter cyclic triaxial cell with ballast tested in full size will be commented. Finally, the progress made at CEDEX's Geotechnical Laboratory to reproduce numerically the long term behavior of ballast will be discussed

Detection of C3O in IRC+10216: Oxygen-Carbon chain chemistry in the outer envelope

The oxygen-bearing species C3O has been identified in the circumstellar envelope of the carbon star IRC +10216. The J = 8-->7, 9-->8, 10-->9, 14-->13, and 15-->14 transitions were detected at 2 and 3 mm using the Arizona Radio Observatory’s 12 m telescope. Measurements of the J = 9-->8, 10-->9, and 12-->11 lines were simultaneously conducted at the IRAM 30 m telescope. The line profiles of C3O are roughly U-shaped, indicating an extended shell distribution for this molecule in IRC +10216. The total column density derived for C3O is 1.2x10^12 cm^-2, at least an order of magnitude higher than that predicted by current chemical models. However, a revised model that includes reactions of atomic oxygen with carbon-chain radicals, such as l-C3H and C4, can reproduce the observed abundance. This model also predicts that C3O arises from a shell source with an outer radius near r ∼ 30", consistent with the observations. These results suggest that gas phase neutral-neutral chemistry may be producing the oxygen-bearing molecules present in the outer envelope of IRC +10216.This material is based on work supported by the National Aeronautics and Space Administration through the NASA Astrobiology Institute under Cooperative Agreement CAN-02-OSS-02 issued through the Office of Space Science. We also acknowledge support from Spanish MEC under project AYA2003-2785 and from "Comunidad de Madrid" under PRICIT project S-0505/ESP-0237 (ASTROCAM). E. D. T. thanks NSF for a graduate research fellowship, and M. A. acknowledges Spanish MEC for a predoctoral grant AP2003-4619.Peer reviewe

The imprint of global climate cycles in the Fuentillejo maar-lake record during the last 50 ka cal BP (central Spain)

We have analysed the geochemical (element analysis), mineralogical and sedimentary facies to characterize the sedimentary record in Fuentillejo maar-lake in the central Spanish volcanic field of Campo de Calatrava and thus be able to reconstruct the cyclicity of the sedimentary and paleoclimatic processes involved. The upper 20 m of core FUENT-1 show variations in clastic input and water chemistry in the lake throughout the last 50 ka cal BP. Being a closed system, the water level in this maar-lake depends primarily on the balance between precipitation and evaporatio

Matrix metalloproteinase-9 is up-regulated by CCL21/CCR7 interaction via extracellular signal-regulated kinase-1/2 signaling and is involved in CCL21-driven B-cell chronic lymphocytic leukemia cell invasion and migration

4 páginas, 2 figuras -- PAGS nros. 383-386B-cell chronic lymphocytic leukemia (B-CLL) progression is frequently accompanied by clinical lymphadenopathy, and the CCL21 chemokine may play an important role in this process. Indeed, CCR7 (the CCL21 receptor), as well as matrix metalloproteinase-9 (MMP-9), are overexpressed in infiltrating B-CLL cells. We have studied whether MMP-9 is regulated by CCL21 and participates in CCL21-dependent migration. CCL21 significantly increased B-CLL MMP-9 production, measured by gelatin zymography. This was inhibited by blocking extracellular signal-regulated kinase-1/2 (ERK1/2) activity or by cell transfection with CCR7-siRNA. Accordingly, CCL21/CCR7 interaction activated the ERK1/2/c-Fos pathway and increased MMP-9 mRNA. CCL21-driven B-CLL cell migration through Matrigel or human umbilical vein endothelial cells (HUVEC) was blocked by anti-CCR7 antibodies, CCR7-siRNA transfection, or the ERK1/2 inhibitor U0126, as well as by anti-MMP-9 antibodies or tissue inhibitor of metalloproteinase 1 (TIMP-1). These results strongly suggest that MMP-9 is involved in B-CLL nodal infiltration and expand the roles of MMP-9 and CCR7 in B-CLL progression. Both molecules could thus constitute therapeutic targets for this diseaseThis work was supported by grants PI060400 (to A.G.P.) and PI061637 (to M.J.T.) from the Ministerio de Sanidad y Consumo, and by the Fundación de Investigación Médica Mutua Madrileña (FMM; to A.G.P.). J.R.M. was supported by FMM and the Fundación Ramón ArecesPeer reviewe

Astronomical radio-reception techniques for emission spectroscopy of molecular and short lived species in cold plasmas

Santiago de Compostela, Facultade de Química,17-21 julio 2017. -- http://www.bienalrsef2017.com/bienalrsef17/This work has received funding from the European Research Council under the Program (FP/2007- 2013) / ERC-SyG-2013 Grant Agreement n. 610256 NANOCOSMOS and from Spanish MINECO under the Consolider-Ingenio Program CSD2009-00038 (ASTROMOL) and the grants FIS2013- 48087-C2-1-P, FIS2016-77726-C3-1-P.Peer Reviewe