Application of an ELISA test using Schistosoma bovis adult worm antigens in travellers and immigrants from a schistosomiasis endemic area and its correlation with clinical findings

[EN] We have recently evaluated an ELISA for the diagnosis of human schistosomiasis using S. bovis adult worm antigens (AWA Sb), showing a sensitivity of 94% and a specificity of 97% for patients diagnosed by egg detection. Nevertheless, the comparison of this AWA Sb ELISA with direct parasitological findings as the gold standard could introduce a Selection bias, due to the well-known lack of sensitivity of direct methods in the detection of acute schistosomiasis and of low burden infections. The objective of the present work is to compare it with parasitological methods and commercial indirect haemagglutination test using S. mansoni antigens (WA Sm IHA) in 254 immigrants and travellers with different clinical settings; in addition, to find specific bands in the EITB of different phases of schistosomiasis. The AWA Sb ELISA showed 72% of seropositivity in patients with Katayama fever, while patients with eosinophilia and genito-urinary complaints showed 27% and 93%, respectively. The diagnosis yield was globally higher than direct egg detection or WA Sm IHA test with regard to the clinical setting. Finally, the utilization of EITB with S. bovis AWA permits the confirmation of diagnosis in chronic and acute phases of the disease

Identificación y análisis de los tiempos improductivos en equipos de las principales actividades operativas del ciclo de producción de una mina subterránea Sublevel Stoping (Tajeo por Subniveles)

El presente trabajo de investigación tiene como objetivo identificar, clasificar, cuantificar y analizar los tiempos improductivos presentados en las principales actividades del ciclo de minado de una mina subterránea y como estos impactan en los tiempos dedicados a actividades esenciales del proceso, a partir, principalmente, de la metodología de la “Gestión Lean (Gestión Esbelta) en la Industria Minera” en la operación Sublevel Stoping (Tajeo por Subniveles) de la mina subterránea Cerro Lindo, propiedad de la Cía. Minera Milpo. Como resultado de la aplicación de la metodología Lean (Gestión Esbelta) en una mina de fluorita se tuvo inicialmente una distribución de la siguiente manera: 45.5% de actividades esenciales, 39.4% de actividades auxiliares y 15.1% de desperdicios. Pero a partir de acciones de mejoras, se obtuvo la siguiente distribución: 60.7% de actividades esenciales, 33.5% de actividades auxiliares y 5.8% de desperdicios o inútiles. Los resultados obtenidos en el presente estudio, son alentadores y muestran una gran oportunidad de mejora para la Unidad Minera. A continuación se describen los resultados del análisis. Los equipos analizados en la mina subterránea Cerro Lindo fueron, en primer lugar, los equipos de perforación de taladros largos, cuyos resultados iniciales tuvieron la siguiente distribución: 36.2% de actividades esenciales, 38.8% de actividades auxiliares y 25% de desperdicios. Pero con las acciones de mejora adecuadas, se obtendría 55.3% para las actividades esenciales, es decir, un incremento del 19.1%. En segundo lugar, se tienen los equipos de carguío, acarreo y descarga, cuyos resultados iniciales tuvieron la siguiente distribución: 45.3% de actividades esenciales, 43.6% de actividades auxiliares y 11.1% de desperdicios. Pero con las acciones de mejora adecuadas, se obtendría 61.7% para las actividades esenciales, es decir, un incremento del 18.1%. Y en tercer lugar, se tienen los equipos de perforación horizontal, con la siguiente distribución inicial: 26.5% de actividades esenciales, 53.8% de actividades auxiliares y 19.7% de desperdicios. Pero con las acciones de mejora adecuadas, se obtendría 48.6% para las actividades esenciales, es decir, un incremento del 22.1%. Como producto del incremento de las actividades esenciales, se podría incrementar la capacidad de producción hasta en 24,000 tpd, para los equipos de taladros largos y hasta de 27, 000 tpd para los equipos de carguío, acarreo y descarga. Para llevar a cabo este trabajo, se tomó los reportes por equipo que fueron llenados por los mismos operadores; para un periodo de 4 meses. Así mismo se han realizado entrevistas a las personas involucradas con la operación. En el primer capítulo se define el problema, se indica los objetivos de la tesis, tanto generales como específicas, se plantean 8 preguntas de investigación y se justifica el estudio. En el segundo capítulo se trata sobre los conceptos de la aplicación del Lean Management, introducción al mantenimiento minero, gestión de productividad total, disponibilidad y utilización. El tercer capítulo describe la empresa y la unidad minera en estudio, se indica los formatos de reporte para la medición, y se analizan los resultados. El cuarto capítulo trata sobre el impacto de la disminución de los tiempos improductivos por tipo de equipo. El último capítulo trata sobre las conclusiones y recomendaciones.Tesi

P2X7 Receptors as a Therapeutic Target in Cerebrovascular Diseases

Shortage of oxygen and nutrients in the brain induces the release of glutamate and ATP that can cause excitotoxicity and contribute to neuronal and glial damage. Our understanding of the mechanisms of ATP release and toxicity in cerebrovascular diseases is incomplete. This review aims at summarizing current knowledge about the participation of key elements in the ATP-mediated deleterious effects in these pathologies. This includes pannexin-1 hemichannels, calcium homeostasis modulator-1 (CALHM1), purinergic P2X7 receptors, and other intermediaries of CNS injury downstream of ATP release. Available data together with recent pharmacological developments in purinergic signaling may constitute a new opportunity to translate preclinical findings into more effective therapies in cerebrovascular diseases.This study was supported by grants from CONACYT-Mexico No. 252121 and PAPIITUNAM-Mexico No. IN203519 to ROA laboratory; by Spanish Ministry of Education and Science/FEDER (SAF2016-75292-R), Basque Government (IT1203/19), CIBERNED, Eranet-Neuron and Universidad del Pais Vasco to CM's laboratory. AC-M is a researcher from Catedras-CONACYT commissioned at Instituto de Neurobiologia at Universidad Nacional Autonoma de Mexico (UNAM)

Effects of Cannabidiol, Hypothermia, and Their Combination in Newborn Rats with Hypoxic-Ischemic Encephalopathy

Therapeutic hypothermia is well established as a standard treatment for infants with hypoxic-ischemic (HI) encephalopathy but it is only partially effective. The potential for combination treatments to augment hypothermic neuroprotection has major relevance. Our aim was to assess the effects of treating newborn rats following HI injury with cannabidiol (CBD) at 0.1 or 1 mg/kg, i.p., in normothermic (37.5°C) and hypothermic (32.0°C) conditions, from 7 d of age (neonatal phase) to 37 d of age (juvenile phase). Placebo or CBD was administered at 0.5, 24, and 48 h after HI injury. Two sensorimotor (rotarod and cylinder rearing) and two cognitive (novel object recognition and T-maze) tests were conducted 30 d after HI. The extent of brain damage was determined by magnetic resonance imaging, histologic evaluation, magnetic resonance spectroscopy, amplitude-integrated electroencephalography, and Western blotting. At 37 d, the HI insult produced impairments in all neurobehavioral scores (cognitive and sensorimotor tests), brain activity (electroencephalography), neuropathological score (temporoparietal cortexes and CA1 layer of hippocampus), lesion volume, magnetic resonance biomarkers of brain injury (metabolic dysfunction, excitotoxicity, neural damage, and mitochondrial impairment), oxidative stress, and inflammation (TNFα). We observed that CBD or hypothermia (to a lesser extent than CBD) alone improved cognitive and motor functions, as well as brain activity. When used together, CBD and hypothermia ameliorated brain excitotoxicity, oxidative stress, and inflammation, reduced brain infarct volume, lessened the extent of histologic damage, and demonstrated additivity in some parameters. Thus, coadministration of CBD and hypothermia could complement each other in their specific mechanisms to provide neuroprotection.F.J.A. has a research agreement with GW Research Ltd, which is now a part of Jazz Pharmaceuticals, from which he receives financial support. W.H. is an employee Jazz Pharmaceuticals. The authors declare no other competing financial interests. The present study was supported by Grant GWCRI1547 (GW Research Ltd., now part of Jazz Pharmaceuticals); Grant PI12/0852 (ISCIII-General SubDirectorate for Research Assessment and Promotion and the European Regional Development Funds/European Social Fund: “A way to build Europe”); and Grant UPV GIU 17/18 (University of the Basque Country)

Activities of imipenem and cephalosporins against clonally related strains of Escherichia coli hyperproducing chromosomal β-lactamase and showing altered porin profiles

Forty clonally related clinical isolates of Escherichia coli from hospitalized patients were resistant to cefoxitin (MICs, >256 μg/ml) and ceftazidime (MICs, 32 to 256 μg/ml) and were intermediate or resistant to cefotaxime (MICs, 16 to 128 μg/ml) but susceptible to both cefepime (MICs, 0.5 to 2 μg/ml) and imipenem (MICs, 0.125 to 0.25 μg/ml). Resistance to β-lactams was related to high-level production of AmpC β-lactamase and loss of OmpF porin

Falsas enfermedades tropicales: un estudio retrospectivo

Background. When we evaluate a patient with a suspected imported disease we cannot forget to include any autochthonous causes that may mimic imported pathologies to avoid misdiagnosis and therapeutic delay. Methods. A descriptive longitudinal retrospective study was designed with patients in whom an imported disease was suspected but who were finally diagnosed with autochthonous processes. The patients were selected from two internal medicine practices specializing in tropical diseases between 2008-2017 in Spain. Results. We report 16 patients, 11 (68.7%) were males, and the mean age was 43.4 ± 13.7 years old. Thirteen patients (81.2%) were travellers. Half of the patients were from Latin America, 7 (43.5%) were from Africa, and 1 (6.2%) was from Asia. The time from trip to evaluation ranged between 1 week and 20 years (me-dian, 4 weeks), and the mean time from evaluation to diagnosis was 58.4 ± 100.9 days. There were 5 (31.2%) cases of autochthonous infection, 5 (31.2%) cases of cancer, 2 (12.5%) cases of inflammatory disease, and 2 (12.5%) cases of vascular disease. Conclusions. Travel or migration by a patient can sometimes be a confusing factor if an imported disease is suspected and may cause delays in the diagnosis and treatment of an autochthonous disease. We highlight that 1/3 of the patients with autochthonous diseases in this study had cancer. The evaluation of imported diseases requires a comprehensive approach by the internist, especially if he specializes in infectious and/or tropical diseases and is, therefore, the best qualified to make an accurate diagnosis.Introducción. La evaluación de un enfermo con sospecha de patología importada debe incluir las causas autóctonas que puedan simular enfermedades importadas, para evitar un diagnóstico erróneo y un retraso terapéutico. Métodos. Estudio retrospectivo longitudinal descriptivo de pacientes con sospecha de patología importada con diagnóstico final de proceso autóctono. Los pacientes fueron seleccionados en dos consultas especializadas en enfermedades tropicales de dos hospitales españoles entre 2008-2017. Resultados. Se obtuvieron 16 pacientes, 11 (68,7%) hombres. La edad media fue de 43,4 ± 13,7 años. Trece pacientes (81,2%) eran viajeros. Ocho (50%) pacientes eran latinoamericanos, 7 (43,5%) africanos y un paciente asiático (6,2%). El tiempo desde el viaje hasta la evaluación osciló entre 1 semana y 20 años. El tiempo medio desde la evaluación hasta el diagnóstico fue de 58,4 ± 100,9 días. Hubo 5 (31,2%) casos de infección autóctona, 5 (31,2%) casos de cáncer, 2 (12,5%) casos de enfermedad inflamatoria y 2 (12,5%) casos de patología vascular. Conclusiones. El origen del paciente o el antecedente de un viaje pueden ser factores de confusión durante el proceso clínico y causar un retraso diagnóstico y terapéutico. Por lo tanto, es aconsejable una visión amplia al evaluar estas enfermedades. Destacamos que un tercio de los pacientes presentó un diagnóstico final de neoplasia

Power minimization based robust OFDM radar waveform design for radar and communication systems in coexistence.

This paper considers the problem of power minimization based robust orthogonal frequency division multiplexing (OFDM) radar waveform design, in which the radar coexists with a communication system in the same frequency band. Recognizing that the precise characteristics of target spectra are impossible to capture in practice, it is assumed that the target spectra lie in uncertainty sets bounded by known upper and lower bounds. Based on this uncertainty model, three different power minimization based robust radar waveform design criteria are proposed to minimize the worst-case radar transmitted power by optimizing the OFDM radar waveform, which are constrained by a specified mutual information (MI) requirement for target characterization and a minimum capacity threshold for communication system. These criteria differ in the way the communication signals scattered off the target are considered: (i) as useful energy, (ii) as interference or (iii) ignored altogether at the radar receiver. Numerical simulations demonstrate that the radar transmitted power can be efficiently reduced by exploiting the communication signals scattered off the target at the radar receiver. It is also shown that the robust waveforms bound the worst-case power-saving performance of radar system for any target spectra in the uncertainty sets

Epidemiological assessment of 5598 brucellosis inpatients in Spain (1997-2015)

Brucellosis remains one of the main zoonoses worldwide. Epidemiological data on human brucellosis in Spain are scarce. The objective of this study was to assess the epidemiological characteristics of inpatient brucellosis in Spain between 1997 and 2015. A retrospective longitudinal descriptive study was performed. Data were requested from the Health Information Institute of the Ministry of Health and Equality, which provided us with the Minimum Basic Data Set of patients admitted to the National Health System. We also obtained data published in the System of Obligatory Notifiable Diseases. A total of 5598 cases were registered. The period incidence rate was 0.67 (95% CI 0.65?0.68) cases per 100 000 person-years. We observed a progressive decrease in the number of cases and annual incidence rates. A total of 3187 cases (56.9%) came from urban areas. The group most at risk comprised men around the fifth decade of life. The average (±S.D.) hospital stay was 12.6 days (±13.1). The overall lethality rate of the cohort was 1.5%. The number of inpatients diagnosed with brucellosis decreased exponentially. The group of patients with the highest risk of brucellosis in our study was males under 45 years of age and of urban origin. The lethality rate has reduced to minimum values. It is probable that hospital discharge records could be a good database for the epidemiological analysis of the hospital management of brucellosis and offer a better information collection system than the notifiable diseases system (EDO in Spanish)

Epidemiological Scenario of Q Fever Hospitalized Patients in the Spanish Health System: What's New

Objectives: The objective of this study was to assess the epidemiology and burden of Q fever (QF) in Spain. Methods: We designed a retrospective descriptive study using the minimum basic data set in patients admitted to hospitals of the National Health System between 1998 and 2015 with a diagnosis of Q fever (ICD-9: 083.0.). Results: We found 4214 hospitalized patients with a mean age (±SD) of 50.9±19.3 years. The male/female ratio was 3:1. The incidence rate was between 0.41 and 0.65 cases per 100,000 person-years over the 18-year period. The highest incidence of cases was from March to August (p=0.024). 21.1% patients had pneumonia, 17.5% had liver disease, and only 3.2% had endocarditis. The average hospital stay was 13.8 days (±12.8). A total of 117 (2.8%) patients died. The total mean cost of QF is approximately €154,232,779 (€36,600±139,422 per patient). Conclusions: QF is an important zoonosis in Spain with a stable incidence rate and high cost for hospitalization. Older patients have a more severe clinical picture and higher mortality, which can be decreased with early clinical suspicion

Skin and Soft Tissue Infections (Patera Foot) in Immigrants, Spain

An unusual skin and soft tissue infection of the lower limbs has been observed in immigrants from sub-Saharan Africa who cross the Atlantic Ocean crowded on small fishing boats (pateras). Response to conventional treatment is usually poor. Extreme extrinsic factors (including new pathogens) may contribute to the etiology of the infection and its pathogenesis