The Importance of Shared Decision Making in the Decision to Prevent a Parastomal Hernia With Prosthetic Mesh

Parastomal hernia; Prosthetic mesh; Shared decision makingHèrnia parastomal; Malla protèsica; Presa de decisions compartidaHernia paraestomal; Malla protésica; Toma de decisiones compartid

Elective Recurrent Inguinal Hernia Repair: Value of an Abdominal Wall Surgery Unit

Inguinal hernia; Abdominal wall surgeryHernia inguinal; Cirugía de la pared abdominalHèrnia inguinal; Cirurgia de la paret abdominalBackground The aim of this study was to analyze the impact of an abdominal wall surgery unit on postoperative complications (within 90 days postoperatively), hernia recurrence and chronic postoperative inguinal pain after elective recurrent inguinal hernia repair. Methods We conducted a retrospective cohort study of all adult patients who underwent elective recurrent inguinal hernia repair between January 2010 and October 2021. Short- and long-term outcomes were compared between the group of patients operated on in the abdominal wall surgery unit and the group of patients operated on by other units not specialized in abdominal wall surgery. A logistic regression model was performed for hernia recurrence. Results A total of 250 patients underwent elective surgery for recurrent inguinal hernia during the study period. The patients in the abdominal wall surgery group were younger (P ≤ 0.001) and had fewer comorbidities (P ≤ 0.001). There were no differences between the groups in terms of complications. The patients in the abdominal wall surgery group presented fewer recurrences (15% vs. 3%; P = 0.001). Surgery performed by the abdominal wall surgery unit was related to fewer recurrences in the multivariate analysis (HR = 0.123; 95% CI = 0.21–0.725; P = 0.021). Conclusions Specialization in abdominal wall surgery seems to have a positive impact in terms of recurrence in recurrent inguinal hernia repair. The influence of comorbidities or type of surgery (i.e., outpatient surgery) require further study.Open Access Funding provided by Universitat Autonoma de Barcelona. This work did not receive external funding from any source other than the authors’ institution

Diferencias psicopatológicas en mujeres con Dependencia Emocional con y sin uso de sustancias ilegales comórbido

En este artículo se presenta un análisis clínico de las diferencias psicopatológicas entre dos grupos de pacientes, mujeres, con problemas de Dependencia Emocional con y sin consumo de sustancias ilegales comórbido. Las pacientes fueron evaluadas mediante los cuestionarios TDS100, SCL-90-R, BIS-11 y una entrevista semiestructurada adaptada de la entrevista SCID-I. Los grupos se formaron en función de si existía consumo de drogas o no en el momento de la evaluación. A través de los resultados hallados, se puede concluir que el grupo de mujeres con un consumo ocasional de drogas presenta una mayor gravedad en la escala de Acomodación medida a través del TDS-100, así como puntuaciones más altas en psicopatología comórbida (Sensibilidad Interpersonal, Ansiedad, Hostilidad, Ideación paranoide, Psicoticismo y GSI) medida por el SCL-90-R. Finalmente, el grupo con uso de drogas obtuvo puntuaciones significativamente más altas en la subescala Impulsividad Motora medida por el BIS-11. English abstract: In this article we present a clinical analysis of the psychopathological differences between women patients with Affective Dependence problems with and without comorbid substance use. The patients were assessed trough the TDS-100, SCL-90-R, BIS-11 questionnaires and a semi-structured interview adapted from the SCID-I interview. The groups were created based on the substance use at the moment of the assessment. The results reveal that the group of women with occasional use of drugs shows higher severity in the Accommodation scale measured trough the TDS-100 and in the comorbid psychopathology measured by the SCL-90R (Interpersonal Sensitivity, Anxiety, Hostility, Paranoid ideation, Psychoticism y GSI). Finally, the group with drug use obtained significantly higher scores in the Motor Impulsiveness subscale measured by the BIS-11

Forward Symplectic Integrators and the Long Time Phase Error in Periodic Motions

We show that when time-reversible symplectic algorithms are used to solve periodic motions, the energy error after one period is generally two orders higher than that of the algorithm. By use of correctable algorithms, we show that the phase error can also be eliminated two orders higher than that of the integrator. The use of fourth order forward time step integrators can result in sixth order accuracy for the phase error and eighth accuracy in the periodic energy. We study the 1-D harmonic oscillator and the 2-D Kepler problem in great details, and compare the effectiveness of some recent fourth order algorithms.Comment: Submitted to Phys. Rev. E, 29 Page

Bounded Components of Positive Solutions of Nonlinear Abstract Equations

In this work a general class of nonlinear abstract equations satisfying a generalized strong maximum principle is considered in order to show that any bounded component of positive solutions bifurcating from the curve of trivial states (λ, u) = (λ, 0) at a nonlinear eigenvalue λ = λ₀ must meet the curve of trivial states (λ, 0) at another singular value λ₁ ≠ λ₀. Since the unilateral theorems of P. H. Rabinowitz [13, Theorems 1.27 and 1.40] are not true as originally stated (c.f. the counterexample of E. N. Dancer [6]), in order to get our main result the unilateral theorem of J. Lopez-Gomez [11, Theorem 6.4.3] is required

Microwave-assisted functionalization of carbon nanohorns with oligothiophene units with SERS activity

[EN] Carbon nanohorns have been functionalized with oligothiophene unitsviathe 1,3-dipolar cycloaddition reaction under microwave irradiation and solvent-free conditions. A dramatic Raman enhancement was found for one of the synthesized derivatives. Experimental andin silicostudies helped to understand the enhancement, attributed to the modification of electromagnetic fields upon functionalization at the tip of the nanostructures.This work was supported by the Iberdrola Foundation (CONV120313), the Spanish Ministerio de Economia y Competitividad (CTQ2017-88158-R), the Junta de Comunidades de Castilla-La Mancha (SBPLY/17/180501/000204) and FEDER-JCCM (UNCM13-1E-1663). The work at the University of Malaga was funded by the MICINN (PID2019-110305GB-I00) and Junta de Andalucia (P09FQM-4708) projects. M. I. L. acknowledges MINECO for her Juan de la Cierva-formacion grant (FJCI-2016-29593). The authors acknowledge the computer resources, technical expertise, and assistance provided by the Supercomputing and Bioinformatics centre of the University of Malaga.Iglesias, D.; Guerra, J.; Lucío, MI.; González-Cano, RC.; Lopez Navarrete, JT.; Ruiz Delgado, MC.; Vázquez, E.... (2020). Microwave-assisted functionalization of carbon nanohorns with oligothiophene units with SERS activity. Chemical Communications. 56(63):8948-8951. https://doi.org/10.1039/D0CC03496G89488951566

Susceptibility patterns and molecular identification of Trichosporon species

The physiological patterns, the sequence polymorphisms of the internal transcriber spacer (ITS), and intergenic spacer regions (IGS) of the rRNA genes and the antifungal susceptibility profile were evaluated for their ability to identify Trichosporon spp. and their specificity for the identification of 49 clinical isolates of Trichosporon spp. Morphological and biochemical methodologies were unable to differentiate among the Trichosporon species. ITS sequencing was also unable to differentiate several species. However, IGS1 sequencing unambiguously identified all Trichosporon isolates. Following the results of DNA-based identification, Trichosporon asahii was the species most frequently isolated from deep sites (15 of 25 strains; 60%). In the main, other Trichosporon species were recovered from cutaneous samples. The majority of T. asahii, T. faecale, and T. coremiiforme clinical isolates exhibited resistance in vitro to amphotericin B, with geometric mean (GM) MICs >4 mug/ml. The other species of Trichosporon did not show high MICs of amphotericin B, and GM MICs were <1 mug/ml. Azole agents were active in vitro against the majority of clinical strains. The most potent compound in vitro was voriconazole, with a GM MIC </=0.14 mug/ml. The sequencing of IGS correctly identified Trichosporon isolates; however, this technique is not available in many clinical laboratories, and strains should be dispatched to reference centers where these complex methods are available. Therefore, it seems to be more practical to perform antifungal susceptibility testing of all isolates belonging to Trichosporon spp., since correct identification could take several weeks, delaying the indication of an antifungal agent which exhibits activity against the infectious strain.S