Chagas disease in Latin American migrants: a Spanish challenge

AbstractChagas’ disease affects millions in Latin America and is the leading cause of cardiomyopathy and death due to cardiovascular disease in patients aged 30–50 years. As a consequence of immigration it has settled in several European countries, where besides imported cases, autochthonous infections arise through vertical transmission and blood/organ donation. All Latin American immigrants who attended our Unit were screened for T. cruzi infection (ELISA and IFAT ± PCR). An ECG and echocardiogram were requested for all positive patients, and oesophageal manometry, barium swallow and barium enema were requested according to patient symptoms. All patients under 50 years without severe cardiac involvement and who had not received correct treatment previously were treated with benznidazole 5 mg/kg/day for 60 days. Patients were followed-up with serology and PCR 1 month after treatment ended and every 6 months thereafter. A total of 1146 Latin Americans were screened for T. cruzi (357 positive serology results). The typical patient profile was a Bolivian female, of rural origin, in her fourth decade of life, without evidence of visceral involvement. Treatment tolerance was poor, with 29.7% discontinuing treatment due to adverse reactions. Among those with adverse reactions (52%), the most frequent were cutaneous hypersensitivity (68.7%), gastrointestinal upset (20%) and nervous system disturbances (16.2%). T. cruzi infection is no longer limited to Latin America. Poor treatment tolerance can limit current treatment options. More epidemiological data are necessary to estimate the magnitude of a problem of great relevance for public health and health resource planning

Disentangling Vacancy Oxidation on Metallicity-Sorted Carbon Nanotubes

Pristine single-walled carbon nanotubes (SWCNTs) are rather inert to O$_2$ and N$_2$, which for low doses chemisorb only on defect sites or vacancies of the SWCNTs at the ppm level. However, very low doping has a major effect on the electronic properties and conductivity of the SWCNTs. Already at low O$_2$ doses (80 L), the X-ray photoelectron spectroscopy (XPS) O 1s signal becomes saturated, indicating nearly all the SWCNT's vacancies have been oxidized. As a result, probing vacancy oxidation on SWCNTs via XPS yields spectra with rather low signal-to-noise ratios, even for metallicity-sorted SWCNTs. We show that, even under these conditions, the first principles density functional theory calculated Kohn-Sham O 1s binding energies may be used to assign the XPS O 1s spectra for oxidized vacancies on SWCNTs into its individual components. This allows one to determine the specific functional groups or bonding environments measured. We find the XPS O 1s signal is mostly due to three O-containing functional groups on SWCNT vacancies: epoxy (C$_2$$>$O), carbonyl (C$_2$$>$C$=$O), and ketene (C$=$C$=$O), as ordered by abundance. Upon oxidation of nearly all the SWCNT's vacancies, the central peak's intensity for the metallic SWCNT sample is 60\% greater than for the semiconducting SWCNT sample. This suggests a greater abundance of O-containing defect structures on the metallic SWCNT sample. For both metallic and semiconducting SWCNTs, we find O$_2$ does not contribute to the measured XPS O~1s spectra

Group of Uniform Materials Based on Organic Salts (GUMBOS): A Review of Their Solid State Properties and Applications

Ionic liquids (ILs) are defined as organic salts with melting points below 100 °C. Such ionic compounds are typically formed using bulky cations and/or bulky anions in order to produce liquids or lower melting solids. ILs have been widely explored in several research areas including catalysis, remediation, solvents, separations, and many others. The utility of such compounds has also been recently broadened to include solid phase ionic materials. Thus, researchers have pushed the boundaries of ILs chemistry toward the solid state and have hypothesized that valuable properties of ILs can be preserved and fine-tuned to achieve comparable properties in the solid state. In addition, as with ILs, tunability of these solid-phase materials can be achieved through simple counterion metathesis reactions. These solid-state forms of ILs have been designated as a group of uniform materials based on organic salts (GUMBOS). In contrast to ILs, these materials have an expanded melting point range of 25 to 250 °C. In this chapter, we focus on recent developments and studies from the literature that provide for fine tuning and enhancing properties through transformation and recycling of diverse ionic compounds such as dyes, antibiotics, and others into solid state ionic materials of greater utility

Trastornos menores de salud como factores asociados al desempeño académico de estudiantes de enfermería

Evidence shows that minor health disorders are a relevant factor to be researched among students at universities. This is an issue not only related to individual characteristics, but also might be associated to academic performance. This problem could be influenced by requirements imposed by the educational system, such as a change in students‟ roles and organization of their own time, among others. These elements must be made compatible with adolescent habits, their attitudes and biologic changes. To gauge this problem, we have used a survey designed at the University of Barcelona, and modified it for our own purposes. The sample is composed of 62 first year students of a nursing program in a private university in Chile. 94% of the sample was female. On average, participants answered affirmatively to 7.5 of the problems presented on the list, and negatively to 12.5 (Total = 18). Musculoskeletal pain, headache and sleep disorders are the most common disorders present in over half of the students surveyed. We found correlations between some disorders: Intermediate correlation between “Difficulties in maintaining sleep” and “Eating fewer calories than the body needs.” This second variable is associated to some other disorders. There was a low negative correlation between “Difficulties in maintaining sleep” and “Eating more calories than the body needs.” Similar results related to sleep hygiene were obtained from other researchers. Excessive Calorie Intake is higher than results reported in other studies.La evidencia muestra los trastornos menores en salud en estudiantes universitarios como un factor relevante de ser estudiado. Una variable asociada al rendimiento académico, no tan sólo por las características individuales de ellos, sino también por lo que significa el integrarse a un sistema que impone una serie de exigencias y demandas, por ejemplo un cambio en el desempeño de roles, organización del tiempo, entre otras, que deben compatibilizar con sus hábitos de adolescentes, actitudes y cambios orgánicos. De modo de dimensionar el problema, aplicamos un cuestionario diseñado en la Universidad de Barcelona, adaptado por nosotros, a una muestra de estudiantes que ingresaron en primer año de enfermería en una universidad privada en Chile. 62 personas participaron voluntariamente del estudio. 94% corresponde a mujeres. De los 18 problemas presentados en el instrumento, los participantes contestaron en promedio afirmativamente a 7,5 de ellos y negativamente a 12,5. Dolor osteomuscular, cefalea y trastornos del sueño son los trastornos más frecuentes, presentes en más de la mitad de los estudiantes encuestados. Encontramos algunas correlaciones entre los trastornos: correlación positiva intermedia entre „dificultades para mantener el sueño‟ e „ingerir menos calorías que las necesarias‟; esta última variable tiene asociaciones débiles con varios otros trastornos menores. Se obtuvo una correlación negativa, aunque baja, con ingerir más calorías que las necesarias. Resultados similares encontramos en lo relativo a la higiene del sueño. La ingesta calórica superior a los requerimientos es mayor en la muestra estudiada que en otras investigaciones

Overcoming chemotherapy resistance in low-grade gliomas: A computational approach.

Low-grade gliomas are primary brain tumors that arise from glial cells and are usually treated with temozolomide (TMZ) as a chemotherapeutic option. They are often incurable, but patients have a prolonged survival. One of the shortcomings of the treatment is that patients eventually develop drug resistance. Recent findings show that persisters, cells that enter a dormancy state to resist treatment, play an important role in the development of resistance to TMZ. In this study we constructed a mathematical model of low-grade glioma response to TMZ incorporating a persister population. The model was able to describe the volumetric longitudinal dynamics, observed in routine FLAIR 3D sequences, of low-grade glioma patients acquiring TMZ resistance. We used the model to explore different TMZ administration protocols, first on virtual clones of real patients and afterwards on virtual patients preserving the relationships between parameters of real patients. In silico clinical trials showed that resistance development was deferred by protocols in which individual doses are administered after rest periods, rather than the 28-days cycle standard protocol. This led to median survival gains in virtual patients of more than 15 months when using resting periods between two and three weeks and agreed with recent experimental observations in animal models. Additionally, we tested adaptive variations of these new protocols, what showed a potential reduction in toxicity, but no survival gain. Our computational results highlight the need of further clinical trials that could obtain better results from treatment with TMZ in low grade gliomas

Self-assembled high molecular weight inulin nanoparticles: Enzymatic synthesis, physicochemical and biological properties

Inulin has interesting physicochemical and functional properties, and therefore a wide range of applications in the food and medical industries. It has gained great traction due to its ability to form nanoparticles and its possible application as nanovehicle for drug delivery. In this work, we demonstrated that the enzymatically-synthesized high molecular weight (HMW) inulin forms stable spherical nanoparticles with an average diameter of 112 ± 5 nm. The self-assemblage of HMW inulin nanoparticles is carried out during enzymatic synthesis of the polymer, and become detectable after a certain critical aggregation concentration (CAC) is reached. Both, the CAC and nanoparticle size are influenced by the reaction temperature. These nanoparticles are not toxic for peripheral blood mononuclear cells, at concentrations below 200 μg/mL; no significant prebiotic potential was detected in cultures of 13 probiotic strains. This work contributes to a better understanding of the formation of HMW inulin nanoparticles and their biological properties

Combined use of phosphonium-erythrosin B-based nanoGUMBOS, UV–Vis spectroscopy, and chemometrics for discrimination and quantification of proteins

Nanoparticles derived from a group of uniform materials based on organic salts (nanoGUMBOS) are considered promising candidates for protein analysis due to their facile synthesis in aqueous media and high tunability. In this study, a phosphonium-erythrosin B-based nanoGUMBOS (i.e., [P4444]2[EB]) was prepared using an ultrasound-assisted reprecipitation method, and its ability to discriminate and quantify proteins was evaluated. Sonication time (30 s, 5 min, and 15 min) and cyclodextrin templating (α-, 2-HP-β-, and γ-CD) were investigated for their effects on discrimination performance of synthesized nanomaterial. Six proteins (albumin, hemoglobin, trypsin, catalase, lysozyme, and cytochrome c) with different abundance levels and physicochemical properties were selected as target analytes. Absorbance response patterns generated from interactions between [P4444]2[EB] nanoGUMBOS and proteins were analyzed using partial least squares discriminant analysis. Percentages of correct protein discrimination ranged from 94.6 to 99.6%, with the latter being the best result obtained using non-templated nanoGUMBOS formed after 5 min sonication. Under optimized conditions, it was possible to discriminate all protein samples with percentages of correct assignments greater than 90% for concentrations as low as 2.0 μg mL−1. The discrimination capability of synthesized nanoGUMBOS was further evaluated using mixtures of different ratios of lysozyme, cytochrome c, and hemoglobin. Finally, partial least squares models were developed for protein quantification and the best performance was observed for albumin. Results support potential use of [P4444]2[EB] nanoGUMBOS in combination with ultraviolet–visible spectroscopy and chemometrics for qualitative and quantitative analyses of individual proteins and mixtures of proteins.info:eu-repo/semantics/publishedVersio

Multi-agent simulation of hydraulic transient equations in pressurized systems

Computational modeling pervades virtually every industrial process. By using numerical representations of the behavior of elements that constitute a system it is possible to obtain efficient and safe designs. Moreover, system operation can be better defined by using such models, thus enabling greater reliability and control. In this paper the use of agents to solve the equations describing fast transients in water networks is investigated. As the simulation of hydraulic transients in pressurized systems is a naturally distributed problem, the authors argue that a multi-agent based system is very suitable for the solution of this complex engineering phenomenon. A hybrid solution is built by deploying agents to work with sets of equations describing hydraulic transient behavior in pipeline systems. The details necessary to assemble a complete and lubricated machine to model the complex phenomenon of hydraulic transients in pressurized systems are described. This research develops a platform that constitutes an efficient and versatile tool of great interest for water supply managers when analyzing water hammer effects in their networks.Izquierdo Sebastián, J.; Montalvo Arango, I.; Pérez García, R.; Ayala Cabrera, D. (2015). Multi-agent simulation of hydraulic transient equations in pressurized systems. Journal of Computing in Civil Engineering. 04015071:1-14. doi:10.1061/(ASCE)CP.1943-5487.0000549S1140401507