Failure of early non-invasive ventilation in preterm infants with respiratory distress syndrome in current care practice in Spanish level-III neonatal intensive care units – a prospective observational study

Non-invasive respiratory ventilation; Preterm infant; Respiratory distress syndromeVentilación respiratoria no invasiva; Bebé prematuro; Síndrome de dificultad respiratoriaVentilació respiratòria no invasiva; Nadó prematur; Síndrome de dificultat respiratòriaIntroduction: Despite advances in respiratory distress syndrome (RDS) management over the past decade, non-invasive ventilation (NIV) failure is frequent and associated with adverse outcomes. There are insufficient data on the failure of different NIV strategies currently used in clinical practice in preterm infants. Methods: This was a prospective, multicenter, observational study of very preterm infants [gestational age (GA) <32 weeks] admitted to the neonatal intensive care unit for RDS that required NIV from the first 30 min after birth. The primary outcome was the incidence of NIV failure, defined as the need for mechanical ventilation for <72 h of life. Secondary outcomes were risk factors associated with NIV failure and complication rates. Results: The study included 173 preterm infants with a median GA of 28 (IQR 27–30) weeks and a median birth weight of 1,100 (IQR 800–1,333) g. The incidence of NIV failure was 15.6%. In the multivariate analysis, lower GA (OR, 0.728; 95% CI, 0.576–0.920) independently increased the risk of NIV failure. Compared to NIV success, NIV failure was associated with higher rates of unfavorable outcomes, including pneumothorax, intraventricular hemorrhage, periventricular leukomalacia, pulmonary hemorrhage, and a combined outcome of moderate-to-severe bronchopulmonary dysplasia or death. Conclusion: NIV failure occurred in 15.6% of the preterm neonates and was associated with adverse outcomes. The use of LISA and newer NIV modalities most likely accounts for the reduced failure rate. Gestational age remains the best predictor of NIV failure and is more reliable than the fraction of inspired oxygen during the first hour of life.This study was supported by Chiesi España, S.A.U., Barcelona, Spain. Chiesi España and S.A.U. were not involved in the collection and interpretation of the data or in the writing of the manuscript

Electrochemical Detection for Isothermal Loop-Mediated Amplification of Pneumolysin Gene of Streptococcus pneumoniae Based on the Oxidation of Phenol Red Indicator

A highly sensitive electrochemical methodology for end-point detection of loop-mediated isothermal nucleic acid amplification reactions was developed. It is based on the oxidation process of phenol red (PR), commonly used as a visual indicator. The dependence of its redox process on pH, which changes during amplification, allows performing quantitative measurements. Thus, the change in the oxidation potential of PR during the amplification is used, for the first time, as the analytical signal that correlates with the number of initial DNA copies. As a proof-of-concept, the amplification of the pneumolysin gene from Streptococcus pneumoniae, one of the main pathogens causing community-acquired pneumonia, is performed. Combination of isothermal amplification with electrochemical detection, performed on small-size flexible electrodes, allows easy decentralization. Adaptation to the detection of other pathogens causing infectious diseases would be very useful in the prevention of future epidemics

A proxy for carrying capacity of Mediterranean aquaculture

In developing a holistic and innovative approach to determining the carrying capacity in marine finfish aquaculture, we carried out a modified Delphi exercise in which we asked industry experts to identify the factors influencing the production levels of the activity under different scenarios. We disseminated and discussed three rounds of questionnaires in sectoral roundtables and workshops with experts, culminating in the development of a simple formula that adapts production levels to the physical, ecological, social and economic conditions of the activity on the Spanish Mediterranean coast. We used this formula to approach the carrying capacity of the system. Based on the developed model and its theoretical application, we estimated the carrying capacity for floating cages on the Spanish Mediterranean coast at 119,404 t—about 1.2 times the current production level of 96,440 t. We therefore concluded that, subject to the execution of an in-situ validation of the model, the production level of floating nurseries on the Spanish Mediterranean coast could be increased by up to 33.5%.KT-G was funded by a postdoctoral tenure program Juan de la Cierva Formación (FJCI-2014-20100) and Juan de la Cierva Incorporación (IJCI-2017-34174) funded by Spanish National Research Agency. This study was funded by the Projects “Environmental Innovation Measures for the Development and Establishment of Protocols for Carrying Capacity for Aquaculture Sustainability (MIMECCA)”; “Marine Aquaculture Carrying Capacity Applied Models (MACCAM)”; “GLObal change Resilience in Aquaculture-2 (GLORiA2),” supported by the Biodiversity Foundation of the Spanish Ministry for the Ecological Transition and Demographic Challenge, through the Pleamar Program and co-financed by the European Maritime and Fisheries Fund (EMFF). It is also part of the LIFE IP INTEMARES Project “Integrated, innovative and participatory management of the Natura 2000 Network in the Spanish marine environment”. This study forms part of the ThinkInAzul programme and was supported by MCIN with funding from European Union NextGenerationEU (PRTR-C17·I1) and by Generalitat Valenciana (THINKINAZUL/2021/044-TOWARDS)

Magnetic Nanoclusters Increase the Sensitivity of Lateral Flow Immunoassays for Protein Detection: Application to Pneumolysin as a Biomarker for Streptococcus pneumoniae

Lateral flow immunoassays for detecting biomarkers in body fluids are simple, quick, inexpensive point-of-care tests widely used in disease surveillance, such as during the coronavirus disease 2019 (COVID-19) pandemic. Improvements in sensitivity would increase their utility in healthcare, food safety, and environmental control. Recently, biofunctional magnetic nanoclusters have been used to selectively label target proteins, which allows their detection and quantification with a magneto-inductive sensor. This type of detector is easily integrated with the lateral flow immunoassay format. Pneumolysin is a cholesterol-dependent cytolysin and one of the most important protein virulence factors of pneumonia produced by Streptococcus pneumoniae. It is recognized as an important biomarker for diagnosis in urine samples. Pneumonia is the infectious disease that causes the most deaths globally, especially among children under five years and adults over 65 years, most of them in low- and middle-income countries. There especially, a rapid diagnostic urine test for pneumococcal pneumonia with high sensitivity and specificity would be helpful in primary care. In this work, a lateral flow immunoassay with magnetic nanoclusters conjugated to anti-pneumolysin antibodies was combined with two strategies to increase the technique's performance. First, magnetic concentration of the protein before the immunoassay was followed by quantification by means of a mobile telephone camera, and the inductive sensor resulted in detection limits as low as 0.57 ng (telephone camera) and 0.24 ng (inductive sensor) of pneumolysin per milliliter. Second, magnetic relocation of the particles within the test strip after the immunoassay was completed increased the detected signal by 20%. Such results obtained with portable devices are promising when compared to non-portable conventional pneumolysin detection techniques such as enzyme-linked immunosorbent assays. The combination and optimization of these approaches would have excellent application in point-of-care biodetection to reduce antibiotic misuse, hospitalizations, and deaths from community-acquired pneumonia

Sudden cessation of fluoxetine before alcohol drinking reinstatement alters microglial morphology and TLR4/inflammatory neuroadaptation in the rat brain

Preclinical studies on the efects of abrupt cessation of selective serotonin reuptake inhibitors (SSRIs), a medication often prescribed in alcohol use disorder (AUD) patients with depression, results in alcohol consumption escalation after resuming drinking. However, a potential neuroinfammatory component on this escalation remains unexplored despite the immunomodulatory role of serotonin. Here, we utilized a rat model of 14-daily administration of the SSRI fuoxetine (10 mg/kg/day) along alcohol self-administration deprivation to study the efects of fuoxetine cessation on neuroinfammation after resuming alcohol drinking. Microglial morphology and infammatory gene expression were analyzed in prelimbic cortex, striatum, basolateral amygdala and dorsal hippocampus. Results indicated that alcohol drinking reinstatement increased microglial IBA1 immunoreactivity and altered morphometric features of activated microglia (fractal dimension, lacunarity, density, roughness, and cell area, perimeter and circularity). Despite alcohol reinstatement, fuoxetine cessation modifed microglial morphology in a brain region-specifc manner, resulting in hyper-ramifed (spatial complexity of branching), reactive (lower heterogeneity and circularity)-like microglia. We also found that microglial cell area correlated with changes in mRNA expression of chemokines (Cx3cl1/fractalkine, Cxcl12/SDF1α, Ccl2/MCP1), cytokines (IL1β, IL6, IL10) and the innate immune toll-like receptor 4 (TLR4) in dorsal hippocampus. Specifcally, TLR4 correlated with microglial spatial complexity assessed by fractal dimension in striatum, suggesting a role in process branching. (...)Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. Funding for open access charge: Universidad de Málaga/CBUA. RETICS Red de Trastornos Adictivos, Instituto de Salud Carlos III (ISCIII), Ministerio de Ciencia e Innovación and European Regional Development Funds-European Union (ERDF-EU) (Grant No. RD16/0017/0001); ISCIII, ERDF-EU (Grant No. PI17/02026, Grant No. PI19/01577); Ministerio de Sanidad, Delegación de Gobierno para el Plan Nacional sobre Drogas (Grant No. PND 2020/048, Grant No. PND 2019/040, Grant No. PND 2018/044, Grant No. PND 2018/033); and Consejería de Salud y Familia, Junta de Andalucía (Neuro-RECA, Grant No. RIC-0111–2019). JS (Grant No. CPII17/00024), FJP (Grant No. CPII19/00022) and AS (Grant No. CPII19/00031) hold “Miguel Servet II” research contracts from the National System of Health, ISCIII, ERDF-EU. FJP also holds a “Nicolas Monardes” contract from Servicio Andaluz de Salud, Consejería de Salud y Familia, Junta de Andalucía (Grant No. C1-0049–2019). PR (Grant No. CP19/00068) hold “Miguel Servet I” research contracts from the National System of Health, ISCIII, ERDF-EU. The funding sources had no further role in study design; in the collection, analysis and interpretation of data; in writing of the report; and in the decision to submit the paper for publication

Diseño de estrategias conjuntas UA-centros de secundaria para el fomento del conocimiento de disciplinas científico-técnicas

Continuando con la línea emprendida por el Instituto Universitario de Ingeniería de Procesos Químicos, para desarrollar actividades de fomento del conocimiento de disciplinas de ciencia y tecnología, se ha convocado el “VI Certamen de Proyectos Educativos de Ingeniería Química” durante el curso 2013-2014. Con dicha actividad se pretende promover el interés por estudios relacionados con las disciplinas científico-técnicas, entre los alumnos de ESO, con una mejor conceptualización, comprensión y caracterización de los temas. Para ello, se diseñan, planifican y desarrollan acciones entre profesorado de la UA y centros de secundaria, sobre el papel de la Química en la industria para mejorar la calidad de vida. En la presente edición del certamen se han inscrito 13 centros, que han presentado un total de 20 proyectos, relacionados con los siguientes temas: la Ingeniería Química y el medio ambiente, la Ingeniería Química y la industria alimentaria, la Ingeniería Química y el mundo de los plásticos, la Ingeniería Química y la energía y la Ingeniería Química «Verde» sostenible

Functional toll-like receptor 4 overexpression in papillary thyroid cancer by MAPK/ERK-induced ETS1 transcriptional activity

Emerging evidence suggests that unregulated Toll-like receptors (TLRs) signaling promotes tumor survival signals, thus favoring tumor progression. Here, the mechanism underlying TLR4 overexpression in papillary thyroid carcinomas (PTCs) mainly harboring the BRAFV600E mutation was studied. TLR4 was over expressed in PTCs compared to non-neoplastic thyroid tissue. Moreover, paired clinical specimens of primary PTC and its lymph node metastasis showed a significant up regulation of TLR4 levels in the metastatic tissues. In agreement, conditional BRAFV600E expression in normal rat thyroid cells and mouse thyroid tissue up regulated TLR4 expression levels. Furthermore, functional TLR4 expression was demonstrated in PTC cells by increased NF-κB transcriptional activity in response to the exogenous TLR4-agonist lipopolysaccharide (LPS). Of note, The Cancer Genome Atlas (TCGA) data analysis revealed that BRAFV600E-positive tumors with high TLR4 expression were associated with shorter disease-free survival. Transcriptomic data analysis indicated a positive correlation between TLR4 expression levels and MAPK/ERK signaling activation. Consistently, chemical blockade of MAPK/ERK signaling abrogated BRAFV600E-induced TLR4 expression. A detailed study of the TLR4 promoter revealed a critical MAPK/ERK-sensitive Ets binding-site involved in BRAFV600E responsiveness. Subsequent investigation revealed that the Ets-binding factor ETS1 is critical for BRAFV600E-induced MAPK/ERK signaling-dependent TLR4 gene expression. Together, these data indicate that functional TLR4 over expression in PTCs is a consequence of thyroid tumor-oncogenic driver dysregulation of MAPK/ERK/ETS1 signaling.Fil: Peyret, Victoria. Universidad Nacional de Córdoba. Facultad de Ciencias Químicas. Departamento de Bioquímica Clínica; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Nazar, Magalí. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Martín, Mariano. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Quintar, Amado Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; ArgentinaFil: Fernandez, Elmer Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Area de Ciencias Agrarias, Ingeniería, Ciencias Biológicas y de la Salud de la Universidad Católica de Córdoba; ArgentinaFil: Geysels, Romina Celeste. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Fuziwara, Cesar. Universidade de Sao Paulo; BrasilFil: Montesinos, Maria del Mar. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Maldonado, Cristina Alicia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; ArgentinaFil: Santisteban, Pilar. Consejo Superior de Investigaciones Científicas. Universidad Autónoma de Madrid. Centro de Investigación Biomédica en Red Cáncer; EspañaFil: Kimura, Edna T.. Universidade de Sao Paulo; BrasilFil: Pellizas, Claudia Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Nicola, Juan Pablo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Masini, Ana María. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; Argentin

Ludificación de la Historia de Veterinaria

En este proyecto se han realizado ocho interpretaciones histórico-teatrales de personajes relevantes en la historia de la veterinaria, realizada por los propios alumnos matriculados y profesores, para facilitar el conocimiento de aspectos personales, profesionales y sociales de la Veterinaria en distintas épocas

Trabajos fin de grado y trabajos fin de máster contextualizados en proyectos de voluntariado internacional uiniversitario de cooperación de la Universidad de Málaga

La modificación de la LOU, aprobada el 12 de abril de 2007, estableció que “Las universidades fomentarán la participación de los miembros de la comunidad universitaria en actividades y proyectos de cooperación internacional y solidaridad”. Desde el año 2011, la Universidad de Málaga (UMA), a través de un convenio con la Agencia Andaluza de Cooperación Internacional (AACID), oferta anualmente entre su alumnado de Grado y Máster más de 100 bolsas de viaje para participar en Proyectos de Voluntariado Internacional Universitario de Cooperación Universitaria para el Desarrollo formulados y coordinados por PDI de todos los centros de la UMA. Los objetivos de estas experiencias son, entre otros, ofrecer la oportunidad a los estudiantes para que desarrollen competencias que mejoren su empleabilidad y aumenten su sensibilidad social, así como incrementar la internacionalización de los grupos de investigación de la UMA mediante el establecimiento y fortalecimiento de colaboraciones con entidades en países en vías de desarrollo. Estos logros se alcanzan mediante el desarrollo de actividades de voluntariado que, además de apoyar a las contrapartes beneficiarias, supongan un reto académico para el estudiante en forma de TFG, TFM u otro resultado de índole científica. La Facultad de Ciencias participa en esta iniciativa desde el año 2014 de manera ininterrumpida. Desde entonces, 46 estudiantes de los Grados en Biología y en Ciencias Ambientales, así como de los Máster en Diversidad Biológica y Medio Ambiente y en Recursos Hídricos y Medio Ambiente, han participado en 13 proyectos diferentes desarrollados en Perú, República Dominica, Bolivia, Costa Rica, Cuba y Ecuador (Islas Galápagos). La presente comunicación analiza los perfiles de los estudiantes participantes, los resultados de su voluntariado en forma de trabajo final de estudios o resultado científico, así como su opinión sobre diferentes aspectos del voluntariado.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Gitanas y gitanos en la universidad : dificultades y acciones para su superación

Aumentar el nivel educativo es imprescindible para revertir la situación de pobreza y exclusión social en la que se encuentra la población gitana en España. En las últimas décadas, se han realizado esfuerzos en este sentido. No obstante, las acciones se han centrado frecuentemente en las etapas obligatorias, mientras que se ha dedicado poca atención a la educación superior. Pese a que la juventud gitana está alcanzando la educación superior con mayor frecuencia que las generaciones anteriores, una vez en la universidad enfrentan barreras específicas que limitan sus oportunidades educativas y dificultan su trayectoria académica. A través de un diseño mixto, que combina técnicas cuantitativas y cualitativas, el proyecto UNIROMA profundiza en estas barreras con el objetivo de formular recomendaciones para superarlas. Los resultados, en la línea de otras investigaciones sobre minorías étnicas y estudiantes de primera generación en la universidad, evidencian la existencia de barreras fruto de la interseccionalidad de diversos factores de discriminación que afectan a estos estudiantes: por su pertenencia a una minoría étnica, por ser con mayor frecuencia estudiantes de primera generación y no tradicionales y por su situación socioeconómica. Cada uno de estos factores deriva en barreras específicas que dificultan la trayectoria universitaria de estos estudiantes. En el caso de las mujeres, se añaden además barreras que derivan de la discriminación por razón de sexo. Es necesario, por tanto, implementar actuaciones que contribuyan a superarlas, para potenciar la equidad de nuestro sistema universitario