Evaluation of bone marrow and blood cultures for the recovery of mycobacteria in the diagnosis of disseminated mycobacterial infections

AbstractThis study evaluated the validity of bone marrow (BM) and blood specimens for the diagnosis of disseminated mycobacterial infections (DMIs). From 1990 to February 1997, all specimens were processed with the lysis-centrifugation procedure; thereafter (until December 2001), they were processed with the BACTEC Myco/F Lytic system. Twenty-three paired BM-blood specimens with mycobacteria in at least one specimen were studied from 23 patients. The strains isolated were 14 Mycobacterium avium complex (MAC) and nine M. tuberculosis complex (MTBC). Blood specimens had a statistically significant greater sensitivity for the isolation of MAC than BM (100% vs. 57.1%, respectively), whereas sensitivity for the isolation of MTBC was equal for the two specimen types (66.7%). Although not statistically significant, the times required to detect mycobacteria from blood specimens were lower than those from BM in the MycoF/Lytic system. Overall, blood cultures represented a more sensitive and less invasive alternative to BM cultures for the diagnosis of disseminated mycobacteriosis caused by MAC, especially when the MycoF/Lytic system was used, but provided no advantage for the diagnosis of DMI caused by MTBC

Exploring countermovement jump variables across competitive levels and playing positions in futsal

IntroductionThe aims of this study were to compare several countermovement jump (CMJ) kinetic variables between professional (PRO) and semi-professional (SEMI-PRO) futsal players and examine the differences amongst playing positions.MethodsCMJ performance from 56 male futsal players (25.2 ± 4.8 years; weight: 74.4 ± 6.4 kg) was analysed. Players were separated into PRO (n = 29; 27.0 ± 4.4 years; 75.4 ± 6.0 kg) and SEMI-PRO (n = 27; 22.7 ± 4.3 years; 73.1 ± 6.8 kg), and according to playing position: defenders (n = 16; 25.4 ± 3.7 years; 75.2 ± 6.0 kg), wingers (n = 26; 23.5 ± 4.5 years; 72.0 ± 6.9 kg), and pivots (n = 14; 28.0 ± 5.6 years; 77.8 ± 4.3 kg). Linear mixed models and effect sizes were used for the analyses based on the mean of two jumps for each variable.ResultsPRO players presented a deeper center of mass (COM) displacement (p = 0.002, ES = 0.83), greater eccentric (Ecc) absolute (p = 0.019, ES = 0.61) and relative peak power (p = 0.046, ES = 0.52), and achieved greater Ecc peak velocities (p = 0.004, ES = 0.76) when compared to SEMI-PRO. Non-significant and trivial-to-small differences were observed in all the other CMJ variables according to the competitive level and playing position.DiscussionEcc capabilities (i.e., deeper COM displacement, greater Ecc absolute and relative peak power, and peak velocity) during vertical jump seem to differentiate PRO and SEMI-PRO players. However, CMJ variables do not discriminate amongst playing positions in futsal players

Comparación del comportamiento glucémico de cuatro fórmulas nutricionales específicas para diabéticos mediante el uso de monitoreo continuo de glucosa

Introducción: Las fórmulas líquidas nutricionales son consideradas alimentos que dadas sus características aseguran un aporte de macro y micronutrientes estándar que pueden sustituir o complementar la alimentación de los pacientes con diabetes. No existen comparaciones frente a frente que evalúen el perfil glucémico entre fórmulas nutricionales específicas para diabéticos. Materiales y métodos: Se realizó un ensayo clínico cruzado, con el fin de comparar el comportamiento glucémico y la variabilidad glucémica entre cuatro fórmulas nutricionales comerciales específicas para diabéticos y un desayuno estándar en 10 sujetos con diabetes mellitus tipo 2, mediante el uso de un sistema de monitoreo continuo de glucosa. Se calculó el promedio, desviación estándar y el área bajo la curva en hiperglucemia de cada una de las fórmulas. Además se determinó el coeficiente de variación y otras medidas de variabilidad. Se analizó el delta de glucosa intersticial cada cinco minutos estratificado para cada fórmula nutricional. Resultados: El promedio de glucosa para el desayuno control fue 146,7± 44,3 mg/dl, Ensoy Diabetes® 129,6 ±25,1mg/ dl, Enterex DBT® 129,6± 26,8 mg/dl, Glucerna SR® 131,5± 31,7 mg/dl y Prowhey DM® 131,7± 30,7 mg/dl. Las cuatro fórmulas nutricionales tuvieron menor AUC en un periodo de cuatro horas (posabsortivo) respecto a un desayuno estándar (p<0,001), generando menores excursiones glucémicas y reafirmando su menor índice glucémico. Conclusiones: Las cuatro fórmulas nutricionales específicas para diabéticos evaluadas en nuestro estudio fueron superiores en comportamiento y variabilidad glucémica a un desayuno estándar en población diabética. Ensoy Diabetes® mostró menor AUC frente a Glucerna SR®, hallazgo que podría ser explicado por el menor aporte real de carbohidratos de Ensoy Diabetes® (17 vs 22,4 g)

Factores demográficos y psicosociales asociados al exceso de peso en una población de Colombia

Introducción: la obesidad es una enfermedad de alto interés en salud pública y de etiología multifactorial. Es necesario conocer los aspectos ambientales propios de cada región que contribuyen al desarrollo de esta patología. El objetivo del estudio fue evaluar en la actualidad en una población colombiana la asociación entre diversos factores demográficos y psicosociales de la infancia y la edad adulta con tener exceso de peso. Materiales y métodos: se realizó un estudio observacional, descriptivo y de corte transversal mediante una encuesta electrónica realizada a pacientes y acompañantes en la Clínica FOSCAL, donde se evaluaron las variables demográficas, las condiciones de vida en la infancia y los hábitos actuales. Fueron incluidos sujetos mayores de 18 años. Las personas con déficit cognitivo, pérdida involuntaria de más del 10 % del peso y embarazadas fueron excluidas. Resultados: en el análisis se incluyeron 490 participantes con edad promedio de 31,4±15 años; el 58,8 % fue mujeres y el 91,4 % procedía del área urbana. El 44,8 % de los encuestados tenía exceso de peso (32,6 % sobrepeso y 12,2 % obesidad). Se encontró asociación entre la edad actual (OR: 1,11; IC 95 %: 1,04-1,19; p=0,0,002), el peso alcanzado a los 18 años (OR: 1,10; IC 95%: 1,06-1,15; p<0,001) y haber vivido en la infancia en un conjunto residencial (OR: 0,40; IC 95 %: 0,18-0,88; p<0,001) con tener exceso de peso en la actualidad. Se apreció una ganancia de peso de 0,35 kg por año de vida cumplido. Otros hallazgos, como el consumo de alcohol y sustancias psicoactivas, así como la actividad física semanal no tuvieron asociación. Conclusiones: la edad, el peso alcanzado a los 18 años y el no haber vivido en un conjunto residencial en la infancia fueron los factores asociados a tener exceso de peso en una población adulta colombiana

Predicción del Índice de Reposición en Montanera para la clasificación de canales de cerdo Ibérico según régimen alimenticio mediante el análisis no destructivo por Espectroscopía del Infrarrojo Cercano

The classification of Iberian pig carcasses into different commercial categories according to feeding regime was evaluated by means of a non-destructive analysis of the subcutaneous adipose tissue using Near Infrared Spectroscopy (NIRS). A quantitative approach was used to predict the Acorn-Grass Weight Gain Index (AGWGI), and a set of criteria was established for commercial classification purposes. A total of 719 animals belonging to various batches, reflecting a wide range of feeding regimes, production systems and years, were analyzed with a view to developing and evaluating quantitative NIRS models. Results for the external validation of these models indicate that NIRS made clear differentiation of batches as a function of three feeding regimes possible with high accuracy (Acorn, Recebo and Feed), on the basis of the mean representative spectra of each batch. Moreover, individual analysis of the animals showed a broad consensus between field inspection information and the classification based on the AGWGI NIRS prediction, especially for extreme categories (Acorn and Feed).La clasificación en distintas categorías comerciales según régimen alimenticio de canales de cerdo Ibérico fue evaluada mediante el análisis no destructivo de muestras de tejido adiposo subcutáneo por Espectroscopía del Infrarrojo Cercano (NIRS). Partiendo de una aproximación cuantitativa para predecir el Índice de Reposición en Montanera (IRM) se establecieron una serie de criterios para proceder a su clasificación comercial. Se analizaron un total de 719 animales pertenecientes a diversas partidas, que recogen una amplia variabilidad de muestras de distintos regímenes alimenticios, campañas y sistemas productivos, para el desarrollo y evaluación de los modelos NIRS cuantitativos. Los resultados de validación externa de los modelos indicaron que es posible discriminar con una gran exactitud entre partidas de distintos categorías (Bellota, Recebo y Cebo), en base al espectro medio representativo de cada partida. Además, el análisis individualizado de los animales mostró un amplio consenso entre la información recibida de campo y la clasificación en base a la predicción del parámetro IRM por NIRS, sobre todo para categorías con características extremas (Bellota y Cebo)

LPA1/3 receptor antagonist KI16425 as a novel treatment for the neurobehavioural effects of the ethanol

Aims. The lysophosphatidic acid (LPA) is an ubiquitous lysophospholipid that acts through G-protein coupled receptors (LPA1-6), and it is involved in the modulation of emotional and motivational behaviors. Recent literature suggests a relevant role of the LPA signaling system in alcoholism, specially through the LPA1 receptor. This work aims to elucidate whether systemic LPA1/3 receptor blockade with ki16425 would modulate ethanol effects on the brain and behavior. Methods. This study consisted of four experiments assessing the effect of intraperitoneal ki16425 administration (20 mg/kg) on ethanol-related behaviors. Male Wistar rats or mice (Swiss, C57BL/6J or hybrid C57BL/6J×129X1/SvJ background) were employed in various procedures: I) oral ethanol selfadministration; II) loss of righting reflex; III) ethanol-induced conditioned place preference (CPP) and IV) ethanol-withdrawal behavioral symptoms (by assessing nest building, physical signs and spatial working memory). Immunohistochemistry was carried out in order to evaluate basal neuronal activity (c-Fos) in the medial prefrontal cortex (mPFC) and in the hippocampus, as well as adult hippocampal neurogenesis (AHN) using proliferating cell nuclear antigen (PCNA) and doublecortin (DCX) markers. Results. Systemic Ki16425 administration reduced oral self-administration of ethanol in previously trained rats. Likewise, ki16425 pretreatment in mice attenuated the sedation induced by ethanol, blocked ethanol rewarding effect in a CPP paradigm and reduced behavioral symptoms induced by ethanol withdrawal. Immunohistochemistry revealed a protective effect of ki16425 against ethanol actions on basal neuronal activity in the mPFC and on AHN. Conclusions. Our results suggest a potential usefulness of systemic LPA1/3 receptors antagonists as a novel treatment for alcohol-related disorders.Universidad de Málaga, Campus de Excelencia Internacional Andalucía Tech

Efficacy and safety of preoperative preparation with Lugol''s iodine solution in euthyroid patients with Graves’ disease (LIGRADIS Trial): Study protocol for a multicenter randomized trial

Background: Currently, both the American Thyroid Association and the European Thyroid Association recommend preoperative preparation with Lugol''s Solution (LS) for patients undergoing thyroidectomy for Graves’ Disease (GD), but their recommendations are based on low-quality evidence. The LIGRADIS trial aims to provide evidence either to support or refute the systematic use of LS in euthyroid patients undergoing thyroidectomy for GD. Methods: A multicenter randomized controlled trial will be performed. Patients =18 years of age, diagnosed with GD, treated with antithyroid drugs, euthyroid and proposed for total thyroidectomy will be eligible for inclusion. Exclusion criteria will be prior thyroid or parathyroid surgery, hyperparathyroidism that requires associated parathyroidectomy, thyroid cancer that requires adding a lymph node dissection, iodine allergy, consumption of lithium or amiodarone, medically unfit patients (ASA-IV), breastfeeding women, preoperative vocal cord palsy and planned endoscopic, video-assisted or remote access surgery. Between January 2020 and January 2022, 270 patients will be randomized for either receiving or not preoperative preparation with LS. Researchers will be blinded to treatment assignment. The primary outcome will be the rate of postoperative complications: hypoparathyroidism, recurrent laryngeal nerve injury, hematoma, surgical site infection or death. Secondary outcomes will be intraoperative events (Thyroidectomy Difficulty Scale score, blood loss, recurrent laryngeal nerve neuromonitoring signal loss), operative time, postoperative length of stay, hospital readmissions, permanent complications and adverse events associated to LS. Conclusions: There is no conclusive evidence supporting the benefits of preoperative treatment with LS in this setting. This trial aims to provide new insights into future Clinical Practice Guidelines recommendations. Trial registration: ClinicalTrials.gov identifier: NCT03980132. © 202

Self-assembly of iron oxide precursor micelles driven by magnetic stirring time in sol-gel coatings

The purpose of this work is to fabricate self-assembled microstructures by the sol-gel method and study the morphological, structural and compositional dependence of epsilon-Fe_2O_3 nanoparticles embedded in silica when glycerol (GLY) and cetyl-trimethylammonium bromide (CTAB) are added as steric agents simultaneously. The combined action of a polyalcohol and a surfactant significantly modifies the morphology of the sample giving rise to a different microstructure in each of the studied cases (1, 3 and 7 days of magnetic stirring time). This is due to the fact that the addition of these two compounds leads to a considerable increase in gelation time as GLY can interact with the alkoxide group on the surface of the iron oxide precursor micelle and/or be incorporated into the hydrophilic chains of CTAB. This last effect causes the iron oxide precursor micelles to be interconnected forming aggregates whose size and structure depend on the magnetic stirring time of the sol-gel synthetic route. In this paper, crystalline structure, composition, purity and morphology of the sol-gel coatings densified at 960 degrees C are examined. Emphasis is placed on the nominal percentage of the different iron oxides found in the samples and on the morphological and structural differences. This work implies the possibility of patterning epsilon-Fe_2O_3 nanoparticles in coatings and controlling their purity by an easy one-pot sol-gel method

Analysis of Synaptic Proteins in the Cerebrospinal Fluid as a New Tool in the Study of Inborn Errors of Neurotransmission

Abstract In a few rare diseases, specialised studies in cerebrospinal fluid (CSF) are required to identify the underlying metabolic disorder. We aimed to explore the possibility of detecting key synaptic proteins in the CSF, in particular dopaminergic and gabaergic, as new procedures that could be useful for both pathophysiological and diagnostic purposes in investigation of inherited disorders of neurotransmission. Dopamine receptor type 2 (D2R), dopamine transporter (DAT) and vesicular monoamine transporter type 2 (VMAT2) were analysed in CSF samplesfrom 30 healthy controls (11 days to 17 years) by western blot analysis. Because VMAT2 was the only protein with intracellular localisation, and in order to compare results, GABA vesicular transporter, which is another intracellular protein, was also studied. Spearman’s correlation and Student’s t tests were applied to compare optical density signals between different proteins. All these synaptic proteins could be easily detected and quantified in the CSF. DAT, D2R and GABA VT expression decrease with age, particularly in the first months of life, reflecting the expected intense synaptic activity and neuronal circuitry formation. A statistically significant relationship was found between D2R and DAT expression, reinforcing the previous evidence of DAT regulation by D2R. To our knowledge, there are no previous studies on human CSF reporting a reliable analysis of these proteins. These kinds of studies could help elucidate new causes of disturbed dopaminergic and gabaergic transmission as well as understanding different responses to L-dopa in inherited disorders affecting dopamine metabolism. Moreover, this approach to synaptic activity in vivo can be extended to different groups of proteins and diseases