Programa de educación para la salud dirigido a padres de niños oncológicos: Cuidados al alta domiciliaria

Introducción: El Cáncer Infantil es definido como aquellos tumores de naturaleza maligna originados en las edades comprendidas entre el nacimiento y los 14 años de edad. El diagnóstico de esta enfermedad genera un impacto muy importante en la vida de los pacientes y sus familiares, con numerosos cambios en el estilo de vida. Por ello, es esencial que los padres tengan los conocimientos adecuados para apoyar a sus hijos, además de una buena comunicación entre familiares y profesionales sanitarios.Objetivo: Desarrollar un Programa de Educación para la Salud liderado por enfermeras del Hospital, que vaya dirigido a padres de pacientes oncológicos pediátricos con alta domiciliaria próxima.Metodología: Se realizó en primer lugar una búsqueda bibliográfica en diferentes bases de datos y páginas webs con el fin de conocer más información acerca de la oncología infantil y sus cuidados; para después poder desarrollar el programa de educación acerca de los cuidados en el domicilio.Conclusiones: El desarrollo del Programa de Educación para la Salud supone un apoyo fundamental para los padres en la transición al domicilio, evaluando los conocimientos y aportando aquellos necesarios para el correcto cuidado del niño, fomentando también la comunicación con los profesionales sanitarios.<br /

Estuarine sediment resuspension and acidification: Release behaviour of contaminants under different oxidation levels and acid sources

Carbon dioxide (CO2) Capture and Storage (CCS) is a technology to reduce the emissions of this gas to the atmosphere by sequestering it in geological formations. In the case of offshore storage, unexpected CO2 leakages will acidify the marine environment. Reductions of the pH might be also caused by anthropogenic activities or natural events such as acid spills and dredging operations or storms and floods. Changes in the pH of the marine environment will trigger the mobilisation of elements trapped in contaminated shallow sediments with unclear redox boundary. Trace element (As, Cd, Cr, Cu, Ni, Pb and Zn) release from anoxic and oxic estuarine sediment is analysed and modelled under different laboratory acidification conditions using HNO3 (l) and CO2 (g): acidification at pH = 6.5 as worst-case scenario in events of CO2 leakages and acid spills, and acidification at pH = 7.0 as a seawater scenario under CO2 leakages, acid spills, as well as sediment resuspension. The prediction of metal leaching behaviour appear to require sediment specific and site specific tools. In the present work it is demonstrated that the proposed three in-series reactions model predicts the process kinetics of the studied elements under different simulated environmental conditions (oxidation levels and acid sources). Differences between HNO3 and CO2 acidification are analysed through the influence of the CO2 gas on the ionic competition of the medium. The acidification with CO2 provokes higher released concentrations from the oxic sediment than from the anoxic sediment, except in the case of Zn, which influences the release of the other studied elements. Slight acidification can endanger the aquatic environment through an important mobilisation of contaminants. The obtained prediction of the contaminant release from sediment (kinetic parameters and maximum concentrations) can contribute to the exposure assessment stage for risk management and preincidental planning in accidental CO2 leakages and chemical spills scenarios.This work was supported by the financial help of the Spanish Ministry of Economy and Competitiveness, Project CTM 2011-28437-C02-01, ERDF included. M.C. Martín-Torrewas funded by the Spanish Ministry of Economy and Competitiveness by means of a F.P.I. fellowship No. BES-2012-053816

Multiple adverse drug reactions and genetic polymorphism testing: a case report with negative result

FUNDAMENTO: Los defectos en las vías metabólicas de los medicamentos podrían explicar por qué algunos pacientes tienen antecedentes de múltiples reacciones adversas a los medicamentos (ADR); por lo tanto, nuestro objetivo fue analizar los polimorfismos genéticos en un paciente con ADR múltiple relacionado con fármacos con una vía metabólica hepática común a través de CYP2D6. PREOCUPACIONES DEL PACIENTE: informamos a un paciente con psicosis e hipertensión relacionada con amitriptilina, tramadol y duloxetina en un período de 2 años. INTERVENCIONES Y RESULTADOS: Se realizó una prueba farmacogenética para evaluar el papel causante de la enzima CYP2D6, pero no demostró una deficiencia metabólica. LECCIONES: Aunque resultados negativos en el caso reportado; la tipificación para los polimorfismos de isoenzimas del citocromo P450 podría ser una herramienta de diagnóstico útil en algunos pacientes con antecedentes de ADR múltiple.RATIONALE: Defects in drug metabolic pathways could explain why some patients have a history of multiple adverse drug reactions (ADR); therefore we aimed to analyze genetic polymorphisms in a patient with multiple ADR related to drugs with a common hepatic metabolic pathway through CYP2D6. PATIENT CONCERNS: We report a patient with psychosis and hypertension related to amitriptyline, tramadol, and duloxetine within a 2-year period. INTERVENTIONS AND OUTCOMES: A pharmacogenetic test was performed to assess the causative role of the CYP2D6 enzyme, but did not demonstrate a metabolic deficiency. LESSONS: Although negative results in the reported case; typing for cytochrome P450 isoenzyme polymorphisms could be a useful diagnostic tool in some patients with a history of multiple ADR.peerReviewe

Special structures of hoopoe eggshells enhance the adhesion of symbionts-carrying uropygial secretion to prevent embryo infection

This is the pre-peer-reviewed version of the following article: Martín-Vivaldi, M.; et al. Special structures of hoopoe eggshells enhance the adhesion of symbionts-carrying uropygial secretion to prevent embryo infection. Journal of Animal Ecology, (2014). which has been published in final form at: http://onlinelibrary.wiley.com/doi/10.1111/1365-2656.12243/abstract1. Animals live in a bacterial world, and detecting and exploring adaptations favouring mutualistic relationships with antibiotic-producing bacteria as a strategy to fight pathogens are of prime importance for evolutionary ecologists. 2. Uropygial secretion of European hoopoes (Upupa epops, Linnaeus) contains antimicrobials from mutualistic bacteria that may be used to prevent embryo infection. Here, we investigated the microscopic structure of hoopoe eggshells looking for special features favouring the adhesion of antimicrobial uropygial secretions. 3. We impeded female access to the uropygial gland and compared microscopic characteristics of eggshells, bacterial loads of eggs and of uropygial secretion, and hatching success of experimental and control females. Then, we explored the link between microbiological characteristics of uropygial secretion and these of eggs of hoopoes, as well as possible fitness benefits. 4. The microscopic study revealed special structures in hoopoes' eggshells (crypts). The experimental prevention of females' gland access demonstrated that crypts are filled with uropygial secretion and that symbiotic enterococci bacteria on the eggshells come, at least partially, from those in the female's uropygial gland. Moreover, the experiment resulted in a higher permeability of eggshells by several groups of bacteria and in elimination of the positive relationships detected for control nests between hatching success and density of symbiotic bacteria, either in the uropygial secretion of females or on the eggshell. 5. The findings of specialized crypts on the eggshells of hoopoes, and of video-recorded females smearing secretion containing symbiotic bacteria at a high density onto the eggshells strongly support a link between secretion and bacteria on eggs. Moreover, the detected associations between bacteria and hatching success suggest that crypts enhancing the adhesion of symbiont-carrying uropygial secretion likely protect embryos against infections.Support by funding was provided by Spanish Ministerio de Ciencia e Innovación, European funds (FEDER) (CGL2009-14006, CGL2010-19233-C03-01 and CGL2010-19233-C03-03) and Junta de Andalucía (P09-RNM-4557)

Beneficial Shifts in the Gut Bacterial Community of Gilthead Seabream (Sparus aurata) Juveniles Supplemented with Allium-Derived Compound Propyl Propane Thiosulfonate (PTSO)

This study analyzes the potential use of an Allium-derived compound, propyl propane thiosulfonate (PTSO), as a functional feed additive in aquaculture. Gilthead seabream (Sparus aurata) juveniles had their diet supplemented with this Allium-derived compound (150 mg/kg of PTSO) and were compared with control fish. The effects of this organosulfur compound were tested by measuring the body weight and analyzing the gut microbiota after 12 weeks. The relative abundance of potentially pathogenic Vibrio and Pseudomonas in the foregut and hindgut of supplemented fish significantly decreased, while potentially beneficial Lactobacillus increased compared to in the control fish. Shannon’s alpha diversity index significantly increased in both gut regions of fish fed with a PTSO-supplemented diet. Regarding beta diversity, significant differences between treatments only appeared in the hindgut when minority ASVs were taken into account. No differences occurred in body weight during the experiment. These results indicate that supplementing the diet with Allium-derived PTSO produced beneficial changes in the intestinal microbiota while maintaining the productive parameters of gilthead seabream juveniles.AQUAHEALTH project (Operational Programme Smart Growth 2014-2020) IDI-20170032FEDER-INNTERCONECTA-CDTI 2018, Centro para el Desarrollo Industrial, Spanish Ministry of Economy and Competitiveness ITC-20181099Programa Operativo de Empleo Juvenil (Fondo Social Europeo, Junta de Andalucia) 612

Reversión de sedantes agonistas alfa-2-adrenérgicos en el perro

En el presente Artículo de Revisión se aporta una información amplia sobre los productos de LISO más frecuente en la reversión de los efectos sedantes de los agonistas alfa-2-adrenérgicos empleados en el perro: xilacina, medetomidina y romifidina. Se refieren los detalles farmacológicos, dosificación, efectos y aplicaciones de los siguientes productos: yohimbina, 4-aminopiridina, doxapram y atipamezol

Natural and artificial feeding management before weaning promote different rumen microbial colonization but not differences in gene expression levels at the rumen epithelium of newborn goats

The aim of this work was to evaluate the effect of feeding management during the first month of life (natural with the mother, NAT, or artificial with milk replacer, ART) on the rumen microbial colonization and the host innate immune response. Thirty pregnant goats carrying two fetuses were used. At birth one kid was taken immediately away from the doe and fed milk replacer (ART) while the other remained with the mother (NAT). Kids from groups received colostrum during first 2 days of life. Groups of four kids (from ART and NAT experimental groups) were slaughtered at 1, 3, 7, 14, 21 and 28 days of life. On the sampling day, after slaughtering, the rumen content was sampled and epithelial rumen tissue was collected. Pyrosequencing analyses of the bacterial community structure on samples collected at 3, 7, 14 and 28 days showed that both systems promoted significantly different colonization patterns (P = 0.001). Diversity indices increased with age and were higher in NAT feeding system. Lower mRNA abundance was detected in TLR2, TLR8 and TLR10 in days 3 and 5 compared to the other days (7, 14, 21 and 28). Only TLR5 showed a significantly different level of expression according to the feeding system, presenting higher mRNA abundances in ART kids. PGLYRP1 showed significantly higher abundance levels in days 3, 5 and 7, and then experienced a decline independently of the feeding system. These observations confirmed a highly diverse microbial colonisation from the first day of life in the undeveloped rumen, and show that the colonization pattern substantially differs between pre-ruminants reared under natural or artificial milk feeding systems. However, the rumen epithelial immune development does not differentially respond to distinct microbial colonization patterns.publishersversionPeer reviewe

The Hoopoe's Uropygial Gland Hosts a Bacterial Community Influenced by the Living Conditions of the Bird

Molecular methods have revealed that symbiotic systems involving bacteria are mostly based on whole bacterial communities. Bacterial diversity in hoopoe uropygial gland secretion is known to be mainly composed of certain strains of enterococci, but this conclusion is based solely on culture-dependent techniques. This study, by using culture-independent techniques (based on the 16S rDNA and the ribosomal intergenic spacer region) shows that the bacterial community in the uropygial gland secretion is more complex than previously thought and its composition is affected by the living conditions of the bird. Besides the known enterococci, the uropygial gland hosts other facultative anaerobic species and several obligated anaerobic species (mostly clostridia). The bacterial assemblage of this community was largely invariable among study individuals, although differences were detected between captive and wild female hoopoes, with some strains showing significantly higher prevalence in wild birds. These results alter previous views on the hoopoe-bacteria symbiosis and open a new window to further explore this system, delving into the possible sources of symbiotic bacteria (e.g. nest environments, digestive tract, winter quarters) or the possible functions of different bacterial groups in different contexts of parasitism or predation of their hoopoe host.This work was supported by the Ministerio de Ciencia y Tecnología (projects CGL2005-06975/BOSFEDER; CGL2007-61251/BOSFEDER), the Ministerio de Ciencia e Innovación (projects CGL2009-14006/BOSFEDER; CGL2010-19233-C03-01/BOSFEDER; CGL2010-19233-C03-03/BOSFEDER), the Ministerio de Economía y Competitividad (projects CGL2013-48193-C3-1-P/BOSFEDER; CGL2013-48193-C3-2-P/BOSFEDER), and the Junta de Andalucía (RNM 345, P09-RNM-4557). SMRR received a grant from the Ministerio de Ciencia e Innovación (FPI program, BES-2011-047677)