El homicidio de sí mismo. Revisión histórica y estudio comparativo entre la Legislación española y francesa en materia de suicidio. Meurtre de soi-même.

La publicación en Francia, en 1982, del libro "Suicide mode d'emploi" suscitó, de manera casi generalizada, indignación y sorpresa, ya que muchas personas descubrieron que lo que para ellos era condenable moral, ética o deontológicamente, era, en cambio, totalmente legal según el ordenamiento jurídico francés, el cual, por aquel entonces, no disponía (a diferencia de otros países como España) de ninguna ley que impidiera la publicación del libro. Ello originó un largo debate social que tendría entre otras consecuencias la promulgación (cinco años después de la aparición del libro) de una ley penalizando la provocación al suicidio. Este trabajo analiza estos hechos recientes situándolos en un contexto histórico que tiene en cuenta el origen y la evolución de las respuestas de los grupos y sociedades frente al suicidio y, particularmente, las que se expresan a través de las leyes. Se estudiarán las circunstancias en las que emerge el ámbito de la psiquiatría en relación al "homicidio de sí mismo': y el problema reciente de la eutanasia. La investigación está centrada en torno a un estudio comparativo entre Francia y España

El homicidio de sí mismo. Revisión histórica y estudio comparativo entre la Legislación española y francesa en materia de suicidio. Meurtre de soi-même.

La publicación en Francia, en 1982, del libro "Suicide mode d'emploi" suscitó, de manera casi generalizada, indignación y sorpresa, ya que muchas personas descubrieron que lo que para ellos era condenable moral, ética o deontológicamente, era, en cambio, totalmente legal según el ordenamiento jurídico francés, el cual, por aquel entonces, no disponía (a diferencia de otros países como España) de ninguna ley que impidiera la publicación del libro. Ello originó un largo debate social que tendría entre otras consecuencias la promulgación (cinco años después de la aparición del libro) de una ley penalizando la provocación al suicidio. Este trabajo analiza estos hechos recientes situándolos en un contexto histórico que tiene en cuenta el origen y la evolución de las respuestas de los grupos y sociedades frente al suicidio y, particularmente, las que se expresan a través de las leyes. Se estudiarán las circunstancias en las que emerge el ámbito de la psiquiatría en relación al "homicidio de sí mismo': y el problema reciente de la eutanasia. La investigación está centrada en torno a un estudio comparativo entre Francia y España

Are anti-ganglioside antibodies detectable in serum from patients with critical illness myopathy and polyneuropathy?

Introduction: Critical illness myopathy (CIM) and polyneuropathy (CIP) are the most common cause of acquired weakness in intensive care units (ICU). However, its exact pathogenesis remains unclear. Abnormal excitability of muscle due to a sodium channelopathy is one of the mechanisms proposed. The aim of this study is to test for the presence of anti-ganglioside antibodies in serum from patients with CIM or both combined CIM/CIP, since there is evidence that they can cause reversible dysfunction of voltage-gated sodium channels.Methods: In a prospective way, we studied 35 patients admitted in ICU by weekly EMG. When positive spontaneous activity (PSA) was detected, a muscle biopsy was performed. Twenty patients met criteria of CIM; five of them also developed overlapping CIP. We did not detect any kind of abnormality in 10 patients during the follow up period. Sera were analyzed for the presence of anti-ganglioside antibodies (Ganglioside-profile 2 Euroline, Euroimmun). Results: Overall, positive reactivity against anti-GT1b was found in one patient with CIM, representing 2.8% (1/35) of the total sample.Conclusion: Reduced percentage of patients affected of CIM or CIM/CIP exhibits positive reactive against anti-ganglioside antibodies. Thus, it could be suggested they do not play a primary role in their pathogenesis. Key words: Critical illness myopathy, critical illness polineuropathy, difficult weaning, channelopathy, muscle fiber inexcitability, anti-ganglioside antibodies  DOI: http://dx.doi.org/10.17268/rmt.2020.v15i01.0

A Cloud-Based Framework for Machine Learning Workloads and Applications

[EN] In this paper we propose a distributed architecture to provide machine learning practitioners with a set of tools and cloud services that cover the whole machine learning development cycle: ranging from the models creation, training, validation and testing to the models serving as a service, sharing and publication. In such respect, the DEEP-Hybrid-DataCloud framework allows transparent access to existing e-Infrastructures, effectively exploiting distributed resources for the most compute-intensive tasks coming from the machine learning development cycle. Moreover, it provides scientists with a set of Cloud-oriented services to make their models publicly available, by adopting a serverless architecture and a DevOps approach, allowing an easy share, publish and deploy of the developed models.This work was supported by the project DEEP-Hybrid-DataCloud ``Designing and Enabling E-infrastructures for intensive Processing in a Hybrid DataCloud'' that has received funding from the European Union's Horizon 2020 Research and Innovation Programme under Grant 777435Lopez Garcia, A.; Marco De Lucas, J.; Antonacci, M.; Zu Castell, W.; David, M.; Hardt, M.; Lloret Iglesias, L.... (2020). A Cloud-Based Framework for Machine Learning Workloads and Applications. IEEE Access. 8:18681-18692. https://doi.org/10.1109/ACCESS.2020.2964386S1868118692

Development of ASAS quality standards to improve the quality of health and care services for patients with axial spondyloarthritis

Objectives The Assessment of SpondyloArthritis International Society (ASAS) aimed to develop a set of quality standards (QS) to help improve the quality of healthcare provided to adult patients affected by axial spondyloarthritis (axSpA) worldwide. Methods An ASAS task force developed a set of QS using a stepwise approach. First, key areas for quality improvement were identified, discussed, rated and agreed on. Thereafter, areas were prioritised and statements for the most important key areas were phrased on consensus. Appropriate quality measures were defined to allow quantification of the QS at the community level. Results The ASAS task force, consisting of 20 rheumatologists, two physiotherapists and two patients, selected and proposed 34 potential key areas for quality improvement which were then commented by 140 ASAS members and patients. Within that process three new key areas came up, which led to a re-evaluation of all 37 key areas by 120 ASAS members and patients. Five key areas were identified as most important to determine quality of care: referral including rapid access, rheumatology assessment, treatment, education/self-management and comorbidities. Finally, nine QS were agreed on and endorsed by the whole ASAS membership. Conclusions ASAS successfully developed the first set of QS to help improving healthcare for adult patients with axSpA. Even though it may currently not be realistic to achieve the QS in all healthcare systems, they provide high-quality of care framework for patients with axSpA that should be aimed for

Isolation and Characterization of Novel Murine Epiphysis Derived Mesenchymal Stem Cells

BACKGROUND: While bone marrow (BM) is a rich source of mesenchymal stem cells (MSCs), previous studies have shown that MSCs derived from mouse BM (BMMSCs) were difficult to manipulate as compared to MSCs derived from other species. The objective of this study was to find an alternative murine MSCs source that could provide sufficient MSCs. METHODOLOGY/PRINCIPAL FINDINGS: In this study, we described a novel type of MSCs that migrates directly from the mouse epiphysis in culture. Epiphysis-derived MSCs (EMSCs) could be extensively expanded in plastic adherent culture, and they had a greater ability for clonogenic formation and cell proliferation than BMMSCs. Under specific induction conditions, EMSCs demonstrated multipotency through their ability to differentiate into adipocytes, osteocytes and chondrocytes. Immunophenotypic analysis demonstrated that EMSCs were positive for CD29, CD44, CD73, CD105, CD166, Sca-1 and SSEA-4, while negative for CD11b, CD31, CD34 and CD45. Notably, EMSCs did not express major histocompatibility complex class I (MHC I) or MHC II under our culture system. EMSCs also successfully suppressed the proliferation of splenocytes triggered by concanavalin A (Con A) or allogeneic splenocytes, and decreased the expression of IL-1, IL-6 and TNF-α in Con A-stimulated splenocytes suggesting their anti-inflammatory properties. Moreover, EMSCs enhanced fracture repair, ameliorated necrosis in ischemic skin flap, and improved blood perfusion in hindlimb ischemia in the in vivo experiments. CONCLUSIONS/SIGNIFICANCES: These results indicate that EMSCs, a new type of MSCs established by our simple isolation method, are a preferable alternative for mice MSCs due to their better growth and differentiation potentialities

Variants of the FADS1 FADS2 Gene Cluster, Blood Levels of Polyunsaturated Fatty Acids and Eczema in Children within the First 2 Years of Life

Association of genetic-variants in the FADS1-FADS2-gene-cluster with fatty-acid-composition in blood of adult-populations is well established. We analyze this genetic-association in two children-cohort-studies. In addition, the association between variants in the FADS-gene-cluster and blood-fatty-acid-composition with eczema was studied. Data of two population-based-birth-cohorts in The Netherlands and Germany (KOALA, LISA) were pooled (n = 879) and analyzed by (logistic) regression regarding the mutual influence of single-nucleotide-polymorphisms (SNPs) in the FADS-gene-cluster (rs174545, rs174546, rs174556, rs174561, rs3834458), on polyunsaturated fatty acids (PUFA) in blood and parent-reported eczema until the age of 2 years. All SNPs were highly significantly associated with all PUFAs except for alpha-linolenic-acid and eicosapentaenoic-acid, also after correction for multiple-testing. All tested SNPs showed associations with eczema in the LISA-study, but not in the KOALA-study. None of the PUFAs was significantly associated with eczema neither in the pooled nor in the analyses stratified by study-cohort. PUFA-composition in young children's blood is under strong control of the FADS-gene-cluster. Inconsistent results were found for a link between these genetic-variants with eczema. PUFA in blood was not associated with eczema. Thus the hypothesis of an inflammatory-link between PUFA and eczema by the metabolic-pathway of LC-PUFAs as precursors for inflammatory prostaglandins and leukotrienes could not be confirmed by these data