Comparison of Antibacterial Activity and Wound Healing in a Superficial Abrasion Mouse Model of Staphylococcus aureus Skin Infection Using Photodynamic Therapy Based on Methylene Blue or Mupirocin or Both

Background: Antibiotic resistance and impaired wound healing are major concerns in S. aureus superficial skin infections, and new therapies are needed. Antimicrobial photodynamic therapy (aPDT) is a new therapeutic approach for infections, but it also improves healing in many wound models. Objective: To compare the antimicrobial activity and the effects on wound healing of aPDT based on Methylene Blue (MB-aPDT) with mupirocin treatment, either alone or in combination, in superficial skin wounds of S. aureus-infected mice. Additionally, to evaluate the clinical, microbiological, and cosmetic effects on wound healing. Materials and Methods: A superficial skin infection model of S. aureus was established in SKH-1 mice. Infected wounds were treated with MB-aPDT, MB-aPDT with a daily topical mupirocin or only with mupirocin. No treatment was carried out in control animals. Daily clinical and microbiological examinations were performed until complete clinical wound healing. Histopathological studies and statistical analysis were performed at the end of the study. Results: MB-aPDT treatment induced the best wound healing compared to mupirocin alone or to mupirocin plus MB-aPDT. Superficial contraction at 24 h and a greater reduction in size at 48 h, quicker detachment of the crust, less scaling, and absence of scars were observed. Histopathological studies correlated with clinical and gross findings. By contrast, mupirocin showed the highest logaritmic reduction of S. aureus. Conclusions: MB-aPDT and mupirocin treatments are effective in a murine superficial skin infection model of S. aureus. One session of MB-aPDT was the best option for clinical wound healing and cosmetic results. The addition of mupirocin to MB-aPDT treatment improved antimicrobial activity; however, it did not enhance wound healing. No synergistic antibacterial effects were detected. © Copyright © 2021 Pérez, Robres, Moreno, Bolea, Verde, Pérez-Laguna, Aspiroz, Gilaberte and Rezusta

Economic feasibility of projects using triangular fuzzy numbers

© Springer Nature Switzerland AG 2018. The feasibility analysis of projects is an indispensable process for software development organizations. The intangible nature of software and the multiple criteria considered, introduce uncertainty in this process. This article proposes a method that uses triangular fuzzy numbers to evaluate traditional economic criteria Net Present Value, Internal Rate of Return, and Period of Recovery of Investment; which provides higher flexibility and certainty in the prediction. The article also presents the definitions of fuzzy economic criteria and discusses some variants for different cash flows. The proposal allows treating the variations that may occur during the life cycle of the project. The final value of the criteria is obtained by considering three possible scenarios: pessimistic, more accurate and optimistic. The proposal was applied experimentally, in 30 finished software projects. The target was to determine if there were significant differences in the order of feasibility of the projects, comparing the results obtained by the fuzzy economic criteria with those obtained by the traditional economic criteria. Significant differences were found in favor of the fuzzy economic criteria Net Present Value and Internal Rate of Return. Better results were achieved by fuzzy Period of Recovery of Investment, but, the difference was not statistically significant

Estancia de otorrinolaringología. Análisis integral de tres cursos de trabajo. Sandino. 2004-2007 Rotation in Otorrhinolaringology. A Three-Year-Of-Work Complete Analysis. Sandino 2004-2007

Por la importancia que implica la universalización de la enseñanza y el gran reto que la misma constituye para los profesores que impartimos las diferentes asignaturas en centros de Educación Médica Superior nos motivamos a la realización de la presente investigación, en la cual nos proponemos analizar los resultados del proceso docente educativo en la estancia de Otorrinolaringología en la Filial Universitaria de Ciencias Médicas de Sandino, para lo cual realizamos una investigación lineal, cuantitativa, analítica y descriptiva, de los factores que a nuestro entender y el de nuestros educandos han incidido en la calidad y desarrollo de este proceso en los años del 2004 al 2007. El universo y la muestra de estudio estuvieron constituidos por los alumnos que han rotado con nosotros en estos tres años en nuestra filial. Utilizamos métodos estadísticos porcentuales para el análisis de cada una de las variables. Definimos los principales problemas que inciden en el normal desarrollo del proceso docente educativo en nuestra asignatura, las deficiencias e insuficiencias de las acciones instituidas por el programa actual, nos permitirá el diseño de un modelo más eficaz en cuanto a los contenidos a impartir y la forma más adecuada de hacerlo en correspondencia con las patologías más frecuentes de nuestra especialidad en nuestro país y otros del tercer mundo que enfrentaran nuestro médicos. Palabras clave: ENSEÑANZA/métodos, EDUCACIÓN MÉDICA, ESCUELAS MÉDICAS, UNIVERSIDADES, DOCENTES, COMUNICACIÓN, EVALUIACIÓN EDUCACIONAL/métodos, OTORRINOLARINGOLOGÍA, INTERNADO, RESIDENCIA. ABSTRACT Because of the importance that the teaching universalization implies and the great challenge it brings for us, the professors that teach different subjects at Higher Medical Education Institutions, we feel motivated to carry out the following research, in which we aim at analyzing the results from the educational teaching process in the rotation of Otorrhinolaringology at the Medical University branch in Sandino. Therefore, we carried out a linear, quantitative, analytical, and descriptive research on the factors which, we and our students understand, have influenced the quality and development of this process during 2004-2007. The whole study sample comprised the students who have rotated with us during these three years at our medical branch. We used percentage statistical methods for the analysis of each variable. We defined the main problems influencing the normal development of the education teaching process in our subject, deficiencies and imparity of the actions stated in the current syllabus, which will allow the design of a more effective model in terms of the content to be taught and the most appropriate way to do that, in correspondence with the most frequent pathologies in our specialty in our country and other countries from the third world. Key words: MEDICAL EDUCATION, MEDICAL SCHOOLS, UNIVERSITIES, PROFESSORS, COMMUNICATION, EDUCATIONAL EVALUATION/methods, OTORRINOLARINGOLOGY, INTERNSHIP AND RESIDENCE

Primary Melanoma of the Small Intestine with a Metastatic Lymph Mass in the Inguinal Canal: A Case Report

Objectives: We report a case of primary melanoma of the small intestine. Primary intestinal melanoma (PIM) is an extremely rare neoplasm for which the cause is unknown. Materials and methods: A 67-year-old man was admitted to our department due to abdominal pain, constipation, a large, hard inguinal mass and severe anaemia. Results: After laboratory data, imaging techniques and histopathological examination, the diagnosis was confirmed. A surgical resection of the intestinal neoplasm, treatment with BRAF inhibitors and radiation therapy to the inguinal mass were performed. Conclusion: PIM is rare and it is usually difficult to establish its exact origin

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

Influencias del paisaje, climatología y manejo agrícola sobre la biodiversidad asociada a viña: efectos sobre servicios ecosistémicos y sostenibilidad frente a cambio global (Proyecto BA C O)

Dentro de un contexto dominado por el cambio rápido y frecuente, es básico analizar sus efectos sobre la biodiversidad y los servicios ecosistémicos que ésta provee. El cultivo de la viña es uno de los sistemas agrícolas más antiguos de la región Mediterránea, con una interacción muy estrecha entre el manejo humano y el ambiente natural circundante. El proyecto BA C O pretende, desde un enfoque multidisciplinar, evaluar el papel del clima, paisaje y manejo sobre la biodiversidad y los servicios ecosistémicos asociados a viñedos. Se proponen los siguientes objetivos: i) caracterizar el paisaje, ambiente, clima y tipo de manejo de las principales explotaciones de vid; ii) evaluar la influencia del paisaje, ambiente y manejo en la biodiversidad de los viñedos y iii) estimar los servicios ecosistémicos que esta diversidad aporta. Se usarán tres escalas espaciales de resolución: a) Regional, considerando todos los viñedos y sistemas de manejo (convencional/ ecológico; variedades de uva) presentes en Andalucía; b) F inca, situadas en un gradiente altitudinal (proxi de Tª) y de paisaje, en las que se realizarán medidas de biodiversidad, servicios ecosistémicos, productividad, funcionalidad y sostenibilidad del viñedo frente a cambio global y c) Cepa, en las que se tomarán muestras de suelo, sarmientos, hojas, raíces, estado fisiológico, afectación por plagas, productividad y calidad. Los resultados esperamos que sirvan para: 1) mejorar predicciones y tomas de decisiones de gestión; 2) generar documentos de transferencia identificando las prácticas de manejo y uso agrícola más sostenibles que optimicen la conservación de los recursos naturales y los beneficios socioeconómicos y 3) el desarrollo de herramientas que permitan predecir efectos futuros derivados de cambio climático y de usos de suelo, así como su interacción y sus efectos sobre la biodiversidad, servicios ecosistémicos asociados y su capacidad de resiliencia.Dentro de un contexto dominado por el cambio rápido y frecuente, es básico analizar sus efectos sobre la biodiversidad y los servicios ecosistémicos que ésta provee. El cultivo de la viña es uno de los sistemas agrícolas más antiguos de la región Mediterránea, con una interacción muy estrecha entre el manejo humano y el ambiente natural circundante. El proyecto BA C O pretende, desde un enfoque multidisciplinar, evaluar el papel del clima, paisaje y manejo sobre la biodiversidad y los servicios ecosistémicos asociados a viñedos. Se proponen los siguientes objetivos: i) caracterizar el paisaje, ambiente, clima y tipo de manejo de las principales explotaciones de vid; ii) evaluar la influencia del paisaje, ambiente y manejo en la biodiversidad de los viñedos y iii) estimar los servicios ecosistémicos que esta diversidad aporta. Se usarán tres escalas espaciales de resolución: a) Regional, considerando todos los viñedos y sistemas de manejo (convencional/ ecológico; variedades de uva) presentes en Andalucía; b) F inca, situadas en un gradiente altitudinal (proxi de Tª) y de paisaje, en las que se realizarán medidas de biodiversidad, servicios ecosistémicos, productividad, funcionalidad y sostenibilidad del viñedo frente a cambio global y c) Cepa, en las que se tomarán muestras de suelo, sarmientos, hojas, raíces, estado fisiológico, afectación por plagas, productividad y calidad. Los resultados esperamos que sirvan para: 1) mejorar predicciones y tomas de decisiones de gestión; 2) generar documentos de transferencia identificando las prácticas de manejo y uso agrícola más sostenibles que optimicen la conservación de los recursos naturales y los beneficios socioeconómicos y 3) el desarrollo de herramientas que permitan predecir efectos futuros derivados de cambio climático y de usos de suelo, así como su interacción y sus efectos sobre la biodiversidad, servicios ecosistémicos asociados y su capacidad de resiliencia

Source Apportionment of PM10 and Health Risk Assessment Related in a Narrow Tropical Valley. Study Case: Metropolitan Area of Aburrá Valley (Colombia)

Financiado para publicación en acceso aberto: Universidade da Coruña/CISUG[Abstract] This study investigates spatio-temporal variations of PM10 mass concentrations and associated metal(oid)s, δ13C carbon isotope ratios, polycyclic aromatic hydrocarbons (PAHs), total organic carbon (TOC) and equivalent black carbon (eBC) concentrations over a half year period (from March 2017 to October 2017) in two residential areas of Medellín (MED-1 and MED-2) and Itagüí municipality (ITA-1 and ITA-2) at a tropical narrow valley (Aburrá Valley, Colombia), where few data are available. A total of 104 samples were analysed by using validated analytical methodologies, providing valuable data for PM10 chemical characterisation. Metal(oid)s concentrations were measured by inductively coupled plasma mass spectrometry (ICP-MS) after acid digestion, and PAHs concentrations were measured by Gas Chromatography-Mass Spectrometry (GC–MS) after Pressurised Hot Water Extraction (PHWE) and Membrane Assisted Solvent Extraction (MASE). Mean PM10 mass concentration ranged from 37.0 µg m−3 to 45.7 µg m−3 in ITA-2 and MED-2 sites, respectively. Al, Ca, Mg and Na (from 6249 ng m−3 for Mg at MED-1 site to 10,506 ng m−3 for Ca at MED-2 site) were the major elements in PM10 samples, whilst As, Be, Bi, Co, Cs, Li, Ni, Sb, Se, Tl and V were found at trace levels (< 5.4 ng m−3). Benzo[g,h,i] perylene (BghiP), benzo[b + j]fluoranthene (BbjF) and indene(1,2,3-c,d)pyrene (IcdP) were the most profuse PAHs in PM10 samples, with average concentrations of 0.82–0.86, 0.60–0.78 and 0.47–0.58 ng m−3, respectively. Results observed in the four sampling sites showed a similar dispersion pattern of pollutants, with temporal fluctuations which seems to be associated to the meteorology of the valley. A PM source apportionment study were carried out by using the positive matrix factorization (PMF) model, pointing to re-suspended dust, combustion processes, quarry activity and secondary aerosols as PM10 sources in the study area. Among them, combustion was the major PM10 contribution (accounting from 32.1 to 32.9% in ITA-1 and ITA-2, respectively), followed by secondary aerosols (accounting for 13.2% and 23.3% ITA-1 and MED-1, respectively). Finally, a moderate carcinogenic risk was observed for PM10-bound PAHs exposure via inhalation, whereas significant carcinogenic risk was estimated for carcinogenic metal(oid)s exposure in the area during the sampling period.Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. The authors thank FEDER-MINECO (Spain), ref: UNLC15-DE-3097 together with Xunta de Galicia (80/20%), Xunta de Galicia (Spain), ref: ED431C 2021/56 and the Colombian Ministry of Science, Technology, and Innovation for its funding through call 744 of 2016 744/2016, project No. 111574454999 CTO 770/2016, Estimate of cancer risk due to exposure to recognised carcinogens associated with Respirable particulate material in the Metropolitan Area of the Aburrá Valley (AMVA) Antioquia. Joel Sánchez-Piñero acknowledges the Xunta de Galicia (Consellería de Cultura, Educación e Universidade) for a posdoctoral grant (ED481B-2022–002). The authors would like to thank María Fernández-Amado (IUMA-UDC) (Ministerio de Ciencia, Innovación y Universidades (PTA2017-13607-I)) for her technical support and partnership during the laboratory work. Funding for open access charge: Universidade da Coruña/CISUGXunta de Galicia; ED431C 2021/56Colombia. Ministerio de Ciencia, Tecnología e Innovación; 111574454999 CTO 770/2016Xunta de Galicia; ED481B-2022–00

Ozone Eliminates SARS-CoV-2 from Difficult-to-Clean Office Supplies and Clinical Equipment.

Background: Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) continues to cause profound health, economic, and social problems worldwide. The management and disinfection of materials used daily in health centers and common working environments have prompted concerns about the control of coronavirus disease 2019 (COVID-19) infection risk. Ozone is a powerful oxidizing agent that has been widely used in disinfection processes for decades. The aim of this study was to assess the optimal conditions of ozone treatment for the elimination of heat-inactivated SARS-CoV-2 from office supplies (personal computer monitors, keyboards, and computer mice) and clinical equipment (continuous positive airway pressure tubes and personal protective equipment) that are difficult to clean. (2) Methods: The office supplies and clinical equipment were contaminated in an area of 1 cm2 with 1 × 104 viral units of a heat-inactivated SARS-CoV-2 strain, then treated with ozone using two different ozone devices: a specifically designed ozonation chamber (for low–medium ozone concentrations over large volumes) and a clinical ozone generator (for high ozone concentrations over small volumes). SARS-CoV-2 gene detection was carried out using quantitative real-time polymerase chain reaction (RT-qPCR). (3) Results: At high ozone concentrations over small surfaces, the ozone eliminated SARS-CoV-2 RNA in short time periods—i.e., 10 min (at 4000 ppm) or less. The optimum ozone concentration over large volumes was 90 ppm for 120 min in ambient conditions (24 °C and 60–75% relative humidity). (4) Conclusions: This study showed that the appropriate ozone concentration and exposure time eliminated heat-inactivated SARS-CoV-2 RNA from the surfaces of different widely used clinical and office supplies, decreasing their risk of transmission, and improving their reutilization. Ozone may provide an additional tool to control the spread of the COVID-19 pandemic.TRUEInstituto de Salud Carlos III, Madrid, Spain, and by the European Regional Development Funds (FEDER)Fundación Canaria del Instituto de Investigación Sanitaria de Canarias (FIISC), Las PalmasFundación Mapfre Guanarteme, Las PalmasGobierno de Canarias, Las Palmaspu

Neurodegeneration, Mitochondria, and Antibiotics

Neurodegenerative diseases are characterized by the progressive loss of neurons, synapses, dendrites, and myelin in the central and/or peripheral nervous system. Actual therapeutic options for patients are scarce and merely palliative. Although they affect millions of patients worldwide, the molecular mechanisms underlying these conditions remain unclear. Mitochondrial dysfunction is generally found in neurodegenerative diseases and is believed to be involved in the pathomechanisms of these disorders. Therefore, therapies aiming to improve mitochondrial function are promising approaches for neurodegeneration. Although mitochondrial-targeted treatments are limited, new research findings have unraveled the therapeutic potential of several groups of antibiotics. These drugs possess pleiotropic effects beyond their anti-microbial activity, such as anti-inflammatory or mitochondrial enhancer function. In this review, we will discuss the controversial use of antibiotics as potential therapies in neurodegenerative diseases.This project was supported by FIS PI19/00377 (2019) and FIS PI22/00142 (2022) grants, Instituto de Salud Carlos III, Spain; and the Fondo Europeo de Desarrollo Regional (FEDER Unión Europea), Spanish Ministry of Education, Culture, and Sport. This activity was co-financed by the European Regional Development Fund (ERDF) and by the Regional Ministry of Economic Transformation, Industry, Knowledge, and Universities of the Junta de Andalucía, within the framework of the ERDF Andalusia operational program 2014–2020 Thematic objective “01—Reinforcement of research, technological development and innovation” through the reference research project CTS-5725 and PY18-850.Peer reviewe

Comparison of physical fitness between healthy and mild‐to‐moderate asthmatic children with exercise symptoms: A cross‐sectional study

.Objective Asthma is a chronic disease that may affect physical fitness, although its primary effects on exercise capacity, muscle strength, functionality and lifestyle, in children and adolescents, are still poorly understood. This study aimed to evaluate the differences in cardiorespiratory fitness, muscle strength, lifestyle, lung function, and functionality between asthmatics with exercise symptoms and healthy children. In addition, we have analyzed the association between clinical history and the presence of asthma. Study Design Cross-sectional study including 71 patients with a diagnosis of asthma and 71 healthy children and adolescents (7–17 years of age). Anthropometric data, clinical history, disease control, lifestyle (KIDMED and physical activity questionnaires), lung function (spirometry), exercise-induced bronchoconstriction test, aerobic fitness (cardiopulmonary exercise test), muscle strength and functionality (timed up and go; timed up and down stairs) were evaluated. Results Seventy-one patients with asthma (mean age 11.5 ± 2.7) and 71 healthy subjects (mean age 10.7 ± 2.5) were included. All asthmatic children had mild to moderate and stable asthma. EIB occurred in 56.3% of asthmatic children. Lung function was significantly (p < .05) lower in the asthmatic group when compared to healthy peers, as well as the cardiorespiratory fitness, muscle strength, lifestyle and functionality. Moreover, asthmatic children were more likely to have atopic dermatitis, allergic reactions, food allergies, and a family history of asthma when compared to healthy children. Conclusions Children with mild-to-moderate asthma presenting exercise symptoms show a reduction in cardiorespiratory fitness, muscle strength, lung function, functionality, and lifestyle when compared to healthy peers. The study provides data for pediatricians to support exercise practice aiming to improve prognosis and quality of life in asthmatic children.S