Virtual reality training platform for flexible ureterorenoscopy interventions with a minimally invasive surgical robot

The total number of ureteroscopy (URS) interventions during the past years has dramatically increased due to the ongoing technological advances and the benefits associated with these techniques. However, the current URS procedure presents some drawbacks to urologic surgeons. The LITHOS project was created with the main objective of developing a surgical robotic system for flexible ureterorenoscopic lithotripsy interventions, offering a technological solution that meets the real needs of both patients and surgeons in this type of procedures. In this paper, a virtual reality environment for flexible ureterorenoscopy interventions is presented. The proposed environment provides a suitable training platform for surgeons manipulating the surgical robotic system

Entorno didáctico de bajo coste para formación en tecnologías de cirugía guiada por imagen y robótica

Este trabajo de investigación presenta un nuevo entorno didáctico de bajo coste para la formación ingenieril de temáticas de cirugía guiada por imagen y robótica. Con este entorno se pretende mejorar la motivación y autonomía del alumnado, que hasta el momento se hallaba acotada debido al alto componente teórico de las sesiones impartidas. El entorno está formado por un phantom, una herramienta software, un sistema robótico y un manipulador que permite obtener una realimentación háptica. Se ha llevado a cabo una experiencia piloto en la asignatura de cuarto curso "Simulación y planificación quirúrgica" del Grado de Ingeniería Biomédica de la Universidad Politécnica de Madrid. Los resultados de las encuestas llevadas a cabo muestran que la nueva metodología mejora en todos los casos los valores obtenidos usando la metodología clásica basada en la clase magistral y prácticas

Application of mixed reality to ultrasound-guided femoral arterial cannulation during real-time practice in cardiac interventions

Producción CientíficaMixed reality opens interesting possibilities as it allows physicians to interact with both, the real physical and the virtual computer-generated environment and objects, in a powerful way. A mixed reality system, based in the HoloLens 2 glasses, has been developed to assist cardiologists in a quite complex interventional procedure: the ultrasound-guided femoral arterial cannulations, during real-time practice in interventional cardiology. The system is divided into two modules, the transmitter module, responsible for sending medical images to HoloLens 2 glasses, and the receiver module, hosted in the HoloLens 2, which renders those medical images, allowing the practitioner to watch and manage them in a 3D environment. The system has been successfully used, between November 2021 and August 2022, in up to 9 interventions by 2 different practitioners, in a large public hospital in central Spain. The practitioners using the system confirmed it as easy to use, reliable, real-time, reachable, and cost-effective, allowing a reduction of operating times, a better control of typical errors associated to the interventional procedure, and opening the possibility to use the medical imagery produced in ubiquitous e-learning. These strengths and opportunities were only nuanced by the risk of potential medical complications emerging from system malfunction or operator errors when using the system (e.g., unexpected momentary lag). In summary, the proposed system can be taken as a realistic proof of concept of how mixed reality technologies can support practitioners when performing interventional and surgical procedures during real-time daily practice.Junta de Castilla y León - Gerencia Regional de Salud (SACyL) (grant number GRS 2275/A/2020)Instituto de Salud Carlos III (grant number DTS21/00158)Publicación en abierto financiada por el Consorcio de Bibliotecas Universitarias de Castilla y León (BUCLE), con cargo al Programa Operativo 2014ES16RFOP009 FEDER 2014-2020 DE CASTILLA Y LEÓN, Actuación:20007-CL - Apoyo Consorcio BUCL

The association of headache frequency with pain interference and the burden of disease is mediated by depression and sleep quality, but not anxiety, in chronic tension type headache

BACKGROUND: A better understanding of potential relationship between mood disorders, sleep quality, pain, and headache frequency may assist clinicians in determining optimal therapeutic programs. The aim of the current study was to analyze the effects of sleep quality, anxiety, depression on potential relationships between headache intensity, burden of headache, and headache frequency in chronic tension type headache (CTTH). METHODS: One hundred and ninety-three individuals with CTTH participated. Headache features were collected with a 4-weeks headache diary. The Hospital Anxiety and Depression Scale was used for assessing anxiety and depression. Headache Disability Inventory evaluated the burden of headache. Pain interference was determined with the bodily pain domain (SF-36 questionnaire). Sleep quality was assessed with Pittsburgh Sleep Quality Index. Path analyses with maximum likelihood estimations were conducted to determine the direct and indirect effects of depression, anxiety, and sleep quality on the frequency of headaches. RESULT: Two paths were observed: the first with depression and the second with sleep quality as mediators. Direct effects were noted from sleep quality, emotional burden of disease and pain interference on depression, and from depression to headache frequency. The first path showed indirect effects of depression from emotional burden and from sleep quality to headache frequency (first model R (2) = 0.12). Direct effects from the second path were from depression and pain interference on sleep quality and from sleep quality on headache frequency. Sleep quality indirectly mediated the effects of depression, emotional burden and pain interference on headache frequency (second model R (2) = 0.18). CONCLUSIONS: Depression and sleep quality, but not anxiety, mediated the relationship between headache frequency and the emotional burden of disease and pain interference in CTTH

The MRC1/CD68 ratio is positively associated with adipose tissue lipogenesis and with muscle mitochondrial gene expression in humans

This is an open-access article distributed under the terms of the Creative Commons Attribution License.[Background]: Alternative macrophages (M2) express the cluster differentiation (CD) 206 (MCR1) at high levels. Decreased M2 in adipose tissue is known to be associated with obesity and inflammation-related metabolic disturbances. Here we aimed to investigate MCR1 relative to CD68 (total macrophages) gene expression in association with adipogenic and mitochondrial genes, which were measured in human visceral [VWAT, n = 147] and subcutaneous adipose tissue [SWAT, n = 76] and in rectus abdominis muscle (n = 23). The effects of surgery-induced weight loss were also longitudinally evaluated (n = ).[Results]: MCR1 and CD68 gene expression levels were similar in VWAT and SWAT. A higher proportion of CD206 relative to total CD68 was present in subjects with less body fat and lower fasting glucose concentrations. The ratio MCR1/CD68was positively associated with IRS1gene expression and with the expression of lipogenic genes such as ACACA, FASN and THRSP, even after adjusting for BMI. The ratio MCR1/CD68 in SWAT increased significantly after the surgery-induced weight loss (+44.7%; p = 0.005) in parallel to the expression of adipogenic genes. In addition, SWAT MCR1/CD68ratio was significantly associated with muscle mitochondrial gene expression (PPARGC1A, TFAM and MT-CO3). AT CD206 was confirmed by immunohistochemistry to be specific of macrophages, especially abundant in crown-like structures. [Conclusion]: A decreased ratio MCR1/CD68 is linked to adipose tissue and muscle mitochondrial dysfunction at least at the level of expression of adipogenic and mitochondrial genes. © 2013 moreno-navarrete et al.This work was supported by grant SAF-2009-10461 and grant PI11-00214 from the Ministerio de Economía y Competitividad, Spain.Peer Reviewe

Association between GNRHR, LHR and IGF1 polymorphisms and timing of puberty in male Angus cattle

<p>Abstract</p> <p>Background</p> <p>In bovines, there are significant differences within and among beef breeds in the time when bulls reach puberty. Although the timing of puberty is likely to be a multigenic trait, previous studies indicate that there may also be single genes that exert major effects on the timing of puberty within the general population. Despite its economic importance, there are not many SNPs or genetic markers associated with the age of puberty in male cattle. In the present work, we selected three candidate genes, <it>GNRHR</it>, <it>LHR </it>and <it>IGF1</it>, and associated their polymorphisms with the age of puberty in Angus male cattle.</p> <p>Results</p> <p>After weaning, 276 Angus males were measured every month for weight (W), scrotal circumference (SC), sperm concentration (C) and percentage of motility (M). A total of 4 SNPs, two within <it>GNRHR</it>, one in <it>LHR </it>and one in <it>IGF1 </it>were genotyped using the pyrosequencing technique. <it>IGF1-SnaBI SNP </it>was significant associated (P < 0.01) with age at SC 28 cm, but it were not associated with age at M 10% and C 50 million. Genotype <it>CC </it>exhibited an average age at SC 28 cm of 7 and 11 days higher than <it>CT </it>(p = 0.037) and <it>TT </it>(p = 0.012), respectively. This SNP explained 1.5% of the genetic variance of age of puberty at SC28. <it>LHR-I499L</it>, <it>GNRHR-SNP5 </it>and <it>GNRHR-SNP6 </it>were not associated with any of the measurements. However, <it>GNRHR </it>haplotypes showed a suggestive association with age at SC 28 cm.</p> <p>Conclusions</p> <p>The findings presented here could support the hypothesis that <it>IGF1 </it>is a regulator of the arrival to puberty in male calves and is involved in the events that precede and initiate puberty in bull calves. Given that most studies in cattle, as well as in other mammals, were done in female, the present results are the first evidence of markers associated with age at puberty in male cattle.</p

Concentraciones anómalas de oligoelementos contaminantes en aguas subterráneas del partido de José C. Paz, provincia de Buenos Aires, Argentina

Los partidos del Área Metropolitana de Buenos Aires se caracterizan por un aumento sostenido en la co ntaminación del agua, que causa serios problemas de salud. A través de un proyecto de investigación financiado por la Fundación YPF, se aportó al conocimiento del problema en José C. Paz. Los objetivos fueron: determinar los parámetros fisicoquímicos y composición iónica en muestras de agua; establecer concentraciones anómalas de oligoelementos, reconocer procesos para remediación e interesar a docentes y alumnos en investigaciones relevantes. Se analizaron 102 muestras de aguas subterráneas para consumo y superficiales, 10 de ellas por oligoelementos, en un área de 50 km2, resultando: [As]: 0,40-26,9 μg L-1 (mediana=15,5 μg L-1); [Se]: 17,5-39,9 μg L-1 (mediana=27,65 μg L-1) y [Hg]: 0,8-21,8 μg L-1 (mediana= 1,25 μg L-1). Se destaca que el alto pH y los procesos de sorción y desorción en la superficie de minerales loéssicos contribuyen a la concentración de arsénico.The Buenos Aires Metropolitan Area counties are characterized by a steady growth in water pollution, ge nerating serious health problems. Through a research project, financed by YPF Foundation, a better understanding of the problem within José C. Paz County was reached. The objectives were to determine water-samples physicochemical parameters and ionic composition; to establish anomalous oligoelements concentrations in some selected samples, to recognize remediation processes and to interest teachers and students in relevant research. One hundred and two drinking water samples from shallow and deep aquifers and from surface courses were analized, ten of them for oligoelements, in an area of 50 km2; the concentrations being: [As]: 0,40-26,9 μg L-1 (median=15,5 μg L-1); [Se]: 17,5-39,9 μg L-1 (median=27,65μg L-1) and [Hg]: 0,8-21,8 μg L-1 (median= 1,25 μg L-1). Noticeably, the high pH and the surface sorption and desorption processes of loessic minerals, contribute to the arsenic concentration.Universidad Nacional de La Plat

Genetic connectivity between Atlantic bluefin tuna (ABFT) Larvae Spawned in the GOM and MED

Highly migratory Atlantic bluefin tuna (ABFT) is managed as two stocks, Western and Eastern. Western ABFT spawn mainly in the Gulf of Mexico (GOM) and Eastern ABFT in the Mediterranean Sea (MED) (1). Understanding connectivity between ABFT populations is important for conservation and management of this valuable fishery resource that has been exploited for centuries. ABFT are highly mixed, with multiple disciplines supporting weak structuring between Western and Eastern stocks (1). Concerning genetics, subtle structuring of ABFT populations across the Atlantic Ocean has been the conclusion of studies describing genetic tools for traceability (2,3). Larval fish provide the genetic signal of successful breeders and have occasionally been genetically characterized with juveniles (young-of-the-year, YOY) collected in nursery areas. For the first time, cooperative field collection of tuna larvae during 2014 in the main spawning area for each stock enabled us to assess the structuring of ABFT genetic diversity in a precise temporal and spatial frame exclusively through larvae (5). Partitioning of genetic diversity at nuclear microsatellite loci and in the mitochondrial control region resulted in low significant fixation indices. Individual-based clustering analysis of larval ABFT genetic diversity indicate apparent connectivity between the GOM and MED spawning grounds that could support the hypothesis of mixing of breeders belonging to different stocks.This collaborative study was supported by "ECOLATUN" PROJECT CTM2015-68473-R (MINECO/FEDER) funded by Spanish Ministry of Economy and Competitiveness; "TUNAGEN" project funded by IEO; and "BLUEFIN" project financed by IEO and Balearic Island Observing and Forecasting System (SOCIB). This research was funded by NASA (NNX11AP76G S07), the NOAA National Marine Fisheries Science Service through the Southeast Fisheries Science Center, as well as by Cooperative Institute for Marine and Atmospheric Studies under Cooperative Agreement NA15OAR43200064 at the University of Miami. There was no additional external funding received for this study. The scientific results and conclusions, as well as any views or opinions expressed herein, are those of the author(s) and do not necessarily reflect those of NOAA or the Department of Commerce

Galectin-3 Deletion Reduces LPS and Acute Colitis-Induced Pro-Inflammatory Microglial Activation in the Ventral Mesencephalon

Parkinson’s disease is a highly prevalent neurological disorder for which there is currently no cure. Therefore, the knowledge of risk factors as well as the development of new putative molecular targets is mandatory. In this sense, peripheral inflammation, especially the originated in the colon, is emerging as a predisposing factor for suffering this disease. We have largely studied the pleiotropic roles of galectin-3 in driving microglia-associated immune responses. However, studies aimed at elucidating the role of galectin-3 in peripheral inflammation in terms of microglia polarization are lacking. To achieve this, we have evaluated the effect of galectin-3 deletion in two different models of acute peripheral inflammation: intraperitoneal injection of lipopolysaccharide or gut inflammation induced by oral administration of dextran sodium sulfate. We found that under peripheral inflammation the number of microglial cells and the expression levels of pro-inflammatory mediators take place specifically in the dopaminergic system, thus supporting causative links between Parkinson’s disease and peripheral inflammation. Absence of galectin-3 highly reduced neuroinflammation in both models, suggesting an important central regulatory role of galectin-3 in driving microglial activation provoked by the peripheral inflammation. Thus, modulation of galectin-3 function emerges as a promising strategy to minimize undesired microglia polarization states.This work was supported by grants from the Spanish Ministerio de Ciencia, Innovación y Universidades (RTI 2018-098830-B-I00), from the Consejería de Economía y Conocimiento of Junta de Andalucía (P18-RT-1372 and US-1264806). MJP, MDVC and PGM were supported by a grant from the Junta de Andalucía (CTS 5884) and AEC by an associated post-doctoral grant