Nivel de proteína C reactiva en pacientes con obesidad mórbida antes y después de cirugía bariátrica

ResumenAntecedentesLa obesidad humana se asocia a un estado proinflamatorio reflejado en elevación de marcadores como la proteína C reactiva (PCR).ObjetivosEstablecer los valores de PCR basales y a 6 meses de la cirugía bariátrica, así como los cambios en peso, índice de masa corporal (IMC), leucocitos y glucemia.Materiales y métodosSe realizó un estudio observacional, analítico, retrospectivo, longitudinal y abierto. Se midieron los valores de PCR sérica y su relación con el peso, IMC, leucocitos y glucemia de manera basal y 6 meses posteriores a cirugía bariátrica en 36 adultos con obesidad mórbida.ResultadosLa media ± desviación estándar de la PCR pre y posoperatorio (mg/l) fue 1.15±0.86 y 0.34±0.28, respectivamente, con p<0.0001; peso (kg) 112.10±22.91 y 84.82±17.11, p=0,0443; IMC (kg/m2) 42.48±5.97 y 32.2±4.79, p=0.0988; glucosa (mg/dl) 100.58±17.82 y 87.11±8.49, p<0.0001, y leucocitos (× 103/mm3) 8.62±1.69 y 6.99±1.56, p=0.3192.La PCR basal solo correlacionó con el peso e IMC (p=0.047 y p=0.027, respectivamente) y no hubo correlación entre la PCR posoperatoria y ninguno de los parámetros evaluados.ConclusionesLa PCR tiene una relación lineal significativa en el preoperatorio con el peso y el IMC. Los pacientes sometidos a cirugía bariátrica presentaron disminución significativa en la PCR, el peso y la glucemia en ayuno a los 6 meses posterior a la cirugía.AbstractBackgroundHuman obesity is associated with a proinflammatory state and an elevated level of mediators, such as C-reactive protein (CRP).ObjectivesTo establish CRP levels as baseline preoperative values and then at 6 months after bariatric surgery, as well as to determine the changes in weight, body mass index (BMI), leukocytes, and glycemia.Materials and methodsAn observational, analytical, retrospective, longitudinal, and open study was conducted. Serum CRP values were measured in 36 adults presenting with morbid obesity, and their baseline relation to weight, BMI, leukocytes, and glycemia was determined; the relation to the same parameters was established again, 6 months after bariatric surgery.ResultsThe mean and standard deviation of preoperative and postoperative CRP (mg/L) was 1.15±0.86 and 0.34±0.28, respectively with p<0.0001; weight (kg) 112.10±22.91 and 84.82±17.11, p=0.0443; BMI (kg/m2) 42.48±5.97 and 32.2±4.79, p=0.0988; glucose (mg/dL) 100.58±17.82 and 87.11±8.49, p<0.0001, and leukocytes (× 103/mm3) 8.62±1.69 and 6.99±1.56, p=0.3192.Baseline CRP only correlated with weight and BMI (p=0.047 and p=0.027 respectively) and there was no correlation between postoperative CRP and the evaluated parameters.ConclusionsPreoperative CRP had a significant lineal relation to weight and body mass index. Patients who underwent bariatric surgery had a significant decrease in CRP, weight, and fasting glucose at 6 months after surgery

Acercamiento a la situacion socioeconomica de las comunidades campesinas del Departamento de Sucre desde la perspectiva del Programa Yuquero

An overview is given of the situation of farm communities in the dept. of Sucre, Colombia, where a cassava drying program operates. The lack of integration of the developmental activities carried out by different institutions is evident, indicating the need for greater participation in district planning. Since a trend to monocrop cassava was observed, more attention should be paid to agricultural diversification. An animal feed industry using dried cassava should be installed. Several technical aspects of agricultural production are also discussed such as mechanization, intercropping, plant density, improved technology, and income. Recommendations are also given regarding the current underutilization of the machinery of the existing agroindustries, the improvement of sanitary conditions in the plants, and the enforcement of basic industrial security measures. Product quality control should be conducted, especially regarding MC. Conditions favoring a greater participation of members in farmer organizations should be sought, in addition to enhanced institutional support in the search for a more integrated approach to regional development. (CIAT)Se presenta una percepcion global de la situacion de las comunidades campesinas del Depto. de Sucre, Colombia, donde se desarrolla un programa de secado de la yuca. Se destaca la falta de integracion de las actividades de desarrollo realizadas por diversas instituciones, lo cual indica la necesidad de una mayor participacion en la planificacion distrital. Puesto que se observo una tendencia al monocultivo de la yuca, se debe prestar mas atencion a la diversificacion agricola. Se sugiere instalar una planta para producir alimentos para animales que aproveche la yuca seca. Se discuten, ademas, varios aspectos tecnicos de la produccion agricola como mecanizacion, cultivos asociados, densidad de siembra, tecnologia mejorada e ingresos. Tambien se presentan recomendaciones sobre la actual subutilizacion de la maquinaria en las agroindustrias existentes, el mejoramiento de los servicios higienicos en las plantas y la implementacion de medidas basicas de seguridad industrial. Se debe efectuar un control de calidad del producto, especialmente en cuanto a CH. Se deben buscar las condiciones para fomentar mayor participacion de los socios en las organizaciones, ademas de incrementar el apoyo institucional en busca de un enfoque mas integrado de desarrollo a nivel regional. (CIAT

A pilot study on the Spanish version of the Psychosocial Adjustment to Illness Scale (PAIS‐SR) with carers of people with Parkinson's disease

Aim: To report the cross-cultural adaptation and pilot study of the ongoing validation of the Spanish version of the Psychosocial Adjustment to Illness Scale with carers of people with Parkinson's disease. Design: Cross-cultural adaptation and pilot study with a cross-sectional validation design of the Spanish version of the Psychosocial Adjustment to Illness Scale - Carers. Methods: Twenty-one carers of people with Parkinson's disease from a Primary Care practice in Spain were recruited and completed the PAIS-Carers, the SF-36 Health Survey, the Brief COPE Inventory and an assessment form. SPSS 23.0 was used to determine viability/acceptability and preliminary aspects of internal consistency of the instrument. Results: Five of the seven domains presented floor effect (71.42%), and only one presented ceiling effect (14.28%). The internal consistency of the scale and domains showed acceptable values (over 0.7). The content validity of the Spanish version seemed satisfactory with positive comments in general from participants

Implementation of a multidisciplinary psychoeducational intervention for Parkinson's disease patients and carers in the community: study protocol

Background: Parkinson’s disease progressively limits patients at different levels and as a result family members play a key role in their care. However, studies show lack of an integrative approach in Primary Care to respond to the difficulties and psychosocial changes experienced by them. The aim of this study is to evaluate the effects of a multidisciplinary psychoeducational intervention focusing on improving coping skills, the psychosocial adjustment to Parkinson’s disease and the quality of life in patients and family carers in a Primary Care setting. Methods: This quasi-experimental study with control group and mixed methods was designed to evaluate a multidisciplinary psychoeducational intervention. Based on the study power calculations, 100 people with Parkinson’s disease and 100 family carers will be recruited and assigned to two groups. The intervention group will receive the ReNACE psychoeducational intervention. The control group will be given a general educational programme. The study will be carried out in six community-based health centres. The results obtained from the two groups will be collected for evaluation at three time points: at baseline, immediately after the intervention and at 6 months post-intervention. The results will be measured with these instruments: the Quality of Life Scale PDQ39 for patients and the Scale of Quality of Life of Care-givers SQLC for family carers, and for all participants the Psychosocial Adjustment to Illness scale and the Brief COPE Inventory. Focus groups will be organised with some patients and family carers who will have received the ReNACE psychoeducational intervention and also with the healthcare professionals involved in its development. Discussion: An important gap exists in the knowledge and application of interventions with a psychosocial approach for people with PD and family carers as a whole. This study will promote this comprehensive approach in Primary Care, which will clearly contribute in the existing knowledge and could reduce the burden of PD for patients and family carers, and also in other long-term conditions

Non-O1 Vibrio cholerae inguinal skin and soft tissue infection with bullous skin lesions in a patient with a penis squamous cell carcinoma

Vibrio spp. is a pathogen rarely isolated in cancer patients, and in most cases it is associated with haematological diseases. Cutaneous manifestations of this organism are even rarer. We report a case of Non-O1 Vibrio cholerae inguinal skin and soft tissue infection presenting bullous skin lesions in a young type II diabetic patient with a penis squamous cell carcinoma having a seawater exposure history

Participation in faecal immunochemical testing-based colorectal cancer screening programmes in the northwest of Europe

Objective: This study compared the participation in four faecal immunochemical testing-based screening programmes for colorectal cancer in Flanders, France, Basque country and the Netherlands, to identify factors to further optimize faecal immunochemical testing programmes. Method: Background information and data on performance indicators were collected and compared for the four programmes. Results: Invitation method, reminders, funding, faecal immunochemical testing cut-off and follow-up after positive faecal immunochemical testing differed in the four programmes. In France, only an invitation letter is sent by mail, while the sample kit must be collected from the general practitioner. In the other programmes, an invitation letter including the sample kit is sent by mail. Participation rates vary substantially according to the method of invitation, with the highest participation rates in the Netherlands (73.0%) and Basque country (72.4%), followed by Flanders (54.5%) and France (28.6%). Basque country (92.8%) a

Evidence-Based Clinical Use of Nanoscale Extracellular Vesicles in Nanomedicine

Recent research has demonstrated that all body fluids assessed contain substantial amounts of vesicles that range in size from 30 to 1000 nm and that are surrounded by phospholipid membranes containing different membrane microdomains such as lipid rafts and caveolae. The most prominent representatives of these so-called extracellular vesicles (EVs) are nanosized exosomes (70-150 nm), which are derivatives of the endosomal system, and microvesicles (100-1000 nm), which are produced by outward budding of the plasma membrane. Nanosized EVs are released by almost all cell types and mediate targeted intercellular communication under physiological and pathophysiological conditions. Containing cell-type-specific signatures, EVs have been proposed as biomarkers in a variety of diseases. Furthermore, according to their physical functions, EVs of selected cell types have been used as therapeutic agents in immune therapy, vaccination trials, regenerative medicine, and drug delivery. Undoubtedly, the rapidly emerging field of basic and applied EV research will significantly influence the biomedicinal landscape in the future. In this Perspective, we, a network of European scientists from clinical, academic, and industry settings collaborating through the H2020 European Cooperation in Science and Technology (COST) program European Network on Microvesicles and Exosomes in Health and Disease (ME-HAD), demonstrate the high potential of nanosized EVs for both diagnostic and therapeutic (i.e., theranostic) areas of nanomedicine. © 2016 American Chemical Society

Measurement of the cross section for isolated-photon plus jet production in pp collisions at √s=13 TeV using the ATLAS detector

The dynamics of isolated-photon production in association with a jet in proton–proton collisions at a centre-of-mass energy of 13 TeV are studied with the ATLAS detector at the LHC using a dataset with an integrated luminosity of 3.2 fb−1. Photons are required to have transverse energies above 125 GeV. Jets are identified using the anti- algorithm with radius parameter and required to have transverse momenta above 100 GeV. Measurements of isolated-photon plus jet cross sections are presented as functions of the leading-photon transverse energy, the leading-jet transverse momentum, the azimuthal angular separation between the photon and the jet, the photon–jet invariant mass and the scattering angle in the photon–jet centre-of-mass system. Tree-level plus parton-shower predictions from Sherpa and Pythia as well as next-to-leading-order QCD predictions from Jetphox and Sherpa are compared to the measurements

A search for resonances decaying into a Higgs boson and a new particle X in the XH → qqbb final state with the ATLAS detector

A search for heavy resonances decaying into a Higgs boson (H) and a new particle (X) is reported, utilizing 36.1 fb−1 of proton–proton collision data at collected during 2015 and 2016 with the ATLAS detector at the CERN Large Hadron Collider. The particle X is assumed to decay to a pair of light quarks, and the fully hadronic final state is analysed. The search considers the regime of high XH resonance masses, where the X and H bosons are both highly Lorentz-boosted and are each reconstructed using a single jet with large radius parameter. A two-dimensional phase space of XH mass versus X mass is scanned for evidence of a signal, over a range of XH resonance mass values between 1 TeV and 4 TeV, and for X particles with masses from 50 GeV to 1000 GeV. All search results are consistent with the expectations for the background due to Standard Model processes, and 95% CL upper limits are set, as a function of XH and X masses, on the production cross-section of the resonance

Combination of searches for Higgs boson pairs in pp collisions at \sqrts = 13 TeV with the ATLAS detector

This letter presents a combination of searches for Higgs boson pair production using up to 36.1 fb(-1) of proton-proton collision data at a centre-of-mass energy root s = 13 TeV recorded with the ATLAS detector at the LHC. The combination is performed using six analyses searching for Higgs boson pairs decaying into the b (b) over barb (b) over bar, b (b) over barW(+)W(-), b (b) over bar tau(+)tau(-), W+W-W+W-, b (b) over bar gamma gamma and W+W-gamma gamma final states. Results are presented for non-resonant and resonant Higgs boson pair production modes. No statistically significant excess in data above the Standard Model predictions is found. The combined observed (expected) limit at 95% confidence level on the non-resonant Higgs boson pair production cross-section is 6.9 (10) times the predicted Standard Model cross-section. Limits are also set on the ratio (kappa(lambda)) of the Higgs boson self-coupling to its Standard Model value. This ratio is constrained at 95% confidence level in observation (expectation) to -5.0 &lt; kappa(lambda) &lt; 12.0 (-5.8 &lt; kappa(lambda) &lt; 12.0). In addition, limits are set on the production of narrow scalar resonances and spin-2 Kaluza-Klein Randall-Sundrum gravitons. Exclusion regions are also provided in the parameter space of the habemus Minimal Supersymmetric Standard Model and the Electroweak Singlet Model. For complete list of authors see http://dx.doi.org/10.1016/j.physletb.2019.135103</p