Conjunctival Melanoma: A New Clinical and Therapeutical Approach

Melanoma involving the conjunctiva is extremely rare. Graver prognosis has been reported with primary conjunctival melanoma than with their cutaneous counterparts [Collin et al.: Aust N Z J Ophthalmol 1986;14:29–34]. Among conjunctival melanomas, two significant risk factors for tumour-related death have been identified: (i) age older than 55 years and (ii) unfavourable tumour location (caruncle, cornea, fornix, palpebral conjunctiva) [Werschnik and Lommatzsch: Am J Clin Oncol 2002;25:248–255]. Here we present a rare case of lentigo maligna involving the palpebral, bulbar conjunctiva and the caruncle. We describe dermoscopic patterns observed and the use of a novel ocular melanoma therapy with topical imiquimod

La cuota de mercado como indicador de competitividad en los destinos turísticos: sentido y limitaciones

The market share is the most widely used indicator in the analysis of competitiveness in trade of goods and services. However, their use in tourism is subject to a widespread controversy, especially in those cases where goes together to the territorial analysis. This is because the goals of maximization of this variable by policy-makers, can lead to growth policies that jeopardize the economic and environmental sustainability of a resource-limited destinations. This paper discusses the use, validity and limitations of the market share as an indicator of competitiveness in tourism.La cuota de mercado es el indicador más difundido en el análisis de la competitividad empresarial para todo tipo de bienes y servicios. Sin embargo, su uso en turismo está sometido a una amplia controversia, especialmente cuando el objeto de estudio es la competitividad de los destinos turísticos. Ello es debido a que objetivos de maximización de esta variable en la planificación, pueden conllevar la implementación de políticas de crecimiento comprometedoras de la sostenibilidad económica y ambiental de los citados destinos. Teniendo en cuenta estas consideraciones, en el presente trabajo se discute el uso, validez y limitaciones de la cuota de mercado como indicador de la competitividad de los destinos turísticos

Paraganglioma of Prostatic Origin

Introduction Paragangliomas are usually benign tumors arising from chromaffin cells located outside the adrenal gland. Prostatic paraganglioma is an unusual entity in adult patients, with only 10 cases reported in the medical literature. Case Report A 34-year-old male with a history of chronic prostatitis consulted for perineal pain. On digital rectal examination the prostate was enlarged and firm, without nodules. The PSA level was 0.8 ng/mL and the catecholamines in the urine were elevated. On ultrasound a retrovesical 9 cm mass of undetermined origin measuring was present. A PET-CT scan showed a pelvic lesion measuring 9 cm with moderate increase in glucidic metabolism localized in the area of the prostate. A biopsy of the prostate revealed a neuroendocrine tumor, possibly a prostatic paraganglioma. A body scintigraphy with MIBG I-123 ruled out the presence of metastases or multifocal tumor. A radical prostatectomy with excision of the pelvic mass was performed under adrenergic blockade. One year after surgery the patient is asymptomatic and disease free. Discussion/Conclusions Prostatic paraganglioma is a rare, usually benign tumor, which should be considered in the differential diagnosis of prostate tumors in young males. Its diagnosis is based on the determination of catecholamine in blood and 24-hour urine and in imaging studies principally scintigraphy with MIBG I-123. Diagnostic confirmation is by histopathological study. The treatment consists of radical resection under adrenergic blockade and volume expansion. Given the limited number of cases reported, it is difficult to establish prognostic factors. Malignancy is defined by clinical criteria, and requires life long follow-up

Economic crises and market performance—A machine learning approach

This note analyzes the relationship between economic crises and tourism performance in Spain during the period 1970–2013 using machine learning techniques. Specifically, a regression tree is estimated to confirm that, although the dynamics of Spanish tourism performance is influenced by the general variables established by the literature, the crisis periods disrupt the natural functioning of these dynamics, provoking disturbances that affect the tourism market position of destinations to a greater extent than expected. Conversely, to other econometric techniques, machine learning approach allows us to achieve greater flexibility and enriches the information, estimating the interrelations and thresholds operating in this context

Towards a better understanding of time-lags in karst aquifers by combining hydrological analysis tools and dye tracer tests. Application to a binary karst aquifer in southern Spain

The assessment of the response time of a karst aquifer is an important step towards the development of conceptual models from which tools for water resources planning and management could be applied. The aim of this work is to evaluate the applicability of the joint use of statistical time-lag evaluation and dye tracer tests techniques with a double objective: 1) the development of conceptual models on the hydrogeological functioning that include the duality in the aquifer recharge processes, as well as the particularities of the preferential drainage flowpaths respect to the global response of the aquifers; 2) to establish a reference frame to foresee with enough time in anticipation the potential affections derived from the concentrated recharge to the springs, required in the creation of water quality monitoring networks and early warning systems to water pollution. In the Ubrique karst aquifer (southern Spain), the empirical relationships between the intensity (I) of rainfall events (recharge) and the time-lag (T) observed in the springs that draining the aquifer have been quantified. The establishment of the curve (I-T) constitutes a reliable tool for the prediction of potential affections to the springs (intended for urban supply) derived from recharge events. On the other hand, the comparison of the values drawn in the I-T curve, characteristic of each spring, with those derived from three tracer tests, has allowed further advances in the understanding of the aquifer functioning and the influence of concentrated recharge on the global system behavior to be achieved.This research was supported by the European Project “Karst Aquifer Resources availability and quality in the Mediterranean Area (KARMA)” PRIMA, ANR-18-PRIM-0005. The associated project PCI2019-103675 was funded by the Spanish Research Agency through the scientific program “Programación Conjunta Internacional”. Additionally, it contributes to the project PID2019-111759RB-I00 supported by the Agencia Estatal de Investigación (AEI/https://doi.org/10.13039/501100 011033) of the Spanish Government. Funding for open access charge: University of Malaga / CBU

Haemophilus parasuis

The expression of chemokines (CCL-2 and CXCL-8) and cytokines (IL-1α, IL-1β, IL-6, TNF-α, and IL-10) was evaluated by RT-qPCR in colostrum-deprived pigs vaccinated and challenged with Haemophilus parasuis serovar 5. Two vaccines containing native proteins with affinity to porcine transferrin (NPAPTim and NPAPTit) were tested, along with two control groups: one inoculated with PBS instead of antigen (challenge group (CHG)), and another one nonimmunized and noninfected (blank group). The use of NPAPTim and NPAPTit resulted in complete protection against H. parasuis (no clinical signs and/or lesions), and both vaccines were capable of avoiding the expression of the proinflammatory molecules to levels similar to physiological values in blank group. However, overexpression of all proinflammatory molecules was observed in CHG group, mainly in the target infection tissues (brain, lungs, and spleen). High expression of CCL-2, CXCL-8, IL-1α, IL-1β, and IL-6 can be considered one of the characteristics of H. parasuis infection by serovar 5

Novel parallelization of simulated annealing and Hooke & Jeeves search algorithms for multicore systems with application to complex fisheries stock assessment models

[Abstract] Estimating parameters of a statistical fisheries assessment model typically involves a comparison of disparate datasets to a forward simulation model through a likelihood function. In all but trivial cases the estimations of these models tend to be time-consuming due to issues related to multi-modality and non-linearity. This paper develops novel parallel implementations of popular search algorithms, applicable to expensive function calls typically encountered in fisheries stock assessment. It proposes two versions of both Simulated Annealing and Hooke & Jeeves optimization algorithms with the aim of fully utilizing the processing power of common multicore systems. The proposals have been tested on a 24-core server using three different input models. Results indicate that the parallel versions are able to take advantage of available resources without sacrificing the quality of the solution.Galicia. Consellería de Cultura, Educación e Ordenación Universitaria; R2014/04

Effect of acid flow rate, membrane surface area, and capture solution on the effectiveness of suspended GPM systems to recover ammonia

Ammonia losses from manure pose serious problems for ecosystems and human and animal health. Gas-permeable membranes (GPMs) constitute a promising approach to address the challenge of reducing farm ammonia emissions and to attain the EU’s Clean Air Package goals. In this study, the effect of NH3-N concentration, membrane surface area, acid flux, and type of capture solution on ammonia recovery was investigated for a suspended GPM system through three experiments, in which ammonia was released from a synthetic solution (NH4Cl + NaHCO3 + allylthiourea). The effect of two surface areas (81.7 and 163.4 cm2) was first evaluated using three different synthetic N emitting concentrations (3000, 6000, and 12,000 mg NH3-N∙L−1) and keeping the flow of acidic solution (1N H2SO4) constant (0.8 L·h−1). A direct relationship was found between the amount of NH3 captured and the NH3-N concentration in the N-emitting solution, and between the amount of NH3 captured and the membrane surface area at the two lowest concentrations. Nonetheless, the use of a larger membrane surface barely improved ammonia capture at the highest concentration, pointing to the existence of other limiting factors. Hence, ammonia capture was then studied using different acid flow rates (0.8, 1.3, 1.6, and 2.1 L∙h−1) at a fixed N emitting concentration of 6000 mg NH3-N∙L−1 and a surface area of 122.5 cm2. A higher acid flow rate (0.8–2.1 L∙h−1) resulted in a substantial increase in ammonia absorption, from 165 to 262 mg of NH3∙d−1 over a 14-day period. Taking the parameters that led to the best results in experiments 1 and 2, different types of ammonia capture solutions (H2SO4, water and carbonated water) were finally compared under refrigeration conditions (at 2 °C). A high NH3 recovery (81% in 7 days), comparable to that obtained with the H2SO4 solution (88%), was attained when chilled water was used as the capture solution. The presented results point to the need to carefully optimize the emitter concentration, flow rate, and type of capture solution to maximize the effectiveness of suspended GPM systems, and suggest that chilled water may be used as an alternative to conventional acidic solutions, with associated savings