Characterization of Hydrogels for Their Application in Tissue Regeneration

Alterations in neurogenesis result in the inevitable loss of brain nervous tissue and cause neurodegenerative diseases, such as Parkinson’s disease (PD), Alzheimer’s disease (AD), and Huntington’s disease (HD). In this regard, hydrogels based on natural biopolymers have attractive properties, such as excellent biocompatibility, a low immune response, and a significant similarity to the extracellular matrix (ECM) of tissues, thus supporting cell proliferation and migration. Human ECM is composed by relatively small amounts of fibrous, proteins, and polysaccharides. For example, scaffolds composed of gelatin and hyaluronic acid are highly abundant components in human ECM. The methacrylation of hyaluronic acid (HAMA) and gelatin (GelMA) through carboxyl and hydroxyl groups under UV light radiation at 365 nm produce polymeric scaffolds with elastic moduli similar to tissues, and, therefore, potential candidates to adhere, host, and facilitate cell proliferation and differentiation, which are dependent on their mechanical properties. In this work, the mechanical, thermal, and morphological properties of HAMA and GelMA hydrogel mixtures were studied and characterized via linear rheological measurements, thermogravimetric analysis (TGA), and scanning electron microscopy (SEM)S

Problems of public transport in the city of Saltillo, Coahuila

El “problema” del transporte público en las ciudades no es un factor de reciente aparición, pues es una problemática que se remonta a muchos años atrás. Sin embargo, al ser el transporte urbano algo tan cotidiano y de uso diario, siempre se tiene la sensación de “conocer bien el problema” y por ende su solución. terminando así en las “soluciones rápidas que fallan” (Senge, 2009), permitiendo que el problema solo crezca más. La ciudad de Saltillo, Coahuila al igual que muchas otras ciudades en el mundo ha sido víctima de un sistema de transporte publico deficiente durante muchos años y los resultados a las iniciativas emprendidas no han propiciado un buen sistema de transporte, ya sea, por la falta de unidades adecuadas, la falta de capacitación de los operadores, el precio inadecuado al estado de las unidades y prestación de servicio, la imposibilidad del usuario a planificar sus trayectos debido a la inconsistencia en los horarios, etc.  Ahora bien, dado que no existe una única causa que haga que el sistema de transporte público sea deficiente, es necesario conocer un modelo teórico de un sistema de transporte “ideal” que nos brinde una serie características y requerimientos para su buen funcionamiento. Para luego, utilizarlo como punto de partida en el estudio de las distintas problemáticas de transporte en la ciudad en los últimos años, y finalmente, lograr proponer soluciones integrales que permitan mejorar la prestación del servicio.The "problem" of public transport in cities is not a factor of recent appearance, as it is a problem that goes back many years. However, as urban transport is something so everyday and of daily use, you always have the feeling of "knowing the problem well" and therefore its solution. thus ending in “quick fixes that fail” (Senge, 2009), allowing the problem to only grow further. The city of Saltillo, Coahuila, like many other cities in the world, has been the victim of a poor public transportation system for many years and the results of the initiatives undertaken have not led to a good transportation system, either due to the lack of of adequate units, the lack of operator training, the inadequate price for the condition of the units and the provision of service, the impossibility of the user to plan their routes due to inconsistency in schedules, etc. Now, since there is no single cause that makes the public transport system deficient, it is necessary to know a theoretical model of an "ideal" transport system that provides us with a series of characteristics and requirements for its proper functioning. To then use it as a starting point in the study of the different transport problems in the city in recent years, and finally, to propose comprehensive solutions that allow improving service provision

Vulnerabilidad territorial ante la expansión urbana

En México según el INEGI para el 2010 la población urbana fue del 77.8%, lo que significa que un porcentaje importante de la población vive en localidades mayores a los 2500 habitantes. Las cuales tienen sus propios ritmos de crecimiento, funciones, especialización, cambios de usos del suelo y problemáticas específicas. Las ciudades principales se han expandido, en las últimas décadas, con escasa acción planificadora y bajos resultados en el ordenamiento territorial. Ello ha configurado crecimientos físicos dispersos y fragmentados con importantes efectos ambientales. En México, la dispersión urbana genera ocupación del territorio en riesgos, situaciones de vulnerabilidad con inexistencia de acciones públicas, porque se encuentra en pendientes abruptas, lugares que se inundan, en áreas naturales protegidas, entre otras formas, genera tejido construido en áreas no óptimas para el desarrollo urbano, todo ello impacta negativamente al medio ambiente y la calidad de vida de la población. El crecimiento urbano continuará porque en las ciudades se genera la riqueza del país, en ellas se encuentran las oportunidades y soluciones. La urbanización es el modelo para conseguir el desarrollo de la sociedad. En dicho desarrollo se aspira el crecimiento sustentable y armonioso con el ambiente. Se espera cambios regulatorios para revertir los efectos negativos generados durante décadas con la expansión urbana consumidora de recursos naturales, energía y recursos financieros. En este marco problemático se integra el libro “Vulnerabilidad territorial ante la expansión urbana”, es producto de las actividades científicas –foro y congreso realizados en 2015- de la Red internacional de territorios, sustentabilidad y gobernanza en México y Polonia (RETESYG) de la Facultad de Geografía, Facultad de Planeación Urbana y Regional de la Universidad Autónoma del Estado de México (UAEM), así como de la Facultad de Geografía y Estudios Regionales de la Universidad de Varsovia (UV) y la Facultad de Geografía y Biología de la Universidad Pedagógica “Comisión de Educación Nacional” de Cracovia. El libro tiene una visión integral de la vulnerabilidad territorial ante la expansión urbana, considera los enfoques de la geografía, de la planeación y del ordenamiento territorial para abordar las problemáticas ambiental y social. Presenta una visión amplia y de síntesis sobre vulnerabilidad del territorio y de las ciudades, en él se integran los saberes de la Geografía y de la Planeación Territorial. Destaca la necesidad de controlar el crecimiento anárquico y desordenado, las desigualdades sociales, los riesgos, los problemas ambientales, la falta de bases de datos geoespaciales dinámicas, entre otros. Los resultados de las investigaciones apuntan hacia el desarrollo territorial sustentable. El libro se conforma de dos partes, la primera presenta aspectos teóricos conceptuales y metodológicos de la vulnerabilidad territorial, estructural, física, ambiental y socioeconómica, los riesgos geomorfológicos, la sustentabilidad y manejo de recursos naturales, áreas naturales protegidas, metodologías para la evaluación de los impactos de la expansión metropolitana y gobernanza territorial. La segunda parte, desarrolla estudios de caso, a distintas escalas: desde huertos familiares, subcuentas, ciudad, municipio, zonas metropolitanas, megalópolis, regiones y país. En cada capítulo del libro se presenta bibliografía extensa, diversificada y actualizada que aportan al lector sobre el estado del arte de la vulnerabilidad territorial

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Gestión del conocimiento: perspectiva multidisciplinaria. Volumen 11

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 11, de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro cuenta con el apoyo de los grupos de investigación: Universidad Sur del Lago “Jesús María Semprúm” (UNESUR), Zulia – Venezuela; Universidad Politécnica Territorial de Falcón Alonso Gamero (UPTAG), Falcón – Venezuela; Universidad Politécnica Territorial de Mérida Kleber Ramírez (UPTM), Mérida – Venezuela; Universidad Guanajuato (UG) - Campus Celaya - Salvatierra - Cuerpo Académico de Biodesarrollo y Bioeconomía en las Organizaciones y Políticas Públicas (C.A.B.B.O.P.P), Guanajuato – México; Centro de Altos Estudios de Venezuela (CEALEVE), Zulia – Venezuela, Centro Integral de Formación Educativa Especializada del Sur (CIFE - SUR) - Zulia - Venezuela, Centro de Investigaciones Internacionales SAS (CIN), Antioquia - Colombia.y diferentes grupos de investigación del ámbito nacional e internacional que hoy se unen para estrechar vínculos investigativos, para que sus aportes científicos formen parte de los libros que se publiquen en formatos digital e impreso

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Development of an electrochemical sensor for coeliac disease serological markers

La celiaquía, intolerancia al gluten, es una enfermedad autoinmune que afecta principalmente a la parte próxima del intestino delgado y que está presente en el 1% de la población mundial. La ingestión de gluten (proteína presente en el trigo, la cebada, el centeno) desencadena la producción de anticuerpos anti-gliadina (AGA) y anti-transglutaminasa tisular (anti-tTG) que pueden provocar inflamación y daños en el intestino delgado. La detección de estos anticuerpos mediante el uso de pruebas serológicas representa una alternativa rápida, confiable y no invasiva. El objetivo principal de esta Tesis es el desarrollo de inmunosensores usando monocapas de tioles autoensambladas en superficies de oro que sean rápidos, sensibles y de bajo coste, pero eficientes para su uso en muestras reales. Dos estrategias para inmovilizar los antígenos fueron exploradas: i) Usando monocapas autoensambladas de un alcanotiol bípedo, que posee grupos carboxílicos, ii) Introduciendo grupos disulfuro a través de los distintos grupos presentes en los antígenos: carboxílicos, aminos e hidroxilos. Ambas estrategias para construir los inmunosensores fueron optimizadas y usadas para la detección amperométrica de los marcadores serológicos de la celiaquía en muestras humanas de suero.Coeliac disease (CD), a gluten-sensitive enteropathy, is an autoimmune disorder of the upper small intestine triggered from the gluten ingestion (cereal protein found in wheat, rye and barley) and affects 1% of the population around the globe. The ingestion of gluten, triggers the production of a series of autoantibodies against gliadin (AGA) and tissue transglutaminase (anti-tTG) which can provoke inflammation and damage some parts of the intestine. The detection of those antibodies through serological testing represent a non-invasive, fast and reliable approach. The main objective of this Thesis is the development of a sensitive, rapid and cost-efficient real-sample-oriented immunosensor using thiol-self assembled monolayers on gold surfaces. Two strategies for the antigen immobilisation have been investigated: i) The use of monolayers of a carboxylic acid-ended bipodal alkanethiol, ii) The introduction of disulfide groups through three different moieties of the antigens: amine, carboxylic and hydroxyl. Both immunosensor approaches were optimized and used for the amperometric detection of CD serological markers from human serum samples

Constitutive Innate Immunity of Migrant and Resident Long-Nosed Bats (<i>Leptonycteris yerbabuenae</i>) in the Drylands of Mexico

In contrast to birds, the relationship between migration and immunity has been scarcely studied in bats. We examined how the expression of the humoral portion of the constitutive immunity varied in a bat with partial, sex-biased migration: the lesser long-nosed bat (Leptonycteris yerbabuenae (Phyllostomidae)). The lesser long-nosed bat is a nectarivorous species distributed in the arid and semi-arid regions of North and Central America. We evaluated the bacteria-killing abilities (BKAs) of the plasma of male and female lesser long-nosed bats on the Pacific coast in different periods of the year. Because adult males are resident, they were used to explore the effect of reproductive activity on BKA, and we predicted higher values in mating males (i.e., individuals presenting scrotal testicles and a fresh dorsal patch). In contrast to males, most females migrate to cactus deserts in northern Mexico during pregnancy and lactation, and then return to the dry forests of west-central Mexico to mate. We predicted that the combined effect of breeding and migration would have an adverse effect on BKA; therefore, migratory pregnant and lactating females were expected to exhibit a lower BKA than mating females in west-central Mexico. We compared the BKAs of females captured in October and December in central Mexico, and we predicted that migratory females that had recently arrived in October should exhibit a lower BKA than females captured two months later. In addition, we compared the BKAs between lactating females and young in northern Mexico and predicted lower values in recently born individuals. We found that the BKAs of males were higher in reproductive individuals than in non-reproductive individuals. We found a significant difference in the BKAs between females at the two extremes of their migratory range: the values of pregnant females in Sonora and females in December were higher than those of females captured in October. Finally, we found no difference in BKAs between lactating females and young individuals. Our findings indicate that the basal levels of the innate humoral component are heightened in mating males, that this response is reduced in females that recently returned to their mating grounds, and that the constitutive immunity of young individuals matures early, probably in anticipation of the potential to encounter pathogens during their migration to west-central Mexico

Rotational Molding of Poly(Lactic Acid)/Polyethylene Blends: Effects of the Mixing Strategy on the Physical and Mechanical Properties

In this study, blends of poly(lactic acid) (PLA)/linear medium density polyethylene (LMDPE) at different weight ratios were prepared by rotational molding. Two mixing strategies were used to evaluate the effect of phase dispersion on the physical and mechanical properties: (i) Dry-blending (DB) using a high shear mixer, and (ii) melt-blending (MB) using a twin-screw extruder. Thermal, morphological, and mechanical analyses were performed on the neat polymers and their blends. The thermal analysis was completed by differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA), and the blends prepared by MB had lower thermal stability than the ones prepared via DB due to some thermo-oxidative degradation through the double thermal process (extrusion and rotomolding). The morphology of the rotomolded parts showed that DB generated larger particle sizes (around 500 &micro;m) compared to MB (around 5 &micro;m) due to the shear and elongational stresses applied during extrusion. The tensile and flexural properties of the rotomolded parts combined the PLA stiffness with the LMDPE toughness independent of the blending technique. Neat PLA presented increments in tensile strength (54%) and flexural strength (111%) for DB compared with MB. A synergistic effect in impact strength was observed in blends with 12 and 25 wt. % of PLA prepared by DB