Advances toward diagnostic tools for managing zoonotic visceral leishmaniasis

Visceral leishmaniasis (VL) is a life-threatening outcome of Leishmania infantum or Leishmania donovani infection. Dogs are the primary domestic reservoir of L. infantum parasites, and ownership of infected dogs increases the risk of human VL. Controlling infection within dog populations is regarded as critical to VL management in endemic countries, both preventing progression of canine disease and limiting parasite transmission to humans and dogs. Here we discuss various strategies that are used to diagnose canine visceral leishmaniasis (CVL) and the possibilities of adapting these for use within population screening and control programs. In addition, given the variable transmissibility of L. infantum to the sand fly vector, we outline some possibilities for the preferential identification of ‘super-spreader’ dogs among the overall infected population

An internet-based self-administered intervention for promoting healthy habits and weight loss in hypertensive people who are overweight or obese: a randomized controlled trial

Background The prevalence of overweight and obesity is on the rise worldwide with severe physical and psychosocial consequences. One of the most dangerous is hypertension. Lifestyle changes related to eating behaviour and physical activity are the critical components in the prevention and treatment of hypertension and obesity. Data indicates that the usual procedures to promote these healthy habits in health services are either insufficient or not efficient enough. Internet has been shown to be an effective tool for the implementation of lifestyle interventions based on this type of problem. This study aims to assess the efficacy of a totally self-administered online intervention programme versus the usual medical care for obese and overweight participants with hypertension (from the Spanish public health care system) to promote healthy lifestyles (eating behaviour and physical activity). Method A randomized controlled trial will be conducted with 100 patients recruited from the hypertension unit of a public hospital. Participants will be randomly assigned to one of two conditions: a) SII: a self-administered Internet-based intervention protocol; and b) MUC-medical usual care. The online intervention is an Internet-delivered, multimedia, interactive, self-administered programme, composed of nine modules designed to promote healthy eating habits and increase physical activity. The first five modules will be activated at a rate of one per week, and access for modules 5 to 9 will open every two weeks. Patients will be assessed at four points: before the intervention, after the intervention (3 months), and at 6 and 12 months (follow-up). The outcome variables will include blood pressure, and Body Mass Index, as primary outcome measures, and quality of life and other lifestyle and anthropometrical variables as secondary outcome measures. Discussion The literature highlights the need for more studies on the benefits of using the Internet to promote lifestyle interventions. This study aims to investigate the efficiency of a totally self-administered Internet − +based programme for promoting healthy habits and improving the medical indicators of a hypertensive and overweight population.MM is grateful to CAPES/Brazil (Coordination for the Improvement of Higher Level Personnel) for the doctoral scholarship. This project is funded in part by grants PSI2010-17563-PSIC; CIBER Fisiopatologia de la Obesidad y Nutricion-ISCIII CB06/03/0052; Red de Excelencia PSI2014-56303-REDT: PROMOSAM: Research in Processes, Mechanisms and Psychological Treatments for Mental Health Promotion, from the Ministerio de Economía y Competitividad (2014)

Fractura triplana epifisaria distal de tibia: a propósito de un caso con interposición de periostio

Se presenta un caso de fractura triplana en 2 fragmentos en un paciente varón de 13 años tratado quirúrgicamente, observando la interposición perióstica en el plano axial a nivel del fragmento antero-externo, que impedía la reducción anatómica de la zona epifisaria articular. Se analiza la anatomía quirúrgica de las fracturas triplanas considerando que esta lesión puede ser más frecuente de lo que se ha informado, y sólo valorada en los casos en que se emplee un abordaje antero-externo.The case of a 13-year-old boy with a two-fragment triplane fracture of the distal epiphysis of the tibia is presented. At surgery, an interposition of the periosteum in the axial plane behind the antero-lateral fragment, preventing the anatomical reduction of the epiphyseal joint surface was found. The surgical anatomy of triplane fractures is review taking into account that this lesion can be more frequent that it has been reported. The true incidence should be evaluated at surgery by antero-lateral approach

Fracturas del macizo trocantéreo. Estudio comparativo Ender-DHS: revision de 114 casos

Se presenta un estudio retrospectivo de 114 fracturas pertrocantéreas tratadas con enclavado elástico de Ender (71) y tornillo placa deslizante, DHS (43). Se efectuó un estudio estadístico descriptivo-comparativo entre los 2 grupos de pacientes según la técnica quirúrgica empleada. Se constató un mayor índice de estabilidad usando el DHS (81%), frente al 6 1 % del otro grupo. La tasa de complicaciones fue del 16% y 55% respectivamente. Los resultados clínicos fueron mejores en los enfermos tratados con DHS, fundamentalmente en cuanto a la deambulación que se consiguió en el 98% (Ender 75%), ausencia de dolor y movilidad conservada. Los autores piensan que la estabilidad preoperatoria no influye en la solidez del montaje usando el DHS, pero con la técnica de Ender ésta disminuye en las fracturas inestables; por ello, la técnica de Ender estaría solamente indicada en el tratamiento de fracturas estables en pacientes de edad avanzada o con mal estado general, aunque en clara competencia con el DHS.A retrospective study of 114 intertrochanteric fractures operated on either with Ender's rods (71) or dynamic hip screws, DHS (43) is presented. A statistical descriptive-comparative study between the 2 groups was attempted. There was a greater index of stability using the DHS (82%) than Ender's rods (61%). The rate of complications was 16% and 55% respectively. The clinical outcome was better in cases treated with DHS, specially for walking ability, which was regained in the 98% of cases (Ender 75%), painless and preserved mobility. The authors think that the stability before operation do not influence the solidity of the assembly using the DHS device. On the contrary, with the Ender's technique the fixation is no satisfactory in unstables fractures. Ender's rods would only be suitable for treatment of stable fractures in older patient or with serious associated diseases, although in clear competition with the DHS

Attachment-specific speech patterns induce dysphoric mood changes in the listener as a function of individual differences in attachment characteristics and psychopathology

Objectives Early childhood experiences influence cognitive-emotional development, with insecure attachment predisposing to potential psychopathologies. We investigated whether narratives containing attachment-specific speech patterns shape listeners’ emotional responses and social intentions. Design First, 149 healthy participants listened to three narratives characteristic for secure, insecure-preoccupied, and insecure-dismissing attachment. Following each narrative, the wellbeing and interpersonal reactivity as a particular aspect of emotional reactivity of the listener were assessed. Likewise, psychopathological aspects of personality were evaluated. A follow-up study compared 10 psychosomatic patients with a current depressive episode and/or personality disorder with distinct depressive symptoms and 10 age- and gender-matched healthy controls. Methods Effects of narratives on listeners’ mental state were tested with repeated-measures AN(C)OVA. Mediating effects in the listener (attachment characteristics in the context of personality traits) were explored. Narrative effects were compared between patients and controls. Results Listening to insecure attachment narratives reduced wellbeing in controls. Nevertheless, tendency for social interaction was highest following the insecure-preoccupied narrative. Importantly, listeners’ individual attachment characteristics mediated the relationship between wellbeing/interpersonal reactivity following the insecure-preoccupied narrative and levels of psychopathology. Furthermore, compared with healthy participants, patients showed higher emotional reactivity following exposure to the insecure-preoccupied narrative, represented by lower wellbeing and lower estimation of friendliness towards the narrator. Conclusions Exposure to attachment-specific speech patterns can result in dysphoric mood changes. Specifically, the insecure-preoccupied narrative influenced the listeners’ emotional state, which was further mediated by the individual attachment patterns and psychopathological personality characteristics. This deepens the understanding of interpersonal processes, especially in psychotherapeutic settings

Opto-mechanical measurement of micro-trap via nonlinear cavity enhanced Raman scattering spectrum

High-gain resonant nonlinear Raman scattering on trapped cold atoms within a high-fineness ring optical cavity is simply explained under a nonlinear opto-mechanical mechanism, and a proposal using it to detect frequency of micro-trap on atom chip is presented. The enhancement of scattering spectrum is due to a coherent Raman conversion between two different cavity modes mediated by collective vibrations of atoms through nonlinear opto-mechanical couplings. The physical conditions of this technique are roughly estimated on Rubidium atoms, and a simple quantum analysis as well as a multi-body semiclassical simulation on this nonlinear Raman process is conducted.Comment: 7 pages, 2 figure

Dysregulated Proinflammatory and Fibrogenic Phenotype of Fibroblasts in Cystic Fibrosis

Morbi-mortality in cystic fibrosis (CF) is mainly related to chronic lung infection and inflammation, uncontrolled tissue rearrangements and fibrosis, and yet the underlying mechanisms remain largely unknown. We evaluated inflammatory and fibrosis responses to bleomycin in F508del homozygous and wild-type mice, and phenotype of fibroblasts explanted from mouse lungs and skin. The effect of vardenafil, a cGMP-specific phosphodiesterase type 5 inhibitor, was tested in vivo and in culture. Responses of proinflammatory and fibrotic markers to bleomycin were enhanced in lungs and skin of CF mice and were prevented by treatment with vardenafil. Purified lung and skin fibroblasts from CF mice proliferated and differentiated into myofibroblasts more prominently and displayed higher sensitivity to growth factors than those recovered from wild-type littermates. Under inflammatory stimulation, mRNA and protein expression of proinflammatory mediators were higher in CF than in wild-type fibroblasts, in which CFTR expression reached similar levels to those observed in other non-epithelial cells, such as macrophages. Increased proinflammatory responses in CF fibroblasts were reduced by half with submicromolar concentrations of vardenafil. Proinflammatory and fibrogenic functions of fibroblasts are upregulated in CF and are reduced by vardenafil. This study provides compelling new support for targeting cGMP signaling pathway in CF pharmacotherapy

Hemostatic Status of Pre and Post Intracoronary Injection of Peripheral Blood Stem Cells in Patients with Recent Myocardial Infarction

Aim: to investigate hemostatic parameter changes, such as platelet aggregation, blood and plasma viscosity, prothrombin time, APTT, CRP and fibrinogen, before and after administration of stem cell therapy. Methods: a total of 24 patients were enrolled. Peripheral blood stem cells (PBSCs) were harvested and injected into the infarct-related artery after 5 consecutive days of G-CSF administration. Recombinant human erythropoietin was administered at the time of intracoronary PBSCs injection. Results: we were able to evaluate 11 from 24 of patients regarding hemostatic status pre–post stem cell injection. There were no significant difference between baseline vs 3 months in spontaneous aggregation (p=0.350), PT (p=0.793), aPTT (p=0.255) and TT (p=0.254). There were also no significant difference between baseline vs 3 months in plasma viscosity (p=0.442) and blood viscosity (p=0.843). Nevertheless the patient who had their blood and plasma viscosity above or below normal laboratory range return to normal level after the treatment. Both PT and APTT also show normalization value. Both Fibrinogen and CRP level show significant decrease between baseline and 3 months after treatment (p=0.009) and (p=0.04) respectively. Conclusion: combined G-CSF and EPO based-intracoronary infusion of PBSCs may open new perspective in the treatment of hypercoagulable state post AMI

Better Driving and Recall When In-car Information Presentation Uses Situationally-Aware Incremental Speech Output Generation

Kennington C, Kousidis S, Baumann T, Buschmeier H, Kopp S, Schlangen D. Better Driving and Recall When In-car Information Presentation Uses Situationally-Aware Incremental Speech Output Generation. In: AutomotiveUI 2014: Proceedings of the 6th International Conference on Automotive User Interfaces and Interactive Vehicular Applications. Seattle, Washington, USA; 2014: 7:1-7:7.It is established that driver distraction is the result of sharing cognitive resources between the primary task (driving) and any other secondary task. In the case of holding conversations, a human passenger who is aware of the driving conditions can choose to interrupt his speech in situations potentially requiring more attention from the driver, but in-car information systems typically do not exhibit such sensitivity. We have designed and tested such a system in a driving simulation environment. Unlike other systems, our system delivers infor- mation via speech (calendar entries with scheduled meetings) but is able to react to signals from the environment to interrupt when the driver needs to be fully attentive to the driving task and subsequently resume its delivery. Distraction is measured by a secondary short-term memory task. In both tasks, drivers perform significantly worse when the system does not adapt its speech, while they perform equally well to control conditions (no concurrent task) when the system intelligently interrupts and resumes