Drugs use in pregnancy in the Valencia Region and the risk of congenital anomalies

Background Despite the potential risks of drug use during pregnancy, consumption has increased in recent decades. Objective To identify the risk of congenital anomalies (CA) associated with the use of drugs in primary care in pregnant women resident in the Valencia Region. Methods A case-control study, considering a case as a less than one year old live birth in 2009–2010, diagnosed with a CA and resident in the Valencia Region, obtained from the CA population-based registry. Controls were selected from the Metabolic Disease Registry, and the drugs prescribed and dispensed from the Integral Management of Pharmaceutical Services. Crude odds ratio (OR) was calculated with its 95% confidence intervals and adjusted OR was calculated using logistic regression. Results A total of 1.913 cases and 3.826 controls were identified. The most frequently used drug groups were those acting on the musculoskeletal, nervous and respiratory systems, on the blood and blood forming organs, and anti-infection drugs. The most common drugs used were ibuprofen, dexketoprofen, paracetamol, amoxicillin, ferrous sulphate, and a combination of folic acid. A significantly increased risk of CA was identified for drugs acting on the musculoskeletal system (adjusted OR 1.14 [95% confidence interval 1.02–1.28]). A significantly decreased risk was observed for drugs acting on the blood and blood forming organs (adjusted OR 0.87 [95% confidence interval 0.78–0.98]). Conclusions Associations between drugs and CA in pregnant women resident in the Valencia Region have been identified for drugs that act as risk factors of CA, and for drugs that act as protective factors of CA. Antecedentes El consumo de medicamentos durante el embarazo se ha incrementado en las últimas décadas. Objetivo Identificar el riesgo de anomalías congénitas (AC) asociado a la utilización de medicamentos en atención ambulatoria en embarazadas residentes en la Comunitat Valenciana. Métodos Estudio de casos-controles, considerando caso a menores de un año nacidos vivos en 2009-2010 diagnosticados de AC y residentes en la Comunitat Valenciana, obtenidos del registro poblacional de AC. Los controles se seleccionaron del Registro de Metabolopatías y la medicación prescrita y dispensada se obtuvo del módulo Gestión Integral de Prestación Farmacéutica. Se calcularon las odds ratio (OR) y los intervalos de confianza al 95% y las OR ajustadas mediante regresión logística. Resultados Se identificaron 1.913 casos y 3.826 controles. Los grupos de medicamentos más frecuentemente prescritos y dispensados fueron: los que actúan sobre los sistemas musculoesquelético, nervioso, respiratorio, sobre la sangre y órganos hematopoyéticos, y antiinfecciosos. Los medicamentos más habituales fueron: ibuprofeno, dexketoprofeno, paracetamol, amoxicilina, sulfato de hierro y una combinación de ácido fólico. Se identificó un aumento del riesgo de anomalías congénitas significativo para los fármacos de acción sobre el sistema musculoesquelético (OR ajustada de 1,14 [intervalo de confianza al 95% 1,02-1,28]). Se observó una disminución del riesgo significativa en el grupo que actúa sobre la sangre y los órganos hematopoyéticos (OR ajustada de 0,87 [intervalo de confianza al 95% 0,78-0,98]). Conclusiones Se han identificado asociaciones de medicamentos con AC en mujeres embarazadas residentes en la Comunitat Valenciana, tanto para fármacos que actúan como factores de riesgo de AC como para fármacos que actúan como factores protectores de AC

Modifying catalytically the soot morphology and nanostructure in diesel exhaust: Influence of silver De-NOx catalyst (Ag/Al2O3)

The influence of an Ag/Al2O3 HC-SCR catalyst on the morphological and nanostructural aspects of the exhaust particulate matter (PM) generated during the combustion of diesel fuel and a glycol ether–diesel fuel blend was addressed in this research work. In addition, the impact of in-cylinder fuel post injections (FPI) on the particulate formation pathway and on the catalytic de-NOx efficiency was also studied. The tests were carried at low exhaust temperatures in the absence and presence of small amounts of hydrogen (H2). It is concluded that in the absence of H2, the catalyst does not modify the primary particle size (dp0) of the soot aggregates, while the aggregation of the soot particles throughout the catalyst channels is the main governing mechanism. The catalyst influence on the particulate structure was evident when H2 was introduced, with smaller dp0 seen downstream of the catalyst, indicating that despite the short residence time of the PM within the catalyst bed, the soot particles were partially oxidised. The use of late FPI reduces the exhaust PM level and delivers sufficient HC:NOx ratios that improves the catalyst activity up to a maximum of 80% NOx conversion, with no sign of catalyst deactivation when H2 (500 ppm) was injected. Furthermore, it is suggested that along with oxidising part of the particles produced during the main fuel injection phase, late FPI can also produce, to a lesser extent, some additional soot with a less matured structure, resulting on average in less ordered particles being emitted into the exhaust stream. This work shows that in modern diesel engines, a silver catalyst can alter the soot structure in the exhaust in a way that can ease the diesel particulate filter (DPF) regeneration cycles, improve its filtration efficiency and help in effectively reducing the tailpipe NOx emissions. For the catalyst to perform these functions, multiple in-cylinder fuel injection strategies (late FPI) combined with small amounts of hydrogen addition to the exhaust are required

Underlying molecular mechanism in the modulation of the ram sperm acrosome reaction by progesterone and 17ß-estradiol

Steroid hormones progesterone (P4) and 17ß-estradiol (E2) not only have important functions in regulation of reproductive processes in mammals but also have direct effects on spermatozoa. There can be induction of the acrosome reaction in ram spermatozoa by P4 and E2 and, in the present study, there was further investigation of mechanisms underlying this effect. In a medium containing agents that increase cAMP, the presence of both P4 and E2 led to changes in the localization of proteins phosphorylated in tyrosine residues evaluated by indirect immunofluorescence. The inclusion of P4 at 1 µM in the media induced an increase in Ca2+i and mobilization in the area of the acrosome (Fluo-4 and Rhod-5 staining, respectively), an increase in ROS (H2DCFDA staining) and a substantial disruption of the acrosome (evaluated using RCA), while E2 did not have these effects. There were no effects on cAMP concentrations or PKA activity with inclusion of these hormones in the media. The inclusion of P4 at 100 pM in the media led to changes in values for sperm kinematic variables which could indicate there was an inhibition of the hyperactivation caused by agents that induce an increase in cAMP concentrations. In conclusion, results from the present study indicate that P4 and E2 promote mechanisms regulating the acrosome reaction in ram spermatozoa, however, these effects on mechanisms are different for the two hormones, and for E2, require further clarification

Fabricación y caracterización de composites de ácido poliláctico reforzados con madera de olivo

En esta investigación se ha reforzado el biopolímero ácido poliláctico con madera de olivo obteniéndose un composite que mejora las propiedades y a la vez cumple con los requisitos medioambientales. El proceso ha consistido en un mezclado automático del PLA, fibra de madera y 10% de aditivo, seguido de un proceso de inyección. El porcentaje de fibra de madera de olivo adicionada han sido del 20% y se ha empleado madera sin tratar y tratada con álcali. Se han determinado las propiedades mecánicas y térmicas de los composites y se ha evaluado la influencia de la exposición ultravioleta en el comportamiento mecánico

Expression of cell surface receptors and oxidative metabolism modulation in the clinical continuum of sepsis

Background Infection control depends on adequate microbe recognition and cell activation, yet inflammatory response may lead to organ dysfunction in sepsis. the aims of this study were to evaluate cell activation in the context of sepsis and its correlation with organ dysfunction.Methods A total of 41 patients were prospectively enrolled: 14 with sepsis, 12 with severe sepsis and 15 with septic shock. A total of 17 healthy volunteers were included as a control group. Patients were admitted to the Intensive Care Units and Emergency Rooms of Hospital São Paulo ( Federal University of São Paulo) and Hospital Santa Marcelina, São Paulo, Brazil. Toll- like receptor ( TLR) 2, TLR4, CD11b, CD11c and CD66b expression on neutrophil surfaces and oxidative metabolism measured by non- fluorescent dichlorofluorescein ( DCFH) oxidation in neutrophils and monocytes, using whole blood, were evaluated using flow cytometry. Organ dysfunction was measured using the sepsis- associated organ failure assessment ( SOFA) score.Results TLR2 expression on neutrophils was found to be downregulated in septic shock patients compared to healthy volunteers ( p = 0.05). No differences were found in CD11b and CD11c expression. CD66b expression was increased in the patient group compared to the control group ( p = 0.01). Neutrophil and monocyte oxidative burst was increased in septic patients compared to the control group at baseline and after stimulation with phorbol myristate acetate ( PMA), formylmethionylleucyl- phenylalanine ( fMLP), lipopolysaccharide ( LPS) and Staphylococcus aureus ( p 7 was higher than in patients with SOFA scores < 7, both in neutrophils and monocytes. However, oxidative burst in patients with sepsis was as high as in septic shock.Conclusion Surface receptors expression on neutrophils may be modulated across the continuum of sepsis, and enhanced or decreased expression may be found depending on the receptor considered. ROS generation is upregulated both in neutrophils and monocytes in septic patients, and it is differently modulated depending on the stage of the disease and the stimuli used.Universidade Federal de São Paulo, Escola Paulista Med, Div Infect Dis, São Paulo, BrazilUniversidade Federal de São Paulo, Intens Care Unit, São Paulo, BrazilHosp St Marcelina, Intens Care Unit, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, Div Infect Dis, São Paulo, BrazilUniversidade Federal de São Paulo, Intens Care Unit, São Paulo, BrazilWeb of Scienc

Discovery of an Optimal Porous Crystalline Material for the Capture of Chemical Warfare Agents

Chemical warfare agents (CWAs) are regarded as a critical challenge in our society. Here, we use a high-throughput computational screening strategy backed up by experimental validation to identify and synthesize a promising porous material for CWA removal under humid conditions. Starting with a database of 2,932 existing metal-organic framework (MOF) structures, we selected those possessing cavities big enough to adsorb well-known CWAs such as sarin, soman, and mustard gas as well as their nontoxic simulants. We used Widom method to reduce significantly the simulation time of water adsorption, allowing us to shortlist 156 hydrophobic MOFs where water will not compete with the CWAs to get adsorbed. We then moved to grand canonical Monte Carlo (GCMC) simulations to assess the removal capacity of CWAs. We selected the best candidates in terms of performance but also in terms of chemical stability and moved to synthesis and experimental breakthrough adsorption to probe the predicted, excellent performance. This computational-experimental work represents a fast and efficient approach to screen porous materials in applications that involve the presence of moisture