Manejo del paciente con traumatismo craneoencefálico (TCE) por accidente de tráfico

El traumatismo craneoencefálico representa la primera causa de mortalidad entre la población joven en países industrializados, constituyendo una gran problema socioeconómico, no solo por el elevado índice de mortalidad, sino también por la prolongada hospitalización que genera y las graves secuelas restantes. De ahí que se haya abordado esta revisión bibliográfica partiendo de un recuerdo anatómico, mecanismos lesivos y clasificación de los diferentes tipos de TCE, hasta llegar a la actuación en la atención inicial precoz del paciente accidentado (según las guías de soporte vital avanzado al trauma), y culminando con la atención integral del paciente neurocrítico en la unidad de cuidados intensivos con el fin de disminuir la lesión cerebral secundaria. La atención al paciente con traumatismo craneoencefálico grave es compleja y requiere de unos cuidados especiales de enfermería así como una comprensión holística de lo que conlleva el trauma craneal. Solo así se podrán prestar unos cuidados individualizados y una asistencia de calidad.Departamento de EnfermeríaGrado en Enfermerí

High-Resolution Drone-Acquired RGB Imagery to Estimate Spatial Grape Quality Variability

[EN] Remotesensing techniques can help reduce time and resources spent collecting samples of crops and analyzing quality variables. The main objective of this work was to demonstrate that it is possible to obtain information on the distribution of must quality variables from conventional photographs. Georeferenced berry samples were collected and analyzed in the laboratory, and RGB images were taken using a low-cost drone from which an orthoimage was made. Transformation equations were calculated to obtain absolute reflectances for the different bands and to calculate 10 vegetation indices plus two new proposed indices. Correlations for the 12 indices with values for 15 must quality variables were calculated in terms of Pearson’s correlation coefficients. Significant correlations were obtained for 100-berries weight (0.77), malic acid (−0.67), alpha amino nitrogen (−0.59), phenolic maturation index (0.69), and the total polyphenol index (0.62), with 100-berries weight and the total polyphenol index obtaining the best results in the proposed RGB-based vegetation index 2 and RGB-based vegetation index 3. Our findings indicate that must variables important for the production of quality wines can be related to the RGB bands in conventional digital images, potentially improving and aiding management and increasing productivity.SIEducation Department of the Junta de Castilla y León-Spai

HW/SW Co-Simulation System for Enhancing Hardware-in-the-Loop of Power Converter Digital Controllers

Digital controllers of power converters are more and more implemented in FPGAs due to the increasing complexity of current control algorithms, higher switching frequencies, and concurrence requirements. System behavior depends not only on the control algorithm but also on the implementation issues. Thus, closed-loop controller evaluation at early design stages is a main concern. In this paper, a new hardware-in-the-loop method is proposed. It profits from FPGAs and their design tools in order to validate the closed-loop power converter before prototyping the power stage. The proposed solution presents a general architecture that does not depend on specific vendors or CAD tools, but it uses those utilized for the final implementation of the controller. A case study is presented with a given implementation of the proposed solution. Comparisons with existing alternatives show the advantages of our approach

Prolonged quiescence delays somatic stem cell-like divisions in Caenorhabditis elegans and is controlled by insulin signaling

Cells can enter quiescence in adverse conditions and resume proliferation when the environment becomes favorable. Prolonged quiescence comes with a cost, reducing the subsequent speed and potential to return to proliferation. Here, we show that a similar process happens during Caenorhabditis elegans development, providing an in vivo model to study proliferative capacity after quiescence. Hatching under starvation provokes the arrest of blast cell divisions that normally take place during the first larval stage (L1). We have used a novel method to precisely quantify each stage of postembryonic development to analyze the consequences of prolonged L1 quiescence. We report that prolonged L1 quiescence delays the reactivation of blast cell divisions in C. elegans, leading to a delay in the initiation of postembryonic development. The transcription factor DAF‐16/FOXO is necessary for rapid recovery after extended arrest, and this effect is independent from its role as a suppressor of cell proliferation. Instead, the activation of DAF‐16 by decreased insulin signaling reduces the rate of L1 aging, increasing proliferative potential. We also show that yolk provisioning affects the proliferative potential after L1 arrest modulating the rate of L1 aging, providing a possible mechanistic link between insulin signaling and the maintenance of proliferative potential. Furthermore, variable yolk provisioning in embryos is one of the sources of interindividual variability in recovery after quiescence of genetically identical animals. Our results support the relevance of L1 arrest as an in vivo model to study stem cell‐like aging and the mechanisms for maintenance of proliferation potential after quiescence.Spanish Ministerio de Economía y Competitividad (BFU2016-74949-P and BFU2012- 35509)European Research Council (ERC-2011-StG-281691)Marie-Curie Intra-European Fellowship (FP7-PEOPLE-2013- IEF/GA Nr: 627263

Vaccinia-related kinase 1 (VRK1) is an upstream nucleosomal kinase required for the assembly of 53BP1 foci in response to ionizing radiation-induced DNA damage

Cellular responses to DNA damage require the formation of protein complexes in a highly organized fashion. The complete molecular components that participate in the sequential signaling response to DNA damage remain unknown. Here we demonstrate that vaccinia-related kinase 1 (VRK1) in resting cells plays an important role in the formation of ionizing radiationinduced foci that assemble on the 53BP1 scaffold protein during the DNA damage response. The kinase VRK1 is activated by DNA double strand breaks induced by ionizing radiation (IR) and specifically phosphorylates 53BP1 in serum-starved cells. VRK1 knockdown resulted in the defective formation of 53BP1 foci in response to IR both in number and size. This observed effect on 53BP1 foci is p53- and ataxia-telangiectasia mutated (ATM)-independent and can be rescued with VRK1 mutants resistant to siRNA. VRK1 knockdown also prevented the activating phosphorylation of ATM, CHK2, and DNA-dependent protein kinase in response to IR. VRK1 activation in response to DNA damage is a novel and early step in the signaling of mammalian DNA damage responses.This work was supported in part by Ministerio de Ciencia e Innovación Grants SAF2010-14935 and CSD2007-0017, Junta de Castilla y León Grants CSI006A11-2 and GR-15, and the Kutxa-Fundación Inbiomed. Supported by Junta para la Ampliación de Estudios-CSIC-Fondo Social Europeo fellowships.Peer Reviewe

Body-related attentional bias among men with high and low muscularity dissatisfaction

Previous studies have found gender differences in body-related attentional bias (AB), with women showing AB towards weight-related body parts. However, few studies have assessed the relationship between body-related AB and muscularity dissatisfaction (MD) in men. This study aimed to assess the presence of muscle-related AB in men, using a combination of a virtual reality (VR) embodiment-based technique and eye-tracking (ET) technology. Twenty men with high MD and 20 with low MD, owned a virtual avatar that had the same silhouette and body mass index as the participant. To analyze the gaze data, muscle-related areas of interest (M-AOIs) and nonmuscle-related areas of interest (NM-AOIs) were defined. The complete fixation time and the number of fixations on each AOI were recorded. Mixed between (group)-within (AOI_condition) analyses of variance showed a statistically significant interaction between group and time (p < 0.05) in both AB measures. Follow-up analyses revealed an AB towards M-AOIs only in men with high MD. Overall, men with high MD spent more time looking and displayed a higher number of fixations on M-AOIs, specifically the chest and shoulders, compared to men with low MD. This study provides new information about the relationship between MD and body-related AB in men. Combining VR with ET technologies presents interesting opportunities in the study of body image in men

Características y prevalencia de la epilepsia en la especie canina y felina

La decisión de realizar el Trabajo Fin de Grado, Características y prevalencia de la epilepsia en la especie canina y felina se debe a las experiencias vividas en las estancias de prácticas en diferentes clínicas veterinarias, con pacientes que padecían esta patología. La epilepsia es una de las enfermedades neurológicas más importantes, dándose tanto en la especie canina como en la felina. Una visión en conjunto de cómo afecta a ambas especies y sus características es indispensable para la valoración de la enfermedad y la elección del tratamiento. Los objetivos de este trabajo son realizar una revisión bibliográfica de todos los aspectos a tener en cuenta a la hora de conocer la etiopatogenia, diagnóstico y tratamiento de la patología epiléptica, complementándola con una revisión de casos clínicos. Como resultado se lleva a cabo un trabajo en el que se entrelazan diferentes estudios realizados a lo largo del tiempo en ambas especies, e integrando las diferentes conclusiones obtenidas en cada uno de ellos

Vaccinia-related kinase 1 (VRK1) confers resistance to DNA-damaging agents in human breast cancer by affecting DNA damage response

This is an open-access article distributed under the terms of the Creative Commons Attribution License.Vaccinia-related kinase 1 (VRK1) belongs to a group of sixteen kinases associated to a poorer prognosis in human breast carcinomas, particularly in estrogen receptor positive cases based on gene expression arrays. In this work we have studied the potential molecular mechanism by which the VRK1 protein can contribute to a poorer prognosis in this disease. For this aim it was first analyzed by immunohistochemistry the VRK1 protein level in normal breast and in one hundred and thirty six cases of human breast cancer. The effect of VRK1 to protect against DNA damage was determined by studying the effect of its knockdown on the formation of DNA repair foci assembled on 53BP1 in response to treatment with ionizing radiation or doxorubicin in two breast cancer cell lines. VRK1 protein was detected in normal breast and in breast carcinomas at high levels in ER and PR positive tumors. VRK1 protein level was significantly lower in ERBB2 positive cases. Next, to identify a mechanism that can link VRK1 to poorer prognosis, VRK1 was knocked-down in two breast cancer cell lines that were treated with ionizing radiation or doxorubicin, both inducing DNA damage. Loss of VRK1 resulted in reduced formation of DNA-damage repair foci complexes assembled on the 53BP1 scaffold protein, and this effect was independent of damaging agent or cell type. This observation is consistent with detection of high VRK1 protein levels in ER and PR positive breast cancers. We conclude that VRK1 can contribute to make these tumors more resistant to DNA damage-based therapies, such as ionizing radiation or doxorubicin, which is consistent with its association to a poor prognosis in ER positive breast cancer. VRK1 is potential target kinase for development of new specific inhibitors which can facilitate sensitization to other treatments in combination therapies; or alternatively be used as a new cancer drugs.M. V-C and M. S-G have JAE-CSIC-Fondo Social Europeo predoctoral fellowships. This work was supported by grants from Ministerio de Educación, Ciencia e Innovación (SAF2010-14935 and CSD2007-0017) and Kutxa-Fundación Inbiomed to P.A.L.Peer Reviewe

NOD1 deficiency promotes an imbalance of thyroid hormones and microbiota homeostasis in mice fed high fat diet

The contribution of the nucleotide-binding oligomerization domain protein NOD1 to obesity has been investigated in mice fed a high fat diet (HFD). Absence of NOD1 accelerates obesity as early as 2 weeks after feeding a HFD. The obesity was due to increases in abdominal and inguinal adipose tissues. Analysis of the resting energy expenditure showed an impaired function in NOD1-deficient animals, compatible with an alteration in thyroid hormone homeostasis. Interestingly, free thyroidal T4 increased in NOD1-deficient mice fed a HFD and the expression levels of UCP1 in brown adipose tissue were significantly lower in NOD1-deficient mice than in the wild type animals eating a HFD, thus contributing to the observed adiposity in NOD1-deficient mice. Feeding a HFD resulted in an alteration of the proinflammatory profile of these animals, with an increase in the infiltration of inflammatory cells in the liver and in the white adipose tissue, and an elevation of the circulating levels of TNF-α. In addition, alterations in the gut microbiota in NOD1-deficient mice correlate with increased vulnerability of their ecosystem to the HFD challenge and affect the immune-metabolic phenotype of obese mice. Together, the data are compatible with a protective function of NOD1 against low-grade inflammation and obesity under nutritional conditions enriched in saturated lipids. Moreover, one of the key players of this early obesity onset is a dysregulation in the metabolism and release of thyroid hormones leading to reduced energy expenditure, which represents a new role for these hormones in the metabolic actions controlled by NOD1.This work was supported by Grants SAF2017-82436R, AGL2017-88801-P and SAF2016-75004R from MINECO/AEI/FEDER/EU, S2017/BMD-3686 from Comunidad de Madrid, CIVP18A3864 from Fundación Ramón Areces and CIBERCV and CIBERHED (funded by the Instituto de Salud Carlos III) and Fondos FEDER.Peer reviewe