A physical activity program versus usual care in the management of quality of life for pre-frail older adults with chronic pain: Randomized controlled trial

Background: Exercise has shown being effective for managing chronic pain and preventing frailty status in older adults but the effect of an exercise program in the quality of life of pre-frail older adults with chronic pain remains unclear. Our objective was to evaluate the effectiveness of multicomponent structured physical exercise program for pre-frail adults aged 65 years or more with chronic pain to improve their perceived health related quality of life, compared with usual care. Methods: Open label randomized controlled trial. Participants were community-dwelling pre-frail older adults aged 65 years or older with chronic pain and non-dependent for basic activities of daily living attending a Primary Healthcare Centre. Forty-four participants were randomly allocated to a control group (n = 20) that received usual care or an intervention group (n = 24) that received an 8-week physical activity and education program. Frailty status (SHARE Frailty Index), quality of life (EuroQol-5D-5L), pain intensity (Visual Analogue Scale), physical performance (Short Physical Performance Battery) and depression (Yessavage) were assessed at baseline, after the intervention and after 3 months follow-up. The effect of the intervention was analysed by mean differences between the intervention and control groups. Results: The follow-up period (3 months) was completed by 32 patients (73%), 17 in the control group and 15 in the intervention group. Most participants were women (78.1%) with a mean age (standard deviation) of 77.2 (5.9) years and a mean pain intensity of 48.1 (24.4) mm. No relevant differences were found between groups at baseline. After the intervention, mean differences in the EuroQol Index Value between control and intervention groups were significant (- 0.19 95% CI(- 0.33- -0.04)) and remained after 3 months follow-up (- 0.21 95% CI(- 0.37- -0.05)). Participants in the exercise group showed better results in pain intensity and frailty after the intervention, and an improvement in physical performance after the intervention and after 3 months. Conclusions: An eight-week physical activity and education program for pre-frail older adults with chronic pain, compared with usual care, could be effective to improve quality of life after the intervention and after three-months follow-up. Study registration details: This study was retrospectively registered in ClinicalTrials.gov with the identifier NCT04045535

Determination of the spatiotemporal dependence of Pseudomonas aeruginosa biofilm viability after treatment with NLC-colistin

The emergence of colistin-resistant Pseudomonas aeruginosa in cystic fibrosis (CF) patients, particularly after long-term inhalation treatments, has been recently reported. Nanoencapsulation may enable preparations to overcome the limitations of conventional pharmaceutical forms. We have determined the time-dependent viability of P. aeruginosa biofilms treated with both free and nanoencapsulated colistin. We also examined the relationship between the optimal anti-biofilm activity of nanostructured lipid carrier (NLC)-colistin and the structural organization of the biofilm itself. The results showed the more rapid killing of P. aeruginosa bacterial biofilms by NLC-colistin than by free colistin. However, the two formulations did not differ in terms of the final percentages of living and dead cells, which were higher in the inner than in the outer layers of the treated biofilms. The effective anti-biofilm activity of NLC-colistin and its faster killing effect recommend further studies of its use over free colistin in the treatment of P. aeruginosa infections in CF patients

Preparation of imido pentamethylcyclopentadienyl molybdenum(IV) complexes. X-ray molecular structure of cis-[MoCp*CI(η-NtBu)]2·C6H6

The reduction of [MoCp * Cl2(NtBu)] 1 with 1 equiv. of 10% sodium amalgam in the presence of CN(2,6-Me2C6H3) yields the green crystalline compound [MoCp * Cl(NtBuCN(2,6-Me2C6H3)] 2 which can be alkylated by MgClMe to give [MoCp * Me(NtBu)CN(2,6-Me2C6H3)] 3. The same reduction in the absence of ligands leads to an almost equimolar mixture of compounds identified as cis- and trans-[MoCp* (μ-Cl)(NtBu)]24 which are slowly and irreversibly transformed into cis-[MoCp * Cl(μ-NtBu)]25 by heating a toluene solution at 90°C. Compounds (cis + trans)-4 and cis-5 are alkylated by MgClMe leading to the same final methyl derivative [MoCp * Me(μ-NtBu)]26, and react with ethylene to yield the adduct [MoCp * Cl(NtBu)(C2H4)] 7. All new complexes were characterized by their analytical composition, IR and NMR spectroscopy and mass spectrometry, and the structure of the benzene solvate of cis-[MoCp * Cl(μ-NtBu)]25 was determined by X-ray diffraction methods.Italian Consiglio Nazionale delle Ricerch

The epidemiological situation of tuberculosis in Spain according to surveillance and hospitalization data, 2012-2020

Background: Before the COVID-19 pandemic, tuberculosis (TB) was the leading cause of death from a single infectious agent. In Spain, TB notifications are registered through the National Epidemiological Surveillance Network (RENAVE). The Minimum Basic Data Set (CMBD) provides information on TB hospital discharges. This study aims to assess both registries to complete the picture of TB in order to improve national control strategies and make further progress toward its elimination. Methods: A retrospective study was performed considering CMBD´s hospital discharges with TB as first diagnosis and notifications to RENAVE between 2012 and 2020. After describing the records of both systems and their differences by using descriptive and multivariate analysis, annual incidences rates were calculated in order to evaluate temporal trends and geographical patters. Results: According to the CMBD database, there were 29,942 hospitalizations due to TB (65% pulmonary forms and 66% male) during the study period. RENAVE collected 44,520 reported cases, mostly males (62%) with pulmonary forms (72%). Young children were similar in both groups, showing the high frequency of hospitalization in this group. Almost all autonomous communities showed a downward trend, especially Asturias. Hospitalizations in 2020 were analyzed by month separately, and comparing with previous years, the impact of the COVID-19 pandemic can be seen. Conclusions: A decreasing trend on TB incidence was observed in Spain since 2012, although this trend might change after COVID-19 pandemic. The analysis of both databases, CMBD and RENAVE, has contributed to improve our knowledge of TB in Spain and will help improve the control of this disease.This research was supported by CIBER-Consorcio Centro de Investigación Biomédica en Red, Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación and Unión Europea- European Regional Development Fund received by LH, RC and ZH.S

Cyclopentadienyl dithiocarbamate and dithiophosphate molybdenum and tungsten complexes

Reactions of [MCp*Cl4] (M=Mo, W; Cp*=η5-C5Me5) with salts of the N,N-diethyldithiocarbamate [Et2dtc]− and O,O′-diethyldithiophosphate [Et2dtp]− anions yield the paramagnetic metal(V) complexes [MCp*Cl3(Et2dtc)] (M=Mo, W) and [MCp*Cl3(Et2dtp)] (M=Mo, W), respectively. Hydrolytic oxidation of both dithiocarbamate–molybdenum complexes with aqueous hydrogen peroxide leads to η2-coordinated peroxo compounds [MoCp*Cl(O–O)O], which were also obtained from [MoCp*Cl4]. The related complexes [MCp′Cl(O–O)O] (M=Mo, Cp′=η5-C5H5; M=W, Cp′=η5-C5Me5) were isolated in a similar way. Reduction of a THF solution of [MoCp*Cl4] with one equivalent of 10% Na/Hg followed by the addition of one equivalent of ammonium dithiophosphate gives [MoCp*Cl2(Et2dtp)] which was also obtained via the reaction of [MoCp*Cl3(Et2dtp)] with MeMgCl, whereas reduction with three equivalents of Na/Hg in the presence of CNtBu leads to the molybdenum(II) complex [MoCp*(Et2dtp)(CNtBu)2] in high yield. All these compounds were characterized by elemental analysis, IR, 1H- and 13C-NMR spectroscopy, magnetic susceptibility measurements and the molecular structures of [Mo(η5-C5H5)Cl(O–O)O] and [Mo(η5–C5Me5)Cl3{η2-S2P(OEt)2}] were determined by X-ray diffraction studies.Consiglio Nazionale delle Ricerche (Rome

Synthesis of chloro and methyl imido cyclopentadienyl molybdenum and tungsten complexes. X-ray molecular structures of [WCp*C13(NtBu)], [MoCp*C1Me2(NtBu) ] and [WCp*C1Me2(NtBu) ]

Alternative methods to prepare [MCp'C14], [MCp'CL(N'Bu)] and [MCp'CI~(N'Bu)] [M=Mo, Cp'="qs-C~Me~ (Cp*); M=W,\ud Cp' = r/5-CsH5 (Cp), r/5-CsMe5 (Cp*) ] in high yields are reported. Alkylation of [MCp'CI3(N'Bu) ] with stoichiometric amounts of LiMe\ud or MeMgC1 under appropriate conditions leads to the dimethyl [MCp'CIMe2(N'Bu)] and trimethyl [MCp'Me~(N'Bu)], (M=Mo,\ud Cp' = Cp*; M = W, Cp' = Cp, Cp* ) complexes. The 18-electron trimethyltungsten complex [WCp*Me~(N'Bu) ] reacts very slowly with\ud CN(2,6-Me2C~,H3) to give the insertion product [WCp*{C(Me)= N(2,6-Me2C6H3)}Me2(N'Bu)]. All of the new compounds reported\ud were characterized by elemental analyses, IR and NMR spectroscopy and the X-ray molecular structures of [WCp*CI~(N'Bu)],\ud [ MoCp*CIMe2( N'Bu ) ] and [ WCp*C1Me_,.(NtBu ) ] have been determined by diffraction methods. O 1998 Elsevier Science S.A. All rights\ud reserved.The authors acknowledge DGICYT (Project PB92-0178-C) and CAM (I + D 0033/94) for financial support

Characterization and assessment of new fibrillar collagen inks and bioinks for 3D printing and bioprinting

Collagen is a cornerstone protein for tissue engineering and 3D bioprinting due to its outstanding biocompatibility, low immunogenicity, and natural abundance in human tissues. Nonetheless, it still poses some important challenges, such as complicated and limited extraction processes, usually accompanied by batchto-batch reproducibility and influence of factors, such as temperature, pH, and ionic strength. In this work, we evaluated the suitability and performance of new, fibrillar type I collagen as standardized and reproducible collagen source for 3D printing and bioprinting. The acidic, native fibrous collagen formulation (5% w/w) performed remarkably during 3D printing, which was possible to print constructs of up to 27 layers without collapsing. On the other hand, the fibrous collagen mass has been modified to provide a fast, reliable, and easily neutralizable process. The neutralization with TRIS-HCl enabled the inclusion of cells without hindering printability. The cell-laden constructs were printed under mild conditions (50–80 kPa, pneumatic 3D printing), providing remarkable cellular viability (>90%) as well as a stable platform for cell growth and proliferation in vitro. Therefore, the native, type I collagen masses characterized in this work offer a reproducible and reliable source of collagen for 3D printing and bioprinting purposes.This research was funded by Viscofan (S.A.) Centro para el Desarrollo Tecnológico Industrial (CDTI) IDI-20210050 and the Basque Country Government/Eusko Jaurlaritza (Department of Education, University and Research, Consolidated Groups IT907-16). Author Sandra Ruiz-Alonso thanks the Basque Country Government for the granted fellowship PRE_2021_2_0153. José M. Rey thanks the funding from the European’s Union Horizon 2020 research and Innovation framework program (Triankle Project; Grant Agreement #952981). BioRender.com has been used as support for some figures assembly

Closed Endotracheal Suction Systems for COVID-19: Rapid Review

Background: The increase in admissions to intensive care units (ICUs) in 2020 and the morbidity and mortality associated with SARS-CoV-2 infection pose a challenge to the analysis of evidence of health interventions carried out in ICUs. One of the most common interventions in patients infected with the virus and admitted to ICUs is endotracheal aspiration. Endotracheal suctioning has also been considered one of the most contaminating interventions. Objective: This review aims to analyze the benefits and risks of endotracheal suctioning using closed suction systems (CSS) in COVID-19 patients. Methods: A rapid review was carried out using the following databases: PubMed, MEDLINE, CINAHL, LILACS, the Cochrane Library, and IBECS. The data search included articles in English and Spanish, published between 2010 and 2020, concerning adult patients, and using the key words "endotracheal," "suction," and "closed system." Results: A total of 15 articles were included. The benefits and risks were divided into 3 categories: patient, care, and organization. Relating to the patient, we found differences in cardiorespiratory variables and changes in the ventilator, for example, improvement in patients with elevated positive and end-expiratory pressure due to maladaptation and alveolar collapse. Relating to care, we found a shorter suctioning time, by up to 1 minute. Relating to organization, we found fewer microorganisms on staff gloves. Other conflicting results between studies were related to ventilator-associated pneumonia, bacterial colonization, or mortality. Conclusions: Aside from the need for quality research comparing open suction systems and CSS as used to treat COVID-19 patients, closed endotracheal suctioning has benefits in terms of shorter stay in the ICU and reduced environmental contamination, preventing ventilator disconnection from the patient, reducing the suctioning time-though it does produce the greatest number of mucosal occlusions-and preventing interpatient and patient-staff environmental contamination. New evidence in the context of the SARS-CoV-2 virus is required in order to compare results and establish new guidelines

Realist evaluation of the implementation of the surgical checklist in a tertiary hospital

Introducción. Cada día son más las cirugías realizadas en el mundo, lo que aumenta el riesgo de cometer errores dentro del área quirúrgica. Por ello, es necesario contar con un arraigado clima de seguridad del paciente que permita desarrollar la efectividad de herramientas clave como el listado de verificación quirúrgica. Objetivos. Evaluar de forma realista la implantación del listado de verificación quirúrgica en un hospital de tercer nivel a través de sus profesionales. Metodología. La evaluación realista permite obtener una visión integral de una intervención compleja como es la incorporación del listado de verificación quirúrgica. Se llevarán a cabo tres etapas diferenciadas: análisis del contexto, análisis del mecanismo y análisis del resultado. Estas fases requieren distintas formas de recogida de datos: revisión de la literatura, entrevistas semiestructuradas, encuestas y recogida de indicadores de calidad del programa cirugía segura. Aplicabilidad práctica. Durante el análisis de los datos se obtendrán datos cuantitativos y cualitativos que se integrarán para conseguir una evaluación exhaustiva del proceso de implantación del listado de verificación quirúrgica desde el inicio hasta la actualidad con los correspondientes flujos entre el contexto y sus circunstancias. Con esto conseguiremos destacar la importancia de un plan de implantación con estrategias sólido a través de intervenciones programadas que permiten una mejora y evaluación constante de las herramientas.Introduction. Every day there are more surgeries performed in the world, which increases the risk of making mistakes within the surgical area. For this reason, it is necessary to have a developed patient safety climate that allows the development of the effectiveness of key tools such as the surgical safety checklist. Objective. Evaluate the implementation of the surgical safety checklist in a tertiary hospital through its professionals. Methodology. The realist evaluation allows obtain a comprehensive vision of a complex intervention such as the incorporation of the surgical safety checklist. Three different stages will be carried out: context analysis, mechanism analysis and result analysis. These phases require different forms of data collection: literature review, semi-structured interviews, surveys, and collection of quality indicators of the safe surgery program. Clinical relevance. Quantitative and qualitative data will be obtained that will be integrated to achieve an exhaustive evaluation of the surgical safety checklist implementation process from the beginning to the present with the corresponding flows between the context and its circumstances. This exhaustive evaluation will be able to highlight the importance of an implementation plan with solid strategies through programmed interventions that allow constant improvement and evaluation of the tools