Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery

Deep endometriosis (DE) occurs in 15-30% of patients with endometriosis and is associated with concomitant adenomyosis in around 25-49% of cases. There are no data about the effect of the presence of adenomyosis in terms of surgical outcomes and complications. Thus, the aim of the present study was to evaluate the impact of adenomyosis on surgical complications in women with deep endometriosis undergoing laparoscopic surgery. A retrospective cohort study including women referred to the endometriosis unit of a referral teaching hospital. Two expert sonographers preoperatively diagnosed DE and adenomyosis. DE was defined according to the criteria of the International Deep Endometriosis Analysis group. Adenomyosis was considered when 3 or more ultrasound criteria of the Morphological Uterus Sonographic Assessment group were present. Demographical variables, current medical treatment, symptoms, DE location, surgical time, hospital stay and difference in pre and post hemoglobin levels were collected. The Clavien-Dindo classification was used to assess surgical complications, and multivariate analysis was performed to compare patients with and without adenomyosis. 157 DE patients were included into the study; 77 (49.05%) had adenomyosis according to transvaginal ultrasound (TVS) and were classified in the A group, and 80 (50.95%) had no adenomyosis and were classified in the noA group. Adenomyosis was associated with a higher rate of surgical complications: 33.76% (A group) vs. 12.50% (noA group) (p?<?0.001). Multivariate analysis showed a 4.56-fold increased risk of presenting complications in women with adenomyosis (CI 1.90-11.30; p?=?0.001) independently of undergoing hysterectomy. There was a statistically significant association between the number of criteria of adenomyosis present in each patient and the proportion of patients presenting surgical complications (p?<?0.001). Adenomyosis is an independent preoperative risk factor for surgical complications in DE surgery after adjustment for known demographic, clinical and surgical risk factors.© 2022. The Author(s)

Understanding emergent participation practices in water governance.

This introductory article discusses the proliferation of different forms of participation in water governance. It is argued that creating public value through participation can only succeed when effective cocreation between public authorities and communities emerges. However, challenges to realizing co-creation are manifold, and differ among the various types of participation. In this respect, we introduce a typology of different forms of participation, based on the distinction between top-down (invited) and bottom-up (created) participation. We use this distinction to analyze different dynamics in participatory water governance and to delve deeper into the dilemmas and trade-offs. Lastly, the various contributions to this special issue are introduced

Population-based identification of H α-excess sources in the Gaia DR2 and IPHAS catalogues

We present a catalogue of point-like H α-excess sources in the Northern Galactic Plane. Our catalogue is created using a new technique that leverages astrometric and photomeric information from Gaia to select H α-bright outliers in the INT Photometric H α Survey of the Northern Galactic Plane (IPHAS), across the colour-absolute magnitude diagram. To mitigate the selection biases due to stellar population mixing and to extinction, the investigated objects are first partitioned with respect to their positions in the Gaia colour-absolute magnitude space, and Galactic coordinates space, respectively. The selection is then performed on both partition types independently. Two significance parameters are assigned to each target, one for each partition type. These represent a quantitative degree of confidence that the given source is a reliable H α-excess candidate, with reference to the other objects in the corresponding partition. Our catalogue provides two flags for each source, both indicating the significance level of the H α-excess. By analysing their intensity in the H α narrow band, 28 496 objects out of 7474 835 are identified as H α-excess candidates with a significance higher than 3. The completeness fraction of the H α outliers selection is between 3 and 5 per cent. The suggested 5σ conservative cut yields a purity fraction of 81.9 per cent.MM acknowledges the support by the Spanish Ministry of Science, Innovation and University (MICIU/FEDER, UE) through grant RTI2018-095076-B-C21, and the Institute of Cosmos Sciences University of Barcelona (ICCUB, Unidad de Excelencia ‘María de Maeztu’) through grant CEX2019-000918-M

Hepatitis a among men who have sex with men in Barcelona, 1989-2010: insufficient control and need for new approaches

<p>Abstract</p> <p>Background</p> <p>Men who have sex with men (MSM) are a known group at risk for hepatitis A and outbreaks among this group are frequent. In Barcelona, vaccination for MSM has been recommended since 1994. In 1998 a vaccination campaign among preadolescents was implemented and an immunization program in gay bathhouses began in 2004. Objective: to asses the incidence of hepatitis A in adults in Barcelona from 1989 to 2010 and to evaluate the outbreaks among MSM including all genotypes involved.</p> <p>Methods</p> <p>All cases of acute hepatitis A among young adults notified to the Public Health Agency of Barcelona from 1989 to 2010 were included for analyses. We calculated the annual incidence rate and the incidence ratio male-to-female (M:F) as a marker for MSM. Spearman's coefficient was used to evaluate trends. We also evaluated the outbreaks among MSM and compared their characteristics using Chi-squared and ANOVA test. Fragment amplification of the VP1/P2A region was used for genetic analysis.</p> <p>Results</p> <p>The median annual incidence for the period of study was 4.7/100000 among females and 11.7/100000 among males. The rate of hepatitis A for adult woman decreased over time (Spearman' coefficient = -0.63, <it>p </it>= 0.002), whereas there was no decrease for adult men (Spearman' coefficient = 0.097, <it>p </it>= 0.67). During the study period the M:F ratio increased (Spearman' coefficient = 0.73, <it>p </it>< 0.001).</p> <p>Three large outbreaks among MSM were detected. When comparing outbreaks, there was a decrease in the percentage of bathhouse users (from 47% to 19%, <it>p </it>= 0.0001) and sex workers (from 6.5% to 0%) while the percentage of HIV infected individuals did not change significantly (range: 21%-28%, <it>p </it>= 0.36). The isolated strains were closely related to those circulating in Europe.</p> <p>Conclusions</p> <p>Annual incidences remain high among MSM without tendency to decrease. More strategies which effectively reach the whole MSM community are needed.</p

Genotyping of single nucleotide polymorphisms related to attention-deficit hyperactivity disorder

Pharmacological treatment of several diseases, such as attention-deficit hyperactivity disorder (ADHD), presents marked variability in efficiency and its adverse effects. The genotyping of specific single nucleotide polymorphisms (SNPs) can support the prediction of responses to drugs and the genetic risk of presenting comorbidities associated with ADHD. This study presents two rapid and affordable microarray-based strategies to discriminate three clinically important SNPs in genes ADRA2A, SL6CA2, and OPRM1 (rs1800544, rs5569, and rs1799971, respectively). These approaches are allele-specific oligonucleotide hybridization (ASO) and a combination of allele-specific amplification (ASA) and solid-phase hybridization. Buccal swab and blood samples taken from ADHD patients and controls were analyzed by ASO, ASA, and a gold-reference method. The results indicated that ASA is superior in genotyping capability and analytical performance.This research has been funded through projects FEDER MINECO INNPACTO IPT-2011-1132-010000, CTQ/2013/45875R, and PrometeoII/2014/040 (GVA).Tortajada-Genaro, LA.; Mena-Mollá, S.; Niñoles Rodenes, R.; Puigmule, M.; Viladevall, L.; Maquieira Catala, Á. (2016). Genotyping of single nucleotide polymorphisms related to attention-deficit hyperactivity disorder. Analytical and Bioanalytical Chemistry. 408(9):2339-2345. https://doi.org/10.1007/s00216-016-9332-3S233923454089Cortese S. The neurobiology and genetics of Attention-Deficit/Hyperactivity Disorder (ADHD): what every clinician should know. Eur J Paediatr Neurol. 2012;16:422–33.Contini V, Rovaris DL, Victor MM, Grevet EH, Rohde LA, Bau CH. Pharmacogenetics of response to methylphenidate in adult patients with attention-deficit/hyperactivity disorder (ADHD): a systematic review. Eur Neuropsychopharmacol. 2013;23:555–60.Gardiner SJ, Begg EJ. 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PharmGKB: the Pharmacogenomics Knowledge Base. Annu Rev Biomed Eng. 2007;9:289–320.Lucarelli F, Tombelli S, Minunni M, Marrazza G, Mascini M. Electrochemical and piezoelectric DNA biosensors for hybridisation detection. Anal Chim Acta. 2008;609:139–59.Knez K, Spasic D, Janssen KP, Lammertyn J. Emerging technologies for hybridization based single nucleotide polymorphism detection. Analyst. 2014;139:353–70.Choi JY, Kim YT, Byun JY, Ahn J, Chung S, Gweon DG, et al. Integrated allele-specific polymerase chain reaction–capillary electrophoresis microdevice for single nucleotide polymorphism genotyping. Lab Chip. 2012;12:5146–54.Ragoussis J. Genotyping Technologies for Genetic Research. Annu Rev Genomics Hum Genet. 2009;10:117–33.Sethi D, Gandhi RP, Kuma P, Gupta KC. Chemical strategies for immobilization of oligonucleotides. Biotechnol J. 2009;4:1513–29.Bañuls MJ, Morais SB, Tortajada-Genaro LA, Maquieira A. Microarray Developed on Plastic Substrates. Microarray Technology: Methods and Applications, 2016; 37-51.Tortajada-Genaro LA, Rodrigo A, Hevia E, Mena S, Niñoles R, Maquieira A. Microarray on digital versatile disc for identification and genotyping of Salmonella and Campylobacter in meat products. Anal Bioanal Chem. 2015;407:7285–94.Kieling C, Genro JP, Hutz MH, Rohde LA. A current update on ADHD pharmacogenomics. Pharmacogenomics. 2010;11:407–19.Kim BN, Kim JW, Cummins TD, Bellgrove MA, Hawi Z, Hong SB, et al. Norepinephrine genes predict response time variability and methylphenidate-induced changes in neuropsychological function in attention deficit hyperactivity disorder. J Clin Psychopharmacol. 2013;33:356–62.Carpentier PJ, Arias Vasquez A, Hoogman M, Onnink M, Kan CC, Kooij JJS, et al. Shared and unique genetic contributions to attention deficit/hyperactivity disorder and substance use disorders: A pilot study of six candidate genes. 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Integrated amplification microarray system in a lateral flow cell for warfarin genotyping from saliva. Clin Chim Acta. 2014;429:198–205

Quantitative Analysis Procedure for Building Materials in Historic Buildings by Applying Infrared Thermography

[EN] Historic buildings have a great cultural and architectural value. It is necessary to analyze their state of conservation, but sometimes it is difficult to perform laboratory tests without damaging this heritage. In the field of architecture, infrared thermography is usually used to provide descriptive information about the surface temperature of building materials. This current research presents a methodology widely applicable to historic buildings. As an example of application, the study is focused in the Seminary-School of Corpus Christi of Valencia (Spain), a very outstanding building from the 16th Century. This research presents an analytical study to be able to differentiate the temperature distribution of all pixels of a thermographic image. Thermal images are a matrix of data and their study helps us in decision-making based on objective data.Lerma Elvira, C.; Mas Tomas, MDLA.; Gil Benso, E.; Vercher Sanchis, JM.; Torner-Feltrer, MEM. (2018). Quantitative Analysis Procedure for Building Materials in Historic Buildings by Applying Infrared Thermography. Russian Journal of Nondestructive Testing. 54(8):601-609. https://doi.org/10.1134/S1061830918080065S601609548Avdelidis, N.P. and Moropoulou, A., Applications of infrared thermography for the investigation of historic structures, J. Cult. Heritage, 2004, no. 5, pp. 119–127. doi 10.1016/j.culher.2003.07.002Barreira, E. and Freitas, V., Evaluation of building materials using infrared thermography, Constr. Build. Mater., 2007, vol. 21, pp. 218–224. doi 10.1016/j.conbuildmat.2005.06.049Bauer, E., Pavón, E., Barreira, E., and Kraus, E., Analysis of building façade defects using infrared thermography: Laboratory studies, J. Build. Eng., 2016, no. 6, pp. 93–104. doi /doi 10.1016/j.jobe.2016.02.012Binda, L., Cardani, G., and Zanzi, L., Nondestructive testing evaluation of drying process in flooded full-scale masonry walls, J. Perform. Constr. Facil., 2010, pp. 473–483. doi 10.1061/(ASCE)CF.1943-5509.0000097Cañas, I., Martín, S., and González, I., Thermal-physical aspects of materials used for the construction of rural buildings in Soria (Spain), Construct. Build. Mater., 2005, vol. 19, pp. 197–211. doi 10.1016/j.conbuildmat. 2004.05.016Carlomagno, G.M., Maio, R., Fedi, M., Meola, C., Integration of infrared thermography and high-frequency electromagnetic methods in archaeological surveys, J. Geophys. Eng., 2011, vol. 8, pp. 93–105. doi 10.1088/1742-2132/8/3/S09Cerdeira, F., Vázquez, ME, Collado, J., and Granada, E., Applicability of infrared thermography to the study of the behavior of Stone panels as building envelopes, Energy Build., 2011, vol. 43, pp. 1845–1851. doi 10.1016/j.enbuild.2011.03.029EN 13187:1998. Thermal performance of buildings. Qualitative detection of thermal irregularities in building envelopes. Infrared method (ISO 6781:1983 modified).Galarza Tortajada, M., La tapia valenciana: una técnica constructiva poco conocida, Proc. First Natl. Congr. Construct. Hist., Madrid, 1996.Grinzato, E., Bison, P.G., and Marinetti, S., Monitoring of ancient buildings by the thermal method, J. Cult. Heritage, 2002, vol. 3, pp. 21–29. doi 10.1016/S1296-2074(02)01159-7Ibarra-Castanedo C., Sfarra, S., Ambrosini, D., Paoletti, D., Bendada, A, and Maldague, X., Diagnostics of panel paintings using holographic interferometry and pulsed thermography, Quant. Infrared Thermogr. J., 2010, vol. 7, no. 1. doi 10.3166/qirt.7.85-114Lagüela, S., Martínez, J., Armesto, J., and Arias, P., Energy efficiency studies through 3D laser scanning and thermographic technologies, Energy Build., 2011, vol. 43, pp. 1216–1221. doi 10.1016/j.enbuild.2010.12.031Lerma, C., Mas, Á., Gil, E., and Galiana, M., An analytical procedure for the study of the documented construction process of the Seminary-School of Corpus Christi in Valencia (Spain), Inf. Constr., 2014, vol. 66 (533), e007. doi 10.3989/ic.12.117Lerma, C., Mas, A., Gil, E., Vercher, J., and Penalver, M.J., Pathology of building materials in historic buildings. Relationship between laboratory testing and infrared thermography, Mater. Constr., 2014, vol. 64 (313), e009. doi 10.3989/mc.2013.06612Lerma, J.L., Cabrelles, M., and Portalés, C., Multitemporal thermal analysis to detect moisture on a building façade, Construct. Build. Mater., 2011, vol. 25, pp. 2190–2197. doi 10.1016/j.conbuildmat.2010.10.007Madruga, F.J., Ibarra-Castanedo, C., Conde, O., López-Higuera, J.M., and Maldague, X., Infrared thermography processing based on higher-order statistics, NDT&E Int., 2010, vol. 43, pp. 661–666. doi 10.1016/j.ndteint.2010.07.002Meola, C., Infrared thermography of masonry structures, Infrared Phys. Technol., 2007, vol. 49, no. 3, pp. 228–33. doi 10.1016/j.infraredPosta, J., Dolejs, J., Non-destructive assessment of timber elements with an emphasis on radiometry., Intern. J. Arch. Herit., 2015, vol. 9, no.6.Válek, J., Kruschwitz, S., Wöstmann, J., Kind, T., Valach, J., Köpp, C., and Lesák, J., Nondestructive investigation of wet building material: Multimethodological approach, J. of performance of Constructed Facilities, pp. 462–472. doi 10.1061/(ASCE)CF.1943-5509.000005

Microbial β-glucosidases from cow rumen metagenome enhance the saccharification of lignocellulose in combination with commercial cellulase cocktail

Background A complete saccharification of plant polymers is the critical step in the efficient production of bio-alcohols. Beta-glucosidases acting in the degradation of intermediate gluco-oligosaccharides produced by cellulases limit the yield of the final product. Results In the present work, we have identified and then successfully cloned, expressed, purified and characterised 4 highly active beta-glucosidases from fibre-adherent microbial community from the cow rumen. The enzymes were most active at temperatures 45–55°C and pH 4.0-7.0 and exhibited high affinity and activity towards synthetic substrates such as p-nitrophenyl-beta-D-glucopyranoside (p NPbetaG) and p NP-beta-cellobiose, as well as to natural cello-oligosaccharides ranging from cellobiose to cellopentaose. The apparent capability of the most active beta-glucosidase, herein named LAB25g2, was tested for its ability to improve, at low dosage (31.25 units g-1 dry biomass, using p NPbetaG as substrate), the hydrolysis of pre-treated corn stover (dry matter content of 20%; 350 g glucan kg-1 dry biomass) in combination with a beta-glucosidase-deficient commercial Trichoderma reseei cellulase cocktail (5 units g-1 dry biomass in the basis of p NPbetaG). LAB25g2 increased the final hydrolysis yield by a factor of 20% (44.5 ± 1.7% vs. 34.5 ± 1.5% in control conditions) after 96–120 h as compared to control reactions in its absence or in the presence of other commercial beta-glucosidase preparations. The high stability (half-life higher than 5 days at 50°C and pH 5.2) and 2–38000 fold higher (as compared with reported beta-glucosidases) activity towards cello-oligosaccharides may account for its performance in supplementation assays. Conclusions The results suggest that beta-glucosidases from yet uncultured bacteria from animal digestomes may be of a potential interest for biotechnological processes related to the effective bio-ethanol production in combination with low dosage of commercial cellulases

Of cattle, sand flies and men : a systematic review of risk factor analyses for South Asian visceral leishmaniasis and implications for elimination

Background: Studies performed over the past decade have identified fairly consistent epidemiological patterns of risk factors for visceral leishmaniasis (VL) in the Indian subcontinent. Methods and Principal Findings: To inform the current regional VL elimination effort and identify key gaps in knowledge, we performed a systematic review of the literature, with a special emphasis on data regarding the role of cattle because primary risk factor studies have yielded apparently contradictory results. Because humans form the sole infection reservoir, clustering of kala-azar cases is a prominent epidemiological feature, both at the household level and on a larger scale. Subclinical infection also tends to show clustering around kala-azar cases. Within villages, areas become saturated over a period of several years; kala-azar incidence then decreases while neighboring areas see increases. More recently, post kalaazar dermal leishmaniasis (PKDL) cases have followed kala-azar peaks. Mud walls, palpable dampness in houses, and peridomestic vegetation may increase infection risk through enhanced density and prolonged survival of the sand fly vector. Bed net use, sleeping on a cot and indoor residual spraying are generally associated with decreased risk. Poor micronutrient status increases the risk of progression to kala-azar. The presence of cattle is associated with increased risk in some studies and decreased risk in others, reflecting the complexity of the effect of bovines on sand fly abundance, aggregation, feeding behavior and leishmanial infection rates. Poverty is an overarching theme, interacting with individual risk factors on multiple levels. Conclusions: Carefully designed demonstration projects, taking into account the complex web of interconnected risk factors, are needed to provide direct proof of principle for elimination and to identify the most effective maintenance activities to prevent a rapid resurgence when interventions are scaled back. More effective, short-course treatment regimens for PKDL are urgently needed to enable the elimination initiative to succeed