A Systematic Review on the Implication of Minerals in the Onset, Severity and Treatment of Periodontal Disease

Periodontal disease is an inflammatory disease with high prevalence in adults that leads to destruction of the teeth-supporting tissues. Periodontal therapy has been traditionally directed at reduction of the bacterial load to a level that encourages health-promoting bacteria and maintenance of oral-hygiene. The role of nutrition in different chronic inflammatory diseases has been the subject of an increasing body of research in the last decades. In this sense, there has been an important increase in the volume of research on role of nutrition in periodontitis since the diet has known effects on the immune system and inflammatory cascades. Minerals play a key role in all these processes due to the multiple pathways where they participate. To clarify the role of the different minerals in the establishment, progression and/or treatment of this pathology, a systemically review of published literature cited in PubMed until May 2016 was conducted, which included research on the relationship of these elements with the onset and progression of periodontal disease. Among all the minerals, calcium dietary intake seems important to maintain alveolar bone. Likewise, dietary proportions of minerals that may influence its metabolism also can be relevant. Lastly, some observations suggest that all those minerals with roles in immune and/or antioxidant systems should be considered in future research

SARS-CoV-2 and acute respiratory síndrome pandemic (COVID-19)

Introducción: En diciembre de 2019, se detectaron los primeros casos de enfermedad respiratoria causada por un coronavirus emergente, al que se denominó SARS-CoV-2, que en los primeros meses de 2020 se ha extendido por todo el mundo con características de pandemia. Método: Se examinaron las publicaciones más relevantes en relación con los objetivos de la revisión. Resultados: La enfermedad, conocida como COVID-19, cursa con tos, fiebre y dificultad respiratoria. Las formas más graves, que afectan principalmente a personas de edad avanzada y con determinadas comorbilidades, se manifiestan por afectación de la función respiratoria, que requiere ventilación mecánica, y síndrome de respuesta inflamatoria sistémica, que puede conducir a un choque séptico con fallo multiorgánico, y altas tasas de mortalidad. En esta revisión se examina el estado actual de conocimientos sobre las características y origen del SARS-CoV-2, su replicación, y la patogénesis, clínica, diagnóstico, tratamiento y prevención de COVID-19. Conclusiones: Las características del SARS-CoV-2 y la clínica de COVID-19 son bien conocidas. La PCR es la técnica de referencia para el diagnóstico de laboratorio; se dispone de ensayos para detección de antígenos y de anticuerpos, con margen de optimización. Los protocolos de tratamiento incluyen la corrección de la respuesta inflamatoria sistémica y administración de agentes antivirales. Existen vacunas en desarrollo.Introduction: In December 2019, the first cases of respiratory disease caused by an emerging coronavirus were detected. The causative agento f the outbreak was called SARS-CoV-2, and in the first months of 2020 it spread throughout the world as a pandemic. Method: The most relevant publications concerned with the aims of the review were examined. Results: The disease, known as COVID-19. Patients show cough, fever, and respiratory distress. The most severe forms, mainly affecting the elderly and associated with various comorbidities, are manifested by impaired respiratory function, requiring mechanical ventilation, and systemic inflammatory response syndrome, which can lead to septic shock with multi-organ failure and high mortality rates. This review examines the current state of knowledge about the characteristics and origin of SARS-CoV-2, its replication, and the pathogenesis, clinical, diagnosis, treatment, and prevention of COVID-19. Conclusions: The characteristics of SARS-CoV-2 and the clinical manifestations of COVID-19 are well known. PCR is the reference technique for laboratory diagnosis; assays for the detection of antigens and antibodies are available, with optimization possibilities. Treatment protocols include attenuation of the systemic inflammatory response and administration of antiviral agents. There are vaccines in development

An evaporite-bearing accretionary complex in the northern front of the Betic-Rif orogen

The Guadalquivir Accretionary Complex forms a largely oblique prism at the northern edge of the Betic-Rif orogen, where Miocene sediments plus allochthonous evaporite-bearing units were accreted during the displacement of the Alborán Domain toward the west. Traditional interpretations end the tectonic structuring of the Betic Cordillera at the present topographic front, beyond which gravitational and/or diapiric processes would predominate. However, this study shows pervasive tectonic deformation in the outer prism with coherent oblique shortening kinematics, which is achieved through an alternation of roughly N-S arcuate thrust systems connected by E-W transfer fault zones. These structures accord well with the geophysical models that propose westward rollback subduction. The main stage of tectonic activity occurred in the early-middle Miocene, but deformation lasted until the Quaternary with the same kinematics. Evaporite rocks played a leading role in the deformation as evidenced by the suite of ductile structures in gypsum distributed throughout the area. S- and L- gypsum tectonites, scaly clay fabrics, and brittle fabrics coexist and consistently indicate westward motion (top to 290°), with subordinate N-S contraction almost perpendicular to the transfer zones. This work reveals ductile tectonic fabrics in gypsum as a valuable tool to elucidate the structure and deformational history of complex tectonic mélanges involving evaporites above the décollement level of accretionary wedges.This study was supported by research projects CGL2012-33281 and CGL2013-46368-P (Secretaría de Estado de I+D+I, Spain), CeacTierra-Universidad de Jaén, RNM-0451 (Junta de Andalucía), and by the Junta de Andalucía Research Groups RNM 208, 325, and 370

Procedures to study the in vivo phagocytosis and application for the investigation of immunomodulatory activity of antibiotics

La depuración de partículas de la sangre es una medida de la capacidad funcional del sistema fagocítico mononuclear, responsable de la eliminación sistémica de microorganismo patógenos, inmunocomplejos y células apoptósicas. Esta capacidad puede ser alterada por agentes modificadores de la respuesta biológica, entre los que figuran numerosos agentes antimicrobianos. En este trabajo se comparó la efectividad de la medida de la capacidad de depuración de ratones BALB/c inoculados con distintos microorganismos (una levadura, dos bacterias Gram-positivas, extra- e intracelular, y dos bacterias Gram-negativas, asimismo extra- e intracelular). La levadura Candida albicans fue seleccionada, por su apropiada cinética de depuración y su resistencia natural a agentes antibacterianos, para estudiar la modificación de la fagocitosis in vivo por el antibiótico macrólido azitromicina. El tratamiento con azitromicina durante 10 y 20 días disminuyó la capacidad de depuración del sistema fagocítico-mononuclear.The blood stream clearance of particles is a measure of the functional capacity of the mononuclear phagocytic system, which is responsible for the systemic elimination of pathogenic microorganisms, immunocomplexes and apoptotic cells. This capacity may be altered by biological reponse modifiersresponse, in which numerous antimicrobial agents are present. In this work, the effectiveness of the measurement of clearance capacity was compared in BALB/c mice that were inoculated with different microorganisms (a yeast, two extra and intracellular gram-positive bacteria, and two extra and intracellular gram-negative bacteria). As a means to studying the in vivo modification of phagocytosis by the macrolid antibiotic, azithromycin, the yeast Candida albicans was chosen for its appropriate clearance kinetics and its natural resistance to antibacterial agents. Treatment with azithromycin for 10 and 20 days reduced clearance capacity of the mononuclear phagocytic system.La investigación ha sido financiada por la Ayuda para la Actividad Interanual concedida por la Consejería de Innovación, Ciencia y Empresa de la Junta de Andalucía al Grupo CVI20

Comparative Extraction of Phenolic Compounds from Olive Leaves Using a Sonotrode and an Ultrasonic Bath and the Evaluation of Both Antioxidant and Antimicrobial Activity

This study is part of the project SHEALTHY that has received funding from European Union's Horizon 2020 Research and Innovation Programme under grant agreement No 817936. This study was also supported by project RTI2018-099835-A-I00 financed by MCIN/AEI/10.13039/5011000 11033/FEDER "Una manera de hacer Europa".A sonotrode ultrasound-assisted extraction of phenolic compounds from olive leaves has been developed using a Box-Behnken design to optimize the effects of solvent composition and ultrasound parameters. The determination of single phenolic compounds was performed by HPLC-MS and the highest recovery in total compounds, oleuropein and hydroxytyrosol was achieved using EtOH/H2O (55:45, v/v), 8 min and 100% of amplitude. The optimal conditions were applied on leaves from seven olive cultivars grown under the same conditions and the results were compared with those found by using a conventional ultrasonic bath, obtaining no statistical differences. Moreover, antioxidant activity by FRAP, DPPH and ABTS in these olive leaf extracts was evaluated and they exhibited a significant correlation with oleuropein and total phenolic content. All cultivars of olive leaf extracts were found to be active against S. aureus and methicillin-resistant S. aureus with minimum bactericidal concentration (MBC) values) that ranged from 5.5 to 22.5 mg mL(-1). No extracts showed antimicrobial activity against C. albicans. The percentages of mycelium reduction in B. cinerea ranged from 2.2 and 18.1%. Therefore, sonotrode could be considered as an efficient and fast extraction technique that could be easily scaled-up at industrial level, thus allowing for olive leaves to be revalorized.European Union's Horizon 2020 Research and Innovation Programme 817936MCIN/AEI/FEDER "Una manera de hacer Europa" RTI2018-099835-A-I0

Essential Oils from Fruit and Vegetables, Aromatic Herbs, and Spices: Composition, Antioxidant, and Antimicrobial Activities

The use of essential oils (EOs) in the food industry is a popular research topic, as they have antioxidant and antimicrobial activity and could be used as ingredients directly in food or as bioactive component in food coating and food packaging. Thus, the study of their antioxidant and antimicrobial activity is a crucial step to evaluate their use in food packaging/coating. In this work, we evaluate the antioxidant and antimicrobial activities of 13 EOs from herbs, spices, fruits, and vegetables. Briefly, the EOs from aromatic herbs and spices showed the highest antioxidant and antimicrobial activity. Fennel essential oil reported the lowest antioxidant activity, however it showed very good antimicrobial activity against Botrytis cinerea, one of the post-harvest pathogen microorganisms in fruits and vegetables.In the field of food preservation, encapsulated Essential Oils (EOs) could be the best non-toxic and eco-friendly tool for food preservative applications substituting the chemicals ones that have several disadvantages for the environment and health. Thirteen commercial EOs from plants, fruits, and vegetables were characterized by GC-MS. The antioxidant activity was measured by DPPH and ABTS techniques. Antimicrobial activity was assessed by agar well-diffusion method and the Minimum Inhibitory Concentration (MIC) by agar dilution method against six bacteria, Candida albicans, and Botrytis cinerea. All the EOs tested have demonstrated antioxidant activity in the range of IC50 0.01–105.32 mg/mL. Between them, cinnamon EOs were the best, followed by oregano and thyme EOs. Fennel EO showed the lowest radical scavenging. MIC values ranged from 0.14 to 9 mg/mL. C. cassia, thyme, and oregano EOs were the most effective against the bacterial species tested, and the yeast C. albicans. On the contrary, citric fruit EOs showed low or no inhibition against most bacterial strains. The percentages of inhibition of mycelia growth of B. cinerea ranged from 3.4 to 98.5%. Thyme, oregano, mint, and fennel EOs showed the highest inhibition.European Union’s Horizon 2020 -No 81793

Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health care (EIRA study): study protocol for a hybrid trial

CDATA[CDATA[Background: Health promotion is a key process of current health systems Primary Health Care (PHC) is the ideal setting for health promotion but multifaceted barriers make its integration difficult in the usual care. The majority of the adult population engages two 01 more risk behaviours, that is why a multiple intervention might be more effective and efficient The primary objectives are to evaluate the effectiveness, the cost effectiveness and an implementation strategy of a complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in PHC. CDATA[CDATA[Methods: This study is a cluster randomised controlled hybrid type 2 trial with two parallel groups comparing a complex multiple risk behaviour intervention with usual care It will be carried out in 26 PHC centres in Spam The study focuses on people between 45 and 75 years who carry out two or more of the following unhealthy behaviours tobacco use, low adherence to the Mediterranean dietary pattern or insufficient physical activity level The intervention is based on the Transtheoretical Model and it will be made by physicians and nurses in the routine care of PHC practices according to the conceptual framework of the ''5A''s" It will have a maximum duration of 12 months and it will be carried out to three different levels (individual, group and community) Incremental cost per quality adjusted life year gamed measured by the tanffs of the EuioQo! 5D questionnaire will be estimated. The implementation strategy is based on the ''Consolidated Framework for Implementation Research, a set of discrete implementation strategies and an evaluation framework. CDATA[CDATA[Discussion: EIRA study will determine the effectiveness and cost effectiveness of a complex multiple risk intervention and will provide a better understanding of implementation processes of health promotion interventions in PHC setting. It may contribute to increase knowledge about the individual and structural barriers that affect implementation of these interventions and to quantify the contextual factors that moderate the effectiveness of implementation

Anesthesic and surgical guidelines for the treatment of the ascending aorta andaortic arch. Consensus document of the Spanish Societies of Anesthesia and Cardiovascular Surgerya

La patología de la aorta supone un reto para la medicina. Tanto a nivel diagnóstico, como terapéutico,el volumen de variables implicado ha hecho que dicha patología sea abordada por una ingente cantidad de especialistas. El manejo quirúrgico de dichas patologías implica un esfuerzo extraordinario por parte de muchos profesionales, dada la complejidad técnica y tecnológica empleada. A lo largo de estos a˜nos,dichos esfuerzos están dando sus frutos en forma de mejoras de resultados, gracias a un abordaje sis-temático y protocolizado en el seno de un grupo de expertos (Comités de aorta o “Aortic team”) en el que se han de implicar cardiólogos, cirujanos cardíacos, cirujanos vasculares, anestesiólogos y radiólogos, principalmente. En este documento, consensuado entre los grupos de trabajo de Aorta de las sociedades españolas de Anestesiología (SEDAR) y Cirugía Torácica-cardiovascular (SECTCV) se busca difundir los modos de trabajo más consensuados entre los centros de mayor actividad del país por parte de ambas especialidades, en lo que al tratamiento quirúrgico se refiere de la patología de aorta ascendente y arco aórtico se refiere, así como del tratamiento de la disección aguda de aorta. Somos conscientes de la evolución constante de la terapéutica, lo cual sin duda puede hacer cuestionables algunas opiniones aquí expresadas y que sin duda irán modificándose en futuras edicionestThe pathology of the aorta is a challenge for medicine. Diagnostic and therapeutica move a huge volumeof variables. This has let this pathology to be addressed by a big number of specialists. The surgicalmanagement of these pathologies implies an extraordinary effort on the part of many professionals,given the technical and technological complexity employed. Throughout these years, these efforts arepaying off in the form of improved results, thanks to a systematic and protocolized approach within agroup of experts (Aortic Committees or “Aortic team”) in which they have to involve cardiologists, cardiacsurgeons, vascular surgeons, anesthesiologists and radiologists, mainly.In this document, agreed between the Aorta working groups of the Spanish societies of Anesthesiology(SEDAR) and Thoracic-Cardiovascular Surgery (SECCE), it is sought to disseminate the most agreed work-ing modes among the centers of greatest activity in the country by both specialties, as far as surgicaltreatment is concerned with ascending aortic and aortic arch pathology, as well as the treatment of acuteaortic dissection.We are aware of the constant evolution of therapeutics, which can undoubtedly make some of the opinionsexpressed here questionable and that will undoubtedly be modified in future editions.This document aims to be a working tool for the different professionals involved in the treatment of aorticpathology

Impact of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients: A nationwide study in Spain

Objective To assess the effect of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients in Spain. Settings The initial flood of COVID-19 patients overwhelmed an unprepared healthcare system. Different measures were taken to deal with this overburden. The effect of these measures on neurosurgical patients, as well as the effect of COVID-19 itself, has not been thoroughly studied. Participants This was a multicentre, nationwide, observational retrospective study of patients who underwent any neurosurgical operation from March to July 2020. Interventions An exploratory factorial analysis was performed to select the most relevant variables of the sample. Primary and secondary outcome measures Univariate and multivariate analyses were performed to identify independent predictors of mortality and postoperative SARS-CoV-2 infection. Results Sixteen hospitals registered 1677 operated patients. The overall mortality was 6.4%, and 2.9% (44 patients) suffered a perioperative SARS-CoV-2 infection. Of those infections, 24 were diagnosed postoperatively. Age (OR 1.05), perioperative SARS-CoV-2 infection (OR 4.7), community COVID-19 incidence (cases/10 5 people/week) (OR 1.006), postoperative neurological worsening (OR 5.9), postoperative need for airway support (OR 5.38), ASA grade =3 (OR 2.5) and preoperative GCS 3-8 (OR 2.82) were independently associated with mortality. For SARS-CoV-2 postoperative infection, screening swab test <72 hours preoperatively (OR 0.76), community COVID-19 incidence (cases/10 5 people/week) (OR 1.011), preoperative cognitive impairment (OR 2.784), postoperative sepsis (OR 3.807) and an absence of postoperative complications (OR 0.188) were independently associated. Conclusions Perioperative SARS-CoV-2 infection in neurosurgical patients was associated with an increase in mortality by almost fivefold. Community COVID-19 incidence (cases/10 5 people/week) was a statistically independent predictor of mortality. Trial registration number CEIM 20/217

Deformation of Triassic gypsum in the eastern sector of the Socovos Fault (southeast Spain)

A Triassic gypsiferous formation is juxtaposed to the Socovos Fault along its eastern portion. Here, the gypsum shows penetrative cataclastic fabrics, particularly prominent in the main fault zone. The fabrics show a profuse catalog of kinematic markers. The consistence between the kinematic criteria and the sense of the strike-slip faulting suggest that the fabrics have been generated, at least in a late stage, by tectonic strain. We propose that gypsum fabrics could help to analyze the structure in shallow tectonic environments. Testing this hypothesis would be highly useful in the Betics, were gypsum-bearing Triassic rocks crop out in extensive area