Estudio descriptivo de las cavidades pleurales residuales complicadas tratadas en un Servicio de Cirugía Torácica

Introducción: Las cavidades pleurales residuales se definen como espacios pleurales causados por una falta de reexpansión pulmonar principalmente secundario a infecciones pleurales o cirugías torácicas. Estas pueden cronificarse y complicarse si no logran resolverse con los tratamientos de primera línea (drenaje torácico, fibrinolíticos o decorticación quirúrgica). Material y Métodos: Estudio descriptivo retrospectivo de los pacientes con cavidades pleurales residuales complicadas (CPRC) en el Servicio de Cirugía Torácica del Complejo Hospitalario Universitario de Albacete desde noviembre del 2004 hasta mayo del 2015. Resultados: Sesenta y tres pacientes fueron diagnosticados, con una mayor frecuencia en hombres (n=57; 90,5%). Del total de pacientes intervenidos en este periodo, el 16,27% de cirugías fueron secundarias a esta patología. La patología infecciosa fue la más frecuente (n=35; 55,6%) y dentro de la post-quirúrgica la neumonectomía (n=8; 42,1%), con una media de días desde la intervención quirúrgica hasta el diagnóstico de 190,7 días. En 43 pacientes (68,3%) el cultivo del líquido pleural fue positivo. En 17 pacientes (27%) se asoció a una fístula broncopleural. De los 63 pacientes, 16 (25,4%) recibieron un único tratamiento quirúrgico (25,4%), mientras que 47 (74,6%), precisaron más de un tratamiento. En 39 casos (61,9%) la cavidad pleural complicada se resolvió por medio de los tratamientos, mientras que no lo hizo en 24 (38,1%) pacientes. Conclusiones: A pesar de ser una patología poco frecuente continua presente en la actualidad, principalmente como complicación postquirúrgica o infecciosa. Los tratamientos descritos hasta la fecha no revelan una alta eficacia.Introduction: Residual pleural cavities are pleural spaces caused by a lack of pulmonary reexpansion mainly secondary to pleural infections or thoracic surgeries. If they can not be solved with first line treatments (thoracic drainage, fibrinolytics or surgical decortication), these can become cronic and complicate. Material and Methods: Retrospective descriptive study of patients with complicated residual pleural cavities at the Thoracic Surgery Service of the “Complejo Hospitalario Universitario de Albacete” from November 2004 to May 2015. Results: Sixty-three patients were diagnosed, showing that incidence was more frequent in men (n=57; 90.5%). 16.27% of the surgeries treated within this period were secondary to this pathology. The infectious pathology was the most frequent (n = 35; 55.6%), whereas within the postoperative group, it was pneumonectomy (n = 8; 42.1%), with 190.7 days in average from surgical intervention to the diagnosis. In 43 patients (68.3%), the pleural fluid culture was positive. In 17 patients (27%), it was associated with a bronchopleural fistula. From the 63 patients, 16 (25.4%) received a single surgical treatment (25.4%), while 47 (74.6%) required more than one treatment. In 39 cases (61.9%), the complicated pleural cavity was resolved, whereas in 24 (38.1%) patients it wasn’t. Conclusions: Despite it being a rare pathology, it is still present today, mainly as a post-surgical or infectious complication. To date, the treatments described haven’t exhibited high efficacy

Gold nanoparticles as a part of a photothermal therapy system.

Introduction Photothermal therapy (PTT) is attracting increased attention for the treatment of superficial localized tumors, relying on the induction of local hyperthermia of tumor cells upon their irradiation with light beams1. PTT efficacy depends, however, on the heat generated and, on the depth reached by the light. Some strategies to improve PTT efficacy includes the use of the near infrared (NIR, 650 to 900 nm) radiation to enhance the penetration depth of the light, combined with gold nanoparticles (AuNPs) to enhance the photothermal effect2. Experimental Methods Core AuNPs were synthesized by a novel method using tetrachloroauric acid and a mixture of reducing agents, and subsequently coated with a combination of hyaluronic and oleic acids, for improving the NPs biocompatibility, biodegradability, and lifetime. This coating also promotes the binding of specific cell receptors of the tumor cells. The particles were physico-chemically characterized, and in vitro and in vivo tests were carried out in breast cancer models to assess their safety and efficacy, when applied alone or combined with NIR irradiation3. Results and Discussion AuNPs presented a predominant spherical morphology with sizes under 350 nm, polydispersity index lower than 0.4 and enhanced absorbance in the NIR. The particles showed no toxicity in vitro and promising efficacy in vivo when administering the NPs in situ and later irradiating them externally. Histopathological analysis of tumors treated with both AuNPs and laser irradiation showed the presence of necrosis in most of the tumors and no effect or practically absence in healthy surrounding cells, which are very encouraging outcomes. Conclusion The results are promising, however, there is still room for improving the system, namely by reducing even more the invasiveness of the treatment through the combined use of aerogels structures. Aerogel’s unique properties4 make them ideal candidates to minimize the exposure of healthy tissues to laser radiation, acting as light and thermal insulators, as well as to incorporate the nanoparticles into their skeletal structure and thus potentiating a topical application of the particles. For these reasons, some exploratory methods were carried to produce and design aerogels structures for PTT applications

Stability of Attractive Bose-Einstein Condensates in a Periodic Potential

Using a standing light wave trap, a stable quasi-one-dimensional attractive dilute-gas Bose-Einstein condensate can be realized. In a mean-field approximation, this phenomenon is modeled by the cubic nonlinear Schr\"odinger equation with attractive nonlinearity and an elliptic function potential of which a standing light wave is a special case. New families of stationary solutions are presented. Some of these solutions have neither an analog in the linear Schr\"odinger equation nor in the integrable nonlinear Schr\"odinger equation. Their stability is examined using analytic and numerical methods. Trivial-phase solutions are experimentally stable provided they have nodes and their density is localized in the troughs of the potential. Stable time-periodic solutions are also examined.Comment: 12 pages, 18 figure

Efectividad biológica de organofosforados y carbamatos en el control de nematodos en banano

En México el banano es el segundo frutal de mayor importancia económica, con una producción de 2.2 millones de toneladas anuales; los nematodos son las plagas más importantes del banano afectando el crecimiento y desarrollo debido al daño ocasionado en raíces y rizoma, los más reportados han sido: Radopholus similis (nematodo barrenador), Helicotylenchus multicinctus (nematodo del espiral) y Meloidogyne spp. (nematodo agallador). El principal método de control se ha basado en productos químicos  con  resultados  muy  variados.  En  este  estudio  se  evaluaron  la  eficacia  biológica  de nematicidas organofosforados y carbamatos para el control de estas tres especies mediante las variables densidad de nematodos en suelo cercano a raíz y en raíz, porcentaje de daño causado (severidad), peso de raíces muertas, peso de raíces sanas y vigor de hijuelos mediante el diámetro basal, altura y número de hojas. De acuerdo con los resultados obtenidos, el producto organoclorado (Terbufos) tuvo una eficacia por debajo del 80% a diferencia del carbamato (Oxamil) Oaxamil que en sus dosis de 2.7 ml/hijo mostró tener mayor eficacia en las especies de Radhopolus similis y Pratylenchus sp. en raíz, en tanto que para el control de Meloidogyne sp. fue mejor la dosis de 2.4 ml/hijo. Para el control de nematodos en suelo cerca de la raíz Oaxamil en dosis de 2.4 ml/hijo obtuvo mejor resultado para el control de Radhopolus similis y Meloidogyne sp. en tanto que para el control de Pratylenchus sp. fue mejor en su dosis de 2.7 ml/hijo

Single-cultivar extra virgin olive oil classification using a potentiometric electronic tongue

Label authentication of monovarietal extra virgin olive oils is of great importance. A novel approach based on a potentiometric electronic tongue is proposed to classify oils obtained from single olive cultivars (Portuguese cvs. Cobrançosa, Madural, Verdeal Transmontana; Spanish cvs. Arbequina, Hojiblanca, Picual). A meta-heuristic simulated annealing algorithm was applied to select the most informative sets of sensors to establish predictive linear discriminant models. Olive oils were correctly classified according to olive cultivar (sensitivities greater than 97%) and each Spanish olive oil was satisfactorily discriminated from the Portuguese ones with the exception of cv. Arbequina (sensitivities from 61% to 98%). Also, the discriminant ability was related to the polar compounds contents of olive oils and so, indirectly, with organoleptic properties like bitterness, astringency or pungency. Therefore the proposed E-tongue can be foreseen as a useful auxiliary tool for trained sensory panels for the classification of monovarietal extra virgin olive oils.This work was co-financed by FCT and FEDER under Program COMPETE (Project PEst-C/EQB/LA0020/2013)

Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2/COVID-19 en establecimientos de atención de la salud Recomendaciones basadas en consenso de expertos e informadas en la evidencia

The “Asociación Colombiana de Infectología” (ACIN) and the “Instituto de Evaluación de Nuevas Tecnologías de la Salud” (IETS) created a task force to develop recommendations for Covid 19 health care diagnosis, management and treatment informed, and based, on evidence. Theses reccomendations are addressed to the health personnel on the Colombian context of health services. © 2020 Asociacion Colombiana de Infectologia. All rights reserved

Acceptability and feasibility of a virtual community of practice to primary care professionals regarding patient empowerment : A qualitative pilot study

Background: Virtual communities of practice (vCoPs) facilitate online learning via the exchange of experiences and knowledge between interested participants. Compared to other communities, vCoPs need to overcome technological structures and specific barriers. Our objective was to pilot the acceptability and feasibility of a vCoP aimed at improving the attitudes of primary care professionals to the empowerment of patients with chronic conditions. Methods: We used a qualitative approach based on 2 focus groups: one composed of 6 general practitioners and the other of 6 practice nurses. Discussion guidelines on the topics to be investigated were provided to the moderator. Sessions were audio-recorded and transcribed verbatim. Thematic analysis was performed using the ATLAS-ti software. Results: The available operating systems and browsers and the lack of suitable spaces and time were reported as the main difficulties with the vCoP. The vCoP was perceived to be a flexible learning mode that provided up-to-date resources applicable to routine practice and offered a space for the exchange of experiences and approaches. Conclusions: The results from this pilot study show that the vCoP was considered useful for learning how to empower patients. However, while vCoPs have the potential to facilitate learning and as shown create professional awareness regarding patient empowerment, attention needs to be paid to technological and access issues and the time demands on professionals. We collected relevant inputs to improve the features, content and educational methods to be included in further vCoP implementation. Trial registration: ClinicalTrials.gov, NCT02757781. Registered on 25 April 2016

Tissue culture of ornamental cacti

Cacti species are plants that are well adapted to growing in arid and semiarid regions where the main problem is water availability. Cacti have developed a series of adaptations to cope with water scarcity, such as reduced leaf surface via morphological modifications including spines, cereous cuticles, extended root systems and stem tissue modifications to increase water storage, and crassulacean acid metabolism to reduce transpiration and water loss. Furthermore, seeds of these plants very often exhibit dormancy, a phenomenon that helps to prevent germination when the availability of water is reduced. In general, cactus species exhibit a low growth rate that makes their rapid propagation difficult. Cacti are much appreciated as ornamental plants due to their great variety and diversity of forms and their beautiful short-life flowers; however, due to difficulties in propagating them rapidly to meet market demand, they are very often over-collected in their natural habitats, which leads to numerous species being threatened, endangered or becoming extinct. Therefore, plant tissue culture techniques may facilitate their propagation over a shorter time period than conventional techniques used for commercial purposes; or may help to recover populations of endangered or threatened species for their re-introduction in the wild; or may also be of value to the preservation and conservation of the genetic resources of this important family. Herein we present the state-of-the-art of tissue culture techniques used for ornamental cacti and selected suggestions for solving a number of the problems faced by members of the Cactaceae family

Anisotropic flow of charged hadrons, pions and (anti-)protons measured at high transverse momentum in Pb-Pb collisions at sNN=2.76\sqrt{s_{\rm NN}}=2.76 TeV

The elliptic, $v_2$, triangular, $v_3$, and quadrangular, $v_4$, azimuthal anisotropic flow coefficients are measured for unidentified charged particles, pions and (anti-)protons in Pb-Pb collisions at $\sqrt{s_{\rm NN}} = 2.76$ TeV with the ALICE detector at the Large Hadron Collider. Results obtained with the event plane and four-particle cumulant methods are reported for the pseudo-rapidity range $|\eta|<0.8$ at different collision centralities and as a function of transverse momentum, $p_{\rm T}$, out to $p_{\rm T}=20$ GeV/$c$. The observed non-zero elliptic and triangular flow depends only weakly on transverse momentum for $p_{\rm T}>8$ GeV/$c$. The small $p_{\rm T}$ dependence of the difference between elliptic flow results obtained from the event plane and four-particle cumulant methods suggests a common origin of flow fluctuations up to $p_{\rm T}=8$ GeV/$c$. The magnitude of the (anti-)proton elliptic and triangular flow is larger than that of pions out to at least $p_{\rm T}=8$ GeV/$c$ indicating that the particle type dependence persists out to high $p_{\rm T}$.Comment: 16 pages, 5 captioned figures, authors from page 11, published version, figures at http://aliceinfo.cern.ch/ArtSubmission/node/186