Summary Mucormycosis is a highly aggressive fungal infection caused by Zygomycetes, from the order of Mucorales. This infection commonly presents an aggressive and rapid course and typically affects ...immunocompromised patients. Mucormycosis can manifest in different clinical patterns and locations. Although the correct diagnosis is often difficult, an early identification is essential for patient survival. Several clinical forms of mucormycosis are recognised. Cutaneous mucormycosis is less common than other clinical forms, but potentially lethal if treatment is not rapid. Tissue examination by histopathology and culture confirms the fungal infection. Standard treatment includes antifungal therapies associated with surgical debridement. We report five different cases of cutaneous mucormycosis treated in our institution and the management carried out in each case.
Abstract
Anecdotal evidence suggests that community infection control measures during the COVID-19 outbreak have modified the number and natural history of acute surgical inflammatory processes ...(ASIP—appendicitis, cholecystitis, diverticulitis and perianal abscesses) admissions. This study aims to evaluate the impact of the COVID-19 pandemic on the presentation and treatment ASIP and quantify the effect of COVID-19 infection on the outcomes of ASIP patients. This was a multicentre, comparative study, whereby ASIP cases from 2019, 2020 and 2021 (March 14th to May 2nd) were analyzed. Data regarding patient and disease characteristics as well as outcomes, were collected from sixteen centres in Madrid, and one in Seville (Spain). The number of patients treated for ASIP in 2019 was 822 compared to 521 in 2020 and 835 in 2021. This 1/3rd reduction occurs mainly in patients with mild cases, while the number of severe cases was similar. Surgical standards suffered a step back during the first wave: Lower laparoscopic approach and longer length of stay. We also found a more conservative approach to the patients this year, non-justified by clinical circumstances. Luckily these standards improved again in 2021. The positive COVID-19 status itself did not have a direct impact on mortality. Strikingly, none of the 33 surgically treated COVID positive patients during both years died postoperatively. This is an interesting finding which, if confirmed through future research with a larger sample size of COVID-19 positive patients, can expedite the recovery phase of acute surgical services.
ABSTRACT
We report here the first detection in the interstellar medium of the cyanomidyl radical (HNCN). Using the Yebes 40m and the IRAM 30m telescopes, we have targeted the doublets of the N = 2–1, ...4–3, 5–4, 6–5, and 7–6 transitions of HNCN towards the molecular cloud G+0.693-0.027. We have detected three unblended lines of HNCN, these are the N = 6–5 doublet and one line of the N = 4–3 transition. Additionally, we present one line of the N = 5–4 transition partially blended with emission from other species. The local thermodynamic equilibrium best fit to the data gives a molecular abundance of (0.91 ± 0.05) × 10−10 with respect to H2. The relatively low abundance of this species in G+0.693-0.027 and its high reactivity suggest that HNCN is possibly produced by gas-phase chemistry. Our work shows that this highly reactive molecule is present in interstellar space, and thus it represents a plausible precursor of larger prebiotic molecules with the nitrogen–carbon–nitrogen backbone such as cyanamide (NH2CN), carbodiimide (HNCNH), and formamidine (NH2CHNH).
The atmospheric Cherenkov gamma-ray telescope MAGIC, designed for a low-energy threshold, has detected very-high-energy gamma rays from a giant flare of the distant Quasi-Stellar Radio Source (in ...short: radio quasar) 3C 279, at a distance of more than 5 billion light-years (a redshift of 0.536). No quasar has been observed previously in very-high-energy gamma radiation, and this is also the most distant object detected emitting gamma rays above 50 gigaelectron volts. Because high-energy gamma rays may be stopped by interacting with the diffuse background light in the universe, the observations by MAGIC imply a low amount for such light, consistent with that known from galaxy counts.
It is demonstrated that, besides classical nanocolumnar arrays, the oblique angle geometry induces the growth of singular structures in the nanoscale when using wisely designed patterned substrates. ...Well-ordered array of crosses, cylindrical nanorods or hole structures arranged in square or hexagonal regular geometries are reported as examples, among others. The fundamental framework connecting substrate topography and film growth at oblique angles is presented, allowing the use of substrate patterning as a feasible thin film nanostructuring technique. A systematic analysis of the growth of TiO2 thin films on 4 different lithographic patterned substrates in 4 different scale lengths is also presented. A first conclusion is the existence of a height-based selective growth in the initial stages of the deposition, by which the film preferentially develops on top of the tallest substrate features. This behavior is maintained until the film reaches a critical thickness, the so-called Oblivion Thickness, above which the film topography becomes gradually independent of the substrate features. A general formula relating the spatial features of the pattern, the coarsening exponent and the Oblivion Thickness has been deduced.
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•Thin film nanostructuring by substrate patterning at oblique angle is demonstrated.•A height-based selective growth principle is deduced for the first stages of growth.•A relation between growth modes, pattern wavelengths and growth exponent is found.•The growth on 16 different patterned substrates corroborates the theory.•Films made of well-ordered arrays of nanorods with thickness up to ~1 μm are shown.
The thalamus relays information to the cerebral cortex from subcortical centers or other cortices; in addition, it projects to the striatum and amygdala. The thalamic relay function is subject to ...modulation, so the flow of information to the target regions may change depending on behavioral demands. Modulation of thalamic relay by dopamine is not currently acknowledged, perhaps because dopamine innervation is reportedly scant in the rodent thalamus. We show that dopaminergic axons profusely target the human and macaque monkey thalamus using immunolabeling with three markers of the dopaminergic phenotype (tyrosine hydroxylase, dopamine, and the dopamine transporter). The dopamine innervation is especially prominent in specific association, limbic, and motor thalamic nuclei, where the densities of dopaminergic axons are as high as or higher than in the cortical area with the densest dopamine innervation. We also identified the dopaminergic neurons projecting to the macaque thalamus using retrograde tract-tracing combined with immunohistochemistry. The origin of thalamic dopamine is multiple, and thus more complex, than in any other dopaminergic system defined to date: dopaminergic neurons of the hypothalamus, periaqueductal gray matter, ventral mesencephalon, and the lateral parabrachial nucleus project bilaterally to the monkey thalamus. We propose a novel dopaminergic system that targets the primate thalamus and is independent from the previously defined nigrostriatal, mesocortical, and mesolimbic dopaminergic systems. Investigating this "thalamic dopaminergic system" should further our understanding of higher brain functions and conditions such as Parkinson's disease, schizophrenia, and drug addiction.
In this study, the deterioration effects of lichens and other lithobionts in a temperate mesothermal climate were explored. We examined samples of dolostone and limestone rocks with visible signs of ...biodeterioration taken from the exterior wall surfaces of four Romanesque churches in Segovia (Spain):
San Lorenzo,
San Martín,
San Millán and
La Vera Cruz. Biofilms developing on the lithic substrate were analyzed by scanning electron microscopy. The most common lichen species found in the samples were recorded. Fungal cultures were then obtained from these carbonate rocks and characterized by sequencing Internal Transcribed Spacers (ITS). Through scanning electron microscopy in back-scattered electron mode, fungi (lichenized and non-lichenized) were observed as the most frequent microorganisms occurring at sites showing signs of biodeterioration. The colonization process was especially conditioned by the porosity characteristics of the stone used in these buildings. While in dolostones, microorganisms mainly occupied spaces comprising the rock's intercrystalline porosity, in bioclastic dolomitized limestones, fungal colonization seemed to be more associated with moldic porosity. Microbial biofilms make close contact with the substrate, and thus probably cause significant deterioration of the underlying materials. We describe the different processes of stone alteration induced by fungal colonization and discuss the implications of these processes for the design of treatments to prevent biodeterioration.
Immunoparalysis and apoptosis of T cells are serious problems for the evolution of septic patients. We aimed to relate changes in the number of αβ and γδ T cells during hospital stay to the poor ...evolution of sepsis. In this prospective study, we recruited a total of 92 septic patients from the Emergency and Intensive Care Departments of two Hospitals, according to the latest criteria for the definition and management of sepsis. According to the severity of the septic process, there was a progressive decrease in T cells, being much more intense in γδ T cells. This decrease recovered in surviving patients, but CD3+CD56+ γδ T cells continued to decreased during hospital stay in non-surviving patients. Apoptosis increased in sepsis. Cell death of CD3+CD56+ γδ T cells progressively increased according to the severity of sepsis, especially in non-surviving patients.
•Decreased numbers and increased apoptosis of αβ and γδ T cells are related to the severity and mortality of sepsis.•This decrease is highly significant in CD3+CD56+ γδ T cells and is recovered in surviving septic patients.•Apoptosis of CD3+CD56+ γδ T cells is increased in non-surviving septic patients•CD3+CD56+ γδ T cells and their apoptosis have a great influence on the prognosis of sepsis.
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