Two karstic discharge areas, Río Verde (RV) and Ciénega de Cabezas (CC), located in a distance of 80 km to each other are chosen to determine the influence of local variations in geology and climatic ...condition on water chemistry and to examine if the groundwater, supplying the discharge areas, undergoes the same evolution and has a common source. Both study areas are situated on the carbonate platform Valles-San Luis Potosí and comprise a similar geological setting, but despite of their spatial vicinity the climate is semiarid in RV and humid in CC presenting an important factor on the amount of discharge and the concentrations of ions in the discharge. The investigation encompasses discharge, hydrochemical and physico-chemical parameter evaluations as well as the determination of saturation indices, hydrochemical modelling and water type characterization of surface water samples to derive knowledge of the groundwater systems. Scatterplots and saturation indices were used to proof the influence of lithological variability. Both study areas represent normal alkaline water, marked by high concentrations of calcium and magnesium with varying concentrations of bicarbonate and sulphate. In RV, the water interacts with dolomite rocks and gypsum layers, whereas in CC the dolomite content is depleted and the influence of limestone rocks increases. The climatic impact on the groundwater in RV is noticeable by the increase in ionic concentrations due to higher evaporation. In CC the higher amount of precipitation dilutes the groundwater and causes decreasing ionic concentrations.
Background
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) has been associated with a significant risk of thrombotic events in critically ill patients.
Aim
To summarize the findings of a ...multinational observational cohort of patients with SARS-CoV-2 and cerebrovascular disease.
Methods
Retrospective observational cohort of consecutive adults evaluated in the emergency department and/or admitted with coronavirus disease 2019 (COVID-19) across 31 hospitals in four countries (1 February 2020–16 June 2020). The primary outcome was the incidence rate of cerebrovascular events, inclusive of acute ischemic stroke, intracranial hemorrhages (ICH), and cortical vein and/or sinus thrombosis (CVST).
Results
Of the 14,483 patients with laboratory-confirmed SARS-CoV-2, 172 were diagnosed with an acute cerebrovascular event (1.13% of cohort; 1130/100,000 patients, 95%CI 970–1320/100,000), 68/171 (40.5%) were female and 96/172 (55.8%) were between the ages 60 and 79 years. Of these, 156 had acute ischemic stroke (1.08%; 1080/100,000 95%CI 920–1260/100,000), 28 ICH (0.19%; 190/100,000 95%CI 130–280/100,000), and 3 with CVST (0.02%; 20/100,000, 95%CI 4–60/100,000). The in-hospital mortality rate for SARS-CoV-2-associated stroke was 38.1% and for ICH 58.3%. After adjusting for clustering by site and age, baseline stroke severity, and all predictors of in-hospital mortality found in univariate regression (p < 0.1: male sex, tobacco use, arrival by emergency medical services, lower platelet and lymphocyte counts, and intracranial occlusion), cryptogenic stroke mechanism (aOR 5.01, 95%CI 1.63–15.44, p < 0.01), older age (aOR 1.78, 95%CI 1.07–2.94, p = 0.03), and lower lymphocyte count on admission (aOR 0.58, 95%CI 0.34–0.98, p = 0.04) were the only independent predictors of mortality among patients with stroke and COVID-19.
Conclusions
COVID-19 is associated with a small but significant risk of clinically relevant cerebrovascular events, particularly ischemic stroke. The mortality rate is high for COVID-19-associated cerebrovascular complications; therefore, aggressive monitoring and early intervention should be pursued to mitigate poor outcomes.
mHealth, such as apps running on consumer smart devices is becoming increasingly popular and has the potential to profoundly affect healthcare and health outcomes. However, it may be disruptive and ...results achieved are not always reaching the goals. Allergic Rhinitis and its Impact on Asthma (ARIA) has evolved from a guideline using the best evidence‐based approach to care pathways suited to real‐life using mobile technology in allergic rhinitis (AR) and asthma multimorbidity. Patients largely use over‐the‐counter medications dispensed in pharmacies. Shared decision making centered around the patient and based on self‐management should be the norm. Mobile Airways Sentinel networK (MASK), the Phase 3 ARIA initiative, is based on the freely available MASK app (the Allergy Diary, Android and iOS platforms). MASK is available in 16 languages and deployed in 23 countries. The present paper provides an overview of the methods used in MASK and the key results obtained to date. These include a novel phenotypic characterization of the patients, confirmation of the impact of allergic rhinitis on work productivity and treatment patterns in real life. Most patients appear to self‐medicate, are often non‐adherent and do not follow guidelines. Moreover, the Allergy Diary is able to distinguish between AR medications. The potential usefulness of MASK will be further explored by POLLAR (Impact of Air Pollution on Asthma and Rhinitis), a new Horizon 2020 project using the Allergy Diary.
Experimental model of mitral regurgitation in a porcine model Rodríguez-Santamarta, Miguel; Estévez-Loureiro, Rodrigo; Pérez Martínez, Claudia ...
REC, Interventional cardiology (Internet. English ed.),
01/2021, Letnik:
3, Številka:
1
Journal Article
Recenzirano
Odprti dostop
ABSTRACT Introduction and objectives: There is great interest in the development of devices for the percutaneous management of mitral regurgitation (MR). For this reason, having an experimental model ...that reproduces the conditions of the disease is of great importance. Our objective was to validate an experimental model of MR in a porcine model. Methods: For the model creation phase 3, 2-month-old 25 ± 3 kg large white pigs were used. An acute myocardial infarction was caused in the circumflex artery territory that hampered the perfusion of the posteromedial papillary muscle. Then, volume overload was induced in the animal by creating an arteriovenous shunt and connecting the aorta and the pulmonary artery using a Dacron tube. Echocardiography and magnetic resonance imaging were performed before the intervention and on week 8. Afterwards, the animal was euthanized to conduct the pathological study. Results: One out of the 3 pigs died during the intervention due to ventricular fibrillation. The remaining 2 pigs survived the procedure and were euthanized as scheduled on week 8. In both cases a transmural infarction occurred, 1 at lateral level and the other one at posteroinferior level with moderate secondary mitral regurgitation. Ventricular dimensions and volumes increased and the overall contractility was maintained...
We synthesized twelve hybrids,
-allyl Cysteine methyl, ethyl and propyl ester-based non-steroidal anti-inflammatory drugs and their structures were elucidated by spectroscopic analysis. The ...chemopreventive potential of all compounds was evaluated against SW480 human colon adenocarcinoma cells and the non-malignant CHO-K1 cell line. Among the tested compounds, hybrids
,
and
displayed the best anticancer activity with IC
values between 0.131-0.183 mM and selectivity indices higher than 1 after 48 h of treatment. Selectivity indices were comparable to those reported for the reference drug, 5-fluorouracil (SI > 1). The SAR analysis showed that compounds with two carbon atom alkylic chains displayed the best activity (
,
and
). Modeling studies including drug-likeness, bioactivity score and ADME/tox studies using online tools like molinspiration and Osiris suggested that these designed hybrids have a good pharmacological profile and can be considered as promising scaffolds for further studies in the search for new therapeutic alternatives to treat colorectal cancer.
The aim was to develop a predictive model of infection by multidrug-resistant microorganisms (MDRO). A national, retrospective cohort study was carried out including all patients attended for an ...infectious disease in 54 Spanish Emergency Departments (ED), in whom a microbiological isolation was available from a culture obtained during their attention in the ED. A MDRO infection prediction model was created in a derivation cohort using backward logistic regression. Those variables significant at
p
< 0.05 assigned an integer score proportional to the regression coefficient. The model was then internally validated by k-fold cross-validation and in the validation cohort. A total of 5460 patients were included; 1345 (24.6%) were considered to have a MDRO infection. Twelve independent risk factors were identified in the derivation cohort and were combined into an overall score, the ATM (assessment of threat for MDRO) score. The model achieved an area under the curve-receiver operating curve of 0.76 (CI 95% 0.74–0.78) in the derivation cohort and 0.72 (CI 95% 0.70–0.75) in the validation cohort (
p
= 0.0584). Patients were then split into 6 risk categories and had the following rates of risk: 7% (0–2 points), 16% (3–5 points), 24% (6–9 points), 33% (10–14 points), 47% (15–21 points), and 71% (> 21 points). Findings were similar in the validation cohort. Several patient-specific factors were independently associated with MDRO infection risk. When integrated into a clinical prediction rule, higher risk scores and risk classes were related to an increased risk for MDRO infection. This clinical prediction rule could be used by providers to identify patients at high risk and help to guide antibiotic strategy decisions, while accounting for clinical judgment.
To analyze the presence of salivary Epstein-Barr virus (EBV) DNA in oral squamous cell carcinoma and potentially malignant oral disorders.
Three groups were studied: Group 1 (12 oral squamous cell ...carcinomas (OSCC)), Group 2 (12 potentially malignant oral disorders (PMD)) and Group 3 (47 healthy controls). EBV DNA salivary analysis was performed by PCR.
The highest percentage of positive salivary EBV DNA corresponded to the OSCC group (58.3%), followed by the PMD group (41.7%) and the controls (40.4%). The differences between groups were not statistically significant, however (p>0.05).
Salivary EBV DNA was more prevalent in OSCC than in PMD or the controls.
Los metales pesados son peligrosos para los seres vivos y el medio ambiente, pues no pueden ser degradados y pueden llegar a los seres humanos a través la cadena trófica, por lo tanto, su ...determinación en diferentes matrices para consumo humano y animal, es de vital importancia. La metodología más utilizada para su extracción, es cenizas, la cual conlleva a tiempos largos de análisis y elevado consumo de energía, por esta razón, en el presente trabajo se desarrolló y validó un método ambientalmente amigable para la digestión y extracción de Cd+2 y Pb+2 en pastos, utilizando ultrasonido y espectroscopia de absorción atómica. Se evaluaron diferentes variables que afectan la digestión, como posición en el ultrasonido, peso de muestra, solvente, volumen del solvente, tiempo de sonicación y tipo de recipiente, en muestras de pastos dopadas con los metales, teniéndose como variable de respuesta, el porcentaje de recuperación. Las condiciones para extraer Cd+2 y Pb+2 en estas pasturas, fueron: 0,50g de tejido vegetal; 3,00mL de HCl:HNO3-3:1 expuestos 60min al ultrasonido, en tubos de vidrio cónicos. Este procedimiento mostró un comportamiento lineal en el rango de 0,50 - 8,00mg/Kg con R2 de 0,99 tanto para Cd como para Pb. Los límites de detección y cuantificación, fueron 0,25 y 0,43mg/Kg para Cd; 0,22 y 0,37mg/Kg para Pb. La metodología propuesta, se comparó con la técnica clásica y permitió determinar niveles trazas de estos metales tóxicos, en forraje proveniente del Magdalena medio, con porcentajes de recuperación de97,54 y 98,62%, respectivamente.
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