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Borjas G, Urdaneta A, Ramos E, Maldonado A. Magnetic liver retraction in bariatric surgery: Is it possible? Cir Esp 2024:S2173-5077(24)00089-9. [PMID: 38608757 DOI: 10.1016/j.cireng.2024.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Accepted: 02/21/2024] [Indexed: 04/14/2024]
Abstract
One of the recent advances in bariatric surgery is the use of magnetic devices. This research paper describes magnetic liver retraction in morbidly obese patients during bariatric surgery. A descriptive, prospective and observational study was carried out, analyzing 100 patients in whom magnetic retraction was used. Mean and SD body mass index was 46.1 ± 5.09 kg/m2. The magnetic system was successfully used for liver retraction in 95% of cases; in only 5% of cases was its use not possible due to hepatomegaly and severe hepatic steatosis. According to the results, magnetic liver retraction can be safe and used in bariatric surgery, regardless of body mass index and with a low percentage of complications.
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Affiliation(s)
- G Borjas
- International Unit of Bariatric and Robotic Surgery, Clínica "La Sagrada Familia"/"Grupo Médico Santa Paula" - Maracaibo/Caracas, Venezuela.
| | - A Urdaneta
- International Unit of Bariatric and Robotic Surgery, Clínica "La Sagrada Familia"/"Grupo Médico Santa Paula" - Maracaibo/Caracas, Venezuela
| | - E Ramos
- International Unit of Bariatric and Robotic Surgery, Clínica "La Sagrada Familia"/"Grupo Médico Santa Paula" - Maracaibo/Caracas, Venezuela
| | - A Maldonado
- International Unit of Bariatric and Robotic Surgery, Clínica "La Sagrada Familia"/"Grupo Médico Santa Paula" - Maracaibo/Caracas, Venezuela
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Machado AB, Simões RO, Maldonado A, Santos MAJ, Luque JL. Integrative Taxonomy of Prosogonotrema bilabiatum Vigueras, 1940 (Digenea: Sclerodistomidae): A Parasite in Atlantic Spadefish Chaetodipterus faber (Broussonet, 1782) (Acanthuriformes: Ephippidae) from Brazil. Acta Parasitol 2024; 69:898-909. [PMID: 38472688 DOI: 10.1007/s11686-024-00825-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 01/31/2024] [Indexed: 03/14/2024]
Abstract
OBJECTIVES The present work aims to expand the knowledge of the digenean species Prosogonotrema bilabiatum (Sclerodistomidae), a parasite of Chaetodipterus faber (Acanthuriformes) from Brazil, with an integrative taxonomic approach, using light microscopy, scanning electron microscopy, histology, and molecular biology. METHODS Forty-one digenean specimens were stained with hydrochloric carmine for morphological studies. Eleven parasites were dehydrated through a graded ethanol series, critical point dried with carbon dioxide, and coated with gold for scanning electron microscopy analysis. Four specimens were processed following histological routine and stained with hematoxylin and eosin and Gomori trichrome. DNA extracted was amplified using 28S partial primer D1-D3. Maximum likelihood and Bayesian inference were performed for phylogenetic analysis. RESULTS Morphometric and morphological data of the specimens studied ranged in accordance as observed in previous descriptions of the species. Observations from scanning electron microscopy and histology corroborated with those observed in stained whole mounts. Molecular analysis showed that specimens of P. bilabiatum from Brazil clustered with another two sequences of this species from different hosts and localities, with a high node support value. CONCLUSIONS The integrative taxonomic approach allowed to record and describe new characteristics of P. bilabiatum related to the tegument, the structure and the arrangement of its tissues. The use of molecular markers confirmed that specimens identified as P. bilabiatum from different hosts and localities are all conspecific. Further studies, mainly molecular with less conserved genetic markers, should be carried out to better understand the phylogenetic relationships of Prosogonotrema with Hemiuroidea.
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Affiliation(s)
- A B Machado
- Programa de Pós-Graduação em Biologia Animal, Universidade Federal Rural do Rio de Janeiro, Seropédica, Brazil
| | - R O Simões
- Departamento de Parasitologia Animal, Universidade Federal Rural do Rio de Janeiro, Seropédica, Brazil
| | - A Maldonado
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Fundação Instituto Oswaldo Cruz, Rio de Janeiro, Brazil
| | - M A J Santos
- Departamento de Biologia Animal, Universidade Federal Rural do Rio de Janeiro, Seropédica, Brazil
| | - J L Luque
- Departamento de Parasitologia Animal, Universidade Federal Rural do Rio de Janeiro, Seropédica, Brazil.
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Maldonado A, Gonzalez R, Bufferd S, Garcia DO, D'Anna-Hernandez K. Psychosocial Determinants of Mental Healthcare Use Among Mexican-origin Women from Farmworker Families in Southern California. J Behav Health Serv Res 2024; 51:90-100. [PMID: 37612451 DOI: 10.1007/s11414-023-09860-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2023] [Indexed: 08/25/2023]
Abstract
Little is known about the contribution of psychosocial factors related to mental healthcare use among Mexican-origin women from farmworker families. Therefore, this study assessed relationships between acculturative stress, depressive symptoms, mental healthcare service use, and preferences for seeking care. Linear and logistic regression models and chi-square tests were performed to analyze survey data from 78 Mexican-origin women from farmworker families. Women were recruited in collaboration with promotoras and completed measures of acculturative stress, depressive symptoms, and mental healthcare use and preferences. Overall, 29.5% of the sample reported clinically significant depressive symptomatology. Acculturative stress was positively associated with depressive symptoms (b = 0.43, 95%CI = 0.27,0.59) after controlling for years in the U.S., primary language, and demographic characteristics. In addition, acculturative stress was associated with lower odds of mental healthcare use (OR = 0.96) after controlling for years in the U.S. and depressive symptoms. However, this association was no longer statistically significant when controlling for health insurance status and access to transportation. Mexican-origin women with high levels of acculturative stress were significantly more likely to seek care from a psychiatrist/psychologist than their peers (54.3% vs. 45.7%); however, this preference was not indicative of their use of mental healthcare services. Results suggest that acculturative stress is a risk factor for depressive symptoms and might contribute to a delay in seeking mental healthcare services in Mexican-origin women from farmworker families. Thus, interventions for this group should address aspects of acculturative stress as a strategy to increase mental health services use.
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Affiliation(s)
- A Maldonado
- Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, 85724, USA.
| | - R Gonzalez
- Department of Psychology, University of Houston, Houston, TX, 77204, USA
| | - S Bufferd
- Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, 40208, USA
| | - D O Garcia
- Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, 85724, USA
| | - K D'Anna-Hernandez
- Department of Psychology, Marquette University, Milwaukee, WI, 53233, USA
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Subiela JD, Gomis Sellés E, Maldonado A, Lopez Campos F, Aumatell Ovide J, Ajuria Illarramendi O, González-Padilla DA, Gajate P, Ortega Polledo LE, Alonso Y Gregorio S, Guerrero-Ramos F, Gómez Dos Santos V, Rodríguez-Patrón R, Calais J, Kishan AU, Burgos Revilla FJ, Couñago F. Clinical Usefulness of Prostate-specific Membrane Antigen-ligand Positron Emission Tomography/Computed Tomography for the Detection of Prostate Cancer Biochemical Recurrence after Primary Radiation Therapy in Patients with Prostate-specific Antigen Below the Phoenix Threshold: Systematic Review and Meta-analysis. Clin Oncol (R Coll Radiol) 2023; 35:e676-e688. [PMID: 37802722 DOI: 10.1016/j.clon.2023.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 07/01/2023] [Accepted: 09/20/2023] [Indexed: 10/08/2023]
Abstract
AIMS After primary radiotherapy, biochemical recurrence is defined according to the Phoenix criteria as a prostate-specific antigen (PSA) value >2 ng/ml relative to the nadir. Several studies have shown that prostate-specific membrane antigen (PSMA)-ligand positron emission tomography/computed tomography (PET/CT) can help in detecting recurrence in patients with low PSA values. This study aimed to assess the detection rate and patterns of PSMA-ligand PET/CT uptake in patients with suspected biochemical recurrence after primary radiotherapy and with PSA levels below the Phoenix threshold. MATERIALS AND METHODS The meta-analysis was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Articles providing data on patients with suspected prostate cancer recurrence after primary radiotherapy with a PSA value below the Phoenix threshold and who underwent PSMA-ligand PET/CT were included. Quality assessment was carried out using the Quality Assessment of Diagnostic Accuracy Studies-2 tool (QUADAS-2). RESULTS In total, five studies were included, recruiting 909 patients (202 with PSA ≤2 ng/ml). The PSMA-ligand detection rate in the patients with ≤2 ng/ml ranged from 66 to 83%. The most frequent source of PSMA-ligand PET/CT uptake was local recurrence, followed by lymph node metastasis and bone metastasis. PSMA-ligand PET/CT uptake due to local-only recurrence was more likely in patients with PSA ≤2 ng/ml compared with PSA > 2 ng/ml: risk ratio 0.72 (95% confidence interval 0.58-0.89), P = 0.003. No significant differences were observed in the detection of PSMA-ligand uptake in other areas. Limitations include a lack of biopsy confirmation, cohort reports with small sample sizes and a potentially high risk of bias. CONCLUSION A significant detection of PSMA-ligand-avid disease was observed in patients with PSA levels below the Phoenix threshold. There was a higher likelihood of detecting local-only uptake when the PSA value was ≤2 ng/ml. The findings suggest that a critical review of the Phoenix criteria may be warranted in the era of PSMA-ligand PET/CT and highlight the need for further prospective trials.
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Affiliation(s)
- J D Subiela
- Department of Urology, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain.
| | - E Gomis Sellés
- Radiation Oncology Department, University Hospital Virgen del Rocío, Biomedical Institute of Seville (IBIS)/CSIC/University of Seville, Seville, Spain
| | - A Maldonado
- Nuclear Medicine and Molecular Imaging Department, University Hospital Quiron-salud Madrid/La Luz Hospital, Madrid, Spain
| | - F Lopez Campos
- Radiation Oncology Department, University Hospital Ramon y Cajal, Madrid, Spain
| | - J Aumatell Ovide
- Department of Urology, Hospital Universitario Rey Juan Carlos, Madrid, Spain
| | | | | | - P Gajate
- Medical Oncology Department, Ramon y Cajal University Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - L E Ortega Polledo
- Department of Urology, Hospital Universitario Príncipe de Asturias, Universidad de Alcalá, Alcalá de Henares, Spain
| | | | - F Guerrero-Ramos
- Department of Urology, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - V Gómez Dos Santos
- Department of Urology, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain
| | - R Rodríguez-Patrón
- Department of Urology, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain
| | - J Calais
- Ahmanson Translational Theranostics Division, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USA
| | - A U Kishan
- Department of Radiation Oncology and Department of Urology, University of California, Los Angeles, CA, USA
| | - F J Burgos Revilla
- Department of Urology, Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain
| | - F Couñago
- Department of Radiation Oncology, San Francisco de Asís Hospital, Madrid, Spain; Department of Radiation Oncology, La Milagrosa Hospital, Madrid, Spain; National Chair of Research, GenesisCare, Madrid, Spain
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Selles EG, Subiela JD, Maldonado A, Lopez F, Moreno BS, León BDD, Dos Santos VG, Ovide JA, Polledo LEO, Gonzalez D, Guerrero F, Revilla FJB, Kishan AU, Calais J, Counago F. Clinical Usefulness of PSMA PET/CT Imaging in Patients with Suspected Recurrence of Prostate Cancer after Primary RT with PSA below the Phoenix Criteria Threshold: Systematic Review and Meta-Analysis. Int J Radiat Oncol Biol Phys 2023; 117:e387. [PMID: 37785303 DOI: 10.1016/j.ijrobp.2023.06.2506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) To assess the detection rate and the patterns of PSMA PET/CT uptake in patients with suspected prostate cancer recurrence after primary radiotherapy with serum PSA levels below the accepted Phoenix definition criteria for biochemical recurrence. MATERIALS/METHODS The meta-analysis was performed according to the PRISMA statement. Studies providing data on patients with suspected prostate cancer recurrence after primary radiotherapy with serum PSA levels below the accepted Phoenix definition criteria were included. RESULTS Atotal of 5 studies included a total of 1334 patients, of which 489 patients with suspected BCR and serum PSA levels below the Phoenix criteria were included. The PSMA PET/CT detection rate (DR) was 60% for PSA <0.5 ng/mL, 76% for PSA 0.5-1 ng/mL, 81.03% for PSA 1-2 ng/mL, and 89.5% for PSA>2. No significant differences were found in the locations of PSMA-PET/CT uptake among those with PSA ≤2 ng/mL, compared with those meeting the Phoenix criteria. The PSMA-PET/CT uptake of local-only recurrence was more likely in patients with PSA <2 ng/mL (local-only recurrence PSA >2 ng/mL [40.07%] vs PSA <2 ng/mL [58.10%]), RR: 0.718 (95% CI: 0.579-0.892). Lymph node, bone, and visceral metastasis detection rates could be extracted from 3 studies (432 patients). For lymph nodes, the DR was 46% (95% CI: 38-54) in patients outside the Phoenix criteria threshold, and 50% (95% CI: 39-62) in patients with PSA>2 ng/mL. The DR for bone metastases was 19% (95% CI: 12-28) in patients outside the Phoenix criteria threshold, and 25% (95% CI: 19-31) in patients with PSA>2 ng/mL. The DR for visceral metastases was 3% (95% CI: 0-7) in patients outside the Phoenix criteria threshold, and 2% (95% CI: 0-4) in patients with PSA>2 ng/mL. The potentially salvageable disease was considered when all evidence of avid disease could be safely treated with local therapy. This data could be extracted from two studies (343 patients). A higher proportion of disease potentially amenable to salvage therapy was reported in patients outside the Phoenix criteria threshold [salvageable disease: PSA ≤2 ng/mL: 69% (95% CI: 57-80), and PSA >2 ng/mL: 61% (95% CI: 55-66). The pooled risk ratio meta-analysis showed no statistically significant differences between the two previous groups RR: 0.91 (95% CI: 0.75-1.10). CONCLUSION PSMAPET/CT can detect prostate cancer recurrence in patients with PSA levels below the Phoenix criteria threshold (reaching up to 80%). Local-only recurrence detection by PSMA PET/CT was more likely in patients with PSA <2 ng/mL. The data from the present meta-analysis shows that a critical review of the Phoenix criteria in the era of PSMA PET/CT might be warranted. Nevertheless, the lack of anatomopathological validation and the retrospective nature of the studies are some of our limitations.
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Affiliation(s)
- E Gomis Selles
- Radiation Oncology Department, University Hospital Virgen del Rocío, Biomedical Institute of Seville (IBIS)/CSIC/University of Seville, Seville, Spain
| | - J D Subiela
- Department of Urology, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain, Madrid, Spain
| | - A Maldonado
- University Hospital Quironsalud Madrid/La Luz Hospital, Madrid, Spain
| | - F Lopez
- Radiation Oncology Department, University Hospital Ramon y Cajal, Madrid, Spain
| | | | - B D Delgado León
- Radiation Oncology Department, University Hospital Virgen del Rocío, Biomedical Institute of Seville (IBIS)/CSIC/University of Seville, Seville, Spain
| | - V Gomez Dos Santos
- Department of Urology, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain
| | - J Aumatell Ovide
- Department of Urology, Fundació Puigvert, Universitat Autonoma de Barcelona, Spain, Barcelona, Spain
| | - L E Ortega Polledo
- Department of Urology, Hospital Universitario Príncipe de Asturias, Universidad de Alcalá, Alcalá de Henares-Madrid, Madrid, Spain
| | - D Gonzalez
- Department of Urology, Clínica Universidad de Navarra, Madrid, Spain
| | - F Guerrero
- Department of Urology, University Hospital 12 de Octubre, Madrid, Spain
| | - F J Burgos Revilla
- Department of Urology, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain, Madrid, Spain
| | - A U Kishan
- Department of Urology, University of California, Los Angeles, Los Angeles, CA
| | - J Calais
- Ahmanson Translational Theranostics Division, UCLA Nuclear Medicine, Los Angeles, CA
| | - F Counago
- San Francisco de Asís and La Milagrosa Hospitals. National Chair of Research. GenesisCare Spain, Madrid, Spain
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Borjas G, Sanchez N, Urdaneta A, Gonzalez M, Ramos E, Maldonado A. Technical Aspects of Using a Second Magnetic Grasper to Improve the Surgical Field in Single Port Revisional Bariatric Surgery. Obes Surg 2023; 33:984-985. [PMID: 36645558 DOI: 10.1007/s11695-022-06438-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 12/21/2022] [Accepted: 12/27/2022] [Indexed: 01/17/2023]
Abstract
BACKGROUND The future of minimally invasive surgery in revisional surgery is experiencing changes with new equipment such as the magnetic assistance that can be used with single port devices in order to perform an incisionless surgery (Luengas R, Galindo J, Castro M, et al. Surg Obes Relat Dis. 2021;17(1):147-152). Magnetic assistance through an auxiliary grasper with two internal magnets serves beyond liver retraction in different steps of the surgery improving the surgical field by obtaining a better visualization and triangulation. PURPOSE Expose the feasibility of using two internal magnetic graspers by single port performing a conversion surgery of sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB). METHODS A 36-year-old female patient underwent a SG in 2015 and consults in 2021 because of severe GERD with a 33-point GERD-HRQL score. She has preoperative evaluation for a conversion surgery from SG to RYGB. Using a single port device through the umbilicus, an additional 5 mm trocar was placed in the left side of the abdomen. Two internal magnets were introduced through the umbilicus, and they were controlled by two external magnets placed over the abdomen with an articulated arm. The first magnet was used for liver retraction and the second one to perform both anastomoses, close the intermesenteric and Petersen defect, acting as an auxiliary grasper. The ethical committee approval was obtained through an informed consent from the participant included in the study.
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Affiliation(s)
- G Borjas
- International Unit of Bariatric and Robotic Surgery Unit, Centro Clinica "La Sagrada Familia", Prolongación Vial Amparo, Las Lomas Con Avenida 63, Maracaibo, Venezuela. .,International Unit of Bariatric and Robotic Surgery Unit, Grupo Medico Santa Paula, Av. Circunvalación del Sol, Sector F, Urb. Santa Paula, Caracas, Venezuela. .,International Unit of Bariatric and Robotic Surgery Unit, Clínica Portoazul, Barranquilla, Colombia.
| | - N Sanchez
- International Unit of Bariatric and Robotic Surgery Unit, Centro Clinica "La Sagrada Familia", Prolongación Vial Amparo, Las Lomas Con Avenida 63, Maracaibo, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Grupo Medico Santa Paula, Av. Circunvalación del Sol, Sector F, Urb. Santa Paula, Caracas, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Clínica Portoazul, Barranquilla, Colombia
| | - A Urdaneta
- International Unit of Bariatric and Robotic Surgery Unit, Centro Clinica "La Sagrada Familia", Prolongación Vial Amparo, Las Lomas Con Avenida 63, Maracaibo, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Grupo Medico Santa Paula, Av. Circunvalación del Sol, Sector F, Urb. Santa Paula, Caracas, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Clínica Portoazul, Barranquilla, Colombia
| | - M Gonzalez
- International Unit of Bariatric and Robotic Surgery Unit, Centro Clinica "La Sagrada Familia", Prolongación Vial Amparo, Las Lomas Con Avenida 63, Maracaibo, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Grupo Medico Santa Paula, Av. Circunvalación del Sol, Sector F, Urb. Santa Paula, Caracas, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Clínica Portoazul, Barranquilla, Colombia
| | - E Ramos
- International Unit of Bariatric and Robotic Surgery Unit, Centro Clinica "La Sagrada Familia", Prolongación Vial Amparo, Las Lomas Con Avenida 63, Maracaibo, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Grupo Medico Santa Paula, Av. Circunvalación del Sol, Sector F, Urb. Santa Paula, Caracas, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Clínica Portoazul, Barranquilla, Colombia
| | - A Maldonado
- International Unit of Bariatric and Robotic Surgery Unit, Centro Clinica "La Sagrada Familia", Prolongación Vial Amparo, Las Lomas Con Avenida 63, Maracaibo, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Grupo Medico Santa Paula, Av. Circunvalación del Sol, Sector F, Urb. Santa Paula, Caracas, Venezuela.,International Unit of Bariatric and Robotic Surgery Unit, Clínica Portoazul, Barranquilla, Colombia
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Donald E, Oren D, Jackson R, Lee H, Clerkin K, Maldonado A, Portera M, Habal M, Rothkopf A, Latif F, Fried J, Raikhelkar J, Yuzefpolskaya M, Colombo P, Restaino S, Lee S, Topkara V, Lytrivi I, Richmond M, Zuckerman W, Uriel N, Sayer G. Psychiatric Comorbidities in Pediatric HT Patients Transitioning to Adult Care. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Maldonado A, Oren D, Fried J, Raikhelkar J, Clerkin K, Latif F, Lotan D, Majure D, Naka Y, Koji T, Kaku Y, Yuzefpolskaya M, Colombo P, Sayer G, Topkara V, Uriel N. Outcomes of Patients Supported with Heartmate Three Left Ventricular Assist Device for More Than Two Years. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Marjanowski SD, Maldonado A, Schaller B, Burkhard JPM. [Pentoxifylline and tocopherol - The importance in the treatment of osteoradionecrosis - Literature review and case report]. Swiss Dent J 2021; 131:713-718. [PMID: 34472712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Osteoradionecrosis (ORN) is a serious complication after radiotherapy for head and neck cancer and is a challenging condition for both the therapist and the patient because of its difficult treatment. Different non-invasive approaches have been published for the treatment of low-grade ORN cases without establishing a standard regimen for treatment. Based on the approach of ORN pathogenesis, the so-called radiatio-induced fibroathrophic process (RIF), a new treatment concept with pentoxifylline and tocopherol (PENTO) has been published. The results of PENTO therapy seem promising as a conservative treatment approach for mild ORN or as an alternative when surgical intervention is not possible or desired. The present study summarizes the current state of the literature and shows the effectiveness of PENTO therapy based on a case report.
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Affiliation(s)
- Simon David Marjanowski
- Universitätsklinik für Schädel-, Kiefer- und Gesichtschirurgie, Inselspital, Universitätsspital Bern
| | - Alejandra Maldonado
- Universitätsklinik für Schädel-, Kiefer- und Gesichtschirurgie, Inselspital, Universitätsspital Bern
| | - Benoît Schaller
- Universitätsklinik für Schädel-, Kiefer- und Gesichtschirurgie, Inselspital, Universitätsspital Bern
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Schultze L, Maldonado A, Lussi A, Sculean A, Eick S. The Impact of the pH Value on Biofilm Formation. Oral Biofilms 2021; 29:19-29. [DOI: 10.1159/000510196] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 06/24/2020] [Indexed: 12/05/2022]
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Andrade-Silva B, Vilela R, Lopes-Torres E, Costa-Neto S, Maldonado A. Boehmiella wilsoni (Nematoda, Heligmosomoidea, Boehmiellidae fam. nov.), found in Amazonian rodents. Int J Parasitol Parasites Wildl 2020; 13:119-129. [PMID: 32995268 PMCID: PMC7508696 DOI: 10.1016/j.ijppaw.2020.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 08/17/2020] [Accepted: 08/17/2020] [Indexed: 11/27/2022]
Abstract
The genus Boehmiella was initially described as a member of the family Trichostrongylidae. Subsequently, it was assigned to the subfamily Haemonchinae in the family Haemonchidae. We analyzed parasites of spiny tree-rats, Mesomys hispidus, collected in the Amazon rainforest, which were identified as B. wilsoni based on integrative taxonomy. Using morphology, morphometry, and scanning electron microscopy (SEM), we added new data to the original description of the species. We also inferred phylogenetic hypotheses for its relationships within the Trichostrongylina, based on partial nuclear 18S and 28S rRNA genes, through Maximum Likelihood and Bayesian analyses. In conclusion, B. wilsoni does not belong to the family Haemonchidae, nor is it closely related to any other trichostrongylin family, and therefore, we propose the establishment of a new family, Boehmiellidae fam. nov., to which the genus Boehmiella is allocated. Helminth found in arboreal rodent of the Amazon region, with description of new host, new geographical distribution, new taxonomic data, and proposal of a new family to allocate the genus according to molecular and morphological analyses.
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Affiliation(s)
- B.E. Andrade-Silva
- Programa de Pós-graduação em Biologia Parasitária, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Brazil
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Brazil
| | - R.V. Vilela
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Brazil
- Corresponding author. Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Instituto Oswaldo Cruz, Av. Brasil 4365, Rio de Janeiro, RJ, 21040, Brazil.
| | - E.J. Lopes-Torres
- Laboratório de Helmintologia Romero Lascasas Porto, Departamento de Microbiologia, Imunologia EParasitologia, Faculdade de Ciências Médicas, Centro Biomédico, Universidade Do Estado Do Rio de Janeiro – UERJ, Brazil
| | - S.F. Costa-Neto
- Campus Fiocruz Mata Atlântica, Fundação Oswaldo Cruz – FIOCRUZ, Rio de Janeiro, RJ, Brazil
| | - A. Maldonado
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Brazil
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Arons MM, Barnes SR, Cheng R, Whittle K, Elsholz C, Bui D, Gilley S, Maldonado A, LaCross N, Sage K, Lewis N, McCaffrey K, Green J, Duncan J, Dunn AC. Examining the temporality of vitamin E acetate in illicit THC-containing e-cigarette, or vaping, products from a public health and law enforcement response to EVALI - Utah, 2018-2020. Int J Drug Policy 2020; 88:103026. [PMID: 33246266 DOI: 10.1016/j.drugpo.2020.103026] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 11/03/2020] [Accepted: 11/03/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND In the summer of 2019, e-cigarette, or vaping, product use-associated lung injury (EVALI) was detected in the United States. Multiple agencies reported illicit tetrahydrocannabinol (THC)-containing e-cigarette, or vaping, products containing vitamin E acetate (VEA) as a substance of concern. METHODS As an expansion of the Utah Department of Health's response to EVALI, the Utah Public Health Laboratory and the Utah Department of Public Safety screened 170 products from 96 seizures between October 2018 and January 2020. Using Pearson's correlation coefficient, we analyzed the temporal correlation of national, and Utah specific case counts, and the percentage of seizures indicating VEA by month. RESULTS The findings indicate strong and significant correlations between seizures indicating VEA and both the national (r = 0.70, p = 0.002) and Utah specific (r = 0.78, p < 0.001) case counts. CONCLUSION These findings underscore that VEA should not be added to e-cigarettes, or vaping, products and the importance of collaboration with law enforcement when responding to outbreaks associated with illicit substances.
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Affiliation(s)
- Melissa M Arons
- Epidemic Intelligence Service, Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention; Division of Global HIV and Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention, Atlanta Georgia
| | - Stephen R Barnes
- Utah Department of Health; National Foundation for the Centers for Disease Control and Prevention
| | | | | | - Christopher Elsholz
- State Bureau of Investigation, Major Crimes, Utah Department of Public Safety
| | - David Bui
- Epidemic Intelligence Service, Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention; Division of Environmental Health Science and Practice, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta Georgia
| | - Stephen Gilley
- Intelligence Division, Organized Crime, Utah Department of Public Safety
| | | | | | | | - Nathaniel Lewis
- Epidemic Intelligence Service, Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention; Utah Department of Health
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Augustyn A, Ludmir E, Patel R, Maldonado A, Bishop A, Chung C, Ghia A, McAleer M, McGovern S, Woodhouse K, Yeboa D, Briere T, Haydu L, Ferguson S, Guha-Thakurta N, Glitza I, Li J. Concurrent Immunotherapy and Stereotactic Radiosurgery for Patients with Melanoma Brain Metastases is not Associated with Increased Risk of Brain Radionecrosis. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Maldonado A, Pirracchio L, Imber JC, Bürgin W, Möller B, Sculean A, Eick S. Citrullination in periodontium is associated with Porphyromonas gingivalis. Arch Oral Biol 2020; 114:104695. [PMID: 32315811 DOI: 10.1016/j.archoralbio.2020.104695] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2019] [Revised: 02/19/2020] [Accepted: 03/03/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To analyse the citrulline level in the periodontium in association with the presence of or antibody levels against Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis. DESIGN Gingival crevicular fluid (GCF), subgingival biofilm and blood serum were sampled from 98 subjects (26 with RA, 72 without RA (NoRA)). GCF was analyzed for the level of citrulline, for interleukin (IL)-1β, IL-17, IL-10 and monocyte-chemoattractant protein (MCP)-1. Microorganisms were identified in subgingival biofilms. Antibodies againstP. gingivalis, and Aggregatibacter actinomycetemcomitans were quantified in serum. RESULTS GCF citrulline level was the lowest (by trend) in NoRA group without periodontitis. In NoRA, but not in RA an association between GCF citrulline level and P. gingivalis antibody levels was found and the GCF citrulline levels were higher in P. gingivalis positive samples. Any association of A. actinomycetemcomitans with GCF citrulline level did not exist. A model of univariate variance analysis (p = 0.001) showed a dependence of GCF citrulline level from the number of sites with PD (probing depth) ≥5 mm (p = 0.003) and the GCF MCP-1/CCL2 level (p = 0.019). Compared with NoRA in RA the number of teeth was lower, the number of sites with PD ≥ 5 mm was less, GCF levels of interleukin-17 and MCP-1/CCL2 were higher and those of IL-10 lower. Yeasts were only cultured in 15 RA patients (p < 0.001). CONCLUSION Citrullination in periodontium might be associated with P. gingivalis supporting the potential role as a trigger in the development of RA. Pathogenesis of periodontal disease in RA patients seems to differ from that in NoRA and should be investigated further.
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Affiliation(s)
- Alejandra Maldonado
- Department of Periodontology, University of Bern, School of Dental Medicine, Switzerland.
| | - Luca Pirracchio
- Department of Periodontology, University of Bern, School of Dental Medicine, Switzerland
| | - Jean-Claude Imber
- Department of Periodontology, University of Bern, School of Dental Medicine, Switzerland
| | - Walter Bürgin
- Ressort Research, University of Bern, School of Dental Medicine, Freiburgstrasse 7, 3010, Bern, Switzerland
| | - Burkhard Möller
- Clinic of Rheumatology, Immunology and Allergology, University Hospital Bern, Freiburgstrasse 15, 3010, Bern, Switzerland
| | - Anton Sculean
- Department of Periodontology, University of Bern, School of Dental Medicine, Switzerland
| | - Sigrun Eick
- Department of Periodontology, University of Bern, School of Dental Medicine, Switzerland
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Möller B, Bender P, Eick S, Kuchen S, Maldonado A, Potempa J, Reichenbach S, Sculean A, Schwenzer A, Villiger PM, Wong A, Midwood KS. Treatment of severe periodontitis may improve clinical disease activity in otherwise treatment-refractory rheumatoid arthritis patients. Rheumatology (Oxford) 2020; 59:243-245. [PMID: 31292632 PMCID: PMC9900607 DOI: 10.1093/rheumatology/kez287] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2019] [Indexed: 01/19/2023] Open
Affiliation(s)
- Burkhard Möller
- Department of Rheumatology, Immunology and Allergology, Inselpital – University Hospital Bern, Bern, Switzerland
| | - Philip Bender
- School of Dental Medicine, Department of Periodontology, University of Bern, Bern, Switzerland
| | - Sigrun Eick
- School of Dental Medicine, Department of Periodontology, University of Bern, Bern, Switzerland
| | - Stefan Kuchen
- Department of Rheumatology, Immunology and Allergology, Inselpital – University Hospital Bern, Bern, Switzerland
| | - Alejandra Maldonado
- School of Dental Medicine, Department of Periodontology, University of Bern, Bern, Switzerland
| | - Jan Potempa
- Department of Microbiology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Krakow, Poland
- Department of Oral Immunology and Infectious Diseases, University of Louisville School of Dentistry, Louisville, KY, USA
| | - Stephan Reichenbach
- Department of Rheumatology, Immunology and Allergology, Inselpital – University Hospital Bern, Bern, Switzerland
| | - Anton Sculean
- School of Dental Medicine, Department of Periodontology, University of Bern, Bern, Switzerland
| | - Anja Schwenzer
- Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK
| | - Peter M Villiger
- Department of Rheumatology, Immunology and Allergology, Inselpital – University Hospital Bern, Bern, Switzerland
| | - Alicia Wong
- Department of Oral Immunology and Infectious Diseases, University of Louisville School of Dentistry, Louisville, KY, USA
- Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK
| | - Kim S Midwood
- Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK
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Lewis N, McCaffrey K, Sage K, Cheng CJ, Green J, Goldstein L, Campbell H, Ferrell D, Malan N, LaCross N, Maldonado A, Board A, Hanchey A, Harris D, Callahan S, Aberegg S, Risk I, Willardson S, Carter A, Nakashima A, Duncan J, Burnett C, Atkinson-Dunn R, Dunn A. E-cigarette Use, or Vaping, Practices and Characteristics Among Persons with Associated Lung Injury - Utah, April-October 2019. MMWR Morb Mortal Wkly Rep 2019; 68:953-956. [PMID: 31647788 PMCID: PMC6812834 DOI: 10.15585/mmwr.mm6842e1] [Citation(s) in RCA: 57] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Laugisch O, Johnen A, Maldonado A, Ehmke B, Bürgin W, Olsen I, Potempa J, Sculean A, Duning T, Eick S. Periodontal Pathogens and Associated Intrathecal Antibodies in Early Stages of Alzheimer's Disease. J Alzheimers Dis 2019; 66:105-114. [PMID: 30223397 DOI: 10.3233/jad-180620] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND Recent studies suggest a link between periodontitis and Alzheimer's disease (AD). OBJECTIVE Verification of the presence of periodontal pathogens and the intrathecal generation of pathogen-specific antibodies in 20 patients with AD and 20 with other forms of dementia (DEM-noAD). METHODS Clinical periodontal indices were recorded. Cerebrospinal fluid (CSF) was analyzed for total tau protein (T-tau) and amyloid-β (Aβ1-42). In serum and CSF, antibody levels against Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, and Treponema species were quantified. The presence of selected bacteria and inflammatory biomarkers were determined in periodontium, serum, and CSF. RESULTS In line with diagnoses, CSF-levels of Aβ1-42 were significantly lower in AD than DEM-noAD patients. Periodontal destruction and inflammation were omnipresent with no difference between groups. P. gingivalis, T. forsythia, and Treponema species were detected in more than 50% of subgingival biofilm samples, but neither in serum nor in the CSF. Elevated levels of anti-pathogen antibodies in CSF of 16 patients (7 AD; 9 DEM-noAD) compared to serum highlight a possibility of the intrathecal immune response to pathogens. There was no significant difference in antibodies levels against selected bacteria in CSF and serum between groups. Multivariate regression analysis and general linear models revealed an association of the T-tau level in AD group with both serum levels of anti-P. gingivalis antibodies and MCP-1/CCL-2. CONCLUSION Periodontal pathogens may enter the brain and stimulate a local immune response. However, in patients with dementia at the age up to 70 years, periodontal pathogens do not act as a trigger for developing AD.
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Affiliation(s)
- Oliver Laugisch
- Department of Periodontology, School of Dental Medicine, University of Muenster, Germany.,Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
| | - Andreas Johnen
- Department of Neurology, University Hospital Muenster (UKM), University of Muenster, Germany
| | - Alejandra Maldonado
- Department of Periodontology, School of Dental Medicine, University of Bern, Switzerland
| | - Benjamin Ehmke
- Department of Periodontology, School of Dental Medicine, University of Muenster, Germany
| | - Walter Bürgin
- Research section, School of Dental Medicine, University of Bern, Switzerland
| | - Ingar Olsen
- Department of Oral Biology, Faculty of Dentistry, University of Oslo, Norway
| | - Jan Potempa
- Department of Microbiology, Faculty of Biochemistry, Biophysics, and Biotechnology, Jagiellonian University, Krakow, Poland.,Department of Oral Immunology and Infectious Diseases, School of Dentistry, University of Louisville, Louisville, KY, USA
| | - Anton Sculean
- Department of Periodontology, School of Dental Medicine, University of Bern, Switzerland
| | - Thomas Duning
- Department of Neurology, University Hospital Muenster (UKM), University of Muenster, Germany
| | - Sigrun Eick
- Department of Periodontology, School of Dental Medicine, University of Bern, Switzerland
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Opacic J, Maldonado A, Ramseier CA, Laugisch O. [Influence of periodontitis on pregnancy and childbirth]. Swiss Dent J 2019; 129:581–589. [PMID: 31271020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
For two decades, in periodontology, the effects of periodontal disease on pregnancy, low birth weight or premature birth have been investigated. Even hypertensive diseases during pregnancy have an influence on pregnancy possibly leading to the death of the untreated mother. Due to the stable increase in birth rates,in addition to women’s employment and careers, this topic has become more relevant in dentistry than ever before. Rates of prematurity and reduced birth weight are both increasing worldwide and are the main cause of neonatal morbidity and mortality. The need for action regarding the prevention, education and health care of pregnant women is given worldwide. This article first gives an overview of the topic and further discusses the necessary interdisciplinary gynecological and dental therapy. In the daily practice, dentists will be able to make a small but not insignificant contribution to improving the situation of affected women and their children.
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Affiliation(s)
- Jasmina Opacic
- Klinik für Parodontologie, Zahnmedizinische Kliniken der Universität Bern
| | | | | | - Oliver Laugisch
- Klinik für Parodontologie, Medizinisches Zentrum für Zahn-, Mund- und Kieferheilkunde der Philipps-Universität, Marburg, Deutschland
- Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
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León-Maldonado L, Cabral A, Brown B, Ryan GW, Maldonado A, Salmerón J, Allen-Leigh B, Lazcano-Ponce E. Feasibility of a combined strategy of HPV vaccination and screening in Mexico: the FASTER-Tlalpan study experience. Hum Vaccin Immunother 2019; 15:1986-1994. [PMID: 31184976 DOI: 10.1080/21645515.2019.1619401] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
There has been a noticeable shift in discussions about cervical cancer, moving from prevention to elimination. Interventions such as FASTER, human papillomavirus (HPV) vaccination and HPV screening are innovative intervention strategies which can be utilized to begin a path to elimination. To explore the feasibility of the FASTER strategy, an evaluation was carried out in eight primary health-care centers within the Tlalpan Health-Jurisdiction of Mexico City between March 2017 and August 2018. A mixed methods approach was used to evaluate three components: infrastructure, patient acceptability, and health-care professionals' perceptions. This included checklists of requirements for the infrastructure rollout of FASTER and interviews with women and health-care professionals. Nearly all (93%) of the 3,474 women aged 25-45 years accepted HPV vaccination as part of a combined vaccination and screening program. The main reason for acceptance was prevention, while having doubts about the vaccine's benefits was the main reason for refusal. Most of the 24 health-care professionals had a positive opinion toward HPV vaccination and identified the need to increase dissemination, inform the population clearly and concisely and currently extend the age range for vaccination. The evaluation of eight primary health-care centers showed they had the necessary infrastructure for the development of a joint HPV prevention strategy, but many centers required improvements to become more efficient. Together these findings suggest that although HPV vaccine acceptance was high, there is the need to increase education and awareness among potential vaccine recipients and health-care professionals to implement the FASTER strategy.
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Affiliation(s)
- L León-Maldonado
- a Cátedra CONACYT- Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública , Cuernavaca , Morelos , México.,b Centro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Autónoma de México , Ciudad de México , México
| | - A Cabral
- c Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública , Cuernavaca , Morelos , México
| | - B Brown
- d Center for Healthy Communities, Department of Social Medicine, Population and Public Health. University of California, Riverside School of Medicine , Riverside , CA , USA
| | - G W Ryan
- e Department of Community and Behavioral Health, University of Iowa College of Public Health. Riverside Dr ., Iowa City , LA , USA
| | - A Maldonado
- f Dirección de Salud Reproductiva, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública , Cuernavaca , Morelos , México
| | - J Salmerón
- b Centro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Autónoma de México , Ciudad de México , México
| | - B Allen-Leigh
- f Dirección de Salud Reproductiva, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública , Cuernavaca , Morelos , México
| | - E Lazcano-Ponce
- g Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública , Cuernavaca , Morelos , México
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Lopes-Torres E, Girard-Dias W, Mello W, Simões R, Pinto I, Maldonado A, De Souza W, Miranda K. Taxonomy of Physaloptera mirandai (Nematoda: Physalopteroidea) based in three-dimensional microscopy and phylogenetic positioning. Acta Trop 2019; 195:115-126. [PMID: 31039334 DOI: 10.1016/j.actatropica.2019.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 02/08/2019] [Accepted: 04/01/2019] [Indexed: 02/05/2023]
Abstract
Gastrointestinal nematodes are important ecological assets for the maintenance of the biodiversity in the Atlantic Forest in Brazil. They parasitize a number of animals of the local fauna, in which some species can promote serious injuries in the stomach wall of their hosts, which may lead to death. Among these nematodes, parasites of the genus Physaloptera are known to parasitize mammals (particularly carnivores and small rodents), birds and reptiles, being important for the local biodiversity. In this work, three hundred and sixty-two nematodes were recovered from the stomach of twenty-one Metachirus nudicaudatus (Didelphimorphia: Didelphidae) collected in Duas Bocas Biological Reserve, State of Espírito Santo, one of the largest Atlantic Forest remnants and important wildlife refuge of the Atlantic Forest in Brazil. Analysis using fluorescence and scanning electron microscopy as well as phylogenetic assessment using the mitochondrial cytochrome c oxidase subunit I gene showed that the parasites belong to the Physaloptera. Our results show details of the nematode morphology including the cloacal papillae distribution, cuticular topography details, 2D and 3D measurements of the structures with taxonomic importance. Molecular data confirmed the validity of P. mirandai and the phylogeny supported the monophyly of the assemblage formed by Physaloptera and Turgida. The use of a combination of quantitative and multidimensional microscopy tools, such as 3D reconstruction and modeling, allied to phylogenetic analysis may provide grounds for a new approach on helminth taxonomy and structural characterization.
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Aguiar F, Solarte A, Tarradas C, Gómez‐Gascón L, Astorga R, Maldonado A, Huerta B. Combined effect of conventional antimicrobials with essential oils and their main components against resistant
Streptococcus suis
strains. Lett Appl Microbiol 2019; 68:562-572. [DOI: 10.1111/lam.13151] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 03/07/2019] [Accepted: 03/07/2019] [Indexed: 02/06/2023]
Affiliation(s)
- F.C. Aguiar
- Departamento de Sanidad Animal Universidad de Córdoba International Excellence Agrifood Campus ‘CeiA3’ Córdoba Spain
| | - A.L. Solarte
- Departamento de Sanidad Animal Universidad de Córdoba International Excellence Agrifood Campus ‘CeiA3’ Córdoba Spain
- Medicine Faculty University Cooperative of Colombia Pasto Colombia
| | - C. Tarradas
- Departamento de Sanidad Animal Universidad de Córdoba International Excellence Agrifood Campus ‘CeiA3’ Córdoba Spain
| | - L. Gómez‐Gascón
- Departamento de Sanidad Animal Universidad de Córdoba International Excellence Agrifood Campus ‘CeiA3’ Córdoba Spain
| | - R. Astorga
- Departamento de Sanidad Animal Universidad de Córdoba International Excellence Agrifood Campus ‘CeiA3’ Córdoba Spain
| | - A. Maldonado
- Departamento de Sanidad Animal Universidad de Córdoba International Excellence Agrifood Campus ‘CeiA3’ Córdoba Spain
| | - B. Huerta
- Departamento de Sanidad Animal Universidad de Córdoba International Excellence Agrifood Campus ‘CeiA3’ Córdoba Spain
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Muñiz-Hernández S, Ramírez-Tirado L, Maldonado A, Hernandez-Cueto D, Baay-Guzman G, Huerta-Yepez S, Arrieta O. P2.06-26 Ribonucleotide Reductase Subunit M1 but not M2 is Associated to Better PFS in Patients with Advanced Stage Mesothelioma. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Morales-Partera A, Cardoso-Toset F, Luque I, Astorga R, Maldonado A, Herrera-León S, Hernández M, Gómez-Laguna J, Tarradas C. Prevalence and diversity of Salmonella spp., Campylobacter spp., and Listeria monocytogenes in two free-range pig slaughterhouses. Food Control 2018. [DOI: 10.1016/j.foodcont.2018.04.053] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Couñago F, Artigas C, Sancho G, Gómez-Iturriaga A, Gómez-Caamaño A, Maldonado A, Caballero B, López-Campos F, Recio M, Del Cerro E, Henríquez I. Importance of 68Ga-PSMA PET/CT in hospital practice. View of the radiation oncologist. Rev Esp Med Nucl Imagen Mol 2018; 37:302-314. [PMID: 30139594 DOI: 10.1016/j.remn.2018.07.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 07/09/2018] [Accepted: 07/12/2018] [Indexed: 12/19/2022]
Abstract
Radiotherapy is a treatment with curative intent, both in patients with primary diagnosis of prostate cancer (PCa) and in patients presenting with biochemical recurrence after radical prostatectomy (RP). Moreover, the use of stereotactic body radiotherapy as a metastasis directed therapy in patients with oligometastatic PCa has significantly increased in the recent years. Conventional imaging techniques, including transrectal ultrasound, computed tomography (CT), morphologic magnetic resonance and bone scintigraphy have traditionally played a minor role in all those clinical scenarios due to its low diagnostic accuracy. The recent development of the positron emission tomography (PET) radiotracer 68Ga-PSMA binding to the prostate specific membrane antigen (PSMA), a transmembrane glycoprotein overexpressed in PCa cells, has shown promising results. Detection rates for PCa lesions are higher than CT and higher than the best technique available, the PET/CT with choline. Its superiority has been demonstrated even at very low PSA levels (<1 ng/ml). This increase in diagnostic accuracy represents a potential impact on patient management, especially in radiotherapy. Even if this imaging technique is already available for routine clinical practice in some European countries, in Spain, unfortunately, there is very limited access. In this review, we analyze the main studies that investigate the usefulness of 68Ga-PSMA PET/CT in patients with PCa and its potential impact on radiotherapy treatments. In addition, we compared the 68Ga-PSMA PET/CT, with the multiparametric magnetic resonance imaging and the PET/CT with choline, in the different clinical scenarios.
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Affiliation(s)
- F Couñago
- Departamento de Oncología Radioterápica, Hospital Universitario Quirónsalud Madrid, Hospital La Luz, Universidad Europea de Madrid, Madrid, España.
| | - C Artigas
- Departamento de Medicina Nuclear y Terapias Metabólicas, Jules Bordet Institute, Bruselas, Bélgica
| | - G Sancho
- Departamento de Oncología Radioterápica, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España
| | - A Gómez-Iturriaga
- Departamento de Oncología Radioterápica, Hospital Universitario Cruces, Biocruces Health Research Institute, Barakaldo, España
| | - A Gómez-Caamaño
- Departamento de Oncología Radioterápica, Complexo Hospitalario Universitario Santiago de Compostela, La Coruña, España
| | - A Maldonado
- Departamento de Medicina Nuclear, Hospital Universitario Quirónsalud, Madrid, España
| | - B Caballero
- Departamento de Oncología Radioterápica, Hospital Universitario de Fuenlabrada, Madrid, España
| | - F López-Campos
- Departamento de Oncología Radioterápica, Hospital Universitario Ramón y Cajal, Madrid, España
| | - M Recio
- Departamento de Radiología, Hospital Universitario Quirónsalud, Madrid, España
| | - E Del Cerro
- Departamento de Oncología Radioterápica, Hospital Universitario Quirónsalud Madrid, Hospital La Luz, Universidad Europea de Madrid, Madrid, España
| | - I Henríquez
- Departamento de Oncología Radioterápica, Hospital Universitario de Sant Joan, Institute d'Investigació Sanitària Pere Virgili (IISPV), Reus, España
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Maldonado A, Laugisch O, Bürgin W, Sculean A, Eick S. Clinical periodontal variables in patients with and without dementia—a systematic review and meta-analysis. Clin Oral Investig 2018; 22:2463-2474. [DOI: 10.1007/s00784-018-2523-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Accepted: 06/11/2018] [Indexed: 12/13/2022]
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Barrero Domínguez B, Luque I, Maldonado A, Huerta B, Sánchez M, Gomez Laguna J, Astorga R. Seroprevalence and risk factors of exposure to caprine arthritis-encephalitis virus in southern Spain. Vet Rec 2017; 180:226. [DOI: 10.1136/vr.104014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/21/2016] [Indexed: 11/04/2022]
Affiliation(s)
| | - I. Luque
- Department of Animal Health; University of Cordoba; Cordoba Spain
| | - A. Maldonado
- Department of Animal Health; University of Cordoba; Cordoba Spain
| | - B. Huerta
- Department of Animal Health; University of Cordoba; Cordoba Spain
| | - M. Sánchez
- Department of Animal Production; University of Cordoba; Cordoba Spain
| | - J. Gomez Laguna
- Department of Anatomy and Comparative Pathology; University of Cordoba; Cordoba Spain
| | - R. Astorga
- Department of Animal Health; University of Cordoba; Cordoba Spain
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Chakraborty J, Collins TW, Grineski SE, Maldonado A. Racial Differences in Perceptions of Air Pollution Health Risk: Does Environmental Exposure Matter? Int J Environ Res Public Health 2017; 14:ijerph14020116. [PMID: 28125059 PMCID: PMC5334670 DOI: 10.3390/ijerph14020116] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Revised: 01/14/2017] [Accepted: 01/18/2017] [Indexed: 11/16/2022]
Abstract
This article extends environmental risk perception research by exploring how potential health risk from exposure to industrial and vehicular air pollutants, as well as other contextual and socio-demographic factors, influence racial/ethnic differences in air pollution health risk perception. Our study site is the Greater Houston metropolitan area, Texas, USA—a racially/ethnically diverse area facing high levels of exposure to pollutants from both industrial and transportation sources. We integrate primary household-level survey data with estimates of excess cancer risk from ambient exposure to industrial and on-road mobile source emissions of air toxics obtained from the U.S. Environmental Protection Agency. Statistical analysis is based on multivariate generalized estimation equation models which account for geographic clustering of surveyed households. Our results reveal significantly higher risk perceptions for non-Hispanic Black residents and those exposed to greater cancer risk from industrial pollutants, and also indicate that gender influences the relationship between race/ethnicity and air pollution risk perception. These findings highlight the need to incorporate measures of environmental health risk exposure in future analysis of social disparities in risk perception.
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Affiliation(s)
- Jayajit Chakraborty
- Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX 79968, USA.
| | - Timothy W Collins
- Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX 79968, USA.
| | - Sara E Grineski
- Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX 79968, USA.
| | - Alejandra Maldonado
- Department of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX 79968, USA.
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Adrien V, Rayan G, Reffay M, Porcar L, Maldonado A, Ducruix A, Urbach W, Taulier N. Characterization of a Biomimetic Mesophase Composed of Nonionic Surfactants and an Aqueous Solvent. Langmuir 2016; 32:10268-10275. [PMID: 27618561 DOI: 10.1021/acs.langmuir.6b02744] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We have investigated the physical and biomimetic properties of a sponge (L3) phase composed of pentaethylene glycol monododecyl ether (C12E5), a nonionic surfactant, an aqueous solvent, and a cosurfactant. The following cosurfactants, commonly used for solubilizing membrane proteins, were incorporated: n-octyl-β-d-glucopyranoside (β-OG), n-dodecyl-β-d-maltopyranoside (DDM), 4-cyclohexyl-1-butyl-β-d-maltoside (CYMAL-4), and 5-cyclohexyl-1-pentyl-β-d-maltoside (CYMAL-5). Partial phase diagrams of these systems were created. The L3 phase was characterized using crossed polarizers, diffusion of a fluorescent probe by fluorescence recovery after pattern photobleaching (FRAPP), and freeze fracture electron microscopy (FFEM). By varying the hydration of the phase, we were able to tune the distance between adjacent bilayers. The characteristic distance (db) of the phase was obtained from small angle scattering (SAXS/SANS) as well as from FFEM, which yielded complementary db values. These db values were neither affected by the nature of the cosurfactant nor by the addition of membrane proteins. These findings illustrate that a biomimetic surfactant sponge phase can be created in the presence of several common membrane protein-solubilizing detergents, thus making it a versatile medium for membrane protein studies.
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Affiliation(s)
- V Adrien
- Laboratoire de Physique Statistique, Ecole Normale Supérieure, PSL Research University; Université Paris Diderot Sorbonne Paris Cité; Sorbonne Universités UPMC Univ Paris 06, CNRS, 24 rue Lhomond, 75005 Paris, France
- Univ Paris Descartes, Sorbonne Paris Cité. Laboratoire de Cristallographie et RMN Biologiques, CNRS UMR 8015, Paris, France
| | - G Rayan
- Laboratoire de Physique Statistique, Ecole Normale Supérieure, PSL Research University; Université Paris Diderot Sorbonne Paris Cité; Sorbonne Universités UPMC Univ Paris 06, CNRS, 24 rue Lhomond, 75005 Paris, France
| | - M Reffay
- Laboratoire de Physique Statistique, Ecole Normale Supérieure, PSL Research University; Université Paris Diderot Sorbonne Paris Cité; Sorbonne Universités UPMC Univ Paris 06, CNRS, 24 rue Lhomond, 75005 Paris, France
| | - L Porcar
- Institut Laue-Langevin, 71 avenue des Martyrs, CS 20156, 38042 Grenoble Cedex 9, France
| | - A Maldonado
- Departamento de Física, Universidad de Sonora , Apdo Postal 1626, 83000 Hermosillo, Sonora Mexico
| | - A Ducruix
- Univ Paris Descartes, Sorbonne Paris Cité. Laboratoire de Cristallographie et RMN Biologiques, CNRS UMR 8015, Paris, France
| | - W Urbach
- Laboratoire de Physique Statistique, Ecole Normale Supérieure, PSL Research University; Université Paris Diderot Sorbonne Paris Cité; Sorbonne Universités UPMC Univ Paris 06, CNRS, 24 rue Lhomond, 75005 Paris, France
- Sorbonne Universités, UPMC Univ Paris 06, CNRS, INSERM, Laboratoire d'Imagerie Biomédicale, F-75006, Paris, France
| | - N Taulier
- Sorbonne Universités, UPMC Univ Paris 06, CNRS, INSERM, Laboratoire d'Imagerie Biomédicale, F-75006, Paris, France
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Maldonado A, Blanzari JN, Asbert P, Albiero JA, Gobbi C, Albiero E, Alba P. [Medium vessel vasculitis in Systemic Lupus Erythematosus]. Rev Fac Cien Med Univ Nac Cordoba 2016; 73:50-52. [PMID: 27419897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Affiliation(s)
- A Maldonado
- Servicio Reumatología. Hospital Córdoba. Cátedra de Medicina I. UHMI 3. Universidad Nacional de Córdoba. Servicio de Dermatología. Clínica Reina Fabiola. Universidad Católica de Córdoba
| | - J N Blanzari
- Servicio Reumatología. Hospital Córdoba. Cátedra de Medicina I. UHMI 3. Universidad Nacional de Córdoba. Servicio de Dermatología. Clínica Reina Fabiola. Universidad Católica de Córdoba
| | - P Asbert
- Servicio Reumatología. Hospital Córdoba. Cátedra de Medicina I. UHMI 3. Universidad Nacional de Córdoba. Servicio de Dermatología. Clínica Reina Fabiola. Universidad Católica de Córdoba
| | - J A Albiero
- Servicio Reumatología. Hospital Córdoba. Cátedra de Medicina I. UHMI 3. Universidad Nacional de Córdoba. Servicio de Dermatología. Clínica Reina Fabiola. Universidad Católica de Córdoba
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Soto Méndez M, Maldonado A, Bright R, Gil A, Solomons N. Short-term oral liquid ingestion decreases human milk osmolality. NUTR HOSP 2015; 32 Suppl 2:10343. [PMID: 26615312 DOI: 10.3305/nh.2015.32.sup2.10343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Affiliation(s)
- Mj Soto Méndez
- Center for Studies of Sensory Impairment, Aging and Metabolism (CeSSIAM). Guatemala City. Republic of Guatemala. Department of Biochemistry and Molecular Biology II. Institute of Nutrition and Food Technology. University of Granada. Granada. Spain
| | - A Maldonado
- Center for Studies of Sensory Impairment, Aging and Metabolism (CeSSIAM). Guatemala City. Republic of Guatemala
| | - R Bright
- Tufts University School of Medicine. Boston. MA. USA
| | - A Gil
- Department of Biochemistry and Molecular Biology II. Institute of Nutrition and Food Technology. University of Granada. Granada. Spain
| | - Nw Solomons
- Center for Studies of Sensory Impairment, Aging and Metabolism (CeSSIAM). Guatemala City. Republic of Guatemala
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Burgunder L, Scieszka L, Soto‐Mendez MJ, Maldonado A, Solomons N. Osmolality values of previously frozen human milk from Guatemalan mothers: Effects of temperature range for thawing and of storage duration. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.583.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Lauren Burgunder
- NutritionResearch Center for Studies of Sensory Impairment, Aging and MetabolismGuatemala CityGuatemala
| | - Laura Scieszka
- NutritionResearch Center for Studies of Sensory Impairment, Aging and MetabolismGuatemala CityGuatemala
| | - Maria J. Soto‐Mendez
- NutritionResearch Center for Studies of Sensory Impairment, Aging and MetabolismGuatemala CityGuatemala
| | - Alejandra Maldonado
- NutritionResearch Center for Studies of Sensory Impairment, Aging and MetabolismGuatemala CityGuatemala
| | - Noel Solomons
- NutritionResearch Center for Studies of Sensory Impairment, Aging and MetabolismGuatemala CityGuatemala
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Soto Mendez M, Maldonado A, Burgunder L, Scieszka L, Gil A, Solomons N. Milk Osmolality and Body Hydration Status in Lactating Mothers from the Western Highlands of Guatemala. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.583.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Maria Soto Mendez
- NutritionResearch Center for Studies of Sensory Impairment Aging and MetabolismGuatemalaGuatemalaGuatemala
- Biochemistry and Molecular Biology IIUniversidad de GranadaGranadaGranadaSpain
| | - Alejandra Maldonado
- NutritionResearch Center for Studies of Sensory Impairment Aging and MetabolismGuatemalaGuatemalaGuatemala
| | - Lauren Burgunder
- NutritionResearch Center for Studies of Sensory Impairment Aging and MetabolismGuatemalaGuatemalaGuatemala
| | - Laura Scieszka
- NutritionResearch Center for Studies of Sensory Impairment Aging and MetabolismGuatemalaGuatemalaGuatemala
| | - Angel Gil
- Biochemistry and Molecular Biology IIUniversidad de GranadaGranadaGranadaSpain
| | - Noel Solomons
- NutritionResearch Center for Studies of Sensory Impairment Aging and MetabolismGuatemalaGuatemalaGuatemala
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de Luis DA, Ballesteros M, Lopez Guzman A, Ruiz E, Muñoz C, Penacho MA, Iglesias P, Maldonado A, San Martin L, Izaola O, Delgado M. Polymorphism G1359A of the cannabinoid receptor gene (CNR1): allelic frequencies and influence on cardiovascular risk factors in a multicentre study of Castilla-Leon. J Hum Nutr Diet 2015; 29:112-7. [PMID: 25682784 DOI: 10.1111/jhn.12297] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
BACKGROUND A polymorphism (1359 G/A) of the CNR1 gene was reported as a common polymorphism in Caucasian populations and was related to cardiovascular risk factors. The present study aimed to investigate the allelic distribution of polymorphism (G1359A) of the CB1 receptor gene in a geographical area of Spain (Community of Castilla y Leon) and to evaluate the influence of this polymorphism on obesity anthropometric parameters and cardiovascular risk factors in the fasted state in obese patients. METHODS A population of 341 obese subjects was analysed. Tetrapolar electrical bioimpedance measurement, blood pressure measurement, a serial assessment of nutritional intake with 3 days of written food records and a biochemical analysis were all performed. RESULTS One hundred and seventy-seven patients (51.9%) had the genotype G1359G (wild-type group) and 164 (48.1%) patients were A carriers: G1359A (136 patients; 39.9%) or A1359A (28 patients; 8.2%) (mutant type group). The Health Area of Palencia had a lower frequency of wild-type genotype and G allelic frequency than all the other Health Areas. Segovia and Burgos Areas had a higher frequency of wild-type genotype and G allelic frequency than the other Health Areas. High-density lipoprotein (HDL) cholesterol was higher in the mutant type group and blood tryglicerides were lower in the same group. CONCLUSIONS In conclusion, the novel finding of the present study is the association of the mutant type group G1359A and A1359A with a better lipid profile (triglycerides and HDL cholesterol) than the wild-type group. The frequencies of this polymorphism are different among Health Areas of Castilla y Leon (Spain).
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Affiliation(s)
- D A de Luis
- Group of Nutrition of SCLEDYN.,Department Endocrinology and Nutrition Hª Clinico Universitario, University of Valladolid, Valladolid, Spain
| | | | | | - E Ruiz
- Group of Nutrition of SCLEDYN
| | - C Muñoz
- Group of Nutrition of SCLEDYN
| | | | | | | | | | - O Izaola
- Group of Nutrition of SCLEDYN.,Department Endocrinology and Nutrition Hª Clinico Universitario, University of Valladolid, Valladolid, Spain
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Hoermann M, Rebellato L, Everly M, Reyes N, Dieplinger G, Maldonado A, Briley K, Bolin P, Kendrick W, Kendrick S, Morgan C, Haisch C, Harland R, Terasaki P. Incidence and Impact of Anti-HLA-DP-Antibodies in Renal Transplantation. Transplantation 2014. [DOI: 10.1097/00007890-201407151-00260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Cordovilla-Guardia S, Guerrero-López F, Maldonado A, Vilar-López R, Salmerón JM, Romero I, Pose S, Fernández-Modéjar E. Trauma risk perception related to alcohol, cannabis, and cocaine intake. Eur J Trauma Emerg Surg 2014; 40:693-9. [PMID: 26814784 DOI: 10.1007/s00068-014-0384-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Accepted: 01/28/2014] [Indexed: 11/28/2022]
Abstract
OBJECTIVE A high perception of risk may exert a preventive effect against the initiation of risky activities. The aims of the present study were (1) to analyze the risk perception for traumatic incidents according to drug intake (alcohol, cannabis, cocaine, no consumption) by trauma patients admitted to our hospital, and (2) to explore the influence of drugs on trauma recidivism. METHODS Between 1 November 2011 and 1 April 2012, 404 patients aged between 16 and 70 years were admitted to our hospital for trauma cases. In 363 (89.9 %) of the patients, data were gathered on age, the trauma mechanism, and the consumption of alcohol and other drugs. Out of these 363 patients, 286 (78.8 %) attended a motivational interview and reported their consumption habits and their perception of the risk of trauma after alcohol and/or illegal drug consumption, as well as the antecedents of previous traumatisms. RESULTS Alcohol and/or illegal drugs were detected in 37 % of the sample, with alcohol being the most frequently detected, followed by cannabis, cocaine, and other drugs. Among the trauma patients with no consumption, a high perception of trauma risk was associated with alcohol intake by 95.9 %, with cannabis consumption by 68.4 %, and with cocaine consumption by 53.4 %, whereas these percentages were significantly lower for patients testing positive for substances (79.3, 21.1, and 8.3 % respectively). Among the patients experiencing their first trauma, the mean age was almost 15 years younger in those who were positive for these substances than in those who were negative (p < 0.001). Finally, a history of previous trauma was reported by a majority (64 %) of the trauma patients testing positive for alcohol and/or drugs, but by a minority (36 %) of those testing negative (p < 0.001). CONCLUSIONS The low perception of risk associated with alcohol, cannabis, or cocaine consumption by trauma patients under the influence of these substances on admission may be a predisposing factor for recidivism. Recommendations for both primary and secondary prevention are presented.
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Affiliation(s)
- S Cordovilla-Guardia
- Intensive Care Unit, Critical Care and Emergency Department, Virgen de las Nieves University Hospital, 18200, Granada, Spain
| | - F Guerrero-López
- Intensive Care Unit, Critical Care and Emergency Department, Virgen de las Nieves University Hospital, 18200, Granada, Spain
| | - A Maldonado
- Experimental Psychology Department, University of Granada, Granada, Spain
- Mind, Brain, and Behavior Research Centre, Granada, Spain
| | - R Vilar-López
- Mind, Brain, and Behavior Research Centre, Granada, Spain
- Department of Clinical Psychology, University of Granada, Granada, Spain
| | - J M Salmerón
- Intensive Care Unit, Critical Care and Emergency Department, Virgen de las Nieves University Hospital, 18200, Granada, Spain
| | - I Romero
- Intensive Care Unit, Critical Care and Emergency Department, Virgen de las Nieves University Hospital, 18200, Granada, Spain
| | - S Pose
- Department of Clinical Psychology, University of Granada, Granada, Spain
| | - E Fernández-Modéjar
- Intensive Care Unit, Critical Care and Emergency Department, Virgen de las Nieves University Hospital, 18200, Granada, Spain.
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Astorga Márquez RJ, Carvajal A, Maldonado A, Gordon SV, Salas R, Gómez-Guillamón F, Sánchez-Baro A, López-Sebastián A, Santiago-Moreno J. Influence of cohabitation between domestic goat (Capra aegagrus hircus) and Iberian ibex (Capra pyrenaica hispanica) on seroprevalence of infectious diseases. EUR J WILDLIFE RES 2013. [DOI: 10.1007/s10344-013-0785-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Astorga RJ, Reguillo L, Hernández M, Cardoso-Toset F, Tarradas C, Maldonado A, Gómez-Laguna J. Serosurvey on Schmallenberg Virus and Selected Ovine Reproductive Pathogens in Culled Ewes From Southern Spain. Transbound Emerg Dis 2013; 61:4-11. [DOI: 10.1111/tbed.12188] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Indexed: 11/27/2022]
Affiliation(s)
- R. J. Astorga
- Animal Health Department; Veterinary Faculty; University of Cordoba; Campus Universitario de Rabanales; Agrifood Campus of International Excellence; Córdoba Spain
| | - L. Reguillo
- Animal Health Department; Veterinary Faculty; University of Cordoba; Campus Universitario de Rabanales; Agrifood Campus of International Excellence; Córdoba Spain
| | | | - F. Cardoso-Toset
- Animal Health Department; Veterinary Faculty; University of Cordoba; Campus Universitario de Rabanales; Agrifood Campus of International Excellence; Córdoba Spain
- CICAP - Agrifood Research Centre; Córdoba Spain
| | - C. Tarradas
- Animal Health Department; Veterinary Faculty; University of Cordoba; Campus Universitario de Rabanales; Agrifood Campus of International Excellence; Córdoba Spain
| | - A. Maldonado
- Animal Health Department; Veterinary Faculty; University of Cordoba; Campus Universitario de Rabanales; Agrifood Campus of International Excellence; Córdoba Spain
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Müller S, Garcia-Retamero R, Galesic M, Maldonado A. The impact of domain-specific beliefs on decisions and causal judgments. Acta Psychol (Amst) 2013; 144:472-80. [PMID: 24076330 DOI: 10.1016/j.actpsy.2013.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2012] [Revised: 07/31/2013] [Accepted: 08/15/2013] [Indexed: 10/26/2022] Open
Abstract
Extensive evidence suggests that people often rely on their causal beliefs in their decisions and causal judgments. To date, however, there is a dearth of research comparing the impact of causal beliefs in different domains. We conducted two experiments to map the influence of domain-specific causal beliefs on the evaluation of empirical evidence when making decisions and subsequent causal judgments. Participants made 120 decisions in a two-alternative forced-choice task, framed in either a medical or a financial domain. Before each decision, participants could actively search for information about the outcome ("occurrence of a disease" or "decrease in a company's share price") on the basis of four cues. To analyze the strength of causal beliefs, we set two cues to have a generative relation to the outcome and two to have a preventive relation to the outcome. To examine the influence of empirical evidence, we manipulated the predictive power (i.e., cue validities) of the cues. Both experiments included a validity switch, where the four selectable cues switched from high to low validity or vice versa. Participants had to make a causal judgment about each cue before and after the validity switch. In the medical domain, participants stuck to the causal information in causal judgments, even when evidence was contradictory, while decisions showed an effect of both empirical and causal information. In contrast, in the financial domain, participants mainly adapted their decisions and judgments to the cue validities. We conclude that the strength of causal beliefs (1) is shaped by the domain, and (2) has a differential influence on the degree to which empirical evidence is taken into account in causal judgments and decision making.
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Russell O, Bermudez OI, Chomat AM, Maldonado A, Garcia R, Wren H, Scott ME, Koski KG, Solomons NW. Feeding practices during pregnancy and lactation amongst Mam‐Mayan women in rural Guatemala: a mixed qualitative and quantitative evaluation. FASEB J 2013. [DOI: 10.1096/fasebj.27.1_supplement.841.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Anne Marie Chomat
- School of MedicineTufts UniversityBostonMA
- Institute of ParasitologyMcGill UniversitySte‐ Anne de BellevueQCCanada
| | | | | | - Hilary Wren
- School of Dietetics and Human NutritionMcGill UniversitySte‐ Anne de BellevueQCCanada
| | - Marilyn E. Scott
- Institute of ParasitologyMcGill UniversitySte‐ Anne de BellevueQCCanada
| | - Kristine G. Koski
- School of Dietetics and Human NutritionMcGill UniversitySte‐ Anne de BellevueQCCanada
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Moreira V, Giese E, Melo F, Simões R, Thiengo S, Maldonado A, Santos J. Endemic angiostrongyliasis in the Brazilian Amazon: natural parasitism of Angiostrongylus cantonensis in Rattus rattus and R. norvegicus, and sympatric giant African land snails, Achatina fulica. Acta Trop 2013; 125:90-7. [PMID: 23072946 DOI: 10.1016/j.actatropica.2012.10.001] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2012] [Revised: 10/02/2012] [Accepted: 10/05/2012] [Indexed: 10/27/2022]
Abstract
Angiostrongylus cantonensis, the rat lungworm, is one etiological agent of eosinophilic meningoencephalitis in humans. This zoonosis is frequently found in Asia and, more recently, in North America, Caribbean Island and northeastern of South America. Until now, research of A. cantonensis in southern, southeastern and northeastern regions of Brazil has been found natural infections only terrestrial and freshwater intermediate snail hosts (Achatina fulica, Sarasinula marginata, Subulina octona, Bradybaena similaris and Pomacea lineate). In this study, we examined the occurrence of helminthes in the synantropic rodents Rattus rattus and Rattus norvegicus in northern Brazil, focusing on the role of these species as vertebrate hosts of A. cantonensis and A. fulica as intermediate host have found natural. Thirty specimens of R. rattus and twelve of R. norvegicus were collected in the Guamá and Jurunas neighborhoods of the city of Belém, in the Brazilian state of Pará, of which almost 10% harbored adult worms in their pulmonary arteries. Sympatric A. fulica were found to be infected by L(3) larvae, which experimental infection confirmed to be A. cantonensis. Natural infection of snails and rodents with A. cantonensis was confirmed through morphological and morphometrical analyses of adults and larvae using light microscopy, scanning electron microscopy and molecular sequences of partial Cytochrome Oxidase subunit I. Phylogenetic analyses showed that A. cantonensis isolated from Pará, Brazil is similar to Japan isolate; once these specimens produced a single haplotype with high bootstrap support with Rio de Janeiro isolate. This study confirms that A. cantonensis is now endemic in northern Brazil, and that R. rattus and R. norvegicus act as natural definitive hosts, and A. fulica as the intermediate host of the parasite in this region.
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Maldonado A, Suderow H, Vieira S, Aoki D, Flouquet J. Temperature dependent tunneling spectroscopy in the heavy fermion CeRu2Si2 and in the antiferromagnet CeRh2Si2. J Phys Condens Matter 2012; 24:475602. [PMID: 23110924 DOI: 10.1088/0953-8984/24/47/475602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
CeRu(2)Si(2) and CeRh(2)Si(2) are two similar heavy fermion stoichiometric compounds located on the two sides of a magnetic quantum critical phase transition. CeRh(2)Si(2) is an antiferromagnet below T(N) = 36 K with moderate electronic masses whereas CeRu(2)Si(2) is a paramagnetic metal with particularly heavy electrons. Here we present tunneling spectroscopy measurements as a function of temperature (from 0.15 to 45 K). The tunneling conductance at 0.15 K reveals V-shaped dips around the Fermi level in both compounds, which disappear in CeRu(2)Si(2) above the coherence temperature, and in CeRh(2)Si(2) above the Néel temperature. In the latter case, two different kinds of V-shaped tunneling conductance dips are found.
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Affiliation(s)
- A Maldonado
- Departamento de Física de la Materia Condensada, Instituto de Ciencia de Materiales Nicolás Cabrera, Facultad de Ciencias, Universidad Autónoma de Madrid, Madrid, Spain
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Garcia J, Pinheiro J, Hooper C, Simões R, Ferraz J, Maldonado A. Haematological alterations in Rattus norvegicus (Wistar) experimentally infected with Echinostoma paraensei (Trematoda: Echinostomatidae). Exp Parasitol 2012; 131:300-3. [DOI: 10.1016/j.exppara.2012.04.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2011] [Revised: 04/04/2012] [Accepted: 04/12/2012] [Indexed: 11/26/2022]
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del Río M, Shand B, Bonati P, Palma A, Maldonado A, Taboada P, Nervi F. Hydration and nutrition at the end of life: a systematic review of emotional impact, perceptions, and decision-making among patients, family, and health care staff. Psychooncology 2011; 21:913-21. [DOI: 10.1002/pon.2099] [Citation(s) in RCA: 79] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2011] [Revised: 10/13/2011] [Accepted: 10/15/2011] [Indexed: 11/10/2022]
Affiliation(s)
- M. I. del Río
- Programa de Medicina Paliativa y Cuidados Continuos; Departamento de Medicina Interna, Pontificia Universidad Católica de Chile; Santiago Chile
| | - B. Shand
- Departamento de Neurología; Pontificia Universidad Católica de Chile; Santiago Chile
| | - P. Bonati
- Programa de Medicina Paliativa y Cuidados Continuos; Departamento de Medicina Interna, Pontificia Universidad Católica de Chile; Santiago Chile
| | - A. Palma
- Programa de Medicina Paliativa y Cuidados Continuos; Departamento de Medicina Interna, Pontificia Universidad Católica de Chile; Santiago Chile
| | - A. Maldonado
- Programa de Medicina Paliativa y Cuidados Continuos; Departamento de Medicina Interna, Pontificia Universidad Católica de Chile; Santiago Chile
| | - P. Taboada
- Centro de Bioética; Pontificia Universidad Católica de Chile; Santiago Chile
| | - F. Nervi
- Programa de Medicina Paliativa y Cuidados Continuos; Departamento de Medicina Interna, Pontificia Universidad Católica de Chile; Santiago Chile
- División de Medicina, Departamento de Gastroenterología; Pontificia Universidad Católica de Chile; Santiago Chile
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Maldonado A, Guillamón I, Suderow H, Vieira S. Scanning tunneling spectroscopy under large current flow through the sample. Rev Sci Instrum 2011; 82:073710. [PMID: 21806192 DOI: 10.1063/1.3615627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
We describe a method to make scanning tunneling microscopy/spectroscopy imaging at very low temperatures while driving a constant electric current up to some tens of mA through the sample. It gives a new local probe, which we term current driven scanning tunneling microscopy/spectroscopy. We show spectroscopic and topographic measurements under the application of a current in superconducting Al and NbSe(2) at 100 mK. Perspective of applications of this local imaging method includes local vortex motion experiments, and Doppler shift local density of states studies.
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Affiliation(s)
- A Maldonado
- Laboratorio de Bajas Temperaturas, Departamento de Física de la Materia Condensada, Instituto de Ciencia de Materiales Nicolás Cabrera, Facultad de Ciencias, Universidad Autónoma de Madrid, 28049 Madrid, Spain
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Carbonero A, Maldonado A, Perea A, García-Bocanegra I, Borge C, Torralbo A, Arenas-Montes A, Arenas-Casas A. Factores de riesgo del síndrome respiratorio bovino en terneros lactantes de Argentina. Arch zootec 2011. [DOI: 10.4321/s0004-05922011000100005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Maldonado A, Acosta D, De La Luz Olvera M, Castanedo R, Torres G, Ortega J, Asomoza R. Physical Characterization of Zirconium Doped Zinc Oxide Thin Firms Deposited by Spray Pyrolysis. ACTA ACUST UNITED AC 2011. [DOI: 10.1557/proc-520-57] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
ABSTRACTZinc oxide thin films doped with zirconium were prepared from solutions with doping material dispersed at several concentrations and using the spray pyrolysis technique.The films were deposited over sodocalcic glasses at different substrate temperatures. Effects of doping material concentration and substrate temperatures on electrical, optical, structural and morphological film properties are presented. Results show an evolution in morphology and grains size as the doping concentration is increased. Preferential growth in the (002) orientation was detected for each thin film from X ray diffractograms.
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de Luis DA, Ballesteros M, Ruiz E, Cordero M, Muñoz C, Penacho MA, Iglesias P, Lopez Guzman A, Maldonado A, San Martin L, Puigdevall V, Romero E, Gonzalez Sagrado M, Izaola O, Conde R. Polymorphism Ala54Thr of fatty acid-binding protein 2: Allelic frequencies and influence on cardiovascular risk factors in a multicenter study of Castilla y Leon. Ann Nutr Metab 2010; 57:163-8. [PMID: 21079390 DOI: 10.1159/000321632] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2009] [Accepted: 09/29/2010] [Indexed: 11/19/2022]
Abstract
BACKGROUND A transition of guanin to alanin at codon 54 of the fatty acid-binding protein 2 gene (FABP2) results in an amino acid substitution (Ala54 to Thr54). This polymorphism was associated with some cardiovascular risk factors. OBJECTIVE The aim of our study was to investigate the influence of the Thr54 polymorphism in the FABP2 gene on obesity anthropometric parameters and cardiovascular risk factors in the fasted state in obese subjects and the allelic distribution of this polymorphism in a geographic area of Spain. DESIGN A population of 264 obese subjects was analyzed in a cross-sectional study from all health centers of Castilla y Leon (Spain). A nutritional and biochemical evaluation was performed. The statistical analysis was performed for the combined Ala54/Thr54 and Thr54/Thr54 genotype as a dominant model. RESULTS The mean age was 41.1 ± 13.1 years and the mean BMI 36.5 ± 5.9, with 94 males (35.6%) and 170 females (74.4%). One hundred and fifty-three subjects (58%) had the genotype Ala54/Ala54 (wild-type group) and 111 (42%) participants had the genotype Ala54/Thr54 (n = 92, 34.8%) or Thr54/Thr54 (n = 19, 7.2%) (mutant-type group). The health area of Valladolid had a lower frequency of wild-type genotype and Ala54 allelic frequency than all the other health areas of Castilla y Leon. C-reactive protein was higher in the mutant-type than the wild-type group (3.4 ± 5.6 vs. 7.9 ± 10.4 mg/dl; p < 0.05). CONCLUSION The finding of this study is the association of the Thr54/Ala54 and Thr54/Thr54 FABP2 phenotypes with higher levels of C-reactive protein without relation to insulin resistance. Frequencies of this polymorphism are different among health areas of Castilla y Leon.
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Affiliation(s)
- D A de Luis
- Institute of Endocrinology and Nutrition, Hospital Rio Hortega, University of Valladolid, Spain.
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Maldonado A, Ramos W, Pérez J, Huamán LA, Gutiérrez EL. [Convulsive status epilepticus: clinico-epidemiologic characteristics and risk factors in Peru]. Neurologia 2010; 25:478-484. [PMID: 20964998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
INTRODUCTION Convulsive status epilepticus constitutes a medical emergency that requires a fast and aggressive management with the objective to prevent neuronal damage and systemic complications. The objective is to determine clinico-epidemiologic characteristics and risk factors associated with convulsive status epilepticus in adults attended in a National Hospital from Lima-Peru in a period of four years. METHODS Case-control study. Cases were constituted by patients admitted for convulsive status epilepticus in the Adult Emergency Service of National Hospital Dos de Mayo between January 2003 and December 2007. Controls were patients with diagnoses of epilepsy that received treatment in outpatient service of neurology, couplet by age and sex with the group of cases. Medical histories were reviewed and patients were interviewed obtaining clinical, epidemiologic and possible risk factors to convulsive status epilepticus that were registered in an instrument of data recorded. RESULTS 41 cases of convulsive status epilepticus were presented. 68.3% were male, 28.6% had age between 20 and 29 years old and 15.5% resided in endemic areas of neurocysticercosis. The more frequent aetiologies were remote symptomatic secondary crisis to cranio encephalic trauma and neurocysticercosis and idiopathic; 26.8% showed some intercurrent infection; while, mortality was of 7.3%. Factors associated with a convulsive status epilepticus were the abrupt interruption or suspension of drugs used for the control of convulsions (p=0.038), chronic intake of alcohol (p=0.030) and irregular antiepileptic treatment (p=0.006). CONCLUSIONS Aetiologies more frequent in the hospital studied from Lima-Peru are remote symptomatic secondary crisis to cranio encephalic trauma, neurocysticercosis and idiopathic. The irregular antiepilepticus treatment constitutes a risk factor to convulsive status epilepticus.
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Affiliation(s)
- A Maldonado
- Servicio de Neurología, Hospital Nacional Dos de Mayo, Lima, Perú
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Maldonado A, Ramos W, Pérez J, Huamán L, Gutiérrez E. Estado epiléptico convulsivo: características clínico-epidemiológicas y factores de riesgo en Perú. Neurologia 2010. [DOI: 10.1016/j.nrl.2010.07.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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