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Augimeri G, Soto M, Ceraudo F, Caparello G, Villegas Figueroa M, Cesario M, Caputi LS, Calderón B, Bonofiglio D. Differences of skin carotenoids and adherence to the Mediterranean Diet pattern in adults from Southern Italy and Dominican Republic. J Transl Med 2024; 22:424. [PMID: 38704581 PMCID: PMC11070090 DOI: 10.1186/s12967-024-05224-5] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 04/20/2024] [Indexed: 05/06/2024] Open
Abstract
BACKGROUND The measurement of the skin carotenoids using the Veggie Meter® has emerged as a rapid objective method for assessing fruit and vegetable intake, highly recommended by the Mediterranean Diet (MD), which represents one of the healthiest dietary patterns, worldwide. This study aimed to examine differences in skin carotenoid content and degree of adherence to the MD pattern between two adult populations from Southern Italy and the Dominican Republic. METHODS This cross-sectional study enrolled a total of 995 adults, 601 subjects from Italy and 394 from the Dominican Republic. All participants underwent anthropometric measurements and skin carotenoid assessment by Veggie Meter®. Adherence to the MD and lifestyle were evaluated using the Mediterranean Diet Adherence Screener (MEDAS) and the Mediterranean Lifestyle Index (MEDLIFE) questionnaires. Correlations between the skin carotenoid and MEDAS score were estimated using Pearson's correlation coefficient. Multiple linear regression models were created to determine variables that affect skin carotenoid score for both populations. RESULTS Mean total skin carotenoids were higher in the Italian compared to the Dominican Republic population (342.4 ± 92.4 vs 282.9 ± 90.3; p < 0.005) regardless of sex (women: 318.5 ± 88.9 vs 277.3 ± 91.9, p < 0.005 and men: 371.7 ± 88.3 vs 289.5 ± 88.1, p < 0.005), and remaining statistically significant after age-adjustment of the Dominican Republic sample. Using the MEDAS questionnaire, we found a higher MD adherence score in the Italian than in the Dominican Republic population also after age-adjusting data (7.8 ± 2.1 vs 6.2 ± 3.7; p < 0.005) and even when categorized by sex (Italian vs age-adjusted Dominican Republic women: 7.9 ± 2.1 vs 6.3 ± 2.6; Italian vs age-adjusted Dominican Republic men: 7.7 ± 2.2 vs 6.0 ± 4.7; p < 0.005). Using the MEDLIFE test, total Italians presented a lower score with respect to the age-adjusted Dominican Republic population (3.2 ± 1.2 vs 3.4 ± 1.4; p < 0.05). In multiple regression analysis, skin carotenoids were associated with sex and negatively associated with BMI in the Italian population (sex: β: 54.95; 95% CI: 40.11, 69.78; p < 0.0001; BMI: β: - 1.60; 95% CI: - 2.98,0.86; p = 0.03), while they resulted associated with age and sex in the Dominican Republic population (age: β: 2.76; 95% CI: 1.92, 3.56; p < 0.001; sex: β: 23.29; 95% CI: 5.93, 40.64; p = 0.009). Interestingly, skin carotenoids were positively correlated with MEDAS score in both populations (Italy: r = 0.03, p < 0.0001, Dominican Republic: r = 0.16, p = 0.002). CONCLUSIONS This study provides the assessment of the adherence to the MD and skin carotenoid content in adults living in Southern Italy and the Dominican Republic, showing a higher MD adherence score and a skin carotenoid content in inhabitants from the Mediterranean region. Our findings highlight the need to globally encourage fruit and vegetable intake, particularly in non-Mediterranean area.
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Affiliation(s)
- Giuseppina Augimeri
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036, Arcavacata di Rende (CS), Italy
| | - Manuel Soto
- Research Unit, Centro Médico de Diabetes, Obesidad y Especialidades (CEMDOE), Clara María Pardo Street, Santo Domingo, 10135, Distrito Nacional, Dominican Republic
| | - Fabrizio Ceraudo
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036, Arcavacata di Rende (CS), Italy
| | - Giovanna Caparello
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036, Arcavacata di Rende (CS), Italy
| | - Melisa Villegas Figueroa
- Instituto Tecnológico de Santo Domingo (INTEC), Los Proceres Avenue, Santo Domingo, 10602, Distrito Nacional, Dominican Republic
- UNICARIBE Research Center, University of Calabria, 87036, Rende, Italy
| | - Mirko Cesario
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036, Arcavacata di Rende (CS), Italy
| | - Lorenzo S Caputi
- UNICARIBE Research Center, University of Calabria, 87036, Rende, Italy
- Surface Nanoscience Group, Department of Physics, University of Calabria, 87036, Rende, Italy
| | - Berniza Calderón
- Research Unit, Centro Médico de Diabetes, Obesidad y Especialidades (CEMDOE), Clara María Pardo Street, Santo Domingo, 10135, Distrito Nacional, Dominican Republic
- Instituto Tecnológico de Santo Domingo (INTEC), Los Proceres Avenue, Santo Domingo, 10602, Distrito Nacional, Dominican Republic
- Sociedad Dominicana de Endocrinología y Nutrición (SODENN), 157 Independencia Avenue, GS Professional Building, Santo Domingo, 10206, Distrito Nacional, Dominican Republic
| | - Daniela Bonofiglio
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036, Arcavacata di Rende (CS), Italy.
- UNICARIBE Research Center, University of Calabria, 87036, Rende, Italy.
- Centro Sanitario, University of Calabria, Via P. Bucci, Arcavacata Di Rende (CS), 87036, Rende, Cosenza, Italy.
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Calderón B, Gómez-Martín JM, Cuadrado-Ayuso M, Cobeta P, Vega-Piñero B, Mateo R, Galindo J, Botella-Carretero JI. Circulating Zinc and Copper Levels are Associated with Sperm Quality in Obese Men after Metabolic Surgery: A Pilot Study. Nutrients 2020; 12:nu12113354. [PMID: 33143218 PMCID: PMC7692370 DOI: 10.3390/nu12113354] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 10/25/2020] [Accepted: 10/29/2020] [Indexed: 11/18/2022] Open
Abstract
(1) Background: Inadequate levels of several trace elements and vitamins may impair spermatogenesis in men. Although weight loss after metabolic surgery normalizes male reproductive hormones, sperm quality seems to not improve. We hypothesized that circulating concentrations of zinc, copper and other trace elements and vitamins might be involved. (2) Methods: We studied 20 men submitted to metabolic surgery at baseline and after two years. Hormone profiles, serum trace elements and vitamins were studied together with sperm analysis. (3) Results: At follow-up, serum testosterone, follicle-stimulating hormone and inhibin B concentrations increased showing a beneficial hormonal response for spermatogenesis. Conversely, serum copper, zinc and ferritin showed a decline after surgery. In total, 33% of men showed zinc deficiency, 27% copper deficiency and 20% iron deficiency, among others. Sperm analysis showed that all revaluated patients had at least one abnormal parameter. Serum zinc concentrations showed a positive correlation with progressive motility (r = 0.577, p = 0.031), and serum ferritin a positive correlation with sperm volume (ρ = 0.535, p = 0.049). Serum copper showed a weak and near significant correlation with motility (r = 0.115, p = 0.051). (4) Conclusions: The lack of improvement in sperm quality in obese men after metabolic surgery may be related to nutrient malabsorption, especially zinc, copper and iron.
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Affiliation(s)
- Berniza Calderón
- Instituto Tecnológico de Santo Domingo (INTEC), 10602 Santo Domingo, Dominican Republic;
- Affinis, 10131 Santo Domingo, Dominican Republic
| | - Jesús M. Gómez-Martín
- Department of Endocrinology and Nutrition, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), 28034 Madrid, Spain; (J.M.G.-M.); (B.V.-P.); (R.M.)
| | - Marta Cuadrado-Ayuso
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), 28034 Madrid, Spain; (J.M.G.-M.); (B.V.-P.); (R.M.)
- Department of General and Digestive Surgery, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain; (M.C.-A.); (P.C.); (J.G.)
| | - Pilar Cobeta
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), 28034 Madrid, Spain; (J.M.G.-M.); (B.V.-P.); (R.M.)
- Department of Anesthesiology, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain
| | - Belén Vega-Piñero
- Department of Endocrinology and Nutrition, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), 28034 Madrid, Spain; (J.M.G.-M.); (B.V.-P.); (R.M.)
| | - Raquel Mateo
- Department of Endocrinology and Nutrition, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), 28034 Madrid, Spain; (J.M.G.-M.); (B.V.-P.); (R.M.)
| | - Julio Galindo
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), 28034 Madrid, Spain; (J.M.G.-M.); (B.V.-P.); (R.M.)
- Department of General and Digestive Surgery, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain; (M.C.-A.); (P.C.); (J.G.)
| | - José I. Botella-Carretero
- Department of Endocrinology and Nutrition, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), 28034 Madrid, Spain; (J.M.G.-M.); (B.V.-P.); (R.M.)
- CIBER de Fisiopatología de la Obesidad y Nutrición (CIBERobn), 28034 Madrid, Spain
- Correspondence: ; Tel.: +34-91-336-8343 or +34-91-336-8342
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Del Moral B, Martín Gullón I, Navarro R, Galao O, Baeza F, Zornoza E, Calderón B, Rodríguez I, Arnaiz N, Romero Sánchez M, Garcés P. The Effect of Different Oxygen Surface Functionalization of Carbon Nanotubes on the Electrical Resistivity and Strain Sensing Function of Cement Pastes. Nanomaterials (Basel) 2020; 10:nano10040807. [PMID: 32340208 PMCID: PMC7221700 DOI: 10.3390/nano10040807] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 04/16/2020] [Accepted: 04/17/2020] [Indexed: 11/16/2022]
Abstract
Different studies in the literature indicate the effectiveness of CNTs as reinforcing materials in cement-matrix composites due to their high mechanical strength. Nevertheless, their incorporation into cement presents some difficulties due to their tendency to agglomerate, yielding a non-homogeneous dispersion in the paste mix that results in a poor cement-CNTs interaction. This makes the surface modification of the CNTs by introducing functional groups on the surface necessary. In this study, three different treatments for incorporating polar oxygen functional groups onto the surface of carbon nanotubes have been carried out, with the objective of evaluating the influence of the type and oxidation degree on the mechanical and electrical properties and in strain-sensing function of cement pastes containing CNTs. One treatment is in liquid phase (surface oxidation with HNO3/H2SO4), the second is in gas phase (O3 treatment at 25 and 160 °C), and a third is a combination of gas-phase O3 treatment plus NaOH liquid phase. The electrical conductivity of cement pastes increased with O3- and O3-NaOH-treated CNTs with respect to non-treated ones. Furthermore, the oxygen functionalization treatments clearly improve the strain sensing performance of the CNT-cement pastes, particularly in terms of the accuracy of the linear correlation between the resistance and the stress, as well as the increase in the gage factor from 28 to 65. Additionally, the incorporation of either non-functionalized or functionalized CNTs did not produce any significant modification of the mechanical properties of CNTs. Therefore, the functionalization of CNTs favours the de-agglomeration of CNTs in the cement matrix and consequently, the electrical conductivity, without affecting the mechanical behaviour.
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Affiliation(s)
- B. Del Moral
- Department of Civil Engineering, University of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (B.D.M.); (R.N.); (O.G.); (F.J.B.); (E.Z.)
| | - I. Martín Gullón
- Applynano Solutions, S.L. Scientific Park of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (I.M.G.); (B.C.); (I.R.); (N.A.); (M.D.R.S.)
| | - R. Navarro
- Department of Civil Engineering, University of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (B.D.M.); (R.N.); (O.G.); (F.J.B.); (E.Z.)
| | - O. Galao
- Department of Civil Engineering, University of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (B.D.M.); (R.N.); (O.G.); (F.J.B.); (E.Z.)
| | - F.J. Baeza
- Department of Civil Engineering, University of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (B.D.M.); (R.N.); (O.G.); (F.J.B.); (E.Z.)
| | - E. Zornoza
- Department of Civil Engineering, University of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (B.D.M.); (R.N.); (O.G.); (F.J.B.); (E.Z.)
| | - B. Calderón
- Applynano Solutions, S.L. Scientific Park of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (I.M.G.); (B.C.); (I.R.); (N.A.); (M.D.R.S.)
| | - I. Rodríguez
- Applynano Solutions, S.L. Scientific Park of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (I.M.G.); (B.C.); (I.R.); (N.A.); (M.D.R.S.)
| | - N. Arnaiz
- Applynano Solutions, S.L. Scientific Park of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (I.M.G.); (B.C.); (I.R.); (N.A.); (M.D.R.S.)
| | - M.D. Romero Sánchez
- Applynano Solutions, S.L. Scientific Park of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (I.M.G.); (B.C.); (I.R.); (N.A.); (M.D.R.S.)
| | - P. Garcés
- Department of Civil Engineering, University of Alicante, Carretera San Vicente, s/n., 03690 Alicante, Spain; (B.D.M.); (R.N.); (O.G.); (F.J.B.); (E.Z.)
- Correspondence:
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Calderón B, Huerta L, Casado ME, González-Casbas JM, Botella-Carretero JI, Martín-Hidalgo A. Morbid obesity-related changes in the expression of lipid receptors, transporters, and HSL in human sperm. J Assist Reprod Genet 2019; 36:777-786. [PMID: 30659447 PMCID: PMC6505031 DOI: 10.1007/s10815-019-01406-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [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: 11/08/2018] [Accepted: 01/09/2019] [Indexed: 12/30/2022] Open
Abstract
OBJECTIVE To study the location and expression of receptors (SR-BI/CLA-1, SR-BII, and LDLr) and transporter (ABCA1) involved in uptake and efflux of cholesterol in human spermatozoa and assess whether obesity alters its location/expression and whether this could be related to infertility. DESIGN Observational study. SETTING None PATIENT(S): Ten controls and 20 obese patients. INTERVENTION(S) Anthropometric parameters. Serum and semen samples were collected. MAIN OUTCOME MEASURE(S) Spermatozoon concentration, immunolocalization, and protein expression in semen. RESULTS Spermatozoon concentration and motility was decreased in morbidly obese patients. SR-BI/CLA-1, SR-BII, LDLr, and ABCA1 are located in the spermatozoon cell membrane and the localization does not change between obese patients and controls. Control spermatozoa showed high SR-BI expression, and less expression for the rest of the receptors analyzed, indicating that SR-BI/CLA-1 is relevant in human spermatozoon cholesterol uptake/efflux. On the contrary, spermatozoa of obese patients showed less SR-BI/CLA-1 expression than controls, and more intense positive staining for SR-BII, LDLr, and ABCA1. Finally, human sperm expresses the 130- and 82-kDa hormone-sensitive lipase (HSL) isoforms. The 130-kDa isoform is expressed in the control sperm, and the expression disappears in the obese patients. CONCLUSION(S) The presence of lipid receptors/transporters and HSL in human spermatozoa suggests their role in the process of maturation/capacitation. The changes in the expression of lipid receptors/transporters and the lack of the 130-kDa HSL isoform in obese patients prevent the hydrolysis of cholesterol esters internalized by these receptors, and favor their accumulation in the cytoplasm of the spermatozoa that could contribute to lipotoxicity and infertility.
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Affiliation(s)
- Berniza Calderón
- Instituto Tecnológico Santo Domingo (INTEC), Santo Domingo, República Dominicana
- Departamento de Endocrinología y Metabolismo, Madrid, Spain
| | - Lydia Huerta
- Servicio de Bioquímica-Investigación, Madrid, Spain
| | - María Emilia Casado
- Servicio de Bioquímica-Investigación, Madrid, Spain
- CIBER de la Fisiopatología de la Obesidad y Nutrición (CIBERobn), ISCIII, Madrid, Spain
| | - José Manuel González-Casbas
- Instituto Europeo de Fertilidad y Unidad de Reproducción Asistida, Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), Hospital Universitario Ramón y Cajal, E-28034, Madrid, Spain
| | - José Ignacio Botella-Carretero
- Departamento de Endocrinología y Metabolismo, Madrid, Spain
- CIBER de la Fisiopatología de la Obesidad y Nutrición (CIBERobn), ISCIII, Madrid, Spain
| | - Antonia Martín-Hidalgo
- Servicio de Bioquímica-Investigación, Madrid, Spain.
- CIBER de la Fisiopatología de la Obesidad y Nutrición (CIBERobn), ISCIII, Madrid, Spain.
- Department of Biochemistry-Research, Hospital Universitario Ramón y Cajal, Ctra.ColmenarViejo, Km 9.100, E-28034, Madrid, Spain.
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Calderón B, Huerta L, Galindo J, González Casbas JM, Escobar-Morreale HF, Martín-Hidalgo A, Botella-Carretero JI. Lack of Improvement of Sperm Characteristics in Obese Males After Obesity Surgery Despite the Beneficial Changes Observed in Reproductive Hormones. Obes Surg 2019; 29:2045-2050. [DOI: 10.1007/s11695-019-03798-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Calderón B, Hevia V, Vega-Piñero B, Martín-Hidalgo A, Mendez-Del Sol H, Escobar-Morreale HF, Botella-Carretero JI. Serum Retinol, Folic Acid, and Copper Are Associated With Sperm Abnormalities in Men With Obesity. J Am Coll Nutr 2018; 37:194-200. [PMID: 29313750 DOI: 10.1080/07315724.2017.1387877] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND AND OBJECTIVES Micronutrients may influence the development and differentiation of sperm cells. The aim of this study was to assess the possible association of deficiencies in several vitamins and trace elements with sperm abnormalities in men with obesity. PARTICIPANTS AND METHODS Thirty male patients with moderate to severe obesity and ten lean controls who gave written informed consent were included. Anthropometric parameters were recorded. Hormonal and lipid profiles were analyzed, as well as serum concentrations of zinc, copper, retinol, α-tocopherol, 25-hydroxyvitamin D, cobalamin, and folic acid. For sperm analysis, we used the reference values proposed by the World Health Organization. RESULTS Fourteen of the thirty men (47%) presented abnormal sperm results. The most common abnormality was low motility in 33% of them, followed by low sperm concentration in 27% of the patients. Patients with abnormal sperm results showed lower serum folic acid (p = 0.005) and higher serum estradiol (p = 0.015) and copper (p = 0.033) than lean controls. The ejaculate volume inversely correlated with body mass index (BMI; r = -0.378, p = 0.016) and serum estradiol (r = -0.328, p = 0.041). Total number of sperm correlated inversely with BMI (r = -0.428, p = 0.006) and serum estradiol (r = -0.507, p = 0.001) and positively with serum folic acid (r = 0.356, p = 0.026) and retinol (r = 0.421, p = 0.009). Total motility of sperm inversely correlated with BMI (r = -0.433, p = 0.005), serum estradiol (r = -0.475, p = 0.002), and copper (r = -0.416, p = 0.012) and positively correlated with serum folic acid (r = 0.522, p = 0.001) and retinol (r = 0.350, p = 0.034). CONCLUSIONS Sperm abnormalities in men with obesity are associated with excess body weight and micronutrient concentrations.
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Affiliation(s)
- Berniza Calderón
- a Department of Endocrinology and Nutrition , Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) , Madrid , Spain
| | - Vital Hevia
- b Department of Urology , Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) , Madrid , Spain
| | - Belén Vega-Piñero
- a Department of Endocrinology and Nutrition , Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) , Madrid , Spain
| | - Antonia Martín-Hidalgo
- c Department of Biochemistry-Research , Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) , Madrid , Spain.,e Centro de Investigación Biomédica en Red-Fisiopatología de Obesidad y Nutrición (CIBERobn) , Madrid , Spain
| | - Helena Mendez-Del Sol
- d Department of Clinical Biochemistry , Hospital Universitario La Paz , Madrid , Spain
| | - Héctor F Escobar-Morreale
- a Department of Endocrinology and Nutrition , Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) , Madrid , Spain.,f Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERdem) , Madrid , Spain
| | - José I Botella-Carretero
- a Department of Endocrinology and Nutrition , Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) , Madrid , Spain.,e Centro de Investigación Biomédica en Red-Fisiopatología de Obesidad y Nutrición (CIBERobn) , Madrid , Spain
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Menéndez JJ, Verdú C, Calderón B, Gómez-Zamora A, Schüffelmann C, de la Cruz JJ, de la Oliva P. Incidence and risk factors of superficial and deep vein thrombosis associated with peripherally inserted central catheters in children. J Thromb Haemost 2016; 14:2158-2168. [PMID: 27558946 DOI: 10.1111/jth.13478] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [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: 01/03/2016] [Accepted: 08/08/2016] [Indexed: 11/27/2022]
Abstract
Essentials Pediatric studies on peripherally inserted central catheter (PICC)-related thrombosis are scarce. This study analyzes incidence and risk factors for PICC-related venous thrombosis in children. PICC-related thrombosis is a common, and nearly always, asymptomatic complication. Echo-guided insertion and a catheter to vein ratio < 0.33 may notably decrease this complication. SUMMARY Background Upper-extremity venous thrombosis is associated with the use of peripherally inserted central catheters (PICCs). Few pediatric studies have focused on this issue. Objectives To determine the incidence and risk factors for PICC-related superficial vein thrombosis (SVT) and deep vein thrombosis (DVT) in children. Patients/methods An observational follow-up cohort study was conducted at a single hospital between June 2012 and June 2015. All patients receiving a PICC were enrolled and followed up, with weekly Doppler ultrasound examination of the catheterized limb until PICC removal. Patient, procedural and follow-up data were analyzed. Results In the study period, 265 PICCs were inserted (median age of patients 6.5 years, interquartile range [IQR] 2.4-13 years; median weight 20 kg, IQR 11-38 kg; 54% males; 67.9% chronically ill), and patients were followed up for a total of 9743 days. The median indwelling time was 21 days (IQR 12-37 days). During follow-up, 88 (33.2% of insertions) PICC-related thromboses (incidence rate [IR] 9.03 per 1000 catheter-days) were diagnosed, 66 (24.9%) as isolated SVT, seven (2.6%) as isolated DVT, and 15 (5.7%) as SVT with associated DVT (IR 6.78, 0.71 and 1.54 per 1000 catheter-days, respectively). Only 9.9% of patients with SVT and 18.2% of those with DVT were symptomatic. The main risk factors for PICC-related SVT and DVT were a catheter/vein ratio of > 0.33 and thrombosis of the catheterized superficial vein, respectively. Conclusions PICC-related thrombosis is a common and nearly always asymptomatic complication in children, the SVT rate being approximately three times higher than the DVT rate. Optimal vein and catheter selection, yielding the lowest possible catheter/vein ratio, may decrease the rate of PICC-related thrombosis.
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Affiliation(s)
- J J Menéndez
- Department of Pediatric Intensive Care Medicine, La Paz University Hospital, Madrid, Spain
| | - C Verdú
- Department of Pediatric Intensive Care Medicine, La Paz University Hospital, Madrid, Spain
| | - B Calderón
- Department of Pediatric Intensive Care Medicine, La Paz University Hospital, Madrid, Spain
| | - A Gómez-Zamora
- Department of Pediatric Intensive Care Medicine, La Paz University Hospital, Madrid, Spain
| | - C Schüffelmann
- Department of Pediatric Intensive Care Medicine, La Paz University Hospital, Madrid, Spain
| | - J J de la Cruz
- Department of Preventive Medicine and Public Health-Biostatistics, Universidad Autónoma de Madrid, Madrid, Spain
| | - P de la Oliva
- Department of Pediatric Intensive Care Medicine, La Paz University Hospital, Madrid, Spain
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Amador JA, Durán-Quesada AM, Rivera ER, Mora G, Sáenz F, Calderón B, Mora N. The easternmost tropical Pacific. Part II: Seasonal and intraseasonal modes of atmospheric variability. REV BIOL TROP 2016. [DOI: 10.15517/rbt.v64i1.23409] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
<p>This is Part II of a two-part review about climate and climate variability focused on the Eastern Tropical Pacific (ETP) and the Caribbean Sea (CS). Both parts are aimed at providing oceanographers, marine biologists, and other ocean scientists, a guiding base for ocean-atmosphere interaction processes affecting the CS, the ETP, and the waters of Isla del Coco. Isla del Coco National Park is a Costa Rican World Heritage site. Part I analyzed the mean fields for both basins and a larger region covering 25º S - 35º N, 20º W - 130º W. Here we focus on a smaller area (65º W - 95º W, 0º - 20º N), as a complement to Part 1. Incoming solar radiation and surface energy fluxes reveal the complex nature of the ETP and CS for convective activity and precipitation on seasonal and intraseasonal time scales. Both regions are relevant as sources of evaporation and the associated moisture transport processes. The American Monsoon System influences the climate and climate variability of the ETP and CS, however, the precise way systems affect regional precipitation and transport of moisture, within the Intra Americas Sea (IAS) are not clear. Although the Caribbean Low-Level Jet (CLLJ) is known to act as a conveyor belt for moisture transport, intraseasonal and seasonal modes of the CLLJ and their interactions with other IAS systems, have to be further investigated. Trans-isthmic jets, exert a variable seasonal wind stress force over the ocean surface co-generating regions of great marine productivity. Isolated convection, the seasonal migration of the Intertropical Convergence Zone, the hurricane season, the Mid-Summer Drought, the seasonal and intraseasonal behavior of low-level jets and their interactions with transients, and the southward incursion of cold fronts contribute to regional seasonal precipitation. Many large-scale systems, such as El Niño-Southern Oscillation, the Atlantic Multidecadal Oscillation and the Madden-Julian Oscillation (MJO, also influence the variability of precipitation by modulating regional features associated with convection and precipitation. Monthly tropical storm (TS) activity in the CS and ETP basins is restricted to the period May-November, with very few cases in December. The CS presents TS peak activity during August, as well as for the number of hurricanes and major hurricanes, in contrast to the ETP that shows the same features during September.</p><div> </div>
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Amador JA, Rivera ER, Durán-Quesada AM, Mora G, Sáenz F, Calderón B, Mora N. The easternmost tropical Pacific. Part I: A climate review. REV BIOL TROP 2016. [DOI: 10.15517/rbt.v64i1.23407] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
<p>The tropics are characterized by a variety of atmospheric and oceanic systems dominated by multi-scale interaction processes. This is Part I of a two-part review study on climate and climate variability of the Eastern Tropical Pacific (ETP). Here, the mean fields of incoming short wave radiation, surface energy fluxes, sea surface temperature, sea level pressure, salinity, wind patterns at 10m height, wind stress curl, precipitation, and evaporation are analyzed and synthetized using available data including that from the last decade. Given the strong interaction between the ETP and Caribbean Sea-Atlantic Ocean, mean field discussions are presented for two different domains, a relatively large domain from 24° S - 36° N and between 129° W - 17° W, and a smaller domain embedding only the Caribbean Sea and the easternmost part of the ETP. Most results on the climate of these two regions can be used as the base line for climate change studies. Interannual variability of tropical cyclones is also investigated over the domain of the latter two basins in the smaller domain. The study is complemented with a short review of some low frequency modes, such as, El Niño-Southern Oscillation, the Pacific Decadal Oscillation, and the Atlantic Multi-decadal Oscillation. Such low-frequency modes are known to modulate regional systems, including tropical cyclone frequency.</p><div> </div>
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Calderón B, Gómez-Martín JM, Vega-Piñero B, Martín-Hidalgo A, Galindo J, Luque-Ramírez M, Escobar-Morreale HF, Botella-Carretero JI. Prevalence of male secondary hypogonadism in moderate to severe obesity and its relationship with insulin resistance and excess body weight. Andrology 2015; 4:62-7. [DOI: 10.1111/andr.12135] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Revised: 10/13/2015] [Accepted: 10/23/2015] [Indexed: 12/18/2022]
Affiliation(s)
- Berniza Calderón
- Department of Endocrinology and Nutrition; Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid Spain
| | - Jesús M. Gómez-Martín
- Department of Endocrinology and Nutrition; Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid Spain
| | - Belén Vega-Piñero
- Department of Endocrinology and Nutrition; Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid Spain
| | - Antonia Martín-Hidalgo
- Department of Biochemistry-Research; Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid Spain
- Centro de Investigación Biomédica en Red-Fisiopatología de Obesidad y Nutrición (CIBERobn); Madrid Spain
| | - Julio Galindo
- Department of General Surgery; Hospital Universitario Ramón y Cajal; Madrid Spain
| | - Manuel Luque-Ramírez
- Department of Endocrinology and Nutrition; Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid Spain
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM); Madrid Spain
| | - Héctor F. Escobar-Morreale
- Department of Endocrinology and Nutrition; Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid Spain
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM); Madrid Spain
| | - José I. Botella-Carretero
- Department of Endocrinology and Nutrition; Hospital Universitario Ramón y Cajal & Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid Spain
- Centro de Investigación Biomédica en Red-Fisiopatología de Obesidad y Nutrición (CIBERobn); Madrid Spain
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Fallon M, Pazos M, Morilla A, Sebastián MA, Xancó R, Mora C, Calderón B, Vega Z, Antón A. Morphological characteristics of the optic nerve evaluated by confocal laser tomography (HRT3) and laser polarimetry (GDx-VCC) in a normal population from the city of Barcelona. Arch Soc Esp Oftalmol 2015; 90:507-516. [PMID: 26008925 DOI: 10.1016/j.oftal.2015.03.013] [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] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Revised: 02/04/2015] [Accepted: 03/10/2015] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To evaluate morphological parameters of optic disc and retinal nerve fiber layer (RNFL) examined with confocal laser tomography (HRT3) and laser polarimetry (GDx-VCC) in a normal population, and analyze correlations of these parameters with demographic variables. PATIENTS AND METHODS Cross-sectional study in the context of a glaucoma screening campaign in the primary care center of Barcelona. The individuals selected were non-hypertensive Mediterranean Caucasians with risk for glaucoma development (individuals≥60 years old or≥40 years old with family history of glaucoma or intraocular pressure or myopia>3diopter). All subjects underwent a complete ophthalmic examination, confocal laser tomography (HRT3) and scanning laser polarimetry (GDX-VCC), subjects with results within normal limits only being included. Structural parameters were analyzed along with age, refraction, and pachymetry based on the Spearman rank correlation test. RESULTS A total of 224 subjects included, with a mean age of 63.4±11.1 years. Disc areas, excavation and ring area were 2.14±0.52mm(2), 0.44±0.34mm (2) and 1.69±0.38mm(2), respectively. The mean RNFL (GDX) was 55.9±6.9μm. Age was correlated with lower ring volume, highest rate of cup shape measure, largest mean and maximum cup depth, lower nerve fiber index (NFI) and RNFL (all p-values below .05). CONCLUSION The mean values and distribution of several parameters of the papilla and the RNFL in normal Mediterranean Caucasians population are presented. A loss of thickness of the RNFL, ring thinning, and enlarged cup was observed with increased age.
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Affiliation(s)
- M Fallon
- Departament d'Oftalmologia, Hospital de l'Esperança-Parc de Salut Mar, Institut Mar d'Investigacions Mèdiques , Barcelona, España; Universtitat Autònoma de Barcelona, Barcelona, España.
| | - M Pazos
- Departament d'Oftalmologia, Hospital de l'Esperança-Parc de Salut Mar, Institut Mar d'Investigacions Mèdiques , Barcelona, España; Universtitat Autònoma de Barcelona, Barcelona, España
| | - A Morilla
- Departament d'Investigació, Institut Català de Retina (ICR), Barcelona, España
| | - M A Sebastián
- Unitat d'Infermeria, Centre d'Assistència Primària (CAP) Larrard, Barcelona, España
| | - R Xancó
- Departament d'Oftalmologia, Hospital de l'Esperança-Parc de Salut Mar, Institut Mar d'Investigacions Mèdiques , Barcelona, España; Universtitat Autònoma de Barcelona, Barcelona, España
| | - C Mora
- Departament d'Oftalmologia, Hospital de l'Esperança-Parc de Salut Mar, Institut Mar d'Investigacions Mèdiques , Barcelona, España; Universtitat Autònoma de Barcelona, Barcelona, España
| | - B Calderón
- Unitat d'Infermeria, Centre d'Assistència Primària (CAP) Larrard, Barcelona, España
| | - Z Vega
- Unitat d'Infermeria, Centre d'Assistència Primària (CAP) Larrard, Barcelona, España
| | - A Antón
- Departament d'Oftalmologia, Hospital de l'Esperança-Parc de Salut Mar, Institut Mar d'Investigacions Mèdiques , Barcelona, España; Universtitat Autònoma de Barcelona, Barcelona, España; Departament d'Investigació, Institut Català de Retina (ICR), Barcelona, España; Universitat Internacional de Catalunya (UIC), Barcelona, España
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Maldonado I, Garibaldi A, Calderón B, Moreno F, Sepúlveda J. [Bilateral ureterocele in single collection system: a particular case]. Cir Pediatr 2013; 26:195-197. [PMID: 24645246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Ureterocele is an uncommon congenital urinary tract malformation, which consists in a cystic dilation of the vesical portion of the ureter. We present a rare case of ureterocele, reviewing the most important aspects and characteristics that make it so unusual. CASE Seven year old male admitted for hematuria in the context of afebrile urinary tract infection, the ultrasound revealed a right hydroureteronephrosis (HUN) in a single collecting system and a voiding cystourethogram (VCUG) showed a right ureterocele. A cystoscopy demonstrated the presence of a bilateral orthotopicureterocele in a single collecting system. The patient underwent an endoscopic incision in order to drain the hydronephrotic system. After a month, while performing a check up using ultrasound, we could observe an important reduction in the right HUN, however, it also was acknowledged the presence of dilation of the left distal ureter, reason why it was decided to puncture the left ureterocele. COMMENTS We present an unusual case: male with a bilateral orthotopicureterocele in a single collecting system and its clinical management. Its particularity is discussed.
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García Moreno J, Prat Miranda MS, Vicent P, Calderón B. [Serological evaluation of polyvalent A-C anti-meningococcal vaccine in Chile]. Bol Oficina Sanit Panam 1982; 93:149-57. [PMID: 6215047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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