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The diagnostic process of endometrial cancer includes imaging methods such as trans-vaginal ultrasound, along with procedures to obtain endometrial tissue for histologic evaluation. Common techniques for tissue sampling include Pipelle endometrial biopsy, hysteroscopy, and dilation and curettage, which are used to confirm the diagnosis, determine tumor histology, grade, and molecular profile. However, diagnostic algorithms for endometrial cancer differ significantly across countries, influenced by local resources, protocols, and the availability of diagnostic methods. These variations include differences in the endometrial thickness threshold for recommending a biopsy and the choice of the initial diagnostic test. Moreover, patients often have multiple tests and appointments before a definitive diagnosis, although only 5%-10% of women with post-menopausal bleeding are diagnosed with endometrial cancer. Current diagnostic techniques have limitations. Pipelle endometrial biopsy has a significant false-negative rate (10%-20%) and may fail to provide adequate diagnostic material in up to 30% of cases. Hysteroscopy, while useful, is associated with pain in up to 65% of patients and can delay diagnosis because of limited availability. Dilation and curettage is an invasive procedure requiring general anesthesia and has a higher complication rate. In response to these challenges, there is growing interest in developing new diagnostic tools that are less invasive and provide 1-step diagnoses, including liquid biopsies from urine, blood, cervico-vaginal and endometrial fluid samples by means of genomics and proteomics. This review will examine the current diagnostic algorithms in European and American guidelines, evaluate the sensitivity, specificity, and accuracy of current techniques, and explore new diagnostic tools under development., Competing Interests: Declaration of Competing Interests A.G.M., E.C.O., and M.R.R. are shareholders of MIMARK Diagnostics, S.L., which holds an exclusive license to the intellectual property that protects the commercialization of the WomEC test. E.C. reports financial support provided by the Carlos III Health Institute and the Spanish Association Against Cancer Scientific Foundation. A.G.M. reports financial support provided by the Spain Ministry of Science, Innovation and Universities and the CIBERONC network. A.G.M., M.R., and E.C. report a relationship with MIMARK Diagnostics that includes board membership, employment, and funding grants. They also hold patents for the WomEC test, which is licensed to MIMARK Diagnostics, S.L.. The remaining authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article., (Copyright © 2024 European Society of Gynaecological Oncology and the International Gynecologic Cancer Society. Published by Elsevier Inc. All rights reserved.)

Endometrial cancer is the most common gynecological malignancy in high-income countries and the sixth most common cancer in women. Overall incidence has risen in the last few decades as a consequence of the increase in the prevalence of its risk factors, mainly obesity and the aging of the population, and although diagnoses have increased across all age groups, the incidence rates have doubled in women under the age of 40 years. The survival rates of endometrial cancer are highly dependent on its stage at diagnosis, bringing to the fore the importance of early diagnosis. The aim of a screening strategy in this type of tumor should be to detect the disease in the pre-invasive or early stage (before developing myometrial invasion), which would improve cure rates, reduce the morbidity associated with aggressive treatment and offer uterus-sparing management options for younger women. The ideal screening tool in this scenario would be a minimally invasive, inexpensive and easy-to-perform test or auto-test, which could be implemented in a routine gynecologic checkup of patients at-risk or in the general adult population. In this comprehensive review, we aim to define the populations at higher risk of developing endometrial cancer, to assess the performance of current diagnostic tools when used in a screening setting and to discuss the accuracy of new molecular screening strategies.

Seagrasses are undergoing widespread loss due to anthropogenic pressure and climate change. Since 1960, the Mediterranean seascape lost 13-50% of the areal extent of its dominant and endemic seagrass-Posidonia oceanica, which regulates its ecosystem. Many conservation and restoration projects failed due to poor site selection and lack of long-term monitoring. Here, we present a fast and efficient operational approach based on a deep-learning artificial intelligence model using Sentinel-2 data to map the spatial extent of the meadows, enabling short and long-term monitoring, and identifying the impacts of natural and human-induced stressors and changes at different timescales. We apply ACOLITE atmospheric correction to the satellite data and use the output to train the model along with the ancillary data and therefore, map the extent of the meadows. We apply noise-removing filters to enhance the map quality. We obtain 74-92% of overall accuracy, 72-91% of user's accuracy, and 81-92% of producer's accuracy, where high accuracies are observed at 0-25 m depth. Our model is easily adaptable to other regions and can produce maps in in-situ data-scarce regions, providing a first-hand overview. Our approach can be a support to the Mediterranean Posidonia Network, which brings together different stakeholders such as authorities, scientists, international environmental organizations, professionals including yachting agents and marinas from the Mediterranean countries to protect all P. oceanica meadows in the Mediterranean Sea by 2030 and increase each country's capability to protect these meadows by providing accurate and up-to-date maps to prevent its future degradation., (© 2024. The Author(s).)

The growing interest in the development of cost-effective, straightforward, and rapid analytical systems has found cellulose-based materials, including cellulose derivatives, cellulose-based gels, nanocellulosic materials, and the corresponding (nano)cellulose-based composites, to be valuable platforms for sensor development. The present work presents recent advances in the development of cellulose-based sensors for the determination of volatile analytes and derivatives of analytical relevance. In particular, strategies described in the literature for the fabrication and modification of cellulose-based substrates with responsive materials are summarized. In addition, selected contributions reported in the field of paper-based volatile sensors are discussed, with a particular emphasis on quick response (QR) code paper-based platforms, intelligent films for food freshness monitoring, and sensor arrays for volatile discrimination purposes. Furthermore, analytical strategies devised for the determination of ionic species by in situ generation of volatile derivatives in both paper-based analytical devices (PADs) and microfluidic PADs will also be described., (© 2023. The Author(s).)

Background: Home hospitalization (HH) has demonstrated to be a cost-effective alternative with respect ti traditional hospitalization. Digital technologies, such as remote monitoring, have the potential to contribute to its expansion. Tailored educational content is a need to ensure patient safety during the whole admission., Purpose: The objective of this study was to systematically obtain consensus on patients with HH using training in the digital monitoring system. The goal of this work was to develop an adaptable modular and personalized training program for patients to support quality and safety care for HH., Methods: The methodological approach for developing the proposed training content followed a modified Delphi technique with a multidisciplinary group of experts with significant knowledge of health informatics and HH protocols in Spain. The study comprised two rounds of training material description and gathering were completed. In Round 1, the experts received 58 predefined items obtained from the literature review and protocol selection. 20 items were rejected for different reasons and 25 new items were proposed. In Round 2, the experts selected the final items to build on the training content for every type of user and illness., Results: A total of 21 experts completed rounds 1 and 2. The consensus was reached at the end of Round 2 with the inclusion of 53 items to build the training material. This included 17 treatment procedures, 4 diagnosis procedures, 22 additional support content, and 10 content features that describe how to build and deliver customized training content., Conclusions: Participants agreed on the type of content, its structure, and delivery methods to build modular training materials that support patients when they are hospitalized at home with the help of digital monitoring tools. This information can be used to create HH training programs that support new HH protocols and provide a standard for evaluating the quality of existing educational materials and programs., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)

Phosphoinositides are lipids that play a critical role in processes such as cellular signalling, ion channel activity and membrane trafficking. When mutated, several genes that encode proteins that participate in the metabolism of these lipids give rise to neurological or developmental phenotypes. PI4KA is a phosphoinositide kinase that is highly expressed in the brain and is essential for life. Here we used whole exome or genome sequencing to identify 10 unrelated patients harbouring biallelic variants in PI4KA that caused a spectrum of conditions ranging from severe global neurodevelopmental delay with hypomyelination and developmental brain abnormalities to pure spastic paraplegia. Some patients presented immunological deficits or genito-urinary abnormalities. Functional analyses by western blotting and immunofluorescence showed decreased PI4KA levels in the patients' fibroblasts. Immunofluorescence and targeted lipidomics indicated that PI4KA activity was diminished in fibroblasts and peripheral blood mononuclear cells. In conclusion, we report a novel severe metabolic disorder caused by PI4KA malfunction, highlighting the importance of phosphoinositide signalling in human brain development and the myelin sheath., (© The Author(s) (2021). Published by Oxford University Press on behalf of the Guarantors of Brain.)

The development of disposable sensors that can be easily adapted to every analytical problem is currently a hot topic that is revolutionizing many areas of science and technology. The need for decentralized analytical measurements at real time is increasing for solving problems in areas such as environment pollution, medical diagnostic, food quality assurance, etc., requiring fast action. Despite some current limitations of these devices, such as insufficient detection capability at (ultra)trace level and risk of interferent effects due to matrix, they allow low-cost analysis, portability, low sample consumption, and fast response. In the last years, development of paper-based analytical devices has undergone a dramatic increase for on-site detection of toxic metal ions and other pollutants. Along with the great availability of cellulose substrates, the immobilization of receptors providing enhanced recognition ability, such as a variety of nanomaterials, has driven the design of novel sensing approaches. This review is aimed at describing and discussing the different possibilities arisen with the use of different nanoreceptors (e.g., plasmonic nanoparticles, quantum dots, carbon-based fluorescent nanoparticles, etc.) immobilized onto cellulose-based substrates for trace element detection, their advantages and shortcomings.

Introduction: Introduction: celiac patients suffer deficiencies before and during their maintenance of a gluten-free diet. This is due to malabsorption, associated with the disease, and to non-enriched, mostly processed foods high in saturated fats and deficient in the minerals typically present in wheat. Objectives: the main objective of this review was to determine the molecular basis of celiac disease and the nutritional deficiencies that gluten-free diet entails, as well as an assessment of gluten-free diet and its nutritional deficiencies once the intestinal microvilli have been restored. Material and methods: a bibliographic search was carried out through electronic databases. The content of the review focuses on the pathogenesis of celiac disease and the assessment of gluten-free diet when established for treatment. Results: the main deficiencies that occur in untreated celiac patients are (calcium, iron, fiber, folic acid, omega-3, vitamin B12, and vitamin D). It has been observed that the quality of life of celiac patients, after starting treatment, is reduced, and this leads to low adherence to gluten-free diet. In addition, these gluten-free diets without proper follow-up by a nutritionist entail other deficits such as: an increase in the risk of cardiovascular, metabolic, overweight and obesity diseases. Conclusion: gluten-free diet, as followed by celiac patients, usually entails certain deficiencies such as group-B vitamins, vitamin D, calcium, iron, folic acid, and fiber, which is mainly due to the poor nutritional quality of gluten-free products as compared to their equivalents with gluten, and a scarce monitoring by health professionals.

Ultrasound-assisted co-precipitation was applied to construct a magnetic nanocomposite following a 'one-pot' synthetic strategy for Hg(II) enrichment. The presence of a noble metal such as Ag(I), Au(III), Pd(II) in the synthesis medium proved to be essential in order to attain an efficient co-precipitation of Hg with the magnetic nanoparticles. Following this preconcentration procedure, thermal desorption and a further preconcentration was carried out by amalgamation onto a gold coil placed inside a direct mercury analyzer working under the principle of atomic absorption. The magnetic nanocomposite was characterized by transmission electron microscopy (TEM), high-resolution transmission electron microscopy coupled to energy dispersive X-ray spectrometry (HR-TEM-EDS) and total reflection X-ray fluorescence (TXRF). Magnetic nanoparticles with a size in the range of ca. 7-11 nm were obtained. After full optimization of variables influencing the preconcentration and detection of Hg, analytical characteristics were obtained. A detection limit as low as 3.2 ng/L Hg was obtained when 50 µL of the magnetic phase were introduced in the mercury analyzer. The repeatability and reproducibility expressed as relative standard deviation (RSD) were 7% and 10%, respectively. Several certified reference materials, synthetic and unknown water samples were analyzed showing Hg recoveries in the range of 88-115%., (Copyright © 2019 Elsevier B.V. All rights reserved.)

A variety of food and drink samples (n = 21) were analyzed to evaluate the presence of (nano-) particles in their composition. After assessment of the sample pre-treatment step, a fast screening analysis was performed for drinks by Dynamic Light Scattering showing particles from 10 to 300 nm that could correspond to organic or metallic NPs. Metallic NPs were identified in foods by Single-Particle mode Inductively Coupled Plasma Mass Spectrometry and Asymmetrical Flow Field-Flow Fractionation coupled to Multiangle Laser Light Scattering and Inductively-Coupled Plasma Mass Spectrometry. The determination of Ti, Si and Ag concentration in the initial food suspensions, after filtration and centrifugal ultrafiltration enabled to estimate the ionic and nanoparticles content. Si-containing particles can be present in cappuccino powder as large aggregates and Si- and Al-containing particles in hot chocolate. Ti-containing NPs (80-200 nm) were found in chewing gum and Ag NPs in silver pearls (50-150 nm) used for decoration pastry., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Cosmetics are part of the daily life of most of the people. Thus, a complete characterization of the products we applied in our skin is necessary. In this work, an analytical investigation of a wide variety of cosmetics from the point of view of total element content and metallic nanoparticles (NPs) has been performed. Firstly, we analyzed the total element content by ICP-MS and ICP-OES after acid digestion as an assessment of the presence of metal impurities. Prohibited elements in cosmetics, according to the European Commission regulation No 1223/2009, were not detected, and only elements mentioned in the label were found (e.g. Al, Fe, Ti and Si). Secondly, a screening of the presence of NPs has been performed by Dynamic Light Scattering (DLS) and Single Particle Inductively-Coupled Plasma Mass Spectrometry (SP-ICP-MS). Two sample preparation procedures were applied. The first protocol consisted in the preparation of suspensions in 0.1% w/v SDS and the second based on defatting with hexane followed by resuspension in water. DLS was employed as a routine method for a fast analysis of NPs, but this technique showed limitations due to the lack of specificity. SP-ICP-MS analyses were then performed, first as a screening technique to evaluate the presence of TiO 2 and Au NPs in cosmetics suspensions prepared in SDS; and second, when a positive answer was obtained about the presence of NPs from the screening, SP-ICP-MS was used for particle size determination. Results showed that only TiO 2 NPs were present in two sunscreens, one anti-wrinkle day cream, one lip balm protector labeled as 'nano' and in one brand of toothpaste not labeled as 'nano'. Sizes obtained for both sample preparations were compared and ranged from 30 to 120nm in most of the samples., (Copyright © 2017 Elsevier B.V. All rights reserved.)

The continuous use of copper against fungal diseases and off-target effects causes major environmental and agronomic problems. However, the rain-induced removal of Cu-based residues is known only for a limited number of crops. We present the results of rain-induced removal of fungicides from two monitored vineyard plots which were sprayed with two widely used Cu-based formulations: copper-oxychloride (CO) and Bordeaux mixture (BM), respectively. Cu removal per growing season was 0.60±0.12kgha(-1) (30% of the applied fungicide) for CO and 0.80±0.10kgha(-1) for BM (70% of the applied fungicide). Fractioning the Cu in soluble (CuS) and particulate fractions (CuP) showed that most of the Cu was removed as CuP, but CuS concentrations found in throughfall collectors exceeded the regulatory threshold for toxicity in surface waters. The first few millimeters of rain caused most of the Cu removal. Our findings agreed with the data reported in the scientific literature, in which a significant fraction of the Cu-based formulation is loosely attached to the plant surfaces. In addition, we found that rainfall energy had a minor influence on the removal., (Copyright © 2016 Elsevier Inc. All rights reserved.)

An overview of the combination of liquid-phase microextraction (LPME) techniques with graphite furnace atomic absorption spectrometry (GFAAS) is reported herein. The high sensitivity of GFAAS is significantly enhanced by its association with a variety of miniaturized solvent extraction approaches. LPME-GFAAS thus represents a powerful combination for determination of metals, metalloids and organometallic compounds at (ultra)trace level. Different LPME modes used with GFAAS are briefly described, and the experimental parameters that show an impact in those microextraction processes are discussed. Special attention is paid to those parameters affecting GFAAS analysis. Main issues found when coupling LPME and GFAAS, as well as those strategies reported in the literature to solve them, are summarized. Relevant applications published on the topic so far are included., (Copyright © 2016 Elsevier B.V. All rights reserved.)

A method has been developed for the specific and sensitive determination of Cr(VI) in foods. First, the interactions between Cr(VI) and the matrices were investigated by size-exclusion HPLC-ICP-MS (SEC-ICP-MS). Evidence was found for the complexation of Cr(VI) potentially present with the ligands. For quantification of Cr(VI), the method was based on an alkaline extraction (NH4OH solution at pH 11.5) followed by Cr(VI) determination by anion-exchange HPLC-ICP-MS. Analytical performances of the method were satisfactory in terms of linearity, specificity, accuracy, repeatability, and intermediate precision. Detection limits ranged from 1 to 10 μg/kg, depending on the matrices investigated. The method was then applied for the determination of Cr(VI) in several products (dairy products, flour, chocolate, vegetables, fruits, meat, fish, eggs, and beverages) from different brands and origins. Cr(VI) was found in none of the samples investigated. To further investigate the reason for this absence, a stability study of spiked Cr(VI) was therefore conducted. A semi-skimmed cow milk was selected for this study. Cr(VI) was shown to be unstable in this matrix with a degradation rate increasing with the temperature.

Background: The Godelieve Denys-Struyf method (GDS) is a motor learning intervention that may be applied in group or individualized sessions., Objective: The study objective was to compare the effectiveness of routine physical therapy, group GDS (GDS-G) sessions, and group and individualized GDS (GDS-I) sessions., Design: This was a cluster randomized controlled trial., Setting: The study took place in 21 primary care physical therapy units ("clusters") of the Spanish National Health Service (SNHS)., Participants: The participants were 461 people with subacute and chronic low back pain (LBP)., Intervention: Clusters were randomized into 3 groups. All participants received medical treatment and a 15-minute group education session on active management. Additional interventions were as follows: control (fifteen 40-minute sessions of transcutaneous electrical nerve stimulation, microwave treatment, and standardized exercises), GDS-G (eleven 50-minute group GDS sessions), and GDS-I (the same 11 sessions plus four 50-minute individualized GDS sessions)., Measurements: Primary outcomes at baseline and 2, 6, and 12 months later were LBP and pain referred down the leg (separate pain intensity numeric rating scales) and disability (Roland-Morris Questionnaire [RMQ]). Secondary outcomes were use of medication and self-reported health (mental and physical component summaries of the 12-Item Short-Form Health Survey [SF-12]). Separate linear mixed models for LBP, pain referred down the leg, and disability were developed to adjust for potential confounders. Randomization, outcome assessment, and data analyses were masked., Results: At 12 months, disability improved 0.7 (95% confidence interval [CI]=-0.4, 1.8) RMQ point in the control group, 1.5 (95% CI=0.4, 2.7) RMQ points in the GDS-I group, and 2.2 (95% CI=1.2, 3.2) RMQ points in the GDS-G group. There were no differences in pain., Limitations: The amount of exercise was smaller in the control group, and GDS-I sessions were provided by junior physical therapists., Conclusions: The improvement in disability was slightly higher with group GDS sessions than with the program routinely used in clusters within the SNHS. Adding individualized GDS sessions eliminated this advantage. Further studies should compare the GDS with other types of exercise., (© 2015 American Physical Therapy Association.)

In this work, a new method based on headspace-single drop microextraction for the determination of residual acetone in cosmetics by microfluorospectrometry is proposed. Acetone causes fluorescence changes in a 2.5 µL-ethanolic drop (40% v/v) containing 3.10(-4) mol L(-1) 7-hydroxy-4-methylcoumarin ('turn off') or 6.10(-6) mol L(-1) 7-diethylamino-4-methylcoumarin ('turn on'). Polarity and ability to form hydrogen bonds of short chain alcohols (polar protic solvents) were crucial in order to observe these changes in the presence of acetone (polar aprotic solvent). Parameters related with the HS-SDME procedure were studied, namely headspace volume, composition, volume and temperature of drop, microextraction time, stirring rate, mass and temperature of sample, as well as the effect of potential interferents (alcohols and fragrances). The high volatility of acetone allows its extraction from an untreated cosmetic sample within 3 min. A detection limit of 0.26 µg g(-1) and repeatability, expressed as relative standard deviation, around 5% were reached. Accuracy of the proposed methodology was evaluated by means of recovery studies. The method was successfully used to analyze different cosmetics. Simplicity and high sample throughput can be highlighted., (Copyright © 2014 Elsevier B.V. All rights reserved.)

In this work, ultrasound-assisted extraction (UAE) was employed for acceleration of metal extraction from soil samples. After extraction, multielemental analysis (Cr, Mn, Fe, Ni, Cu, Zn and Pb) of EDTA and acetic acid extracts was performed by total reflection X-ray fluorescence spectrometry (TXRF). High-intensity ultrasonic processors, i.e. the ultrasonic probe (50W) and the cup-horn sonoreactor (200W) were applied. Both ultrasonic procedures were compared with a miniaturized version of the single extraction scheme proposed by the Standards, Measurements and Testing program (SM&T). The extraction time with EDTA was reduced from 1h (conventional procedure) to 2 min (ultrasonic probe) or to 10 min (cup-horn sonoreactor). The time required for acetic acid extraction was also reduced from 16 h (conventional procedure) to 6 min (ultrasonic probe) or to 30 min (cup-horn sonoreactor). In addition, the amount of sample and extractants was drastically reduced as a result of the miniaturization implemented in the developed approaches. The combination of UAE and TXRF allows assessing the potential metal mobility and bioavailability in a simple way., (Copyright © 2013 Elsevier B.V. All rights reserved.)

Fast and reliable analytical methodologies are required for quality control of plants in order to assure human health. Ultrasound-assisted extraction in combination with total reflection X-ray fluorescence is proposed as a fast and simple method for multielemental analysis of plants on a routine basis. For this purpose, five certified reference materials have been analysed for the determination of P, K, Ca, Cr, Mn, Fe, Ni, Cu, Zn and Pb. Different extractant media (acids and oxidants) were tried. A mixture of diluted HNO(3)+HCl+HF, was selected as the best option for the achievement of complete extractions. Accurate and precise results can be reached in most cases along with a high sample throughput. Different plants (i.e., herbs, spices and medicinal plants) were analysed. Linear discriminant analysis together with the elemental concentrations allowed the differentiation of commercial preparations corresponding to flower, fruit and leaf., (Copyright © 2012 Elsevier Ltd. All rights reserved.)

Background: Vaginal infections lie among the most common causes women ask for medical advice. In order of frequency bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis are responsible for 90% of vaginitis/vaginosis., Objective: To evaluate a DNA hybridization test for simultaneous molecular detection of Gardnerella vaginalis, Candida species and Trichomonas vaginalis, as an alternative to conventional microbiological methods., Material and Methods: Cohort, cross-sectional, and comparative study of 1,003 vaginal samples from symptomatic women from our health-care area. Two swabs were obtained from each woman, one for routine microbiological diagnosis of vaginal infection (wet mount, Gram stain, and mycological culture) and the other for the DNA hybridization test (Affirm VPIII, Becton Dickinson). This method detects clinically significant levels of G. vaginalis (2 x 10(5) CFU/ml), Candida spp. (1 x 10(4) cells) and T. vaginalis (5x103 trichomonads)., Results: Out of the 1,003 women studied, 30.6% tested positive for bacterial vaginosis, 23.3% for vulvovaginal candidiasis, and 0.5% for trichomoniasis. The Affirm VPIII method turned out positive in 27.5%, 27.4% and 0.5% of cases, respectively. No statistically significant differences were found between the molecular technique and conventional methods for microbiological diagnosis of vaginitis/ vaginosis (p < 0.05)., Conclusion: The Affirm VPIII test correlated well with wet mount, Gram stain and mycological culture. Although its cost is relatively high, it is fast, reproducible, easy, and can be done in either clinical laboratories or Gynecology offices, which permits prescribing a specific early treatment.

A green assay based on the development of an enzymatic reaction in drop format under headspace single-drop microextraction conditions is described for the first time. An aqueous drop containing the enzyme alcohol dehydrogenase and the cofactor β-Nicotinamide adenine dinucleotide has been used as fluorescence probe for determining ethanol in alcohol-free cosmetics by microvolume fluorospectrometry. Experimental parameters affecting the microextraction performance were carefully optimized. Under the conditions employed, the contribution of other alcohols was found to be negligible. After 10 min of microextraction, a detection limit of 0.04 μg g(-1) ethanol, a repeatability, expressed as relative standard deviation, of 5.3% for a 0.05 mM ethanol standard and a preconcentration factor of 391, were reached. Accuracy of the proposed methodology was evaluated by comparison of calibration slopes corresponding to external calibration with aqueous standards and standard addition calibration. The method was successfully applied to different alcohol-free cosmetics (external calibration was carried out in all cases). Additional advantages such as simplicity and high sample throughput can be highlighted. The greenness profile of proposed methodology was established using NEMI criteria (US National Environmental Methods Index)., (Copyright © 2012 Elsevier B.V. All rights reserved.)

A headspace single drop microextraction procedure is proposed for terpene screening in fragrance-free cosmetics. The drop is composed by an aqueous solution of a fluorescence probe formed by bovine serum albumin and fluorescein. Extracted volatile terpenes produce a fluorescence quenching that can be monitored by microvolume-fluorospectrometry. This quenching is observed on the fluorescein fluorescence only when it is linked to bovine serum albumin. A mechanism of contact quenching is proposed. Variables related to the terpene microextraction procedure were carefully studied, namely drop composition and volume, microextraction time, sample volume and temperature, stirring rate and salt addition. The only sample treatment is the dilution of cosmetic with 40% (v/v) ethanol. Citronellol was selected as a representative terpene for calibration purposes. According to the European legislation, the probability-concentration graph of the screening system was established using 0.001% (w/w) as the cut-off level. Low limits of detection with simple instrumentation, absence of matrix effects and high sample throughput can be emphasized., (Copyright © 2012 Elsevier B.V. All rights reserved.)

A miniaturized methodology for the determination of phosphate in waters has been developed by combining directly suspended droplet microextraction (DSDME) with microvolume spectrophotometry. The method is based on the extraction of the ion pair formed between 12-molybdophosphate and malachite green onto a microdrop of methyl isobutyl ketone and subsequent spectrophotometric determination with no dilution. An enrichment factor of 325 was obtained after 7.5 min of microextraction. The detection limit was 6.1 nM phosphate and the repeatability, expressed as relative standard deviation, was 2.7% (n=6). The method was successfully applied to the determination of dissolved reactive phosphorus in different freshwater samples., (Copyright © 2011 Elsevier B.V. All rights reserved.)

A new methodology was developed for the determination of ultratrace levels of gold in water samples, soils and river sediments. Dispersive liquid-liquid microextraction was used to preconcentrate the ion pair formed between AuCl(4)(-) and [CH(3)(CH(2))(3)](4)N(+) in a microliter-range volume of chlorobenzene using acetone as disperser solvent. When solid samples were analyzed, the method consisted of a combination of ultrasound-assisted extraction and dispersive liquid-liquid microextraction with final detection by electrothermal-atomic absorption spectrometry. Since an HCl medium was required for the formation of the AuCl(4)(-) complex, HCl together with HNO(3) was used as extractants for ultrasound-assisted extraction. After optimization, the enrichment factor obtained was 220 for water samples. Moreover, the extraction efficiency was around 96%. The repeatability, expressed as relative standard deviation ranged from 3.6% to 9.7%. The instrumental detection limit was 8.4 ng L(-1), whereas the procedural detection limits were 42 ng L(-1) for water samples and 1.5 ng g(-1) for environmental solid samples., (Copyright © 2010 Elsevier B.V. All rights reserved.)

A simple and miniaturized approach based on ultrasound-assisted emulsification-derivatization is proposed for the determination of nitrite in cosmetic samples by UV-vis micro-spectrophotometry. Oil/water emulsions were formed using 15 mg of cosmetic sample and 1 mL of an aqueous medium containing 0.5% w/v SDS and 1% v/v acetic acid. When powerful sonication systems were used to make emulsions, i.e. probe or cup-horn sonoreactor, stable and transparent emulsions were obtained in one or half minute per sample, respectively. The Griess reaction in these special conditions (i.e. sonication and the presence of an organized medium) was investigated. The absence of matrix effects allows external calibration with aqueous standards for nitrite quantification. Analytical features were compared to those of the European official method 82/434/EEC. Detection limit, sample throughput and reagent consumption were significantly improved., (Copyright © 2010 Elsevier B.V. All rights reserved.)

In this work, the determination of rare earth elements (REEs), i.e. Y, La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb and Lu in marine biological tissues by inductively coupled-mass spectrometry (ICP-MS) after a sample preparation method based on ultrasound-assisted extraction (UAE) is described. The suitability of the extracts for ICP-MS measurements was evaluated. For that, studies were focused on the following issues: (i) use of clean up of extracts with a C18 cartridge for non-polar solid phase extraction; (ii) use of different internal standards; (iii) signal drift caused by changes in the nebulization efficiency and salt deposition on the cones during the analysis. The signal drift produced by direct introduction of biological extracts in the instrument was evaluated using a calibration verification standard for bracketing (standard-sample bracketing, SSB) and cumulative sum (CUSUM) control charts. Parameters influencing extraction such as extractant composition, mass-to-volume ratio, particle size, sonication time and sonication amplitude were optimized. Diluted single acids (HNO(3) and HCl) and mixtures (HNO(3)+HCl) were evaluated for improving the extraction efficiency. Quantitative recoveries for REEs were achieved using 5 mL of 3% (v/v) HNO(3)+2% (v/v) HCl, particle size <200 μm, 3 min of sonication time and 50% of sonication amplitude. Precision, expressed as relative standard deviation from three independent extractions, ranged from 0.1 to 8%. In general, LODs were improved by a factor of 5 in comparison with those obtained after microwave-assisted digestion (MAD). The accuracy of the method was evaluated using the CRM BCR-668 (mussel tissue). Different seafood samples of common consumption were analyzed by ICP-MS after UAE and MAD., (Copyright © 2010 Elsevier B.V. All rights reserved.)

In this work, ultrasound-assisted emulsification microextraction in combination with fibre optics-based cuvetteless UV-vis micro-spectrophotometry has been proposed as a novel method for the determination of formaldehyde in water-based cosmetics such as shampoo, conditioner and shower gel. The use of a powerful cup-horn sonoreactor allows simultaneous extraction and derivatization of the samples without any pre-treatment. The type and volume of organic extractant solvent, need for a disperser solvent, sonication conditions (sonication time and amplitude), ionic strength and centrifuging time have been carefully studied. Matrix effects were also evaluated. The European official method for quantification of formaldehyde in cosmetic products was used for comparison purposes. An important improvement in sensitivity and sample throughput as well as miniaturization was achieved. A limit of detection of 0.02 microg g(-1) of formaldehyde and a repeatability expressed as relative standard deviation of 5.9% were obtained., (Copyright 2010 Elsevier B.V. All rights reserved.)

Background: Androgen receptor (AR) gene mutations are the most frequent cause of 46,XY disorders of sex development (DSD) and are associated with a variety of phenotypes, ranging from phenotypic women [complete androgen insensitivity syndrome (CAIS)] to milder degrees of undervirilization (partial form or PAIS) or men with only infertility (mild form or MAIS)., Objective: The aim of the study was to characterize the contribution of the AR gene to the molecular cause of 46,XY DSD in a series of Spanish patients., Setting: We studied a series of 133 index patients with 46,XY DSD in whom gonads were differentiated as testes, with phenotypes including varying degrees of undervirilization, and in whom the AR gene was the first candidate for a molecular analysis., Methods: The AR gene was sequenced (exons 1 to 8 with intronic flanking regions) in all patients and in family members of 61% of AR-mutated gene patients., Results: AR gene mutations were found in 59 individuals (44.4% of index patients), of whom 46 (78%) were CAIS and 13 (22%) PAIS. Fifty-seven different mutations were found: 21.0% located in exon 1, 15.8% in exons 2 and 3, 57.9% in exons 4-8, and 5.3% intronic. Twenty-three mutations (40.4%) had been previously described and 34 (59.6%) were novel., Conclusions: AR gene mutation is the most frequent cause of 46,XY DSD, with a clearly higher frequency in the complete phenotype. Mutations spread along the whole coding sequence, including exon 1. This series shows that 60% of mutations detected during the period 2002-2009 were novel.

Bacterial vaginosis is a widely spread health problem with multiple connotations. It has been the subject of many studies and work during decades and it still remains a polemic entity, with contradictory finding. The polymicrobian etiology, unsolved epidemiology, obstetrico-gynecological complications and high recurrence rate following treatment, make this infection a target for researchers. It is not an inflammatory process -yet an immune response exists. In this disorder, vaginal discharge increases, and it is associated with a high risk of developing sexually transmitted diseases.

In this work, ultrasound-assisted emulsification with a probe system is proposed as a rapid and simple sample treatment for atomic spectrometric determinations (Electrothermal Atomic Absorption Spectrometry, Inductively Coupled Plasma Optical Emission Spectrometry, Flame Atomic Absorption Spectrometry and Cold Vapour Atomic Absorption Spectrometry) of trace elements (As, Cd, Cr, Cu, Hg, Mg, Mn, Ni, Sr and Zn) in cosmetic samples such as shampoos, gel (hair gel), crèmes (body milk, hair conditioner) and oil (body oil). The type of dispersion medium, the sample mass-to-dispersion medium volume ratio, as well as the parameters related to the ultrasound-assisted emulsification (sonication amplitude and treatment time) were exhaustively studied. Only 1 min of ultrasonic shaking and a dispersion medium containing 0.5% (w/v) of SDS+3% (v/v) of HNO(3) or HCl allows obtaining a stable emulsion at least for 3 months. Thermal programs, nebulization of emulsions, speed of pumps and concentration of reagents used in cold vapour generation were optimized. Calibration using aqueous standards was feasible in all cases. Calibration by the standard addition method and recovery studies was also applied for validation. Microwave-assisted digestion and Inductively Coupled Plasma Mass Spectrometry were used for comparison purposes. Relative standard deviations from analysis of five independent emulsions were less than 9% in all cases.

We evaluated the BDProbeTec ET System (Becton Dickinson) for the routine detection of Mycobacterium tuberculosis complex (MTC) in respiratory specimens and pleural fluids, comparing with microscopy (Ziehl Neelsen stain, ZN) and culture in liquid (BACTEC MGIT 960, MGIT) and solid (Löwenstein Jensen, LJ) media. Five hundred and two specimens, collected from 266 patients, of which 257 with suspected tuberculosis and 9 receiving anti-tuberculosis treatment, were investigated. Thirty-nine specimens were positive by any method, including false positives. Mycobacteria were isolated from 33 specimens (32 Mycobacterium tuberculosis and 1 Mycobacterium chelonae). Thirty-six specimens were BDProbeTec ET positive, 33 specimens were MGIT positive, 27 were LJ positive and 22 were ZN positive. With BDProbeTec ET, 2 specimens were false negative (culture positive), and 2 specimens from non-treated patients were false positive (culture negative). The overall sensitivity, specificity, and positive and negative predictive values for BDProbeTec ET compared to culture were 93.7, 98.7, 83.3, and 99.5%, respectively, while with smear-positive and smear-negative specimens the sensitivities were 100% and 81.5% respectively. In five treated patients the disappearance of MTC could be monitored using BDProbeTec ET in parallel with culture. The overall inhibition rate was 0.2%. BDProbeTec ET can be very useful for rapid detection of MTC, especially in smear-negative respiratory specimens.

The current rules and regulations in Spain state that those working in closed institutions, helping mentally disturbed patients, are considered personnel at risk for acquiring hepatitis B virus infection, without drawing distintions between professions and fields of work. The immunological state against HBV has been studied in a representative population group of workers of the Cadiz Provincial Psychiatric Hospital (82.90%). Our results show that the percentage of chronic carriers (3.15%) and those with other positive biological markers (30.07%) is greater than that found in the General hospitals of our country. Thus, the inclusion of this population group in preventive programs as well as vaccination programs against hepatitis B virus infection is totally justified.