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Objective Pharmacological interventions remain the cornerstone of chronic pain treatment; however, nearly 40% of the prescription medicines are not taken as prescribed. The present study aims at understanding and describing non-adherence from the perspective of chronic pain patients during a 1-year follow-up study. Methods A cohort of 950 consecutive patients referred to a first consultation in Multidisciplinary Chronic Pain Clinics was followed with a standardized protocol for 1 year. This included assessment of pain characteristics; prescribed medication; therapeutic adherence; effectiveness of treatment, non-adherence and its perceived reasons; clinical outcomes and quality of life. We used a mixed methods approach, including qualitative and quantitative analyses. Results Forty-nine percent of the 562 patients who responded to all assessments during follow-up were adherent after 1 year of chronic pain treatment. The core associations between each "non-adherence reason" and Anatomical Therapeutic Chemical Code (ATC) group were perceived side effects (p=0.019) and delayed start (p=0.022) for narcotic analgesics (opioids); perceived non-efficacy (p=0.017) and delayed start (p=0.004) for antiepileptics and anticonvulsants; perceived low necessity (p=0.041) and delayed start (p=0.036) for analgesics antipyretics; change in prescriptions because of a new clinical condition for antidepressants (p=0.024); high concerns (p=0.045) and change in prescriptions because of a new clinical condition (p

This study consisted of a palynological, microbiological, and physicochemical characterization of fifteen samples of Spanish honey sold under quality brands with different botanical and geographical origins from two consecutive harvest years (2010 and 2011). Eight of the fifteen honey samples were classified as monofloral honey from botanical origins Persea americana, Castanea sativa, Rosmarinus officinalis, Eucalyptus sp., and Thymus sp. With regard to microbiological analyses, mold, and yeast counting, Staphylococcus aureus, Salmonella, sulfite-reducing clostridia, and Escherichia coli were not detected in any of the samples. Aerobic mesophilic microorganisms were detected only in some samples and the counts in these cases were low. Despite the great variability between samples, the results obtained in the physicochemical analysis were consistent with the limits set by the Council Directive 2001/100. Honey samples showed high variability between two consecutive harvests, since, even if they had similar geographical origins they showed different nectar floral origins. Mieles españolas con marca de calidad: un enfoque multivariado de parámetros fisicoquímicos, calidad microbiológica y origen floral Este estudio consistió en la caracterización botánica, microbiológica y fisicoquímica de quince muestras de miel españolas acogidas a marcas de calidad diferenciada de diferentes orígenes botánicos y geográficos y procedentes de dos cosechas consecutivas (años 2010 y 2011). Ocho de las quince muestras de miel estudiadas fueron clasificadas como mieles monoflorales de Persea americana, Castanea sativa, Rosmarinus officinalis, Eucalyptus sp. y Thymus sp. En relación a los análisis microbiológicos los recuentos de mohos y levaduras, Staphylococcus aureus, Salmonella, clostridios sulfito reductores y Escherichia coli no fueron detectados en ninguna de las muestras. Se detectaron microorganismos aerobios mesófilos solo en algunas muestras y en este caso los recuentos fueron bajos. Aunque se detectaron coliformes, estos podrían estar asociados a un origen ambiental. A pesar de la gran variabilidad entre las muestras, los resultados obtenidos en el análisis fisicoquímico se encontraron dentro de los límites establecidos por la Directiva del Consejo 2001/100. Las muestras de miel mostraron una gran variabilidad entre cosechas porque aunque tuvieron un mismo origen geográfico, hubo diferencias en su origen floral. Este estudio consistió en la caracterización botánica, microbiológica y fisicoquímica de quince muestras de miel españolas acogidas a marcas de calidad diferenciada de diferentes orígenes botánicos y geográficos y procedentes de dos cosechas consecutivas (años 2010 y 2011). Ocho de las quince muestras de miel estudiadas fueron clasificadas como mieles monoflorales de Persea americana, Castanea sativa, Rosmarinus officinalis, Eucalyptus sp. y Thymus sp. En relación a los análisis microbiológicos los recuentos de mohos y levaduras, Staphylococcus aureus, Salmonella, clostridios sulfito reductores y Escherichia coli no fueron detectados en ninguna de las muestras. Se detectaron microorganismos aerobios mesófilos solo en algunas muestras y en este caso los recuentos fueron bajos. Aunque se detectaron coliformes, estos podrían estar asociados a un origen ambiental. A pesar de la gran variabilidad entre las muestras, los resultados obtenidos en el análisis fisicoquímico se encontraron dentro de los l ımites establecidos por la Directiva del Consejo 2001/100. Las muestras de miel mostraron una gran variabilidad entre cosechas porque aunque tuvieron un mismo origen geográfico, hubo diferencias en su origen floral. This work was supported by the Consejería de Sanidad. Junta de Castilla y León [GRS 551/A/10]; Patricia Combarros- Fuertes PhD Research was funded by Consejería de Educación. Junta de Castilla y León and Fondo Social Europeo. info:eu-repo/semantics/publishedVersion

Partial sequencing of 16S ribosomal RNA (rRNA) gene is commonly used for the identification of lactic acid bacteria (LAB). The present study evaluated the performance in the identification of dairy LAB of two universal (515FPL-13B and 91E-13) and one Lactobacillus group-specific (S-D-Bact-0011-a-S-17-S-G-Lab-0677-a-A-17) primer pairs. After amplification, the 16S rRNA gene portions were sequenced, and sequences were analysed using the Ribosomal Database Project (RDP-II) and Basic Length Alignment Search Tool (BLAST) programs. The primers were used with three reference strains and eight isolates from Oaxaca cheese. The 515FLP-13B primer misled the identification of one reference strain and two isolates. Five among the eight isolates were identified as Lactococcus lactis by at least two of the primers, and the specific primer showed higher RDP-II identity scores than the universal primers. The specific primer was successfully used for the identification of other 24 cheese isolates. The joint use of the two ...