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The main objective of this research was to develop biobased superabsorbent materials (SAM) able to control humidity in soils. For this purpose, two abundant biopolymers (alginate and chitosan) were studied. Concentration of both polysaccharides, cross-linking time, CaCl2 and acetic acid concentrations were evaluated through Taguchi design. Then, two formulations were selected and fully characterized. Samples were tested in soil substrate in two different concentrations to evaluate the effects in lettuce plants grown under hydric stress. Swelling degree significantly varied with the studied factors (822–8932%, after 24 h in distilled water). The two selected formulations had the minimum acetic acid and CaCl2 concentrations, and cross-linking time tested, but the highest chitosan content, expecting an elicitor effect in the plants. The selected materials showed superabsorbent properties. Addition of 5% w/w of either biobased materials to soil substrates led to noticeably more vigorous specimens after 6 days of drought compared to lettuce grown in substrate without SAM. However, some phytotoxicity is suspected. Further assays are necessary to optimize chitosan content improving soil properties while stimulating plant growth without phytotoxicity. Overall, results showed that Chitosan-Alginate SAMs might be considered as promising sustainable agricultural devices. [ABSTRACT FROM AUTHOR]

Continuous canopy status monitoring is an essential factor to support and precisely apply orchard management actions such as pruning, pesticide and foliar treatment applications, or fertirrigation, among others. For that, this work proposes the use of multispectral vegetation indices to estimate geometric and structural orchard parameters from remote sensing images (high temporal and spatial resolution) as an alternative to more time-consuming processing techniques, such as LiDAR surveys or UAV photogrammetry. A super-intensive almond (Prunus dulcis) orchard was scanned using a mobile terrestrial laser (LiDAR) in two different vegetative stages (after spring pruning and before harvesting). From the LiDAR point cloud, canopy orchard parameters, including maximum height and width, cross-sectional area and porosity, were summarized every 0.5 m along the rows and interpolated using block kriging to the pixel centroids of PlanetScope (3 × 3 m) and Sentinel-2 (10 × 10 m) image grids. To study the association between the LiDAR-derived parameters and 4 different vegetation indices. A canonical correlation analysis was carried out, showing the normalized difference vegetation index (NDVI) and the green normalized difference vegetation index (GNDVI) to have the best correlations. A cluster analysis was also performed. Results can be considered optimistic both for PlanetScope and Sentinel-2 images to delimit within-field management zones, being supported by significant differences in LiDAR-derived canopy parameters. [ABSTRACT FROM AUTHOR]

The rapid pace of urbanization makes it imperative that we better understand the influence of climate forcing on urban malaria transmission. Despite extensive study of temperature effects in vector-borne infections in general, consideration of relative humidity remains limited. With process-based dynamical models informed by almost two decades of monthly surveillance data, we address the role of relative humidity in the interannual variability of epidemic malaria in two semi-arid cities of India. We show a strong and significant effect of humidity during the pre-transmission season on malaria burden in coastal Surat and more arid inland Ahmedabad. Simulations of the climate-driven transmission model with the MLE (Maximum Likelihood Estimates) of the parameters retrospectively capture the observed variability of disease incidence, and also prospectively predict that of 'out-of-fit' cases in more recent years, with high accuracy. Our findings indicate that relative humidity is a critical factor in the spread of urban malaria and potentially other vector-borne epidemics, and that climate change and lack of hydrological planning in cities might jeopardize malaria elimination efforts. Climate conditions and urbanization can be major drivers of vector-borne infections. Here the authors demonstrate that an often-neglected climate variable, humidity, is an important factor for malaria epidemics in two urban areas in India. [ABSTRACT FROM AUTHOR]

Introduction and hypothesis: We aimed to demonstrate that laparoscopic sacrocolpopexy/cervicopexy (LSC-Cx) versus anterior vaginal mesh (AVM) results in a longer vaginal length without impacting sexual activity or function. Methods: We performed a secondary analysis of sexual outcomes of a previous randomized control trial comparing LSC-Cx and AVM in 120 women (60/group) with symptomatic POP stage ≥ 3. We evaluated sexually active (SA) and non-sexually active women (NSA) using the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA-Revised (PISQ-IR) preoperatively and 1 year postoperatively. Multivariate logistic and linear regression models were built to assess the impact of different variables on sexual activity and function, respectively. Results: Among 120 women included, no statistically significant differences were found between vaginal length and preoperative dyspareunia (20.7% AVM vs. 22,8% LSC-Cx) comparing SA to NSA women and LSC-Cx to AVM. Vaginal length was significantly longer after LSC-Cx versus AVM (p < 0.001). The postoperative dyspareunia rate was 17.2% AVM versus 10.5% LSC-Cx. Partnered women were significantly more likely to be SA than unpartnered women before (OR = 19.04; p = 0.006) and after surgery (OR = 36.28; p = 0.002). Only dyspareunia was independently associated with sexual function pre- (B = −0.431; p = 0.017) and postoperatively (B = −0.3 96; p = 0.007). Conclusions: Vaginal length was greater following LSC-Cx compared to AVM. While vaginal length has no impact on female sexuality pre- and postoperatively, the most important factors were "having a partner" for sexual activity and dyspareunia for sexual function. Persistence of dyspareunia was higher after AVM. LSC-Cx should be considered in women with POP undergoing mesh surgery with future sexual expectations. [ABSTRACT FROM AUTHOR]

Introduction and hypothesis: The differential impact of specific pelvic organ prolapse (POP) surgery on sexual activity and function is unknown. Our primary aim was to analyse sexual inactivity and function in women with symptomatic advanced stages of POP and the changes incurred after laparoscopic or vaginal mesh surgery. Methods: We performed a secondary analysis of sexual outcomes of a previously published randomised controlled trial comparing laparoscopic sacrocolpopexy/cervicopexy (LSC-Cx) and anterior vaginal mesh (AVM) in 120 women (60/group) with symptomatic anterior POP stage ≥ 3 and apical ≥ 2. Sexual activity and function were assessed preoperatively and 1 and 2 years postoperatively using the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA-Revised (PISQ-IR). Results: Sexual activity was recovered in 42.9% of non-sexually active (NSA) women 1 year postoperatively, mainly in women with higher preoperative POP-related subscale scores of the PISQ-IR, which indicated a negative preoperative sexuality by POP. Recovery of sexual activity was greater after LSC-Cx, albeit not significantly (2 years: 35.5% AVM vs. 45% LSC-Cx). Among sexually active (SA) women preoperatively remaining SA postoperatively, the difference in the mean PISQ-IR summary score significantly improved [mean baseline difference – 2 years; all: 0.3 (95% CI 0.1 to 0.5) p = 0.001; AVM 0.19 (95% CI –0.1 to −0.5) p > 0.05; LSC-Cx 0.37 (95% CI 0.1 to 0.7) p = 0.003]. Preoperative dyspareunia was significantly reduced after LSC-Cx (baseline: 24.6%, 2 years: 9.8%, p = 0.0448), but not after AVM (baseline: 20.7%, 2 years: 18.2%, p = 0.7385). Conclusions: Most women reported improved sexual activity and function 2 years after LSC-Cx or AVM, mainly because of enhanced POP-related subscales in both NSA and SA women. Recovery of sexual activity and improved sexual function were greater after LSC-Cx compared to AVM, likely related to less postoperative dyspareunia. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the mid-term clinical outcomes of transcatheter arterial embolization (TAE) for adhesive capsulitis (AC) resistant to medical treatments. Materials and Methods: This is a prospective analysis performed between February 2016 and February 2020. Inclusion criteria for TAE were shoulder pain, restriction of movement and no response to conservative treatment for at least 3 months. Demographic variables, risk factors, technical aspects, adverse events, changes by visual analogue scale (VAS) for pain and physical examination before and after TAE were assessed. Results: This study included 40 patients with AC (35 women and 5 men; mean age 50 ± 9 years old). Abnormal vessels were observed in 31/40 (77.5%) procedures. As embolic agent, imipenem/cilastatin was used. The mean follow-up was 21.2 ± 10.5 months. Significant differences were obtained in terms of pain reduction before and 6 months after TAE with the median visual analogue scale (VAS) of 8 vs. 0.5, P = 0.0001. Substantial differences were found regarding mobility in flexion and abduction before and 6 months after embolization, respectively (79.5° ± 18.5° vs. 133° ± 24.5°, P = 0.0001; 72.4° ± 18.8° vs. 129.7° ± 27.9°, P = 0.0001). No complications occurred. Complete recovery was obtained in 37/40 (92.5%) patients and partial recovery in 2/40 (5%). No clinical recurrence appeared. Conclusions: Clinical results of transcatheter arterial embolization with imipenem/cilastatin are effective and stable in the mid-term follow-up for patients presenting with AC resistant to conservative treatments. [ABSTRACT FROM AUTHOR]

Purpose: Cancers can be hidden by high breast density (BDen)- the masking effect (ME). BDen is also a modifiable and highly prevalent breast cancer risk (BCR) factor. The purposes of this study were to determine how much glandular volume (GVol), breast volume (BVol) and their ratio: BDen change during the menstrual cycle, and if these changes could affect ME or be relevant to results of interventional studies aiming to diminish BCR using these parameters as surrogates. Methods: We retrieved GVol, BVol and BDen data values obtained from 39,997 right mammograms performed with photon counting technique of 19,904 premenopausal women who reported their first day of last menses (FDLM). Many women had more than one study included over the years (with a different FDLM) but were not studied longitudinally. We segregated women by age (yearly), divided the menstrual cycle in 4 weeks, and assigned results with respect to the FDLM. Results: All parameters vary cyclically, with higher values in week 4 (GVol and BDen) or week 1 (BVol). Mean inter-week differences were very small for the three parameters, and diminished with age. However, especially in the youngest women, inter-week differences could be more than 10% for BDen, 15% for GVol, and 50% for BVol. Conclusion: Small inter-week mean differences almost certainly rule out relevant changes to ME directly attributable to BDen. However, the possibility of large differences during the menstrual cycle in younger women, who are the ideal targets of interventional studies to diminish BCR, might distort results and should be accounted for. [ABSTRACT FROM AUTHOR]

A strongly divergent lineage, putatively a new cryptic species, of colonial ascidian was first detected as an anomalous sample in a population genomics study of the well-known worldwide invasive species Didemnum vexillum Kott, 2002. This putative new taxon, found in a marina in Roscoff, France, is indistinguishable from Didemnum vexillum in the external aspect and coexists with it in syntopy. However, morphological characters such as spicules and larvae allow a clear-cut distinction. In accordance with the preliminary results based on genome-wide analyses, morphological traits and mitochondrial sequences of the cytochrome oxidase I gene both support the establishment of a new species Didemnum pseudovexillum sp. nov. Previous unidentified sequences in public databases showed that the new species is also present in NW Mediterranean marinas. Didemnum pseudovexillum sp. nov. is assigned for the time being a cryptogenic species status, although its presently known disjoint distribution across two biogeographic regions and its presence in ports are suggestive of an introduced species. Further studies should be performed to ascertain its current distribution and putative natural range and settle its native vs. non-native status. This finding casts doubts on previous reports of Didemnum vexillum and also calls for caution when performing fast field surveys of non-indigenous species such as rapid assessment surveys (RAS) or BioBlitz surveys, based solely on external characters. [ABSTRACT FROM AUTHOR]

Inflammatory bowel diseases (IBD) belong to the group of immune-mediated diseases (IMIDs). The effect of associated IMIDs in the prognosis in IBD is nowadays unknown. To describe IMIDs associated to IBD patients and evaluate differences linked to the presence or absence of IMIDs. A unicentric retrospective descriptive study was designed. A cohort of 1,448 patients were categorized according to the presence of IMIDs. Clinical characteristics were obtained from IBD database. Univariate and multivariate analysis were performed. 385 patients were diagnosed with associated IMIDs while 1,063 had no associated IMIDs. A prevalence of 26.6% IMIDs associated to IBD was observed. Asthma, skin psoriasis and rheumatoid diseases were most commonly found. Factors associated to the presence of IMIDs were women (OR 1.48; 95 CI 1.17–1.87) and Crohn's disease (OR 1.35; 95 CI 1.07–1.70). Patients with associated IMIDs required more immunomodulator (OR 1.61; 95 CI 1.27–2.43) and biological treatment (OR 1.81; 95 CI 1.47–2.43). More surgical risk was observed in multivariate analysis in those patients diagnosed with IMIDs prior to the onset of IBD (OR 3.71; 95% CI 2.1–6.56). We considered the presence of IMIDs a poor prognostic factor and suggest a closer monitoring of these patients. [ABSTRACT FROM AUTHOR]

Objective: Mammographic breast density (BDen), the ratio of glandular volume (GVol) to breast volume (BVol), is the second most prevalent risk factor for breast cancer (BC). Newly developed photon counting technology allows precise and systematic measurements in clinical practice. Our objective is to see how these parameters change with age in women with and without cancer. Materials and methods: This retrospective study analyzed results of BDen, GVol, and BVol in 64,182 mammograms performed with photon counting technology on 32,448 consecutive women from April 2014 to December 2015. Only their first study was included. We excluded women with incomplete data or with breast implants. Results: Mean age of women without BC diagnosed during the study period was 52.1 ± 9.9. BC and was found in 263 women (0.81%). Mean age was 53.0 ± 10.4. BDen, GVol, and BVol were 14%, 24%, and 2% greater in women with BC (P < 0.001 for BDen and GVol and P = 0.02 for BVol). BDen and GVol diminished following similar patterns across age in both groups, with soft slopes before and after a steep drop from 50 to 60, probably due to menopause. Conclusion: BDen diminishes with age in women with or without BC, but it is generally higher in women with BC. GVol could be a more robust indicator associated with BC risk than BDen. This technology can ease the way to studies of interventions to diminish BDen (or GVol) in the hope of diminishing BC incidence or predict if longitudinal changes are indicative of impending cancer. [ABSTRACT FROM AUTHOR]

Exploiting resources belonging to multiple cloud providers in an efficient way is still an open issue for distributed computing. Scheduling algorithms based on heuristic, probabilistic, queue theory, or complex soft computing methods are suitable to tackle the heterogeneity and dynamism present in cloud federations. Nevertheless, the available brokering tools are focused on the deployment of services on-demand. The systems able to accomplish high-throughput calculations, such as the pilot-job systems, do not support the inclusion of these algorithms due to their lack of adaptability. The recent implementation of cloud drivers for the GWpilot framework allows developers to profit from its flexibility, compatibility and scheduling features. Moreover, the framework allows the personalised characterisation of cloud resources that those algorithms require, overcoming their lack of trustworthiness in the information provided by the cloud services. In this work, a simple model together with a methodology to couple scheduling software with GWpilot is presented. To demonstrate the suitability of the approach, a legacy self-scheduler specialised on reliable executions in dynamic environments has been stacked and tested on the EGI FedCloud infrastructure with the Nagano legacy application. [ABSTRACT FROM AUTHOR]

After reviewing the available classifications for groin hernias, the European Hernia Society (EHS) proposes an easy and simple classification based on the Aachen classification. The EHS will promote the general and systematic use of this classification for intraoperative description of the type of hernia and to increase the comparison of results in the literature. [ABSTRACT FROM AUTHOR]

Non-indigenous ascidians are of particular concern to aquaculture industry and, paradoxically, the activities associated with it represent an important way to translocate these species worldwide. In 2012 a non-indigenous ascidian was found covering the oyster crops in the Ebro Delta (Western Mediterranean). We have identified the ascidian genetically and morphologically as Didemnum vexillum Kott, 2002. This finding indicates that the species is currently expanding its distribution in the Mediterranean Sea, as it has recently been found in the eastern basin (Venice, Adriatic Sea). Introduced populations of D. vexillum are found in temperate and cold waters worldwide, and a successful establishment in the Mediterranean implies a remarkable capacity of adaptability to warm, subtropical conditions. We assessed the life cycle (growth and reproduction) of the ascidian at the studied site. The species has a marked seasonal cycle, with regression in the warmest months and reappearance during winter. In spring D. vexillum reaches its maximum abundance, followed by a peak in reproduction just before regression. This cycle is reversed with respect to the one observed in colder waters, highlighting a plastic biological cycle of this invader and an hitherto unknown ability to establish itself in warm waters. We also analysed the genetic structure of the population of the Ebro Delta and the one established in the Lagoon of Venice using COI sequence data. The low genetic diversity in our samples (three haplotypes) was consistent with what is observed in the introduced populations worldwide. It is likely that the ascidian was introduced with oyster stock from bivalve cultures in the Atlantic French coasts, where the same three haplotypes have been reported. The high boating activity in the Ebro Delta makes further human-mediated transport of the species highly likely, and nearby fishing grounds can be severely affected if invaded. It is urgent to implement measures to prevent the continuous expansion of this ascidian pest in the Mediterranean. [ABSTRACT FROM AUTHOR]

Summary: Glass-ceramics (GCs) are constituted by nanometer-to-micron-sized crystals embedded in a glass matrix; usually, their structural or functional elements (clusters, crystallites or molecules) have dimensions in the 1 to 100 nm range. As the name says, GCs must be considered an intermediate material between inorganic glasses and ceramics; in most cases the crystallinity is between 30 and 50%. GCs share many properties with both glasses and ceramics, offering low defects, extra hardness, high thermal shock resistance (typical of ceramics) together with the ease of fabrication and moulding (typical of glasses). The embedded crystalline phase, however, can enhance the existing properties of the matrix glass or lead to entirely new properties. GCs are produced by controlled crystallization of certain glasses, generally induced by nucleating additives; they may result opaque or transparent. Transparent GCs are now gaining a competitive advantage with respect to amorphous glasses and, sometimes, to crystals too. The aim of the present paper is to introduce the basic characteristics of transparent glass-ceramics, with particular attention to the relationship between structure and transparency and to the mechanism of crystallization, which may also be induced by selective laser treatments. Their applications to the development of guided-wave structures are also briefly described. [ABSTRACT FROM AUTHOR]

Study design:This is a cross-sectional validation study.Objective:The objective of this study was to adapt and validate a self-report version of the Spinal Cord Independence Measure (SCIM III) for the Spanish population.Methods:A cross-cultural adaptation of the self-report version of the SCIM III for the Spanish population was performed on the basis of international guidelines. A total of 100 patients with spinal cord injury (SCI) were recruited. A team of healthcare professionals administered the SCIM III by observation. In addition, the patients completed the Spanish self-report version (eSCIM-SR). Data from both questionnaires were analysed jointly.Results:A high correlation was observed between SCIM III and eSCIM-SR. Lin's concordance correlation coefficient for the global score was 0.998 (95% confidence interval: 0.997, 0.998), and the subscale scores were 0.988 (0.982, 0.992) for self-care, 0.992 (0.988, 0.995) for respiration and sphincter management and 0.997 (0.995, 0.998) for Mobility. Bland-Altman plots showed a small bias of −0.32 (95% limits of agreement: −3.01, 2.37). The estimated bias was low in all three domains, with values of −0.22 (−2.12, 1.68), −0.1 (−2.02, 1.82) and −0.03 (−1.69, 1.63) for the self-care, respiration and sphincter management and mobility subscales, respectively.Conclusion:Our study validates the eSCIM-SR as a tool for the functional assessment of patients with SCI, principally in the outpatient setting. [ABSTRACT FROM AUTHOR]

The genus Janibacter comprises nine different species mainly found in the environment. Only two human infections by these microorganisms have been previously reported, one by J. melonis and another one by an undescribed Janibacter sp. Herewith we report the first human cases of infection by J. terrae in four bacteremic patients. The microorganisms were isolated from two consecutive blood cultures taken from four febrile patients with several underlying conditions. All patients were treated with antibiotics, two of them with favorable outcome. Two severely immunocompromised patients died, and one was treated with an antibiotic in vitro active against the isolate. Janibacter terrae was identified by phenotypic and 16S rDNA amplification methods. This report includes also the first data on antimicrobial susceptibility of this opportunistic pathogen. Clinical microbiologists should be aware of this microorganism which can be identified by phenotypic and molecular methods. [ABSTRACT FROM AUTHOR]

Purpose: The Tisseel/Tissucol for mesh fixation in Lichtenstein hernia repair (TIMELI) study showed that mesh fixation with human fibrin sealant during inguinal hernia repair significantly reduced moderate-severe complications of pain 12 months post-operatively compared with sutures. Further analyses may assist surgeons by investigating predictors of post-surgical complications and identifying patients that may benefit from Tisseel/Tissucol intervention.Methods: Univariate and multivariate analyses identified risk factors for combined pain, numbness and groin discomfort (PND) visual analogue scale (VAS) score 12 months post-operatively. Variables tested were: fixation method, age, employment status, physical activity, nerve handling, PND VAS score at pre-operative visit and 1 week post-operatively. The effect of fixation technique on separate PND outcomes 12 months post-surgery was also assessed. Analyses included the intention-to-treat (ITT) population and a subpopulation with pre-operative PND VAS > 30 mm.Results: 316 patients were included in the ITT, with 130 patients in the subpopulation with pre-operative PND VAS > 30. Multivariate analysis identified mesh fixation with sutures, worsening pre-operative PND and worsening PND 1 week post-surgery as significant predictors of 12-month PND in the ITT population; mesh fixation with sutures was a significant predictor of 12-month PND in the pre-operative PND VAS > 30 subpopulation (p < 0.05). Mesh fixation with Tisseel/Tissucol resulted in significantly less numbness and a lower intensity of groin discomfort compared with sutures at 12 months; there was no difference in pain between the treatment groups.Conclusions: Pre-operative discomfort may be an important predictor of post-operative pain, numbness and discomfort. Tisseel/Tissucol may improve long-term morbidity over conventional sutures in these patients. [ABSTRACT FROM AUTHOR]

Purpose: The Tisseel/Tissucol for mesh fixation in Lichtenstein hernia repair (TIMELI) study showed that mesh fixation with human fibrin sealant during inguinal hernia repair significantly reduced moderate-severe complications of pain 12 months post-operatively compared with sutures. Further analyses may assist surgeons by investigating predictors of post-surgical complications and identifying patients that may benefit from Tisseel/Tissucol intervention. Methods: Univariate and multivariate analyses identified risk factors for combined pain, numbness and groin discomfort (PND) visual analogue scale (VAS) score 12 months post-operatively. Variables tested were: fixation method, age, employment status, physical activity, nerve handling, PND VAS score at pre-operative visit and 1 week post-operatively. The effect of fixation technique on separate PND outcomes 12 months post-surgery was also assessed. Analyses included the intention-to-treat (ITT) population and a subpopulation with pre-operative PND VAS > 30 mm. Results: 316 patients were included in the ITT, with 130 patients in the subpopulation with pre-operative PND VAS > 30. Multivariate analysis identified mesh fixation with sutures, worsening pre-operative PND and worsening PND 1 week post-surgery as significant predictors of 12-month PND in the ITT population; mesh fixation with sutures was a significant predictor of 12-month PND in the pre-operative PND VAS > 30 subpopulation ( p < 0.05). Mesh fixation with Tisseel/Tissucol resulted in significantly less numbness and a lower intensity of groin discomfort compared with sutures at 12 months; there was no difference in pain between the treatment groups. Conclusions: Pre-operative discomfort may be an important predictor of post-operative pain, numbness and discomfort. Tisseel/Tissucol may improve long-term morbidity over conventional sutures in these patients. [ABSTRACT FROM AUTHOR]

Study Design:A retrospective analytical study.Objective:To determine the epidemiologic pattern of spinal cord injury (SCI) over the last decade.Setting:Patients admitted in the spinal cord injury unit at a university hospital between 1 January 2001 and 31 December 2013.Methods:A review of the clinical history of the patients was conducted. Patients were allocated according to traumatic (traffic and non-traffic accidents) or non-traumatic origin (tumour and non-tumour disease). Information about gender, age, admission and discharge date and cause, level and grade of spinal cord injury was collected. An analysis using the time-trend series was performed.Results:The average length of stay decreases 1.5 days quarterly, and the average patient's age increases 0.25 year quarterly. No trend was observed with respect to the number of cases.Conclusion:Although the number of patients with an SCI caused by an accident has decreased and the average age of patients with an SCI has increased, it cannot be said that there has been a paradigm shift in patients with SCI. [ABSTRACT FROM AUTHOR]

A programmable calibration circuit for sensors is proposed in this paper. It carries out gain and offset compensation by adding or subtracting appropriate correction factors to the transfer function of each sensor. Digital programmability makes it possible to automate calibration, paving the way for batch calibration. The circuit was designed for a specific sensor structure, a MIM-ISFET, which was modeled in HSpice. The proposed scheme reduces the offset and gain error due to process variations of both the sensor and the readout circuit. Offset error is reduced from 123 to 20 mV and gain error is reduced from 10.6 to 6.4 mV/pH. Relative error is reduced in the whole sensing range from 13 to 4 %. The circuit was designed in a 0.18 μm standard CMOS process, occupies an area of 115 × 100 μm and consumes 2.3 mW. [ABSTRACT FROM AUTHOR]

Gene flow (defined as allele exchange between populations) and gene flux (defined as allele exchange during meiosis in heterokaryotypic females) are important factors decreasing genetic differentiation between populations and inversions. Many chromosomal inversions are under strong selection and their role in recombination reduction enhances the maintenance of their genetic distinctness. Here we analyze levels and patterns of nucleotide diversity, selection and demographic history, using 37 individuals of Drosophila subobscura from Mount Parnes (Greece) and Barcelona (Spain). Our sampling focused on two frequent O-chromosome arrangements that differ by two overlapping inversions (OST and O3+4), which are differentially adapted to the environment as observed by their opposing latitudinal clines in inversion frequencies. The six analyzed genes (Pif1A, Abi, Sqd, Yrt, Atpα and Fmr1) were selected for their location across the O-chromosome and their implication in thermal adaptation. Despite the extensive gene flux detected outside the inverted region, significant genetic differentiation between both arrangements was found inside it. However, high levels of gene flow were detected for all six genes when comparing the same arrangement among populations. These results suggest that the adaptive value of inversions is maintained, regardless of the lack of genetic differentiation within arrangements from different populations, and thus favors the Local Adaptation hypothesis over the Coadapted Genome hypothesis as the basis of the selection acting on inversions in these populations. [ABSTRACT FROM AUTHOR]

The existence of predictability in the climate system beyond the relatively short timescales of synoptic weather has provided significant impetus to investigate climate variability and its consequences for society. In particular, relationships between the relatively slow changes in sea surface temperature (SST) and climate variability at widely removed points across the globe provide a basis for statistical and dynamical efforts to predict numerous phenomena, from rainfall to disease incidence, at seasonal to decadal timescales. We describe here a remote influence, identified through observational analysis and supported through numerical experiments with a coupled atmosphere-ocean model, of the tropical South Atlantic (TSA) on both monsoon rainfall and malaria epidemics in arid northwest India. Moreover, SST in the TSA is shown to provide the basis for an early warning of anomalous hydrological conditions conducive to malaria epidemics four months later, therefore at longer lead times than those afforded by rainfall. We find that the TSA is not only significant as a modulator of the relationship between the monsoon and the El Niño/Southern Oscillation, as has been suggested by previous work, but for certain regions and temporal lags is in fact a dominant driver of rainfall variability and hence malaria outbreaks. [ABSTRACT FROM AUTHOR]

Burkholderia spp. strains collected in Spain over a 13-year period from patients with cystic fibrosis (CF) ( n = 148), non-CF patients ( n = 103) and from environmental sources ( n = 64) were characterised. One hundred and forty-one of the examined strains were involved in seven suspected nosocomial disease outbreaks. Strains were identified by their 16s rRNA and recA genes. Their genetic relatedness, the possession of cable pili and the B. cepacia epidemic strain marker (BCESM), and their susceptibility to antimicrobial agents were studied using pulsed-field gel electrophoresis (PFGE), cblA and esmR genes analysis, and by the E-test, respectively. The genomovar distribution for the 315 strains was as follows: B. stabilis 29.5 %, B. cepacia 14.9 %, B. multivorans 11.1 %, B. cenocepacia IIIA 9.5 %, B. vietnamiensis 3.8 %, B. cenocepacia IIIB 3.5 %, and B. ambifaria and B. pyrrocinia 0.3 % each. The genetic diversity of the B. cepacia complex (Bcc) was ample, with 57 different SpeI types, showing a genetic similarity of 36.4-96.6 %. No strain carried cblA, whereas 25 B. cenocepacia genotypes harboured BCESM (23 from patients with CF). Antimicrobial resistance rates to tobramycin (TOB; 86 %) and imipenem (IPM; 67 %) were high. The strains from patients with CF showed significantly greater resistance to piperacillin (PIP), levofloxacin (LVX) and co-trimoxazole (SXT) than those isolated from non-CF patients ( p < 0.05). In conclusion, B. cenocepacia was the most prevalent genomovar found in patients with CF (19.1 %), whereas B. cepacia was the most common among non-CF patients (20.7 %). B. stabilis (47.6 %) was the most common environmental genomovar. Susceptibility to antimicrobial agents depended on genomovar status and strain origin. [ABSTRACT FROM AUTHOR]

The Chinook salmon Oncorhynchus tshawytscha, which was introduced deliberately in Chile four decades ago for sport fishing and aquaculture, represents a rare example of a successful translocation of an anadromous Pacific salmon into the southern Hemisphere, offering a unique opportunity to examine the role of introduction history and genetic variability in invasion success. We used historical information and mitochondrial displacement loop sequences (D-loop) from seven colonized sites in Chile and Argentina and from native and naturalized Chinook salmon populations to determine population sources and to examine levels of genetic diversity associated with the invasion. The analysis revealed that the Chinook salmon invasion in Patagonia originated from multiple population sources from northwestern North America and New Zealand, and admixed in the invaded range generating genetically diverse populations. Genetic analyses further indicated that the colonization of new populations ahead of the invasion front appear to have occurred by noncontiguous dispersal. Dispersal patterns coincided with ocean circulation patterns dominated by the West Wind Drift and the Cape Horn Currents. We conclude that admixture following multiple introductions, as well as long-distance dispersal events may have facilitated the successful invasion and rapid dispersal of Chinook salmon into Patagonia. [ABSTRACT FROM AUTHOR]

The use of nonwoven textile substrates for filtration and absorption purposes is generalized due to the high surface area they can provide. Many of these applications require good wetting properties to increase efficiency. In this work, low pressure plasma treatment with a CH-O mixture gas has been used to increase surface wettability and subsequent absorption properties on nonwoven polypropylene substrates. CH plasma treatment leads to a plasma polymerization process which results in hydrophobic surface finishing, but in combination with O, it is possible to form a functionalized plasmapolymerized layer thus improving wetting properties. Changes in wetting properties have been studied by contact angle measurements showing that optimum wetting properties are obtained with exposure times to plasma treatment of about 10 min, and no significant changes are obtained for longer exposure times. Absorption efficiency has been followed by determining three different parameters by the guidelines of the UNE-EN-ISO 9073-6 standard: wetting time, liquid absorption capacity (LAC) and liquid propagation rate or absorption speed. All these properties are remarkably improved as the exposure time to CH-O plasma increases; this improvement is remarkably high for relatively short exposure times (5-10 min) and no significant changes are obtained for long exposure times so that, it is possible to conclude that previous plasma treatment with exposure times in the 5-10 min range is an efficient method to improve overall absorption properties of nonwoven polypropylene substrates. [ABSTRACT FROM AUTHOR]

Study design:Time series design.Objectives:To determine the effects of a shoulder resistance training programme on isokinetic and isometric strength, body composition, pain and functionality in paraplegic subjects.Setting:University of Valencia, Valencia, Spain.Methods:A total of 15 subjects with thoracic spinal cord injury (SCI) performed three testing sessions with an 8-week period between the sessions. Subjects were not disturbed between the first and the second testing sessions. Subjects performed an 8-week resistance training programme after the second testing session. Variations in isometric and isokinetic shoulder muscle strength, body composition, reported pain and shoulder functionality were evaluated.Results:The training programme produced a significant increase (P<0.05) in the isometric and isokinetic strength of several shoulder movements as well as an increase (P<0.05) in arm fat-free mass and a decrease in arm fat mass (FM). Furthermore, reported pain was decreased, (P<0.05) and upper-limb functionality was increased (P<0.05).Conclusion:Implementing resistance training programmes as physical therapy in SCI subjects effectively increases strength, muscle mass and upper-limb functionality, whereas decreasing FM and pain perception. [ABSTRACT FROM AUTHOR]

Nb films have been fabricated on top of array of Ni nanodots. The array of periodic pinning potentials modifies the vortex lattice for specific values of the external applied magnetic field. By means of an implemented code developed from scratch, computer simulations based only on the vortex-vortex and the vortex-nanodot interactions provide the total interaction between vortices and pinning sites as well as the position of the vortices in the array unit cell. This simulation approach could be performed on square, rectangular or triangular arrays of nanodefects of different size. [ABSTRACT FROM AUTHOR]

Study design:Retrospective descriptive observational study.Objective:The primary objective of this study was to quantify the incidence of iatrogenic spinal cord injury (SCI) at our SCI unit (SCIU). The secondary objective was to discover the surgical and medical procedures that cause iatrogenic SCI and to estimate the incidence with each procedure.Subjects:Patients admitted to or seen at outpatient services of the SCIU at a university hospital.Methods:Histories were compiled from 1 July 2005 to 30 June 2009. We included patients with SCI caused by any medical or surgical procedure. We collected age, sex, diagnosis leading to medical intervention, predominant clinical manifestations, medical-surgical procedure and level and grade of injury upon admission and discharge.Results:Out of 250 patients admitted to the SCIU, 32 (14.7%) patients presented iatrogenic SCI. Average age was 56.2 (s.d. 17.3), ranging from 0 to 82 years old. The most frequent clinical manifestation was pain. The most common diagnosis was channel stenosis. Lumbar level grade C of American Spine Injury Association (ASIA) was the most frequently observed.Conclusion:The rise in the population's life expectancy entails an increase in elderly patients with vascular risk factors, who underwent invasive interventions leading to spinal cord iatrogenia. [ABSTRACT FROM AUTHOR]

Study design:A clinical blind study was conducted to determine the efficacy of transdermal nitroglycerine treatment on the awareness of shoulder pain.Objective:This study aims to determine the effects of transdermal nitroglycerine on shoulder pain and on functional shoulder movement in patients with spinal cord injuries and shoulder tendinopathies. A second aim is to establish the side effects of the treatment.Setting:Hospital 'La Fe' in Valencia, Spain.Methods:A total of 45 spinal cord injury patients, all of whom are wheelchair users with shoulder tendinopathy, were randomly divided into two groups: placebo (n=12) and experimental (n=33). The experimental group (EG) received transdermal treatment for 6 months in the form of a 1.25 mg nitroglycerine (NT) patch on the greater tubercle. A placebo patch was used with the placebo subjects. Functional shoulder movements were assessed by articular range of motion and pain, using a visual analogical scale.Results:NT treatment reduced the awareness of shoulder pain and increased the functional movement and range of articular motion in the shoulders of the EG members (P<0.05).Conclusions:We conclude that transdermal NT is an efficient method for treating shoulder tendinopathies in wheelchair users with spinal cord injuries. [ABSTRACT FROM AUTHOR]

three-year field experiment (2006-2008) on clingstone peach cv. Andross was conducted in a commercial orchard under mechanical harvesting for the processing industry. Three irrigation strategies were evaluated: full irrigation throughout the growing season; restricted irrigation during stage-II (~70% restriction) and restricted irrigation during stage-III (~30% restriction), combined with three nitrogen fertilization treatments: 0, 60 and 120 kg N/ha. Trees were fertigated on a daily basis. Daily patterns of soil moisture were monitored with capacitance probes. Irrigation restriction strategies and nitrogen dose affected yield and fruit quality at commercial harvest. As well as the individual effects of applying irrigation strategies and N doses, interactions between the two factors were analyzed. In the second year, there was a nitrogen × irrigation interaction for fruit yield. A positive yield effect for N applied to fully irrigated trees occured, while the opposite was observed when the irrigation restrictions were applied during stage-III. [ABSTRACT FROM AUTHOR]

Objective:The fat mass and obesity-associated gene (FTO) participates in the control of postnatal weight gain. We assessed whether FTO is expressed in human placenta and whether such expression relates to prenatal weight gain and to the rs9939609 single nucleotide polymorphism (SNP) in FTO.Design and subjects:In a birth cohort study, placentas from women (n=147) with an uncomplicated, singleton, term pregnancy were weighed at delivery. Real-time PCR was used to study, in placental tissue, the expression of FTO and of housekeeping genes (TATA box binding protein and succinate dehydrogenase complex, subunit A) and to genotype the rs9939609 SNP in FTO. Weights and lengths of the newborns were measured; circulating insulin and insulin-like growth factor-I (IGF-I) were quantified in cord blood.Results:FTO was highly expressed in placenta and was associated with increased fetal weight and length (P<0.001 to P<0.0001). Maternal parity showed an interaction (P<0.001) in the association between placental FTO expression and placental weight. Placental FTO mRNA expression was associated with increased fetal-to-placental weight ratio (P<0.005) in infants from primiparous women, and was associated with increased fetal weight and length and placental weight (P<0.001 to P<0.0001) in infants from nonprimiparous women. These associations were not explained by either cord insulin or IGF-I. Placental FTO expression was unrelated to placental FTO rs9939609 SNPConclusion:FTO is expressed in the human placenta. In a maternal parity-dependent manner, placental FTO may participate either in the control of fetal weight gain or in the partitioning between placental and fetal growth. [ABSTRACT FROM AUTHOR]

A classification for primary and incisional abdominal wall hernias is needed to allow comparison of publications and future studies on these hernias. It is important to know whether the populations described in different studies are comparable. Several members of the EHS board and some invitees gathered for 2 days to discuss the development of an EHS classification for primary and incisional abdominal wall hernias. To distinguish primary and incisional abdominal wall hernias, a separate classification based on localisation and size as the major risk factors was proposed. Further data are needed to define the optimal size variable for classification of incisional hernias in order to distinguish subgroups with differences in outcome. A classification for primary abdominal wall hernias and a division into subgroups for incisional abdominal wall hernias, concerning the localisation of the hernia, was formulated. [ABSTRACT FROM AUTHOR]

Valganciclovir and ganciclovir are widely used for the prevention of cytomegalovirus (CMV) infection in solid organ transplant recipients, with a major impact on patients' morbidity and mortality. Oral valganciclovir, the ester prodrug of ganciclovir, has been developed to enhance the oral bioavailability of ganciclovir. It crosses the gastrointestinal barrier through peptide transporters and is then hydrolysed into ganciclovir. This review aims to describe the current knowledge of the pharmacokinetic and pharmacodynamic characteristics of this agent, and to address the issue of therapeutic drug monitoring. Based on currently available literature, ganciclovir pharmacokinetics in adult solid organ transplant recipients receiving oral valganciclovir are characterized by bioavailability of 66 +/- 10% (mean +/- SD), a maximum plasma concentration of 3.1 +/- 0.8 mg/L after a dose of 450 mg and of 6.6 +/- 1.9 mg/L after a dose of 900 mg, a time to reach the maximum plasma concentration of 3.0 +/- 1.0 hours, area under the plasma concentration-time curve values of 29.1 +/- 5.3 mg.h/L and 51.9 +/- 18.3 mg.h/L (after 450 mg and 900 mg, respectively), apparent clearance of 12.4 +/- 3.8 L/h, an elimination half-life of 5.3 +/- 1.5 hours and an apparent terminal volume of distribution of 101 +/- 36 L. The apparent clearance is highly correlated with renal function, hence the dosage needs to be adjusted in proportion to the glomerular filtration rate. Unexplained interpatient variability is limited (18% in apparent clearance and 28% in the apparent central volume of distribution). There is no indication of erratic or limited absorption in given subgroups of patients; however, this may be of concern in patients with severe malabsorption. The in vitro pharmacodynamics of ganciclovir reveal a mean concentration producing 50% inhibition (IC(50)) among CMV clinical strains of 0.7 mg/L (range 0.2-1.9 mg/L). Systemic exposure of ganciclovir appears to be moderately correlated with clinical antiviral activity and haematotoxicity during CMV prophylaxis in high-risk transplant recipients. Low ganciclovir plasma concentrations have been associated with treatment failure and high concentrations with haematotoxicity and neurotoxicity, but no formal therapeutic or toxic ranges have been validated. The pharmacokinetic parameters of ganciclovir after valganciclovir administration (bioavailability, apparent clearance and volume of distribution) are fairly predictable in adult transplant patients, with little interpatient variability beyond the effect of renal function and bodyweight. Thus ganciclovir exposure can probably be controlled with sufficient accuracy by thorough valganciclovir dosage adjustment according to patient characteristics. In addition, the therapeutic margin of ganciclovir is loosely defined. The usefulness of systematic therapeutic drug monitoring in adult transplant patients therefore appears questionable; however, studies are still needed to extend knowledge to particular subgroups of patients or dosage regimens. [ABSTRACT FROM AUTHOR]

Objective:To describe the association between alcohol beverage preference and dietary habits comparing wine drinkers with other alcoholic beverage drinkers and with nondrinkers in Spanish university graduates.Subjects:A total of 10 526 men and women, who were recruited using mailed questionnaires, participated in this study.Methods:A semiquantitative food frequency questionnaire previously validated in Spain was used together with other questionnaires designed to collect lifestyle characteristics.Results:Wine drinkers reported higher intake of fibre and olive oil, and lower consumption of fat (only men), dairy products, sugared soda drinks and fast food as compared with other alcoholic beverage groups and nondrinkers. Men nondrinkers were more likely to be physically active during their leisure time than wine drinkers. No relevant differences were found in adherence to the Mediterranean food pattern according to alcoholic beverage preference.Conclusion:This similarity in dietary patterns between wine drinkers and other groups suggests that the positive cardiovascular effects reported for wine should not be attributed to an overall healthier dietary pattern of wine drinkers.European Journal of Clinical Nutrition (2008) 62, 1178–1186; doi:10.1038/sj.ejcn.1602833; published online 4 July 2007 [ABSTRACT FROM AUTHOR]

A study of the durability of corona discharge plasma effects on a polymer surface was investigated in this work. We used the corona discharge plasma technique to modify the wettability properties of low density polyethylene (LDPE) film and evaluated the influence of relative humidity and temperature on the aging process with three different storage conditions. The effects of the aging process on the plasma-treated surface of LDPE film were quantified by contact angle measurements, Fourier-transformed infrared spectroscopy, and X-ray photoelectron spectroscopy. The results obtained with these techniques have allowed us to determine how the aging process promotes changes in the plasma-treated surface by decreasing its wettability and taking place a remarkable hydrophobic recovery process. [ABSTRACT FROM AUTHOR]

Complications associated with sutured mesh fixation following open groin hernia repair have prompted surgeons to evaluate methods of atraumatic fixation such as the use of human fibrin glue. Small trials with Tissucol/Tisseel fibrin glue (Baxter Healthcare, Deerfield, IL, USA) have shown promising results that warrant further investigation. TIMELI (Tissucol/Tisseel for MEsh fixation in LIchtenstein hernia repair) is an international, controlled, randomized, patient- and evaluator-blinded study that is comparing mesh fixation with Tissucol or sutures in patients with inguinal hernia. The primary endpoint evaluates the incidence of disabling complications (chronic pain and/or numbness and/or groin discomfort) at 12 months post-surgery. Patient enrolment started in February 2006 and ended on 19 April 2007, with a total of 325 patients recruited. Initial results are expected in early 2008. TIMELI is a major international trial that will provide important information on the efficacy and safety of Tissucol, compared with sutures, for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair. [ABSTRACT FROM AUTHOR]

The population genetic structure of the loggerhead sea turtle (Caretta caretta) nesting in the eastern Mediterranean was assessed by sequencing a fragment of the control region of the mitochondrial DNA (n = 190) and seven microsatellites (n = 112). The two types of markers revealed genetic structuring (mtDNA: γst = 0.212, P < 0.001; nDNA Fst = 0.006, P < 0.001), thus indicating that both females and males are philopatric and that gene flow between populations is restricted. Mitochondrial DNA data indicate that the female populations nesting on the islands of Crete and Cyprus have suffered a recent bottleneck or colonization event. However, no bottleneck or founder effect was revealed by nuclear markers, thus indicating malemediated gene flow from other populations that would increase nuclear genetic variability. Crete, and to a lower extent Cyprus, are thought to play a central role in such male-mediated gene flow that may reduce the negative effect of genetic drift or inbreeding on the small populations of Lebanon and Israel. This population structure indicates that assessing population relevance only on the basis of genetic variability and size would be misleading, as some populations not fulfilling those requirements may play a relevant role in genetic exchange and hence contribute to the overall genetic variability. [ABSTRACT FROM AUTHOR]

Klotho gene codes for a protein with glucuronidase activity and is thought to influence bone and vascular homeostasis. We studied the relationship of a common T/G polymorphism, resulting in a phenylalanine (F) to valine (V) substitution at aminoacid position 352, with bone mineral density (BMD) and osteoporotic fractures. The study group comprised 914 Spanish women, including 438 control subjects, 190 patients with osteoporosis, 198 with hip fractures, and 88 patients with severe osteoarthritis. BMD was measured by DEXA in 540 women from the control and osteoporosis groups. Allele frequencies were 86% and 14%, for the F and V alleles, respectively. In comparison with the most common FF genotype, postmenopausal women with FV/VV genotypes had higher hip BMD (femoral neck: 0.673 ± 0.011 vs. 0.644 ± 0.006 g/cm2; P = 0.02; total hip: 0.807 ± 0.014 vs. 0.774 ± 0.008 g/cm2; P = 0.03). Klotho alleles explained about 1.5% of BMD variance, but were not associated to the risk of osteoporotic spine or hip fractures. The Klotho genotype was not associated to BMD in premenopausal women. In conclusion, the F352V Klotho polymorphism is associated with BMD in postmenopausal women, suggesting that Klotho gene variants influence skeletal aging. [ABSTRACT FROM AUTHOR]

Crambe crambe is a common encrusting sponge found in the Mediterranean and Atlantic littoral. An analysis of a partial sequence (535 bp) of the mitochondrial DNA (mtDNA) gene cytochrome oxidase subunit I (COI) was conducted in an attempt to determine population structure in this species. This is the first study of population genetics using this kind of marker in the phylum. Samples (N=86) were taken in eight populations separated by distances from 20 to 3,000 km, spanning from the western Mediterranean to the Atlantic. Low variability of this gene was found, as only two haplotypes were identified, along with low nucleotide diversity (π=0.0006). However, the different frequencies found among populations revealed genetic structure and low gene flow between close populations, as expected from the dispersal biology of the species. The low variability found in sponges is in agreement with reports on cnidarians and points to a high conservation of mtDNA in diploblastic phyla. [ABSTRACT FROM AUTHOR]

HLA polymorphism accounts only for approximately one-third of the genetic predisposition to rheumatoid arthritis (RA). To investigate the role of other loci in the susceptibility to RA, we have performed an analysis of several polymorphisms in genes of immune-related function: IL-10 -1082, -819, -592 promoter single nucleotide polymorphisms (SNPs), IL-10G and IL-10R microsatellites, IL-6-622 promoter SNP, FcγRIIIA Val/Phe-158 polymorphism, IL-1 receptor antagonist VNTR, and the IKBL+738 T/C mutation. The analysis has been performed on a case-control study and also on RA trios. IL-10G12 was found to be associated with RA in the case-control study (18% in RA patients vs 9% in controls: P = 0.001; pc < 0.05). This allele was also more often transmitted than not transmitted (10 vs 5). No other allele in the present study is found to be associated to RA. Our data suggest that most of the loci studied play no major role in the susceptibility to RA, the IL-10 gene being the sole exception. [ABSTRACT FROM AUTHOR]

: ObjectiveThe aim of this study was to analyze the role of the major histocompatibility complex class I chain-related gene A (MICA) transmembrane polymorphism in celiac disease (CD) susceptibility.: MethodsSixty-one celiac Spanish families were genotyped for MICA transmembrane polymorphism by a polymerase chain reaction method combined with fluorescent technology. A transmission disequilibrium test was performed to investigate the preferential transmission of MICA alleles to the affected offspring.: ResultsThe MICA A5.1 allele was shown to be significantly transmitted to the affected siblings. This association was independent of the CD-predisposing DQ2 haplotype. Additionally, we classified our celiac families into typical and atypical groups as we found a significant association with MICA A5.1 in typical celiac families. There was also an association tendency with atypical families.: ConclusionsOur data suggest that the MICA A5.1 allele is associated with CD development independently of DQ2-extended haplotype and clinical forms of CD. [Copyright &y& Elsevier]