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Abstract The purpose of this study was to increase our knowledge about Mycobacterium africanum and report the incidence and characteristics of tuberculosis (TB) due to their lineages in Aragon, Spain, over the period 2003–2019. The study includes all the cases in our region, where all the M. tuberculosis complex isolates are systematically characterised. We detected 31 cases of M. africanum among 2598 cases of TB in the period studied. TB caused by M. africanum is rare (1.19%) in our population, and it affects mainly men of economically productive age coming from West African countries. Among the isolates, Lineage (L) 6 was more frequent than L5. The genotyping of these strains identified five clusters and 13 strains with a unique pattern. The isolates’ characterisation identified a copy of IS6110 within the moaX gene, which turned out to be specific for L6. It will allow the differentiation of this lineage from the rest of MTBC with a simple PCR reaction. It remains to be established whether this polymorphism may limit M. africanum transmission. Furthermore, a mutation in the mutT2 promoter was found as specific for L6 strains, which could be related to the high variability found for L6 compared to L5.

INTRODUCTION: This study aims to investigate the dynamic thiol-disulfide balance in the early period of patients diagnosed with acute pulmonary thromboembolism in the emergency department. METHODS: Serum thiol-disulfide levels in venous blood samples drawn from 58 patients diagnosed with acute pulmonary embolism in the emergency department were analyzed using the newly developed Erel-Neşelioğlu method, and the results were compared with the measurements of the healthy control group. In the emergency department, the pre-diagnosis of pulmonary embolism was considered with clinical and laboratory findings and confirmed with contrast-enhanced thorax computed tomography angiogram. RESULTS: Mean native thiol and total thiol levels were significantly lower in pulmonary embolism patients compared to the control group (308.53 +- 78; 414.13 +- 50.86; p

Mediterranean countries experience a large production of olive oil, thus generating huge quantities of non-biodegradable vegetation waters. The discharge of these effluents into aquatic environments seriously affects the quality of surface waters. This study investigated the potential use of carbon steel slag (SS) as an adsorbent and improver for reducing olive mill wastewater (OMWW) toxicity. The elemental and structural characterization of SS was carried out using inductively coupled plasma-optical emission spectrometry (ICP/EOS), X-ray fluorescence (XRF), X-ray powder diffraction (XRD), scanning electron microscopy (SEM), and Brunauer–Emmett–Teller (BET) analysis. OMWW characterization indicated that the effluent was acidic in nature, with a pH of 4.8, a higher conductivity reaching 14.92 mS/cm, higher COD of 157.31 g/L, rich in organic matter 112.33 g/L, and total phenolic compounds of 11.13 g/L. The neutralization capacity of SS was demonstrated by reducing the OMWW’s acidic character. Afterward, the adsorption of tannic acid (TA) was investigated using SS. Parameters such as contact time, initial TA concentration, adsorbent dosage, pH, and temperature were investigated. The kinetic study indicated that the adsorption of TA onto SS fitted well with the second pseudo-order (r = 0.99) and Elovich (r = 0.98) models, indicating that the adsorption of TA was mainly chemical and depends on the reactions of oxide hydrolysis and hydroxides dissolution. Moreover, Langmuir isotherm has greatly described the adsorption of TA on SS (R = 0.997), suggesting that the surface of SS is homogenous, and the adsorption occurs mainly in monolayer. The maximum adsorption capacity reached 714.28 mg/g, indicating the higher capacity of SS to reduce the polyphenolic compounds in OMWW. This study demonstrated that SS residue from the steelmaking industry could present a highly interesting material for OMWW remediation.

Background: Urticaria is an unknown, sudden, and itchy skin disease that is recognized with redness, swelling, and is sometimes seen with angioedema. It is classified as acute or chronic, depending on the duration of symptoms. Thiols in plasma are powerful antioxidants that physiologically eliminate free radicals. The mostly and rapidly affected proteins are thiols that contain the sulfhydryl group. In the present study, the thiol/disulfide homeostasis was investigated as a brand new indicator of oxidative stress in patients who had acute urticaria and presented to the emergency department. Objective: In the present study, the thiol/disulfide homeostasis, ischemia-modified albumin (IMA), and and neutrophil lymphocyte ratio (N/L ratio) were investigated in the etiopathogenesis of acute urticaria. Material and Method: A total of 37 patients and 40 healthy volunteers were included in the study. Thiol/disulfide homeostasis (TDH) [total thiol-native thiol/disulfide changes] was measured in both groups (patient group and control group) using a brand novel method developed by Erel and Neselioglu. Half of the difference between total thiol and native thiol concentrations gives the amount of disulfide bond. Results: Total thiol and native thiol levels in blood were found to be low. The levels of total thiol (P = 0.218) and native thiol (P = 0,001) were significantly lower in patients with acute urticaria than in the control group. At the same time, the level of disulfide was significantly higher in the patient group than in the control group (P =

ABSTRACT BACKGROUND: Effective triage and early detection are very important for controlling and treating coronavirus disease 2019 (COVID-19). Thus, the relationships between hypoalbuminemia and other acute-phase reactants in such cases need to be evaluated. OBJECTIVES: To investigate the importance of albumin levels in cases of severe pneumonia due to COVID-19. DESIGN AND SETTING: Prospective study conducted in Ankara City Hospital (a stage 3 hospital), Turkey. METHODS: Data from 122 patients diagnosed with pneumonia due to COVID-19 who were admitted to this hospital were analyzed statistically in comparison with date from 60 healthy controls. Three groups were established: healthy controls, intubated patients and non-intubated patients. Lung tomography scans from the patients were examined one-by-one. Real-time polymerase chain reaction (RT-PCR) test results were recorded. RESULTS: Albumin levels were statistically significantly lower in the intubated and non-intubated groups than in the control group, in comparing the three groups (P < 0.01). The other acute-phase reactants, i.e. neutrophil-to-lymphocyte ratio and C-reactive protein levels, were significantly higher in the intubated and non-intubated groups than in the control group (P < 0.05). Albumin levels were also significantly lower in the intubated group than in the non-intubated group (P = 0.02). No differences were detected with regard to other parameters (P > 0.05). CONCLUSIONS: Hypoalbuminemia may constitute a biomarker indicating the severity of pneumonia due to COVID-19.

The human gut microbiota develops soon after birth and can acquire inter-individual variation upon exposure to intrinsic and environmental cues. However, inter-individual variation has not been comprehensively assessed in a multi-ethnic study. We studied a longitudinal birth cohort of 106 infants of three Asian ethnicities (Chinese, Malay, and Indian) that resided in the same geographical location (Singapore). Specific and temporal influences of ethnicity, mode of delivery, breastfeeding status, gestational age, birthweight, gender, and maternal education on the development of the gut microbiota in the first 2 years of life were studied. Mode of delivery, breastfeeding status, and ethnicity were identified as the main factors influencing the compositional development of the gut microbiota. Effects of delivery mode and breastfeeding status lasted until 6M and 3M, respectively, with the primary impact on the diversity and temporal colonization of the genera Bacteroides and Bifidobacterium. The effect of ethnicity was apparent at 3M post-birth, even before the introduction of weaning (complementary) foods, and remained significant after adjusting for delivery mode and breastfeeding status. Ethnic influences remained significant until 12M in the Indian and Chinese infants. The microbiota of Indian infants was characterized by higher abundances of Bifidobacterium and Lactobacillus, while Chinese infants had higher abundances of Bacteroides and Akkermansia. These findings provide a detailed insight into the specific and temporal influences of early life factors and ethnicity in the development of the human gut microbiota. Trial Registration: Clinicaltrials.gov registration no. NCT01174875.

Abstract Purpose To evaluate the impact of blended learning using a combination of educational resources (flipped classroom and short videos) on medical students’ (MSs) for radiology learning. Material and methods A cohort of 353 MSs from 2015 to 2018 was prospectively evaluated. MSs were assigned to four groups (high, high-intermediate, low-intermediate, and low achievers) based on their results to a 20-MCQs performance evaluation referred to as the pretest. MSs had then free access to a self-paced course totalizing 61 videos based on abdominal imaging over a period of 3 months. Performance was evaluated using the change between posttest (the same 20 MCQs as pretest) and pretest results. Satisfaction was measured using a satisfaction survey with directed and spontaneous feedbacks. Engagement was graded according to audience retention and attendance on a web content management system. Results Performance change between pre and posttest was significantly different between the four categories (ANOVA, P = 10−9): low pretest achievers demonstrated the highest improvement (mean ± SD, + 11.3 ± 22.8 points) while high pretest achievers showed a decrease in their posttest score (mean ± SD, − 3.6 ± 19 points). Directed feedback collected from 73.3% of participants showed a 99% of overall satisfaction. Spontaneous feedback showed that the concept of “pleasure in learning” was the most cited advantage, followed by “flexibility.” Engagement increased over years and the number of views increased of 2.47-fold in 2 years. Conclusion Learning formats including new pedagogical concepts as blended learning, and current technologies allow improvement in medical student’s performance, satisfaction, and engagement.

The insertion sequence (IS) 6110 is a repetitive mobile element specific for the Mycobacterium tuberculosis complex (MTBC) used for years to diagnose and genotype this pathogen. It contains the overlapping reading frames orfA and orfB that encode a transposase. Its genetic variability is difficult to study because multiple copies are present in the genome. IS6110 is randomly located, nevertheless some preferential locations have been reported, which could be related to the behaviour of the strains. The aim of this work was to determine the intra- and inter-strain genetic conservation of this element in the MTBC. For this purpose, we analysed 158 sequences of IS6110 copies from 55 strains. Eighty-four copies were from 17 strains for which we knew all the locations in their genome. In addition, we studied 74 IS6110 copies in 38 different MTBC strains in which the location was characteristic of different families including Haarlem, LAM, S, and L6 strains. We observed mutation in 13.3% of the copies studied and we found 10 IS6110 variants in 21 copies belonging to 16 strains. The high copy number strains showed 6.2% of their IS6110 copies mutated, in contrast with the 31.1% in the low-copy-number strains. The apparently more ancient copy localised in the DR region was that with more variant copies, probably because this was the most studied location. Notably, all Haarlem and X family strains studied have an IS6110 in Rv0403c, suggesting a common origin for both families. Nevertheless, we detected a variant specific for the X family that would have occurred in this location after the phylogenetic separation. This variant does not prevent transposition although it may occur at a lower frequency, as X strains remain with low copy number (LCN) of IS6110.

Los objetos manufacturados con materias orgánicas raramente se conservan excepto bajo condiciones ambientales específicas, ya sea en medios de sequedad constante, en contextos anaeróbicos sumergidos, bajo congelación o por carbonización. Por ello, las técnicas de cestería y cordelería, así como las materias primas utilizadas están escasamente documentadas en el registro arqueológico del Neolítico peninsular. Se aporta aquí nueva información acerca de las técnicas cesteras y de cordelería, así como de las materias primas utilizadas en Coves del Fem (Ulldemolins, Tarragona). Estos restos fueron recuperados en una fosa adscribible al Neolítico antiguo. La cestería estudiada se encuentra manufacturada a través de la técnica de espiral cosida, mientras que en el caso de la cordelería se trata de un único fragmento torsionado. Se discute su funcionalidad en un contexto de hábitat en cueva, así como su tecnología y materias primas usadas, contextualizándolos con otros ejemplos de cestería de espiral cosida de la península ibérica. ABSTRACT: Plant-based artefacts are considered one of the first technologies used by human populations playing an important role in the daily life of all societies. Even though, they are made of perishable material which usually disappears in archaeological contexts except for some specific environmental conditions that permit their conservation as arid, anaerobic, waterlogged atmospheres or carbonization. Some examples of the first implements produced by organic materials are baskets and cords which are documented since the very beginning of human populations. Nevertheless, these fibre-based materials have been excluded from archaeological studies. The lack of knowledge in this vegetal technology is a consequence of the difficulty of organic material preservation and the non-suitable analysis and identification methodologies. Even they represent a living material culture as history and ethnography demonstrate, vegetal fibres were probably used for producing indispensable everyday objects and artefacts in the past. The aim of this paper is to provide new information about vegetal technology as basketry and cordage techniques, as well as the raw materials used in Neolithic chronologies in the North-East of the Iberian Peninsula. The materials analyzed in this study were recovered at the site of Coves del Fem (Ulldemolins, Tarragona) which is a rock shelter preserved thanks to the fallen rock blocks. Basketry and cordage fragments came from the archaeological fieldwork of 2019 and were recovered inside a pit in levels of the final Early Neolithic. They were preserved thanks to the carbonization and dehydration they were submitted to. Both basketry and cordage examples from Coves del Fem, were deeply described considering their morphology and technology, as well as the raw materials they were made of. The methodology consisted of describing the technique used and taking measures of the different fragments aiming to obtain information about the way the basket and the cord were made. The identification of raw materials was performed by observing cross, peridermal and longitudinal sections of samples using a transmitted optical microscope. Descriptions were based on microanatomical observation by comparing with reference modern material and specialized technical literature. The results showed the basketry assemblage was produced using the coiling technique and all the fragments belong to a single object. In the case of the cordage fragment, it was made by twisting the fibres which had been previously mechanically processed. The identification of raw materials revealed at least the use of sedges for basketry and non-identified herbaceous plants for making cordage. The functionality of the objects is discussed, and they are also contextualized with other Neolithic fibre productions examples from the Iberian Peninsula and the Middle East, both technologically and the chosen raw materials. In summary, fibre-based productions from Coves del Fem, along with the assemblage from the lake dwelling site of La Draga, fill the gap of this archaeological record from the Iberian Peninsula to Europe, demonstrating the long history of the technical skills related to plant exploitation.

Antimicrobial stewardship programs (ASPs) are a central component in reducing the overprescription of unnecessary antibiotics, with multiple studies showing benefits in the reduction of bacterial resistance. Less commonly, ASPs have been performed in outpatient settings, but there is a lack of available data in these settings. We implemented an ASP in a large regional outpatient setting to assess its feasibility and effectiveness. Over a 5-year post-implementation period, compared to the pre-intervention period, a significant reduction in antibiotic prescription occurred, with a reduction in resistance in E. coli urinary isolates. ASP activities also were found to be cost-effective, with a reduction in medication prescription.

The relationship between agricultural activities, soil characteristics, and groundwater quality is critical, particularly in rural areas where groundwater directly supplies local people. In this paper, three agricultural sandy soils were sampled and analyzed for physicochemical parameters such as pH, water content, bulk density, electrical conductivity (EC), organic matter (OM), cation exchange capacity (CEC), and soil grain size distribution. Major and trace elements were analyzed by inductively coupled plasma-optical emission spectrometry (ICP/OES) to determine their concentrations in the fine fraction (FF) of the soils. Afterward, the elemental composition of the soils was identified by X-ray powder diffraction (XRD) and quantified by X-ray fluorescence (XRF). The surface soil characteristics were determined by the Brunauer–Emmett–Teller (BET) method, whereas the thermal decomposition of the soils was carried out using thermogravimetric analysis and differential scanning calorimetric (TGA-DSC) measurements. The morphological characteristics were obtained by scanning electron microscopy (SEM). Afterward, column-leaching experiments were conducted to investigate the soil’s retention capacity of nitrate (NO−3). Parallelly, a chemical and physical study of olive pomace biomass slag (OPBS) residue was carried out in order to explore its potential use as a soil additive and improver in the R’mel area. The OPBS was characterized by physicochemical analysis, assessed for heavy metals toxicity, and characterized using (XRD, XRF, SEM, and BET) techniques. The results show that the R’mel soils were slightly acidic to alkaline in nature. The soils had a sandy texture with low clay and silt percentage (2 in soil samples revealing that quartz was the main crystalline phase dominating the R’mel soils. Oppositely, OPBS showed a reduced SiO2 percentage of 26,29% while K, Ca, and P were present in significant amounts. These results were confirmed by XRF analysis of OPBS reporting the presence of dolomite (CaMg, (CO3)2), fairchildite (K2Ca (CO3)2), and free lime (CaO). Finally, the comparison between the surface characteristic of OPBS and soils by BET and SEM indicated that OPBS has a higher surface area and pore volume compared to soils. In this context, this study suggests a potential utilization of OPBS in order to (1) increase soil fertility by the input of organic carbon and macronutrients in soil; (2) increase the water-holding capacity of soil; (3) increase soil CEC; (4) stabilize trace elements; (5) enhance the soil adsorption capacity and porosity.

We present the case of a 52-year-old woman referred to our service because of extreme ocular surface dryness. The patient showed corneal, conjunctival, and eyelid manifestations of ocular congenital erythropoietic porphyria (CEP). We started treatment with autologous serum, topical steroids, and cyclosporine twice a day, topical retinoids, and intense corneal lubrication. The patient referred significant improvement of ocular bothering and less discomfort since treatment was initiated. We describe the management of the herewith presented case of ocular CEP.

Paratuberculosis is a disease caused by Mycobacterium avium subsp. paratuberculosis (MAP). It is of great interest to better understand the proteins involved in the pathogenicity of this organism in order to be able to identify potential therapeutic targets and design new vaccines. The protein of interest–MAP3773c–was investigated, and molecular modeling in silico, docking, cloning, expression, purification, and partial characterization of the recombinant protein were achieved. In the in silico study, it was shown that MAP3773c of MAP has 34% sequence similarity with Mycobacterium tuberculosis (MTB) FurB, which is a zinc uptake regulator (Zur) protein. The docking data showed that MAP3773c exhibits two metal-binding sites. The presence of structural Zn2+ in the purified protein was confirmed by SDS-PAGE PAR staining. The purification showed one band that corresponded to a monomer, which was confirmed by liquid chromatography–mass spectrometry (LC-MS). The presence of a monomer was verified by analyzing the native protein structure through BN-SDS-PAGE (Native Blue (BN) Two-Dimensional Electrophoresis) and BN–Western blotting. The MAP3773c protein contains structural zinc. In conclusion, our results show that MAP3773c displays the features of a Fur-type protein with two metal-binding sites, one of them coordinating structural Zn2+.

Amaç: Bu çalışmanın amacı acil servise basit düşme nedeniyle başvuran 65 yaş ve üstü hastalarda serumsodyum değeri ile düşme ilişkisini belirlemektir.Materyal ve Metot: Hastaların yaşları, cinsiyetleri, gelişteki sodyum değerleri, yaralanma bölgeleri,radyolojik inceleme sonuçları (düz grafi ve tomografi), yaralanmanın sınıflaması, eşlik eden kırık varlığıve hastanın bakım evinden gelip gelmediği kaydedildi ve yaralanmalar sodyum seviyelerine görekarşılaştırıldı.Bulgular: Yaralanma bölgeleri ile hiponatremi varlığı arasında anlamlı farklılık tespit edilmedi.(p=0,743). Basit düşme ile bakımevinden gelen hastalarda hiponatremi prevalansı, bakımevindengelmeyen hastalara göre istatistiksel olarak anlamlı derecede yüksek bulundu (p

Resection of enlarged cardiophrenic lymph nodes (CPLN) is a procedure required to obtain complete cytoreduction in selected patients affected by advanced ovarian cancer. Their resection by transdiaphragmatic approach has been demonstrated to be feasible with low rates of morbidity. The main complications associated with this procedure are pleural effusion, pneumothorax, and rarely, chylothorax.This case describes a postoperative chylothorax and chest liver herniation in a patient who underwent a cytoreductive surgery for advanced endometrioid ovarian cancer, which included a right transdiaphragmatic CPLN resection. Surgical management by thoracotomy was required to repair the right diaphragmatic defect combined with conservative management of the chylothorax. The diaphragmatic closure was achieved employing interrupted stitches with a non-absorbable suture. No prosthetic material was required.

1,3-β-glucans are extracellular polysaccharides synthesized by microorganisms and plants, with therapeutic potential. Among them, the O2-substituted-(1–3)-β-D-glucan, synthesized by some lactic acid bacteria (LAB), has a prebiotic effect on probiotic strains, an immunomodulatory effect on monocyte-derived macrophages, and potentiates the ability of the producer strain to adhere to Caco-2 cells differentiated to enterocytes. In this work, the O2-substituted-(1–3)-β-D-glucan polymers produced by GTF glycoyltransferase in the natural host Pediococcus parvulus 2.6 and in the recombinant strain Lactococcus lactis NZ9000[pNGTF] were tested. Their immunomodulatory activity was investigated in an ex vivo model using human biopsies from patients affected by Crohn’s disease (CD). Both polymers had an anti-inflammatory effect including, a reduction of Interleukine 8 both at the level of its gene expression and its secreted levels. The overall data indicate that the O2-substituted-(1–3)-β-D-glucan have a potential role in ameliorating inflammation via the gut immune system cell modulation.

Background: Substantial recent advances in the comprehension of the molecular and cellular mechanisms behind asthma have evidenced the importance of the lung immune environment for disease outcome, making modulation of local immune responses an attractive therapeutic target against this pathology. Live attenuated mycobacteria, such as the tuberculosis vaccine BCG, have been classically linked with a type 1 response, and proposed as possible modulators of the type 2 response usually associated with asthma. Methods: In this study we used different acute and chronic murine models of asthma to investigate the therapeutic efficacy of intranasal delivery of the live tuberculosis vaccines BCG and MTBVAC by regulating the lung immune environment associated with airway hyperresponsiveness (AHR). Findings: Intranasal administration of BCG, or the novel tuberculosis vaccine candidate MTBVAC, abrogated AHR-associated hallmarks, including eosinophilia and lung remodeling. This correlated with the re-polarization of allergen-induced M2 macrophages towards an M1 phenotype, as well as with the induction of a strong allergen-specific Th1 response. Importantly, vaccine treatment was effective in a scenario of established chronic asthma where a strong eosinophil infiltration was already present prior to immunization. We finally compared the nebulization efficiency of clinical formulations of MTBVAC and BCG using a standard commercial nebulizer for potential aerosol application. Interpretation: Our results demonstrate that pulmonary live tuberculosis vaccines efficiently revert established asthma in mice. These data support the further exploration of this approach as potential therapy against asthma. Funding: Spanish Ministry of Science [grant numbers: BIO2014-5258P, RTI2018-097625-B-I00], Instituto de Salud Carlos III, Gobierno de Aragón/Fondo Social Europeo, University of Zaragoza [grant number: JIUZ-2018-BIO-01].

Vaccination through the natural route of infection represents an attractive immunization strategy in vaccinology. In the case of tuberculosis, vaccine delivery by the respiratory route has regained interest in recent years, showing efficacy in different animal models. In this context, respiratory vaccination triggers lung immunological mechanisms which are omitted when vaccines are administered by parenteral route. However, contribution of mucosal antibodies to vaccine- induced protection has been poorly studied. In the present study, we evaluated in mice and non-human primates (NHP) a novel whole cell inactivated vaccine (MTBVAC HK), by mucosal administration. MTBVAC HK given by intranasal route to BCG-primed mice substantially improved the protective efficacy conferred by subcutaneous BCG only. Interestingly, this improved protection was absent in mice lacking polymeric Ig receptor (pIgR), suggesting a crucial role of mucosal secretory immunoglobulins in protective immunity. Our study in NHP confirmed the ability of MTBVAC HK to trigger mucosal immunoglobulins. Importantly, in vitro assays demonstrated the functionality of these immunoglobulins to induce M. tuberculosis opsonization in the presence of human macrophages. Altogether, our results suggest that mucosal immunoglobulins can be induced by vaccination to improve protection against tuberculosis and therefore, they represent a promising target for next generation tuberculosis vaccines.

Bacterial β-glucans are exopolysaccharides (EPSs), which can protect bacteria or cooperate in biofilm formation or in bacterial cell adhesion. Pediococcus parvulus 2.6 is a lactic acid bacterium that produces an O-2-substituted (1-3)-β-D-glucan. The structural similarity of this EPS to active compounds such as laminarin, together with its ability to modulate the immune system and to adhere in vitro to human enterocytes, led us to investigate, in comparison with laminarin, its potential as an immunomodulator of in vitro co-cultured Caco-2 and PMA-THP-1 cells. O-2-substituted (1-3)-β-D-glucan synthesized by the GTF glycosyl transferase of Pediococcus parvulus 2.6 or that by Lactococcus lactis NZ9000[pGTF] were purified and used in this study. The XTT tests revealed that all β-glucans were non-toxic for both cell lines and activated PMA-THP-1 cells’ metabolisms. The O-2-substituted (1-3)-β-D-glucan modulated production and expression of IL-8 and the IL-10 in Caco-2 and PMA-THP-1 cells. Laminarin also modulated cytokine production by diminishing TNF-α in Caco-2 cells and IL-8 in PMA-THP-1. All these features could be considered with the aim to produce function foods, supplemented with laminarin or with another novel β-glucan-producing strain, in order to ameliorate an individual’s immune system response toward pathogens or to control mild side effects in remission patients affected by inflammatory bowel diseases.

El Museo de sitio, gestionado por el Ayuntamiento de Zaragoza, fue inaugurado en el año 1999. De las diversas estancias con que contaban unas termas romanas se han conservado restos de unas letrinas, todavía utilizadas a finales del siglo I a. C., que fueron derribadas para construir sobre ellas una gran piscina porticada, al aire libre, en la que los usuarios podían sumergirse. Forma parte de la llamada Ruta de Caesaraugusta, un itinerario que engloba los edificios públicos más importantes de la ciudad, como son el foro, el puerto fluvial, las termas y el teatro.

El Museo de sitio, gestionado por el Ayuntamiento de Zaragoza, fue inaugurado en el año 1995. Alberga estructuras arquitectónicas correspondientes a dos etapas sucesivas del foro de la colonia. De la etapa fundacional de la ciudad romana, la más antigua, se conservan los restos de un mercado, tuberías de agua potable y una cloaca con sus canalillos. De la etapa posterior, culminada en las primeras décadas del siglo I, se conservan restos de un foro espacioso: una gran cloaca, canales, las cimentaciones de un sector del pórtico y los sótanos de las tabernas contiguas, ubicados fuera del recinto forense. El Museo exhibe asimismo hallazgos arqueológicos del gran foro. El Museo forma parte de la llamada Ruta de Caesaraugusta, un itinerario que engloba los edificios públicos más importantes de la ciudad, como son el foro, el puerto fluvial, las termas y el teatro.

El Museo de sitio, gestionado por el Ayuntamiento de Zaragoza, fue inaugurado en el año 2000. Alberga un conjunto monumental, fechado entre finales del siglo I a. C. y el siglo I d. C., que daba continuidad al trazado de los pórticos del foro, perfilando su límite septentrional, en paralelo a la orilla del río Ebro. El puerto de Caesaraugusta ocuparía gran parte de la orilla derecha de la ciudad, en una zona de aguas tranquilas recta y resguardada, una vez pasado el puente romano, convirtiéndose en el más importante enclave redistribuidor de mercancías en el centro del valle del Ebro. Forma parte de la llamada Ruta de Caesaraugusta, un itinerario que engloba los edificios públicos más importantes de la ciudad, como son el foro, el puerto fluvial, las termas y el teatro.

El Museo de sitio, gestionado por el Ayuntamiento de Zaragoza, fue inaugurado en el año 2003. Está constituido por los restos del teatro romano, considerado como una sala expositiva más, y por un nuevo edificio que conserva la fachada de una antigua casa señorial zaragozana. El Museo exhibe únicamente piezas, de diferentes épocas, halladas en las excavaciones del solar. El Museo forma parte de la llamada Ruta de Caesaraugusta, un itinerario que engloba los edificios públicos más importantes de la ciudad, como son el foro, el puerto fluvial, las termas y el teatro.

Having access to safe drinking water is one of the 17 sustainable development goals defined by the United Nations (UN). However, many settlements around the globe have limited access to drinkable water due to non-anthropogenic pollution of the water sources. One of those pollutants is fluoride, which can induce major health problems. In this manuscript, we report on a post synthetic functionalization of metal organic frameworks for the sensing of fluoride in water. The proposed thermal condensation methodology allows for a high yield of functionalization using few steps, reducing reagent costs and generating minimal by-products. We identified a Rhodamine B functionalized Al-BDC-NH2 metal organic framework as one particularly suitable for fluoride detection in water.

We report on a tunable solid-state approach to modify the acidity of cotton substrates using citric, oxalic, and fumaric acids. The first stage of the method involves soaking the cotton swatches in an ethanolic saturated solution of the corresponding acid. After drying, the carboxylation reaction proceeds at high temperature (T > 100 °C) and in solid state. We quantified the effect of temperature and reaction time on the solid-state carboxylation reaction, which allowed us to tune the carboxylation degree and the acidity of the surface. We characterized the modified cotton by performing adsorption isotherms and by determining the kinetics of adsorption of a cationic dye: methylene blue (MB). We found that the MB uptake kinetics varied as a function of the acidic strength of the surface, which is closely related to the strength of the acid used for surface modification. The proposed solid-state cotton carboxylation procedure allows us to achieve sustainable cotton modification, which constitutes a starting point for several applications using cotton as the substrate.

Dynamical systems and fractal theory methodologies have been proved useful for the modeling and analysis of experimental datasets and, in particular, for electroencephalographic signals. The computation of the fractal dimension of approximation curves in the plane enables the assignment of numerical values to bioelectric recordings in order to discriminate between different states of the observed system. The procedure does not require the stationarity of the signals nor extremely long segments of data. In previous works, we checked that this parameter is a good index for brain activity. In this paper, we consider this measurement in order to quantify the geometric complexity of the brain waves in states of rest and during vehicle driving simulation in different scenarios. This work presents evidence that the fractal dimension allows the detection of the brain bioelectric changes produced in the areas that carry out the different driving simulation tasks, increasing with their complexity.

Purpose : To present the implementation of a magnetic resonance imaging (MRI) pre-planning technique in multi-interstitial perineal and endocavitary gynecological brachytherapy. Material and methods : We used a new fully MRI-compatible applicator that is capable to engage titanium needles, and an intrauterine tandem, developed in our department for the treatment of gynecological cervical cancer patients. This applicator is an attempt to combine the technical advantages of the Martinez universal perineal interstitial template (MUPIT) with the improvement in dose distribution by adding an intrauterine probe with the imaging advantages of MRI-based brachytherapy, thus preserving the stability, geometry, and robustness of the implant, avoiding possible errors of free-hand needle placement. A pre-brachytherapy MRI T2 acquisition is carried out with the template in place 3-5 days before the implant. On this image set, clinical target volume (CTV) is drawn. The required needles and their depths are selected accordingly to encompass the CTV (as conformal as possible). To facilitate this task, a Java based application linked to the treatment planning system has been developed. From this procedure, each needle identification and its depth are obtained previously to the implantation. With this information, the radiation oncologist proceeds with implant and then, a post-implant MRI is carried out, in which the contouring, needles, tandem reconstruction, and optimization are established. Results : This pre-planning procedure has been successfully applied in 10 patients. An excellent reproduction of the virtual pre-planning has been achieved. Conclusions : We describe a virtual pre-planning technique using a multi-interstitial and endocavitary perineal template. It is based on a virtual work with MRI images. This procedure has shown to be feasible and efficient in clinical practice by facilitating the work of specialists, and reducing uncertainties of the application.

We construct many new invariant solutions to the Strominger system with respect to a 2-parameter family of metric connections ∇ε,ρ in the anomaly cancellation equation. The ansatz ∇ε,ρ is a natural extension of the canonical 1-parameter family of Hermitian connections found by Gauduchon, as one recovers the Chern connection ∇c for (ε,ρ)=(0,12), and the Bismut connection ∇+ for (ε,ρ)=(12,0). In particular, explicit invariant solutions to the Strominger system with respect to the Chern connection, with non-flat instanton and positive α′ are obtained. Furthermore, we give invariant solutions to the heterotic equations of motion with respect to the Bismut connection. Our solutions live on three different compact non-Kähler homogeneous spaces, obtained as the quotient by a lattice of maximal rank of a nilpotent Lie group, the semisimple group SL(2,C) and a solvable Lie group. To our knowledge, these are the only known invariant solutions to the heterotic equations of motion, and we conjecture that there is no other such homogeneous space admitting an invariant solution to the heterotic equations of motion with respect to a connection in the ansatz ∇ε,ρ.

Introducción: la hiperestesia dentinaria se caracteriza por un dolor intenso y breve asociado a la exposición de estímulos térmicos, táctiles, osmóticos o químicos. De prevalencia creciente, reduce la calidad de vida del paciente. Objetivo: evaluar la eficacia, aceptabilidad y tolerancia de un dentífrico con dióxido de silicio obliterante, nitrato potásico y monofluorofosfato sódico en pacientes con hiperestesia dentinaria. Métodos: estudio observacional y longitudinal (n= 22) en el que se aplicó el dentífrico 3 veces/día durante 28 días. Se realizó una evaluación clínica, antes y después de la aplicación, a las 48 horas, a las 96 horas y los días 7, 14, 21 y 28 del estudio. Se evaluó su eficacia en términos de reducción de la hipersensibilidad dental determinada mediante técnica táctil (escala de calificación verbal) y de chorro de aire (escala de Schiff). En cada visita se valoró la tolerancia del producto. Los pacientes valoraron el grado de hipersensibilidad y su percepción del producto mediante un cuestionario de evaluación subjetiva. El estudio se realizó bajo los principios de Buena Práctica Clínica. Resultados: la hipersensibilidad dental se redujo en todos los puntos temporales del estudio y fue significativa (p< 0,05) a partir del día 5. Esta mejoría fue sostenida y aumentó a medida que avanzó el tratamiento. El día 29 la hipersensibilidad media se redujo en un 85 % respecto al valor basal en todos los pacientes. El 91 % de los participantes opinó que el dentífrico había cumplido sus expectativas. No se observó ninguna reacción adversa derivada del uso del producto. Conclusiones: el dentífrico, administrado 3 veces/día, consiguió una reducción de la hipersensibilidad dental, significativa a partir del día 5, que fue aumentando con el tiempo. El producto presentó muy buena aceptabilidad y tolerancia.

Purpose: T2 magnetic resonance imaging (MRI) is recommended as the imaging modality for image-guided brachytherapy. In locally advanced cervical carcinoma, combined endocavitary and interstitial applicators are appropriate (Vienna or Utrecht). To cover extensive disease, Template Benidorm (TB) was developed. Treatment planning system applicator libraries are currently unavailable for the Utrecht applicator or the TB. The purpose of this work is to develop an applicator library for both applicators. Material and methods: The library developed in this work has been used in the Oncentra Brachytherapy TPS, version 4.3.0, which has a brachytherapy module that includes a library of rigid applicators. To add the needles of the Utrecht applicator and to model the TB, we used FreeCAD and MeshLab. The reconstruction process was based on the points that the rigid section and the interstitial part have in common. This, together with the free length, allowed us to ascertain the position of the tip. Results: In case of the Utrecht applicator, one of the sources of uncertainty in the reconstruction was determining the distance of the tip of needle from the ovoid. In case of the TB, the large number of needles involved made their identification time consuming. The developed library resolved both issues. Conclusions : The developed library for the Utrecht and TB is feasible and efficient improving accuracy. It allows all the required treatment planning to proceed using just a T2 MRI sequence. The additional use of specific free available software applications makes it possible to add this information to the already existing library of the Oncentra Brachytherapy TPS. Specific details not included on this manuscript will be available under request. This library is also currently being implemented also into the Sagiplan v 2.0 TPS.

Since the 1970s, artists from Central America, Mexico and the Hispanic Caribbean have explored the connection between imperialism and gender violence through innovative artistic proposals. Their research has led them to use the female body as a metaphor for both the invaded geographical territory and the patriarchal incursion into women’s lives. This trend has received little to no attention and it behooves us to understand why it has happened and, more importantly, how the artists are proposing we examine this double violence endured by the women who live or used to live in countries with a colonial present or past. The resulting images are powerful, interesting, and a great contribution to Latin America’s artistic heritage. This study proposes that research yet to be done in other Global areas where colonies has been established, since it is possible that this trend can be understood, not only as an element of the Latin American artistic canon, but also integral to all of non-Western art.