1,015 results on '"E, Palacios"'
Search Results
2. The mediating role of neuroimaging-derived biological brain age in the association between risk factors for dementia and cognitive decline in middle-aged and older individuals without cognitive impairment: a cohort study
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Irene Cumplido-Mayoral, MSc, Anna Brugulat-Serrat, PhD, Gonzalo Sánchez-Benavides, PhD, Armand González-Escalante, MSc, Federica Anastasi, PhD, Marta Milà-Alomà, PhD, David López-Martos, MSc, Muge Akinci, MSc, Carles Falcón, PhD, Mahnaz Shekari, MSc, Raffaele Cacciaglia, PhD, Eider M Arenaza-Urquijo, PhD, Carolina Minguillón, PhD, Karine Fauria, PhD, José Luis Molinuevo, MD PhD, Marc Suárez-Calvet, MD PhD, Oriol Grau-Rivera, MD PhD, Verónica Vilaplana, PhD, Juan Domingo Gispert, PhD, R AQUITE AGUILAR, A BETETA GORRITI, A BRUGULAT SERRAT, R E CACCIAGLIA, L CANALS GISPERT, A CAÑAS MARTINEZ, M DEL CAMPO MILAN, C DEULOFEU GOMEZ, R DOMINGUEZ IGLESIAS, M EMILIO, K M E FAURIA, A FERNANDEZ, S D FUENTES JULIAN, P GENIUS SERRA, J D GISPERT LOPEZ, A GONZALEZ ESCALANTE, O GRAU RIVERA, L HERNANDEZ PENAS, G HUESA RODRÍGUEZ, J HUGUET NINOU, L IGLESIAS GAMEZ, I KNEZEVIC, P MARNE ALVAREZ, T MENCHON DIAZ, C MINGUILLON GIL, E PALACIOS, M PASCUAL, W PELKMANS, A POLO BALLESTER, S PRADAS MENDEZ, I A RADOI, B RODRIGUEZ FERNANDEZ, L ROS FREIXEDES, A SALA-VILA, G A SANCHEZ BENAVIDES, M SHEKARI, L SOLSONA HARSTER, A SOTERAS PRAT, L STANKEVICIUTE, M SUAREZ CALVET, M VILANOVA JARAMILLO, and N VILOR TEJEDOR
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Geriatrics ,RC952-954.6 ,Medicine - Abstract
Summary: Background: Neuroimaging-based brain-age delta has been shown to be a mediator linking cardiovascular risk factors to cognitive function. We aimed to assess the mediating role of brain-age delta in the association between modifiable risk factors of dementia and longitudinal cognitive decline in middle-aged and older individuals who are asymptomatic, stratified by Alzheimer's disease pathology. We also explored whether the mediation effect is specific to cognitive domain. Methods: In this cohort study, we included participants from the ALFA+ cohort aged between 45 years and 65 years who were cognitively unimpaired and who had available structural MRI, cerebrospinal fluid β-amyloid (Aβ)42 and Aβ40 measurements obtained within 1 year of each other, modifiable risk factors assessment, and cognitive evaluation over 3 years. Participants were recruited from the Barcelonaβeta Brain Research Center (Barcelona, Spain). Included individuals underwent a first assessment between Oct 25, 2016, and Jan 28, 2020, and a follow-up cognitive assessment 3·28 (SD 0·27) years later. We computed brain-age delta and composites of different cognitive function domains (preclinical Alzheimer's cognitive composite [PACC], attention, executive function, episodic memory, visual processing, and language). We used partial least squares path modelling to explore mediation effects in the associations between modifiable risk factors (including cardiovascular, mental health, mood, metabolic or endocrine history, and alcohol use) and changes in cognitive composites. To assess the role of Alzheimer's disease pathology, we computed separate models for Aβ-negative and Aβ-positive individuals. Findings: Of the 419 participants enrolled in ALFA+, 302 met our inclusion criteria, of which 108 participants were classified as Aβ-positive and 194 as Aβ-negative. In Aβ-positive individuals, brain-age delta partially mediated (percent mediation proportion 15·73% [95% CI 14·22–16·66]) the association between modifiable risk factors and decline in overall cognition (across cognitive domains). Brain-age delta fully mediated (mediation proportion 28·03% [26·25–29·21]) the effect of modifiable risk factors on the PACC, wherein increased values for risk factors correlated with an older brain-age delta, and, consequently, an older brain-age delta was linked to greater PACC decline. This effect appears to be primarily driven by memory decline. Mediation was not significant in Aβ-negative individuals (3·52% [0·072–4·17]) on PACC, although path coefficients were not significantly different from those in the Aβ-positive group. Interpretation: Our findings suggest that brain-age delta captures the association between modifiable risk factors and longitudinal cognitive decline in middle-aged and older people. In asymptomatic middle-aged and older individuals who are Aβ-positive, the pathology might be the strongest driver of cognitive decline, whereas the effect of risk factors is smaller. Our results highlight the potential of brain-age delta as an objective outcome measure for preventive lifestyle interventions targeting cognitive decline. Funding: La Caixa Foundation, the TriBEKa Imaging Platform, and the Universities and Research Secretariat of the Catalan Government. Translation: For the Spanish translation of the abstract see Supplementary Materials section.
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- 2024
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3. Assessing safety and efficacy of flexible ureteroscopy and laser lithotripsy in elderly patients
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Jeffer D. Álvarez-Villarraga, Herney A. García-Perdomo, Héctor A. Ramírez-Vásquez, Jorge E. Palacios-Riascos, and Andrea López-Sanmiguel
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Ureteroscopy. Lithotripsy. Laser. Urinary calculi. Aged. ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Objective: The objective of the study was to determine the efficacy and safety of flexible ureteroscopy (F-URS) for the management of intrarenal or proximal ureteral lithiasis in aged patients. Materials and methods: In this retrospective, multicenter observational study, we collected the anonymized clinical data of patients who underwent F-URS at two institutions in Cali, Colombia between June 2015 and May 2018. The patients were divided into two groups based on age: Group A defined as aged patients (> 65 years) and Group B as patients of non-advanced age (< 65 years). Results: A total of 201 patients were included in this study. The average age for Group A was 75 years (± 4.5) and for Group B was 51 years (± 10). The anesthetic risk classification (American Society of Anesthesiology [ASA]) and comorbidities were significantly higher for Group A with an ASA II and III of 74% versus 50% in Group B. No significant differences were shown in the stone-free rates (SFRs) or significant ureteral injury (Grade III and IV). There was no difference in intraoperative or post-operative complications between both groups. Conclusions: Age > 65 years was not associated with a negative impact on the outcomes of F-URS for the management of intrarenal or proximal ureteral lithiasis in this cohort of patients. F-URS appears as a safe and effective procedure and should not be withheld from older patients.
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- 2024
4. Designing Human-centered AI for Mental Health: Developing Clinically Relevant Applications for Online CBT Treatment.
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Anja Thieme, Maryann Hanratty, Maria Lyons, Jorge E. Palacios, Rita Faia Marques, Cecily Morrison, and Gavin Doherty
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- 2023
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5. Trajectories of Symptoms in Digital Interventions for Depression and Anxiety Using Routine Outcome Monitoring Data: Secondary Analysis Study
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Diana Catalina Cumpanasoiu, Angel Enrique, Jorge E Palacios, Daniel Duffy, Scott McNamara, and Derek Richards
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Information technology ,T58.5-58.64 ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundResearch suggests there is heterogeneity in treatment response for internet-delivered cognitive behavioral therapy (iCBT) users, but few studies have investigated the trajectory of individual symptom change across iCBT treatment. Large patient data sets using routine outcome measures allows the investigation of treatment effects over time as well as the relationship between outcomes and platform use. Understanding trajectories of symptom change, as well as associated characteristics, may prove important for tailoring interventions or identifying patients who may not benefit from the intervention. ObjectiveWe aimed to identify latent trajectories of symptom change during the iCBT treatment course for depression and anxiety and to investigate the patients’ characteristics and platform use for each of these classes. MethodsThis is a secondary analysis of data from a randomized controlled trial designed to examine the effectiveness of guided iCBT for anxiety and depression in the UK Improving Access to Psychological Therapies (IAPT) program. This study included patients from the intervention group (N=256) and followed a longitudinal retrospective design. As part of the IAPT’s routine outcome monitoring system, patients were prompted to complete the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) after each supporter review during the treatment period. Latent class growth analysis was used to identify the underlying trajectories of symptom change across the treatment period for both depression and anxiety. Differences in patient characteristics were then evaluated between these trajectory classes, and the presence of a time-varying relationship between platform use and trajectory classes was investigated. ResultsFive-class models were identified as optimal for both PHQ-9 and GAD-7. Around two-thirds (PHQ-9: 155/221, 70.1%; GAD-7: 156/221, 70.6%) of the sample formed various trajectories of improvement classes that differed in baseline score, the pace of symptom change, and final clinical outcome score. The remaining patients were in 2 smaller groups: one that saw minimal to no gains and another with consistently high scores across the treatment journey. Baseline severity, medication status, and program assigned were significantly associated (P
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- 2023
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6. Phase transition and remodeling complex assembly are important for SS18-SSX oncogenic activity in synovial sarcomas
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Yanli Cheng, Zhongtian Shen, Yaqi Gao, Feilong Chen, Huisha Xu, Qinling Mo, Xinlei Chu, Chang-liang Peng, Takese T. McKenzie, Bridgitte E. Palacios, Jian Hu, Hao Zhou, and Jiafu Long
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Science - Abstract
Oncoprotein SS18-SSX is a hallmark of synovial sarcoma. Here the authors report phase separation of SS18-SSX and the binding of SS18-SSX to chromatin remodeling complex are important for the transformation activity of the oncoprotein SS18-SSX.
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- 2022
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7. Understanding Client Support Strategies to Improve Clinical Outcomes in an Online Mental Health Intervention.
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Prerna Chikersal, Danielle Belgrave, Gavin Doherty, Angel Enrique, Jorge E. Palacios, Derek Richards, and Anja Thieme
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- 2020
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8. The Experience of Guided Online Therapy: A Longitudinal, Qualitative Analysis of Client Feedback in a Naturalistic RCT.
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Jacinta Jardine, Caroline Earley, Derek Richards, Ladislav Timulak, Jorge E. Palacios, Daniel Duffy, Karen Tierney, and Gavin Doherty
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- 2020
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9. Instructions and experiential learning have similar impacts on pain and pain-related brain responses but produce dissociations in value-based reversal learning
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Lauren Y Atlas, Troy C Dildine, Esther E Palacios-Barrios, Qingbao Yu, Richard C Reynolds, Lauren A Banker, Shara S Grant, and Daniel S Pine
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pain ,fMRI ,reversal learning ,conditioning ,instructions ,expectancy ,Medicine ,Science ,Biology (General) ,QH301-705.5 - Abstract
Recent data suggest that interactions between systems involved in higher order knowledge and associative learning drive responses during value-based learning. However, it is unknown how these systems impact subjective responses, such as pain. We tested how instructions and reversal learning influence pain and pain-evoked brain activation. Healthy volunteers (n=40) were either instructed about contingencies between cues and aversive outcomes or learned through experience in a paradigm where contingencies reversed three times. We measured predictive cue effects on pain and heat-evoked brain responses using functional magnetic resonance imaging. Predictive cues dynamically modulated pain perception as contingencies changed, regardless of whether participants received contingency instructions. Heat-evoked responses in the insula, anterior cingulate, and other regions updated as contingencies changed, and responses in the prefrontal cortex mediated dynamic cue effects on pain, whereas responses in the brainstem’s rostroventral medulla (RVM) were shaped by initial contingencies throughout the task. Quantitative modeling revealed that expected value was shaped purely by instructions in the Instructed Group, whereas expected value updated dynamically in the Uninstructed Group as a function of error-based learning. These differences were accompanied by dissociations in the neural correlates of value-based learning in the rostral anterior cingulate, thalamus, and posterior insula, among other regions. These results show how predictions dynamically impact subjective pain. Moreover, imaging data delineate three types of networks involved in pain generation and value-based learning: those that respond to initial contingencies, those that update dynamically during feedback-driven learning as contingencies change, and those that are sensitive to instruction. Together, these findings provide multiple points of entry for therapies designs to impact pain.
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- 2022
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10. Evaluation of endothelial function and subclinical atherosclerosis in patients with HIV infection
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F. Arnaiz de las Revillas, V. Gonzalez-Quintanilla, J. A. Parra, E. Palacios, C. Gonzalez-Rico, C. Armiñanzas, M. Gutiérrez-Cuadra, A. Oterino, C. Fariñas-Alvarez, and M. C. Fariñas
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Medicine ,Science - Abstract
Abstract The aim of this study was to analyse the association between human immunodeficiency virus (HIV) related clinical and analytical parameters and the presence of subclinical atherosclerosis as well as endothelial dysfunction. This was a prospective cohort study of HIV-positive patients who underwent intima media thickness (IMT) determination and coronary artery calcium scoring to determine subclinical atherosclerosis. To detect endothelial dysfunction, the breath holding index, flow-mediated dilation and the concentration of endothelial progenitor cells (EPCs) were measured. Patients with an IMT ≥ 0.9 mm had an average of 559.3 ± 283.34 CD4/μl, and those with an IMT
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- 2021
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11. Diagnóstico y tratamiento de coledocolitiasis con diferentes técnicas de imagen
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Mónica Bejarano, Fernando Rodríguez-Holguín, Helmer E. Palacios-Rodríguez, and Christian E. Delgado-Ocampo
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Colelitiasis ,Conducto Colédoco ,Coledocolitiasis ,Colangiografía ,Imagen por Resonancia Magnética ,Colangiopancreatografia Retrógrada Endoscópica ,Surgery ,RD1-811 - Abstract
En pacientes con sospecha de coledocolitiasis, el estudio mediante colangiografía, endoscópica (CPRE), por resonancia magnética (CRM) o intraoperatoria (CIO), permite definir la necesidad de la exploración de la vía biliar 1, bien sea quirúrgica, endoscópica o percutánea. El estudio multicéntrico del Congreso Quirúrgico de Suroeste, con 1263 pacientes, mostró un desempeño diagnóstico similar entre estas tres opciones, sin diferencias estadísticamente significativas 1. En nuestro medio, cuando hay sospecha de coledocolitiasis, se prefiere la CRM al no ser invasiva, y por ende, tener menos riesgos de complicaciones, aunque presenta ciertas limitaciones, como una baja resolución espacial, con una sensibilidad de 64 % para cálculos menores de 3 mm, y ser susceptible de errores por artefactos de movimiento, por lo que baja su rendimiento en pacientes que no toleren permanecer inmóviles durante el tiempo que requiere una resonancia 2,3.
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- 2021
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12. Poverty and self-regulation: Connecting psychosocial processes, neurobiology, and the risk for psychopathology
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Esther E. Palacios-Barrios and Jamie L. Hanson
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Psychiatry ,RC435-571 - Abstract
In the United States, over 40% of youth under the age of 18 live at or near the federal poverty line. Several decades of research have established clear links between exposure to child poverty and the development of psychopathology, yet the mechanisms that convey this risk remain unclear. We review research in developmental science and other allied disciplines that identify self-regulation as a critical factor that may influence the development of psychopathology after exposure to poverty. We then connect this work with neurobiological research in an effort to further inform these associations. We propose a starting framework focused on the neural correlates of self-regulation, and discuss recent work relating poverty to alterations in brain regions related to self-regulation. We close this review by highlighting important considerations for future research on poverty/socioeconomic status, neurobiology, self-regulation, and the risks related to the development of negative mental health outcomes. Keywords: Poverty, Self-regulation, Psychopathology, Neurobiology, Development
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- 2019
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13. Lower neural value signaling in the prefrontal cortex is related to childhood family income and depressive symptomatology during adolescence
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Esther E. Palacios-Barrios, Jamie L. Hanson, Kelly R. Barry, W. Dustin Albert, Stuart F. White, Ann T. Skinner, Kenneth A. Dodge, and Jennifer E. Lansford
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Socioeconomic status ,Child poverty ,Adolescent depression ,Reward learning ,Decision-making ,Prefrontal cortex ,Neurophysiology and neuropsychology ,QP351-495 - Abstract
Lower family income during childhood is related to increased rates of adolescent depression, though the underlying mechanisms are poorly understood. Evidence suggests that individuals with depression demonstrate hypoactivation in brain regions involved in reward learning and decision-making processes (e.g., portions of the prefrontal cortex). Separately, lower family income has been associated with neural alterations in similar regions. Motivated by this research, we examined associations between family income, depression, and brain activity during a reward learning and decision-making fMRI task in a sample of adolescents (full n = 94; usable n = 78; mean age = 15.2 years). We focused on brain activity for: 1) expected value (EV), the learned subjective value of an object, and 2) prediction error, the difference between EV and the actual outcome received. Regions of interest related to reward learning were examined in connection to childhood family income and parent-reported adolescent depressive symptoms. As hypothesized, lower activity in the subgenual anterior cingulate (sACC) for EV in response to approach stimuli was associated with lower childhood family income, as well as greater symptoms of depression measured one-year after the neuroimaging session. These results are consistent with the hypothesis that lower early family income leads to disruptions in reward and decision-making brain circuitry, contributing to adolescent depression.
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- 2021
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14. The Estero de Punta Banda, B.C., Mexico as a link in the 'Pacific Flyway': Abundance of shorebirds
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E Palacios, A Escofet, and DH Loya-Salinas
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Biology (General) ,QH301-705.5 - Abstract
Thirteen shorebird species and 5683 individuals were recorded at Estero Punta Banda from October 1988 to April 1989 in three soft-bottom habitats bordering the northern tip of the sand bar (open beach; terminal beach; mud-flats) and a semi-protected seasonal pond at the southwest comer of the estuary. The open beach (seven species; 1310 individuals), mud-flats (13 species; 3958 individuals) and the pond (two species; 146 individuals) harbored distinctive species assemblages while the terminal beach (five species; 239 individuals) acted as an extension of the open beach and mud flats. Most species where exclusive of a single habitat, or almost exclusive (species that occur in more that one habitat but exhibit strong quantitative differences among them). Seasonal changes were rather neat, although the study period missed the first part of the autumn migration towards the south. Seasonal movements were not synchronic in the different habitats. We estimated that about 14,000 shorebirds visit the lagoon each season (3,000 in the open beach; 11,000 in mud-flats). Although most species had been recorded for the site, quantitative data and evidence of the role of estero Punta Banda along the Pacific Flyway are offered in this study for the first time. Distinctive species assemblages in the different habitats, and asynchronism of migration in each, show that patchiness of habitats is important for the maintenance of species richness and for the conservation of the migratory process as well.
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- 2021
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15. Author Correction: A pragmatic randomized waitlist-controlled effectiveness and cost-effectiveness trial of digital interventions for depression and anxiety.
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Derek Richards, Angel Enrique, Nora Eilert, Matthew Franklin, Jorge E. Palacios, Daniel Duffy, Caroline Earley, Judith Chapman, Grace Jell, Sarah Sollesse, and Ladislav Timulak
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- 2020
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16. A pragmatic randomized waitlist-controlled effectiveness and cost-effectiveness trial of digital interventions for depression and anxiety.
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Derek Richards, Angel Enrique, Nora Eilert, Matthew Franklin, Jorge E. Palacios, Daniel Duffy, Caroline Earley, Judith Chapman, Grace Jell, Sarah Sollesse, and Ladislav Timulak
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- 2020
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17. Sustainable Refining of Vegetable Oil Made Easy with a Designer Phospholipase C Enzyme
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Diego S. Val, Fiorela Marchisio, Luisina Di Nardo, Salvador Peirú, Andrés Aguirre, Luciano A. Abriata, Luis E. Palacios, Rodolfo M. Rasia, María E. Castelli, and Hugo G. Menzella
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enzymatic degumming ,recombinant protein-production ,land ,strain ,vegetable oil ,escherichia-coli ,consensus sequence design ,General Chemistry ,phospholipase c ,General Agricultural and Biological Sciences ,techno-economic analysis - Abstract
Enzymes are extraordinary catalysts and a preferred tool for green chemistry, but they have not evolved to tolerate the harsh conditions required in large-scale chemical processes, making the replacement of inorganic catalysts extremely expensive in most cases. However, the continuous knowledge generated by protein engineers helps to realize the promise of using biocatalysts to address critical environmental and industrial challenges. The increasing demand for food and biofuels pressures the vegetable oil industry to continuously improve its manufacturing efficiency and at the same time mitigate the environmental pollution caused by the refineries. Enzymatic degumming is a key enabling technology to obtain cleaner and more efficient methods, but advanced enzymes are needed for widespread adoption. Here, we present an enzymatic degumming process based on chPLC, a synthetic phospholipase C with remarkable thermal stability and catalytic properties. The process developed does not require modifications in current soybean oil factories, avoiding upfront investments, and is four times faster than the enzymatic processes available in the market. A techno-economic analysis predicts a ~ 60% cost reduction for a base-case scenario, establishing the largely expected conditions to promote the global adoption of enzymatic oil degumming by refineries of all sizes. To the best of our knowledge, this is the first report showing the application of a synthetic enzyme designed to address an industrial need having an impact on both the global economy and the environment, in the billion-dollar range.
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- 2023
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18. Efectos de estilos de crianza sobre la depresión en adolescentes escolarizados de una muestra peruana
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Eliana V. Castro Renteria, Maria del Pilar E. Palacios Bustamante, Ivonne D. M. Calderón Pauta, Elina González Diaz, and Oskar A. Rayme Velasquez
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teens ,General Energy ,depression ,depresión ,Estilos de crianza ,Parenting styles ,adolescentes - Abstract
RESUMEN El objetivo de la presente investigación fue determinar la influencia que ejercen los estilos de crianza en la depresión de adolescentes escolarizados peruanos. Para ello, se utilizó una muestra de 308 estudiantes de nivel secundario, entre varones (47.1 %) y mujeres (52.9 %), que tuvieron una edad promedio de 14.5 años (DE = 2.218). Tiene un diseño no experimental, empírico de estrategia asociativa, clasificado dentro de un estudio explicativo. Para medir las variables de estudio elegidas se utilizó la Escala Estilos de Crianza Familiar (ECF29) y el Patient Health Questionnaire (PHQ-9), ambos con evidencias sólidas de validez y confiabilidad. Los resultados hallados mediante el análisis del modelo de ecuaciones estructurales evidenciaron que el 42 % (r2=.42) explica la varianza de la depresión y el 65 % (r2=.65) explica la varianza de los estilos de crianza. Además, el mejor predictor de la depresión es el estilo sobreprotector (13=.43), seguido del estilo autoritario (13=.18) e indulgente (13=.17); a diferencia del estilo democrático, el cual no explica de manera relevante la depresión en los adolescentes (β= - .09). Se concluye que la depresión se explica con mayor intensidad por las características comunes del estilo de crianza sobreprotector, mientras que el estilo de crianza democrático no lo hace de forma significativa. ABSTRACT The objective of this research was to determine the influence exerted by parenting styles on the depression of Peruvian schooled adolescents. For this, a sample of 308 high school students was used, between men (47.1 %) and women (52.9 %), who had an average age of 14.5 years (SD = 2.218). It has a non-experimental, empirical design of associative strategy, classified within an explanatory study. To measure the chosen study variables, the following were used: the Family Parenting Styles Scale (ECF-29) and the Patient Health Questionnaire (PHQ-9); both with solid evidence of validity and reliability. The results of the structural equation model analysis revealed that 42 % (r2=.42) explains the variance of depression and 65 % (r2=.65) explains the variance of parenting styles. In addition, the best predictor of depression is the overprotective style (β=.43), followed by the authoritarian (β=.18) and indulgent (β=.17) style; unlike the democratic style, which does not explain depression in adolescents in a relevant way (β= - .09). It is concluded that depression is being explained with greater intensity by the common characteristics of the overprotective parenting style, while the democratic parenting style does not do so significantly.
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- 2022
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19. Prevalencia de Cryptosporidium spp. y Giardia spp. en terneros, y su presencia en agua y en niños con problemas digestivos en el cantón San Fernando, Ecuador
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Teófilo E. Palacios O.
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Cryptosporidium spp ,Giardia spp. ,prevalencia ,terneros ,ooquistes ,quisten en agua ,problemas digestivos en niños ,cantón San Fernando ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Objetivo: Determinar la prevalencia de Cryptosporidium spp. y Giardia spp. en heces de terneros de 0-4 meses de edad, como factor contaminante de los recursos hídricos de uso de la población humana de 2-6 años de edad, en el cantón San Fernando, provincia del Azuay. Metodología: Es un estudio epidemiológico de corte transversal-descriptivo, realizado durante el período septiembre del 2013 a abril del 2014. Se utilizó una muestra de 120 terneros de 0 a 4 meses de edad, que de acuerdo a los datos de AGROCALIDAD es la totalidad de terneros del cantón; 42 niños de 2 a 6 años de edad con problemas digestivos en su visita al centro de salud y 40 litros de agua obtenida de la zona de captación en el sector del Hato de la Virgen. En terneros y niños se utilizó materia fecal que fue tratada para realizar la coloración de Ziehl-Neelsen para Cryptosporidium spp. y la técnica de Ritchie para Giardia spp. En el agua se determinó la cantidad de quistes y ooquistes /100 ml por el método EPA 1623. Los niños fueron discriminados para el estudio según el origen (rural o urbano). Se aplicó una estadística descriptiva con la ayuda del software SPSS versión 22. Resultados: Se determinó que en terneros existe una prevalencia del 93.3% de Cryptosporidium spp., (112 casos positivos) y de 76.7% de Giardia spp. (92 casos positivos). En agua, se determinó la presencia de 5 ooquistes de Cryptosporidium spp./100 ml y 10 quistes de Giardia spp./100 ml. La prevalencia de Cryptosporidium spp. en los niños alcanzó una media del 14.3%, mientras que la de Giardia spp. fue del 33.3%. Conclusiones: El estudio demostró una alta prevalencia de Cryptosporidium spp. y Giardia spp. en los terneros, quienes serían en buena medida los responsables de la alta concentración en agua y de la alta prevalencia en niños con problemas digestivos en el cantón San Fernando.
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- 2017
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20. Hydrogen production in Mexico: State of the art, future perspectives, challenges, and opportunities
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A. Palacios, A. Cordova-Lizama, P.M. Castro-Olivera, and E. Palacios-Rosas
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Fuel Technology ,Renewable Energy, Sustainability and the Environment ,Energy Engineering and Power Technology ,Condensed Matter Physics - Published
- 2022
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21. Caracterización de la pulpa de molienda de mineral de arsenopirita FeAsS
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M. Reyes-Pérez, R.A. García Escobar, J. Cesar Juárez-Tapia, E. Palacios Beas, M. Pérez Labra, I. A. Reyes Domínguez, M.U. Flores Guerrero, F.R. Barrientos Hernandez, and A. M. Teja Ruiz
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Durante la molienda de los sulfuros minerales en molinos de acero se llevan a cabo reacciones galvánicas entre el hierro de las bolas de molienda y las especies sulfurosas provocando la oxidación superficial de los elementos que constituyen los sulfuros, afectando el éxito de la siguiente etapa. Por tal razón se estudió y caracterizó el efecto de los medios de acero, el pH inicial y el tiempo, en la fisicoquímica de la pulpa de molienda de arsenopirita (FeAsS). Los resultados experimentales muestran la variación del potencial de iones hidrógeno con el tiempo, resultado del contacto galvánico entre el hierro y las partículas de arsenopirita, provocando la oxidación de los elementos que constituyen el mineral tal como; hierro (Fe), arsénico (As) y el azufre (S), este conlleva a la formación de ion sulfato acidificando la pulpa, además, tiende a aumentar la conductividad eléctrica k (µS) de la pulpa. Por otro lado, la concentración de oxígeno disuelto disminuye significativamente desde un valor de alrededor de 8 mg/L hasta prácticamente cero a valores de pH más alcalinos y tiempos de 20 minutos, junto a esto el ambiente químico de la pulpa muestra potenciales óxido reducción negativos y disminuye continuamente con el progreso de la molienda.
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- 2022
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22. One-nanometre-resolution evidence of As(III) anoxic and oxic transformations on the surfaces of expandable clay minerals
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J. Cervini-Silva, E. Palacios, A. Nieto-Camacho, L. C. S. Peña, and L. M. del Razo
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Environmental Engineering ,Environmental Chemistry ,General Agricultural and Biological Sciences - Published
- 2022
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23. Host-associated morphological convergence in symbiotic pea crabs
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K. M. Hultgren, C. L. Foxx, and E. Palacios Theil
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Ecology, Evolution, Behavior and Systematics - Published
- 2022
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24. Lysine-specific histone demethylase 1A (KDM1A/LSD1) inhibition attenuates DNA double-strand break repair and augments the efficacy of temozolomide in glioblastoma
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Salvador Alejo, Bridgitte E Palacios, Prabhakar Pitta Venkata, Yi He, Wenjing Li, Jessica D Johnson, Yihong Chen, Sridharan Jayamohan, Uday P Pratap, Kyra Clarke, Yi Zou, Yingli Lv, Korri Weldon, Suryavathi Viswanadhapalli, Zhao Lai, Zhenqing Ye, Yidong Chen, Andrea R Gilbert, Takayoshi Suzuki, Rajeshwar R Tekmal, Weixing Zhao, Siyuan Zheng, Ratna K Vadlamudi, Andrew J Brenner, and Gangadhara R Sareddy
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Cancer Research ,Oncology ,Neurology (clinical) - Abstract
Background Efficient DNA repair in response to standard chemo and radiation therapies often contributes to glioblastoma (GBM) therapy resistance. Understanding the mechanisms of therapy resistance and identifying the drugs that enhance the therapeutic efficacy of standard therapies may extend the survival of GBM patients. In this study, we investigated the role of KDM1A/LSD1 in DNA double-strand break (DSB) repair and a combination of KDM1A inhibitor and temozolomide (TMZ) in vitro and in vivo using patient-derived glioma stem cells (GSCs). Methods Brain bioavailability of the KDM1A inhibitor (NCD38) was established using LS-MS/MS. The effect of a combination of KDM1A knockdown or inhibition with TMZ was studied using cell viability and self-renewal assays. Mechanistic studies were conducted using CUT&Tag-seq, RNA-seq, RT-qPCR, western blot, homologous recombination (HR) and non-homologous end joining (NHEJ) reporter, immunofluorescence, and comet assays. Orthotopic murine models were used to study efficacy in vivo. Results TCGA analysis showed KDM1A is highly expressed in TMZ-treated GBM patients. Knockdown or knockout or inhibition of KDM1A enhanced TMZ efficacy in reducing the viability and self-renewal of GSCs. Pharmacokinetic studies established that NCD38 readily crosses the blood-brain barrier. CUT&Tag-seq studies showed that KDM1A is enriched at the promoters of DNA repair genes and RNA-seq studies confirmed that KDM1A inhibition reduced their expression. Knockdown or inhibition of KDM1A attenuated HR and NHEJ-mediated DNA repair capacity and enhanced TMZ-mediated DNA damage. A combination of KDM1A knockdown or inhibition and TMZ treatment significantly enhanced the survival of tumor-bearing mice. Conclusions Our results provide evidence that KDM1A inhibition sensitizes GBM to TMZ via attenuation of DNA DSB repair pathways.
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- 2023
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25. Aramayo Zamora, Manuel
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Tomás E. Palacios Martínez
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- 2023
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26. Response to comment on 'Magnetosensitive neurons mediate geomagnetic orientation in Caenorhabditis elegans'
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Andres Vidal-Gadea, Chance Bainbridge, Ben Clites, Bridgitte E Palacios, Layla Bakhtiari, Vernita Gordon, and Jonathan Pierce-Shimomura
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magnetosensation ,orientation ,behavior ,Medicine ,Science ,Biology (General) ,QH301-705.5 - Abstract
Many animals can orient using the earth’s magnetic field. In a recent study, we performed three distinct behavioral assays providing evidence that the nematode Caenorhabditis elegans orients to earth-strength magnetic fields (Vidal-Gadea et al., 2015). A new study by Landler et al. suggests that C. elegans does not orient to magnetic fields (Landler et al., 2018). They also raise conceptual issues that cast doubt on our study. Here, we explain how they appear to have missed positive results in part by omitting controls and running assays longer than prescribed, so that worms switched their preferred migratory direction within single tests. We also highlight differences in experimental methods and interpretations that may explain our different results and conclusions. Together, these findings provide guidance on how to achieve robust magnetotaxis and reinforce our original finding that C. elegans is a suitable model system to study magnetoreception.
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- 2018
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27. Exciton Diffusion, Antenna Effect, and Quenching Defects in Superficially Dye-Doped Conjugated Polymer Nanoparticles
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Rodrigo E. Palacios, Ana Belen Wendel, Carlos A. Chesta, Ramiro Martín Spada, Fernando D. Stefani, M. Virginia Forcone, and Rodrigo Andrés Ponzio
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chemistry.chemical_classification ,Materials science ,Quenching (fluorescence) ,Exciton ,Diffusion ,Nanoparticle ,Antenna effect ,Polymer ,Conjugated system ,Photochemistry ,Surfaces, Coatings and Films ,Electronic, Optical and Magnetic Materials ,General Energy ,chemistry ,Physical and Theoretical Chemistry ,Dye doped - Published
- 2021
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28. Path following through reference points for a car-like mobile robot.
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B. Briseño-Tepepa, E. Palacios, and H. Rodriguez-Cortes
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- 2011
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29. Evaluation of endothelial function and subclinical atherosclerosis in patients with HIV infection
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M.C. Fariñas, Manuel Gutiérrez-Cuadra, José Antonio Parra, Vicente González-Quintanilla, E. Palacios, Concepción Fariñas-Álvarez, Agustín Oterino, F. Arnaiz de las Revillas, Claudia González-Rico, Carlos Armiñanzas, and Universidad de Cantabria
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Adult ,Male ,medicine.medical_specialty ,Science ,Cardiology ,Human immunodeficiency virus (HIV) ,HIV Infections ,medicine.disease_cause ,Gastroenterology ,Article ,Breath Holding ,Internal medicine ,medicine ,Humans ,In patient ,Lymphocytes ,Progenitor cell ,Endothelial dysfunction ,Prospective cohort study ,Aged ,Endothelial Progenitor Cells ,Multidisciplinary ,business.industry ,Middle Aged ,Atherosclerosis ,medicine.disease ,Coronary Vessels ,Vasodilation ,Risk factors ,Intima-media thickness ,Subclinical atherosclerosis ,Medicine ,Female ,Endothelium, Vascular ,Infection ,business ,Viral load - Abstract
The aim of this study was to analyse the association between human immunodeficiency virus (HIV) related clinical and analytical parameters and the presence of subclinical atherosclerosis as well as endothelial dysfunction. This was a prospective cohort study of HIV-positive patients who underwent intima media thickness (IMT) determination and coronary artery calcium scoring to determine subclinical atherosclerosis. To detect endothelial dysfunction, the breath holding index, flow-mediated dilation and the concentration of endothelial progenitor cells (EPCs) were measured. Patients with an IMT ≥ 0.9 mm had an average of 559.3 ± 283.34 CD4/μl, and those with an IMT 4 ± 5 × 104 copies/ml vs 23.4 × 104 ± 19 × 104 copies/ml (p = 0.02)). The number of early EPCs in patients with a CD4 nadir
- Published
- 2021
30. Photophysical Behavior of Modified Xanthenic Dyes Embedded into Silsesquioxane Hybrid Films: Application in Photooxidation of Organic Molecules
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Carolina V. Waiman, Rodrigo E. Palacios, Hernán A. Montejano, Carlos A. Chesta, and María Lorena Gómez
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Renewable energy sources ,TJ807-830 - Abstract
Polymeric materials based on a bridged silsesquioxane with pendant dodecyl chains were synthesized and modified with different xanthenic dyes with the aim of developing a material with potential application in photooxidation of organic compounds. The employed dyes constitute a family of novel xanthenic chromophores with outstanding properties as singlet oxygen photosensitizers. The hybrid matrix was chosen for its enhanced properties such as flexibility and chemical resistance. The employed dyes were easily incorporated into the hybrid polymer obtaining homogeneous, transparent, and low-refractive-index materials. The polymeric films were characterized using UV-Vis absorption, fluorescence, and laser flash photolysis techniques. The ability of these materials to produce singlet oxygen was tested following the photooxidation of 9,10-dimethylanthracene which is a well-known chemical trap for singlet oxygen. High photooxidation efficiencies were observed for these materials, which present the advantage of being easily removed/collected from the solution where photooxidation takes place. While photobleaching of the incorporated dyes is commonly observed in the solution, it takes place very slowly when dyes are embedded in the hybrid matrix. These properties bode well for the potential use of these materials in novel wastewater purification strategies.
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- 2017
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31. Author response: Instructions and experiential learning have similar impacts on pain and pain-related brain responses but produce dissociations in value-based reversal learning
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Lauren Y Atlas, Troy C Dildine, Esther E Palacios-Barrios, Qingbao Yu, Richard C Reynolds, Lauren A Banker, Shara S Grant, and Daniel S Pine
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- 2022
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32. ASO Visual Abstract: Economic Impact of Reducing Re-excision Rates After Breast-Conserving Surgery in a Large, Integrated Health System
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Jeffery M, Chakedis, Annie, Tang, Alison, Savitz, Liisa L, Lyon, Patricia E, Palacios, Brooke, Vuong, Maihgan A, Kavanagh, Gillian E, Kuehner, and Sharon B, Chang
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Reoperation ,Delivery of Health Care, Integrated ,Carcinoma, Ductal, Breast ,Humans ,Margins of Excision ,Breast Neoplasms ,Female ,Mastectomy, Segmental ,Retrospective Studies - Published
- 2022
33. Latino/a Farmworkers’ Concerns about Safety and Health in the Pennsylvania Mushroom Industry
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Maria Gorgo-Gourovitch, Kathleen Sexsmith, Effie E. Palacios, and Ilse A. Huerta Arredondo
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Male ,media_common.quotation_subject ,Immigration ,Pain ,Payment system ,Article ,Occupational safety and health ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,Humans ,0501 psychology and cognitive sciences ,Occupational Health ,050107 human factors ,media_common ,Transients and Migrants ,Mushroom ,Farmers ,business.industry ,fungi ,05 social sciences ,Public Health, Environmental and Occupational Health ,Hispanic or Latino ,Pennsylvania ,030210 environmental & occupational health ,Test (assessment) ,Work (electrical) ,Structured interview ,Female ,Agaricales ,Piece work ,business - Abstract
OBJECTIVES: The purposes of this study were to analyze Latino/a immigrant mushroom workers’ perceptions of how the workplace environment shapes occupational safety and health, examine whether and how those perceptions differ by gender, and identify future areas for research on occupational safety and health in the mushroom industry. METHODS: Researchers conducted structured interviews with fifteen women and forty-five men on six Pennsylvania mushroom farms to obtain their descriptions and perspectives of safety and health risk factors in their workplaces. RESULTS: Approximately one-third of respondents had suffered an injury at work and nearly half felt there are workplace factors that affect their health and safety. The study found that Latino/a mushroom farmworkers perceive that risks are posed by the indoor infrastructure of mushroom production houses, including poorly maintained wooden walkways and cool indoor temperatures, and by the organization of mushroom production work, including the application of chemicals including pesticides, physical demands of the job, use of small knives, contact with compost, and the piece rate payment system. Workers commonly discussed back pain and believed it was associated with the organization of work. Women in the sample were more likely to be concerned about slips and falls than men and less likely to be concerned about aches and pains. CONCLUSION: Mushroom farm infrastructure and the specific demands of the jobs pose occupational safety and health risks to Latino/a farmworkers that merit further study in order to develop adequate public health interventions. Future research should obtain gender-disaggregated objective reports of injury, aches and pains, and discomfort and test for relationships between these reports and the indoor infrastructure and conditions of mushroom production work.
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- 2021
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34. Reusable antimicrobial antibiotic-free dressings obtained by photopolymerization
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Gonzalo E. Cagnetta, Sol R. Martínez, Luis E. Ibarra, Antonela Gallastegui, Josefa F. Martucci, Rodrigo E. Palacios, Carlos A. Chesta, and María L. Gómez
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Biomaterials ,Biomedical Engineering ,Bioengineering - Published
- 2023
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35. Inmates with Heat-Sensitive Health Conditions: Surveying Prisoner Litigation in the Age of Climate Change
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Jazmin E. Palacios and Michael S. Vaughn
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Law - Abstract
Rising temperatures and severe heat, as a result of climate change, have led to a significant number of heat-related deaths and injuries among correctional populations in the United States. This article analyzes cases from the U.S. Circuit Courts of Appeals in which inmates challenged the constitutionality of their conditions of confinement in extremely hot facilities pursuant Title 42 U.S. Code Section 1983. An inductive analysis of caselaw revealed two themes: inmates with heat-sensitive health conditions and reasonable staff responses to inmate's heat exposure. The article concludes by offering policy guidance to prison officials based on the themes revealed in the circuit court decisions and by providing recommendations for future research.
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- 2023
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36. The Estero de Punta Banda, B.C., Mexico as a link in the 'Pacific Flyway': Abundance of shorebirds
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A. Escofet, D.H. Loya-Salinas, and E. Palacios
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Oceanography ,Geography ,Ecology ,Abundance (ecology) ,Flyway ,Aquatic Science - Abstract
Thirteen shorebird species and 5683 individuals were recorded at Estero Punta Banda from October 1988 to April 1989 in three soft-bottom habitats bordering the northern tip of the sand bar (open beach; terminal beach; mud-flats) and a semi-protected seasonal pond at the southwest comer of the estuary. The open beach (seven species; 1310 individuals), mud-flats (13 species; 3958 individuals) and the pond (two species; 146 individuals) harbored distinctive species assemblages while the terminal beach (five species; 239 individuals) acted as an extension of the open beach and mud flats. Most species where exclusive of a single habitat, or almost exclusive (species that occur in more that one habitat but exhibit strong quantitative differences among them). Seasonal changes were rather neat, although the study period missed the first part of the autumn migration towards the south. Seasonal movements were not synchronic in the different habitats. We estimated that about 14,000 shorebirds visit the lagoon each season (3,000 in the open beach; 11,000 in mud-flats). Although most species had been recorded for the site, quantitative data and evidence of the role of estero Punta Banda along the Pacific Flyway are offered in this study for the first time. Distinctive species assemblages in the different habitats, and asynchronism of migration in each, show that patchiness of habitats is important for the maintenance of species richness and for the conservation of the migratory process as well.
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- 2021
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37. Hydroisomerization of n-hexane over Pt/WOx-ZrO2-TiO2 catalysts
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J.A. Montoya de la Fuente, L. Lartundo, P. Del Angel, L.A. Moreno-Ruíz, D. Gomora-Herrera, E. Palacios-González, J. Vera-Iturriaga, and M.L. Hernandez-Pichardo
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Materials science ,Coprecipitation ,Scanning electron microscope ,02 engineering and technology ,General Chemistry ,010402 general chemistry ,021001 nanoscience & nanotechnology ,01 natural sciences ,Catalysis ,0104 chemical sciences ,law.invention ,symbols.namesake ,X-ray photoelectron spectroscopy ,Physisorption ,Chemical engineering ,law ,symbols ,Calcination ,0210 nano-technology ,High-resolution transmission electron microscopy ,Raman spectroscopy - Abstract
The role of TiO2 as an additive in the Pt/WO3-ZrO2 catalyst system over the catalytic activity in the hydroisomerization of n-hexane was investigated. The Pt/WO3-ZrO2-TiO2 catalysts were synthesized by two steps: the first step consisted in the WOx-ZrO2-TiO2 mixed oxides synthesis by the coprecipitation technique, and in a second step the Pt was incorporated by impregnation. The mixed oxides were characterized by X-ray diffraction (XRD), Raman spectroscopy, X-ray photoelectron spectroscopy (XPS), nitrogen physisorption, scanning electron microscopy (SEM) and high-resolution transmission electron microscopy (HRTEM). The results showed that the synthesis method could promote a higher interaction among TiO2, WOx species and ZrO2 at 700 °C, producing WOx clusters that improve the n-hexane hydroisomerization conversion, TOR values and yields to bi-ramified components compared to the blank catalysts. The results confirmed the relationship among the surface area, tungsten content, and calcination temperature necessary to reach the formation of WOx species with the adequate domain size to stabilize the proton and form Bronsted acid sites. The incorporation of TiO2 mainly promotes the stabilization of these active sites.
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- 2021
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38. Nuclear hormone receptors in demyelinating diseases
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Rocío I. Zorrilla Veloz, Takese McKenzie, Bridgitte E. Palacios, and Jian Hu
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Multiple Sclerosis ,Endocrine and Autonomic Systems ,Endocrinology, Diabetes and Metabolism ,Receptors, Cytoplasmic and Nuclear ,Article ,Cellular and Molecular Neuroscience ,Mice ,Oligodendroglia ,Endocrinology ,Remyelination ,Animals ,Humans ,Myelin Sheath ,Demyelinating Diseases - Abstract
Demyelination results from the pathological loss of myelin and is a hallmark of many neurodegenerative diseases. Despite the prevalence of demyelinating diseases, there are no disease modifying therapies that prevent the loss of myelin or promote remyelination. This review aims to summarize studies in the field that highlight the importance of nuclear hormone receptors in the promotion and maintenance of myelination and the relevance of nuclear hormone receptors as potential therapeutic targets for demyelinating diseases. These nuclear hormone receptors include the estrogen receptor, progesterone receptor, androgen receptor, vitamin D receptor, thyroid hormone receptor, peroxisome proliferator-activated receptor, liver X receptor, and retinoid X receptor. Pre-clinical studies in well-established animal models of demyelination have shown a prominent role of these nuclear hormone receptors in myelination through their promotion of oligodendrocyte maturation and development. The activation of the nuclear hormone receptors by their ligands also promotes the synthesis of myelin proteins and lipids in mouse models of demyelination. There are limited clinical studies that focus on how the activation of these nuclear hormone receptors could alleviate demyelination in patients with diseases such as multiple sclerosis (MS). However, the completed clinical trials have reported improved clinical outcome in MS patients treated with the ligands of some of these nuclear hormone receptors. Together, the positive results from both clinical and pre-clinical studies point to nuclear hormone receptors as promising therapeutic targets to counter demyelination.
- Published
- 2022
39. Durability of treatment effects following internet-delivered cognitive behavioural therapy for depression and anxiety delivered within a routine care setting
- Author
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Jorge E. Palacios, Angel Enrique, Olwyn Mooney, Simon Farrell, Caroline Earley, Daniel Duffy, Nora Eilert, Siobhan Harty, Ladislav Timulak, and Derek Richards
- Subjects
Clinical Psychology ,Internet ,Treatment Outcome ,Cognitive Behavioral Therapy ,Depression ,Recurrence ,Chronic Disease ,Humans ,Anxiety - Abstract
To investigate post-treatment relapse and remission rates 3, 6 and 9 months after completion of an acute phase of a clinician-supported internet-delivered cognitive-behavioural therapy (iCBT) for anxiety and depressive symptoms, within a routine care setting.Secondary analysis from a 12-month pragmatic randomized-controlled trial delivered within the Improving Access to Psychological Therapies (IAPT) programme in England. Participants in the intervention arm were included if they met criteria for reliable recovery from depression (PHQ-9) and anxiety (GAD-7) at post-treatment assessment. Survival analysis was used to assess durability of treatment effects and determine predictors to relapse at 3-, 6- and 9-month follow-up. Hazard ratios predicting time-to-relapse were estimated with semi-parametric Cox proportional hazards model.Of the 241 participants in the intervention arm, 89 participants met the criteria for reliable recovery from depression and anxiety at the post-treatment assessment. Of these 89 eligible cases, 29.2% relapsed within the 9-month period, with 70.8% remaining in remission at 9 months post-treatment. Of those who relapsed, 53.8% experienced a relapse of depression and anxiety; 7.7% experienced a relapse of depression only; and 38.4% experienced a relapse of anxiety only. Younger age, having a long-term condition, and residual symptoms of anxiety at end-of-treatment were all significant predictors of relapse.This study is the first to explore the remission and relapse rates after an acute phase of iCBT treatment, within a routine, stepped-care setting. The results add to the scarce literature on the durability of the effects of iCBT treatment in routine care settings, where patients are not typically followed up after receiving a completed course of treatment.
- Published
- 2022
40. Economic Impact of Reducing Reexcision Rates after Breast-Conserving Surgery in a Large, Integrated Health System
- Author
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Jeffery M, Chakedis, Annie, Tang, Alison, Savitz, Liisa L, Lyon, Patricia E, Palacios, Brooke, Vuong, Maihgan A, Kavanagh, Gillian E, Kuehner, and Sharon B, Chang
- Subjects
Reoperation ,Carcinoma, Intraductal, Noninfiltrating ,Delivery of Health Care, Integrated ,Carcinoma, Ductal, Breast ,Humans ,Breast Neoplasms ,Female ,Mastectomy, Segmental ,Retrospective Studies - Abstract
Reexcision after breast-conserving surgery (BCS) is costly for patients, but few studies have captured the economic burden to a healthcare system. We quantified operating room (OR) charges as well as OR time and then modeled expected savings of a reexcision reduction initiative.We performed a retrospective cohort review of all breast cancer patients with BCS between January 1, 2016 and December 31, 2020. Operating room charges of disposable supplies and implants as well as operative time were calculated.During the 5-year period, the 8804 patients who underwent BCS, 1628 (18.5%) required reexcision. The reexcision cohort was younger (61 vs. 64 years, p0.001), more likely to have ductal carcinoma in situ (DCIS) (23.7% vs. 15.2%, p0.001), and had larger tumors (T1+T2 73.2% vs. 83.1%, p0.001). Reexcision costs represented 39% of total costs, the cost per patient for surgery was fourfold higher for reexcision patients. Reexcision operations comprised 14% of total operating room (OR) time (1848 of 13,030 hours). The reexcision rate for 54 surgeons varied from 7.2-39.0% with 46% (n = 25) having a reexcision rate20%. A model simulating reducing reexcision rates to 20% or below for all surgeons reduced the reexcision rate to 16.2% overall. Using per procedure data, the model predicted a decrease in reexcision operations by 18% (327 operations), OR costs by 14% ($287,534), and OR time by 11% (204 hours).Reexcision after BCS represents 39% of direct OR costs and 14% of OR time in our healthcare system. Modest improvements in surgeon reexcision rates may lead to significant economic and OR time savings.
- Published
- 2022
41. Desarrollo rural: parques agroindustriales
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Enrique E. Palacios Lozada
- Subjects
desarrollo ,desarrollo rural ,parques agroindustriales. ,Economic history and conditions ,HC10-1085 ,Economics as a science ,HB71-74 - Abstract
Los diferentes modelos de desarrollo rural aplicados, han tenido como base conceptual la modernidad y el incremento de la producción y productividad agropecuaria, factores necesarios pero no suficientes para explicar el funcionamiento de la sociedad rural y su desarrollo. El modelo propuesto esta basado en la implementación de parques agroindustriales los cuales permiten desarrollo tecnológico, mayor valor agregado, generación de empleo y desarrollo de gestión. Su importancia y aplicabilidad permiten resolver temas de estructura y coyuntura del mundo rural.
- Published
- 2013
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42. Inventario rápido de la ictiofauna en la cuenca del Bajo Pachitea, Perú
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Vanessa E. Palacios, Hernán Ortega, and María Del Carmen Rojas
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Río Bajo Pachitea, ictiofauna, inventario rápido, riqueza, abundancia ,Science ,Biology (General) ,QH301-705.5 - Abstract
El presente trabajo informa sobre la diversidad de peces en la Cuenca del Bajo Pachitea. En julio de 2005 un inventario rápido en 31 estaciones (14 ríos, 13 quebradas y 4 lagunas) fue realizado. El área comprendió entre Honoria (456195E, 8830474N) y Zúngaro (486747E, 8965585N) entre los departamentos de Ucayali y Huánuco. Para la colecta se utilizaron redes de arrastre a la orilla, obteniéndose un total de 3967 individuos. Se identificaron 116 especies reunidos en 25 familias y 8 órdenes. La mayor riqueza la tuvieron Characiformes (59%), Siluriformes (22%) y Perciformes (12%). Se registraron especies de consumo humano como: Cichla monoculus, Prochilodus nigricans, Salminus hilari, Hoplias malabaricus, Liposarcus sp., Plagioscion squamosissimus; peces ornamentales: Heros severus, Corydoras stenocephalus, Mesonauta festivus, Pyrrhulina brevis. El análisis de riqueza por tipo de hábitat indica que las quebradas fueron las que presentaron mayor número de especies (64 especies), seguidas por ríos (54) y lagunas (45). Los hábitats con mayor abundancia fueron los ríos (1934 individuos), seguidos por quebradas (1745) y lagunas (253).
- Published
- 2013
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43. A Single, One-Off Measure of Depression and Anxiety Predicts Future Symptoms, Higher Healthcare Costs, and Lower Quality of Life in Coronary Heart Disease Patients: Analysis from a Multi-Wave, Primary Care Cohort Study.
- Author
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Jorge E Palacios, Mizanur Khondoker, Evanthia Achilla, Andre Tylee, and Matthew Hotopf
- Subjects
Medicine ,Science - Abstract
To determine whether a one-off, baseline measure of depression and anxiety in a primary care, coronary heart disease (CHD) population predicts ongoing symptoms, costs, and quality of life across a 3-year follow-up.Longitudinal cohort study.16 General Practice surgeries across South-East London.803 adults (70% male, mean age 71 years) contributing up to 7 follow-up points.Ongoing reporting of symptoms, health care costs, and quality of life.At baseline, 27% of the sample screened positive for symptoms of depression and anxiety, as measured by the Hospital Anxiety and Depression Scale (HADS). The probability of scoring above the cut-off throughout the follow-up was 71.5% (p
- Published
- 2016
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44. KDM1A inhibition is effective in reducing stemness and treating triple negative breast cancer
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Suryavathi Viswanadhapalli, Uday P. Pratap, Rajeshwar R. Tekmal, Salvador Alejo, Ratna K. Vadlamudi, Mei Zhou, Bridgitte E. Palacios, Gangadhara R. Sareddy, Zhao Lai, Junhao Liu, Yihong Chen, Yi Zou, Takayoshi Suzuki, Andrew Brenner, Prabhakar Pitta Venkata, and Yi He
- Subjects
0301 basic medicine ,Cancer Research ,biology ,Chemistry ,Cell ,Caspase 3 ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,medicine.anatomical_structure ,Oncology ,Cancer stem cell ,Tumor progression ,030220 oncology & carcinogenesis ,Cancer research ,medicine ,biology.protein ,Viability assay ,Epithelial–mesenchymal transition ,STAT3 ,Triple-negative breast cancer - Abstract
Cancer stem cells (CSCs) are highly tumorigenic, spared by chemotherapy, sustain tumor growth, and are implicated in tumor recurrence after conventional therapies in triple negative breast cancer (TNBC). Lysine-specific histone demethylase 1A (KDM1A) is highly expressed in several human malignancies and CSCs including TNBC. However, the precise mechanistic role of KDM1A in CSC functions and therapeutic utility of KDM1A inhibitor for treating TNBC is poorly understood. The effect of KDM1A inhibition on cell viability, apoptosis, and invasion were examined by Cell Titer Glo, Caspase 3/7 Glo, and matrigel invasion assays, respectively. Stemness and self-renewal of CSCs were examined using mammosphere formation and extreme limiting dilution assays. Mechanistic studies were conducted using RNA-sequencing, RT-qPCR, Western blotting and reporter gene assays. Mouse xenograft and patient derived xenograft models were used for preclinical evaluation of KDM1A inhibitor. TCGA data sets indicated that KDM1A is highly expressed in TNBC. CSCs express high levels of KDM1A and inhibition of KDM1A reduced the CSCs enrichment in TNBC cells. KDM1A inhibition reduced cell viability, mammosphere formation, self-renewal and promoted apoptosis of CSCs. Mechanistic studies suggested that IL6-JAK-STAT3 and EMT pathways were downregulated in KDM1A knockdown and KDM1A inhibitor treated cells. Importantly, doxycycline inducible knockout of KDM1A reduced tumor progression in orthotopic xenograft models and KDM1A inhibitor NCD38 treatment significantly reduced tumor growth in patient derived xenograft (PDX) models. Our results establish that KDM1A inhibition mitigates CSCs functions via inhibition of STAT3 and EMT signaling, and KDM1A inhibitor NCD38 may represent a novel class of drug for treating TNBC.
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- 2020
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45. Intraspecific diversity as a reservoir for heat-stress tolerance in sweet potato
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Bettina Heider, Stef de Haan, Raul Eyzaguirre, José E. Palacios, Emile Faye, Olivier Dangles, Carlos Flores, and Quentin Struelens
- Subjects
Canopy ,0303 health sciences ,010504 meteorology & atmospheric sciences ,business.industry ,Biodiversity ,Environmental Science (miscellaneous) ,Biology ,Ipomoea ,biology.organism_classification ,01 natural sciences ,Intraspecific competition ,Crop ,03 medical and health sciences ,Crop diversity ,Agronomy ,Agriculture ,Cultivar ,business ,Social Sciences (miscellaneous) ,030304 developmental biology ,0105 earth and related environmental sciences - Abstract
Stable and sufficient food supplies are increasingly threatened by climatic variability, in particular extreme heat events. Intraspecific crop diversity may be an important biological resource to both understand and maintain crop resilience to extreme conditions. Here using data from a mass field experiment screening for heat tolerance in sweet potato (Ipomoea batatas), we identify 132 heat-tolerant cultivars and breeding lines (6.7%) out of 1,973 investigated. Sweet potato is the world's fifth most important food crop, and mean conditions experienced by sweet potato by 2070 are predicted to be 1 to 6 °C warmer, negatively impacting most genotypes. We identify canopy temperature depression, chlorophyll content and storage root-flesh colour as predictors of heat tolerance and, therefore, as potential traits for breeding consideration. These results highlight the role of intraspecific biodiversity for the productivity and resilience of food and agricultural systems in the face of climate change.
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- 2020
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46. Pneumoperitoneum and Pneumatosis cystoides intestinalis, a dangerous mixture. A case report
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Miguel A Moyon, Karla R. Eras, Gabriel A Molina, Néstor E. Palacios, Veronica M. Basantes, Darwin S Espin, Ruben Alejandro Parra, Fernando X Moyon, Jorge F Tufiño, and Jaime M Cevallos
- Subjects
medicine.medical_specialty ,Physical examination ,Case Report ,03 medical and health sciences ,0302 clinical medicine ,Pneumoperitoneum ,Pneumatosis Cystoides Intestinalis ,Medicine ,Surgical emergency ,Pneumatosis intestinalis ,Past medical history ,medicine.diagnostic_test ,business.industry ,General surgery ,fungi ,food and beverages ,Pneumatosis cystoides intestinalis ,medicine.disease ,Umbilical hernia ,030220 oncology & carcinogenesis ,Conventional PCI ,030211 gastroenterology & hepatology ,Surgery ,Laparoscopy ,medicine.symptom ,business - Abstract
Highlights • Pneumatosis cystoides intestinalis is a rare condition with a broad spectrum of clinical symptoms. • Images are typically striking, which can confuse the medical team and lead to unnecessary procedures. • Close follow up is needed as complications can lead to a troublesome outcome., Background Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas infiltration into the intestine wall. When gas is seen in the intestinal wall, it is usually a sign of bowel wall infarction and a surgical emergency; therefore, an adequate differentiation of benign and urgent conditions of pneumatosis intestinalis is necessary to prevent misdiagnosis and inadequate therapies. Case presentation We present the case of a 79-year-old male with past medical history of Alzheimer’s, cholecystectomy, and umbilical hernia. PCI was identified, and conservative therapy was started. Since the patient's pain persisted, a complication was suspected, and surgery was decided. After successful treatment, the patient completely recovered. Conclusion There are many benign and life-threatening causes of pneumatosis intestinalis, the imaging appearance of both may look very similar. Therefore, clinical history, physical examination, and laboratory test results are the best indicators of whether it is due to a benign or life-threatening cause. PCI must be managed with a multidisciplinary team of clinicians, radiologists, and surgeons to achieve better results for our patients.
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- 2020
47. A Systematic Review of Section 1983 Lawsuits Filed by Texas Inmates
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O. Hayden Griffin, H. Daniel Butler, and Jazmin E. Palacios
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State (polity) ,Section (archaeology) ,media_common.quotation_subject ,Political science ,Law ,General Medicine ,media_common - Abstract
Despite considerable change in inmate rights over the past several decades, researchers, practitioners, and policymakers know little about the current state of prisoner litigation. The purpose of t...
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- 2020
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- View/download PDF
48. Ultra-low loading of Ni in catalysts supported on mesoporous SiO2 and their performance in hydrodeoxygenation of palmitic acid
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E. Palacios-González, Jorge Aburto, L. Díaz-García, Diego Valencia, P. Morales-Gil, Citlalli Zenteno, and Diana Gómora-Herrera
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Non-blocking I/O ,chemistry.chemical_element ,General Chemistry ,Mesoporous silica ,Catalysis ,Metal ,chemistry ,Chemical engineering ,Physisorption ,visual_art ,Materials Chemistry ,visual_art.visual_art_medium ,Mesoporous material ,Carbon ,Hydrodeoxygenation - Abstract
We synthesized a series of new Ni catalysts supported on mesoporous silica KIT-5. The metal loading on this support was varied (0.9–7.0 wt% NiO). The catalysts were characterized by N2 physisorption, powder XRD, XRF spectrometry, UV-vis DRS, H2-TPR, HRTEM and FT-IR with CO. The mesoporous structure is maintained in all the catalytic materials. The increase in the Ni loading resulted in the formation of crystalline phases at the KIT-5 surface. The catalysts were tested in hydrodeoxygenation (HDO) of palmitic acid. The catalytic activity increased with the metal loading, reaching a maximum by using the catalyst with 1.8 wt% NiO. On the other hand, calculation of kinetic parameters indicated the effective utilization of catalytically active Ni particles in the HDO process. Formation of oxygen-free products was higher for the catalyst with higher metal loading in this series. These catalytic materials were compared with a series of Ni catalysts supported on carbon, finding that the Ni/KIT-5 catalysts were much more active in the HDO reaction. These new catalysts supported on the mesoporous silica KIT-5 exhibited high activity with low metal loadings. This feature makes them attractive for their application in the HDO of fatty acids.
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- 2020
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49. Sweet light o' mine: Photothermal and photodynamic inactivation of tenacious pathogens using conjugated polymers
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Rodrigo A. Ponzio, Luis E. Ibarra, Estefanía E. Achilli, Emmanuel Odella, Carlos A. Chesta, Sol R. Martínez, and Rodrigo E. Palacios
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Radiation ,Photosensitizing Agents ,Radiological and Ultrasound Technology ,Bacteria ,Photochemotherapy ,Polymers ,Biophysics ,Radiology, Nuclear Medicine and imaging ,Phototherapy ,Anti-Bacterial Agents - Abstract
Each year a rising number of infections can not be successfully treated owing to the increasing pandemic of antibiotic resistant pathogens. The global shortage of innovative antibiotics fuels the emergence and spread of drug resistant microbes. Basic research, development, and applications of alternative therapies are urgently needed. Since the 90´s, light-mediated therapies have promised to be the next frontier combating multidrug-resistance microbes. These platforms have demonstrated to be a reliable, rapid, and efficient alternative to eliminate tenacious pathogens while avoiding the emergence of resistance mechanisms. Among the materials showing antimicrobial activity triggered by light, conjugated polymers (CPs) have risen as the most promising option to tackle this complex situation. These materials present outstanding characteristics such as high absorption coefficients, great photostability, easy processability, low cytotoxicity, among others, turning them into a powerful class of photosensitizer (PS)/photothermal agent (PTA) materials. Herein, we summarize and discuss the advances in the field of CPs with applications in photodynamic inactivation and photothermal therapy towards bacteria elimination. Additionally, a section of current challenges and needs in terms of well-defined benchmark experiments and conditions to evaluate the efficiency of phototherapies is presented.
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- 2022
50. A Numerical Evaluation of the Structural Integrity of the Primary Containment of a BWR-5 Under LOCA Condition
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Jesús I. E. Palacios-Hernández, Luis A. Arenas-Magos, Yunuén López-Grijalba, Luis H. Hernández-Gómez, Juan Cruz-Castro, Israel A. Alarcón-Sanchez, and Juan A. Beltrán-Fernández
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- 2022
- Full Text
- View/download PDF
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