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Abstract: The diagnosis of schistosomiasis phase is complex. The murine IgM and IgG response against excretory-secretory products of Schistosomamansonimales (PESGM), females (PESGH) and eggs (PESH), its relation to histopathology and expression of IL-10 and TNF-a was assessed by ELISA in serum of Balb/c mice with 8 and 20 weeks of infection (RI8 and RI20) and healthy mice, RS. In RI8, were observed granulomas consisting of plasma cells, macrophages and neutrophils, deposits of collagen around the granulomas and internal area of the egg. In R20SI, fibroblasts around the egg and accumulation of macrophages and plasmocito, increased collagen deposits in areas of granuloma were observed.RI8 serum IgM had a higher percentage of positivity PESGH (35%), while the highest percentage of IgG positivity was PESGH (60%) and PESH (30%). In R20SI, was 20% IgM positive and IgG against PESH PESGM 10% against and 25% positive with PESGH. No differences in IL-10 between the RS and RI8 were observed. TNF-a in RS vs RI8 and RS vs RI20 was different and statistically significant. The PESGH could detect phase acute while PESH chronic phase. The use of several antigens would be useful in the diagnosis phase. Resumen: El diagnóstico de fase en la esquistosomiasis es complejo. Se evaluó la respuesta IgM e IgGmurina contra productos de excreción-secreción de Schistosomamansoni machos (PESGM), hembras (PESGH) y huevos (PESH), su relación con la histopatología y expresión de IL-10 y TNF-a, mediante ELISA, en suero de ratones Balb/c con 8 y 20 semanas de infección (RI8 y RI20) y Ratones sanos(RS). En RI8, se observaron granulomas constituidos por plasmocitos, macrófagos y neutrófilos, depósitos de colágeno alrededor de los granulomas y en la zona interna del huevo. En R20SI, se observaron fibroblastos alrededor del huevo y acúmulos de macrófagos y plasmocito, aumento de los depósitos de colágeno en áreas del granuloma. IgM sérica RI8, presentó un mayor porcentaje de positividad frente PESGH (35%), mientras que IgG el mayor porcentaje de positividad fue PESGH (60%) y PESH (30%). En R20SI, IgM fue 20% positiva frente PESH e IgG 10% frente PESGM, y 25% positiva con PESGH. No se observaron diferencias en IL-10 entre los RS y RI8. TNF-a en RS vs RI8 y RS vs RI20 fue diferente y estadísticamente significativo. Los PESGH podrían detectar fase aguda y PESH fase crónica. El empleo de varios antígenos sería de utilidad en el diagnóstico de fase.

The effects of the type of background gas and pressure on the spatial distributions of plume species have been investigated by time and space resolved imaging in vacuum, 1×10-2 mbar and 1×10-1 mbar O2 and Ar. The ablation of La0.4Ca0.6MnO3 in vacuum shows dissimilar arrival times for the different neutral species and a backscattering of the impinging species from the substrate. At 1×10-2 mbar, a species-dependent plume splitting appears and preferential scattering of the lighter elements is detected generating a cation off-stoichiometry along the plume axis. In addition at 1×10-1 mbar the plume expansion in this relatively high pressure traps a portion of the background gas against the substrate holder, thereby creating a transient high local pressure with remarkable effects once the plume reaches the substrate. In an Ar background, a rebound wave is seen, which travels backwards and recoats/contaminates the target with a different composition than the original target. In O2, in addition to the rebound, a long-lived volume of excited species is created, which consists mainly of LaO I. The rebound has important effects on the film composition and is background gas dependent. The same effects are also detected during Ag ablation and are probably valid for most target materials. [ABSTRACT FROM AUTHOR]

The influence of different background gases and substrate heating on the plasma plume dynamics from silver ablation is investigated by species selected time and space resolved imaging. The results provide a time-resolved understanding on how those process parameters affect the expansion: from a free expansion in vacuum with velocities exceeding 20 000 m/s to a very slow expansion in Ar at 1×10-1 mbar with arrival velocities of 280 m/s. In addition, we observe a rebound of the ablated material on the substrate holder leading to a re-coating of the ablated target. At 1×10-1 mbar, it seems that the expansion of the plasma plume displaces a considerable portion of the background gas and traps it against the frontal area of the substrate holder. This leads to a transient high local pressure just above the substrate. In the case of Ar, the rebound is enhanced due to inelastic scattering, whereas for an O2 background, an area of high reactivity/emission in addition to the rebound is created. Imaging of selected species shows that the light emission in this area is mainly due to excited Ag and metal oxygen species. There is a clear influence of substrate heating on the plasma expansion due to the background gas density gradients, reducing the stopping ability of the background gas and already detectable 2 cm away from the substrate. Both rebound and excitation effects are reduced in intensity due to the substrate heating. [ABSTRACT FROM AUTHOR]

Introduction: Skin and soft tissue infections (SSTI) are a frequent consultation and severe cases carry morbidity and mortality, so their early identification and management is essential to improve prognosis. Aim: To identify the risk factors associated with an unfavorable evolution and mortality in patients treated for SSTI in our center. Materials and Method: A case-control study of a consecutive series of 172 patients diagnosed with SSTI between January 2018 and January 2019 was carried out, clinical, laboratory and imaging variables were collected. Cases were defined as those that required surgery, were admitted to a critical patient unit or died, and as controls were patients with a good response to medical treatment. Results: When performing the statistical analysis: leukocytosis > 12,000 cel/mm3 (OR 6.56; 95% CI; 3.21-13.42), and CRP > 150 mg/dl (OR 7.79; 95% CI; 3.59-16.91), turned out to be risk factors for unfavorable evolution. The high LRINEC score (25.5% vs. 15.1%, p = 0.1034) and late surgery on admission (31.3% vs. 16.2%, p = 0.2632) were more frequent in cases of evolution unfavorable but without significant difference. Discussion: The use of clinical, laboratory and imaging parameters is essential for an early diagnosis and timely treatment. Conclusions: Leukocytosis, elevated CRP, and late surgery are poor prognostic factors in SSTI. The LRINEC score is still controversial due to its low sensitivity. [ABSTRACT FROM AUTHOR]