Search

Background: Alveolar soft-part sarcoma (ASPS) is a rare tumor driven by the ASPSCR1-TFE3 fusion protein, with a propensity for metastasis. Prognostic factors remain poorly understood, and traditional chemotherapies are largely ineffective. Recent interest lies in immune checkpoint inhibitors (ICIs), yet predictive biomarkers for treatment response are lacking. Previous studies have shown promising results with ICIs in ASPS, indicating a need for further investigation into biomarkers associated with immune response. Objectives: To identify prognostic biomarkers in ASPS and to explore the role of immune-related markers, particularly L1CAM, in predicting patient outcomes. Design: A retrospective cohort study of 19 ASPS patients registered in the GEIS database. The study involved the collection of clinical and histopathological data, followed by an analysis of immune markers and gene expression profiles to identify potential prognostic indicators. Methods: Clinical and histopathological data were retrospectively collected from the GEIS-26 study cohort of 19 ASPS patients. Immunohistochemistry was performed to evaluate immune markers programmed death-1 ligand (PD-L1), programmed death-1, FAS, FASL, CD8, CD3, and CD4. An HTG ImmunOncology panel was conducted on formalin-fixed paraffin-embedded samples to explore gene expression. Effects of differentially expressed genes on survival were explored by Kaplan–Meier. Results: PD-L1 positivity was widely observed (63%) in tumors, and CD8+ lymphocytic infiltration was common. High CD8 density correlated with greater overall survival (OS) while not statistically significant. No associations were found for other immune markers. L1CAM was identified as differentially expressed in patients with low CD8 infiltration and correlated negatively with OS. Conclusion: High L1CAM expression correlated with poorer OS, highlighting its potential as a prognostic marker and therapeutic target in ASPS. Immunomodulatory interventions may hold promise, as evidenced by PD-L1 expression and CD8+ infiltration. Further research, including larger cohorts and international collaborations, is needed to validate these findings and explore therapeutic strategies targeting L1CAM in ASPS.

Efficiency estimation of a propeller behind a vessel’s hull while sailing through ice floes, together with the ship’s resistance to motion, is a key factor in designing the power plant and determining the safety measures of a ship. This paper encloses the results from the experiments conducted at the CEHINAV towing tank, which consisted of analyzing the influence of the concentration at the free surface of artificial blocks, simulating ice, in propeller–block interactions. Thrust and torque were measured for a towed self-propelled ship model through simulated broken ice blocks made of paraffin wax. Three block concentrations of different block sizes and three model speeds were studied during the experimentation. Open-water self-propulsion tests and artificial broken ice towed self-propulsion tests are shown and compared in this work. The most relevant observations are outlined at the end of this paper, as well as some guidelines for conducting artificial ice-towed self-propulsion tests in traditional towing tanks.

In the present study, the feasibility to achieve localized induction heating and debonding of multi-material composite structures is assessed in testing coupons prepared by Automated Fiber Placement (AFP) and extrusion-based additive manufacturing (AM) technologies. Nano-compounds of Polyether-ketone-ketone (PEKK) with iron oxide nanoparticles acting as electromagnetic susceptors have been processed in a parallel co-rotating twin-screw extruder to produce filament feedstock for extrusion-based AM. The integration of nanocomposite interlayers as discrete debonding zones (DZ) by AFP-AM manufacturing has been investigated for two types of sandwich-structured laminate composites, i.e., laminate-DZ-laminate panels (Type I) and laminate-DZ-AM gyroid structures (Type II). Specimens were exposed to an alternating magnetic field generated by a radio frequency generator and a flat spiral copper induction coil, and induction heating parameters (frequency, power, heating time, sample standoff distance from coil) have been investigated in correlation with real-time thermal imaging to define the debonding process window without compromising laminate quality. For the optimized process parameters, i.e., 2–3 kW generator power and 20–25 mm standoff distance, corresponding to magnetic field intensities in the range of 3–5 kA m−1, specimens were effectively heated above PEKK melting temperature, exhibiting high heating rates within the range of 5.3–9.4 °C/s (Type I) and 8.0–17.5 °C/s (Type II). The results demonstrated that localized induction heating successfully facilitated debonding, leading to full unzipping of the debonding zones in both laminate structures. Further insight on PEKK nanocomposites debonding performance was provided by thermal, morphological characterization and non-destructive inspection via X-ray micro-computed tomography at different processing stages. The developed framework aims to contribute to the development of rapid, on-demand joining, repair and disassembly technologies for thermoplastic composites, towards more efficient maintenance, repair and overhaul operations in the aviation sector and beyond.

IntroductionWhile sexual assault may have particularly adverse emotional effects compared with other forms of trauma, it remains unclear which emotional outcome dimensions are impacted, whether cannabis outcomes are similarly impacted, and whether gender differences exist in sexual assault’s links with these outcomes.MethodsN = 100 cannabis users with trauma histories (M age = 33.1) completed standardized measures of demographics, trauma exposure, posttraumatic stress (PTS) and depressive symptoms, hopelessness, and cannabis outcomes (frequency, medicinal prescription, motives, and craving).ResultsSexual assault was experienced more often by women (83.9%) than men (31.8%). A series of 2 × 2 analyses of variance [gender: women (n = 56) vs. men (n = 44) × trauma type: sexual assault (n = 61) vs. other (n = 39)] and logistic regression revealed that sexual assault survivors scored higher than other trauma survivors on re-experiencing and hyperarousal PTS symptoms (DSM-5 Clusters B and E), cognitive depressive symptoms, hopelessness, cannabis use frequency, medicinal cannabis prescription, cannabis use to cope with psychological symptoms, and compulsivity craving; and lower on social and enhancement cannabis use motives. In terms of gender main effects, women scored higher than men on cannabis use to cope with negative emotions. In terms of interactions for PTS Cluster D symptoms (negative alterations in mood/cognitions), among men only, sexual assault survivors scored higher than other trauma survivors; and for cannabis enhancement motives and purposefulness cannabis craving, among sexual assault survivors only, women scored higher than men.DiscussionAcross many different trauma, women survivors’ use of cannabis to cope with negative affect should be a specific therapeutic focus. Moreover, we identified specific emotional and cannabis use outcomes that should be of specific clinical concern among sexual assault survivors regardless of gender. Finally, in terms of gender differences of clinical interest among sexual assault survivors, while PTS Cluster D symptoms should be specific treatment targets in men, cannabis enhancement motives and purposefulness craving should be treatment targets in women.

Food and nutrition are a steadfast essential to all living organisms. With specific reference to humans, the sufficient and efficient supply of food is a challenge as the world population continues to grow. Artificial Intelligence (AI) could be identified as a plausible technology in this 5th industrial revolution in bringing us closer to achieving zero hunger by 2030—Goal 2 of the United Nations Sustainable Development Goals (UNSDG). This goal cannot be achieved unless the digital divide among developed and underdeveloped countries is addressed. Nevertheless, developing and underdeveloped regions fall behind in economic resources; however, they harbor untapped potential to effectively address the impending demands posed by the soaring world population. Therefore, this study explores the in-depth potential of AI in the agriculture sector for developing and under-developed countries. Similarly, it aims to emphasize the proven efficiency and spin-off applications of AI in the advancement of agriculture. Currently, AI is being utilized in various spheres of agriculture, including but not limited to crop surveillance, irrigation management, disease identification, fertilization practices, task automation, image manipulation, data processing, yield forecasting, supply chain optimization, implementation of decision support system (DSS), weed control, and the enhancement of resource utilization. Whereas AI supports food safety and security by ensuring higher crop yields that are acquired by harnessing the potential of multi-temporal remote sensing (RS) techniques to accurately discern diverse crop phenotypes, monitor land cover dynamics, assess variations in soil organic matter, predict soil moisture levels, conduct plant biomass modeling, and enable comprehensive crop monitoring. The present study identifies various challenges, including financial, infrastructure, experts, data availability, customization, regulatory framework, cultural norms and attitudes, access to market, and interdisciplinary collaboration, in the adoption of AI for developing nations with their subsequent remedies. The identification of challenges and opportunities in the implementation of AI could ignite further research and actions in these regions; thereby supporting sustainable development.

Abstract Objectives Derived from classical conditioning theory and rooted in motivational mechanisms, cue reactivity paradigms (CRPs) are used in addictions research to measure participants' propensities for substance‐relevant responses (e.g., craving) during exposure to substance‐relevant cues (e.g., drug paraphernalia). CRPs are also useful in PTSD‐addiction comorbidity research, allowing the study of affective and substance‐relevant responses to trauma cues. However, studies using traditional CRPs are time‐consuming with high attrition rates due to repeat testing. Thus, we sought to test whether a single session semi‐structured trauma interview could serve as a CRP in terms of eliciting theorized cue exposure effects on craving and affect measures. Method Fifty regular cannabis users with trauma histories provided detailed descriptions of their most traumatic lifetime experience, and a neutral experience, according to an established interview protocol. Linear mixed models examined the effect of cue type (trauma vs. neutral) on affective and craving responses. Results As hypothesized, the trauma interview elicited significantly greater cannabis craving (and alcohol craving among the drinkers), and, greater negative affect among those with more severe PTSD symptoms, compared to the neutral interview. Conclusion Results suggest an established semi‐structured interview may function effectively as a CRP for use in trauma and addictions research.

Abstract Cyclin-dependent kinases 4 and 6 (CDK4/6) inhibitors demonstrated activity in terms of progression-free survival (PFS) in advanced dedifferentiated liposarcoma (DD-LPS), a sarcoma with CDK4 amplification. CDK4 overexpression is by far more common than amplification in sarcomas and it might be a rational target for CDK inhibitors. Preclinical investigators of this study found that CDK4 overexpression, while not of CDKN2A, was the most consistent predictive factor for palbociclib efficacy in sarcomas. Advanced adult-type soft-tissue sarcoma, excluding DD-LPS, or bone sarcoma patients, progressing after at least one systemic line, whose tumors overexpressed CDK4, but not CDKN2A at baseline biopsy, were accrued in this single-arm phase II trial (EudraCT number: 2016-004039-19). With the main endpoint of a 6-month PFS rate, 40% was considered promising in this population. Palbociclib was administered orally at 125 mg/day for 21 days in 28-day cycles. A total of 214 patients with 236 CDK4/CDKN2A determinations were assessed for prescreening, archival material (141), and screening, baseline biopsy (95). There were 28 (29%) with favorable mRNA profiles from 95 screened patients at baseline. From 23 enrolled patients, 21 evaluable, the 6-month PFS rate was 29% (95% CI 9–48), and there were 6 patients out of 21 with a PFS longer than 6 months. The median PFS and overall survival were 4.2 (95% CI 3.6–4.8) and 12 (95% CI 8.7–15.4) months, respectively. Translational research showed a significant correlation between CDK4 mRNA and protein expression. Palbociclib was active in a variety of sarcoma subtypes, selected by CDK4/CDKN2A, and deserves further investigation in the sarcoma context.

Enhancing human–robot interaction has been a primary focus in robotic gait assistance, with a thorough understanding of human motion being crucial for personalizing gait assistance. Traditional gait trajectory references from Clinical Gait Analysis (CGA) face limitations due to their inability to account for individual variability. Recent advancements in gait pattern generators, integrating regression models and Artificial Neural Network (ANN) techniques, have aimed at providing more personalized and dynamically adaptable solutions. This article introduces a novel approach that expands regression and ANN applications beyond mere angular estimations to include three-dimensional spatial predictions. Unlike previous methods, our approach provides comprehensive spatial trajectories for hip, knee and ankle tailored to individual kinematics, significantly enhancing end-effector rehabilitation robotic devices. Our models achieve state-of-the-art accuracy: overall RMSE of 13.40 mm and a correlation coefficient of 0.92 for the regression model, and RMSE of 12.57 mm and a correlation of 0.99 for the Long Short-Term Memory (LSTM) model. These advancements underscore the potential of these models to offer more personalized gait trajectory assistance, improving human–robot interactions.

El movimiento indígena ecuatoriano evidenció en sus últimas movilizaciones -octubre 2019 y junio 2022- una confrontación con los medios de comunicación y/o trabajadores de la prensa. Esta situación pudo haberse leído como resultado de dos factores vinculados entre sí: por un lado, la tirante relación y deslegitimación que durante diez años el gobierno de Rafael Correa estableció contra la prensa ecuatoriana; y por otro, el nuevo horizonte de lucha que el movimiento indígena -y en particular la Confederación de Nacionalidades Indígenas del Ecuador [CONAIE]- implementó al pasar de una perspectiva de lucha identitaria a una de lucha de clases. La cual consideraba a los medios de comunicación como instrumentos de los sectores burgueses para construir ideología dominante, por lo que la prensa y sus trabajadores se convertían en el objeto a combatir. Esto ponía en riesgo no solo el libre ejercicio periodístico, sino también una de las bases fundamentales de la institucionalidad democrática como es la libertad de expresión.

La parálisis cerebral (PC) es la enfermedad motora más común en pacientes pediátricos, afectando su capacidad para moverse y mantener el balance corporal y la postura. Este estudio se enfoca en las terapias de rehabilitación robóticas, llevadas a cabo con la plataforma CPWalker, para la realización de ejercicios funcionales mediante movimientos precisos. El trabajo presentado en este artículo propone la integración de la robótica de asistencia social en el CPWalker a través del robot social NAO. De esta manera se plantea conseguir reforzar la motivación del paciente y el dinamismo de estas terapias, y automatizar la retroalimentación correctiva al paciente. Se han realizado dos evaluaciones a lo largo de este estudio. La primera ha sido un protocolo clínico de actividades y juegos entre NAO y los pacientes para evaluar la aceptación del robot por parte de los niños. Y, posteriormente, se ha evaluado la integración del nuevo sistema robótico social de rehabilitación desarrollado. Los resultados de este estudio indican que el robot es percibido positivamente por los pacientes.

Este artículo presenta el diseño y desarrollo de una arquitectura electrónica bioinspirada en el sistema motor humano para sistemas de asistencia a la locomoción, como es en el caso de exoesqueletos de asistencia o de rehabilitación. La arquitectura propuesta se divide en tres niveles jerárquicos y se implementa en ROS2, facilitando la modularidad y el paralelismo en la ejecución y funcionamiento del sistema. La propuesta ha sido implementada en un prototipo de exoesqueleto denominado Discover2Walk. Los resultados obtenidos muestran que la propuesta puede aplicarse a ambos tipos de aplicación de exoesqueletos, tanto para rehabilitación como para asistencia. Entre las ventajas que ofrece esta arquitectura, destacan una mayor modularidad, la mejora de la compatibilidad con lenguajes de programación, la escalabilidad, la interoperabilidad con otros sistemas de robótica y automatización, el soporte para aplicaciones distribuidas y la facilidad de supervisión y control. La arquitectura de control que se presenta puede llegar a ser adoptada en futuras plataformas robóticas y exoesqueletos, mejorando el control motor de la marcha y ofreciendo terapias más personalizadas.

Abstract Outcomes for half of patients with melanoma remain poor despite standard-of-care checkpoint inhibitor therapies. The prevalence of the melanoma-associated antigen chondroitin sulfate proteoglycan 4 (CSPG4) expression is ~70%, therefore effective immunotherapies directed at CSPG4 could benefit many patients. Since IgE exerts potent immune-activating functions in tissues, we engineer a monoclonal IgE antibody with human constant domains recognizing CSPG4 to target melanoma. CSPG4 IgE binds to human melanomas including metastases, mediates tumoricidal antibody-dependent cellular cytotoxicity and stimulates human IgE Fc-receptor-expressing monocytes towards pro-inflammatory phenotypes. IgE demonstrates anti-tumor activity in human melanoma xenograft models engrafted with human effector cells and is associated with enhanced macrophage infiltration, enriched monocyte and macrophage gene signatures and pro-inflammatory signaling pathways in the tumor microenvironment. IgE prolongs the survival of patient-derived xenograft-bearing mice reconstituted with autologous immune cells. No ex vivo activation of basophils in patient blood is measured in the presence of CSPG4 IgE. Our findings support a promising IgE-based immunotherapy for melanoma.

The diagnosis and identification of melanoma are not always accurate, even for experienced dermatologists. Histopathology continues to be the gold standard, assessing specific parameters such as the Breslow index. However, it remains invasive and may lack effectiveness. Therefore, leveraging mathematical modeling and informatics has been a pursuit of diagnostic methods favoring early detection. Fractality, a mathematical parameter quantifying complexity and irregularity, has proven useful in melanoma diagnosis. Nonetheless, no studies have implemented this metric to feed artificial intelligence algorithms for the automatic classification of dermatological lesions, including melanoma. Hence, this study aimed to determine the combined utility of fractal dimension and unsupervised low-computational-requirements machine learning models in classifying melanoma and non-melanoma lesions. We analyzed 39,270 dermatological lesions obtained from the International Skin Imaging Collaboration. Box-counting fractal dimensions were calculated for these lesions. Fractal values were used to implement classification methods by unsupervised machine learning based on principal component analysis and iterated K-means (100 iterations). A clear separation was observed, using only fractal dimension values, between benign or malignant lesions (sensibility 72.4% and specificity 50.1%) and melanoma or non-melanoma lesions (sensibility 72.8% and specificity 50%) and subsequently, the classification quality based on the machine learning model was ≈80% for both benign and malignant or melanoma and non-melanoma lesions. However, the grouping of metastatic melanoma versus non-metastatic melanoma was less effective, probably due to the small sample size included in MM lesions. Nevertheless, we could suggest a decision algorithm based on fractal dimension for dermatological lesion discrimination. On the other hand, it was also determined that the fractal dimension is sufficient to generate unsupervised artificial intelligence models that allow for a more efficient classification of dermatological lesions.

Background and Objectives: Leukemia, characterized by abnormal leukocyte production, exhibits clonal origin from somatic mutations. Globally, it ranked 15th in cancer incidence in 2020, with higher prevalence in developing countries. In Mexico, it was the ninth most frequent cancer. Regional registries are vital for understanding its epidemiology. This study aims to analyze the prevalence and age-standardized incidence rates of leukemias in a tertiary care hospital in the Mexican Bajio region. Materials and Methods: Leukemia cases from 2008–2018 were analyzed, and 535 medical records were included in this study. The prevalence, distribution, and age-specific incidence rate of different types and subtypes of leukemia were determined according to sex and age groups. Results: Overall, 65.79% consisted of lymphocytic leukemia, 33.64% of myeloid leukemia, and 0.56% of monocytic leukemia. No significant sex-based differences were found, but age-specific patterns were observed. Leukemia distribution by age revealed significant associations. Lymphocytic leukemia dominated in the pediatric population, particularly acute lymphocytic leukemia, while myeloid leukemia shifted towards adulthood. Age-specific incidence patterns showed, first, that lymphocytic leukemia is the most common leukemia in pediatric ages, and second, there is a shift from acute lymphocytic leukemia dominance in pediatric ages to myeloid leukemia incidence in late adulthood, emphasizing nuanced epidemiological dynamics. Conclusions: Acute leukemia cases occurred with high prevalence in our study population, with a high incidence in pediatric and adulthood populations, especially for acute lymphocytic leukemia, showing a (

This paper presents the conceptualization, design and development of a bioinspired electronic architecture based on the human motor system for the control of mobility assistance systems, such as assistance or rehabilitation exoskeletons. The proposed architecture is divided into three hierarchical levels: perception-intention, pattern generator, and execution, facilitating modularity, scalability, and parallelism in the execution and operation of the system. ROS2 was chosen as the middleware for communication management due to its ability to handle a large amount of data, robustness, and scalability. For validation in a real world scenario, the proposal was implemented in the gait rehabilitation robotic platform Discover2Walk. Among the advantages offered by this architecture, we highlight greater modularity, improved compatibility with programming languages, and scalability, in addition to ease of supervision and control. The architecture presented can be adopted in future robotic platforms and exoskeletons with built-in interoperability.

The graphic documentation of archaeological heritage has greatly evolved in the last decade thanks to the application of UAS (Unmanned Aerial System). The fast development of these allows for their use as a tool for the documentation of large areas with great efficiency. Furthermore, UAS versatility enables their use with several types of sensor (visible spectrum, multispectral, LiDAR…).In this paper we present the application of two of these sensors (photo camera and LiDAR sensor) carried on UAS platforms to document the archaeological area of the Espique valley (La Peza, Granada), analysing its advantages and inconveniences. On the one hand, we have performed a photogrammetric flight with a DJI Phantom 4 Pro, georeferenced with Ground Control Points through a GNSS system. On the other hand, we have carried out a flight of the same area with a DJI Matrix 300 with a sensor LiDAR CHCNav AA450 as payload. The possibilities of both techniques have been already explored in literature, but mainly with LiDAR systems with lesser density coverages. This type of sensor has undergone a great evolution in the last years, allowing for a more widespread use in Archaeology.The results of this research show the utility of both systems to a fast documentation of vast areas of terrain with a remarkable geometric and topographic quality. However, the LiDAR survey has displayed a better performance on those surfaces with higher vegetation, which hinders the photogrammetric survey. But LiDAR surveying with such number of points per m2 forces the use of automatic or semiautomatic classification algorithms. At the end, they are two complementary techniques that are a great step forward in the quality documentation of cultural heritage. DOI: https://doi.org/10.20365/disegnarecon.29.2022.12

Electrification using renewable energy sources represents a clear path toward solving the current global energy crisis. In Colombia, this challenge also involves the diversification of the electrical energy sources to overcome the historical dependence on hydropower. In this context, green hydrogen represents a key energy carrier enabling the storage of renewable energy as well as directly powering industrial and transportation sectors. This work explores the realistic potential of the main renewable energy sources, including solar photovoltaics (8172 GW), hydropower (56 GW), wind (68 GW), and biomass (14 GW). In addition, a case study from abroad is presented, demonstrating the feasibility of using each type of renewable energy to generate green hydrogen in the country. At the end, an analysis of the most likely regions in the country and paths to deploy green hydrogen projects are presented, favoring hydropower in the short term and solar in the long run. By 2050, this energy potential will enable reaching a levelized cost of hydrogen (LCOH) of 1.7, 1.5, 3.1 and 1.4 USD/kg-H2 for solar photovoltaic, wind, hydropower and biomass, respectively.

Los síntomas vasomotores (SVM) se encuentran entre los síntomas más comunes de la transición a la menopausia. Más del 70% de las mujeres de mediana edad informan SVM en algún momento durante la transición a la menopausia, y para un tercio de las mujeres los SVM son muy frecuentes o graves. Muchas mujeres recurren a terapias naturales para tratar los SVM. Esta revisión se centra en una de esas opciones naturales: el extracto purificado de polen (Serelys®). Se realizó una búsqueda e identificación de artículos publicados hasta octubre de 2022 recopilados de sistemas de búsqueda electrónicos, como Google Scholar, MEDLINE, PubMed y Scopus. Las palabras de búsqueda fueron “Vasomotor symptoms”, “menopause” AND “pollen”. Los estudios preclínicos señalan un mecanismo de acción en su implicación sobre el sistema serotoninérgico, así como su unión a los receptores de dopamina. Los estudios clínicos demuestran la seguridad y el efecto positivo sobre los SVM.

Introducción: La prevalencia de los diferentes genotipos de virus del papiloma humano (VPH) varía dependiendo de la severidad de la lesión y región geográfica. Objetivo: Identificar infecciones múltiples de VPH en lesiones cervicales de bajo y alto grado en un grupo de mujeres del Bajío mexicano referidas con citología no concluyente. Métodos: Estudio piloto de mujeres referidas de unidades del primer nivel de atención de Guanajuato, México, por citología sugerente de lesión cervical. Los raspados cervicales fueron sujetos a extracción de ADN y genotipificación del VPH mediante microarreglos. Resultados: Se colectaron 100 casos consecutivos y fueron analizados 90; se observó 26 % de positividad a VPH en mujeres sanas y 62 % presentó algún grado de lesión. Los genotipos de VPH más frecuentes fueron 59, 31, 16 y 51. En la mayoría de las muestras se encontró infección múltiple. Conclusiones: Se identificó heterogeneidad de VPH en las muestras de la población estudiada en contraste con los reportes internacionales; además, son comunes las infecciones múltiples en lesiones precursoras y disminuyen en las lesiones de alto grado. Estos datos podrían influir en los actuales programas de vacunación anti-VPH.

Abstract Granulocyte colony–stimulating factor (G-CSF) has raised much interest because of its role in cocaine addiction in preclinical models. We explored the plasma concentrations of G-CSF in patients diagnosed with substance use disorder (SUD) and highly comorbid psychiatric disorders. In particular, we investigated the association between G-CSF concentrations and comorbid major depressive disorder (MDD) in patients with cocaine and alcohol use disorders (CUD and AUD, respectively). Additionally, patients with MDD but not SUD were included in the study. Three hundred and eleven participants were enrolled in this exploratory study: 136 control subjects, 125 patients with SUD (SUD group) from outpatient treatment programs for cocaine (N = 60, cocaine subgroup) and alcohol (N = 65, alcohol subgroup), and 50 patients with MDD but not SUD (MDD group) from primary-care settings. Participants were assessed based on DSM-IV-TR criteria, and a blood sample was collected to examine the plasma concentrations of G-CSF. G-CSF concentrations were negatively correlated with age in the entire sample (r = − 0.233, p

Soldiers in active military service need optimal physical fitness for successfully carrying out their operations. Therefore, their health status is regularly checked by army doctors. These inspections include physical parameters such as the body-mass index (BMI), functional tests, and biochemical studies. If a medical exam reveals an individual’s excess weight, further examinations are made, and corrective actions for weight lowering are initiated. The collection of urine is non-invasive and therefore attractive for frequent metabolic screening. We compared the chemical profiles of urinary samples of 146 normal weight, excess weight, and obese soldiers of the Mexican Army, using untargeted metabolomics with liquid chromatography coupled to high-resolution mass spectrometry (LC-MS). In combination with data mining, statistical and metabolic pathway analyses suggest increased S-adenosyl-L-methionine (SAM) levels and changes of amino acid metabolites as important variables for overfeeding. We will use these potential biomarkers for the ongoing metabolic monitoring of soldiers in active service. In addition, after validation of our results, we will develop biochemical screening tests that are also suitable for civil applications.

Background: The inflammatory response in gout disease is induced by the activation of NLR family pyrin domain-containing 3 (NLPR3) signaling pathway mediated by IL-1β release. Objective: The objective of the study was to determine the association between single nucleotide polymorphisms (SNPs) within NLRP3 inflammasome genes and gout susceptibility. Methods: Mexican patients with gout from the National Rehabilitation Institute and General Hospital of Mexico were enrolled. A healthy control group was also included. We analyzed the frequency and allelic distribution of eight SNPs from seven different genes within the NLRP3 inflammasome signaling pathway: TLR4 rs2149356, CD14 rs2569190, NLRP3 rs3806268, NLRP3 rs10754558, CARD8 rs2043211, IL-1β rs1143623, P2RX7 rs3751142, and PPARGC1B rs45520937 SNPs. Results: We found that the SNP rs45520937 of PPARGC1B was associated with the risk of developing gout when it was analyzed using the dominant model (Odds ratio [OR] = 2.30; 95% confidence interval [CI]: 1.09-4.86; p = 0.030), and it is proposed that the adaptor molecule CD14 rs2569190 polymorphism could be associated with a lower risk of gout under an additive model (OR= 0.41;95% CI: 0.16-1.05; p = 0.064). No significant associations were identified for the remaining SNPs. Conclusion: Our findings suggest that the PPARGC1B rs45520937 SNP is associated with gout susceptibility.

Introduction: The head and neck are frequent sites for the development of cutaneous cancer and squamous cell carcinoma of the skin (SCC), one of the more frequent malignant non-melanoma skin neoplasms in Chile (436 per 100,000 inhabitants). Between 5-10% skin SCC progresses aggressively generating metastasis to parotid and cervical lymph nodes. Case Report: A 82 years old male, presents painful increased volume lesion in the mandibular area. He has a history of chronic arterial hypertension, acute renal failure, SCC of the scalp, extra-pulmonary tuberculosis, chronic sun exposure and smoking. Extraoral examination showed a 4 cm lesion in the posterior third of the mandibular branch, with undefined edges, a firm consistency and painful on palpation. Intraorally, erythematous mucosa is observed, as well as lack of lubrication, tenderness and cortical bone expansion. Incisional biopsy is performed, imaging and histological exams are requested. The results indicate the presence of SCC, and therefore referral to secondary care. Many risk factors are associated with SCC development, with ultraviolet radiation the most relevant in this case, favoring its appearance on the scalp. The probability of metastasis is low, but when it happens, the majority of cases that started in the scalp, disseminate to the parotid and cervical region. Conclusion: The SCC has a good prognosis. However, there are antecedents, such as size and location, that must alert the professional to perform the monitoring, early screening, control of metastatic nodes in maxillofacial area.

The first anesthetic machines appeared following their public demonstration by Morton in 1846. These initial devices were simple inhalers based on the evaporation of the anesthetic agent. Their main problem was the loss of effectiveness with cooling. More complex inhalers were subsequently developed, in which the main difference was the possibility to provide more than one agent. Moreover, the concentration of the inhaled anesthetic was regulated for greater efficiency. At the beginning of the twentieth century, gas machines emerged, allowing the application of an anesthetic flow independent of the patient’s inspiratory effort. These machines incorporated technological advances such as flow meters, carbon dioxide absorption systems and fine adjustment vaporizers. In this period, in the field of thoracic surgery, intraoperative artificial ventilation began to be employed, which helped overcome the problem of pneumothorax associated with open pleura by applying positive pressure. From the 1930s, the gas machines were fitted with a ventilator, and by the 1950s this had become a basic component of the anesthesia system. Later still, in the 1980s, alarm and monitoring systems were incorporated, giving rise to the current generation of workstations.

In marine environments, poaching can become a key threat to marine ecosystem conservation. Poaching can occur in marine protected areas and/or in fishery management areas. Unfortunately, understanding the magnitude and characteristics of poaching under community based and co-management governance schemes in coastal and marine environments, has not received the attention it deserves. In Chile, a system of Territorial Users Rights for Fisheries (TURF) has been recognized as one of the largest experiences of small-scale fisheries co-management at a global scale. Currently, poaching is one of the main threats to the TURF system in Chile. In this article, we assessed poaching of a highly valuable benthic resource (Concholepas concholepas) from TURF management areas. We estimated artisanal fisher association leaders’ perceptions of poaching within their TURFs and explore determinants of poaching for Concholepas concholepas. Poaching of Concholepas concholepas showed differences along the studied sites. As expected, the greater abundance of Concholepas concholepas in the management areas generates an increased incentive to poach. Areas that make the greatest investment in surveillance are those most affected by poaching. However, our study cannot determine the effectiveness of current levels of surveillance on illegal extraction. Results show older areas tend to reduce the levels of illegal extraction, which could indicate a greater capacity and experience to control poaching. Supporting fisher associations in enforcing TURFs and following up on sanctions against perpetrators are conditioning factors, highlighted by fisher leaders, for TURF sustainability. The approach used in this study provides insights to prioritize geographies and opportunities to address poaching in small-scale co-managed fisheries.

Abstract Mandibular reconstructions are complex clinical pictures that require careful planning for functional and aesthetic outcomes. Virtual surgical planning and 3D printing are ideal to achieve a predictable result. Through “hybrid techniques” (prebending plates with 3D‐models) and free software, this goal is within reach for clinics with limited financial resources.

La televisión comunitaria en Ecuador surge ante la demanda de visibilización de grupos sociales excluidos de la televisión privada; trabaja en una agenda reinvidicatoria de la cosmovisión cultural y la construcción de contenidos que aporten al reconocimiento de otras realidades; esto, evidentemente, fundamentado desde la comunicación popular, que refleja procesos históricos de organizaciones vinculadas a medios de comunicación alternativa.En la zona central del país, varias organizaciones indígenas y campesinas apostaron por experiencias radiales que permitió un acercamiento a la democratización de la palabra; el Movimiento Indígena y Campesino de Cotopaxi (MICC) asume como un eje de trabajo el ámbito de la comunicación, en este sentido consolidan su presencia en el proyecto de Radio Latacunga denominado “cabinas populares”, lo que les permite el conocimiento y fortalece la iniciativa de un canal de televisión llamado TV MICC. Esto asume un hito en la construcción de la televisión comunitaria del centro del país, pues, por primera vez un movimiento político asume, como propio, un espacio en el espectro radioeléctrico, el mismo que busca establecer prácticas comunicativas que respondan a la plataforma política, cultural y social de los sectores populares e indígenas de la zona, bajo la consigna que Alfonso Gumucio promulgó desde la comunicación para el cambio social, “dar voz a los que no tienen voz”. La comunicación popular se ha establecido desde la lucha contra lo hegemónico, se establecen prácticas dialógicas que pretenden dar respuesta a los propósitos del canal de televisión, sim embargo, la misma dinámica social, política y económica del país hace que se resignifique la televisión comunitaria, presentando nuevos retos ante la sostenibilidad conceptual, social, cultural y política.

The operation of a system, such as a vehicle, communication network or automatic process, heavily depends on the correct operation of its components. A Stochastic Binary System (SBS) mathematically models the behavior of on-off systems, where the components are subject to probabilistic failures. Our goal is to understand the reliability of the global system.The reliability evaluation of an SBS belongs to the class of NP-Hard problems, and the combinatorics of SBS imposes several challenges. In a previous work by the same authors, a special sub-class of SBSs called separable systems was introduced. These systems accept an efficient representation by a linear inequality on the binary states of the components. However, the reliability evaluation of separable systems is still hard.A theoretical contribution in the understanding of separable systems is given. We fully characterize separable systems under the all-terminal reliability model, finding that they admit efficient reliability evaluation in this relevant context.

Tradicionalmente la Psicología del Deporte se ha sostenido a partir de la perspectiva cognitiva conductual de la disciplina. Este enfoque ha orientado su trabajo sobre las “habilidades psicológicas” de índole cognitiva de los deportistas, basando su trabajo en la objetividad y en la neutralidad. Este artículo propone una crítica a la visión cognitiva conductual de la Psicología del deporte por medio de una comparación con la Psicología Social Crítica del deporte. Este contraste se realiza en función de seis dimensiones: ontología, epistemología, objeto de estudio, visión de sujeto, enfoque y metodología. Finalmente, luego de la comparación, se sugiere repensar el rol de psicólogo o psicóloga del deporte; desarrollar un cuerpo teórico que permita generar nuevas preguntas que faciliten el abordaje de nuevos problemas; y reinterpretar las técnicas tradicionales y construir nuevas formas para intervenir en el trabajo práctico con deportistas, equipos, entrenadores, y cualquier otro sujeto deportivo.

The design of scaffolds to reach similar three-dimensional structures mimicking the natural and fibrous environment of some cells is a challenge for tissue engineering, and 3D-printing and electrospinning highlights from other techniques in the production of scaffolds. The former is a well-known additive manufacturing technique devoted to the production of custom-made structures with mechanical properties similar to tissues and bones found in the human body, but lacks the resolution to produce small and interconnected structures. The latter is a well-studied technique to produce materials possessing a fibrillar structure, having the advantage of producing materials with tuned composition compared with a 3D-print. Taking the advantage that commercial 3D-printers work with polylactide (PLA) based filaments, a biocompatible and biodegradable polymer, in this work we produce PLA-based composites by blending materials obtained by 3D-printing and electrospinning. Porous PLA fibers have been obtained by the electrospinning of recovered PLA from 3D-printer filaments, tuning the mechanical properties by blending PLA with small amounts of polyethylene glycol and hydroxyapatite. A composite has been obtained by blending two layers of 3D-printed pieces with a central mat of PLA fibers. The composite presented a reduced storage modulus as compared with a single 3D-print piece and possessing similar mechanical properties to bone tissues. Furthermore, the biocompatibility of the composites is assessed by a simulated body fluid assay and by culturing composites with 3T3 fibroblasts. We observed that all these composites induce the growing and attaching of fibroblast over the surface of a 3D-printed layer and in the fibrous layer, showing the potential of commercial 3D-printers and filaments to produce scaffolds to be used in bone tissue engineering.

To evaluate the bond strength of different universal adhesives on deciduous tooth dentineand their relationship with the composition and potential of hydrogen (pH). Methods: An in vitromicro push-out test on 150 samples (n = 50) per group per adhesive, namely, Adhese Universal(ADH; Ivoclar Vivadent), Futurabond U (FUT; Voco GmbH) (Test), and Scotchbond Universal withpre-conditioning (SCO; 3M) (Control), to record bond strength (BS) and type of adhesive failure.Results: The results of the different adhesives (megapascals (MPa)) varied, showing no statisticalsignificance. The corresponding averages are in MPa: ADH, 13.66 2.81; FUT, 14.48 2.88; SCO,14.98 3.96. Additionally, the frequency of type of failure was as follows: mixed (60.7%), adhesive(27.3%), and cohesive (12%). Conclusions: SCO, with a pH of 2.7, showed greater resistance tofracture, while FUT, with a pH of 2.3 and no pre-conditioning, approached the same values, being aone-step adhesive. No relationship was found between failure and type of adhesive.

Abstract Background Vibrio parahaemolyticus (Vp) is a naturally occurring bacterium found in marine environments worldwide. It can cause gastrointestinal illness in humans, primarily through raw oyster consumption. Water temperatures, and potentially other environmental factors, play an important role in the growth and proliferation of Vp in the environment. Quantifying the relationships between environmental variables and indicators or incidence of Vp illness is valuable for public health surveillance to inform and enable suitable preventative measures. This study aimed to assess the relationship between environmental parameters and Vp in British Columbia (BC), Canada. Methods The study used Vp counts in oyster meat from 2002-2015 and laboratory confirmed Vp illnesses from 2011-2015 for the province of BC. The data were matched to environmental parameters from publicly available sources, including remote sensing measurements of nighttime sea surface temperature (SST) obtained from satellite readings at a spatial resolution of 1 km. Using three separate models, this paper assessed the relationship between (1) daily SST and Vp counts in oyster meat, (2) weekly mean Vp counts in oysters and weekly Vp illnesses, and (3) weekly mean SST and weekly Vp illnesses. The effects of salinity and chlorophyll a were also evaluated. Linear regression was used to quantify the relationship between SST and Vp, and piecewise regression was used to identify SST thresholds of concern. Results A total of 2327 oyster samples and 293 laboratory confirmed illnesses were included. In model 1, both SST and salinity were significant predictors of log(Vp) counts in oyster meat. In model 2, the mean log(Vp) count in oyster meat was a significant predictor of Vp illnesses. In model 3, weekly mean SST was a significant predictor of weekly Vp illnesses. The piecewise regression models identified a SST threshold of approximately 14oC for both model 1 and 3, indicating increased risk of Vp in oyster meat and Vp illnesses at higher temperatures. Conclusion Monitoring of SST, particularly through readily accessible remote sensing data, could serve as a warning signal for Vp and help inform the introduction and cessation of preventative or control measures.

In reliability analysis, the goal is to determine the probability of consistent operation of a system. We introduce the Hostile model, where the system under study is a network, and all the components may fail (both sites and links), except for a distinguished subset of sites, called terminals. The Hostile model includes the Classical Reliability model as a particular case. As a corollary, the exact reliability evaluation of a network in the Hostile model belongs to the list of N P-hard computational problems. Traditional methods for the classical reliability model such as Crude Monte Carlo, Importance Sampling and Recursive Variance Reduction are here adapted for the Hostile model. The performance of these methods is finally discussed using real-life networks.

Objetivo: Establecer la prevalencia de factores de riesgo en pacientes adultos con aislamientos de Klebsiella Pneumoniae resistente a carbapenémicos. Diseño: Estudio descriptivo de prevalencia. Marco de referencia: Hospital Universitario Clínica San Rafael. Bogotá, Colombia. Pacientes o participantes:A partir de 295 historias clínicas revisadas de pacientes con aislamiento positivo, se obtuvieron 84 pacientes que cumplían todos los criterios de inclusión. Intervenciones:Ninguna. Mediciones:Los datos se ordenaron en frecuencias absolutas, a las variables cuantitativas se les calculó medidas de tendencia central y de dispersión pertinentes. Resultados:De84 pacientes, el 55% correspondía al género femenino, tenían una edad media de 66 años. El aislamiento microbiológico en orina fue del 30.4%, en sangre 24.3%, liquido peritoneal 20.7% y secreción traqueal 12.1%. El 91,6% de la población tenía hospitalización en los últimos 3 meses, 86.5% recibió tratamiento antibiótico durante la hospitalización, de estosel 59.1% fue Meropenem, el 26,2% fue Ampicilina Sulbactam, el 23,9% fue Vancomicina, el 18,3% fue Piperacilina Tazobactam. El 54,7%se sometió a algún procedimiento quirúrgico 3 meses antes del aislamiento, de los cualesel 47.8% correspondía a cirugías abdominales y el 13,1% a cirugía de tórax, luego aparecían cirugía ortopédica, en sistema nervioso central y ginecológica.El 70% de los casos tenían antecedente de implante de dispositivos intravasculares, 45,2% exposición a ventilación mecánica, 24% uso de nutrición parenteral. Conclusiones:Este estudio permite establecer las bases para proponer nuevos estudios que planteen estrategias de prevención con el objetivo de lograr disminuir las probabilidades de adquirir esta infección multirresistente

Background Cocaine use disorder (CUD) is a complex health condition, especially when it is accompanied by comorbid psychiatric disorders (dual diagnosis). Dual diagnosis is associated with difficulties in the stratification and treatment of patients. One of the major challenges in clinical practice of addiction psychiatry is the lack of objective biological markers that indicate the degree of consumption, severity of addiction, level of toxicity and response to treatment in patients with CUD. These potential biomarkers would be fundamental players in the diagnosis, stratification, prognosis and therapeutic orientation in addiction. Due to growing evidence of the involvement of the immune system in addiction and psychiatric disorders, we tested the hypothesis that patients with CUD in abstinence might have altered circulating levels of signaling proteins related to systemic inflammation. Methods The study was designed as a cross-sectional study of CUD treatment-seeking patients. These patients were recruited from outpatient programs in the province of Malaga (Spain). The study was performed with a total of 160 white Caucasian subjects, who were divided into the following groups: patients diagnosed with CUD in abstinence (N = 79, cocaine group) and matched control subjects (N = 81, control group). Participants were clinically evaluated with the diagnostic interview PRISM according to the DSM-IV-TR, and blood samples were collected for the determination of chemokine C-C motif ligand 11 (CCL11, eotaxin-1), interferon gamma (IFNγ), interleukin-4 (IL-4), interleukin-8 (IL-8), interleukin-17α (IL-17α), macrophage inflammatory protein 1α (MIP-1α) and transforming growth factor α (TGFα) levels in the plasma. Clinical and biochemical data were analyzed in order to find relationships between variables. Results While 57% of patients with CUD were diagnosed with dual diagnosis, approximately 73% of patients had other substance use disorders. Cocaine patients displayed greater cocaine symptom severity when they were diagnosed with psychiatric comorbidity. Regarding inflammatory factors, we observed significantly lower plasma levels of IL-17α (p

Depression is one of the most common mental disorders and will become one of the leading causes of disability in the world. Internet-based CBT programs for depression have been classified as "well established" following the American Psychological Association criteria for empirically supported treatments. The aim of this study is to analyze the cost effectiveness at 12-month follow-up of the Internet-based CBT program "Smiling is fun" with (LITG) and without psychotherapist support (TSG) compared to usual care. The perspective used in our analysis is societal. A sample of 296 depressed patients (mean age of 43.04 years; 76% female; BDI-II mean score = 22.37) from primary care services in four Spanish regions were randomized in the RCT. The complete case and intention-to-treat (ITT) perspectives were used for the analyses. The results demonstrated that both Internet-based CBT interventions exhibited cost utility and cost effectiveness compared with a control group. The complete case analyses revealed an incremental cost-effectiveness ratio (ICER) of €-169.50 and an incremental cost-utility ratio (ICUR) of €-11389.66 for the TSG group and an ICER of €-104.63 and an ICUR of €-6380.86 for the LITG group. The ITT analyses found an ICER of €-98.37 and an ICUR of €-5160.40 for the TSG group and an ICER of €-9.91 and an ICUR of €496.72 for the LITG group. In summary, the results of this study indicate that the two Internet-based CBT interventions are appropriate from both economic and clinical perspectives for depressed patients in the Spanish primary care system. These interventions not only help patients to improve clinically but also generate societal savings. TRIAL REGISTRATION:clinicaltrials.gov NCT01611818.

Regenerative medicine requires, in many cases, physical supports to facilitate appropriate cellular architecture, cell polarization and the improvement of the correct differentiation processes of embryonic stem cells, induced pluripotent cells or adult cells. Because the interest in carbon nanomaterials has grown within the last decade in light of a wide variety of applications, the aim of this study was to test and evaluate the suitability and cytocompatibility of a particular nanometer-thin nanocrystalline glass-like carbon film (NGLC) composed of curved graphene flakes joined by an amorphous carbon matrix. This material is a disordered structure with high transparency and electrical conductivity. For this purpose, we used a cell line (SN4741) from substantia nigra dopaminergic cells derived from transgenic mouse embryos. Cells were cultured either in a powder of increasing concentrations of NGLC microflakes (82±37μm) in the medium or on top of nanometer-thin films bathed in the same culture medium. The metabolism activity of SN4741 cells in presence of NGLC was assessed using methylthiazolyldiphenyl-tetrazolium (MTT) and apoptosis/necrosis flow cytometry assay respectively. Growth and proliferation as well as senescence were demonstrated by western blot (WB) of proliferating cell nuclear antigen (PCNA), monoclonal phosphorylate Histone 3 (serine 10) (PH3) and SMP30 marker. Specific dopaminergic differentiation was confirmed by the WB analysis of tyrosine hydroxylase (TH). Cell maturation and neural capability were characterized using specific markers (SYP: synaptophysin and GIRK2: G-protein-regulated inward-rectifier potassium channel 2 protein) via immunofluorescence and coexistence measurements. The results demonstrated cell positive biocompatibility with different concentrations of NGLC. The cells underwent a process of adaptation of SN4741 cells to NGLC where their metabolism decreases. This process is related to a decrease of PH3 expression and significant increase SMP30 related to senescence processes. After 7 days, the cells increased the expression of TH and PCNA that is related to processes of DNA replication. On the other hand, cells cultured on top of the film showed axonal-like alignment, edge orientation, and network-like images after 7 days. Neuronal capability was demonstrated to a certain extent through the analysis of significant coexistence between SYP and GIRK2. Furthermore, we found a direct relationship between the thickness of the films and cell maturation. Although these findings share certain similarities to our previous findings with graphene oxide and its derivatives, this particular nanomaterial possesses the advantages of high conductivity and transparency. In conclusion, NGLC could represent a new platform for biomedical applications, such as for use in neural tissue engineering and biocompatible devices.

The identification of growth factors as potential biomarkers in alcohol addiction may help to understand underlying mechanisms associated with the pathogenesis of alcohol use disorders (AUDs). Previous studies have linked growth factors to neural plasticity in neurocognitive impairment and mental disorders. In order to further clarify the impact of chronic alcohol consumption on circulating growth factors, a cross-sectional study was performed in abstinent AUD patients (alcohol group, N = 91) and healthy control subjects (control group, N = 55) to examine plasma concentrations of brain-derived neurotrophic factor (BDNF), insulin-like growth factor-1 (IGF-1) and IGF-1 binding protein-3 (IGFBP-3). The association of these plasma peptides with relevant AUD-related variables and psychiatric comorbidity was explored. The alcohol group was diagnosed with severe AUD and showed an average of 13 years of problematic use and 10 months of abstinence at the moment of participating in the study. Regarding common medical conditions associated with AUD, we observed an elevated incidence of alcohol-induced liver and pancreas diseases (18.7%) and psychiatric comorbidity (76.9%). Thus, AUD patients displayed a high prevalence of dual diagnosis (39.3%) [mainly depression (19.9%)] and comorbid substance use disorders (40.7%). Plasma BDNF and IGF-1 concentrations were significantly lower in the alcohol group than in the control group (p

Reply to the above article entitled "How does the body make itself heard through «reason»?" and published in this Issue

En el presente artículo queremos demostrar las posibilidades de aplicación de la fotogrametría digital tridimensional en la práctica arqueológica, como es el caso de la excavación del “Pago del Jarafi” (Lanteira - Granada) llevada a cabo durante los años 2014, 2015 y 2016 en el marco del proyecto europeo MEMOLA, coordinado por la Universidad de Granada. El desarrollo de nuevos softwares y técnicas Structure from Motion (SfM) ha facilitado a los arqueólogos el acceso a una documentación de mayor calidad y precisión. Mostraremos cómo hemos incluido esta metodología en nuestra práctica habitual.

Reseña de la obra: Mª Teresa Díaz García, Inmaculada Mas Álvarez, Luz Zas Varela. Diversidade lingüística e cultural no ensino de linguas. tresCtres Editores. Santa Comba (A Coruña), 2009.281 págs. ISBN: 978-84-92727-10-0

Recent studies have identified biomarkers related to the severity and pathogenesis of cocaine addiction and common comorbid psychiatric disorders. Monitoring these plasma mediators may improve the stratification of cocaine users seeking treatment. Because the neurotrophic factors are involved in neural plasticity, neurogenesis and neuronal survival, we have determined plasma concentrations of brain-derived neurotrophic factor (BDNF), insulin-like growth factor 1 (IGF-1) and IGF-1 binding protein 3 (IGFBP-3) in a cross-sectional study with abstinent cocaine users who sought outpatient treatment for cocaine (n = 100) and age/body mass matched controls (n = 85). Participants were assessed with the diagnostic interview 'Psychiatric Research Interview for Substance and Mental Disorders'. Plasma concentrations of these peptides were not different in cocaine users and controls. They were not associated with length of abstinence, duration of cocaine use or cocaine symptom severity. The pathological use of cocaine did not influence the association of IGF-1 with age observed in healthy subjects, but the correlation between IGF-1 and IGFBP-3 was not significantly detected. Correlation analyses were performed between these peptides and other molecules sensitive to addiction: BDNF concentrations were not associated with inflammatory mediators, lipid derivatives or IGF-1 in cocaine users, but correlated with chemokines (fractalkine/CX3CL1 and SDF-1/CXCL12) and N-acyl-ethanolamines (N-palmitoyl-, N-oleoyl-, N-arachidonoyl-, N-linoleoyl- and N-dihomo-γ-linolenoyl-ethanolamine) in controls; IGF-1 concentrations only showed association with IGFBP-3 concentrations in controls; and IGFBP-3 was only correlated with N-stearoyl-ethanolamine concentrations in cocaine users. Multiple substance use disorders and life-time comorbid psychopathologies were common in abstinent cocaine users. Interestingly, plasma BDNF concentrations were exclusively found to be decreased in users diagnosed with both primary and cocaine-induced disorders for mood and anxiety disorders. In summary, BDNF, IGF-1 and IGFBP-3 were not affected by a history of pathological use of cocaine supported by the absence of associations with other molecules sensitive to cocaine addiction. However, BDNF was affected by comorbid mood disorders. Further research is necessary to elucidate the role of BDNF and IGF-1 in the transition to cocaine addiction and associated psychiatric comorbidity.

Reseña de la obra: Yannick Llored. Le soi, le monde et la création littéraire. Presses Universitaires du Septentrion. Villeneuve d’Ascq (Francia). 2009. 421 págs. ISBN: 978-2-75740-0089-0