Interchanges genesis Plan of Madrid = Génesis del plan de intercambiadores de Madrid

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Javier Aldecoa Martínez-Conde

2018-04-01

Full Text Available The public transport, as we know it today, originates from the end of the 18 th and beginning of the 19th Centuries. Initially a privilege for the aristocratic and bourgeoisie classes, public transport saw a surge in development once communication between Madrid and others distant urban centers became a necessity that demanded a more economical and accessible transport system. The increase of these services, along with the diversification of the means of transportation, quickly caused congestion problems at transfer points. Throughout the last century, these same problems have been confronted with a variety of diverse strategies and solutions. All in all, the history of intermodality in Madrid tells the story of an evolution that has allowed the urban web to unite all of its branches extending from the main gates that are now being converted the interchanges in relation with the city. From its creation in 1985, the CRTM (transport authority of Madrid, considered the intermodality to be a main priority within the following different fields of action: infrastructure, ticketing and whole image and information. Within the interchanges is where the integration efforts of the different transport modes best become a reality. In essence, interchanges play the same role in today`s cities as the gates in the walls of a centuries-old medieval city. At this moment, interchanges are the gates to the cities of the 21st Century. Resumen El transporte público, tal como lo conocemos hoy, se origina a finales del siglo XVIII y principios del XIX. Inicialmente fue un privilegio para las clases aristocráticas y burguesas. El transporte público vio un aumento en el desarrollo una vez que la comunicación entre Madrid y otros centros urbanos distantes se convirtió en una necesidad que exigía un sistema de transporte más económico y accesible. El aumento de estos servicios, junto con la diversificación de los medios de transporte, causó rápidamente problemas

Management of the Upper Airway in Cystic Fibrosis

Science.gov (United States)

Illing, Elisa A.; Woodworth, Bradford A.

2015-01-01

Purpose of Review Upper airway disease engenders significant morbidity for patients with cystic fibrosis and is increasingly recognized as having a much greater role in pulmonary outcomes and quality of life than originally believed. Widespread disparate therapeutic strategies for cystic fibrosis chronic rhinosinusitis underscore the absence of a standardized treatment paradigm. This review outlines the most recent evidence-based trends in the management of upper airway disease in cystic fibrosis. Recent Findings The unified airway theory proposes that the sinuses are a focus of initial bacterial colonization which seeds the lower airway and may play a large role in maintaining lung infections. Mounting evidence suggests more aggressive treatment of the sinuses may confer significant improvement in pulmonary disease and quality of life outcomes in cystic fibrosis patients. However, there is a lack of high-level evidence regarding medical and surgical management of cystic fibrosis chronic rhinosinusitis that makes generalizations difficult. Summary Well designed clinical trials with long-term follow-up concerning medical and surgical interventions for cystic fibrosis sinus disease are required to establish standardized treatment protocols, but increased interest in the sinuses as a bacterial reservoir for pulmonary infections has generated considerable attention. PMID:25250804

Vitamin A supplementation for cystic fibrosis.

Science.gov (United States)

Bonifant, Catherine M; Shevill, Elizabeth; Chang, Anne B

2014-05-14

People with cystic fibrosis and pancreatic insufficiency are at risk of fat soluble vitamin deficiency as these vitamins (A, D, E and K) are co-absorbed with fat. Thus, some cystic fibrosis centres routinely administer these vitamins as supplements but the centres vary in their approach of addressing the possible development of deficiencies in these vitamins. Vitamin A deficiency causes predominantly eye and skin problems while supplementation of vitamin A to excessive levels may cause harm to the respiratory and skeletal systems in children. Thus a systematic review on vitamin A supplementation in people with cystic fibrosis would help guide clinical practice. To determine if vitamin A supplementation in children and adults with cystic fibrosis:1. reduces the frequency of vitamin A deficiency disorders;2. improves general and respiratory health;3. increases the frequency of vitamin A toxicity. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises of references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings.Date of the most recent search of the Group's Cystic Fibrosis Trials Register: 07 April 2014. All randomised or quasi-randomised controlled trials comparing all preparations of oral vitamin A used as a supplement compared to either no supplementation (or placebo) at any dose and for any duration, in children or adults with cystic fibrosis (defined by sweat tests or genetic testing) with and without pancreatic insufficiency. No relevant studies for inclusion were identified in the search. No studies were included in this review. As there were no randomised or quasi-randomised controlled trials identified, we cannot draw any conclusions on the benefits (or otherwise) of regular administration of vitamin A in people with cystic fibrosis. Until further data are available, country or region specific guidelines on the use of

IAEA activities in nuclear safety: future perspectives. Spanish Nuclear Safety Council, Madrid, 28 May 1998

International Nuclear Information System (INIS)

ElBaradei, M.

1998-01-01

The document represents the conference given by the Director General of the IAEA at the Spanish Nuclear Safety Council in Madrid, on 28 May 1998, on Agency's activities in nuclear safety. The following aspects are emphasized: Agency's role in creating a legally binding nuclear safety regime, non-binding safety standards, services provided by the Agency to assist its Member States in the Application of safety standards, Agency's nuclear safety strategy, and future perspective concerning safety aspects related to radioactive wastes, residues of past nuclear activities, and security of radiological sources

Actes des Journees de linguistique (Proceedings of the Linguistics Conference) (7th, March 1993).

Science.gov (United States)

Drouin, Patrick, Ed.; And Others

Papers from a 1993 conference on linguistics, all in French, include essays on the following: Yoruba morphophonology; literary Arabic morphophonology; grammatical cohesion in Burushaski; phonological and lexical variation in French Canadian dialects, including Acadian; insults in Madrid Spanish; discourse analysis; maintenance of meaning in…

Cystic fibrosis: Beyond the airways. Report on the meeting of the basic science working group in Loutraki, Greece.

Science.gov (United States)

Amaral, Margarida D; Boj, Sylvia F; Shaw, James; Leipziger, Jens; Beekman, Jeffrey M

2018-06-01

The European Cystic Fibrosis Society (ECFS) Basic Science Working Group (BSWG) organized a session on the topic "Cystic Fibrosis: Beyond the Airways", within the 15th ECFS Basic Science Conference which gathered around 200 researchers working in the basic science of CF. The session was organized and chaired by Margarida Amaral (BioISI, University of Lisboa, Portugal) and Jeffrey Beekman (University Medical Centre Utrecht, Netherlands) as Chair and Vice-Chair of the BSWG and its purpose was to bring attention of participants of the ECFS Basic Science Conference to "more forgotten" organs in CF disease. In this report we attempt to review and integrate the ideas that emerged at the session. Copyright © 2018 European Cystic Fibrosis Society. All rights reserved.

Deep Geothermal energy potential in Madrid basin; Potencial de la Geotermia profunda en la Cuenca de Madrid

Energy Technology Data Exchange (ETDEWEB)

Hidalgo, R.; Sanchez, J.; Ungemach, P.

2009-07-01

The Madrid Basin geothermal potential was evidenced in 1980 thanks to an oil exploration well drilled by Shell-Campsa which showed temperatures of 88 degree centigrade and 150 degree centigrade at 1,700 mts and 3,400 mts depth respectively. The low enthalpy geothermal reservoir could be further assessed by four exploratory wells the first one, Pradillo (originals Shell-Campsa oil well), two drilled by ADARO and IGME (Geological survey of Spain) in San Sebastian de los Reyes and Tres Cantos respectively. The latest well, Geomadrid 1, was drilled in 1990 by the Madrid Regional government. The afore mentioned wells have identified a dependable geothermal resource, hosted in a tertiary, clastic, consolidated sandstone reservoir consisting of a thick multilayered sequence (200-800m), with temperatures ranging from 70 degree centigrade to 90 degree centigrade and depths of 1,500 to 2,150 m., overlying a Mesozoic sequence, suitable to be exploited for thermal uses in several district heating grids around Madrid in areas displaying adequate heat loads. A medium temperature reservoir was also identified at the contact between Mesozoic Cretaceous limestones and fractured basement granites at 3,400mts depth, with measured temperatures of 156 degree centigrade, that could be developed and exploited in view of a combined power and heat production (CPH) within the Madrid suburban areas. (Author) 7 refs.

Casa Santoja, en Somosaguas, Madrid

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Higueras, Fernando

1968-04-01

Full Text Available This is a single family house, of powerful texture and severe outline. It is sited on open ground at Somosaguas, and enjoys a fine view of the Madrid Sierra. The city of Madrid can be seen in the distance, and also the imposing background of the lofty mountains in the opposite direction. Granite stone and Oregon pinewood are almost the only materials utilised. Their quality, natural aspect and the audacious design adopted throughout are outstanding features of this project.Esta vivienda unifamiliar, de poderosa textura y severas líneas, campea sobre ima parcela de Somosaguas, mirando abiertamente, sin obstáculos, hacia el magnífico panorama serrano de Madrid. La capital se extiende ante la vista, con su belleza indudable, por una parte, y la altiva montaña pone su fondo imponente, por las otras. La piedra granítica y la madera de pino de Oregón son casi los únicos materiales empleados. Su calidad, su color natural y las formas atrevidas de la construcción toda, son las notas fundamentales que la hacen destacar de manera notable.

Madrid en el siglo XXI. Transformaciones y retos de su realidad social. La Realidad Social de Madrid Vol. II

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Mª del Pilar Gomiz Pascual

2014-03-01

Full Text Available Madrid en el siglo XXI. Transformaciones y retos de su realidad social  es el título elegido por la Asociación Madrileña de Sociología (AMS para el segundo volumen de lo que pretende ser una trilogía sobre la Realidad Social de Madrid. Tras el éxito del trabajo realizado con el primer volumen, Antonio Lucas Marín, Carmen Cortés Beltrán y Dolores Cáceres Zapatero, vuelven a coordinar un proyecto excelente donde se da un paso más al esfuerzo comenzado con la edición anterior por dar a conocer aspectos nuevos de la estructura social del Madrid del siglo XXI, aportando enfoques y matices que quedaron sin analizar entonces. 

Ciudad Mercado, infraestructura en red. Madrid.

OpenAIRE

Carruthers, Luz María

2016-01-01

Los mercados de abastos de Madrid atraviesan uno profunda crisis que conlleva su decadencia arquitectónica. Si bien han sido una pieza el clave en la construcción social y urbana de Madrid. no son considerados una infraestructura, lo cual repercute en el tipo y calidad de intervenciones a los que se los somete. Recuperar su condición infraestructura, supone pensar en los mercados como red, enfocándose en las interacciones que plantean con el entorno a múltiples escalas. Éstas, pueden deber...

Transfer knowledge and technology in Madrid; La transferencia de conocimiento y tecnologia en la comunidad de Madrid

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Vicente Oliva, M. de; Manera Bassa, J.; Martin del Peso, M.

2010-07-01

This paper aims to establish a typology of business behaviour patterns related to Knowledge and Technology Transfer (KTT), as well as an assessment of the situation of the transference process from the Madrid Region companies point of view. Working with data obtained from a survey designed and carried out by the authors to the companies registered in Madrid database and, as a consequence, knowing KTT, we have built groups of enterprises with different behaviours. To obtain the groups we have used cluster techniques over the factors resulting from a correspondence analysis. (Author) 24 refs.

Cooperative New Madrid seismic network

International Nuclear Information System (INIS)

Herrmann, R.B.; Johnston, A.C.

1990-01-01

The development and installation of components of a U.S. National Seismic Network (USNSN) in the eastern United States provides the basis for long term monitoring of eastern earthquakes. While the broad geographical extent of this network provides a uniform monitoring threshold for the purpose of identifying and locating earthquakes and while it will provide excellent data for defining some seismic source parameters for larger earthquakes through the use of waveform modeling techniques, such as depth and focal mechanism, by itself it will not be able to define the scaling of high frequency ground motions since it will not focus on any of the major seismic zones in the eastern U.S. Realizing this need and making use of a one time availability of funds for studying New Madrid earthquakes, Saint Louis University and Memphis State University successfully competed for funding in a special USGS RFP for New Madrid studies. The purpose of the proposal is to upgrade the present seismic networks run by these institutions in order to focus on defining the seismotectonics and ground motion scaling in the New Madrid Seismic Zone. The proposed network is designed both to complement the U.S. National Seismic Network and to make use of the capabilities of the communication links of that network

Achromobacter xylosoxidans infection in an adult cystic fibrosis unit in Madrid.

Science.gov (United States)

Llorca Otero, Laura; Girón Moreno, Rosa; Buendía Moreno, Buenaventura; Valenzuela, Claudia; Guiu Martínez, Alba; Alarcón Cavero, Teresa

2016-03-01

Achromobacter xylosoxidans is an emerging pathogen in cystic fibrosis (CF). Although the rate of colonization by this microorganism is variable, prevalence is increasing in CF units. A microbiological/clinical study was conducted on of adult CF patients harboring A. xylosoxidans. Identification and susceptibility testing were performed using MicroScan (Siemens). Decline in lung function was assessed using the variable, annual percentage loss of FEV1 (forced expiratory volume in 1s). A. xylosoxidans was isolated in 18 (19.8%) of 91 patients over a 14-year period. Mean age was 26.6 years (18-39 years). Nine patients (9.8%) were chronically colonized. Piperacillin/tazobactam and imipenem were the most active antibiotics. Mean annual decline in lung function in chronically colonized patients was 2.49%. A. xylosoxidans is a major pathogen in CF. A decreased lung function was observed among patients who were chronically colonized by A. xylosoxidans. Antibiotic therapy should be started early in order to prevent chronic colonization by this microorganism. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

Equidad y Eficiencia del transporte público en Madrid.

OpenAIRE

Vassallo Magro, José Manuel; Pérez de Villar Cruz, Pablo

2008-01-01

La política de transporte público en la Comunidad de Madrid se ha considerado tradicionalmente un éxito. En gran parte, éste se debe a la existencia del Consorcio Regional de Transportes. Sin embargo, el sistema de transporte público de Madrid recibe subvenciones cada vez mayores, lo que supone una amenaza a la viabilidad del modelo en el futuro. Este artículo analiza la evolución de la política de financiación del sistema de transporte público en Madrid en los últimos años. Del análisis llev...

Escenario para una Corte real: Madrid en tiempos de Enrique IV

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María del Pilar RÁBADE OBRADÓ

2009-05-01

Full Text Available Este trabajo pretende estudiar la itinerancia cortesana durante el reinado de Enrique IV de Castilla (1454-1474, en relación con el caso concreto de Madrid. El estudio se va a realizar a través del análisis de la crónica del reinado redactada por Diego Enríquez del Castillo. Durante el reinado de Enrique IV, Madrid fue la ciudad que se convirtió con más frecuencia en residencia de la Corte. Lo fue porque Madrid contaba con alicientes como su estratégica ubicación geográfica, su potente alcázar y la proximidad con el cazadero de El Pardo. Madrid albergó a la Corte en momentos de calma y sosiego y en otros convulsos y difíciles. Además, Madrid fue testigo de acontecimientos muy destacados de la vida del rey: el nacimiento de su hija Juana, e incluso su muerte.Ce travail essaie d'étudier l'itinérance de la cour pendant le règne d'Henri IV de Castille (1454-1474, en relation avec le cas concret de Madrid. L'étude partira de l'analyse de la chronique du règne rédigée par Diego Enríquez del Castillo. Sous Henri IV, Madrid a été la ville qui s'est le plus fréquemment convertie en résidence de la cour. En effet, Madrid disposait des attraits suivants : sa situation géographique stratégique, son puissant alcazar et la proximité du manoir de chasse d’El Pardo. Madrid a hébergé la cour dans des moments de calme comme dans des périodes agitées. De plus, Madrid a été témoin d'événements importants de la vie du roi : la naissance de sa fille Juana, et même sa mort.

La construcción de la marca Madrid

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Elia Canosa Zamora

2012-01-01

Full Text Available Durante los últimos veinte años, los sucesivos gobiernos de Madrid, han centrado en el posicionamiento internacional de la ciudad sus expectativas de desarrollo económico, de transformación urbana y de bienestar ciudadano. La construcción de la Marca Madrid forma parte de esta estrategia que ha terminado por convertirse en el eje director de gestión y la ordenación urbana. La relevancia de este fenómeno se analizará en tres vertientes fundamentales: valorando el significado de la opción oficial de Madrid ciudad global, planteando el ascenso de la imagen como base vertebradora de las operaciones destinadas a favorecer esta internacionalización y profundizando en el valor de la arquitectura como icono urbano.

PTP1B confers liver fibrosis by regulating the activation of hepatic stellate cells

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Chen, Pei-Jie; Cai, Shuang-Peng; Yang, Yang; Li, Wan-Xia; Huang, Cheng; Meng, Xiao-Ming; Li, Jun, E-mail: lj@ahmu.edu.cn

2016-02-01

Liver fibrosis is a reversible wound-healing response to chronic hepatic injuries. Activation of hepatic stellate cells (HSCs) plays a pivotal role in the development of hepatic fibrosis. The currently accepted mechanism for the resolution of liver fibrosis is the apoptosis and inactivation of activated HSCs. Protein tyrosine phosphatase 1B (PTP1B), a prototype of non-receptor protein tyrosine phosphatase, is proved to be a vital modulator in cardiac fibrogenesis. However, the precise role of PTP1B on liver fibrosis and HSC activation is still unclear. Our study showed that the expression of PTP1B was elevated in fibrotic liver but reduced after spontaneous recovery. Moreover, stimulation of HSC-T6 cells with transforming growth factor-β1 (TGF-β1) resulted in a dose/time-dependent increase of PTP1B mRNA and protein. Co-incubation of HSC-T6 cells with PTP1B-siRNA inhibited the cell proliferation and activation induced by TGF-β1. Additionally, both mRNA and protein of PTP1B were dramatically decreased in inactivated HSCs after treated with adipogenic differentiation mixture (MDI). Over-expression of PTP1B hindered the inactivation of HSC-T6 cells induced by MDI. These observations revealed a regulatory role of PTP1B in liver fibrosis and implied PTP1B as a potential therapeutic target. - Highlights: • The expression of PTP1B in the fibrotic livers and recovery livers • The expression of PTP1B in activated and inactivated HSCs • Blockade of PTP1B inhibited the TGF-β1-induced proliferation and activation of HSCs. • Over-expression of PTP1B abolished the inactivation of HSCs induced by MDI.

PTP1B confers liver fibrosis by regulating the activation of hepatic stellate cells

International Nuclear Information System (INIS)

Chen, Pei-Jie; Cai, Shuang-Peng; Yang, Yang; Li, Wan-Xia; Huang, Cheng; Meng, Xiao-Ming; Li, Jun

2016-01-01

Liver fibrosis is a reversible wound-healing response to chronic hepatic injuries. Activation of hepatic stellate cells (HSCs) plays a pivotal role in the development of hepatic fibrosis. The currently accepted mechanism for the resolution of liver fibrosis is the apoptosis and inactivation of activated HSCs. Protein tyrosine phosphatase 1B (PTP1B), a prototype of non-receptor protein tyrosine phosphatase, is proved to be a vital modulator in cardiac fibrogenesis. However, the precise role of PTP1B on liver fibrosis and HSC activation is still unclear. Our study showed that the expression of PTP1B was elevated in fibrotic liver but reduced after spontaneous recovery. Moreover, stimulation of HSC-T6 cells with transforming growth factor-β1 (TGF-β1) resulted in a dose/time-dependent increase of PTP1B mRNA and protein. Co-incubation of HSC-T6 cells with PTP1B-siRNA inhibited the cell proliferation and activation induced by TGF-β1. Additionally, both mRNA and protein of PTP1B were dramatically decreased in inactivated HSCs after treated with adipogenic differentiation mixture (MDI). Over-expression of PTP1B hindered the inactivation of HSC-T6 cells induced by MDI. These observations revealed a regulatory role of PTP1B in liver fibrosis and implied PTP1B as a potential therapeutic target. - Highlights: • The expression of PTP1B in the fibrotic livers and recovery livers • The expression of PTP1B in activated and inactivated HSCs • Blockade of PTP1B inhibited the TGF-β1-induced proliferation and activation of HSCs. • Over-expression of PTP1B abolished the inactivation of HSCs induced by MDI.

Allergenic pollen pollinosis in Madrid.

Science.gov (United States)

Subiza, J; Jerez, M; Jiménez, J A; Narganes, M J; Cabrera, M; Varela, S; Subiza, E

1995-07-01

A 15-year pollen count was performed in the atmosphere of Madrid, Spain, to determine the months in which the highest concentrations of allergenic pollens occur. Pollen counts were done with a Burkard spore trap (Burkard Manufacturing, Rickmansworth, Herst., U.K.). The results were subsequently compared with results of skin tests in patients with pollinosis born and living in and around Madrid. The highest airborne presence (percent of total yearly pollen counts, mean of counts from 1979 to 1993) was for Quercus spp. (17%); followed by Platanus spp. (15%), Poaceae (15%), Cupressaceae (11%), Olea spp. (9%), Pinus spp. (7%), Populus spp. (4%), and Plantago spp. (4%). The most predominant pollens from January to April are tree pollens (Cupressaceae, Alnus, Fraxinus, Ulmus, Populus, Platanus, and Morus), although these are also abudant in May and June (Quercus, Olea, and Pinus spp.). The grass pollination period shows a double curve: the first peak occurs from February to April (8% of yearly grasses), and the second peak occurs from May to July (90% of yearly grasses). Among allergenically significant weeds, the most notable is Plantago; in contrast, Rumex, Urticaceae, Cheno-Amaranthaceae, and Artemisia spp. have very low concentrations (arizonica (20%). The population of Madrid is exposed to high concentrations of allergenic pollen from February to July, although the most intense period is from May to June. Grass pollens are the most important cause of pollinosis in this area.

New Madrid seismotectonic study. Activities during fiscal year 1982

International Nuclear Information System (INIS)

Buschbach, T.C.

1984-04-01

The New Madrid Seismotectonic Study is a coordinated program of geological, geophysical, and seismological investigations of the area within a 200-mile radius of New Madrid, Missouri. The study is designed to define the structural setting and tectonic history of the area in order to realistically evaluate earthquake risks in the siting of nuclear facilities. Fiscal year 1982 included geological and geophysical studies aimed at better definition of the east-west trending fault systems - the Rough Creek and Cottage Grove systems - and the northwest-trending Ste. Genevieve faulting. A prime objective was to determine the nature and history of faulting and to establish the relationship with that faulting and the northeast-trending faults of the Wabash Valley and New Madrid areas. 27 references, 61 figures

The Social ecology of Madrid: Stratification in comparative perspective.

Science.gov (United States)

Abrahamson, M; Johnson, P

1974-08-01

This paper examines the characteristics of residential zones in Madrid, Spain. The primary difference between zones is found to lie in a new bourgeoisie life-style dimension. Working women are found to be the best indicator of this dimension, which also involves servants, natives of Madrid and high degrees of literacy. Fertility-related considerations, however, are unrelated to working women, and this is explained as due to the availability of domestic help and "women-oriented" working arrangements. Fertility and socioeconomic status are found to be interrelated and constitute a second dimension of residential segregation. In conclusion, Madrid is examined in relation to both more and less industrialized cities, leading to a further modification of social area theory contentions concerning the ecology of stratification in developing cities.

2nd Conference of the International Society for Nonparametric Statistics

CERN Document Server

Manteiga, Wenceslao; Romo, Juan

2016-01-01

This volume collects selected, peer-reviewed contributions from the 2nd Conference of the International Society for Nonparametric Statistics (ISNPS), held in Cádiz (Spain) between June 11–16 2014, and sponsored by the American Statistical Association, the Institute of Mathematical Statistics, the Bernoulli Society for Mathematical Statistics and Probability, the Journal of Nonparametric Statistics and Universidad Carlos III de Madrid. The 15 articles are a representative sample of the 336 contributed papers presented at the conference. They cover topics such as high-dimensional data modelling, inference for stochastic processes and for dependent data, nonparametric and goodness-of-fit testing, nonparametric curve estimation, object-oriented data analysis, and semiparametric inference. The aim of the ISNPS 2014 conference was to bring together recent advances and trends in several areas of nonparametric statistics in order to facilitate the exchange of research ideas, promote collaboration among researchers...

Bloque de viviendas. Madrid

Directory of Open Access Journals (Sweden)

Lamela, Antonio

1960-04-01

Full Text Available Se trata de la edificación de dos parcelas colindantes formando un conjunto de composición exenta en la Avenida del Generalísimo de Madrid, avenida que puede y que debía haber sido una de las mejores vías de la capital de España.

Oral calorie supplements for cystic fibrosis.

Science.gov (United States)

Smyth, Rosalind L; Rayner, Oli

2017-05-04

Poor nutrition occurs frequently in people with cystic fibrosis and is associated with other adverse outcomes. Oral calorie supplements are used to increase total daily calorie intake and improve weight gain. However, they are expensive and there are concerns they may reduce the amount of food eaten and not improve overall energy intake. This is an update of a previously published review. To establish whether in people with cystic fibrosis, oral calorie supplements: increase daily calorie intake; and improve overall nutritional intake, nutritional indices, lung function, survival and quality of life. To assess adverse effects associated with using these supplements. We searched the Cochrane Cystic Fibrosis Trials Register comprising references from comprehensive electronic database searches, handsearches of relevant journals and abstract books of conference proceedings. We contacted companies marketing oral calorie supplements.Last search: 18 October 2016. Randomised or quasi-randomised controlled trials comparing use of oral calorie supplements for at least one month to increase calorie intake with no specific intervention or additional nutritional advice in people with cystic fibrosis. We independently selected the included trials, assessed risk of bias and extracted data. We contacted the authors of included trials and obtained additional information for two trials. We identified 21 trials and included three, reporting results from 131 participants lasting between three months and one year. Two trials compared supplements to additional nutritional advice and one to no intervention. Two of the included trials recruited only children. In one trial the risk of bias was low across all domains, in a second trial the risk of bias was largely unclear and in the third mainly low. Blinding of participants was unclear in two of the trials. Also, in one trial the clinical condition of groups appeared to be unevenly balanced at baseline and in another trial there were

[Batas Nómadas in Madrid Salud: art and artists in professional community health teams].

Science.gov (United States)

Castillejo, Mar; Fernández-Cedena, Jorge; Siles, Silvia; Claver, María Dolores; Ávila, Noemí

2018-06-14

This article describes the strategy of incorporating artists into the teams of community health in the city of Madrid, specifically in the Madrid Salud Centers. The artistic colletive, Batas Nómadas, formed by three artists expertized in visual arts, has developed performances and participatory aproach to explain the incorporation of art and artists in these teams of professionals of Madrid Salud. Batas Nómadas has carried out sessions in 14 work teams of the Madrid Salud Centers and has collected data in a creative way from the 179 professionals that have participated in these sessions. These actions have shown some needs in community health, and have noticed a meaningful reflection on the usefulness of the art to develop participative strategies into the Madrid Salud teams. Copyright © 2018. Publicado por Elsevier España, S.L.U.

Earthquake Hazard in the New Madrid Seismic Zone Remains a Concern

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Frankel, A.D.; Applegate, D.; Tuttle, M.P.; Williams, R.A.

2009-01-01

There is broad agreement in the scientific community that a continuing concern exists for a major destructive earthquake in the New Madrid seismic zone. Many structures in Memphis, Tenn., St. Louis, Mo., and other communities in the central Mississippi River Valley region are vulnerable and at risk from severe ground shaking. This assessment is based on decades of research on New Madrid earthquakes and related phenomena by dozens of Federal, university, State, and consulting earth scientists. Considerable interest has developed recently from media reports that the New Madrid seismic zone may be shutting down. These reports stem from published research using global positioning system (GPS) instruments with results of geodetic measurements of strain in the Earth's crust. Because of a lack of measurable strain at the surface in some areas of the seismic zone over the past 14 years, arguments have been advanced that there is no buildup of stress at depth within the New Madrid seismic zone and that the zone may no longer pose a significant hazard. As part of the consensus-building process used to develop the national seismic hazard maps, the U.S. Geological Survey (USGS) convened a workshop of experts in 2006 to evaluate the latest findings in earthquake hazards in the Eastern United States. These experts considered the GPS data from New Madrid available at that time that also showed little to no ground movement at the surface. The experts did not find the GPS data to be a convincing reason to lower the assessment of earthquake hazard in the New Madrid region, especially in light of the many other types of data that are used to construct the hazard assessment, several of which are described here.

Los atentados de Madrid en la prensa francesa

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Emilia Martos Contreras

2009-12-01

Full Text Available El presente artículo recoge algunas de las conclusiones obtenidas en la investigación de los atentados de Madrid del 11 de marzo de 2003, a través de la prensa francesa . El análisis se centra en los intensos días posteriores al 11-M, hasta el fin de la jornada electoral el 14 de marzo. Se han utilizado un total de catorce cabeceras, entre periódicos y revistas francesas de distintas tendencias y cuotas de difusión. Con ellas se ha analizado la reacción de la opinión pública gala ante la masacre de Madrid y cómo analizaron los acontecimientos que se sucedieron entre ese día y el 14-M.______________________ABSTRACT:The present article gathers some conclusion obtained in the research about the terrorist attacks in Madrid on 11th March, 2003, through the French press. The analysis centres on the intense days between the terrorist attack and the polling day on 14th March. Fourteen head-boards have been used, among French newspapers and magazines, with different tendency and different diffusion rates.  

Mice lacking cystathionine beta synthase have lung fibrosis and air space enlargement.

Science.gov (United States)

Hamelet, Julien; Maurin, Nicole; Fulchiron, Romain; Delabar, Jean-Maurice; Janel, Nathalie

2007-10-01

Cystathionine beta synthase (CBS) is a crucial regulator of plasma concentrations of homocysteine. Severe hyperhomocysteinemia due to CBS deficiency confers diverse clinical manifestations, notably pulmonary thrombotic disease. However, the association between hyperhomocysteinemia and chronic obstructive pulmonary disease is not well understood. To investigate the role of hyperhomocysteinemia in lung injury and pulmonary fibrosis, we analyzed the lung of CBS-deficient mice, a murine model of severe hyperhomocysteinemia. The degree of lung injury was assessed by histologic examination. Analysis of profibrogenic factors was performed by real-time quantitative reverse transcription-polymerase chain reaction. CBS-deficient mice develop fibrosis and air space enlargement in the lung, concomitant with an enhanced expression of heme oxygenase-1, pro(alpha)1 collagen type I, transforming growth factor-beta1 and alpha-smooth muscle actin. However, lung fibrosis was found in the absence of increased inflammatory cell infiltrates as determined by histology, without changes in gene expression of proinflammatory cytokines TNFalpha and interleukin 6. The increased expression of alpha-smooth muscle actin and transforming growth factor-beta1 emphasizes the role of myofibroblasts differentiation in case of lung fibrosis due to CBS deficiency in mice.

International Conference on Promotion of the Global Application of Decommissioning and Environmental Restoration Programmes; Conferencia Internacional sobre el Fomento de la Aplicacion global de Programas de Clausura y Restauracion Medioambiental

Energy Technology Data Exchange (ETDEWEB)

NONE

2016-08-01

The Conference on Promotion of the Global Application of Decommissioning and Environmental Restoration Programmes, organised by the International Atomic Energy Agency (IAEA) with CSN participation, was held in Madrid between May 23rd and 27th. (Author)

The Madrid School of Neurology (1885-1939).

Science.gov (United States)

Giménez-Roldán, S

2015-01-01

The emergence of neurology in Madrid between 1885 and 1939 had well-defined characteristics. On foundations laid by Cajal and Río-Hortega, pioneers combined clinical practice with cutting-edge neurohistology and neuropathology research. Luis Simarro, trained in Paris, taught many talented students including Gayarre, Achúcarro and Lafora. The untimely death of Nicolás Achúcarro curtailed his promising career, but he still completed the clinicopathological study of the first American case of Alzheimer's disease. On returning to Spain, he studied glial cells, including rod cells. Rodríguez Lafora described progressive myoclonus epilepsy and completed experimental studies of corpus callosum lesions and clinical and neuropathology studies of senile dementia. He fled to Mexico at the end of the Spanish Civil War (1936-1939). Sanchís Banús, a sterling clinical neurologist, described the first cluster of Huntington's disease in Spain, and he and Río-Hortega joined efforts to determine that pallidal degeneration underlies rigidity in advanced stages of the disease. Just after the war, Alberca Llorente eruditely described inflammatory diseases of the neuraxis. Manuel Peraita studied "the neurology of hunger" with data collected during the siege of Madrid. Dionisio Nieto, like many exiled intellectuals, settled in Mexico DF, where he taught neurohistological methods and neuropsychiatry in the tradition of the Madrid School of Neurology. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

20 cool facts about the New Madrid Seismic Zone-Commemorating the bicentennial of the New Madrid earthquake sequence, December 1811-February 1812 [poster

Science.gov (United States)

Williams, R.A.; McCallister, N.S.; Dart, R.L.

2011-01-01

This poster summarizes a few of the more significant facts about the series of large earthquakes that struck the New Madrid seismic zone of southeastern Missouri, northeastern Arkansas, and adjacent parts of Tennessee and Kentucky from December 1811 to February 1812. Three earthquakes in this sequence had a magnitude (M) of 7.0 or greater. The first earthquake occurred on December 16, 1811, at 2:15 a.m.; the second on January 23, 1812, at 9 a.m.; and the third on February 7, 1812, at 3:45 a.m. These three earthquakes were among the largest to strike North America since European settlement. The mainshocks were followed by many hundreds of aftershocks that occurred over the next decade. Many of the aftershocks were major earthquakes themselves. The area that was strongly shaken by the three main shocks was 2-3 times as large as the strongly shaken area of the 1964 M9.2 Alaskan earthquake and 10 times as large as that of the 1906 M7.8 San Francisco earthquake. Geologic studies show that the 1811-1812 sequence was not an isolated event in the New Madrid region. The 1811-1812 New Madrid earthquake sequence was preceded by at least two other similar sequences in about A.D. 1450 and A.D. 900. Research also indicates that other large earthquakes have occurred in the region surrounding the main New Madrid seismicity trends in the past 5,000 years or so.

Prevalence of heartworm in dogs and cats of Madrid, Spain.

Science.gov (United States)

Montoya-Alonso, José Alberto; Morchón, Rodrigo; Falcón-Cordón, Yaiza; Falcón-Cordón, Soraya; Simón, Fernando; Carretón, Elena

2017-07-26

Dirofilaria immitis causes heartworm disease, a chronic and potentially fatal cardiopulmonary disease which mainly affects dogs and cats. It is present in most of Spain, due to favourable climatic factors. Madrid, located in the centre of the Iberian Peninsula, is the most highly populated city in the country. There is a lack of current data on canine heartworm and there are no published epidemiological data regarding feline heartworm in this region, therefore the aim of this study was to assess the prevalence and current distribution of canine and feline dirofilariosis in the province of Madrid. Serum samples from 1716 dogs and 531 cats, from animals living in the metropolitan area of Madrid and adjacent areas, were studied. All the samples, either from cats and dogs, were tested for circulating D. immitis antigens using a commercial immunochromatographic test kit. Furthermore, to establish the seroprevalence of heartworm infection in cats, serological techniques for anti-D. immitis and anti-Wolbachia antibody detection were used. Prevalence of D. immitis in the canine population of Madrid was 3%, showing an increase in comparison to previous data. The presence of heartworm in the city centre could be influenced by the presence of Urban Heat Islands, while the positive dogs from metropolitan and adjacent areas were mainly located under the influence of rivers. Regarding cats, 0.2% were positive to the antigens test and 7.3% were seropositive to both anti-D. immitis and Wolbachia surface protein antibodies, which demonstrate the presence of feline heartworm in Madrid. Seropositive cats were present in the same areas where positive dogs were found. Indoor/outdoor cats showed the highest seroprevalence whereas the lowest corresponded to indoor cats, demonstrating that prophylactic treatments should be carried out regardless of lifestyle. Infection was found in 2.2% of dogs and 6.7% of the cats < 1 year-old, which indicates that early preventive campaigns in puppies

Introduction to Pulmonary Fibrosis

Science.gov (United States)

... page: Introduction to Pulmonary Fibrosis What Is Pulmonary Fibrosis? Pulmonary fibrosis is a disease where there is scarring ... of pulmonary fibrosis. Learn more How Is Pulmonary Fibrosis Diagnosed? Pulmonary fibrosis can be difficult to diagnose, so it ...

Residencia para personas mayores en Villa del Prado, Madrid

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García-Vaquero Alvaro, Javier

2003-12-01

Full Text Available Basic faci lities fo r socia l serv ices. Building designed as a home fo r the elderly, with 120 beds plus adult day care service for 40 seniors; erected under an agreement between the Madrid Housing Institute (IVIMA and the Regional Department ofFamily Affairs and Social Services in a small tOWlI in the region ofMadrid with a population of4.350. The design lends particular auention to zoning and spatial distribution based 0 11 a specific organisational chart as wel! as to daylight-related questions. The choice ofmaterials and colours is in keeping with the intended use ofthe building and the characteristics ofits users.Equipamiento Básico para Asistencia Social. Edificio destinado a Residencia pa ra Personas Mayores con una capacidad para 120 plazas residenciales con Centro de Estancias Diurnas para 40 plazas externas, realizado mediante Convenio entre el Instituto de la Vivienda de Madrid (IVIMA y la Consejeria de Familia y Servicios Sociales de la Comunidad de Madrid, en un pequeño municipio de esta Comunidad con una población de 4.350 habitantes. El proyecto dedica especial atención a la zonificación y a la distribució n espacial, en fu nci án de IIt I claro organigrama, y al manej o de la luz natural. La elección de materiales y colores se realiza en funci án del uso a que se destina el edificio ya las especiales características de sus usuarios.

Pulmonary Fibrosis Foundation

Science.gov (United States)

... submissions. MORE We Imagine a World Without Pulmonary Fibrosis The Pulmonary Fibrosis Foundation mobilizes people and resources to provide ... its battle against the deadly lung disease, pulmonary fibrosis (PF). PULMONARY FIBROSIS WALK SURPASSES PARTICIPATION AND FUNDRAISING GOALS Nearly ...

Assembly of Drift Tubes (DT) Chambers at CIEMAT (Madrid)

CERN Multimedia

Jesus Puerta-Pelayo

2003-01-01

The construction of muon drift tube chambers (DT) has been carried out in four different european institutes: Aachen (Germany), CIEMAT-Madrid (Spain), Legnaro and Turin (Italy), all of them following similar procedures and quality tests. Each chamber is composed by three or two independent units called superlayers, with four layers of staggered drift cells each. The assembly of a superlayer is a succesive glueing of aluminium plates and I-beams with electrodes previously attached, forming a rectangular and gas-tight volume. These pictures illustrate the various processes of material preparation, construction, equipment and assembly of full chambers at CIEMAT (Madrid).

Estacionamientos subterráneos, en Madrid

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López Saiz, J. M.

1969-02-01

Full Text Available Work on five underground parking sites in Madrid was initiated in September 1967. These parking sites were rented by the Madrid Town Council to the firm Estacionamientos Subterráneos, S. A. The engineering, design, and traffic and construction planning of these parking sites was allocated to Viales y Estacionamientos, S. A., whilst the actual construction was carried out by the firm Huarte y Cía., S. A. The five parking sites were located at the Paseo Calvo Sotelo, Plaza del Marqués de Salamanca, Plaza Mayor, Plaza de las Cortes and at Calle de Fuencarral, all within the centre of Madrid. These projects are of special interest, since each design represents an advance with respect to the earlier ones in regard to their structural and functional arrangements, with a view to achieving easier construction and less interference with road and pedestrian traffic. In the present article a description is given of each the five parking sites, following the sequence of their construction, which corresponds to the order in which they were design and planned.En septiembre de 1967 comenzaron las obras de cinco estacionamientos subterráneos en Madrid, adjudicadas por el Ayuntamiento en régimen de concesión a Estacionamientos Subterráneos, S. A. Los trabajos de ingeniería de tráfico, proyecto y control fueron encomendados a Viales y Estacionamientos, Sociedad Anteima (VIESA, y la ejecución de las obras se contrató con Huarte y Cía., S. A. Las ubicaciones de los estacionamientos cuya realización se comenta en este artículo son: Paseo de Calvo Sotelo, Plaza del Marqués de Salamanca - Plaza Mayor - Plaza de las Cortes - Calle de Fuencarral. Nos parece muy interesante exponer estas realizaciones, en las que se ve una clara evolución en su esquema estructural y la relación de éste con el esquema funcional, para lograr una mayor facilidad en la ejecución de las obras, junto con una interferencia mínima en superficie con los tráficos rodado y de

Burkholderia cepacia complex infection in an Adult Cystic Fibrosis unit in Madrid.

Science.gov (United States)

Correa-Ruiz, Ana; Girón, Rosa; Buendía, Buenaventura; Medina-Pascual, M José; Valenzuela, Claudia; López-Brea, Manuel; Sáez-Nieto, Juan Antonio

2013-12-01

Burkholderia cepacia complex have emerged as significant pathogens in cystic fibrosis (CF) patients due to the risk of cepacia syndrome and the innate multi-resistance of the microorganisms to antibiotics. The aim of this study was to describe the antimicrobial susceptibility profiles, the genotypes and subtypes of BCC, and the clinical evolution of CF patients with BCC. The lung function and Brasfield and Shwachman score were assessed in 12 patients. BCC were identified and susceptibility was studied by MicroScan (Siemens). Species and genospecies of BCC were confirmed by molecular methods in a Reference Centre (Majadahonda). BCC were identified in 12 of 70 patients (17.1%) over a ten year period. The mean age to colonization by BCC was 24.4 years (SD: 7.71). B. cenocepacia was isolated in 4 patients (33.3%), B. contaminans was isolated in 3 patients (25%), both B. vietnamiensis and B. stabilis were isolated in 2 patients (16.7%), and B. cepacia, B. multivorans and B. late were isolated in one patient (8.3%). Among the B. cenocepacia, subtype IIIa was identified in two strains, and subtype IIIb was identified in the other two strains. There was susceptibility to meropenem in 90% of BCC, 80% to cotrimoxazole, 60% to minocycline, 50% to ceftazidime, and 40% to levofloxacin. B. cenocepacia was the most prevalent species among the BCC isolated in CF adult patients, and subtypes IIIa and IIIb were identified in the 50% of the strains. Meropenem and cotrimoxazole showed the best activity. Copyright © 2012 Elsevier España, S.L. All rights reserved.

Sobre la inestabilidad de terrenos arenosos en túneles de Madrid perforados con tuneladora

OpenAIRE

Arnaiz Ronda, Manuel

2011-01-01

En la presente Memoria se presentan varias investigaciones de carácter técnico sobre los problemas de inestabilidad en túneles perforados con tuneladoras E.P.B. en los suelos arenosos de Madrid. Los principales estudios desarrollados son los siguientes: Análisis de las propiedades geotécnicas de Madrid, con especial consideración de los suelos arenosos (de bajo contenido de finos). Como resultado de estos estudios se propone una nueva clasificación de los suelos de Madrid, desde el punto de v...

Antonio Quilis, La concodancia gramatiaal en Za Zengua espanola hablada en Madrid, C. S. I. C., Madrid 1983, pags. 128

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Mitja Skubic

1983-01-01

Full Text Available El libra de Antonio Quilis, de poco más de cien páginas, nos ofrece los resultados de las encuestas sabre la concordancia sintáctica en el habla de Madrid. El Autor que es también cultivador y conocedor de la fonética del español­ pensemos en su importante trabajo sobre la fonética acústica de la lengua española (Gredos, Madrid 1981 - vuelve aqué a su vocacion de sintáctico, visible en sus trabajos sabre la estructura del español la edición de la Gramática de Nebri­ja y en el amor con que cuidó la presentación al mundo de habla castellana de las obras de B. Pottier.

El Madrid inquisitorial en la España del Siglo de Oro

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Rose, Constance H.

2001-06-01

Full Text Available The Madrid of Lope de Vega, Calderón de la Barca and other figures of Spain's Golden Age is also the Madrid of the fearsome Inquisition directed against the influx of Portuguese Jews and against native New Christians of Jewish background, often merchants whose work allowed them to circulate throughout Europe and North Africa. Eradication or true conversion were the only solutions proposed by the Holy Office. Since those conversos who fled Spain left no record dealing with their daily lives in Inquisitorial Madrid, the best source for obtaining such Information and for recreating the atmosphere of the era is the Holy Office itself. Accordingly, the author examines the reports written to the king by the civil servants and/or church officials charged with creating three spectacular autos de fe carried out in the Plaza Mayor: one in 1632 and two in 1680.

El Madrid de Lope de Vega, Calderón de la Barca y otras figuras del Siglo de Oro español es también el Madrid del terror inquisitorial, dirigido contra los recién llegados judíos portugueses y los cristianos nuevos madrileños, de origen judío, muchos de ellos mercaderes cuyo trabajo les llevaba a viajar por toda Europa y el norte de África. El Santo Oficio no les permitía más opciones que la desaparición física o la conversión sincera. Como aquellos que huyeron del país no dejaron nada escrito sobre su vida cotidiana en este Madrid inquisitorial, la mejor fuente para obtener esta información y recrear el ambiente de la época es el Santo Oficio mismo. Por ello, la autora examina los informes dirigidos al Rey por los oficiales reales y/o inquisidores, encargados de la organización de tres espectaculares autos de fe que tuvieron lugar en la Plaza Mayor, uno en 1632 y dos en 1680.

La Asociación Alonso Quijano de Madrid: participación social en la salud mental The Alonso Quijano of Madrid Association: social participation in mental health

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Juan Carlos Casal Álvarez

2011-12-01

Full Text Available Este artículo recoge las experiencias personales y asociativas con la Asociación Alonso Quijano de Madrid que he vivido desde el año 2002. La Asociación Alonso Quijano está inscrita en el registro de Asociaciones de la Comunidad de Madrid, se fundó en el año 1999. La Asociación Alonso Quijano es una Asociación para acompañar, apoyar y reflexionar en la experiencia de la locura. Desde su fundación el rol que asumen los participantes es el de ciudadanos con los mismos derechos y obligaciones y sin poner etiquetas. Es una asociación donde la participación de las personas con problemas de salud mental es muy relevante.This article, brings together, the individual and collective experiences that I had the opportunity to experience with the Alonso Quijano of Madrid Association since 2002. The Alonso Quijano Association is registered in the Official Association Register of the Madrid Local Government,and was established in 1999. Alonso Quijano Association is an association to monitor, support and reflect on the experience of madness. Since its origins, the members asume the rol of citizens with the same rights and obligations without labelling anybody. It is an association where the involvement of people with mental health problems is very important.

Edificio Foster Wheeler. Madrid/España

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Arangüena, José María

1988-04-01

Full Text Available This article describes in detail the characteristics of a building in Madrid whose structure, in reinforced concrete, is set into the foundation with individual footings. Services are found in a nucleus made up of a concrete element, designed to stabilize the whole of the structure with respect to horizontal forces. All parts of the building have been designed and constructed in accordance with existing regulations.

Este artículo describe, con detalle, las características de un edificio construido en Madrid, cuya estructura se tía realizado en hormigón armado y cimentada sobre el suelo mediante zapatas individuales. El núcleo donde se encuentran los servicios es un elemento de hormigón, cuya misión estructural consiste en estabilizar el conjunto de la estructura frente a los esfuerzos horizontales. Todos los elementos del edificio han sido realizados de acuerdo con la Normativa Vigente.

Familial Pulmonary Fibrosis

Science.gov (United States)

... Education & Training Home Conditions Familial Pulmonary Fibrosis Familial Pulmonary Fibrosis Make an Appointment Find a Doctor Ask a ... more members within the same family have Idiopathic Pulmonary Fibrosis (IPF) or any other form of Idiopathic Interstitial ...

Physical exercise training for cystic fibrosis.

Science.gov (United States)

Radtke, Thomas; Nevitt, Sarah J; Hebestreit, Helge; Kriemler, Susi

2017-11-01

Physical exercise training may form an important part of regular care for people with cystic fibrosis. This is an update of a previously published review. To assess the effects of physical exercise training on exercise capacity by peak oxygen consumption, pulmonary function by forced expiratory volume in one second, health-related quality of life and further important patient-relevant outcomes in people with cystic fibrosis. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings.Date of the most recent search: 04 May 2017.We searched ongoing trials registers (clinicaltrials.gov and the WHO ICTRP). Date of most recent search: 10 August 2017. All randomised and quasi-randomised controlled clinical trials comparing exercise training of any type and a minimum duration of two weeks with conventional care (no training) in people with cystic fibrosis. Two authors independently selected studies for inclusion, assessed methodological quality and extracted data. The quality of the evidence was assessed using the GRADE system. Of the 83 studies identified, 15 studies which included 487 participants, met the inclusion criteria. The numbers in each study ranged from nine up to 72 participants; two studies were in adults, seven were in children and adolescents and six studies included all age ranges. Four studies of hospitalised participants lasted less than one month and 11 studies were outpatient-based, lasting between two months and three years. The studies included participants with a wide range of disease severity and employed differing levels of supervision with a mixture of types of training. There was also wide variation in the quality of the included studies.This systematic review shows very low- to low-quality evidence from both short- and long-term studies that in people

Gymkhana Matemática para estudiantes universitarios por la Ciudad Universitaria de Madrid

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Mª Dolores López González

2011-10-01

Full Text Available Este artículo recoge la experiencia del Grupo de Innovación Educativa(GIE “Pensamiento Matemático” de la Universidad Politécnica de Madrid(UPM en la realización de una Gymkhana Matemática por el campus deMoncloa en la Ciudad Universitaria de Madrid que tuvo lugar el 30 de septiembre de 2011.

Regional water footprint and water management: the case of Madrid region (Spain)

OpenAIRE

Soler Rovira, José; Arroyo Sanz, Juan Manuel; Conde Marcos, Hugo; Sanz Zudaire, Carlos; Mesa Moreno, Alfredo; Gil Pascual, Sergio

2010-01-01

Water resources and water footprint of the production and consumption in Madrid region were estimated, considering blue water (water resources), green water (soil moisture), grey water (polluted water) and virtual water (water trade in products imported and exported in the region). Water resources in Madrid relay mainly in surface waters and rainfall, so the periodic occurrence of meteorological droughts implies the scarcity of water supply. The main users of blue water are households, munici...

Pasarela metálica sobre la C. N. III, Madrid-Valencia

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Rodríguez-Borlado Olavarrieta, Ramiro

1967-03-01

Full Text Available The footbridge over the C. N. Ill , Madrid-Valencia road, near Madrid, enables pedestrians to cross the motor road where the latter runs between Moratalaz and Vallecas, without impeding the road traffic. The adoption of an elevated pass is convenient, since at this section the road runs along a deep trench. The structure of the footpath is a continuous metallic box girder, resting on five rectangular metal supports, and two end concrete abutments. The total length of the bridge is 100 m, and the width of the platform is 2.40 m. The project took one month to complete.La pasarela sobre la C. N. III, Madrid-Valencia, en la autopista de acceso a Madrid, permite el paso de peatones entre los barrios de Moratalaz y Vallecas sin interferir el tráfico rodado. La solución de paso superior resulta conveniente, ya que la autopista discurre en trinchera en el lugar de ubicación de esta obra. La estructura está formada por una viga metálica continua de sección en cajón, apoyada sobre cinco soportes rectangulares metálicos y dos estribos de hormigón armado. La obra tiene una longitud total de aproximadamente 100 m y el ancho de la plataforma es de 2,40 metros. El plazo de realización de la obra ha sido de un mes aproximadamente.

Los Chalcidoidea (Hymenoptera asociados con agallas de Cinípidos (Hymenoptera, Cynipidae en la Comunidad de Madrid

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Gómez, J. F.

2006-05-01

Full Text Available Information about the chalcid wasp parasitoid community (Hymenoptera, Chalcidoidea associated with galls of Cynipidae in Madrid (Spain is compiled and updated. Studied material includes more than 1000 published and unpublished records from samplings in 80 sites in the Madrid region carried out over twenty three years by the research team. A check-list of 121 species, 19 of them provisionally identified, from 6 families of Chalcidoidea is provided as follows: 26 Eurytomidae, 27 Torymidae, 9 Ormyridae, 33 Pteromalidae, 9 Eupelmidae and 17 Eulophidae. Ormyrus rufimanus Mayr, 1904 and Idiomacromerus semiaeneus (Szelenyi, 1957 are recorded for the first time in the Iberian Peninsula. For each family and genus of Chalcidoidea data are given on biology, diversity and distribution in Comunidad de Madrid. The composition of the chalcid wasp parasitoid community associated with gall wasps in Comunidad de Madrid is discussed and compared to the same community data from the Iberian Peninsula and the Western Palaearctic. Species from the Iberian community of chalcid parasitoids that are missing from Madrid region, exclusive species and potentially present species are also commented upon. Finally two appendices are presented as follows: a list of the Chalcidoidea species reared from 73 different galls made by 71 cynipid species from Madrid with associated parasitoid records, and a final appendix with full record data of all studied material, including information on the sampling localities with X, Y georeferenced coordinates, host galls and host plants.

Se compila y actualiza la información existente sobre la comunidad parasitoide de Chalcidoidea, asociada a agallas de cinípidos (Hymenoptera, Cynipidae en la Comunidad de Madrid. Los datos corresponden a más de 1000 registros, tanto de datos publicados, como inéditos, correspondientes a colectas en 80 localidades de Madrid efectuadas por el equipo investigador a lo largo de 23 a

NATIONAL AND SUB-NATIONAL OFFSHORING IMPACT ON EMPLOYMENT: AN APPLICATION TO MADRID REGION

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María Ángeles Tobarra Gómez

2016-07-01

Full Text Available The effect of delocalization on a national economy has been widely studied, however subnational delocalization remains as an unvisited field for researchers. This paper studies the effects of fragmentation and the subsequent localization outside or abroad on the level of industrial and services employment in Madrid region. We work with Madrid data from regional input-output tables and estimate a labour demand function using panel data. Our results show a significant and small negative effect on regional employment of intra-industrial inputs from the national economy and abroad, while imported inputs from other sectors and origins are complementary to employment, resulting in a positive net effect on employment. The increasing specialization in main activities and the use of external providers by firms have a positive impact on the employment of Madrid region.

El Abasto de Pan en el Madrid del Siglo XVII Bread provision in seventeenth century Madrid

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José Ignacio ANDRÉS UCENDO

2012-12-01

Full Text Available El mercado del pan era el más importante de los mercados de abastos, pero también el que contaba con el más complejo sistema de intervención. Los objetivos de la política de abastos eran asegurar un suministro continuo a precios estables y moderados.Los instrumentos incluían la regulación de los precios del grano y el pan, la provisión directa a través del pósito municipal y, en el caso de la corte, el pan de registro. En este trabajo examinamos la política de tasas, las disposiciones del gobierno y el comportamiento de los precios del pan en Madrid y del trigo en los mercados de origen.Bread market was the most important provision markets, so the complexity of intervention system. The aim of provision policy was to guarantee the continuous supply of bread at moderate and stable prices. The means included the regulation the price, the direct provision by the public granary and, in the case of the court, the named registered bread. This paper examines the tax policy, the government requirements and the movement of bread prices in Madrid and wheat prices in the markets of origin.

Proceedings of the Spanish Conference on e-Science Grid Computing. March 1-2, 2007. Madrid (Spain)

International Nuclear Information System (INIS)

Casado, J.; Mayo, R.; Munoz, R.

2007-01-01

The Spanish Conference on e-Science Grid Computing and the EGEE-EELA Industrial Day (http://webrt.ciemat.es:8000/e-science/index.html) are the first edition of this open forum for the integration of Grid Technologies and its applications in the Spanish community. It has been organised by CIEMAT and CETA-CIEMAT, sponsored by IBM and HP and supported by the European Community through their funded projects EELA, EUChinaGrid and EUMedGrid. To all of them, the conference is very grateful. e-Science is the concept that defines those activities developed by using geographically distributed resources, which scientists (or whoever) can access through the Internet. However, commercial Internet does not fulfil resources such as calculus and massive storage -most frequently in demand in the field of e-Science- since they require high-speed networks devoted to research. These networks, alongside the collaborative work applications developed within them, are creating an ideal scenario for interaction among researchers. Thus, this technology that interconnects a huge variety of computers, information repositories, applications software and scientific tools will change the society in the next few years. The science, industry and services systems will benefit from his immense capacity of computation that will improve the quality of life and the well-being of citizens. The future generation of technologies, which will reach all of these areas in society, such as research, medicine, engineering, economy and entertainment will be based on integrated computers and networks, rendering a very high quality of services and applications through a friendly interface. The conference aims at becoming a liaison framework between Spanish and International developers and users of e-Science applications and at implementing these technologies in Spain. It intends to be a forum where the state of the art of different European projects on e- Science is shown, as well as developments in the research

«El corazón de Madrid».

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Esteban Tabares

2014-11-01

Full Text Available EL SERVICIO DE MEDIACIÓN SOCIAL INTERCULTURAL (SEMSI: Una experiencia de mediación comunitaria en el ámbito de las migraciones y la convivencia intercultural. 1997-2002. Ayuntamiento de Madrid. Área de Servicios Sociales.

EL PROTOCOLO DE MADRID Y EL RÉGIMEN DE LAS FRANQUICIAS EN COLOMBIA

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Rodrigo Plazas

2013-01-01

Full Text Available El estudio que se presenta a continuación hace parte del proyecto de investigación El Proto - colo de Madrid como elemento dinamizador de las franquicias en Colombia, siendo en esencia un avance parcial que tiene por objetivo establecer los elementos teóricos sustancia - les del Protocolo de Madrid, así mismo su aplicación sobre la normatividad referente a las marcas, registro marcario y las franquicias. Este artículo hace un análisis sobre los elementos que hacen posible la relevancia jurídica del Protocolo de Madrid. En las marcas se destacan los aspectos constitutivos y su desarrollo histórico. Finalmente, se hace un análisis sobre la franquicia como dinamizador de las relaciones comerciales en las actuales condiciones creadas por el desarrollo tecnológico.

Marfiles Coptos en Valdetorres de Jarama (Madrid

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Marta Carrasco

2018-01-01

Full Text Available Presentation of a series of carved ivory coming from the villa de Valdetorres de Jarama, Madrid. All of them seemed to be imported pieces coming from Egypt, and could be dated between the late fourth century and the first half of the fifth century a.C. We could theoretically reconstruit chests or decorative panels with them.

Cystic Fibrosis (CF): Chloride Sweat Test

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... on this topic for: Parents Kids Teens Cystic Fibrosis Cystic Fibrosis and Nutrition Cystic Fibrosis (CF) Respiratory Screen: Sputum Cystic Fibrosis: Diet and Nutrition Cystic Fibrosis Cystic Fibrosis: Diet and Nutrition View more Partner Message ...

Epithelial-Mesenchymal Transition in Tissue Repair and Fibrosis

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Stone, Rivka C.; Pastar, Irena; Ojeh, Nkemcho; Chen, Vivien; Liu, Sophia; Garzon, Karen I.; Tomic-Canic, Marjana

2016-01-01

Epithelial-mesenchymal transition (EMT) describes the global process by which stationary epithelial cells undergo phenotypic changes, including loss of cell-cell adhesion and apical-basal polarity, and acquire mesenchymal characteristics which confer migratory capacity. EMT and its converse, MET (mesenchymal-to-epithelial transition), are integral stages of many physiologic processes, and as such are tightly coordinated by a host of molecular regulators. Converging lines of evidence have identified EMT as a component of cutaneous wound healing, during which otherwise stationary keratinocytes - the resident skin epithelial cells - migrate across the wound bed to restore the epidermal barrier. Moreover, EMT also plays a role in the development of scarring and fibrosis, as the matrix-producing myofibroblast arises from cells of epithelial lineage in response to injury but is pathologically sustained instead of undergoing MET or apoptosis. In this review, we summarize the role of EMT in physiologic repair and pathologic fibrosis of tissues and organs. We conclude that further investigation into the contribution of EMT to the impaired repair of fibrotic wounds may identify components of EMT signaling as common therapeutic targets for impaired healing in many tissues. PMID:27461257

García Ballesteros, A., dir., 2006: Inmigrantes emprendedores en la Comunidad de Madrid [Reseña bibliográfica

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Cebrián, Juan A.

2007-01-01

Es reseña de : CEBRIÁN, J. A. (2007), “Instituto de Estadística, 2005: Atlas Estadístico de la Comunidad de Madrid 2005, Madrid, Consejería de Economía e Innovación Tecnológica, Comunidad de Madrid, 199 páginas”

Dinámicas de ocupación urbana del anillo verde metropolitano de Madrid = Urban occupation dynamics of Madrid´s Metropolitan Greenbelt

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Lourdes Jiménez Garcinuño

2017-05-01

ABSTRACT: The Metropolitan Greenbelt was defined by the 1963 Master Plan for the Madrid Metropolitan Area (MMA, following established international models of urban development, as the structural framework of the MMA, the principal open space within its network of open spaces and a public area of recreation and contact with nature for the residents of Madrid. However, it had become a reserve of land in which various alliances between the institutional authorities and the dominant social class, have been operating on the margin of the original plan, exposing a scarcity of legal and cultural resources for the safeguarding of common interests, and in which the geographical and natural characteristics of the territory itself have come to play an influential role in the functional specialization and spatial segregation of the MMA.

Valuation of social and health effects of transport-related air pollution in Madrid (Spain)

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Monzon, Andres; Guerrero, Maria-Jose [Transport Department, Universidad Politecnica de Madrid, Escuela Tecnica Superior de Ingenieros de Caminos, C. y P., Caminos, Ciudad Universitaria, s/n, 28040 Madrid (Spain)

2004-12-01

Social impacts of pollutants from mobile sources are a key element in urban design and traffic planning. One of the most relevant impacts is health effects associated with high pollution periods. Madrid is a city that suffers chronic congestion levels and some periods of very stable atmospheric conditions; as a result, pollution levels exceed air quality standards for certain pollutants.This paper focuses on the social evaluation of transport-related emissions. A new methodology to evaluate those impacts in monetary terms has been designed and applied to Madrid. The method takes into account costs associated with losses in working time, mortality and human suffering; calculated using an impact pathway approach linked to CORINAIR emissions. This also allows the calculation of social costs associated with greenhouse gas impacts. As costs have been calculated individually by effect and mode of transport, they can be used to design pricing policies based on real social costs. This paper concludes that the health and social costs of transport-related air pollution in Madrid is 357 Meuro. In these circumstances, the recent public health tax applied in Madrid is clearly correct and sensible with a fair pricing policy on car use.

Valuation of social and health effects of transport-related air pollution in Madrid (Spain)

International Nuclear Information System (INIS)

Monzon, Andres; Guerrero, Maria-Jose

2004-01-01

Social impacts of pollutants from mobile sources are a key element in urban design and traffic planning. One of the most relevant impacts is health effects associated with high pollution periods. Madrid is a city that suffers chronic congestion levels and some periods of very stable atmospheric conditions; as a result, pollution levels exceed air quality standards for certain pollutants. This paper focuses on the social evaluation of transport-related emissions. A new methodology to evaluate those impacts in monetary terms has been designed and applied to Madrid. The method takes into account costs associated with losses in working time, mortality and human suffering; calculated using an impact pathway approach linked to CORINAIR emissions. This also allows the calculation of social costs associated with greenhouse gas impacts. As costs have been calculated individually by effect and mode of transport, they can be used to design pricing policies based on real social costs. This paper concludes that the health and social costs of transport-related air pollution in Madrid is 357 Meuro. In these circumstances, the recent public health tax applied in Madrid is clearly correct and sensible with a fair pricing policy on car use

El «Teatro Francés» de Madrid (1851-1861

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Ojeda, Pedro

2003-12-01

Full Text Available The objective of this study is to analize the French plays staged by French troupes in Madrid between 1851 and 1861 and the repercussion it had on the Spanish theater of that time. During these nine seasons theater-lovers had the opportunity to see nearly 400 French works in their original version, the titles of which are to be found in an appendix to this study. The works can be catalogued in a variety of subgenres —comedies, dramas, operas, operettas, etc.—, but Madrid theater-goers preferred vaudeville.El objetivo de este trabajo es el análisis del teatro francés representado por compañías francesas en Madrid en la década de 1851 a 1861 y las repercusiones que tuvo para el mundo teatral de la época. En este período, durante nueve temporadas, los aficionados al teatro pudieron presenciar la puesta en escena de cerca de cuatrocientos textos dramáticos en francés, cuyos títulos se ofrecen en un apéndice. Aunque se ejecutaron comedias, dramas, óperas, operetas y otras modalidades, el género preferido fue el vaudeville.

Hepatitis B virus infection and vaccine-induced immunity in Madrid (Spain).

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Pedraza-Flechas, Ana María; García-Comas, Luis; Ordobás-Gavín, María; Sanz-Moreno, Juan Carlos; Ramos-Blázquez, Belén; Astray-Mochales, Jenaro; Moreno-Guillén, Santiago

2014-01-01

To estimate the prevalence of hepatitis B virus (HBV) infection and vaccine-induced immunity in the region of Madrid, and to analyze their evolution over time. An observational, analytical, cross-sectional study was carried out in the population aged 16-80 years between 2008 and 2009. This was the last of four seroprevalence surveys in the region of Madrid. The prevalence of HBV infection and vaccine-induced immunity was estimated using multivariate logistic models and were compared with the prevalences in the 1989, 1993 and 1999 surveys. In the population aged 16-80 years, the prevalence of HBV infection was 11.0% (95% CI: 9.8-12.3) and that of chronic infection was 0.7% (95% CI: 0.5-1.1). The prevalence of vaccine-induced immunity in the population aged 16-20 years was 73.0% (95% CI: 70.0-76.0). Compared with previous surveys, there was a decrease in the prevalence of HBV infection. Based on the prevalence of chronic infection (<1%), Madrid is a region with low HBV endemicity. Preventive strategies against HBV should especially target the immigrant population. Copyright © 2013. Published by Elsevier Espana.

Cystic fibrosis: case report

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Park, Si Hyun; Lee, Hyun Ju; Kim, Ji Hye; Park, Chol Heui

2002-01-01

Cystic fibrosis is an autosomal recessive genetic disease. Among Caucasians, it is the most common cause of pulmonary insufficiency during the first three decades of life. The prevalence of cystic fibrosis varies according to ethnic origin: it is common among Caucasians but rare among Asians. We report a case in which cystic fibrosis with bronchiectasis and hyperaeration was revealed by high-resolution CT, and mutation of the cystic fibrosis conductance transmembrane regulator gene (CFTR) by DNA analysis

Cystic fibrosis: case report

International Nuclear Information System (INIS)

Park, Si Hyun; Lee, Hyun Ju; Kim, Ji Hye; Park, Chol Heui

2002-01-01

Cystic fibrosis is a autosomal recessive genetic disease. Among caucasians, it is the most common cause of pulmonary insufficiency during the first three decades of life. The prevalence of cystic fibrosis varies according to ethnic origin: it is common among caucasians but rare among Asians. We report a case in which cystic fibrosis with bronchiectasis and hyperaeration was revealed by high-resolution CT, and mutation of the cystic fibrosis conductance transmembrane regulator gene (CFTR) by DNA analysis

La ampliación del Metro en la periferia de Madrid (1999-2011

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Miguel Á Alonso-Neira

2013-09-01

Full Text Available El crecimiento de población y empleo en la metrópoli de Madrid implica un aumento de la movilidad y de su complejidad. Este trabajo analiza cómo influye esta situación en el planeamiento de los transportes públicos del gobierno de Madrid, cuyo principal esfuerzo inversor se ha centrado desde 1999 en la ampliación de la red de Metro hacia los municipios que rodean la ciudad. El análisis de la eficiencia de estas ampliaciones ofrece los siguientes resultados: i el menor coste de la inversión de metro ligero ha permitido reducir los problemas financieros de los gobiernos madrileños; y ii la demanda por los nuevos servicios de transporte aumenta durante los primeros años, aunque desciende posteriormente. Estas conclusiones sugieren la complejidad de las decisiones económicas y políticas de estas ampliaciones, adaptadas a la evolución policéntrica y dispersa de Madrid.

Biomonitoring of exposure to environmental pollutants in newborns and their parents in Madrid, Spain (BioMadrid: study design and field work results Biomonitorización de la exposición a contaminantes ambientales en recién nacidos y sus progenitores en Madrid (BioMadrid: diseño del estudio y resultados del trabajo de campo

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Nuria Aragonés

2008-10-01

Full Text Available In Spain environmental surveillance has mainly relied on measures of selected pollutants in air, water, food and soil. A study was conducted in Madrid to assess the feasibility of implementing a surveillance system of exposure among the general population to specific environmental pollutants, using bio-markers. The project was basically focused on the environment surrounding newborns. Hence, the study population was made up of 145 triplets of pregnant women at around 8 months' gestation, their partners, and newborns from two areas, representing the two main types of urban environments in the region, i.e., the City of Madrid and its outlying metropolitan belt. Multiple biologic substrates were collected from each participant in order to assess the most suitable samples for an environmental surveillance system. The selected contaminants represent the main agents to which a population like that of Madrid is exposed every day, including certain heavy metals, persistent organic pollutants and polycyclic aromatic hydrocarbons, as well as micronuclei in peripheral blood, a commonly used unspecific index of cytogenetic damage. In addition, passive air samplers were placed around subjects' place of residence. This paper reports in detail on the design and response rates, summarizes field work results, and discusses some lessons learned.En España, la vigilancia medioambiental se basa principalmente en medidas de ciertos contaminantes en muestras de aire, agua, alimentos y suelos. En Madrid se ha realizado un estudio para valorar la posibilidad de poner en marcha un sistema de vigilancia de exposiciones a contaminantes ambientales en la población general utilizando biomarcadores. El proyecto ha tenido como eje el estudio del entorno de los recién nacidos. Por tanto, la población de estudio la constituyen 145 «tríos» formados por mujeres en su octavo mes de embarazo, sus parejas y los recién nacidos de dos áreas geográficas, que representan los

Red Palinocam: vigilancia en Madrid del polen aerovagante

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Patricia Cervigón Morales

2005-12-01

Full Text Available El Programa Regional de Control y Prevención del Asma surge en el año 1992. El programa abordaba una estrategia con cuatro grandes áreas, entre ellas la Vigilancia Ambiental, que en el año 1993 formalizó la Red Palinológica de la Comunidad de Madrid (Red Palinocam. La red se constituye mediante la creación de un comité de expertos, coordinado desde el Instituto de Salud Pública, bajo la dirección técnica de la Facultad de Farmacia de la Universidad Complutense y está integrado por representantes de cada una de las instituciones involucradas. El marco jurídico se completa con acuerdos firmados con los ayuntamientos y con un convenio de colaboración entre la Universidad Complutense de Madrid y la Consejería de Sanidad y Consumo.El objetivo prioritario, basado en la red de muestreo de polen para el territorio de la Comunidad de Madrid, es el conocimiento del contenido polínico de su atmósfera que incide sobre la población afectada de polinosis en cada zona de nuestra área geográfica y en cada momento del año, datos de gran interés desde Salud Pública.La Red Palinocam constituye una herramienta útil en Salud Pública, proporcionando información puntual, a través de Internet y del Servicio de Información Telefónica, durante todo el año de los muestreos aerobiológicos realizados. Así las personas que sufren problemas de alergia y los profesionales sanitarios que se encargan de sus cuidados y los distintos medios de comunicación, pueden conocer los tipos polínicos más frecuentes en cada momento y su concentración en el aire ambiente.

Gestión municipal de plagas urbanas. El caso de Madrid Urban pest management. A Madrid case study Gestão municipal das pragas urbanas. O caso de Madrid

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José María Cámara Vicario

2013-06-01

Full Text Available La gestión de avisos por plagas es un componente habitual de los programas de control de plagas en una ciudad por lo que los gestores municipales de estas actividades normalmente desarrollan procedimientos para la captación, la atención y la explotación de los datos resultantes, lo que ayuda con otras actuaciones en paralelo, a mejorar la calidad de la Salud Pública.El estudio que aquí presentamos aborda la metodología diseñada y puesta en funcionamiento por el Ayuntamiento de Madrid para controlar y gestionar la presencia de plagas en la ciudad. La larga experiencia (más de 100 años del Ayuntamiento y su apuesta por la incorporación de tecnologías novedosas en el control y gestión de plagas, ha permitido extraer una serie de lecciones aprendidas que pretende servir de guía y modelo para ciudades en donde los servicios de salud pública no hayan aun incorporado estos métodos.Citizens’ reports of sightings of undesirable animals are a common component of pest control programmes in a city. For this reason, local authorities tend to develop procedures for the capture and analysis of the resulting data sets based on these reported sightings. These procedures in turn contribute to the development of other initiatives aimed at improving public health conditions. The study presented here focuses on the methodology designed and implemented by the Madrid City Council for controlling and managing the presence of urban pests.The long experience (over 100 years of the City Council and its commitment to the incorporation of new technologies have allowed a number of important lessons to be learnt in pest control and management, which may be useful as a guide and model for cities where public health services have not yet incorporated these methods.Os anúncios para a gestão de pragas é um componente comum nos programas de controlo de pragas nas cidades, por isso, os gestores municipais dessas atividades costumam desenvolver procedimentos

Epithelial-mesenchymal transition in tissue repair and fibrosis.

Science.gov (United States)

Stone, Rivka C; Pastar, Irena; Ojeh, Nkemcho; Chen, Vivien; Liu, Sophia; Garzon, Karen I; Tomic-Canic, Marjana

2016-09-01

The epithelial-mesenchymal transition (EMT) describes the global process by which stationary epithelial cells undergo phenotypic changes, including the loss of cell-cell adhesion and apical-basal polarity, and acquire mesenchymal characteristics that confer migratory capacity. EMT and its converse, MET (mesenchymal-epithelial transition), are integral stages of many physiologic processes and, as such, are tightly coordinated by a host of molecular regulators. Converging lines of evidence have identified EMT as a component of cutaneous wound healing, during which otherwise stationary keratinocytes (the resident skin epithelial cells) migrate across the wound bed to restore the epidermal barrier. Moreover, EMT plays a role in the development of scarring and fibrosis, as the matrix-producing myofibroblasts arise from cells of the epithelial lineage in response to injury but are pathologically sustained instead of undergoing MET or apoptosis. In this review, we summarize the role of EMT in physiologic repair and pathologic fibrosis of tissues and organs. We conclude that further investigation into the contribution of EMT to the faulty repair of fibrotic wounds might identify components of EMT signaling as common therapeutic targets for impaired healing in many tissues. Graphical Abstract Model for injury-triggered EMT activation in physiologic wound repair (left) and fibrotic wound healing (right).

Charles Richard de Beauregard and the treatment of blennorrhagic urethral stenosis in Madrid in the 18th century: Advertising, secrecy and deception.

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Gómiz, J J; Galindo, I

2015-12-01

Describe the introduction of the treatment for blennorrhagic urethral stenosis in the city of Madrid in the 18th century by the French surgeon Charles de Beauregard, the formulations employed in the preparation of his personal «bougies», the advertising in the press, their marketing and distribution. Nonsystematic review of the Madrid newspaper Gaceta de Madrid y Diario curioso, erudito, económico y comercial (Madrid Gazette, curious, erudite, financial and commercial) between 1759 and 1790. Review of the medical literature of the 18th century preserved in the Fondo Antiguo of the Biblioteca Histórica of Universidad Complutense de Madrid (Historical Resource of the Historical Library of the Complutense University of Madrid). A Google search of «Charles Richard de Beauregard». Charles de Beauregard focused his professional work mainly on the treatment of the urethral sequela of blennorrhagia, phimosis and paraphimosis. He introduced to 18th century Spanish society (with purported originality and clear commercial interests) therapeutic methods based on lead acetate that had already been developed in France by Thomas Goulard. The urethral sequela of diseases such as blennorrhagic urethritis, stenotic phimosis and paraphimosis were highly prevalent in 18th century Madrid and required complex solutions for the practice of urology of that era. Charles de Beauregard introduced innovative but not original treatments that were invasive but not bloody and that provided him with fame and social prestige. He advertised his professional activity and marketed his therapeutic products through advertisements submitted to the daily press (Madrid Gazette, Gaceta de Madrid). Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

En el Madrid de capa y espada de Ruiz de Alarcón

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Vega García-Luengos, Germán

2002-01-01

Producción Científica El estudio abarca las siete comedias de Ruiz de Alarcón cuya acción se enmarca en Madrid: La culpa busca la pena, Los empeños de un engaño, Los favores del mundo, Mudarse por mejorarse, Las paredes oyen, Todo es ventura y La verdad sospechosa. Se analiza el tratamiento de los diferentes espacios desde el punto de vista dramático y escénico. También se considera el Madrid que reflejan estas siete comedias de capa y espada.

Lung Fibroblasts, Aging, and Idiopathic Pulmonary Fibrosis.

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Pardo, Annie; Selman, Moisés

2016-12-01

Idiopathic pulmonary fibrosis (IPF) is an aging-associated, progressive, and irreversible lung disease of unknown etiology, elusive pathogenesis, and very limited therapeutic options. The hallmarks of IPF are aberrant activation of alveolar epithelial cells and accumulation of fibroblasts and myofibroblasts along with excessive production of extracellular matrix. The linkage of aging with this disorder is uncertain, but a number of changes associated with aging, including telomere attrition, cell senescence, and mitochondrial dysfunction, have been revealed in IPF lungs. Also, aging seems to confer a profibrotic phenotype upon fibroblasts and to increase the severity of the fibrogenic response in non-IPF fibrotic lung disorders. Better knowledge of the pathophysiological mechanisms linking aging to IPF will advance understanding of its pathogenesis and may provide new therapeutic windows to treatment of this devastating disease.

Ursodeoxycholic acid for cystic fibrosis-related liver disease.

Science.gov (United States)

Cheng, Katharine; Ashby, Deborah; Smyth, Rosalind L

2017-09-11

Abnormal biliary secretion leads to the thickening of bile and the formation of plugs within the bile ducts; the consequent obstruction and abnormal bile flow ultimately results in the development of cystic fibrosis-related liver disease. This condition peaks in adolescence with up to 20% of adolescents with cystic fibrosis developing chronic liver disease. Early changes in the liver may ultimately result in end-stage liver disease with people needing transplantation. One therapeutic option currently used is ursodeoxycholic acid. This is an update of a previous review. To analyse evidence that ursodeoxycholic acid improves indices of liver function, reduces the risk of developing chronic liver disease and improves outcomes in general in cystic fibrosis. We searched the Cochrane CF and Genetic Disorders Group Trials Register comprising references identified from comprehensive electronic database searches, handsearches of relevant journals and abstract books of conference proceedings. We also contacted drug companies and searched online trial registries.Date of the most recent search of the Group's trials register: 09 April 2017. Randomised controlled trials of the use of ursodeoxycholic acid for at least three months compared with placebo or no additional treatment in people with cystic fibrosis. Two authors independently assessed trial eligibility and quality. The authors used GRADE to assess the quality of the evidence. Twelve trials have been identified, of which four trials involving 137 participants were included; data were only available from three of the trials (118 participants) since one cross-over trial did not report appropriate data. The dose of ursodeoxycholic acid ranged from 10 to 20 mg/kg/day for up to 12 months. The complex design used in two trials meant that data could only be analysed for subsets of participants. There was no significant difference in weight change, mean difference -0.90 kg (95% confidence interval -1.94 to 0.14) based on 30

Vitamin K supplementation for cystic fibrosis.

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Jagannath, Vanitha A; Thaker, Vidhu; Chang, Anne B; Price, Amy I

2017-08-22

Cystic fibrosis is a genetic disorder which can lead to multiorgan dysfunction. Malabsorption of fat and fat-soluble vitamins (A, D, E, K) may occur and can cause subclinical deficiencies of some of these vitamins. Vitamin K is known to play an important role in both blood coagulation and bone formation. Supplementation with vitamin K appears to be one way of addressing the deficiency, but there is very limited agreement on the appropriate dose and frequency of use of these supplements. This is an updated version of the review. To assess the effects of vitamin K supplementation in people with cystic fibrosis and to determine the optimal dose and route of administration of vitamin K for both routine and therapeutic use. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group's Trials Register comprising references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings.Most recent search: 30 January 2017. Randomised and quasi-randomised controlled trials of all preparations of vitamin K used as a supplement compared to either no supplementation (or placebo) at any dose or route and for any duration, in children or adults diagnosed with cystic fibrosis (by sweat test or genetic testing). Two authors independently screened papers, extracted trial details and assessed their risk of bias. Two trials (total of 32 participants) each lasting one month were included in the review and were assessed as having a moderate risk of bias. One was a dose-ranging parallel group trial in children (aged 8 to 18 years); and the other (with an older cohort) had a cross-over design comparing supplements to no treatment, but no separate data were reported for the first intervention period. Neither of the trials addressed any of the primary outcomes (coagulation, bone formation and quality of life). Both trials reported the restoration of serum vitamin K and undercarboxylated osteocalcin

Respiratory muscle training for cystic fibrosis.

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Hilton, Nathan; Solis-Moya, Arturo

2018-05-24

Cystic fibrosis is the most common autosomal recessive disease in white populations, and causes respiratory dysfunction in the majority of individuals. Numerous types of respiratory muscle training to improve respiratory function and health-related quality of life in people with cystic fibrosis have been reported in the literature. Hence a systematic review of the literature is needed to establish the effectiveness of respiratory muscle training (either inspiratory or expiratory muscle training) on clinical outcomes in cystic fibrosis. This is an update of a previously published review. To determine the effectiveness of respiratory muscle training on clinical outcomes in people with cystic fibrosis. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials register comprising of references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings.Date of most recent search: 17 April 2018.A hand search of the Journal of Cystic Fibrosis and Pediatric Pulmonology was performed, along with an electronic search of online trial databases up until 07 May 2018. Randomised controlled studies comparing respiratory muscle training with a control group in people with cystic fibrosis. Review authors independently selected articles for inclusion, evaluated the methodological quality of the studies, and extracted data. Additional information was sought from trial authors where necessary. The quality of the evidence was assessed using the GRADE system MAIN RESULTS: Authors identified 19 studies, of which nine studies with 202 participants met the review's inclusion criteria. There was wide variation in the methodological and written quality of the included studies. Four of the nine included studies were published as abstracts only and lacking concise details, thus limiting the information available. Seven studies were parallel studies and two of a cross-over design. Respiratory

Tres tesis doctorales dirigidas por don Manuel de Terán; el paisaje residencial en Madrid (Dolores Brandis, la enseñanza en Madrid (Ana Olivera y el barrio de Salamanca (Rafael Más.

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Aurelio Nieto Codina

2016-09-01

Full Text Available La investigación geográfica en España tiene en Manuel de Terán unas de sus personalidades clave, sus aportaciones científicas y su experiencia docente han marcado la evolución de nuestra disciplina; además, su presencia en el mundo académico y cultural hacen de él una figura imprescindible para entender la evolución de la ciencia en nuestro país. Ejemplificamos su labor como promotor de la investigación geográfica glosando tres tesis, que se encuadran dentro de los estudios referidos a la geografía urbana de Madrid, una de las líneas de investigación prioritaria del maestro. En primer lugar, el análisis del barrio de Salamanca, fragmento clave del ensanche histórico madrileño en su sector NE, obra de Rafael Mas. Después, la evolución histórica del paisaje residencial de Madrid y sus ejemplos tipo hasta la década de los setenta, realizada por Dolores Brandis. En tercer lugar, el estudio de la enseñanza en Madrid, una función urbana básica y un derecho de los ciudadanos estudiada por Ana Olivera. Estas obras son testimonio, entre otras, de la existencia de una escuela geográfica surgida de Manuel de Terán.In Spain, Manuel Teranwas some of its key personalities in geographical researchers, their scientific contributions and his teaching experience have marked the evolution of this discipline; in addition, its presence in the academic and cultural world make it an indispensable tool for understanding the evolution of science in our country. We exemplify its work in promoting geographical research glossing three theses, which fall within the studies related to the urban geography of Madrid, one of the priority research lines of the teacher. First,the analysis of the Salamanca district of Madrid historical key fragment extension in its NE Ensanche, written by Rafael Mas. Then, the historical evolution of residential landscape of Madrid and typical examples until the early seventies by Dolores Brandis. Third

Non-invasive measurement of liver and pancreas fibrosis in patients with cystic fibrosis.

Science.gov (United States)

Friedrich-Rust, Mireen; Schlueter, Nina; Smaczny, Christina; Eickmeier, Olaf; Rosewich, Martin; Feifel, Kirstin; Herrmann, Eva; Poynard, Thierry; Gleiber, Wolfgang; Lais, Christoph; Zielen, Stefan; Wagner, Thomas O F; Zeuzem, Stefan; Bojunga, Joerg

2013-09-01

Patients with cystic fibrosis (CF) have a relevant morbidity and mortality caused by CF-related liver-disease. While transient elastography (TE) is an established elastography method in hepatology centers, Acoustic-Radiation-Force-Impulse (ARFI)-Imaging is a novel ultrasound-based elastography method which is integrated in a conventional ultrasound-system. The aim of the present study was to evaluate the prevalence of liver-fibrosis in patients with CF using TE, ARFI-imaging and fibrosis blood tests. 106 patients with CF were prospectively included in the present study and received ARFI-imaging of the left and right liver-lobe, ARFI of the pancreas TE of the liver and laboratory evaluation. The prevalence of liver-fibrosis according to recently published best practice guidelines for CFLD was 22.6%. Prevalence of significant liver-fibrosis assessed by TE, ARFI-right-liver-lobe, ARFI-left-liver-lobe, Fibrotest, Fibrotest-corrected-by-haptoglobin was 17%, 24%, 40%, 7%, and 16%, respectively. The best agreement was found for TE, ARFI-right-liver-lobe and Fibrotest-corrected-by-haptoglobin. Patients with pancreatic-insufficiency had significantly lower pancreas-ARFI-values as compared to patients without. ARFI-imaging and TE seem to be promising non-invasive methods for detection of liver-fibrosis in patients with CF. Copyright © 2013 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

El nombramiento de regidores en Madrid (1700-1759 : procedimiento y documentación

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Manuel Salamanca López

2004-01-01

Full Text Available La implantación en Madrid del estatuto de nobleza (1603, y su correspondiente ratificación de 1638, supuso que, progresivamente y llegado el siglo xviii, el Concejo estuviese controlado por una oligarquía de carácter nobiliario. Además, se establecieron una serie de mecanismos encaminados a regular el acceso a las regidurías, conforme a un conjunto de requisitos que todo pretendiente debía reunir Para ello, el aspirante tenía que someterse a una serie de pruebas, que se comenzaron a utilizar en Madrid hacia 1608, con el único fin de esclarecer su procedencia social. Todas estas actuaciones cristalizarían en un procedimiento tipo, que ha llegado, más o menos completo, hasta nuestros días en forma de expediente.The installation in Madrid of the statute of nobility (1603, and their corresponding ratification of 1638, supposed that, progressively and arrived the XVIII century, the Town council is controlled by an oligarchy of nobiliary character. Also, a series of mechanisms guided to regulate the access to the regidurías settied down, according to a group of requirements that all pretender should gather. For it, the applicant had to undergo a series of tests that you began to use in Madrid toward 1608, with the only end of clarifying her social origin. All these performances would crystallize more or less in a procedure type that has arrived, complete, unta our days in file form.

Pathological assessment of liver fibrosis regression

Directory of Open Access Journals (Sweden)

WANG Bingqiong

2017-03-01

Full Text Available Hepatic fibrosis is the common pathological outcome of chronic hepatic diseases. An accurate assessment of fibrosis degree provides an important reference for a definite diagnosis of diseases, treatment decision-making, treatment outcome monitoring, and prognostic evaluation. At present, many clinical studies have proven that regression of hepatic fibrosis and early-stage liver cirrhosis can be achieved by effective treatment, and a correct evaluation of fibrosis regression has become a hot topic in clinical research. Liver biopsy has long been regarded as the gold standard for the assessment of hepatic fibrosis, and thus it plays an important role in the evaluation of fibrosis regression. This article reviews the clinical application of current pathological staging systems in the evaluation of fibrosis regression from the perspectives of semi-quantitative scoring system, quantitative approach, and qualitative approach, in order to propose a better pathological evaluation system for the assessment of fibrosis regression.

Experimental models of liver fibrosis.

Science.gov (United States)

Yanguas, Sara Crespo; Cogliati, Bruno; Willebrords, Joost; Maes, Michaël; Colle, Isabelle; van den Bossche, Bert; de Oliveira, Claudia Pinto Marques Souza; Andraus, Wellington; Alves, Venâncio Avancini Ferreira; Leclercq, Isabelle; Vinken, Mathieu

2016-05-01

Hepatic fibrosis is a wound healing response to insults and as such affects the entire world population. In industrialized countries, the main causes of liver fibrosis include alcohol abuse, chronic hepatitis virus infection and non-alcoholic steatohepatitis. A central event in liver fibrosis is the activation of hepatic stellate cells, which is triggered by a plethora of signaling pathways. Liver fibrosis can progress into more severe stages, known as cirrhosis, when liver acini are substituted by nodules, and further to hepatocellular carcinoma. Considerable efforts are currently devoted to liver fibrosis research, not only with the goal of further elucidating the molecular mechanisms that drive this disease, but equally in view of establishing effective diagnostic and therapeutic strategies. The present paper provides a state-of-the-art overview of in vivo and in vitro models used in the field of experimental liver fibrosis research.

Tourism in Conflict Zones. The Promotion of Spanish Civil War Heritage in the Community of Madrid

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Oscar Navajas Corral

2017-05-01

Full Text Available For more than a decade, the processes of patrimonialization of spaces and cultural assets of the Spanish Civil War have been strengthened. The Community of Madrid has not been, and is not, alien to this process. Since the creation of the Grupo de Estudios del Frente de Madrid (GEFREMA in 2002, associations whose objective is to investigate this historical period and its material legacy, research, and patrimonialisation processes in the region have continued to increase. Arganda del Rey, Morata de Tajuña, Guadarrama, Buitrago de Lozoya, Madrid, etc., are some of the places where heritage is already available to citizens and is offered as a tourist resource. This article presents an investigation that analyzes the different spaces of the Spanish Civil War that have recovered in the region of Madrid. Based on the museological theories, which provides the communication and interpretation of the heritage, and the methodologies for the collection of quantitative and qualitative data, we have evaluated the different places in which this heritage has been valued in order to be able to Define its main variables and also be able to build proposals for its future and for future interventions elsewhere.

The hydrogen refuelling plant in Madrid

Energy Technology Data Exchange (ETDEWEB)

Giron, E.; Saez, A.; Julia, A.

2005-07-01

Since the late days of spring 2003, a hydrogen refuelling station is operating in Madrid to provide fuel to a set of four FC-buses running in the frame of the European demonstration projects CUTE and CITYCELLS. This station is located at one of the EMT(1) bus depot premises. The station was designed and built for the EMT by the consortium 'esH2' composed by the industrial gases manufacturer Air Liquide Espana, the energy utility Gas Natural SDG and the oil company Repsol YPF. (Author)

Thoracic periaortal fibrosis and Ormond's disease

International Nuclear Information System (INIS)

Kacl, G.M.; Bino, M.; Salomon, F.; Risti, B.; Marincek, B.

1995-01-01

Two cases of thoracic periaortal fibrosis as a manifestation of retroperitoneal fibrosis (Ormond's disease) are shown on CT and MRI. Thoracic periaortal fibrosis can result in an inflammatory aneurysmo with chronic dissection. Manifestation of thoracic periaortal fibrosis may typically occur intermittently over decades. (orig.) [de

Studying geodesy and earthquake hazard in and around the New Madrid Seismic Zone

Science.gov (United States)

Boyd, Oliver Salz; Magistrale, Harold

2011-01-01

Workshop on New Madrid Geodesy and the Challenges of Understanding Intraplate Earthquakes; Norwood, Massachusetts, 4 March 2011 Twenty-six researchers gathered for a workshop sponsored by the U.S. Geological Survey (USGS) and FM Global to discuss geodesy in and around the New Madrid seismic zone (NMSZ) and its relation to earthquake hazards. The group addressed the challenge of reconciling current geodetic measurements, which show low present-day surface strain rates, with paleoseismic evidence of recent, relatively frequent, major earthquakes in the region. The workshop presentations and conclusions will be available in a forthcoming USGS open-file report (http://pubs.usgs.gov).

Types of damage that could result from a great earthquake in the New Madrid, Missouri, seismic zone

Science.gov (United States)

Hopper, M.G.; Algermissen, S.T.

1984-01-01

In the winter of 1811–1812 a series of three great earthquakes occurred in the New Madrid seismic zone. In addition to the three principal shocks, at least 15 other earthquakes, Io ≥ VIII, occurred within a year of the first large earthquake on December 16, 1811. The three main shocks were felt over the entire eastern United States. They were strong enough to cause minor damage as far away as Indiana and Ohio on the north, the Carolinas on the east, and southern Mississippi on the south. They were strong enough to cause severe or structural damage in parts of Missouri, Illinois, Indiana, Kentucky, Tennessee, Mississippi, and Arkansas. The section of this poster titled "Seismic history of the New Madrid region" describes what happened in the epicentral region. Fortunately, few people lived in the severely shaken area in 1811; that is not the case today. What would happen if a series of earthquakes as large and numerous as the "New Madrid" earthquakes were to occur in the New Madrid seismic zone today?

Syndecans in heart fibrosis.

Science.gov (United States)

Lunde, Ida G; Herum, Kate M; Carlson, Cathrine C; Christensen, Geir

2016-09-01

Heart disease is a deadly syndrome affecting millions worldwide. It reflects an unmet clinical need, and the disease mechanisms are poorly understood. Cardiac fibrosis is central to heart disease. The four-membered family of transmembrane proteoglycans, syndecan-1 to -4, is believed to regulate fibrosis. We review the current literature concerning syndecans in cardiac fibrosis. Syndecan expression is up-regulated in response to pro-inflammatory stimuli in various forms of heart disease with fibrosis. Mice lacking syndecan-1 and -4 show reduced activation of pro-fibrotic signaling and increased cardiac rupture upon infarction indicating an important role for these molecules. Whereas the short cytoplasmic tail of syndecans regulates signaling, their extracellular part, substituted with heparan sulfate glycosaminoglycan chains, binds a plethora of extracellular matrix (ECM) molecules involved in fibrosis, e.g., collagens, growth factors, cytokines, and immune cell adhesion proteins. Full-length syndecans induce pro-fibrotic signaling, increasing the expression of collagens, myofibroblast differentiation factors, ECM enzymes, growth factors, and immune cell adhesion molecules, thereby also increasing cardiac stiffness and preventing cardiac rupture. Upon pro-inflammatory stimuli, syndecan ectodomains are enzymatically released from heart cells (syndecan shedding). Shed ectodomains affect the expression of ECM molecules, promoting ECM degradation and cardiac rupture upon myocardial infarction. Blood levels of shed syndecan-1 and -4 ectodomains are associated with hospitalization, mortality, and heart remodeling in patients with heart failure. Improved understanding of syndecans and their modifying enzymes in cardiac fibrosis might contribute to the development of compounds with therapeutic potential, and enzymatically shed syndecan ectodomains might constitute a future prognostic tool for heart diseases with fibrosis. Graphical Abstract Graphical abstract summarizing

Imaging pulmonary fibrosis

International Nuclear Information System (INIS)

Brauner, M.W.; Rety, F.; Naccache, J.M.; Girard, F.; Valeyre, D.F.

2001-01-01

Localized fibrosis of the lung is usually scar tissue while diffuse pulmonary fibrosis is more often a sign of active disease. Chronic infiltrative lung disease may be classified into four categories: idiopathic pneumonitis, collagen diseases, granulomatosis (sarcoidosis), and caused by known diseases (pneumoconiosis, hypersensitivity pneumonitis, drug-induced lung disease, radiation). (authors)

Soil characterization and vulnerability indices of the autonomous region of Madrid. Scale 1:200 000; Caracterizacion Edafologica e Indices de Vulnerabilidad de la Comunidad Autonoma de Madrid Escala 1:200.000

Energy Technology Data Exchange (ETDEWEB)

Schmid, T; Millan, R; Lago, C; Trueba, C [Ciemat. Madrid (Spain)

2000-07-01

Radioactive contamination of the soil due to a nuclear accident is a risk for the population. A research project, within the program of Radiological Protection by Intervention in CIEMAT, has been developed to study the behaviour of radionuclides in soils. An evaluation of the radiological vulnerability considering the external irradiation and the food chain pathway for caesium and strontium has been determined using partial and global indices, which indicate the potential transfer of the radionuclides via the two mentioned pathways. A detailed study of the soils found in the Autonomous Region of Madrid was carried out with data from individual soil profiles and combining data obtained from maps with a Geographic Information System in order to obtain a spatial distribution of the results. The soil vulnerability for the external irradiation pathway of caesium and strontium is in general found to be higher in more developed soils located in the south and leading to the foothills of the Sierra of Madrid in the north. the vulnerability for the food chain pathway is found to be higher in the less developed soils in acid conditions situated in the Sierra of Madrid. (Author) 11 refs.

Chronic thought suppression and posttraumatic symptoms: data from the Madrid March 11, 2004 terrorist attack.

Science.gov (United States)

Vázquez, Carmelo; Hervás, Gonzalo; Pérez-Sales, Pau

2008-12-01

Although a considerable number of people either witnessed directly or in the mass media the traumatic scenes of the terrorist attack that took place on March 11th, 2004 in Madrid, only a fraction of Madrid citizens developed posttraumatic symptoms. In this study, posttraumatic stress-related symptoms, degree of exposure, coping strategies related to the attack, and chronic attempts to avoid intrusive thoughts (i.e., thought suppression) were assessed in a general population Madrid sample (N=503) 2-3 weeks after the attacks. Our results showed that participants with higher scores in chronic thought suppression exhibited higher levels of PTSD symptoms. Higher scores in chronic thought suppression also correlated positively with the use of avoidant coping strategies after the attacks. We discuss the possible common roots of avoidance of intrusive thoughts and avoidant coping strategies and the implications of this relationship for the emergence of stress-related symptoms as well as for public health policies.

Los Cynipidae (Hymenoptera de la Comunidad de Madrid: lista anotada, mapas de distribución, riqueza y estatus de conservación

Directory of Open Access Journals (Sweden)

Nieves-Aldrey, J. L.

2006-05-01

Full Text Available Acheck list of the Cynipidae from Comunidad de Madrid (Spain is presented for the first time. The data base contains 2189 records of samplings carried out from 1982 to the present in 103 sites in Madrid and 19 in nearby adjacent provinces. The list of 127 cynipid species from Madrid represents 73% of total Cynipidae species from the Iberian Peninsula. A distribution map in Madrid for each cynipid species is presented, showing the sampling sites where it has been found together with the potential distribution area of the species within the territory. Several aspects on the richness and distribution of the Cynipidae from Madrid are commented: potentially present and absent Iberian species, individual and rare species, and areas of high species richness. The area of highest richness for the Cynipidae of Madrid follows a strip of Cretacic and Tertiary soils along the Guadalix-Venturada-Torrelaguna axis, which also shows a high diversity of cynipid host plants, especially Quercus species. Other areas in SE Madrid deserving protection with regard to cynipids are also shown. These areas, some rich in rare and singular Aylacini species, other relictic areas with Quercus petraea in the Northeast and also some small areas with the presence of Quercus suber in parts of the territory of Madrid, deserve maximum protection concerning Cynipid conservation.

Se presenta por primera vez la lista anotada de especies y los mapas de distribución de los Cynipidae de la Comunidad de Madrid. Los datos corresponden a 2189 registros pertenecientes a muestreos y colectas efectuados desde 1982 hasta la actualidad, en 103 localidades de Madrid y en otras 19 cercanas de provincias adyacentes. Se relacionan 107 especies de cinípidos que representan el 73 % del total de especies ibéricas. Cada especie se acompaña de su correspondiente mapa de distribución en la Comunidad de Madrid, reflejando los puntos de las localidades de muestreo en los que

PSE-3D Instability Analysis and Application to Flow Over an Elliptic Cone

Science.gov (United States)

2015-04-01

Talks o 8th IUTAM Laminar Turbulent Transition Symposium, Rio de Janeiro , Brasil, 5-8 September 2014 o AIAA 2012-2679, 6th AIAA Flow Control Conference...Ph.D. Universidad Politecnica de Madrid Calle Ramiro de Maeztu 7 Madrid, 28040 SPAIN EOARD GRANT #FA8655-12-1-2004 Report Date...Universidad Politecnica de Madrid Calle Ramiro de Maeztu 7 Madrid, 28040 SPAIN 8. PERFORMING ORGANIZATION REPORT NUMBER

Journalism ethics and acceptance of gifts: a view from Madrid journalists

Directory of Open Access Journals (Sweden)

Susana Herrera Damas

2009-12-01

Full Text Available The aim of this article is to present the partial results of a larger research project on journalistic ethics from the point of view of the professionals themselves. Specifically, the following pages analyze the perception of Madrid journalists with respect to the legitimacy of accepting various gifts when carrying out their work. The results of 30 in-depth interviews and 410 surveys of newspaper, radio, television, online and press office journalists who carry out their professional activity in the Autonomous Community of Madrid show that this group is very reluctant to accept gifts with a monetary value of over €200, or to carry out activities financed by a news source. Fewer problems arise regarding acceptance of presents of nominal value of a promotional merchandising nature, free tickets to shows and exhibitions, or paid meals and trips.

Productos vegetales utilizados en Madrid entre los siglos XIV y XIX

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Menéndez de Luarca, Luis Ramón-Laca

2005-12-01

Full Text Available In an attempt to describe the plant culture of Madrid of the Middle Ages and Modern Age, this paper provides a list of some 300 vegetal products cited in various documents referring to the city dated to the fourteenth, sixteenth, seventeenth, eighteenth and nineteenth centuries. The identity of the 170 plants mentioned in these documents is discussed.

Con la intención de esbozar una historia de la cultura madrileña de las plantas a lo largo de la Edad Media y la Edad Moderna, presentamos aquí una lista de aproximadamente 300 productos vegetales citados en diversos documentos de los siglos XIV, XVI, XVII, XVIII y XIX referentes a la ciudad de Madrid, incluyendo una hipótesis de identificación de las 170 especies correspondientes a dichos productos.

JOURNALISM ETHICS AND ACCEPTANCE OF GIFTS: A view from Madrid journalists

Directory of Open Access Journals (Sweden)

Carlos Maciá Baber

2009-12-01

Full Text Available The aim of this article is to present the partial results of a largerresearch project on journalistic ethics from the point of view of the professionals themselves. Specifically, the following pages analyze the perception of Madrid journalists with respect to the legitimacy of accepting various gifts when carrying out their work. The results of 30 in-depth interviews and 410 surveys of newspaper, radio, television, online and press office journalists who carry out their professional activity in the Autonomous Community of Madrid show that this group is very reluctant to accept gifts with a monetary value of over €200, or to carry out activities financed by a news source. Fewer problems arise regarding acceptance of presents of nominal value of a promotional merchandising nature, free tickets to shows and exhibitions, or paid meals and trips.

Subcutaneous implant with etonogestrel (Implanon®) for catamenial exacerbations in a patient with cystic fibrosis: a case report.

Science.gov (United States)

Lamas, Adelaida; Máiz, Luis; Ruiz de Valbuena, Marta; González-Casbas, José Manuel; Suárez, Lucrecia

2014-10-24

Cystic Fibrosis (CF) is a genetic disease with equal prevalence across sexes. However, women present worse lung function with faster function decline, earlier onset of bacterial colonization, more frequent pulmonary exacerbations (PE), greater bronchial hyper-responsiveness, and higher mortality rates after puberty than men. The etiology of this gender disparity remains elusive but female hormones have been implicated in several studies. A 20-year-old female with CF with severe recurrent PE, always related to the menstrual cycle since menarche, combined with lung function decline requiring multiple courses of intravenous antibiotics. We report the cessation of PE and recovery of pulmonary function following the insertion of a subcutaneous implant with 68 mg of etonogestrel (Implanon®, Organon Española S.A. Laboratories, Madrid, Spain). Our case report supports the key role of female hormones in the development of PE and in the decline of lung function in a woman with CF. When appropriate, hormonal manipulation through contraceptive methods should be considered as potential treatment.

[Modelling science. The ceroplastics of Ignacio Lacaba in the Colegio de Cirugía de San Carlos, Madrid].

Science.gov (United States)

Morente, Maribel

2016-01-01

Models made of wax had enormous diffusion in the anatomical teaching of the 18th century. It transcended the borders of a science that impregnated with scientific knowledge the artistic expression of beauty. Based on this premise, the San Carlos Royal College of Surgery created in Madrid a large collection of anatomical models, which is currently maintained by the Javier Puerta Anatomy Museum in the School of Medicine at Madrid Complutense University. The collection began in 1786 with Ignacio Lacaba, the first dissector of the Surgery College of Madrid, whose artistic sensibility and deep knowledge of anatomy contributed and facilitated harmonization between the work of the wax sculptors and language and anatomical expression.

Nephrogenic systemic fibrosis

DEFF Research Database (Denmark)

Marckmann, Peter; Skov, Lone; Rossen, Kristian

2006-01-01

Nephrogenic systemic fibrosis is a new, rare disease of unknown cause that affects patients with renal failure. Single cases led to the suspicion of a causative role of gadodiamide that is used for magnetic resonance imaging. This study therefore reviewed all of the authors' confirmed cases...... of nephrogenic systemic fibrosis (n = 13) with respect to clinical characteristics, gadodiamide exposure, and subsequent clinical course. It was found that all had been exposed to gadodiamide before the development of nephrogenic systemic fibrosis. The delay from exposure to first sign of the disease was 2 to 75...... d (median 25 d). Odds ratio for acquiring the disease when gadodiamide exposed was 32.5 (95% confidence interval 1.9 to 549.2; P

Fibrosis and Cancer

DEFF Research Database (Denmark)

Cox, Thomas R.; Erler, Janine T.

2016-01-01

The relation between fibrosis and cancer has long been debated, specifically whether desmoplasia precedes, accompanies, or succeeds tumourigenesis, progression, and metastasis. Recent reports have published opposing data, adding to the perplexity. However, what is emerging is that it is likely th...... the specific properties of the extracellular matrix (ECM) that determine the paradoxical nature of cancer-associated fibrosis....

Summary report of MINSIS workshop in Madrid

CERN Document Server

Alonso, Rodrigo; Blennow, Mattias; Coloma, Pilar; de Gouvea, Andre; Fernandez-Martinez, Enrique; Gavela, Belen; Gonzalez-Garcia, Concha; Hortner, Sergio; Laveder, Marco; Li, Tracey; Lopez-Pavon, Jacobo; Maltoni, Michele; Mena, Olga; Migliozzi, Pasquale; Ota, Toshihiko; Ruiz, Sergio Palomares; Para, Adam; Parke, Stephen J; Rius, Nuria; Schwetz-Mangold, Thomas; Soler, F J P; Sorel, Michel; Yasuda, Osamu; Winter, Walter

2010-01-01

Recent developments on tau detection technologies and the construction of high intensity neutrino beams open the possibility of a high precision search for non-standard {\\mu} - {\\tau} flavour transition with neutrinos at short distances. The MINSIS - Main Injector Non-Standard Interaction Search- is a proposal under discussion to realize such precision measurement. This document contains the proceedings of the workshop which took place on 10-11 December 2009 in Madrid to discuss both the physics reach as well as the experimental requirements for this proposal.

Getting brand commitment through internet and mobile sports marketing: an insight on Real Madrid football team

OpenAIRE

Baena Graciá, Verónica

2014-01-01

This chapter provides a better understanding of the impact that the Internet and mobile sports marketing are having on a business's ability to achieve customer engagement. To achieve this goal, the case of Real Madrid football team is analyzed, as it is calculated to have over 200 million supporters worldwide. Information about Real Madrid was gathered from September 2012 to March 2013 by repeatedly browsing the team's Website, Facebook, Twitter, Instagram, and apps. Data from interviews of R...

Implicaciones del protocolo de Madrid en el derecho marcario de la comunidad andina de naciones

Directory of Open Access Journals (Sweden)

Edwin Jesith Bernal Ramírez

2013-11-01

Full Text Available El Protocolo de Madrid de 27 de junio de 1989 es una herramienta útil para el registro internacional de marcas, pues es evidente que los países miembros del Protocolo tienen ventajas comparativas respecto a los otros que no son parte, esto en relación con el mejoramiento de la protección internacional de sus marcas. El artículo académico muestra de manera somera el procedimiento, las ventajas y desventajas del Protocolo de Madrid y su respectivo impacto en la Comunidad Andina de Naciones.

Vitamin D deficiency as a risk factor for cystic fibrosis-related diabetes in the Scandinavian Cystic Fibrosis Nutritional Study

DEFF Research Database (Denmark)

Pincikova, T; Nilsson, Kristine Kahr; Moen, I E

2011-01-01

Many cystic fibrosis patients are vitamin D-insufficient. Cystic fibrosis-related diabetes is a major complication of cystic fibrosis. The literature suggests that vitamin D might possess certain glucose-lowering properties. We aimed to assess the relationship between vitamin D and cystic fibrosis...

Proteome analysis of Radiation-induced pulmonary fibrosis

International Nuclear Information System (INIS)

Song, Jie Young; Lim, Hee Soon; Kim, Hyung Doo; Shim, Ji Young; Han, Young Soo; Son, Hyeog Jin Son; Yun, Yeon Sook

2005-01-01

Pulmonary fibrosis is perhaps the most universal late effect of organ damage after both chemical insult and irradiation in the treatment of lung cancer. The use chemotherapy and radiation therapy, alone or combined, can be associated with clinically significant pulmonary toxicity, which leads to pneumonia and pulmonary fibrosis. It is also reported that about 100,000 people in the United States are suffered from pulmonary fibrosis. Therefore, pulmonary fibrosis will be more focused by medicinal researchers. Because current therapies, aimed at inhibiting pulmonary inflammation that often precedes fibrosis, are effective only in a minority of suffered patients, novel therapeutic methods are highly needed. Some researchers have used bleomycininduced pulmonary fibrosis as a basis for looking at the molecular mechanisms of fibrosis, and total gene expression was monitored using genomics method. However, radiation-induced pulmonary fibrosis has not been fully focused and investigated. Here, we have analyzed changes in gene expression in response to γ- irradiation by using proteomic analysis

Proteinase activated receptor 1 mediated fibrosis in a mouse model of liver injury: a role for bone marrow derived macrophages.

Directory of Open Access Journals (Sweden)

Yiannis N Kallis

Full Text Available Liver fibrosis results from the co-ordinated actions of myofibroblasts and macrophages, a proportion of which are of bone marrow origin. The functional effect of such bone marrow-derived cells on liver fibrosis is unclear. We examine whether changing bone marrow genotype can down-regulate the liver's fibrotic response to injury and investigate mechanisms involved. Proteinase activated receptor 1 (PAR1 is up-regulated in fibrotic liver disease in humans, and deficiency of PAR1 is associated with reduced liver fibrosis in rodent models. In this study, recipient mice received bone marrow transplantation from PAR1-deficient or wild-type donors prior to carbon tetrachloride-induced liver fibrosis. Bone marrow transplantation alone from PAR1-deficient mice was able to confer significant reductions in hepatic collagen content and activated myofibroblast expansion on wild-type recipients. This effect was associated with a decrease in hepatic scar-associated macrophages and a reduction in macrophage recruitment from the bone marrow. In vitro, PAR1 signalling on bone marrow-derived macrophages directly induced their chemotaxis but did not stimulate proliferation. These data suggest that the bone marrow can modulate the fibrotic response of the liver to recurrent injury. PAR1 signalling can contribute to this response by mechanisms that include the regulation of macrophage recruitment.

Macrophage recruitment by fibrocystin-defective biliary epithelial cells promotes portal fibrosis in congenital hepatic fibrosis.

Science.gov (United States)

Locatelli, Luigi; Cadamuro, Massimiliano; Spirlì, Carlo; Fiorotto, Romina; Lecchi, Silvia; Morell, Carola Maria; Popov, Yury; Scirpo, Roberto; De Matteis, Maria; Amenduni, Mariangela; Pietrobattista, Andrea; Torre, Giuliano; Schuppan, Detlef; Fabris, Luca; Strazzabosco, Mario

2016-03-01

Congenital hepatic fibrosis (CHF) is a disease of the biliary epithelium characterized by bile duct changes resembling ductal plate malformations and by progressive peribiliary fibrosis, in the absence of overt necroinflammation. Progressive liver fibrosis leads to portal hypertension and liver failure; however, the mechanisms leading to fibrosis in CHF remain elusive. CHF is caused by mutations in PKHD1, a gene encoding for fibrocystin, a ciliary protein expressed in cholangiocytes. Using a fibrocystin-defective (Pkhd1(del4/del4)) mouse, which is orthologous of CHF, we show that Pkhd1(del4/del4) cholangiocytes are characterized by a β-catenin-dependent secretion of a range of chemokines, including chemokine (C-X-C motif) ligands 1, 10, and 12, which stimulate bone marrow-derived macrophage recruitment. We also show that Pkhd1(del4/del4) cholangiocytes, in turn, respond to proinflammatory cytokines released by macrophages by up-regulating αvβ6 integrin, an activator of latent local transforming growth factor-β1. While the macrophage infiltrate is initially dominated by the M1 phenotype, the profibrogenic M2 phenotype increases with disease progression, along with the number of portal myofibroblasts. Consistent with these findings, clodronate-induced macrophage depletion results in a significant reduction of portal fibrosis and portal hypertension as well as of liver cysts. Fibrosis can be initiated by an epithelial cell dysfunction, leading to low-grade inflammation, macrophage recruitment, and collagen deposition; these findings establish a new paradigm for biliary fibrosis and represent a model to understand the relationship between cell dysfunction, parainflammation, liver fibrosis, and macrophage polarization over time. © 2015 by the American Association for the Study of Liver Diseases.

Diversidad y distribución de las especies de Mallophaga (Insecta en Aves y Mamíferos de la Comunidad de Madrid

Directory of Open Access Journals (Sweden)

Martín Mateo, M. P.

2006-05-01

Full Text Available Based on the entomological collection of the Museo Nacional de Ciencias Naturales, MNCN (Madrid, Spain and the literature, a total of 145 species of birds and 12 species of mammals that could be potential hosts of Mallophaga, are cited for Madrid. These species are potential hosts to 306 species of Mallophaga. Only 29 species of birds (20% and 2 species of mammals (14,3% have been searched for the presence of Mallophaga. These species could be potential hosts of 91 different Mallophaga species, but only 40 species (44% are recorded. Each species present in Madrid is indicated with its the host, the material known and respective references.

Se presenta información general sobre la biodiversidad y distribución de los Mallophaga parásitos de aves y mamíferos en la Comunidad de Madrid. Con base en datos obtenidos en colecciones del MNCN (Madrid y revisión de la bibliografía de referencia, se obtienen un total de 145 especies de aves y 12 de mamíferos hospedadores potenciales de 306 especies de malófagos en la Comunidad de Madrid. De ésas, solo 29 especies de aves (20 % y 2 de mamíferos (14,3 % han sido exploradas, las cuales podrían estar parasitadas por, al menos, 91 especies diferentes de malófagos, pero solo se conocen citas de 40 especies (44 %. En cada especie indicada se señalan los hospedadores conocidos, material y referencia correspondiente para cada especie de Mallophaga citada en la Comunidad de Madrid.

Frankova éra ve Španělsku ze zorného úhlu El Clásica: FC Barcelona proti Realu Madrid

OpenAIRE

Vakulenko, Darya

2013-01-01

Master's thesis "Franco years in Spain through El Clásico: FC Barcelona vs. Real Madrid" explores the football rivalry between Real Madrid and Barcelona teams during the franquismo. The theme of Real Madrid, understood as a team supported and promoted by the Spanish regime is prevailing throughout the paper. Another part describes deep cultural symbolism of FC Barcelona in Catalonian region. The last part unites those two subjects by explaining how their rivalry or El Clásico games, were more...

Habitos Alimentarios e Higiene Dental en una Poblacion Preescolar de Madrid.

Science.gov (United States)

Lafarga, R. Tarazona; And Others

1991-01-01

Nutriment habits and oral hygiene in a preschool population in Madrid were studied by stratification in public or private schools. Significant differences were found only with regard to consumption of fish. Vegetable and fruit consumption was low in both groups, but not statistically significant. (SH)

Spatial Hedonic Pricing Models for Testing the Adequacy of Acoustic Areas in Madrid, Spain

Directory of Open Access Journals (Sweden)

José-María Montero

2011-01-01

Full Text Available Road traffic noise is one of the main concerns of large cities. Most of them have classified their territory in acoustic areas and have constructed strategic noise maps. From both sources we have elaborated seven types of acoustic neighbourhoods according to both their noise gap in regard to the legal standard and the percentage of population exposed to noise. A spatial Durbin model has been selected as the strategy that best models the impact of noise on housing prices. However, results for Madrid do not confirm the hedonic theory and indicate, as one of the possibilities, that the official acoustic areas in Madrid could be incorrectly designed.

Highlights of the 12th International Conference on Nuclear Cardiology and Cardiac CT.

Science.gov (United States)

Kitsiou, Anastasia; Dorbala, Sharmila; Scholte, Arthur J H A

2015-09-01

The 12th International Conference on Nuclear Cardiology and Cardiac CT was held from 3 to 5 May 2015 in Madrid, Spain. In this article, the three Congress Program Committee Chairs summarize selected highlights of the presented abstracts. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com. This article is being published concurrently in the Journal of Nuclear Cardiology (10.1007/s12350-015-0260-y) and European Heart Journal – Cardiovascular Imaging (10.1093/ehjci/jev179). The articles are identical except for minor stylistic and spelling differences in keeping with each journal’s style. Either citation can be used when citing this article.

PREFACE: 31st European Physical Society Conference on Plasma Physics

Science.gov (United States)

Dendy, Richard

2004-12-01

This special issue of Plasma Physics and Controlled Fusion comprises refereed papers contributed by invited speakers at the 31st European Physical Society Conference on Plasma Physics. The conference was jointly hosted by the Rutherford Appleton Laboratory, by the EURATOM/UKAEA Fusion Association and by Imperial College London, where it took place from 28 June to 2 July 2004. The overall agenda for this conference was set by the Board of the Plasma Physics Division of the European Physical Society, chaired by Friedrich Wagner (MPIPP, Garching) and his successor Jo Lister (CRPP, Lausanne). It built on developments in recent years, by further increasing the scientific diversity of the conference programme, whilst maintaining its depth and quality. A correspondingly diverse Programme Committee was set up, whose members are listed below. The final task of the Programme Committee has been the preparation of this special issue. In carrying out this work, as in preparing the scientific programme of the conference, the Programme Committee formed specialist subcommittees representing the different fields of plasma science. The chairmen of these subcommittees, in particular, accepted a very heavy workload on behalf of their respective research communities. It is a great pleasure to take this opportunity to thank: Emilia R Solano (CIEMAT, Madrid), magnetic confinement fusion; Jürgen Meyer-ter-Vehn (MPQ, Garching), laser-plasma interaction and beam plasma physics; and Jean-Luc Dorier (CRPP, Lausanne), dusty plasmas. The relatively few papers in astrophysical and basic plasma physics were co-ordinated by a small subcommittee which I led. Together with Peter Norreys (RAL, Chilton), we five constitute the editorial team for this special issue. The extensive refereeing load, compressed into a short time interval, was borne by the Programme Committee members and by many other experts, to whom this special issue owes much. We are also grateful to the Local Organizing Committee

Angiogenesis in liver fibrosis

NARCIS (Netherlands)

Adlia, Amirah

2017-01-01

Angiogenesis emerges in parallel with liver fibrosis, but it is still unclear whether angiogenesis is a defense mechanism of the body in response to fibrosis, or whether it aggravates the fibrotic condition. In this thesis, Amirah Adlia applied different approaches to elucidate the role of

Violencia en el Madrid de la Guerra Civil: los "paseos" (Julio a Diciembre 1936

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Javier CERVERA GIL

2010-02-01

Full Text Available RESUMEN: Dentro de la enorme violencia presente en la Guerra Civil Española, el inicio de la misma en Madrid se caracterizó por la proliferación de episodios de violencia política, porque esas eran las razones que se argüían, e inorgánica, porque no se conectaba con proyecto revolucionario alguno. En este artículo se analiza una represión incontrolada que tenía como organismos claves las checas, de donde partían las policías de partido que efectuaban detenciones arbitrarias, y como episodios característicos los paseos: ejecuciones sin formación de causa y de forma clandestina. En las checas actuaban sujetos indeseables que generaron un clima de terror e inseguridad en Madrid en los enemigos de la República y en los sospechosos de pocas simpatías hacia el Frente Popular. Este clima de exceso y violencia fue objeto de preocupación de las autoridades republicanas en Madrid, siendo Santiago Carrillo, Consejero de Orden Público de la Junta de Defensa de Madrid, quien consiguió poner coto a los injustificables paseos. En la última parte del artículo se analiza este fenómeno de los paseos. Su ejecución fue sobre todo obra de anarquistas y, en mucha menor medida, de comunistas. Los hechos se iniciaban con la detención al anochecer y, la mayoría de las veces, terminaban con la ejecución de la víctima en la madrugada, casi en ocho de cada diez casos. Sus víctimas fueron sobre todo religiosos, seguidos de empleados y militares. El momento de mayor proliferación fue en los meses de agosto y septiembre de 1936, observándose un drástico descenso a partir de noviembre hasta su casi total desaparición a inicios de 1937, como un síntoma más del proceso de reconstrucción del Estado republicano. Palabras clave: Guerra Civil Española, Violencia política, Represión, Comunismo, Anarquismo. ABSTRACT: Within the framework of the enormous amount of violence that took place at the beginning of the Spanish Civil War, Madrid's violence

Protein S is protective in pulmonary fibrosis.

Science.gov (United States)

Urawa, M; Kobayashi, T; D'Alessandro-Gabazza, C N; Fujimoto, H; Toda, M; Roeen, Z; Hinneh, J A; Yasuma, T; Takei, Y; Taguchi, O; Gabazza, E C

2016-08-01

Essentials Epithelial cell apoptosis is critical in the pathogenesis of idiopathic pulmonary fibrosis. Protein S, a circulating anticoagulant, inhibited apoptosis of lung epithelial cells. Overexpression of protein S in lung cells reduced bleomycin-induced pulmonary fibrosis. Intranasal therapy with exogenous protein S ameliorated bleomycin-induced pulmonary fibrosis. Background Pulmonary fibrosis is the terminal stage of interstitial lung diseases, some of them being incurable and of unknown etiology. Apoptosis plays a critical role in lung fibrogenesis. Protein S is a plasma anticoagulant with potent antiapoptotic activity. The role of protein S in pulmonary fibrosis is unknown. Objectives To evaluate the clinical relevance of protein S and its protective role in pulmonary fibrosis. Methods and Results The circulating level of protein S was measured in patients with pulmonary fibrosis and controls by the use of enzyme immunoassays. Pulmonary fibrosis was induced with bleomycin in transgenic mice overexpressing human protein S and wild-type mice, and exogenous protein S or vehicle was administered to wild-type mice; fibrosis was then compared in both models. Patients with pulmonary fibrosis had reduced circulating levels of protein S as compared with controls. Inflammatory changes, the levels of profibrotic cytokines, fibrosis score, hydroxyproline content in the lungs and oxygen desaturation were significantly reduced in protein S-transgenic mice as compared with wild-type mice. Wild-type mice treated with exogenous protein S showed significant decreases in the levels of inflammatory and profibrotic markers and fibrosis in the lungs as compared with untreated control mice. After bleomycin infusion, mice overexpressing human protein S showed significantly low caspase-3 activity, enhanced expression of antiapoptotic molecules and enhanced Akt and Axl kinase phosphorylation as compared with wild-type counterparts. Protein S also inhibited apoptosis of alveolar

Recent advances in understanding idiopathic pulmonary fibrosis

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Daccord, Cécile; Maher, Toby M.

2016-01-01

Despite major research efforts leading to the recent approval of pirfenidone and nintedanib, the dismal prognosis of idiopathic pulmonary fibrosis (IPF) remains unchanged. The elaboration of international diagnostic criteria and disease stratification models based on clinical, physiological, radiological, and histopathological features has improved the accuracy of IPF diagnosis and prediction of mortality risk. Nevertheless, given the marked heterogeneity in clinical phenotype and the considerable overlap of IPF with other fibrotic interstitial lung diseases (ILDs), about 10% of cases of pulmonary fibrosis remain unclassifiable. Moreover, currently available tools fail to detect early IPF, predict the highly variable course of the disease, and assess response to antifibrotic drugs. Recent advances in understanding the multiple interrelated pathogenic pathways underlying IPF have identified various molecular phenotypes resulting from complex interactions among genetic, epigenetic, transcriptional, post-transcriptional, metabolic, and environmental factors. These different disease endotypes appear to confer variable susceptibility to the condition, differing risks of rapid progression, and, possibly, altered responses to therapy. The development and validation of diagnostic and prognostic biomarkers are necessary to enable a more precise and earlier diagnosis of IPF and to improve prediction of future disease behaviour. The availability of approved antifibrotic therapies together with potential new drugs currently under evaluation also highlights the need for biomarkers able to predict and assess treatment responsiveness, thereby allowing individualised treatment based on risk of progression and drug response. This approach of disease stratification and personalised medicine is already used in the routine management of many cancers and provides a potential road map for guiding clinical care in IPF. PMID:27303645

Assessment of noise exposure during commuting in the Madrid subway.

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Tabacchi, M; Pavón, I; Ausejo, M; Asensio, C; Recuero, M

2011-09-01

Because noise-induced hearing impairment is the result not only of occupational noise exposure but also of total daily noise exposure, it is important to take the non-occupational exposure of individuals (during commuting to and from their jobs, at home, and during recreational activities) into account. Mass transit is one of the main contributors to non-occupational noise exposure. We developed a new methodology to estimate a representative commuting noise exposure. The methodology was put into practice for the Madrid subway because of all Spanish subway systems it covers the highest percentage of worker journeys (22.6%). The results of the application highlight that, for Madrid subway passengers, noise exposure level normalized to a nominal 8 hr (L(Ex,8h-cj) ) depends strongly on the type of train, the presence of squealing noise, and the public address audio system, ranging from 68.6 dBA to 72.8 dBA. These values play an important role in a more complete evaluation of a relationship between noise dose and worker health response.

Pulmonary fibrosis

International Nuclear Information System (INIS)

Yamakido, Michio; Okuzaki, Takeshi

1992-01-01

When the chest is exposed to x radiation and Co-60 gamma radiation, radiation damage may occur in the lungs 2 to 10 weeks after irradiation. This condition is generally referred to as radiation pneumonitis, with the incidence ranging from 5.4% to 91.8% in the literature. Then radiation pneumonitis may develop into pulmonary fibrosis associated with roentgenologically diffuse linear and ring-like shadows and strong contraction 6 months to one year after irradiation. Until recently, little attention has been paid to pulmonary pneumonitis as a delayed effect of A-bomb radiation. The recent study using the population of 9,253 A-bomb survivors have suggested that the prevalence of pulmonary fibrosis tended to be high in heavily exposed A-bomb survivors. Two other studies using the cohort of 16,956 and 42,728 A-bomb survivors, respectively, have shown that the prevalence of roentgenologically proven pulmonary fibrosis was higher in men than women (1.82% vs 0.41%), was increased with aging and had a higher tendency in heavily exposed A-bomb survivors. (N.K.)

The impact of New Public Management on efficiency: an analysis of Madrid's hospitals.

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Alonso, José M; Clifton, Judith; Díaz-Fuentes, Daniel

2015-03-01

Madrid has recently become the site of one of the most controversial cases of public healthcare reform in the European Union. Despite the fact that the introduction of New Public Management (NPM) into Madrid hospitals has been vigorous, little scholarship has been done to test whether NPM actually led to technical efficiency. This paper is one of the first attempts to do so. We deploy a bootstrapped data envelopment analysis to compare efficiency scores in traditionally managed hospitals and those operating with new management formulas. We do not find evidence that NPM hospitals are more efficient than traditionally managed ones. Moreover, our results suggest that what actually matters may be the management itself, rather than the management model. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Neonatal cystic fibrosis screening test

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Cystic fibrosis screening - neonatal; Immunoreactive trypsinogen; IRT test; CF - screening ... Cystic fibrosis is a disease passed down through families. CF causes thick, sticky mucus to build up in ...

Neandertales en el centro peninsular: tecnocomplejos musterienses en la región de Madrid = Neanderthals in central Iberian: Mousterian technocomplex in the region of Madrid

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Concepción Torre Navas

2015-11-01

Full Text Available Durante los últimos años, la investigación sobre el Paleolítico en la región de Madrid ha proporcionado nuevos yacimientos y datos que permiten llevar a cabo una actualización de nuestro conocimiento del poblamiento humano de esta región durante el Pleistoceno superior. Las condiciones geo-litológicas de la cuenca sedimentaria madrileña, sumada a la peculiar fisiografía de sierra, pie de monte y cuenca drenada por una densa red fluvial, proporciona un contexto singular en el que el poblamiento parece organizarse funcionalmente atendiendo a los rasgos que cada contexto posee. Las comunidades musterienses supieron sacar provecho de una ordenada estructuración funcional del espacio. En este trabajo además de realizar una actualización del conocimiento en la región, planteamos como los grupos musterienses organizaron de manera planificada y complementaria la explotación de los distintos recursos en nuestra región respondiendo a patrones similares al de otras regiones europeas.In recent years, research on the Paleolithic in the region of Madrid has provided new archaeological sites, sequences and interpretations that allow us to update our knowledge about the human settlement in this region during the upper Pleistocene. Geo-lithological conditions of the Madrid sedimentary basin, combined with the peculiar physiography compose by mountains, slopes and basin drained by a dense river network provides a unique context in which the settlement seems to have been organized as a response to each particular context. During millennia, Mousterian communities learned to use a functional structure of space in order to organize the global activities. In this work, in addition to update our knowledge of the Mousterian occupation this region, we propose the existence of a organizational and complementary model of resource exploitation similar to other european regions.

El granito como piedra de construcción en Madrid: durabilidad y puesta en valor

OpenAIRE

Freire Lista, David Martín

2016-01-01

La tesis titulada “El granito como piedra de construcción en Madrid: durabilidad y puesta en valor” está estructurada en 6 artículos científicos publicados, 1 aceptado y otro en revisión, en diferentes revistas internacionales indexadas y un capítulo de un libro divulgativo. El uso de la piedra de construcción ha estado determinado por la proximidad de los recursos geológicos. Los materiales pétreos que históricamente se han utilizado en la Comunidad de Madrid provienen del Sistema Central Es...

Innovación y difusión del cambio lingüístico en Madrid

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Isabel Molina

2006-06-01

Full Text Available In this paper I examine three phonic changes taking place in Spanish: the relaxation of /s/ in implossive position, the yeísmo, and the loss of voiced /d/ in intervocalic position. The analysis looks at the Comunidad the Madrid, a territory characterized by the exchange of linguistic influences and the crossing of linguistic borders. The perspective of the study is both dialectal and sociolinguistic. My objective is to know whether Madrid acts as a center for the spread of these southern innovations, or whether the city follows instead the northern Castilian norm.

The Madrid Royal Schools of St. Elisabeth and Loreto according Constitutions of 1715 and 1718

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Beatriz COMELLA GUTIÉRREZ

2013-02-01

Full Text Available The Madrid Royal Schools of Saint Elizabeth and Loreto were founded by Philip II at the end of 16th Century. Both institutions provided education for orphan girls. They still exist as Catholic coeducational schools granted by the Education Department. These two Schools were Royal Sponsorship belonging to Palace ecclesiastical jurisdiction. The Schools Constitutions sanctioned by Philip V have been preserved until now. Although these Schools have a parallel history, the mentioned Constitutions are completely different for each School. According to these Norms, the Madrid Royal Schools of Saint Elizabeth and Loreto have many differences between them.

El poblamiento humano antiguo en el valle alto del Lozoya (Madrid

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Belén Márquez

2008-01-01

Full Text Available La localización en superficie en el término municipal de Lozoya (Madrid de un conjunto de piezas de industria lítica achelense permite retrotraer el primer poblamiento de esta zona al Pleistoceno medio, cuando hasta la fecha las evidencias más antiguas en el valle alto del río Lozoya se remontaban a inicios del Pleistoceno superior. El nuevo hallazgo sitúa al río Lozoya en relación cultural con el poblamiento humano antiguo de los ríos Jarama y Manzanares.The discovery of a surface sample of Acheulean lithic industry at the Lozoya district (Madrid takes back to the Middle Pleistocene the first human peopling of this area. Until now themost ancient evidences at the Upper Lozoya Valley went back to the initial Upper Pleistocene. The new findings place the Lozoya River in cultural relation with the ancient human population of Jarama and Manzanares Rivers.

Índices de precios de tres ciudades españolas, 1680-1800: Palencia, Madrid y Sevilla

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Enrique Llopis Agelán

2009-12-01

Full Text Available En este artículo se presentan y analizan los índices del costo de la vida de tres ciudades españolas, Palencia, Madrid y Sevilla, que cubren el periodo 1680-1800. Las contabilidades de diversos hospitales, colegios e instituciones benéficas han constituido la fuente principal para la elaboración de los referidos índices. En las tres urbes objeto de estudio los precios se comportaron de una manera bastante similar: todos los índices comparten tendencia y ciclo común y presentan un grado significativo de relación lineal entre sus tasas logarítmicas de variación. Sin embargo, también se observan diferencias significativas en los movimientos a corto y largo plazos de los precios: por un lado, las tensiones inflacionistas de la segunda mitad del siglo XVIII fueron más intensas en Palencia y en Sevilla que en la capital de la monarquía hispánica; por otro lado, en Madrid las fluctuaciones interanuales del costo de la vida fueron menos violentas que en Palencia y Sevilla. A nuestro juicio, hay evidencias que apuntan a que la singularidad de Madrid obedeció, ante todo, a la mayor cantidad de recursos que las instituciones públicas dedicaron en dicha urbe a la protección de los consumidores.In this article we present and analyze new cost of living indexes for three relevant Spanish urban centers that cover from 1680 to 1800. The accounts of several hospital, schools and charitable institutions have been used as main sources to construct these indexes. The three indexes behave in a fairly similar way. They share common trends and cycles and show a significant linear relationship among their logarithmic rates of variation. Nonetheless, some substantial differences in the short and the long term movement of prices may be observed as well. On the one hand, inflationary tensions in the second half of the eighteenth century were more intense in Palencia and Seville than in Madrid. On the other hand, yearly fluctuations in the cost of living

Documentos del Museo Nacional de Ciencias Naturales de Madrid, referentes a las cátedras de Botánica del Real Jardín Botánico

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Maldonado Polo, José Luis

1996-06-01

Full Text Available As an essential part of the research project The Natural History in Madrid at the end of the Old Regime (CAM, n 180/ 92, has been carried out the study of the manuscripts and printed funds existent in the National Museum of Natural Sciences from Madrid (MNCN, belonging or relative to the Royal Botanical Garden from Madrid (RJB.° The stuff have been ordered and classified, with the outcome which we presented next.

Como parte sustancial del proyecto de investigación La Historia Natural en Madrid al final del Antiguo Régimen (CAM, n° 180/92, se ha realizado el estudio de los fondos manuscritos e impresos existentes en el Museo Nacional de Ciencias Naturales de Madrid (MNCN, pertenecientes o relativos al Real Jardín Botánico de Madrid (RJB. Los materiales se han indizado, ordenado y clasificado, con el resultado que presentamos a continuación.

Diagnosis of cystic fibrosis

NARCIS (Netherlands)

H.J. Veeze

1995-01-01

textabstractApplying the sweat-test as the first choice of test when a diagnosis of cystic fibrosis is suspected is still common practice and advisable. Since the cloning of the CFTR gene more than 400 different cystic fibrosis (CF) mutations have already been identified. The use of CF mutation

Fibrosis of Two: Epithelial Cell-Fibroblast Interactions in Pulmonary Fibrosis

Science.gov (United States)

Sakai, Norihiko; Tager, Andrew M.

2013-01-01

Idiopathic pulmonary fibrosis (IPF) is characterized by the progressive and ultimately fatal accumulation of fibroblasts and extracellular matrix in the lung that distorts its architecture and compromises its function. IPF is now thought to result from wound-healing processes that, although initiated to protect the host from injurious environmental stimuli, lead to pathological fibrosis due to these processes becoming aberrant or over-exuberant. Although the environmental stimuli that trigger IPF remain to be identified, recent evidence suggests that they initially injure the alveolar epithelium. Repetitive cycles of epithelial injury and resultant alveolar epithelial cell death provoke the migration, proliferation, activation and myofibroblast differentiation of fibroblasts, causing the accumulation of these cells and the extracellular matrix that they synthesize. In turn, these activated fibroblasts induce further alveolar epithelial cell injury and death, thereby creating a vicious cycle of pro-fibrotic epithelial cell-fibroblast interactions. Though other cell types certainly make important contributions, we focus here on the “pas de deux” (steps of two), or perhaps more appropriate to IPF pathogenesis, the “folie à deux” (madness of two) of epithelial cells and fibroblasts that drives the progression of pulmonary fibrosis. We describe the signaling molecules that mediate the interactions of these cell types in their “fibrosis of two”, including transforming growth factor-β, connective tissue growth factor, sonic hedgehog, prostaglandin E2, angiotensin II and reactive oxygen species. PMID:23499992

Breakdown in Breathing: The Complexities of Cystic Fibrosis

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... Healthier Lungs in Kids Wise Choices Living with Cystic Fibrosis In between checkups, practice good self-care and ... Links What Is Cystic Fibrosis? Learning About Cystic Fibrosis NIH Cystic Fibrosis Fact Sheet Genetic and Rare Diseases Information ...

Serum markers of liver fibrosis

DEFF Research Database (Denmark)

Veidal, Sanne Skovgård; Bay-Jensen, Anne-Christine; Tougas, Gervais

2010-01-01

-epitopes, may be targeted for novel biochemical marker development in fibrosis. We used the recently proposed BIPED system (Burden of disease, Investigative, Prognostic, Efficacy and Diagnostic) to characterise present serological markers. METHODS: Pubmed was search for keywords; Liver fibrosis, neo......, a systematic use of the neo-epitope approach, i.e. the quantification of peptide epitopes generated from enzymatic cleavage of proteins during extracellular remodeling, may prove productive in the quest to find new markers of liver fibrosis....

Costs, quality of life and treatment compliance associated with antibiotic therapies in patients with cystic fibrosis: a review of the literature.

Science.gov (United States)

Weiner, Jennifer R; Toy, Edmond L; Sacco, Patricia; Duh, Mei Sheng

2008-04-01

Cystic fibrosis is the most common incurable hereditary disease in the US. Persistent respiratory infection is the leading cause of morbidity and mortality in cystic fibrosis patients. This study aimed to review the literature on economic and quality of life outcomes and treatment compliance associated with antibiotic therapies for cystic fibrosis patients. A systematic literature review was conducted using keyword searches of the MEDLINE database and selected conference abstracts. The review covered studies published between January 1990 and May 2007. Evidence suggests that inhaled tobramycin, a key chronic suppressive therapy, can reduce other healthcare costs. The main determinants of the cost of care include disease severity and respiratory infection. Costs vary widely by country. There is evidence that inhaled tobramycin and oral azithromycin improve quality of life and that treatment setting and patient convenience may also impact on quality of life. Antibiotic treatment compliance varied significantly and depended on the method of measurement, with more subjective measures tending to be higher. This review concludes by offering directions for future research.

A single blood test adjusted for different liver fibrosis targets improves fibrosis staging and especially cirrhosis diagnosis.

Science.gov (United States)

Calès, Paul; Boursier, Jérôme; Oberti, Frédéric; Moal, Valérie; Fouchard Hubert, Isabelle; Bertrais, Sandrine; Hunault, Gilles; Rousselet, Marie Christine

2018-04-01

Fibrosis blood tests are usually developed using significant fibrosis, which is a unique diagnostic target; however, these tests are employed for other diagnostic targets, such as cirrhosis. We aimed to improve fibrosis staging accuracy by simultaneously targeting biomarkers for several diagnostic targets. A total of 3,809 patients were included, comprising 1,012 individuals with chronic hepatitis C (CHC) into a derivation population and 2,797 individuals into validation populations of different etiologies (CHC, chronic hepatitis B, human immunodeficiency virus/CHC, nonalcoholic fatty liver disease, alcohol) using Metavir fibrosis stages as reference. FibroMeter biomarkers were targeted for different fibrosis-stage combinations into classical scores by logistic regression. Independent scores were combined into a single score reflecting Metavir stages by linear regression and called Multi-FibroMeter Version Second Generation (V2G). The primary objective was to combine the advantages of a test targeted for significant fibrosis (FibroMeter V2G ) with those of a test targeted for cirrhosis (CirrhoMeter V2G ). In the derivation CHC population, we first compared Multi-FibroMeter V2G to FibroMeter V2G and observed significant increases in the cirrhosis area under the receiver operating characteristic curve (AUROC), Obuchowski index (reflecting all fibrosis-stage AUROCs), and classification metric (six classes expressed as a correctly classified percentage) and a nonsignificant increase in significant fibrosis AUROC. Thereafter, we compared it to CirroMeter V2G and observed a nonsignificant increase in the cirrhosis AUROC. In all 3,809 patients, respective accuracies for Multi-FibroMeter V2G and FibroMeter V2G were the following: cirrhosis AUROC, 0.906 versus 0.878 ( P fibrosis AUROC, 0.833 versus 0.832 ( P = 0.366). Multi-FibroMeter V2G had the highest correlation with the area of portoseptal fibrosis and the highest reproducibility over time. Correct classification rates

Voice Disorder in Cystic Fibrosis Patients

Science.gov (United States)

Lourenço, Bruna Mendes; Costa, Kauê Machado; da Silva Filho, Manoel

2014-01-01

Cystic fibrosis is a common autosomal recessive disorder with drastic respiratory symptoms, including shortness of breath and chronic cough. While most of cystic fibrosis treatment is dedicated to mitigating the effects of respiratory dysfunction, the potential effects of this disease on vocal parameters have not been systematically studied. We hypothesized that cystic fibrosis patients, given their characteristic respiratory disorders, would also present dysphonic symptoms. Given that voice disorders can severely impair quality of life, the identification of a potential cystic fibrosis-related dysphonia could be of great value for the clinical evaluation and treatment of this disease. We tested our hypothesis by measuring vocal parameters, using both objective physical measures and the GRBAS subjective evaluation method, in male and female cystic fibrosis patients undergoing conventional treatment and compared them to age and sex matched controls. We found that cystic fibrosis patients had a significantly lower vocal intensity and harmonic to noise ratio, as well as increased levels of jitter and shimmer. In addition, cystic fibrosis patients also showed higher scores of roughness, breathiness and asthenia, as well as a significantly altered general grade of dysphonia. When we segregated the results according to sex, we observed that, as a group, only female cystic fibrosis patients had significantly lower values of harmonic to noise ratio and an abnormal general grade of dysphonia in relation to matched controls, suggesting that cystic fibrosis exerts a more pronounced effect on vocal parameters of women in relation to men. Overall, the dysphonic characteristics of CF patients can be explained by dysfunctions in vocal fold movement and partial upper airway obstruction, potentially caused by the accumulation of mucus and chronic cough characteristic of CF symptomatology. Our results show that CF patients exhibit significant dysphonia and suggest they may

Naturaleza y grafía. El corpus documental de las colecciones animales en el Real Gabinete de Madrid, 1752-1790

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Constantino, María Eugenia

2015-12-01

Full Text Available In 1776, a strategy to acquire and increase the number of specimens in the collections of the Royal Cabinet of Natural History in Madrid was implemented by its director, Pedro Franco Dávila. The plan that involved correspondents, expeditionaries, savants and amateurs in America and Europe, asked for the sending of consignments of natural products usually associated to a series of indexes and inventories that documented the shipments, and allowed the control of their transit to Madrid. This article explores the documentary corpus generated around the collections of natural history sent to the Royal Cabinet of Natural History of Madrid, and searches for the analysis of its instrumental dimension as indispensable tools for the registration and stabilization of information about the diverse processes, practices and actors implied in nature’s collecting and knowledge production.En 1776, Pedro Franco Dávila, director del Real Gabinete de Historia Natural en Madrid, implementó una estrategia de adquisición de ejemplares naturales para ampliar las colecciones monárquicas. En ella involucró a corresponsales, expedicionarios, eruditos y aficionados en América y Europa que debían enviar remesas de producciones naturales asociadas a una serie de índices e inventarios que documentaban los envíos y permitían controlar su tránsito hasta Madrid. Este artículo explora el corpus documental generado alrededor de las colecciones de historia natural enviadas al Real Gabinete de Madrid y busca analizar su dimensión instrumental como herramientas indispensables para registrar y estabilizar la información sobre los diversos procesos, prácticas y actores implicados en el coleccionismo y la producción de conocimientos sobre la naturaleza.

Taurine attenuates radiation-induced lung fibrosis in C57/Bl6 fibrosis prone mice.

LENUS (Irish Health Repository)

Robb, W B

2010-03-01

The amino acid taurine has an established role in attenuating lung fibrosis secondary to bleomycin-induced injury. This study evaluates taurine\\'s effect on TGF-beta1 expression and the development of lung fibrosis after single-dose thoracic radiotherapy.

Economic crisis and its influences on the interaction between land use and transport in Madrid Region

Energy Technology Data Exchange (ETDEWEB)

Wang, Y.

2016-07-01

The road transport system is closely linked to the land-use system. The road system connects territories at all spatial scale, on the other hand, passengers and freight travel behavior are strongly influenced both by land-use and the road transport system. Hence, research in the field of the interactions between land-use and the road transport system is still less, particular the influence of the economic crisis. This paper aims to find out if the statistical analysis of land use and mobility can help to answer the question of what happens during economic crisis on both land use and transport system, and unveiling key spatial relationships between them. The methodology for the analysis was developed accordingly with the data and resources available. First, an exploratory data analysis (EDA) is performed in order to identify the land use and mobility pattern during the last decade. This analysis focuses on six aspects, which are distribution of population and dwellings, employment and jobs, GDP, motorization and modal split. The second aspect consists on crossing the spatial patterns of the different aspects in order to find some explanatory relationships that indicate the presence of the key characteristics. The analysis is based on the case of Madrid Region. The land-use and transport data presented in this analysis are from 2004 to 2014, which are collected from the national statistical institute, the regional government database and two urban mobility surveys of Madrid. Through the exploration analysis, we find that there is close relationship between the land-use system and travel behavior in Madrid Region. With an increasing of new dwellings constructed in the outer periphery of Madrid Region, it leads longer trips distance and more travel cost particularly by car mode. Moreover, during the economic crisis, we also find the motorization level of Madrid keeps the same, as a result of the decreasing GDP and relatively decreasing. (Author)

Distribución y patrones de diversidad de los Afódidos en la Comunidad de Madrid (Coleoptera, Scarabaeoidea, Aphodiidae, Aphodiinae y Psammodiinae

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Hortal, J.

2006-05-01

Full Text Available In this work we present an updated checklist of the Aphodiidae (Coleoptera, Scarabaeoidea from Comunidad de Madrid (Spain. In addition, the observed and potential distributions of the 70 species found in Madrid are mapped. The potential spatial distributions of species richness, rarity and endemism in this region are also mapped. Finally, we discuss briefly the origin of the observed patterns.

En este trabajo se presenta un inventario actualizado de los Aphodiidae (Coleoptera, Scarabaeoidea de la Comunidad de Madrid. Además, se presentan mapas de la distribución observada y potencial de las 70 especies encontradas en Madrid, así como de la distribución espacial de la riqueza, rareza, y endemicidad potencial en la región. Finalmente, se discute brevemente el origen de los patrones observados.

Ruta Geomonumental por Manzanares el Real (Madrid)

OpenAIRE

Freire-Lista, David M.; Fort, Rafael; Varas Muriel, María José

2017-01-01

Manzanares el Real tiene un amplio patrimonio geológico. Está ubicado en el Parque Natural de la Sierra de Guadarrama (Madrid) y sus características geológicas y monumentales posibilitan acciones de divulgación científica. Las Rutas Geomonumentales tienen como objetivo principal mostrar a la sociedad el patrimonio cultural, dándole un uso turístico y didáctico. Estas rutas combinan valores arquitectónicos e históricos con la geología y la conservación del patrimonio. El granito es la piedra d...

Los Rumiantes (Artiodactyla, Mammalia del Mioceno inferior de La Encinilla (Colmenar Viejo, Madrid

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Morales, J.

2006-12-01

Full Text Available This article is a preliminary study of the fossil ruminants found in the Early Miocene site of La Encinilla (Colmenar Viejo, Madrid. The morphological description of dentition and postcranial bones, along with the metrical and comparative study with material from localities of similar age in France and Spain has allowed us to confirm the presence of two Pecoran ruminants in La Encinilla: Andegameryx sp. and a larger species related to Teruelia Moyá-Solá, 1987. Although the identification in one of the cases should be confirmed with more material, the record in the Madrid Bassin would represent new information regarding the known biogeographical distribution of both taxa. The systematic position of Andegameryx and Teruelia is still under discussion, but both forms are clearly distinct from the Cervoidea ruminants found in Europe and the Iberian Peninsula at the same age, such as Amphitragulus, Oriomeryx, Bedenomeryx or Dremotherium.Este trabajo constituye un estudio preliminar de los restos de rumiantes fósiles hallados en el yacimiento del Mioceno inferior de La Encinilla (Colmenar Viejo, Madrid. La descripción morfológica de la dentición y del esqueleto postcraneal, así como el estudio métrico y comparativo con material procedente de localidades francesas y españolas de edad similar ha permitido constatar hasta el momento la presencia de dos formas de rumiantes Pecora en La Encinilla: Andegameryx sp. y un rumiante de mayor talla relacionado con Teruelia Moyá-Solá, 1987. Aunque la identificación en uno de los casos necesitaría confirmarse con más material, la presencia de estas dos formas en la Cuenca de Madrid ampliaría la distribución biogeográfica conocida para ambos taxones. La posición sistemática de Andegameryx y Teruelia permanece abierta a discusión, pero ambos géneros se diferencian de los Cervoidea del Mioceno inferior encontrados en Europa y la Península Ibérica, tales como Amphitragulus, Oriomeryx, Bedenomeryx

Evolution of the size of public housing and its comparison with the rest of residential in Madrid between 1940-2010

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L. Moya González

2017-03-01

Full Text Available The qualitative value of most public housing (VP in Madrid has been highlighted in several studies, due to the limited resources during their construction. One idea is the VP’s lack of size, making it a small dwelling. The article analyzes if Madrid has maintained a particularly small VP between 1940 and 2010. With this information, we present the progression of size during this time period and conclude whether the VP is smaller compared to the rest, coeval or neighbor. We have validated our results by surveying the preserve VP in Madrid, while conforming to a detailed cadaster database. The lecture of results provides answers to the questions above, showing us a draw.

Serum adiponectin is increased in advancing liver fibrosis and declines with reduction in fibrosis in chronic hepatitis B.

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Hui, Chee-Kin; Zhang, Hai-Ying; Lee, Nikki P; Chan, Weng; Yueng, Yui-Hung; Leung, Kar-Wai; Lu, Lei; Leung, Nancy; Lo, Chung-Mau; Fan, Sheung-Tat; Luk, John M; Xu, Aimin; Lam, Karen S; Kwong, Yok-Lam; Lau, George K K

2007-08-01

Despite the possible role of adiponectin in the pathogenesis of liver cirrhosis, few data have been collected from patients in different stages of liver fibrosis. We studied the role of adiponectin in 2 chronic hepatitis B (CHB)-patient cohorts. Serum adiponectin was quantified by enzyme-linked immunosorbent assay. One-hundred liver biopsy specimens from CHB patients with different stages of fibrosis and 38 paired liver biopsies from hepatitis B e antigen-positive patients randomized to lamivudine (n=15), pegylated interferon alfa-2a (n=15) or pegylated interferon alfa-2a plus lamivudine (n=8) therapy for 48 weeks were assessed. Serum adiponectin was detected at levels ranging over fourfold magnitude with advancing fibrosis stage and correlated positively with fibrosis stage [r=0.45, p<0.001]. CHB patients with stage 0-1 fibrosis had higher composition of high molecular weight (HMW) form of adiponectin when compared with CHB patients with liver cirrhosis [mean+/-SEM 51.2+/-2.1% vs. 40.9+/-1.7%, respectively, p=0.001]. After antiviral therapy, patients with fibrosis reduction had marked decline in serum adiponectin level and increase in HMW form of adiponectin [mean+/-SEM 43.5+/-1.2% vs. 37.0+/-3.0%, respectively, p=0.04]. Serum adiponectin may have a role in fibrosis progression in CHB infection. A marked decline in serum adiponectin after antiviral therapy is associated with fibrosis reduction.

Inmigrantes senegaleses en Madrid: características sociodemográficas y actividades económicas

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Maguemati Wabgou

2006-07-01

Full Text Available Se presenta un diagnostico de la situación de inserción laboral vivida por la inmigración senegalesa en la Comunidad de Madrid, así como un análisis de las principales características socio demográficas de los grupos de mujeres y hombres que la conforman. La consideración por genero, rangos de edad, estado civil y nivel de estudios, ha permitido la descripción de estas personas como capital humano que busca oportunidades reales en el mercado de trabajo madrileño. El panorama descrito orienta la indagación más detallada de la venta ambulante como ocupación de los varones senegaleses en Madrid. Así mismo, se observa que los grupos cuentan con redes informales intra-étnicas y transnacionales para desarrollar su actividad comercial, si bien parte de ellos, marginados y confinados en esta c1ase de ocupación, suelen adoptar estrategias para evadir los efectos de las persecuciones y restricciones policiales. Otros aspiran a convertirse en mayoristas o patrones. / Abstract. This article examines the insertion in the labor market of the Senegalese immigrants in Madrid and depicts their main sociodemographic characteristics according to gender. The description of these foreign workers according to gender, age, civil status and level of education allows us to treat them as a human capital, in search of real opportunities in Madrid's labor market. As a result, the analysis presents a basic overview of their economic activities in Madrid while focusing on men who have set up retail business: they are hawkers. Thus, it is noteworthy to point out the social ties (intra/inter-ethnic and transnational networks that support some of them as a group, while getting a job and evolving their commercial activities. However, others are marginalized and isolated in these segments of the labor market where they develop strategies in order to avoid or escape Police assault and prosecution because they are illegal migrants; meanwhile, another group of people

Estación depuradora, en Madrid, España

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Herrera Marín, J.

1969-05-01

Full Text Available This article gives a detailed description of the installations for purifying the residual waters of the «El Fresno» basin, in the neighbourhood of Puerta de Hierro. A special feature of this project is that this is one of the four plants provided for in the General Plan for Sanitary Works of Madrid, and it is also important since it is the largest such installation at present in service. It provides for full processing of the residual waters, and it has been through useful to give a summary of the sanitary engineering calculations.Se hace en este artículo una descripción detallada de la estación depuradora de aguas residuales de la cuenca de «El Fresno», situada en las inmediaciones de Puerta de Hierro. Resalta el interés de la obra la circunstancia de ser una de las cuatro plantas previstas en el Plan General de Obras Sanitarias de Madrid; y dado que se trata de la de mayor envergadura que hay actualmente en servicio, con tratamiento completo de aguas residuales, se ha considerado interesante y de actualidad incluir un resumen de los cálculos justificativos de ingeniería sanitaria.

Soil characterization and vulnerability indices of the Autonomous region of Madrid. Scale 1:200.000

International Nuclear Information System (INIS)

Schmid, T.; Millan, R.; Lago, C; Trueba, C.

2000-01-01

Radioactive contamination of the soil due to a nuclear accident is a risk for the population. A research project, within the program of Radiological Protection by Intervention in CIEMAT, has been developed to study the behaviour of radionuclides in soils. An evaluation of the radiological vulnerability considering the external irradiation and the food chain pathway for caesium and strontium has been determined using partial and global indices, which indicate the potential transfer of the radionuclides via the two mentioned pathways. A detailed study of the soils found in the Autonomous Region of Madrid was carried out with data from individual soil profiles and combining data obtained from maps with a Geographic Information System in order to obtain a spatial distribution of the results. The soil vulnerability for the external irradiation pathway of caesium and strontium is in general found to be higher in more developed soils located in the south and leading to the foothills of the Sierra of Madrid in the north. The vulnerability for the food chain pathway is found to be higher in the less developed soils in acid conditions situated in the Sierra of Madrid. (Author) 11 refs

The Madrid Royal Schools of St. Elisabeth and Loreto according Constitutions of 1715 and 1718 Los Reales Colegios de Santa Isabel y Loreto de Madrid según sus constituciones de 1715 y 1718

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Beatriz COMELLA GUTIÉRREZ

2013-02-01

Full Text Available The Madrid Royal Schools of Saint Elizabeth and Loreto were founded by Philip II at the end of 16th Century. Both institutions provided education for orphan girls. They still exist as Catholic coeducational schools granted by the Education Department. These two Schools were Royal Sponsorship belonging to Palace ecclesiastical jurisdiction. The Schools Constitutions sanctioned by Philip V have been preserved until now. Although these Schools have a parallel history, the mentioned Constitutions are completely different for each School. According to these Norms, the Madrid Royal Schools of Saint Elizabeth and Loreto have many differences between them.Los Reales Colegios de Santa Isabel y Loreto de Madrid para niñas huérfanas fueron fundados por Felipe II a finales del siglo XVI. Ambas instituciones siguen funcionando en la actualidad como centros educativos católicos mixtos y concertados. Los dos fueron patronatos reales pertenecientes a la jurisdicción eclesiástica de Palacio. Se han conservado las Constituciones de ambos aprobadas bajo el reinado de Felipe V. Aunque los Colegios tienen una historia paralela, la citada normativa es muy diferente para cada institución; según las Constituciones, Santa Isabel y Loreto tienen más aspectos diferenciadores que comunes.

Recuperación del paisaje con fines de ocio. Parque fluvial del Jarama. Comunidad de Madrid. España

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Pinedo, Alejandro

1990-10-01

Full Text Available This paper focuses on a rivershore reclamation scheme for an area of the Community of Madrid (Spain. Due to its location not far from the City of Madrid, recreational water based use was proposed as the final use for this disturbed river environment. The reclamation plan proposes the creation of the Jarama River Park (Parque Fluvial del Jarama that would be integrated into the Rivershore Reclamation Program of the Integral Water Plan of Madrid (Plan Integral del Agua en Madrid-PIAM. Several sets of actions are considered for the reclamation of the river and ponds system. Some of them are: — Reclamation of the old railway corridor located along the river. — Reclamation of the river bed and banks. — Reclamation of the Campillo Pond area.

El plan de recuperación de márgenes y riberas que se describe en el presente artículo, trata de salir al paso y aportar soluciones a los cada vez más frecuentes problemas de restauración y aprovechamiento de terrenos degradados que se plantean en los ámbitos urbanos y periurbano. El plan se localiza geográficamente en un área de la Comunidad de Madrid que posee un alto nivel de degradación y al mismo tiempo un gran potencial recreativo, se trata de el Parque Fluvial del Jarama, situado en el tramo del río Jarama comprendido entre la desembocadura del arroyo de la Vega y la del Manzanares; el Parque Fluvial del Jarama constituye la actuación más ambiciosa dentro del Programa de Recuperación de Márgenes del Plan Integral del Agua en Madrid (PIAM y en él se contemplan una serie de actuaciones que se pueden agrupar en los bloques siguientes: — Restauración de la explanación del ferrocarril. — Restauración y adecuación del cauce y márgenes. — Restauración de la Laguna del Campillo.

[Comparative study of habits in students before and during the university in northwest area of Madrid].

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Iglesias López, María Teresa; Cuesta Santa Teresa, Elvira; Sáez Crespo, Antonio

2014-11-12

In most Western countries young people adopt lifestyles that adversely affect their health, thus increasing the risk of premature onset of chronic diseases. Therefore, the aim of this study was to compare patterns of habits in pre-university and university students in west-central area of Madrid. Descriptive longitudinal study with randomly selected students from Madrid in Madrid universities and schools-institutes. Accepting to participate 1590 students of both sex: 653 males (4,1%) and 937 women (58,9%). To facilitate the study were classified into ≤ 17 years (pre university) and ≥ 18 years (university). BMI, physical activity, alcohol consumption and negative habits with regard to food consumption was studied. Almost 80% have normal weight, are more active pre-university. Gender differences were observed, which should guide the actions of intervention in terms of physical activity or habits. It seems essential to make nutritional programs as well as psychosocial intervention in adolescents and youth to prevent and / or reduce alcohol consumption. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

The current situation of adapted physical activity for persons with disabilities in the region of Madrid

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Javier Pinilla Arbex

2017-06-01

Full Text Available This study aimed to analyze the state of the art of adapted physical activity for persons with disabilities in the region of Madrid. To meet this goal, official demographic data and indicators of participation in physical activity programs from 2014 were analyzed. Results indicated a population of 307.880 persons with disability (4.7 % of the entire population. The largest population group among the persons with disabilities is composed by persons with a physical disability. Less than 2.53 % of the population with disability practiced a competitive sport and 21.49 % of persons with disabilities living in Madrid were holders of the “Special Card” that provided them with free access to all public sport facilities. However, no indicator was found related with the participation of the population with disabilities on leisure or health physical activities in the region of Madrid. These results suggest that there is a need for improving monitoring through official indicators and to establish further actions that responds to the analyzed demographic profile.

Endomyocardial fibrosis in infancy

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Jatene Marcelo Biscegli

2003-01-01

Full Text Available The patient was a 4-month-old infant, who underwent persistent ductus arteriosus interruption with titanium clips at the age of 13 days and, since the age of 2 months, had crises of hypoxia and hypertonicity. After clinical investigation, the presence of pulmonary hypertension was confirmed and left ventricular inflow tract obstruction was suspected. The patient underwent surgical treatment at the age of 4 months, during which right and left ventricular endocardial fibrosis was identified. The fibrosis was resected, but the infant had an unfavorable clinical evolution with significant diastolic restriction and died on the sixth postoperative day. Anatomicopathological and surgical findings suggested endomyocardial fibrosis, although that pathology is very rare at the patient's age.

Gastrointestinal Manifestations of Cystic Fibrosis

Science.gov (United States)

2016-01-01

Cystic fibrosis has historically been considered a pulmonary disease, but with the increasing life expectancy of these patients, gastrointestinal manifestations are becoming more important. Furthermore, nutritional status is closely linked to pulmonary function and, thus, overall mortality. This article discusses gastrointestinal manifestations (which involve nutritional, pancreatic, hepatobiliary, and, in particular, gastrointestinal tract issues) of cystic fibrosis as well as management of the disease. In addition, the article discusses studies that have been critical to our understanding of gastrointestinal manifestations of cystic fibrosis. PMID:27330503

Computerized tomography in Community of Madrid. Reference dosimetric measurements

International Nuclear Information System (INIS)

Ruiz Sanz, S.; Calzado, A.; Melchor, M.; Marco, M.

1994-01-01

A total of about 43 computed tomography scanners were operating in the Autonomous Community of Madrid during 1991. A sample of 14 facilities was selected to perform dosimetric measurements in order to obtain characteristic dose profiles. From these, some quantities as the computed tomography dose index and the enhancement factor were calculated and analysed for the most common technique settings. Relations were established between the dosimetric results and technical characteristics of the scanners. (Author)

Bioclimatic buildings of 16 houses in Pozuelo de Alarcon (Madrid); Edificio bioclimatico de 16 viviendas de promocion publica pra jovenes en Pozuelo de Alarcon. (Madrid)

Energy Technology Data Exchange (ETDEWEB)

Yanez, G.; Yanez-Lopez del Amo, L.

2004-07-01

We present in this article a housing building for young people recently built for the Autonomous Administration of Madrid in Pozuelo de Alarcon in which have been applied some bioclimatic and energy efficiency techniques. In this communication are described the main architectural features and are exposed some of the estimated results of energy saving and reduction of Co2. (Author)

Therapeutic targets in liver fibrosis.

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Fallowfield, Jonathan A

2011-05-01

Detailed analysis of the cellular and molecular mechanisms that mediate liver fibrosis has provided a framework for therapeutic approaches to prevent, slow down, or even reverse fibrosis and cirrhosis. A pivotal event in the development of liver fibrosis is the activation of quiescent hepatic stellate cells (HSCs) to scar-forming myofibroblast-like cells. Consequently, HSCs and the factors that regulate HSC activation, proliferation, and function represent important antifibrotic targets. Drugs currently licensed in the US and Europe for other indications target HSC-related components of the fibrotic cascade. Their deployment in the near future looks likely. Ultimately, treatment strategies for liver fibrosis may vary on an individual basis according to etiology, risk of fibrosis progression, and the prevailing pathogenic milieu, meaning that a multiagent approach could be required. The field continues to develop rapidly and starts to identify exciting potential targets in proof-of-concept preclinical studies. Despite this, no antifibrotics are currently licensed for use in humans. With epidemiological predictions for the future prevalence of viral, obesity-related, and alcohol-related cirrhosis painting an increasingly gloomy picture, and a shortfall in donors for liver transplantation, the clinical urgency for new therapies is high. There is growing interest from stakeholders keen to exploit the market potential for antifibrotics. However, the design of future trials for agents in the developmental pipeline will depend on strategies that enable equal patient stratification, techniques to reliably monitor changes in fibrosis over time, and the definition of clinically meaningful end points.

Near-surface structural model for deformation associated with the February 7, 1812, New Madrid, Missouri, earthquake

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Odum, J.K.; Stephenson, W.J.; Shedlock, K.M.; Pratt, T.L.

1998-01-01

The February 7, 1812, New Madrid, Missouri, earthquake (M [moment magnitude] 8) was the third and final large-magnitude event to rock the northern Mississippi Embayment during the winter of 1811-1812. Although ground shaking was so strong that it rang church bells, stopped clocks, buckled pavement, and rocked buildings up and down the eastern seaboard, little coseismic surface deformation exists today in the New Madrid area. The fault(s) that ruptured during this event have remained enigmatic. We have integrated geomorphic data documenting differential surficial deformation (supplemented by historical accounts of surficial deformation and earthquake-induced Mississippi River waterfalls and rapids) with the interpretation of existing and recently acquired seismic reflection data, to develop a tectonic model of the near-surface structures in the New Madrid, Missouri, area. This model consists of two primary components: a northnorthwest-trending thrust fault and a series of northeast-trending, strike-slip, tear faults. We conclude that the Reelfoot fault is a thrust fault that is at least 30 km long. We also infer that tear faults in the near surface partitioned the hanging wall into subparallel blocks that have undergone differential displacement during episodes of faulting. The northeast-trending tear faults bound an area documented to have been uplifted at least 0.5 m during the February 7, 1812, earthquake. These faults also appear to bound changes in the surface density of epicenters that are within the modern seismicity, which is occurring in the stepover zone of the left-stepping right-lateral strike-slip fault system of the modern New Madrid seismic zone.

Características sociodemográficas de la población inmigrante diagnosticada de tuberculosis en la Comunidad de Madrid Sociodemographic characteristics of the immigrant population with a diagnosis of tuberculosis in the autonomous community of Madrid (Spain)

OpenAIRE

Belén Sanz Barbero; Teresa Blasco Hernández

2007-01-01

Objetivo: Describir las características sociodemográficas de la población inmigrante enferma de tuberculosis en la Comunidad de Madrid. Pacientes y método: Estudio descriptivo. Captación de casos: 15 hospitales de la Comunidad de Madrid y 3 consultas de atención primaria de la Cruz Roja. Se incluyeron a los inmigrantes económicos, mayores de 15 años, no internos en prisión y diagnosticados de tuberculosis durante el año 2003. Resultados: Se identificaron 312 personas, 296 formaron parte del e...

Indian Academy of Sciences Conference Series | Indian Academy of ...

Indian Academy of Sciences (India)

Author Affiliations. J MONTES1 F REVUELTA2 F BORONDO2. Grupo de Sistemas Complejos, Escuela Técnica Superior de Ingeniería Agronómica, Alimentaria y de Biosistemas, Universidad Politécnica de Madrid, Avda. Puerta de Hierro, 2-4, 28040 Madrid, Spain ...

Non-Invasive Evaluation of Cystic Fibrosis Related Liver Disease in Adults with ARFI, Transient Elastography and Different Fibrosis Scores

OpenAIRE

Karlas, Thomas; Neuschulz, Marie; Oltmanns, Annett; Güttler, Andrea; Petroff, David; Wirtz, Hubert; Mainz, Jochen G.; Mössner, Joachim; Berg, Thomas; Tröltzsch, Michael; Keim, Volker; Wiegand, Johannes

2012-01-01

BACKGROUND: Cystic fibrosis-related liver disease (CFLD) is present in up to 30% of cystic fibrosis patients and can result in progressive liver failure. Diagnosis of CFLD is challenging. Non-invasive methods for staging of liver fibrosis display an interesting diagnostic approach for CFLD detection. AIM: We evaluated transient elastography (TE), acoustic radiation force impulse imaging (ARFI), and fibrosis indices for CFLD detection. METHODS: TE and ARFI were performed in 55 adult CF patient...

Nanoparticles for the treatment of liver fibrosis

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Poilil Surendran S

2017-09-01

Full Text Available Suchithra Poilil Surendran, Reju George Thomas, Myeong Ju Moon, Yong Yeon Jeong Department of Radiology, BioMolecular Theranostics (BiT Lab, Chonnam National University Medical School, Chonnam National University Hwasun Hospital (CNUHH, South Korea Abstract: Chronic liver diseases represent a global health problem due to their high prevalence worldwide and the limited available curative treatment options. They can result from various causes, both infectious and noninfectious diseases. The application of nanoparticle (NP systems has emerged as a rapidly evolving area of interest for the safe delivery of various drugs and nucleic acids for chronic liver diseases. This review presents the pathogenesis, diagnosis and the emerging nanoparticulate systems used in the treatment of chronic liver diseases caused by liver fibrosis. Activated hepatic stellate cell (HSC is considered to be the main mechanism for liver fibrosis. Ultrasonography and magnetic resonance imaging techniques are widely used noninvasive diagnostic methods for hepatic fibrosis. A variety of nanoparticulate systems are mainly focused on targeting HSC in the treatment of hepatic fibrosis. As early liver fibrosis is reversible by current NP therapy, it is being studied in preclinical as well as clinical trials. Among various nanoparticulate systems, inorganic NPs, liposomes and nanomicelles have been widely studied due to their distinct properties to deliver drugs as well as other therapeutic moieties. Liposomal NPs in clinical trials is considered to be a milestone in the treatment of hepatic fibrosis. Currently, NP therapy for liver fibrosis is updating fast, and hopefully, it can be the future remedy for liver fibrosis. Keywords: liver fibrosis, inorganic nanoparticles, liposomes, micelles

European Scientific Notes. Volume 37, Number 8.

Science.gov (United States)

1983-08-31

CSIRO, Division of Chemical Instituto de Ceramica y Vidrio , Madrid, Physics, Clayton, Australia); "Formation Spain) presented a poster "Preparation, of...neutron reactions, nuclear measurement Vidrio , Madrid Spain). applications, neutron and ultrasonic d Sanalyses of condensed matter, isotope The conference

Performance of transient elastography for the staging of liver fibrosis in patients with chronic hepatitis B: a meta-analysis.

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Young Eun Chon

Full Text Available Transient elastography (TE, a non-invasive tool that measures liver stiffness, has been evaluated in meta-analyses for effectiveness in assessing liver fibrosis in European populations with chronic hepatitis C (CHC. However, these data cannot be extrapolated to populations in Asian countries, where chronic hepatitis B (CHB is more prevalent. In this study, we performed a meta-analysis to assess the overall performance of TE for assessing liver fibrosis in patients with CHB.Studies from the literature and international conference abstracts which enrolled only patients with CHB or performed a subgroup analysis of such patients were enrolled. Combined effects were calculated using area under the receiver operating characteristic curves (AUROC and diagnostic accuracy values of each study.A total of 18 studies comprising 2,772 patients were analyzed. The mean AUROCs for the diagnosis of significant fibrosis (F2, severe fibrosis (F3, and cirrhosis (F4 were 0.859 (95% confidence interval [CI], 0.857-0.860, 0.887 (95% CI, 0.886-0.887, and 0.929 (95% CI, 0.928-0.929, respectively. The estimated cutoff for F2 was 7.9 (range, 6.1-11.8 kPa, with a sensitivity of 74.3% and specificity of 78.3%. For F3, the cutoff value was determined to be 8.8 (range, 8.1-9.7 kPa, with a sensitivity of 74.0% and specificity of 63.8%. The cutoff value for F4 was 11.7 (range, 7.3-17.5 kPa, with a sensitivity of 84.6% and specificity of 81.5%.TE can be performed with good diagnostic accuracy for quantifying liver fibrosis in patients with CHB.

The pediatric NAFLD fibrosis index: a predictor of liver fibrosis in children with non-alcoholic fatty liver disease

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Pietrobattista Andrea

2009-05-01

Full Text Available Abstract Background Liver fibrosis is a stage of non-alcoholic fatty liver disease (NAFLD which is responsible for liver-related morbidity and mortality in adults. Accordingly, the search for non-invasive markers of liver fibrosis has been the subject of intensive efforts in adults with NAFLD. Here, we developed a simple algorithm for the prediction of liver fibrosis in children with NAFLD followed at a tertiary care center. Methods The study included 136 male and 67 female children with NAFLD aged 3.3 to 18.0 years; 141 (69% of them had fibrosis at liver biopsy. On the basis of biological plausibility, readily availability and evidence from adult studies, we evaluated the following potential predictors of liver fibrosis at bootstrapped stepwise logistic regression: gender, age, body mass index, waist circumference, alanine transaminase, aspartate transaminase, gamma-glutamyl-transferase, albumin, prothrombin time, glucose, insulin, triglycerides and cholesterol. A final model was developed using bootstrapped logistic regression with bias-correction. We used this model to develop the 'pediatric NAFLD fibrosis index' (PNFI, which varies between 0 and 10. Results The final model was based on age, waist circumference and triglycerides and had a area under the receiver operating characteristic curve of 0.85 (95% bootstrapped confidence interval (CI with bias correction 0.80 to 0.90 for the prediction of liver fibrosis. A PNFI ≥ 9 (positive likelihood ratio = 28.6, 95% CI 4.0 to 201.0; positive predictive value = 98.5, 95% CI 91.8 to 100.0 could be used to rule in liver fibrosis without performing liver biopsy. Conclusion PNFI may help clinicians to predict liver fibrosis in children with NAFLD, but external validation is needed before it can be employed for this purpose.

Assessment of the Atmospheric Suspended Particles Pollution in the Madrid Air Quality Networks

International Nuclear Information System (INIS)

Salvador, P.; Artinano, B.

2000-01-01

Suspended particles are a very complex type of atmospheric pollution because of their chemical composition and size. In fact, there are a quite high number of particles sources which are linked to different physicochemical processes that determine their size. At present particles smaller than 10 μm are considered the most dangerous, as has been recently pointed out by numerous epidemiologic studies. In this way, more restrictive concentration limit values have been approved in the EU countries, so an assessment of present airborne concentration values and the sources apportionment in their most representative areas is needed. In the Madrid Community a first approaching of these and other aims, has been carried out from an analysis of the Madrid Air Quality networks data. This will contribute to the establishment of concentration levels abatement strategies. (Author) 111 refs

EDITORIAL: The 10th International Conference on New Developments and Applications in Optical Radiometry (NEWRAD 2008) The 10th International Conference on New Developments and Applications in Optical Radiometry (NEWRAD 2008)

Science.gov (United States)

Ikonen, Erkki

2009-08-01

This special issue of Metrologia contains selected papers from the NEWRAD 2008 Conference, held in Daejeon, Korea, on 12-16 October 2008. NEWRAD 2008 continues a series of conferences on radiometry entitled 'New Developments and Applications in Optical Radiometry', which have taken place as follows: Cambridge, MA, USA (1985) Teddington, UK (1988) Davos, Switzerland (1990) Baltimore, MD, USA (1992) Berlin, Germany (1994) Tucson, AZ, USA (1997) Madrid, Spain (1999) Gaithersburg, MD, USA (2002) Davos, Switzerland (2005) Daejeon, Korea (2008) As the first NEWRAD Conference arranged in Asia, NEWRAD 2008 opened a new era for this series of conferences. The conference was followed by a Workshop on High Temperature Fixed Points and meetings of the Working Groups of the Consultative Committee for Photometry and Radiometry (CCPR). The organizer of all these events was Dr In Won Lee of the Korea Research Institute of Standards and Science (KRISS). The NEWRAD Scientific Committee thanks him and his team for their tremendous efforts which maintained and developed the high standards of previous NEWRAD Conferences. The specific themes of NEWRAD 2008 included optical measurements related to displays, energy and terahertz applications. Furthermore, half a day of sessions was devoted to both remote sensing and to few-photon sources and detectors. A total of 140 papers were presented, including 11 invited and 30 contributed talks. The conference proceedings containing two-page extended abstracts were distributed to the participants as a paper volume and on a USB memory stick. The authors of selected contributions were invited to submit a full paper for this special issue. The submitted papers were handled by the normal reviewing procedures of Metrologia. On behalf of the Scientific Committee, I thank the reviewers and editorial staff of Metrologia for careful processing of the manuscripts. It is evident that this special issue, like its predecessors, will serve as an important

Screening for several potential pathogens in feral pigeons (Columba livia in Madrid

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Ballesteros Carlos

2010-06-01

Full Text Available Abstract Background Pathogens with the zoonotic potential to infect humans, such as Campylobacter jejuni, Campylobacter coli and Chlamydophila psittaci, can be found in feral pigeons (Columba livia. Given the high density of these birds in the public parks and gardens of most cities, they may pose a direct threat to public health. Methods A total of 118 pigeons were captured in three samplings carried out in 2006-2007 in public parks and gardens in Madrid, Spain. Standard haematological and morphological analyses were carried out on the pigeons. PCR was used to screen for the presence of Campylobacter jejuni, C. coli and Chlamydophila psittaci. Positive samples were confirmed by DNA sequencing. Results The analyses demonstrated a high prevalence of Chlamydophila psittaci (52.6% and Campylobacter jejuni (69.1% among the birds captured. In contrast, Campylobacter coli was rarely detected (1.1%. Conclusions Pigeons in Madrid can carry Chlamydophila psittaci and Campylobacter jejuni. They may be asymptomatic or subclinical carriers of both pathogens.

Screening for several potential pathogens in feral pigeons (Columba livia) in Madrid

Science.gov (United States)

2010-01-01

Background Pathogens with the zoonotic potential to infect humans, such as Campylobacter jejuni, Campylobacter coli and Chlamydophila psittaci, can be found in feral pigeons (Columba livia). Given the high density of these birds in the public parks and gardens of most cities, they may pose a direct threat to public health. Methods A total of 118 pigeons were captured in three samplings carried out in 2006-2007 in public parks and gardens in Madrid, Spain. Standard haematological and morphological analyses were carried out on the pigeons. PCR was used to screen for the presence of Campylobacter jejuni, C. coli and Chlamydophila psittaci. Positive samples were confirmed by DNA sequencing. Results The analyses demonstrated a high prevalence of Chlamydophila psittaci (52.6%) and Campylobacter jejuni (69.1%) among the birds captured. In contrast, Campylobacter coli was rarely detected (1.1%). Conclusions Pigeons in Madrid can carry Chlamydophila psittaci and Campylobacter jejuni. They may be asymptomatic or subclinical carriers of both pathogens. PMID:20569487

Happiness on the street: Overall happiness among homeless people in Madrid (Spain).

Science.gov (United States)

Panadero, Sonia; Guillén, Ana Isabel; Vázquez, José Juan

2015-07-01

This article tests a hypothesized model of overall happiness among homeless people in Spain. The research was conducted based on a representative sample of homeless people in Madrid (n = 235), all adults, who had spent the night before the interview in a shelter for homeless people, on the street or in other places not initially designed for sleeping, or who were in supervised accommodation for homeless people at the time of the interview. Information was gathered using a structured interview. The results obtained show that around half of the homeless people in Madrid said that they were happy. A positive meta-stereotype and a better perceived general health were associated with a higher overall happiness, while feelings of loneliness were associated with a lower overall happiness. Happiness also showed a significant effect on future expectations. Disabilities and handicaps had a significant effect on perceived general health, which was in turn associated with overall happiness among homeless people. (c) 2015 APA, all rights reserved).

Liver Fibrosis: Current Principles of Diagnosis

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A.K. Duda

2014-09-01

Full Text Available Liver fibrosis — a natural consequence of almost all liver diseases of any origin. We are faced with a number of standard stereotype processes that take place in the liver tissue. Mostly it is the processes of chronic inflammation, which oppose the processes of liver tissue regeneration. The basis of imbalance between the processes of fibrosis and regeneration is an accumulation of extracellular matrix. Liver fibrosis in its development leads to liver cirrhosis, hepatocellular carcinoma, and the increase in morbidity rate is observed worldwide. Furthermore, the process is genetically determined, but modifiable factors play an important role in the progression of this disease. Current data indicate the possibility of reversible liver fibrosis.

A multi-methodological approach to study the temporal and spatial distribution of air quality related to road transport emissions in Madrid, Spain

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Perez, Pedro; Miranda, Regina

2013-04-01

The traffic-related atmospheric emissions, composition and transport of greenhouse gases (GHGs) and air toxic pollutants (ATPs), are an important environmental problem that affect climate change and air pollution in Madrid, Spain. Carbon dioxide (CO2) affects the regional weather and particularly fine particle matter (PM) translocate to the people resulting in local health problems. As the main source of emissions comes from road transport, and subsequent combustion of fossil fuels, air quality deterioration may be elevated during weekdays and peak hours. We postulate that traffic-related air quality (CO2, methane CH4, PM, volatile organic compounds VOCs, nitrogen oxides NOx and carbon monoxide CO contents) impairs epidemiology in part via effects on health and disease development, likely increasing the external costs of transport in terms of climate change and air pollution. First, the paper intends to estimate the local air quality related to the road transport emissions of weeks over a domain covering Madrid (used as a case study). The local air quality model (LAQM) is based on gridded and shaped emission fields. The European Environmental Agency (EEA) COPERT modeling system will provide GHGs and ATPs gridded and shaped emission data and mobile source parameters, available for Madrid from preliminary emission inventory records of the Municipality of Madrid and from disaggregated traffic counts of the Traffic Engineering Company and the Metropolitan Company of Metro (METRO-Madrid). The paper intends to obtain estimates of GHGs and ATPs concentrations commensurate with available ground measurements, 24-hour average values, from the Municipality of Madrid. The comparison between estimated concentrations and measurements must show small errors (e.g. fractional error, fractional bias and coefficient of determination). The paper's expected results must determine spatial and temporal patterns in Madrid. The estimates will be used to cross check the primary local

Anti-IgE therapy for allergic bronchopulmonary aspergillosis in people with cystic fibrosis.

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Jat, Kana R; Walia, Dinesh K; Khairwa, Anju

2018-03-18

Cystic fibrosis is an autosomal recessive multisystem disorder with an approximate prevalence of 1 in 3500 live births. Allergic bronchopulmonary aspergillosis is a lung disease caused by aspergillus-induced hypersensitivity with a prevalence of 2% to 15% in people with cystic fibrosis. The mainstay of treatment includes corticosteroids and itraconazole. The treatment with corticosteroids for prolonged periods of time, or repeatedly for exacerbations of allergic bronchopulmonary aspergillosis, may lead to many adverse effects. The monoclonal anti-IgE antibody, omalizumab, has improved asthma control in severely allergic asthmatics. The drug is given as a subcutaneous injection every two to four weeks. Since allergic bronchopulmonary aspergillosis is also a condition resulting from hypersensitivity to specific allergens, as in asthma, it may be a candidate for therapy using anti-IgE antibodies. Therefore, anti-IgE therapy, using agents like omalizumab, may be a potential therapy for allergic bronchopulmonary aspergillosis in people with cystic fibrosis. This is an updated version of the review. To evaluate the efficacy and adverse effects of anti-IgE therapy for allergic bronchopulmonary aspergillosis in people with cystic fibrosis. We searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and handsearching of journals and conference abstract books. We also searched the reference lists of relevant articles and reviews. Last search: 29 September 2017.We searched two ongoing trial registries (Clinicaltrials.gov and the WHO trials platform). Date of latest search: 24 January 2018. Randomized and quasi-randomized controlled trials comparing anti-IgE therapy to placebo or other therapies for allergic bronchopulmonary aspergillosis in people with cystic fibrosis. Two review authors independently extracted data and assessed the risk of bias in the included study. They planned to perform data analysis using Review Manager. Only one

PREFACE: 3rd International Conference on Mathematical Modeling in Physical Sciences (IC-MSQUARE 2014)

Science.gov (United States)

2015-01-01

The third International Conference on Mathematical Modeling in Physical Sciences (IC-MSQUARE) took place at Madrid, Spain, from Thursday 28 to Sunday 31 August 2014. The Conference was attended by more than 200 participants and hosted about 350 oral, poster, and virtual presentations. More than 600 pre-registered authors were also counted. The third IC-MSQUARE consisted of different and diverging workshops and thus covered various research fields where Mathematical Modeling is used, such as Theoretical/Mathematical Physics, Neutrino Physics, Non-Integrable Systems, Dynamical Systems, Computational Nanoscience, Biological Physics, Computational Biomechanics, Complex Networks, Stochastic Modeling, Fractional Statistics, DNA Dynamics, Macroeconomics etc. The scientific program was rather heavy since after the Keynote and Invited Talks in the morning, three parallel oral sessions and one poster session were running every day. However, according to all attendees, the program was excellent with high level of talks and the scientific environment was fruitful, thus all attendees had a creative time. We would like to thank the Keynote Speaker and the Invited Speakers for their significant contribution to IC-MSQUARE. We also would like to thank the Members of the International Advisory and Scientific Committees as well as the Members of the Organizing Committee.

Otorhinolaryngologic manifestations of cystic fibrosis: literature review

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Carvalho, Carolina Pimenta

2008-12-01

Full Text Available Introduction: Cystic Fibrosis is the most common recessive autosomic genetic disease among Caucasians. It's caused by mutations in the gene that decodes regulatory protein for transmembrane conductance, resulting in defective transport of chlorine. Objective: Review the literature about Cystic Fibrosis, with emphasis on otorhinolaryngologic manifestations. Method: The online Pub Med databases were researched and we applied the following search terms Fibrosis Cystic and Sinusitis, and Mucoviscidosis and Sinusitis. Conclusions: Although it is not the main cause of death, the otorhinolaryngologic manifestations of the Cystic Fibrosis bring important morbidity to these patients.

El acceso de los inmigrantes a los servicios sociales en la Comunidad de Madrid

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Calatrava, Ascensión

2006-12-01

Full Text Available The article analyzes the access of the immigrants to the social services and the use that make of the benefits and basic services, determining its degree of satisfaction on such. For it, the first part presents the policies of integration of the immigrants who are carried out in the Community of Madrid, analyzing itself next the degree of use of the different social services on the part of the groups of more significant immigrants that they reside in the Community of Madrid and distinguishing his use in regard to sex and of age. The third part of the work gathers a series of directed proposals to improve the access of the immigrants to the social services as well as a set of final considerations that can mark the way of future tending investigations that the immigrants and the society of welcome can through the mutual knowledge, to harmonize their perceptions.

El artículo analiza el acceso de los inmigrantes a los servicios sociales y el uso que hacen de las prestaciones y servicios básicos, determinando su grado de satisfacción sobre los mismos. Para ello, la primera parte presenta las políticas de integración de los inmigrantes que se llevan a cabo en la Comunidad de Madrid, analizándose a continuación el grado de utilización de los distintos servicios sociales por parte de los grupos de inmigrantes más significativos que residen en la Comunidad de Madrid y distinguiéndose su uso en razón de sexo y de edad. La tercera parte del trabajo recoge una serie de propuestas dirigidas a mejorar el acceso de los inmigrantes a los servicios sociales así como un conjunto de consideraciones finales que pueden marcar el camino de futuras investigaciones tendentes a que los inmigrantes y la sociedad de acogida puedan a través del conocimiento mutuo, armonizar sus percepciones.

Building with 54 houses of high energetical efficiency in Madrid; Edificio de 54 viviendas de alta eficiencia energetica en el oeste de San Fermin. Parclea 5 (Madrid)

Energy Technology Data Exchange (ETDEWEB)

Yanez, G.; Yanez-Lopez del Amo, L.

2004-07-01

We present in this article a residential building recently built in Madrid for the EMV in which have been applied some bioclimatic and energy efficiency techniques. In this communication are described the main architectural features and are exposed some of the estimated results of energy saving with the contribution of solar energy in passive space and water heating. (Author)

Viral infection drives tissue fibrosis in vitro

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Andrea P. Malizia

2008-04-01

Full Text Available Idiopathic Pulmonary Fibrosis (IPF is a refractory and lethal interstitial lung disease characterized by loss of alveolar epithelial cells, fibroblast proliferation and extra-cellular matrix protein deposition. EBV, localised to alveolar epithelial cells of pulmonary fibrosis patients is associated with a poor prognosis. In this study we utilised a microarray-based differential gene expression analysis strategy to identify molecular drivers of EBV associated with lung fibrosis. A549 cells and an alveolar epithelial cell line infected with EBV (VAAK were used to identify genes whose expression was altered by EBV reactivation. EBV reactivation by TGFbeta1 drives alterations in expression of non-canonical Wnt pathway mediators, implicating it in epithelial mesenchymal transition (EMT, the molecular event underpinning scar production in tissue fibrosis. Cell invasion, EMT correlated transcripts expression, GSK-3b and c-Jun activation were altered in response to non-canonical Wnt pathway regulation. The role of EBV in promoting fibrosis can be attenuated by antiviral strategies and inhibition of Wnt signalling. Activation of non-canonical Wnt signalling pathway by EBV in epithelial cells suggests a novel mechanism of tissue fibrosis. These data present a framework for further description of the link between infectious agents and fibrosis, a significant disease burden.

Capacidad innovadora de la Comunidad de Madrid a partir de las patentes concedidas entre 1996 y 2007

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Lascurain, M. Luisa

2010-09-01

Full Text Available The objective of this paper is focused on analysing the patent activity of the Madrid Community taking into account the economic and human resources assigned to cover its R&D&I activities, as well as assessing the importance of the Madrid Community’s patenting activity compared to Spain. The analysis covers patents awarded during the period 1996-2007 and included in the INVENES database of the Spanish Patent and Trade Mark Offi ce.

El objetivo del presente trabajo es conocer algunas de las características de la actividad patentadora de la Comunidad de Madrid y analizar su relación con los recursos humanos y materiales que se dedican en dicha comunidad a las actividades de I+D+i, así como conocer el peso de esta actividad en la CM respecto al conjunto de España. Para ello, se han analizado las patentes concedidas entre 1996 y 2007 recogidas en la base de datos INVENES de la Oficina Española de Patentes y Marcas.

Current Strategies for Quantitating Fibrosis in Liver Biopsy

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Yan Wang

2015-01-01

Full Text Available Objective: The present mini-review updated the progress in methodologies based on using liver biopsy. Data Sources: Articles for study of liver fibrosis, liver biopsy or fibrosis assessment published on high impact peer review journals from 1980 to 2014. Study Selection: Key articles were selected mainly according to their levels of relevance to this topic and citations. Results: With the recently mounting progress in chronic liver disease therapeutics, comes by a pressing need for precise, accurate, and dynamic assessment of hepatic fibrosis and cirrhosis in individual patients. Histopathological information is recognized as the most valuable data for fibrosis assessment. Conventional histology categorical systems describe the changes of fibrosis patterns in liver tissue; but the simplified ordinal digits assigned by these systems cannot reflect the fibrosis dynamics with sufficient precision and reproducibility. Morphometric assessment by computer assist digital image analysis, such as collagen proportionate area (CPA, detects change of fibrosis amount in tissue section in a continuous variable, and has shown its independent diagnostic value for assessment of advanced or late-stage of fibrosis. Due to its evident sensitivity to sampling variances, morphometric measurement is feasible to be taken as a reliable statistical parameter for the study of a large cohort. Combining state-of-art imaging technology and fundamental principle in Tissue Engineering, structure-based quantitation was recently initiated with a novel proof-of-concept tool, qFibrosis. qFibrosis showed not only the superior performance to CPA in accurately and reproducibly differentiating adjacent stages of fibrosis, but also the possibility for facilitating analysis of fibrotic regression and cirrhosis sub-staging. Conclusions: With input from multidisciplinary innovation, liver biopsy assessment as a new "gold standard" is anticipated to substantially support the accelerated

Clinical application of noninvasive diagnosis of liver fibrosis

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ZHU Chuanlong

2015-03-01

Full Text Available Hepatic fibrosis is the common outcome of chronic liver diseases of various causes. At present, liver biopsy is the “gold standard” for the diagnosis of liver fibrosis, but it has limitations and is invasive, which leads to the development of noninvasive assessment of liver fibrosis. The article mainly introduces the technology and application of noninvasive diagnosis of liver fibrosis from the aspects of clinical manifestation, serology, and radiology. It has pointed out the clinical value of these noninvasive diagnosis techniques, and it discusses the progress in clinical research and its limitations for noninvasive diagnosis of liver fibrosis.

Imaging findings in idiopathic pelvic fibrosis

International Nuclear Information System (INIS)

Wiesner, W.; Bongartz, G.; Stoffel, F.

2001-01-01

Two patients presented with ureteric obstruction, and voiding symptoms and constipation, respectively, and were examined by means of intravenous urography and computed tomography. One patient was additionally examined by means of MR tomography. After CT (performed in both patients) and MRT (performed in one patient) had shown a diffuse, contrast-enhancing, infiltrating process in the small pelvis with infiltration of adjacent organs and vessels, surgical biopsy proved the diagnosis of idopathic pelvic fibrosis. Extension of retroperitoneal fibrosis below the pelvic rim is very rare. Clinical symptoms of pelvic fibrosis are variable and imaging findings may lead to a broad list of differential diagnoses. We present two patients with idiopathic pelvic fibrosis and discuss radiological findings and differential diagnoses of this rare disease. (orig.)

Imaging findings in idiopathic pelvic fibrosis

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Wiesner, W.; Bongartz, G. [Inst. of Diagnostic Radiology University Hospital Basel (Switzerland); Stoffel, F. [Inst. of Urology, University Hospital Basel (Switzerland)

2001-04-01

Two patients presented with ureteric obstruction, and voiding symptoms and constipation, respectively, and were examined by means of intravenous urography and computed tomography. One patient was additionally examined by means of MR tomography. After CT (performed in both patients) and MRT (performed in one patient) had shown a diffuse, contrast-enhancing, infiltrating process in the small pelvis with infiltration of adjacent organs and vessels, surgical biopsy proved the diagnosis of idopathic pelvic fibrosis. Extension of retroperitoneal fibrosis below the pelvic rim is very rare. Clinical symptoms of pelvic fibrosis are variable and imaging findings may lead to a broad list of differential diagnoses. We present two patients with idiopathic pelvic fibrosis and discuss radiological findings and differential diagnoses of this rare disease. (orig.)

Idiopathic Pulmonary Fibrosis: The Association between the Adaptive Multiple Features Method and Fibrosis Outcomes.

Science.gov (United States)

Salisbury, Margaret L; Lynch, David A; van Beek, Edwin J R; Kazerooni, Ella A; Guo, Junfeng; Xia, Meng; Murray, Susan; Anstrom, Kevin J; Yow, Eric; Martinez, Fernando J; Hoffman, Eric A; Flaherty, Kevin R

2017-04-01

Adaptive multiple features method (AMFM) lung texture analysis software recognizes high-resolution computed tomography (HRCT) patterns. To evaluate AMFM and visual quantification of HRCT patterns and their relationship with disease progression in idiopathic pulmonary fibrosis. Patients with idiopathic pulmonary fibrosis in a clinical trial of prednisone, azathioprine, and N-acetylcysteine underwent HRCT at study start and finish. Proportion of lung occupied by ground glass, ground glass-reticular (GGR), honeycombing, emphysema, and normal lung densities were measured by AMFM and three radiologists, documenting baseline disease extent and postbaseline change. Disease progression includes composite mortality, hospitalization, and 10% FVC decline. Agreement between visual and AMFM measurements was moderate for GGR (Pearson's correlation r = 0.60, P fibrosis (as measured by GGR densities) is independently associated with elevated hazard for disease progression. Postbaseline change in AMFM-measured and visually measured GGR densities are modestly correlated with change in FVC. AMFM-measured fibrosis is an automated adjunct to existing prognostic markers and may allow for study enrichment with subjects at increased disease progression risk.

Automatic liver volume segmentation and fibrosis classification

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Bal, Evgeny; Klang, Eyal; Amitai, Michal; Greenspan, Hayit

2018-02-01

In this work, we present an automatic method for liver segmentation and fibrosis classification in liver computed-tomography (CT) portal phase scans. The input is a full abdomen CT scan with an unknown number of slices, and the output is a liver volume segmentation mask and a fibrosis grade. A multi-stage analysis scheme is applied to each scan, including: volume segmentation, texture features extraction and SVM based classification. Data contains portal phase CT examinations from 80 patients, taken with different scanners. Each examination has a matching Fibroscan grade. The dataset was subdivided into two groups: first group contains healthy cases and mild fibrosis, second group contains moderate fibrosis, severe fibrosis and cirrhosis. Using our automated algorithm, we achieved an average dice index of 0.93 ± 0.05 for segmentation and a sensitivity of 0.92 and specificity of 0.81for classification. To the best of our knowledge, this is a first end to end automatic framework for liver fibrosis classification; an approach that, once validated, can have a great potential value in the clinic.

The Madrid Train Bombings: A Decision-Making Model Analysis

Science.gov (United States)

2009-12-11

3T. K. Lawson Managing Editor, ―Madrid Bombing and Attacks on Trains, Subways ,‖ U.S. Department of State, Diplomatic Security Command Center (17 March...Alfred De Montesquiou, ―Official: Al-Qaeda Like A Fast Food Franchise ‗For Terrorism‘,‖ USA Today, 7 June 2009, http://www.usatoday.com/news/world/2009...Fort Leavenworth, KS, 2007): 78; De Montesquiou, ―Official: Al- Qaeda Like A Fast Food Franchise ‗For Terrorism‘.‖ 39Wilson, ―The Evolution of al

Factors Promoting Development of Fibrosis in Crohn’s Disease

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Gerhard Rogler

2017-07-01

Full Text Available The concepts on the pathophysiology of intestinal fibrosis in Crohn’s disease (CD have changed in recent years. Some years ago fibrosis was regarded to be a consequence of long-standing inflammation with subsequent destruction of the gut wall matrix followed by scar formation and collagen deposition. Fibrosis in CD patients appeared to be an irreversible process that could hardly be influenced. Therefore, the main target in CD therapy was to control inflammation to avoid fibrosis development. Many of these assumptions seem to be only partially true. Inflammation may be a necessary prerequisite for the initiation of fibrosis. However, when the pathophysiologic processes that lead to fibrosis in CD patients have been initiated fibrosis development may be independent of inflammation and may continue even when inflammation is under good medical control. Fibrosis in CD also may be reversible. After strictureplasty local collagen deposits decrease or even disappear. With new animal models for intestinal fibrosis on the horizon, we need to spend more efforts on understanding the factors influencing fibrosis in CD patients to finally find specific therapies. In this context, it will be as important to find markers and quantitative imaging tools to have reliable endpoints for clinical trials in fibrosing CD.

Autogenic drainage for airway clearance in cystic fibrosis.

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McCormack, Pamela; Burnham, Paul; Southern, Kevin W

2017-10-06

Autogenic drainage is an airway clearance technique that was developed by Jean Chevaillier in 1967. The technique is characterised by breathing control using expiratory airflow to mobilise secretions from smaller to larger airways. Secretions are cleared independently by adjusting the depth and speed of respiration in a sequence of controlled breathing techniques during exhalation. The technique requires training, concentration and effort from the individual. It is important to systematically review the evidence demonstrating that autogenic drainage is an effective intervention for people with cystic fibrosis. To compare the clinical effectiveness of autogenic drainage in people with cystic fibrosis with other physiotherapy airway clearance techniques. We searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and handsearching of journals and conference abstract books. We also searched the reference lists of relevant articles and reviews, as well as two trials registers (31 August 2017).Dtae of most recent search of the Cochrane Cystic Fibrosis Trials Register: 25 September 2017. We identified randomised and quasi-randomised controlled studies comparing autogenic drainage to another airway clearance technique or no therapy in people with cystic fibrosis for at least two treatment sessions. Data extraction and assessments of risk of bias were independently performed by two authors. The authors assessed the quality of the evidence using the GRADE system. The authors contacted two investigators for further information pertinent to their published studies. Searches retrieved 35 references to 21 individual studies, of which seven (n = 208) were eligible for inclusion. One study was of parallel design with the remaining six being cross-over in design; participant numbers ranged from 17 to 75. The total study duration varied between four days and two years. The age of participants ranged between seven and 63 years with a wide

Serum hyaluronic acid as a marker of hepatic fibrosis

International Nuclear Information System (INIS)

Khan, J.A.; Khan, F.A.; Ijaz, A.; Khan, N.A.; Mehmood, T.

2007-01-01

To determine the serum hyaluronic acid (HA) levels as biochemical marker of hepatic fibrosis and cirrhosis and correlate it with the degree of hepatic fibrosis and cirrhosis. This study was performed on 100 patients of chronic liver disease whose liver biopsies had been carried out. Fifty healthy controls were also included in the study. Routine liver function tests, hepatitis serology and serum hyaluronic acid levels were carried out on patients and controls. Liver biopsy of 100 patients revealed that 21 were in stage 0 fibrosis, 38 in stage 1 fibrosis, 26 in stage 3 fibrosis and 15 in stage 4 fibrosis. Mean Serum HA (mean +- SD) concentration in patients were 189 +- 98 mg/L vs. 21 +- 10 mg/L of healthy controls. The difference observed was statistically significant (p < 0.001). Patients in stage 4 fibrosis had significantly higher (p <0.001) mean serum HA concentration as compared to other stages of liver fibrosis. Diagnostic accuracy of serum HA at marginally elevated level of 60 mg/L determined the sensitivity 78.4 %, specificity 80.9%, positive predicted value 93.9% and negative predicted value of 50%. Serum HA is a useful non-invasive marker of liver fibrosis. There is a strong positive correlation between serum HA levels and degree of liver fibrosis. The concentration of serum HA rises according to progression of liver fibrosis and levels are highest in patients with liver cirrhosis. (author)

Recommendations for quality improvement in genetic testing for cystic fibrosis European Concerted Action on Cystic Fibrosis

NARCIS (Netherlands)

Dequeker, E; Cuppens, H; Dodge, J; Estivill, [No Value; Goossens, M; Pignatti, PF; Scheffer, H; Schwartz, M; Schwarz, M; Tummler, B; Cassiman, JJ

These recommendations for quality improvement of cystic fibrosis genetic diagnostic testing provide general guidelines for the molecular genetic testing of cystic fibrosis in patients/individuals. General strategies for testing as well as guidelines for laboratory procedures, internal and external

Modeling the mechanical properties of liver fibrosis in rats.

Science.gov (United States)

Zhu, Ying; Chen, Xin; Zhang, Xinyu; Chen, Siping; Shen, Yuanyuan; Song, Liang

2016-06-14

The progression of liver fibrosis changes the biomechanical properties of liver tissue. This study characterized and compared different liver fibrosis stages in rats in terms of viscoelasticity. Three viscoelastic models, the Voigt, Maxwell, and Zener models, were applied to experimental data from rheometer tests and then the elasticity and viscosity were estimated for each fibrosis stage. The study found that both elasticity and viscosity are correlated with the various stages of liver fibrosis. The study revealed that the Zener model is the optimal model for describing the mechanical properties of each fibrosis stage, but there is no significant difference between the Zener and Voigt models in their performance on liver fibrosis staging. Therefore the Voigt model can still be effectively used for liver fibrosis grading. Copyright © 2016 Elsevier Ltd. All rights reserved.

Cultural Diversity in Compulsory Education: An Overview of the Context of Madrid (Spain)

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Jaurena, Ines Gil

2010-01-01

This paper examines educational practices in Spain and in particular Madrid. With this contextual frame as the starting point the following issues are discussed: the "official" conceptualization of cultural diversity, educational policies and resolutions related to cultural diversity, and school programs and resources facilitated by…

Computed tomography of cystic pancreatic fibrosis

International Nuclear Information System (INIS)

Brachlow, M.; Zaunbauer, W.; Haertel, M.

1984-01-01

The computer tomographic appearances of atrophic and lipomatous degeneration of the pancreas in cystic pancreatic fibrosis are described. CT exploration of the pancreas in recommended, particularly in differential diagnostic aspects of cystic fibrosis. (orig.) [de

Effect of Ganfukang on liver function and serum hepatic fibrosis markers levels in SD rats with experimental hepatic fibrosis

International Nuclear Information System (INIS)

Che Ying; Wang Shanju; Xu Tingting; Jiang Miaona; Jia Yujie

2004-01-01

Objective: To observe the effect of Ganfukang on liver function and serum hepatic fibrosis markers levels in SD rats with experimental hepatic fibrosis. Methods: SD rat models of liver fibrosis was induced by CCl 4 (n=57). Liver function (GPT, GOT) and serum hepatic fibrosis markers levels (HA, LN, C-IV, PC-III, with RIA) were tested in these models and 10 control rats. Eleven model rats were left untreated, the others were treated with Ganfukang of different concentrations and the above hepatic parameters were again determined after completion of treatment. Results: Lever function was much deteriorated and serum markers levels significantly increased in the model rats (vs controls, P<0.01). After treatment with Ganfukang, the improvement was significant (vs untreated models, P<0.01). Conclusion: Ganfukang is of definite therapeutic value for experimental hepatic fibrosis in rat models. (authors)

Clinical application of noninvasive diagnosis of liver fibrosis

OpenAIRE

ZHU Chuanlong

2015-01-01

Hepatic fibrosis is the common outcome of chronic liver diseases of various causes. At present, liver biopsy is the “gold standard” for the diagnosis of liver fibrosis, but it has limitations and is invasive, which leads to the development of noninvasive assessment of liver fibrosis. The article mainly introduces the technology and application of noninvasive diagnosis of liver fibrosis from the aspects of clinical manifestation, serology, and radiology. It has pointed out the clinical value o...

CHINESE BUSINESSMEN AND “LEADERS” IN MADRID: POLITICAL AND ECONOMIC PRACTICES

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Débora Betrisey Nadali

2010-12-01

Full Text Available This article analyses the emergence of “leaders” of the Chinese community in Madrid, based on a study of a conflict that was brief but significant; specifically, the social protests carried out by shopkeepers and workers in the central district of Lavapiés in 2005 and 2006, and who were protesting against a controversial municipal regulations on trade. What is interesting about this study is the way that it analyses – through this experience of the mobilisation and representation of their community – the way in which these “leaders” were constituted as political entities, with links to the main relevant social actors (associationist movements, political parties and economic groups in Madrid and how they co-opted a certain ability to represent the collective by incorporating such complex, symbolic elements as “being Chinese”, social class, affiliation to local parties and discourses on belonging to the welcoming country. The analysis shows, furthermore, that the various expressions of ethnicity do not represent a fixed, inert reality, but rather a dynamic process which, in addition to the actual paths of the main characters, takes shape based on the context in which it is immersed.

La cultura skate en las sociedades contemporáneas: una aproximación etnográfica a la ciudad de Madrid

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Rubén Díez García

2015-01-01

Full Text Available This paper offers an approach to the study of skateboarding in the city of Madrid through a multi-sited ethnographic study which combines online and offline research. Based on this methodology, we show an analysis of some of the main characteristics of the skate culture in our society, particularly in the city of Madrid, putting the emphasis on the most intersubjective and cultural aspects of this reality. In recent years skateboarding has experienced a visible increase in Madrid and the analytic frame that we propose for studying its diffusion and escalation, answers to changes in the cultural order of western societies and the skate culture in itself, in dynamic interdependence with the economic sphere, as the order of production and distribution of cultural and sporting services and goods.

La evolución de Madrid. Aspectos socioespaciales del modelo de ocupación y desarrollo de la ciudad

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Martha Isabel Bonilla Escobar

2014-06-01

Full Text Available ResumenA pesar de las fuertes críticas realizadas al modelo disperso y fragmentado de ocupación del territorio de las ciudades Norte Americanas, cuesta entender el porqué el desarrollo urbano de Madrid evolucionó -durante las últimas dos décadas– de una ciudad compacta y mononuclear a una con modelo de ocupación policéntrica, fragmentada y con bajas densidades,  especialmente en la zona periférica del Noreste.  ¿Qué ha pasado en la evolución territorial y socioeconómica de Madrid durante las dos últimas décadas?  ¿Cuáles son los aspectos críticos que explican esta transición?  Cuáles son los indicadores – cuyo análisis- permite una mejor comprensión del modelo de ocupación socio espacial de la ciudad de Madrid?  Cuáles son las consideraciones metodológicas esenciales para identificar los cambios en el modelo de ocupación del territorio?  ¿Dónde recae  la responsabilidad política de la dispersión territorial percibida?  Este trabajo de investigación propone un nuevo modelo de interpretación de la evolución territorial de la ciudad.  Mediante el uso de estadísticas oficiales del gobierno Español, este artículo permite explicar mediante correlaciones estadísticas y comparativas entre la zona Noreste y Suroeste de Madrid  y de manera cronológica,  el impacto de inversiones extraordinarias  en infraestructura pública para las comunicaciones en el modelo de ocupación territorial y sus aspectos socioeconómicos.Palabras claveDispersión urbana, planeación urbana, desarrollo urbano,  desarrollo sostenible, transporte público.AbstractRegardless of the strong criticism towards the disperse and fragmented model of urban growth in the USA cities, it is hard to understand why the urban development of Madrid evolved - during the last two decades - from a compact and mono centric city to a model of disperse and sprawl development with a low urban density, especially in the periphery areas of the

La población en Madrid en los primeros años del siglo

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AMANDO DE MIGUEL

1982-01-01

Full Text Available Se analiza la conversión de Madrid en capital industrial y burocrática de España en los años 1887-1936 siguiendo el esquema de "modernismo poblacional": incidencia decreciente de las guerras, epidemias y el hambre; un nivel alto de nutrición, higiene y salud; descenso de la natalidad; incremento de la movilidad geográfica; expansión de actividades económicas humanas. El desarrollo rural se mide en relación con la proliferación de barrios, la densidad de la población, el aumento en las mujeres de la edad de matrimonio, la migración y las actividades socioeconómicas. El crecimiento de los sectores industrial y de servicios contradice la imagen de Madrid como ciudad primordialmente burocrática.

Glycyrrhizic acid alleviates bleomycin-induced pulmonary fibrosis in rats

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Lili eGao

2015-10-01

Full Text Available Idiopathic pulmonary fibrosis is a progressive and lethal form of interstitial lung disease that lacks effective therapies at present. Glycyrrhizic acid (GA, a natural compound extracted from a traditional Chinese herbal medicine Glycyrrhiza glabra, was recently reported to benefit lung injury and liver fibrosis in animal models, yet whether GA has a therapeutic effect on pulmonary fibrosis is unknown. In this study, we investigated the potential therapeutic effect of GA on pulmonary fibrosis in a rat model with bleomycin (BLM-induced pulmonary fibrosis. The results indicated that GA treatment remarkably ameliorated BLM-induced pulmonary fibrosis and attenuated BLM-induced inflammation, oxidative stress, epithelial-mesenchymal transition and activation of tansforming growth factor-beta signaling pathway in the lungs. Further, we demonstrated that GA treatment inhibited proliferation of 3T6 fibroblast cells, induced cell cycle arrest and promoted apoptosis in vitro, implying that GA-mediated suppression of fibroproliferation may contribute to the anti-fibrotic effect against BLM-induced pulmonary fibrosis. In summary, our study suggests a therapeutic potential of GA in the treatment of pulmonary fibrosis.

[Combination of NAFLD Fibrosis Score and liver stiffness measurement for identification of moderate fibrosis stages (II & III) in non-alcoholic fatty liver disease].

Science.gov (United States)

Drolz, Andreas; Wehmeyer, Malte; Diedrich, Tom; Piecha, Felix; Schulze Zur Wiesch, Julian; Kluwe, Johannes

2018-01-01

Non-alcoholic fatty liver disease (NAFLD) has become one of the most frequent causes of chronic liver disease. Currently, therapeutic options for NAFLD patients are limited, but new pharmacologic agents are being investigated in the course of clinical trials. Because most of these studies are focusing on patients with fibrosis stages II and III (according to Kleiner), non-invasive identification of patients with intermediate fibrosis stages (II and III) is of increasing interest. Evaluation of NAFLD Fibrosis Score (NFS) and liver stiffness measurement (LSM) for prediction of fibrosis stages II/III. Patients with histologically confirmed NAFLD diagnosis were included in the study. All patients underwent a clinical and laboratory examination as well as a LSM prior to liver biopsy. Predictive value of NFS and LSM with respect to identification of fibrosis stages II/III was assessed. 134 NAFLD patients were included and analyzed. Median age was 53 (IQR 36 - 60) years, 55 patients (41 %) were female. 82 % of our patients were overweight/obese with typical aspects of metabolic syndrome. 84 patients (66 %) had liver fibrosis, 42 (50 %) advanced fibrosis. LSM and NFS correlated with fibrosis stage (r = 0.696 and r = 0.685, respectively; p stages II/III. If both criteria were met, probability of fibrosis stage II/III was 61 %. If none of the two criteria was met, chance for fibrosis stage II/III was only 6 % (negative predictive value 94 %). Combination of LSM and NFS enables identification of patients with significant probability of fibrosis stage II/III. Accordingly, these tests, especially in combination, may be a suitable screening tool for fibrosis stages II/III in NAFLD. The use of these non-invasive methods might also help to avoid unnecessary biopsies. © Georg Thieme Verlag KG Stuttgart · New York.

Transient elastography for liver fibrosis diagnosis

DEFF Research Database (Denmark)

Andersen, Ellen Sloth; Christensen, Peer Brehm; Weis, Nina

2008-01-01

Liver biopsy is considered the "golden standard" for assessment of hepatic fibrosis. However, the procedure has limitations because of inconvenience and rare but serious complications as bleeding. Furthermore, sampling errors are frequent, and interobserver variability often poses problems....... Recently, a modified ultrasound scanner (transient elastography) has been developed to assess fibrosis. The device measures liver elasticity, which correlates well with the degree of fibrosis. Studies have shown that transient elastography is more accurate in diagnosing cirrhosis than minor to moderate...... to be a valuable diagnostic procedure and follow-up of patients with chronic liver diseases....

Transient elastography for liver fibrosis diagnosis

DEFF Research Database (Denmark)

Andersen, Ellen Sloth; Christensen, Peer Brehm; Weis, Nina

2009-01-01

Liver biopsy is considered the "golden standard" for assessment of hepatic fibrosis. However, the procedure has limitations because of inconvenience and rare but serious complications as bleeding. Furthermore, sampling errors are frequent, and interobserver variability often poses problems....... Recently, a modified ultrasound scanner (transient elastography) has been developed to assess fibrosis. The device measures liver elasticity, which correlates well with the degree of fibrosis. Studies have shown that transient elastography is more accurate in diagnosing cirrhosis than minor to moderate...... to be a valuable diagnostic procedure and follow-up of patients with chronic liver diseases....

[Current status of continuous subcutaneous insulin infusion and continuous glucose monitoring systems in the Community of Madrid].

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Arranz Martín, Alfonso; Calle Pascual, Alfonso; Del Cañizo Gómez, Francisco Javier; González Albarrán, Olga; Lisbona Gil, Arturo; Botella Serrano, Marta; Pallardo Sánchez, Luis Felipe

2015-04-01

To analyze the available information about continuous subcutaneous insulin infusion (CSII) and continuous glucose monitoring (CGM) systems in the public health care system of the Community of Madrid. A survey consisting of 31 items was sent to the 28 endocrinology department of the Madrid public hospitals. Items focused on CSII and CGM and included patients' registrations, as well as data regarding healthcare, administrative, and logistic aspects. Responses from a total of 20 hospitals where these procedures are used were received from March 2013 to May 2014. Data about pediatric patients were obtained from adult endocrinology departments, except for two hospitals which directly reported the information. A total of 1256 CSII pumps were recorded in the Madrid region, of which 1089 were used by adults, and the remaining 167 by pediatric patients. During 2013, 151 new CSII systems were implanted (12% of the total), while 14 pumps were withdrawn. Availability of human resources (medical assistance) and the number of staff practitioners experienced in management of these systems widely varied between hospitals. Eighty-five percent of hospitals used retrospective CGM systems, and 40% routinely placed them before starting an insulin pump. Thirteen hospitals (65%) used long-term, real-time CGM systems in selected cases (a total of 67 patients). Use of these technologies in diabetes is unequal between public health care hospitals in Madrid, and is still significantly lower as compared to other countries with similar incomes. However, there appears to be a trend to an increase in their use. Copyright © 2014 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

Pregnancy and cystic fibrosis: Approach to contemporary management

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Tay, George; Callaway, Leonie; Bell, Scott C

2014-01-01

Over the previous 50 years survival of patients with cystic fibrosis has progressively increased. As a result of improvements in health care, increasing numbers of patients with cystic fibrosis are now considering starting families of their own. For the health care professionals who look after these patients, the assessment of the potential risks, and the process of guiding prospective parents through pregnancy and beyond can be both challenging and rewarding. To facilitate appropriate discussions about pregnancy, health care workers must have a detailed understanding of the various important issues that will ultimately need to be considered for any patient with cystic fibrosis considering parenthood. This review will address these issues. In particular, it will outline pregnancy outcomes for mothers with cystic fibrosis, issues that need to be taken into account when planning a pregnancy and the management of pregnancy for mothers with cystic fibrosis or mothers who have undergone organ transplantation as a result of cystic fibrosis. PMID:27512443

Performance of transient elastography and serum fibrosis biomarkers for non-invasive evaluation of recurrent fibrosis after liver transplantation: A meta-analysis.

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Bhat, Mamatha; Tazari, Mahmood; Sebastiani, Giada

2017-01-01

Recurrent fibrosis after liver transplantation (LT) impacts on long-term graft and patient survival. We performed a meta-analysis to compare the accuracy of non-invasive methods to diagnose significant recurrent fibrosis (stage F2-F4) following LT. Studies comparing serum fibrosis biomarkers, namely AST-to-platelet ratio index (APRI), fibrosis score 4 (FIB-4), or transient elastography (TE) with liver biopsy in LT recipients were systematically identified through electronic databases. In the meta-analysis, we calculated the weighted pooled odds ratio and used a fixed effect model, as there was no significant heterogeneity between studies. Eight studies were included for APRI, four for FIB-4, and twelve for TE. The mean prevalence of significant liver fibrosis was 37.4%. The summary odds ratio was significantly higher for TE (21.17, 95% CI confidence interval 14.10-31.77, p = 1X10-30) as compared to APRI (9.02, 95% CI 5.79-14.07; p = 1X10-30) and FIB-4 (7.08, 95% CI 4.00-12.55; p = 1.93X10-11). In conclusion, TE performs best to diagnose recurrent fibrosis in LT recipients. APRI and FIB-4 can be used as an estimate of significant fibrosis at centres where TE is not available. Longitudinal assessment of fibrosis by means of these non-invasive tests may reduce the need for liver biopsy.

The Processes and Mechanisms of Cardiac and Pulmonary Fibrosis

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Lucy A. Murtha

2017-10-01

Full Text Available Fibrosis is the formation of fibrous connective tissue in response to injury. It is characterized by the accumulation of extracellular matrix components, particularly collagen, at the site of injury. Fibrosis is an adaptive response that is a vital component of wound healing and tissue repair. However, its continued activation is highly detrimental and a common final pathway of numerous disease states including cardiovascular and respiratory disease. Worldwide, fibrotic diseases cause over 800,000 deaths per year, accounting for ~45% of total deaths. With an aging population, the incidence of fibrotic disease and subsequently the number of fibrosis-related deaths will rise further. Although, fibrosis is a well-recognized cause of morbidity and mortality in a range of disease states, there are currently no viable therapies to reverse the effects of chronic fibrosis. Numerous predisposing factors contribute to the development of fibrosis. Biological aging in particular, interferes with repair of damaged tissue, accelerating the transition to pathological remodeling, rather than a process of resolution and regeneration. When fibrosis progresses in an uncontrolled manner, it results in the irreversible stiffening of the affected tissue, which can lead to organ malfunction and death. Further investigation into the mechanisms of fibrosis is necessary to elucidate novel, much needed, therapeutic targets. Fibrosis of the heart and lung make up a significant proportion of fibrosis-related deaths. It has long been established that the heart and lung are functionally and geographically linked when it comes to health and disease, and thus exploring the processes and mechanisms that contribute to fibrosis of each organ, the focus of this review, may help to highlight potential avenues of therapeutic investigation.

Genetics Home Reference: idiopathic pulmonary fibrosis

Science.gov (United States)

... these health problems has idiopathic pulmonary fibrosis . Other respiratory diseases, some of which are less serious, can cause similar signs and symptoms. In people with idiopathic pulmonary fibrosis , scarring of the lungs increases over time until the lungs can no longer ...

Preconception risk assessment for thalassaemia, sickle cell disease, cystic fibrosis and Tay-Sachs disease.

Science.gov (United States)

Hussein, Norita; Weng, Stephen F; Kai, Joe; Kleijnen, Jos; Qureshi, Nadeem

2018-03-14

Globally, about five per cent of children are born with congenital or genetic disorders. The most common autosomal recessive conditions are thalassaemia, sickle cell disease, cystic fibrosis and Tay-Sachs disease, with higher carrier rates in specific patient populations. Identifying and counselling couples at genetic risk of the conditions before pregnancy enables them to make fully informed reproductive decisions, with some of these choices not being available if genetic counselling is only offered in an antenatal setting. This is an update of a previously published review. To assess the effectiveness of systematic preconception genetic risk assessment to improve reproductive outcomes in women and their partners who are identified as carriers of thalassaemia, sickle cell disease, cystic fibrosis and Tay-Sachs disease in healthcare settings when compared to usual care. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group's Trials Registers. In addition, we searched for all relevant trials from 1970 (or the date at which the database was first available if after 1970) to date using electronic databases (MEDLINE, Embase, CINAHL, PsycINFO), clinical trial databases (National Institutes of Health, Clinical Trials Search portal of the World Health Organization, metaRegister of controlled clinical trials), and hand searching of key journals and conference abstract books from 1998 to date (European Journal of Human Genetics, Genetics in Medicine, Journal of Community Genetics). We also searched the reference lists of relevant articles, reviews and guidelines and also contacted subject experts in the field to request any unpublished or other published trials.Date of latest search of the registers: 20 June 2017.Date of latest search of all other sources: 16 November 2017. Any randomised or quasi-randomised controlled trials (published or unpublished) comparing reproductive outcomes of systematic preconception genetic risk assessment for thalassaemia, sickle

Estereotipos, identidades, y nichos económicos de las migrantes brasileñas en Madrid Stereotypes, identities, roles and economic niches of Brazilian women immigrants in Madrid

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Menara Lube Guizardi

2013-04-01

Full Text Available Las mujeres componen el 65% de la inmigración brasileña en España. Esta feminización del flujo migratorio se vincula a la transformación de las relaciones de género vividas por estas mujeres en Brasil y en la sociedad de acogida. En Madrid, observamos una gran cantidad de negocios regentados por brasileñas - pequeños emprendimientos del campo de la hostelería o de estética y belleza. Sin embargo, ellas son más comúnmente empleadas en sectores no calificados con baja remuneración - en general relacionados a los servicios domésticos y al cuidado de niños y ancianos y la prostitución - , siendo en muchos casos asociadas a un estereotipo de hipersexualidad que influencia los nichos económicos a los que pueden o no acceder. El presente artículo analiza el rol económico que estas mujeres ocupan, y el conjunto de estereotipos raciales/nacionales con los cuales dialogan para lograr construir su inserción económica en España.The Brazilian women correspond to 65% of the Brazilian immigrants in Spain. This feminization of the displacement is deeply related with a change of the gender relations lived by these women both in Brazil and in host society. In Madrid, Brazilian women are protagonists of a new kind of entrepreneurship. They run small businesses in the field of restoration and of aesthetics and beauty. Nevertheless, they are most commonly employed in low-paid jobs, generally related with domestic services and child/elder care, and with prostitution - being in many cases associated with a stereotype of hyper-sexuality that influences the economic niches they can or can't access. The aim of this paper is to analyze the economic roles of Brazilian immigrants in Madrid, also discussing the imaginaries of the host society with which they dialog to make their economic insertion feasible in Spain.

Interaction between PNPLA3 I148M variant and age at infection in determining fibrosis progression in chronic hepatitis C.

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Stella De Nicola

Full Text Available BACKGROUND AND AIMS: The PNPLA3 I148M sequence variant favors hepatic lipid accumulation and confers susceptibility to hepatic fibrosis and hepatocellular carcinoma. The aim of this study was to estimate the effect size of homozygosity for the PNPLA3 I148M variant (148M/M on the fibrosis progression rate (FPR and the interaction with age at infection in chronic hepatitis C (CHC. METHODS: FPR was estimated in a prospective cohort of 247 CHC patients without alcohol intake and diabetes, with careful estimation of age at infection and determination of fibrosis stage by Ishak score. RESULTS: Older age at infection was the strongest determinant of FPR (p<0.0001. PNPLA3 148M/M was associated with faster FPR in individuals infected at older age (above the median, 21 years; -0.64±0.2, n = 8 vs. -0.95±0.3, n = 166 log10 FPR respectively; p = 0.001; confirmed for lower age thresholds, p<0.05, but not in those infected at younger age (p = ns. The negative impact of PNPLA3 148M/M on fibrosis progression was more marked in subjects at risk of altered hepatic lipid metabolism (those with grade 2-3 steatosis, genotype 3, and overweight; p<0.05. At multivariate analysis, PNPLA3 148M/M was associated with FPR (incremental effect 0.08±0.03 log10 fibrosis unit per year; p = 0.022, independently of several confounders, and there was a significant interaction between 148M/M and older age at infection (p = 0.025. The association between 148M/M and FPR remained significant even after adjustment for steatosis severity (p = 0.032. CONCLUSIONS: We observed an interaction between homozygosity for the PNPLA3 I148M variant and age at infection in determining fibrosis progression in CHC patients.

Laparoscopic cholecystectomy in adult cystic fibrosis.

LENUS (Irish Health Repository)

McGrath, D S

2012-02-03

Two female patients with Cystic Fibrosis, attending the Adult Regional Cystic Fibrosis centre at the Cork University Hospital, were investigated for upper abdominal pain and found to have gallstones at ultrasonography. Laparoscopic cholecystectomy was performed successfully and, without complication, in both patients.

Perdiéndonos en la ciudad: el consumo responsable como mensaje, la ciudad de Madrid como ecosistema comunicativo Lost in the city: the responsible consumption as message, and the city of Madrid as communication ecosystem

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Concepción Piñeiro

2012-03-01

Full Text Available El ritmo de consumo actual es muy superior a la capacidad ecológica de nuestros entornos, lo cual es substancialmente importante en las ciudades donde es mayor el desequilibrio de los flujos metabólicos. En este sentido, entendemos que el fomento del consumo responsable es fundamental para la sostenibilidad urbana, donde los mensajes mayoritarios se encuentran posicionados en la actual sociedad de consumo. Por ello nos preguntamos ¿qué presencia tienen los mensajes de consumo responsable en la ciudad?, ¿cuáles son los discursos y prácticas de la ciudad de Madrid relacionadas con el consumo responsable? Este trabajo es una aproximación exploratoria a dicho contexto y para su desarrollo hemos utilizado la técnica de la deriva (28 derivas realizadas en 2009 y distribuidas en cuatro barrios de la ciudad de Madrid. Identificamos múltiples y diversos discursos y prácticas vinculadas con el consumo responsable, especialmente en ámbitos como la movilidad, el consumo energético y de agua, o el uso del tiempo y el espacio.The current rate of consumption is much higher than the ecology capacity of our environment. This is substantially important in cities where the imbalance of metabolic fluxes is greater. In this sense, to promote responsible consumption is the key to look for the urban sustainability, where the major communication messages are based on the current consumer society. Therefore we ask: what messages of responsible consumption are in the city? what discourses and practices related to responsible consumption are in Madrid? This work is an exploratory approach to that context and we use the technique of drift (28 drifts out in 2009 and distributed in four districts of the city of Madrid. We identify multiple and diverse discourses and practices associated with responsible consumption, especially in areas such as mobility, energy and water consumption or the use of time and space.

Primer hallazgo de Micromamíferos de edad turoliense en la Cuenca de Madrid

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Calvo, J. P.

1992-08-01

Full Text Available The Neogene succession cropping out in Mesa de Ocaña (southern Madrid Basin contains a variety of deposits that belong to the so-called Miocene Lower, Intermediate and Upper Units. In this area, the Miocene Upper Unit is formed of terrigenous deposits that grade both laterally and in vertical to palustrine and/or shallow lacustrine carbonate facies. Intercalated with the latter deposits, a large accumulation of fossil micromammal remains has been recognized (Canteras de Iberia mammal site. This site has yielded a fossil mammal association of late Turolian age (MN 13 unit indicative of relatively warm and arid paleoclimatic conditions. The Canteras de Iberia mammal site constitutes the first occurrence of fossil mammals of Turolian age within the Neogene sedimentary record of the Madrid Basin. This occurrence allows to precise the chronostratigraphy of the Miocene Upper Unit of the basin.La Mesa de Ocaña, situada en la parte más meridional de la Cuenca de Madrid, está constituida por una sucesión Neógena dentro de la que se reconocen las Unidades Inferior, Intermedia y Superior del Mioceno de esta cuenca. La Unidad Superior en este área está formada por depósitos detríticos que gradan lateralmente y verticalmente a depósitos carbonáticos de carácter palustre y/o lacustre somero. En estos niveles se ha reconocido la presencia de una importante acumulación de restos de micromamíferos (Yacimiento de Canteras de Iberia que ha suministrado abundantes restos correspondientes a las órdenes Rodentia, Lagomorpha e Insectívora. La asociación faunística obtenida es característica del Turoliense Superior (unidad MN13 y, desde el punto de vista paleocológico, sugiere condiciones climáticas relativamente cálidas y áridas. El yacimiento de Canteras de Iberia constituye el primer yacimiento de edad Turoliense encontrado dentro del registro sedimentario Neógeno de la Cuenca de Madrid permitiendo precisar la edad de la Unidad Superior del

Late Pleistocene and Holocene paleoseismology of an intraplate seismic zone in a large alluvial valley, the New Madrid seismic zone, Central USA

Science.gov (United States)

Guccione, Margaret J.

2005-10-01

The New Madrid seismic zone (NMSZ) is an intraplate right-lateral strike-slip and thrust fault system contained mostly within the Mississippi Alluvial Valley. The most recent earthquake sequence in the zone occurred in 1811 1812 and had estimated moment magnitudes of 7 8 (e.g., [Johnston, A.C., 1996. Seismic moment assessment of stable continental earthquakes, Part 3: 1811 1812 New Madrid, 1886 Charleston, and 1755 Lisbon. Geophysical Journal International 126, 314 344; Johnston, A.C., Schweig III, E.S, 1996. The enigma of the New Madrid earthquakes of 1811 1812. Annual Reviews of Earth and Planetary Sciences 24, 339 384; Hough, S.E., Armbruster, J.G., Seeber, L., Hough, J.F., 2000. On the modified Mercalli intensities and magnitudes of the New Madrid earthquakes. Journal of Geophysical Research 105 (B10), 23,839 23,864; Tuttle, M.P., 2001. The use of liquefaction features in paleoseismology: Lessons learned in the New Madrid seismic zone, central United States. Journal of Seismology 5, 361 380]). Four earlier prehistoric earthquakes or earthquake sequences have been dated A.D. 1450 ± 150, 900 ± 100, 300 ± 200, and 2350 B.C. ± 200 years using paleoliquefaction features, particularly those associated with native American artifacts, and in some cases surface deformation ([Craven, J. A. 1995. Paleoseismology study in the New Madrid seismic zone using geological and archeological features to constrain ages of liquefaction deposits. M.S thesis, University of Memphis, Memphis, TN, U.S.A.; Tuttle, M.P., Lafferty III, R.H., Guccione, M.J., Schweig III, E.S., Lopinot, N., Cande, R., Dyer-Williams, K., Haynes, M., 1996. Use of archaeology to date liquefaction features and seismic events in the New Madrid seismic zone, central United States. Geoarchaeology 11, 451 480; Guccione, M.J., Mueller, K., Champion, J., Shepherd, S., Odhiambo, B., 2002b. Stream response to repeated co-seismic folding, Tiptonville dome, western Tennessee. Geomorphology 43(2002), 313 349; Tuttle, M

Noninvasive diagnosis of hepatic fibrosis in chronic hepatitis C

OpenAIRE

Stauber, Rudolf E; Lackner, Carolin

2007-01-01

Assessment of hepatic fibrosis is important for determining prognosis, guiding management decisions, and monitoring disease. Histological evaluation of liver biopsy specimens is currently considered the reference test for staging hepatic fibrosis. Since liver biopsy carries a small but significant risk, noninvasive tests to assess hepatic fibrosis are desirable. This editorial gives an overview on noninvasive methods currently available to determine hepatic fibrosis and their diagnostic accur...

TGF-β/Smad signaling in renal fibrosis

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Xiao-Ming eMeng

2015-03-01

Full Text Available TGF-β (transforming growth factor-β is well identified as a central mediator in renal fibrosis. TGF-β initiates canonical and non-canonical pathways to exert multiple biological effects. Among them, Smad signaling is recognized as a major pathway of TGF- signaling in progressive renal fibrosis. During fibrogenesis, Smad3 is highly activated, which is associated with the down-regulation of an inhibitory Smad7 via an ubiquitin E3-ligases-dependent degradation mechanism. The equilibrium shift between Smad3 and Smad7 leads to accumulation and activation of myofibroblasts, overproduction of ECM (extracellular matrix, and reduction in ECM degradation in the diseased kidney. Therefore, overexpression of Smad7 has been shown to be a therapeutic agent for renal fibrosis in various models of kidney diseases. In contrast, another downstream effecter of TGF-β/Smad signaling pathway, Smad2, exerts its renal protective role by counter-regulating the Smad3. Furthermore, recent studies demonstrated that Smad3 mediates renal fibrosis by down-regulating miR-29 and miR-200 but up-regulating miR-21 and miR-192. Thus, overexpression of miR-29 and miR-200 or down-regulation of miR-21 and miR-192 is capable of attenuating Smad3-mediated renal fibrosis in various mouse models of chronic kidney diseases. Taken together, TGF-/Smad signaling plays an important role in renal fibrosis. Targeting TGF-β/Smad3 signaling may represent a specific and effective therapy for chronic kidney diseases associated with renal fibrosis.

Enhancement of archaeological heritage. El Risco de las Cuevas at Perales de Tajuña, Madrid (Spain)

Science.gov (United States)

Freire-Lista, David Martin; Alvarez de Buergo, Mónica; Fort, Rafael

2016-04-01

Heritage conservation has a great impact on the economy of a country. The enhancement of archaeological sites is an investment that promotes tourism and culture. The interdisciplinary knowledge of heritage should be the basis of its management. Preventive actions, non-destructive analytical techniques and monitoring for the conservation of these assets should be promoted. "El Risco de las Cuevas" is a highly decayed and nearly vertical gypsum escarpment which contains a series of dwellings excavated during the Chalcolithic and much more recent times. It is located at Perales de Tajuña, 40 km southeast of Madrid, Spain. This monument is approximately 70 metres high and 500 metres wide. It was listed as a cultural and monumental heritage site by the regional government of Madrid in 1998. The gypsum escarpment housing the dwellings forms part of a lower Miocene unit (Madrid Basin). Debris cones with a mixture of debris from the lower, medium and upper units are found at the bottom of the rockwall. The vulnerability of this monument to atmospheric agents has been studied using "in situ" monitoring techniques of humidity, temperature and rate of rockfalls. Drones have been used for aerial photography in the highest areas of the escarpment and have provided an information network of fractures likely to cause rockfall. Gypsum artificial accelerated ageing has been carried out in the laboratory, including freeze/thaw, wet/dry, thermal shock and dissolution tests. To determine the response of these accelerated ageing processes, density, micro-roughness, ultrasound velocities (Vp and Vs), air permeability and microscopy measurements were made before, during and after ageing tests. Geomorphological studies, rates of decay, material characteristics and durability tests indicate that the decay is controlled by the mineralogy, clay content and porosity of the gypsum rock, as well as microclimate, temperature changes and rock fractures. Rockfalls are particularly relevant in the

Pancreatic enzyme replacement therapy for people with cystic fibrosis.

Science.gov (United States)

Somaraju, Usha Rani; Solis-Moya, Arturo

2016-11-23

Most people with cystic fibrosis (80% to 90%) need pancreatic enzyme replacement therapy to prevent malnutrition. Enzyme preparations need to be taken whenever food is taken, and the dose needs to be adjusted according to the food consumed. A systematic review on the efficacy and safety of pancreatic enzyme replacement therapy is needed to guide clinical practice, as there is variability between centres with respect to assessment of pancreatic function, time of commencing treatment, dose and choice of supplements. This is an updated version of a published review. To evaluate the efficacy and safety of pancreatic enzyme replacement therapy in children and adults with cystic fibrosis and to compare the efficacy and safety of different formulations of this therapy and their appropriateness in different age groups. Also, to compare the effects of pancreatic enzyme replacement therapy in cystic fibrosis according to different diagnostic subgroups (e.g. different ages at introduction of therapy and different categories of pancreatic function). We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register comprising references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings. Most recent search: 15 July 2016.We also searched an ongoing trials website and the websites of the pharmaceutical companies who manufacture pancreatic enzyme replacements for any additional trials. Most recent search: 22 July 2016. Randomised and quasi-randomised controlled trials in people of any age, with cystic fibrosis and receiving pancreatic enzyme replacement therapy, at any dosage and in any formulation, for a period of not less than four weeks, compared to placebo or other pancreatic enzyme replacement therapy preparations. Two authors independently assessed trials and extracted outcome data. They also assessed the risk of bias of the trials included in the review. One

CCN5 overexpression inhibits profibrotic phenotypes via the PI3K/Akt signaling pathway in lung fibroblasts isolated from patients with idiopathic pulmonary fibrosis and in an in vivo model of lung fibrosis.

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Zhang, Lin; Li, Yingna; Liang, Chunlian; Yang, Weilin

2014-02-01

Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive interstitial lung disease with unknown etiology and undefined treatment modality. Fibroblasts are regarded as the major cell type that mediates the onset and progression of lung fibrosis by secreting large amounts of extracellular matrix (ECM) proteins, such as connective tissue growth factor (CTGF/CCN2). Current knowledge confers a crucial role of CCN2 in lung fibrosis. CCN5, another member of the CCN family, has been suggested to play an inhibitory role in some fibrotic diseases, such as cardiac fibrosis. However, the role of CCN5 in the process of IPF remains unknown. In the present study, using western blot analysis, we demonstrate that CCN2 is highly expressed in fibroblasts derived from IPF tissue, but is only slightly expressed in normal human lung fibroblasts. However, CCN5 was weakly expressed in all the above cells. qRT-PCR revealed that transforming growth factor (TGF)-β1 stimulation increased CCN2 expression in the IPF-derived cultures of primary human lung fibroblasts (PIFs) in a time- and concentration-dependent manner, but only slightly affected the expression of CCN5. The overexpression of CCN5 induced by the transfection of PIFs with recombinant plasmid did not affect cell viability, proliferation and apoptosis; however, it significantly suppressed the expression of CCN2, α-smooth muscle actin (α-SMA) and collagen type I. The TGF-β1-induced upregulation of the phosphorylation of Akt was reversed by CCN5 overexpression. Our results also demonstrated that adenovirus-mediated CCN5 overexpression in a mouse model of bleomycin-induced IPF significantly decreased the hydroxyproline content in the lungs, as well as TGF-β1 expression in bronchoalveolar lavage fluid. Taken together, our data demonstrate that CCN5 exerts an inhibitory effect on the fibrotic phenotypes of pulmonary fibroblasts in vitro and in vivo, and as such may be a promising target for the treatment of IPF.

Evolution of the Pseudomonas aeruginosa Aminoglycoside Mutational Resistome In Vitro and in the Cystic Fibrosis Setting.

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López-Causapé, Carla; Rubio, Rosa; Cabot, Gabriel; Oliver, Antonio

2018-04-01

Inhaled administration of high doses of aminoglycosides is a key maintenance treatment of Pseudomonas aeruginosa chronic respiratory infections in cystic fibrosis (CF). We analyzed the dynamics and mechanisms of stepwise high-level tobramycin resistance development in vitro and compared the results with those of isogenic pairs of susceptible and resistant clinical isolates. Resistance development correlated with fusA1 mutations in vitro and in vivo. pmrB mutations, conferring polymyxin resistance, were also frequently selected in vitro In contrast, mutational overexpression of MexXY, a hallmark of aminoglycoside resistance in CF, was not observed in in vitro evolution experiments. Copyright © 2018 American Society for Microbiology.

Accuracy of FibroScan for diagnosing liver fibrosis

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Jian ZHANG

2011-11-01

Full Text Available Objective To evaluate the accuracy of transient elastometry(FibroScan for the detection of liver fibrosis.Methods A total of 323 patients diagnosed with chronic liver disease based on pathological examination in the 302 Hospital of the People’s Liberation Army from April to December of 2009 were involved in the current study.Among them,141 patients were subjected to liver biopsy.Their liver function,coagulant index,B-ultrasound and blood cell count were examined clinically.Four examinations related to liver fibrosis were done on some of the patients.Meanwhile,FibroScan was used for liver stiffness measurement(LSM of every patient.The correlation between liver stiffness and the serologic index and liver fibrosis degree was analyzed.The Receive Operating Characteristic(ROC curve was adopted to analyze the accuracy of FibroScan for diagnosing liver fibrosis.Results Each serologic index was significantly correlated with liver stiffness(P < 0.001,and liver stiffness was closely related to the stage of liver fibrosis(r=0.74,P < 0.001.The statistical results of the 141 patients who underwent pathologic examination show that the areas under the ROC curve were 0.97(0.94,1.00 for patients with portal fibrosis(F1,0.96(0.93,0.99 for patients with significant fibrosis(F2,0.99(0.98,1.00 for patients with severe fibrosis(F3,and 0.97(0.94,0.99 for patients with cirrhosis(F4.The cutoff values were 4.4KPa,6.8KPa,9.7KPa,and 10.0KPa,respectively.Conclusion FibroScan is valuable for the diagnosis of liver fibrosis.It can be used as the basis for follow-up and management of patients with chronic liver diseases.

Traffic light – nutrition labelling: knowledge, perception and use in consumers of Madrid, Spain

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Karimen Andrea León-Flández

2015-07-01

Full Text Available Introduction: Describe knowledge, comprehension level, perception and use of traffic light labelling in consumers of Madrid.Material and Methods: A two phases, cross-sectional study design, carried out in Madrid, in 2012. Our sample was recruited randomly, and interviewed using a questionnaire designed for this purpose. Consumers of 7 stores of main supermarket chains in Madrid were questioned. Information about knowledge, comprehension, perception and use of traffic light labelling (TLL was collected. Analyses examined the frequency of the variables of interest. Differences were tested using the χ2 test.Results: The response rate was 80.6% (first phase and 97.8% (second phase. Consumers that knew the TLL and understood its color-coding system were 41.4% and 18.6% respectively. From the participants that knew the TLL system, 61.5% thought it was very useful (80% among those >65 years and 90% among those with primary studies; p>0.05. Just 31.4% of consumers habitually used TLL to buy their products (70% among those with primary studies; p=0.04. This percentage was higher in consumers that understood the color-coding system (second phase (66.6%; p<0.01.Conclusions: The level of TLL’s knowledge and comprehension was low. Consumers that know TLL, consider it a useful nutrition instrument. Those who understand, use it habitually to buy their products, especially consumers older than 65 years old and with primary studies. A widespread introduction of this system in Spain might contribute to improve food and eating habits, especially elderly people and less educated.

Congenital hepatic fibrosis associated with von Recklinghausen's disease Fibrosis hepática congénita asociada a enfermedad de von Recklinghausen

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O. A. Jorge

2006-09-01

Full Text Available Congenital hepatic fibrosis is characterized by a ductal plate malformation with duct-like structures and fibrosis. It manifests clinically with portal hypertension and may be associated with multiple congenital defects. We present the case of a 16-year-old male with splenomegaly, leukopenia and thrombocytopenia, esophageal varices, and a histopathological diagnosis of congenital hepatic fibrosis. He exhibits "café au lait' spots and "Lisch' nodules, with a diagnosis of von Recklinghausen's disease. Congenital hepatic fibrosis belongs to the so-called fibropolycystic diseases, in which there is a disordered interaction between cells and the extracellular matrix. Von Recklinghausen's disease affects tissues derived from the neural crest and its diagnosis is based on clinical criteria. It is associated with multiple diseases. We describe its association with congenital hepatic fibrosis for the first time.La fibrosis hepática congénita se origina como consecuencia de una malformación de la placa ductal con estructuras tipo ductales acompañadas de fibrosis. Se manifiesta con hipertensión portal y puede asociarse a múltiples defectos congénitos. Presentamos un varón de 16 años con esplenomegalia, leuco- y plaquetopenia, varices esofágicas y diagnóstico histopatológico de fibrosis hepática congénita. La exploración física mostraba la existencia de manchas de "café con leche' y nódulos de "Lisch' con diagnóstico de enfermedad de von Recklinghausen. La fibrosis hepática congénita forma parte de las enfermedades fibropoliquísticas donde existiría una alteración en la interacción entre las células y la matriz extracelular. La enfermedad de von Recklinghausen afecta a los tejidos derivados de la cresta neural y su diagnóstico se basa en criterios clínicos. Se asocia a múltiples patologías. Presentamos por primera vez su asociación con fibrosis hepática congénita.

Factores psicosociales y formación de imágenes en el turismo urbano: un estudio de caso sobre Madrid

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Castaño, José Manuel

2006-01-01

Full Text Available This paper aims to analyse the influence of psychosocial factors on image-destination, using for this purpose the case of Madrid. We have used two different samples with 1200 and 2000 visitors respectively, to whom we have applied two questionnaires –in relevant city tourist settings-. With this questionnaire we aimed to measure the following variables in relation with the visit in Madrid: socio demographic information; stay characteristics (such as type of accommodation, stay duration, visiting frequency; primary and secondary motivation; level of satisfaction in relation to several services and destination image (measured trough a five intervals Likert’s scale with 15 items about infrastructures and services, cultural and leisure offer, host characteristics, etc.. We have calculated independent contrasts between variables related to travel characteristics and sociodemographic and psychosocial ones. Fur-thermore we have contrasted, through regression analysis, the influence of all these variables on the image of Madrid

Aproximación a un fotógrafo y pintor desconocido: Fr. Pedro de Madrid, Pedro Satué, Foto Antsa

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José Javier Azanza López

2015-01-01

Full Text Available Este trabajo pretende ser una aproximación a un fotógrafo y pintor prácticamente desconocido, y trazar una secuencia biográ- ca hasta ahora inédita: Fr. Pedro de Madrid-Pedro Satué-Foto Antsa. Este polifacético artista (Madrid, 1880-1936 se inició en las técnicas pictóricas y fotográ cas en el colegio capuchino de Lekaroz (Navarra, mostrándose como un hábil copista de Murillo y resultando triunfador en el Certamen Fotográ co-Social celebrado en Pamplona en 1912 con su colección de caseríos vascos del Baztán. Tras secularizarse y recuperar su nombre civil, desarrolló su labor profesional como fotógrafo al frente de un estudio abierto en 1924 en Madrid, especializándose en el retrato artístico y colaborando en las revistas ilustradas más importantes de la época.

Programas de continuidad de cuidados: el ejemplo del distrito de Chamartín de Madrid Continuity of care programs: the example of Madrid Chamartin district

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Ana González Rodríguez

2011-12-01

Full Text Available Se presenta el programa de continuidad de cuidados del Centro de Salud Mental de Chamartín en Madrid, para ilustrar con una experiencia fuera del ámbito anglosajón donde surgen estos programas, la teoría expuesta en la primera parte acerca del surgimiento, desarrollo y filosofía de los programas de continuidad de cuidados. Se describen los recursos sanitarios, sociales y personales de los que dispone la población a la que va dirigido y la forma de intervención, con el tipo de actuaciones que se realizan. Por último, se señalan algunos riesgos en el desarrollo y mantenimiento de los programas de continuidad de cuidados.The case management program of Chamartin Mental Health Center in Madrid is presented to illustrate with an experience outside the Anglo-Saxon context, where such programs arise, the theory advanced in the first part about the emergence, development and philosophy of continuity of care programs. Finally, some risks in the development and maintenance of continuity of care programs are pointed out. The health, social and staff resources are described, and also the population to be targeted, the form of intervention and the type of actions that are performed. Finally, we point out some risks in the development and maintenance of continuity of care programs.

Actitudes autoritarias y violencia en Madrid Authoritarian attitudes and violence in Madrid

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Florentino Moreno Martín

1999-04-01

Full Text Available Uno de los objetivos del Estudio Multicéntrico sobre Actitudes y Normas Culturales frente a la Violencia (proyecto ACTIVA es analizar la relación entre las actitudes favorecedoras de la violencia y las conductas violentas. En el presente artículo se estudia la relación entre actitudes autoritarias y dos componentes de la violencia: su justificación y su realización efectiva. La recolección de datos se hizo en la ciudad de Madrid entre octubre y diciembre de 1996. Se trabajó con una muestra representativa de 1 219 personas entrevistadas en sus domicilios a partir del cuestionario común del proyecto ACTIVA, al cual se añadieron algunas preguntas. Globalmente considerada, la muestra tuvo una puntuación baja en la escala de autoritarismo. El grupo de personas que más justificaron la violencia tuvo puntuaciones más altas en autoritarismo, al igual que las personas en cuyas conductas habituales se observó un nivel de agresión mayor. Las actitudes más autoritarias se constataron en barrios de bajos recursos económicos, en personas no activas laboralmente, en las de nivel educativo más bajo y en las que se identificaron con una ideología de derecha. Si los más autoritarios justifican y ejercen más la violencia, es preciso fomentar actitudes de crítica hacia quienes abusan del poder y respeto por las diferencias, a fin de prevenir la aparición de estas conductas, sin olvidar la influencia de las variables sociales mencionadas anteriormente.One of the objectives of the Multicentric Study on Cultural Norms and Attitudes Toward Violence (Estudio Multicéntrico sobre Actitudes y Normas Culturales frente a la Violencia, the ACTIVA project is to analyze the relationship between those attitudes that foster violence and the violent behaviors themselves. This article examines the relationship between attitudes and two components of violence: its justification and its actual occurrence. Data were collected in Madrid between October and

Imported malaria in pregnancy in Madrid

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Jiménez Beatriz C

2012-04-01

Full Text Available Abstract Background Malaria in pregnancy is associated with maternal and foetal morbidity and mortality in endemic areas, but information on imported cases to non-endemic areas is scarce. The aim of this study was to describe the clinical and epidemiological characteristics of malaria in pregnancy in two general hospitals in Madrid, Spain. Methods Retrospective descriptive study of laboratory-confirmed malaria in pregnant women at the Fuenlabrada University Hospital and the Príncipe de Asturias University Hospital, in Madrid, over a six- and 11-year period, respectively. Relevant epidemiological, clinical and laboratory data was obtained from medical records. Results There were 19 pregnant women among 346 malaria cases (5.4%. The average age was 27 years. The gestational age (trimester was: 53% 3rd, 31% 1st, 16% 2nd. All but one were multigravidae. Three were HIV positive. All were sub-Saharan immigrants: two were recently arrived immigrants and seventeen (89% had visited friends and relatives. None had taken prophylaxis nor seeked pre-travel advice. Presentation: 16 symptomatic patients (fever in fourteen, asthenia in two, three asymptomatic. Median delay in diagnosis: 7.5 days. Laboratory tests: anaemia (cut off Hb level 11 g/dl 78.9% (mild 31.6%, moderate 31.6%, severe 15.8% thrombocytopaenia 73.7%, hypoglycaemia 10.5%. All cases were due to Plasmodium falciparum, one case of hyperparasitaemia. Quinine + clindamycin prescribed in 84%. Outcomes: no severe maternal complications or deaths, two abortions, fifteen term pregnancies, no low-birth-weight newborns, two patients were lost to follow-up. Conclusions Though cases of malaria in pregnancy are uncommon, a most at risk group is clearly defined: young sub-Saharan mothers visiting friends and relatives without pre-travel counselling and recently-arrived immigrants. The most common adverse maternal and foetal effects were anaemia and stillbirth. Given that presentation can be asymptomatic

Monocyte Subsets in Schistosomiasis Patients with Periportal Fibrosis

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Jamille Souza Fernandes

2014-01-01

Full Text Available A major issue with Schistosoma mansoni infection is the development of periportal fibrosis, which is predominantly caused by the host immune response to egg antigens. Experimental studies have pointed to the participation of monocytes in the pathogenesis of liver fibrosis. The aim of this study was to characterize the subsets of monocytes in individuals with different degrees of periportal fibrosis secondary to schistosomiasis. Monocytes were classified into classical (CD14++CD16−, intermediate (CD14++CD16+, and nonclassical (CD14+CD16++. The expressions of monocyte markers and cytokines were assessed using flow cytometry. The frequency of classical monocytes was higher than the other subsets. The expression of HLA-DR, IL-6, TNF-α, and TGF-β was higher in monocytes from individuals with moderate to severe fibrosis as compared to other groups. Although no differences were observed in receptors expression (IL-4R and IL-10R between groups of patients, the expression of IL-12 was lower in monocytes from individuals with moderate to severe fibrosis, suggesting a protective role of this cytokine in the development of fibrosis. Our data support the hypothesis that the three different monocyte populations participate in the immunopathogenesis of periportal fibrosis, since they express high levels of proinflammatory and profibrotic cytokines and low levels of regulatory markers.

Colegio femenino San Luis de los Franceses, en Pozuelo de Alarcón – Madrid

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Aymerich, Manuel

1970-10-01

Full Text Available This hostel is close to Madrid and meets all the requirements of the Official Regulations for school buildings. The design has been most carefully worked out, as regards distribution, external and indoor styling, sunlight, spaciousness, orientations and circulations. For all these reasons this hostel is highly functional, as well as of charming simplicity in outline.Se ha emplazado en las proximidades de Madrid y cumple todos los requisitos exigidos por el Reglamento Oficial para construcciones escolares. Se han cuidado extraordinariamente el proyecto y la realización, en lo que se refiere a su: distribución, tratamiento exterior e interior, adecuación al solar, amplitud de programa, orientaciones y circulaciones. Por todo lo expuesto, el complejo construido ha resultado de un notable funcionalismo y de una gran sencillez constructiva y estética.

Combined Pulmonary Fibrosis and Emphysema Syndrome

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Rounds, Sharon I. S.

2012-01-01

There is increasing clinical, radiologic, and pathologic recognition of the coexistence of emphysema and pulmonary fibrosis in the same patient, resulting in a clinical syndrome known as combined pulmonary fibrosis and emphysema (CPFE) that is characterized by dyspnea, upper-lobe emphysema, lower-lobe fibrosis, and abnormalities of gas exchange. This syndrome frequently is complicated by pulmonary hypertension, acute lung injury, and lung cancer. The CPFE syndrome typically occurs in male smokers, and the mortality associated with this condition, especially if pulmonary hypertension is present, is significant. In this review, we explore the current state of the literature and discuss etiologic factors and clinical characteristics of the CPFE syndrome. PMID:22215830

Variability and changes in selected climate elements in Madrid and Alicante in the period 2000-2014

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Cielecka Katarzyna

2015-10-01

Full Text Available The aim of this study is to compare climatic conditions between the interior of the Iberian Peninsula and the southeastern coast of Spain. The article analyzes selected elements of climate over the last 15 years (2000-2014. Synoptic data from airport meteorological stations in Madrid Barajas and Alicante Elche were used. Attention was focused on annual air temperature, relative humidity and precipitation. The mean climatic conditions over the period 2000-2014 were compared with those over the 1961-1990 period which is recommended by WMO as climate normal and with data for the 1971-2000 coming from ‘Climate Atlas’ of Spanish meteorologists group AEMET. Two of climate elements discussed were characterized by significant changes. The annual air temperature was higher by about 0.2°C in Alicante and 0.9°C in Madrid in the period 2000-2014 compared to the 1961-1990. The current winters were colder than in years 1961-1990 at both stations. Gradual decrease in annual precipitation totals was observed at both stations. In 1961-1990 the annual average precipitation in Madrid amounted to 414 mm, while in Alicante it was 356 mm. However, in the recent years of 2000-2014 these totals were lower compared to 1961-1990 reaching 364.1 mm in the central part of Spain and 245.7 mm on the south-western coast.

MFAP4: a candidate biomarker for hepatic and pulmonary fibrosis?

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Mölleken, Christian; Poschmann, Gereon; Bonella, Francesco; Costabel, Ulrich; Sitek, Barbara; Stühler, Kai; Meyer, Helmut E; Schmiegel, Wolff H; Marcussen, Niels; Helmer, Michael; Nielsen, Ole; Hansen, Søren; Schlosser, Anders; Holmskov, Uffe; Sorensen, Grith Lykke

2016-03-29

Several comparable mechanisms have been identified for hepatic and pulmonary fibrosis. The human microfibrillar associated glycoprotein 4 (MFAP4), produced by activated myofibroblasts, is a ubiquitous protein playing a potential role in extracellular matrix (ECM) turnover and was recently identified as biomarker for hepatic fibrosis in hepatitis C patients. The current study aimed to evaluate serum levels of MFAP4 in patients with pulmonary fibrosis in order to test its potential as biomarker in clinical practice. A further aim was to determine whether MFAP4 deficiency in mice affects the formation of pulmonary fibrosis in the bleomycin model of lung fibrosis. 91 patients with idiopathic pulmonary fibrosis (IPF), 23 with hypersensitivity pneumonitis (HP) and 31 healthy subjects were studied. In the mouse model, C57BL/6 Mfap4+/+ and Mfap4-/- mice between 6-8 weeks of age were studied. Serum levels of MFAP4 were measured by ELISA in patients and in mice. Surfactant protein D (SP-D) and LDH were measured as comparison biomarkers in patients with pulmonary fibrosis. Morphometric assessment and the Sircol kit were used to determine the amount of collagen in the lung tissue in the mouse model. Serum levels of MFAP4 were not elevated in lung fibrosis - neither in the patients with IPF or HP nor in the animal model. Furthermore no significant correlations with pulmonary function tests of IPF patients could be found for MFAP4. MFAP4 levels were increased in BAL of bleomycin treated mice with pulmonary fibrosis. MFAP4 is not elevated in sera of patients with pulmonary fibrosis or bleomycin treated mice with pulmonary fibrosis. This may be due to different pathogenic mechanisms of liver and lung fibrogenesis. MFAP4 seems to be useful as serum biomarker for hepatic but not for lung fibrosis.

Cystic fibrosis-related diabetes: a distinct condition.

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Cano Megías, Marta; González Albarrán, Olga

2015-01-01

Cystic fibrosis is the most common fatal inherited autosomal recessive disease in Caucasians, affecting approximately one out of every 2,000 births. Survival of patients with cystic fibrosis has significantly improved due to advances in respiratory and nutritional care, and their current average life expectancy is 30-40 years. Development of cystic fibrosis-related diabetes is a comorbidity that increases with age and may reach a prevalence up to 50% in adults. Its development is associated to impaired lung function and nutritional status, and early diagnosis and treatment are therefore essential to improve quality of life and performance status. Insulin therapy for diabetes and other early carbohydrate metabolism disorders may improve lung function and nutritional status of patients with cystic fibrosis. Copyright © 2014 SEEN. Published by Elsevier Espana. All rights reserved.

Assessment of the Atmospheric Suspended Particles Pollution in the Madrid Air Quality Networks; Evaluacion de la Contaminacion Atmosferica producida por Particulas en Suspension en las Redes de Calidad del Aire de la Comunidad de Madrid

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Salvador, P; Artinano, B

2000-07-01

Suspended particles are a very complex type of atmospheric pollution because of their chemical composition and size. In fact, there are a quite high number of particles sources which are linked to different physico-chemical processes that determine their size. At present particles smaller than 10 {mu}m are considered the most dangerous, as has been recently pointed out by numerous epidemiologic studies. In this way, more restrictive concentration limit values have been approved in the EU countries, so an assessment of present airborne concentration values and the sources apportionment in their most representative areas is needed. In the Madrid Community a first approaching of these and other aims, has been carried out from an analysis of the Madrid Air Quality networks data. This will contribute to the stablishment of concentration levels abatement strategies. (Author) 111 refs.

Noninvasive imaging of experimental lung fibrosis.

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Zhou, Yong; Chen, Huaping; Ambalavanan, Namasivayam; Liu, Gang; Antony, Veena B; Ding, Qiang; Nath, Hrudaya; Eary, Janet F; Thannickal, Victor J

2015-07-01

Small animal models of lung fibrosis are essential for unraveling the molecular mechanisms underlying human fibrotic lung diseases; additionally, they are useful for preclinical testing of candidate antifibrotic agents. The current end-point measures of experimental lung fibrosis involve labor-intensive histological and biochemical analyses. These measures fail to account for dynamic changes in the disease process in individual animals and are limited by the need for large numbers of animals for longitudinal studies. The emergence of noninvasive imaging technologies provides exciting opportunities to image lung fibrosis in live animals as often as needed and to longitudinally track the efficacy of novel antifibrotic compounds. Data obtained by noninvasive imaging provide complementary information to histological and biochemical measurements. In addition, the use of noninvasive imaging in animal studies reduces animal usage, thus satisfying animal welfare concerns. In this article, we review these new imaging modalities with the potential for evaluation of lung fibrosis in small animal models. Such techniques include micro-computed tomography (micro-CT), magnetic resonance imaging, positron emission tomography (PET), single photon emission computed tomography (SPECT), and multimodal imaging systems including PET/CT and SPECT/CT. It is anticipated that noninvasive imaging will be increasingly used in animal models of fibrosis to gain insights into disease pathogenesis and as preclinical tools to assess drug efficacy.

Central de producción de calor - Madrid – España

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Laorden Jiménez, J.

1973-10-01

Full Text Available The Heat Production Station of the University City Hospital in Madrid is described, after several years operation. The Station is equipped for an output of 13,000,000 kcal/hr, for heating; 1,000,000 kcal/hr, for hospital hot water, and 3,200,000 kcal/hr, for steam at 5 kp/cm2. The different alternatives are presented and the general outline of the solution chosen, as well as a comprehensive list of the materials used.Se describe la Central de Producción de Calor del Hospital Clínico de la Ciudad Universitaria de Madrid, después de algunos años de funcionamiento. La Central está preparada para una producción de 13.000.000 de kcal/h, para calefacción; 1.000.000 de kilocalorías/h, para agua caliente sanitaria, y 3.200.000 kcal/h, para vapor a 5 kp/cm2. Se presentan las diversas alternativas y el esquema general de la solución elegida, así como una extensa relación de ios materiales empleados.

Impaired Lymphocyte Profile in Schistosomiasis Patients with Periportal Fibrosis

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Luciana Santos Cardoso

2013-01-01

Full Text Available The Th2 immune response in chronic schistosomiasis is associated with the development of periportal fibrosis. However, little is known about the phenotype and activation status of T cells in the process. Objective. To evaluate the profile of T cells in schistosomiasis patients with periportal fibrosis. Methods. It was a cross-sectional study, conducted in the village of Agua Preta, Bahia, Brazil, which included 37 subjects with periportal fibrosis determined by ultrasound. Peripheral blood mononuclear cells were obtained by the Ficcol-hypaque gradient and the frequency of T cells expressing the surface markers CD28, CD69, CD25, and CTLA-4 was determined by flow cytometry. Results. The frequency of CD4+CD28+ T lymphocytes was higher in individuals with moderate to severe fibrosis compared to patients with incipient fibrosis. We did not observe any significant difference in the frequency of CD4+ T cells expressing CD69 among groups of individuals. There was also no significant difference in the frequency of CD8+ T cells expressing CD28 or CD69 among the studied groups. Individuals with moderate to severe fibrosis presented a lower frequency of CD8+ T cells, CD4+CD25high T cells, and CD4+CTLA-4+ T cells when compared to patients without fibrosis or incipient fibrosis. The frequency of CD4+CD25low cells did not differ between groups. Conclusion. The high frequency of activated T cells coinciding with a low frequency of putative Treg cells may account for the development of periportal fibrosis in human schistosomiasis.

Onomástica y sociedad en la epigrafía latina antigua de la Comunidad Autónoma de Madrid

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María del Mar Royo Martínez

2010-01-01

Full Text Available El presente artículo aborda el estudio de la onomástica reflejada en el conjunto de los epígrafes latinos de la Comunidad de Madrid. A través de dicho análisis se pueden observar aspectos tan variados como la composición social de su población, el estatus jurídico alcanzado en sus principales centros urbanos, los posibles desplazamientos demográficos, o el grado de romanización desarrollado entre la segunda mitad del siglo I d.C. y la primera mitad del III d.C. El trabajo constituye por tanto un intento de aproximación al conocimiento de las gentes que habitaron todos los territorios de la actual Comunidad de Madrid durante una gran parte del periodo imperial romano.This article tackles the study of onomastics as reflected in the Latin epigraphics of the whole Madrid Autonomous Region. Through this analysis one can study aspects as varied as the social composition of its population, the juridical status achieved in its main towns, the possible demographic movements, or the degree of romanization attained between the Second half of the First Century a.C. and the first half of the Third Century a.C. So, the aim of this work is to approach the knowledge of the people that inhabited the territories comprising todays Madrid Autonomous Region, during most of the Roman Imperial period.

Un patronazgo en conflicto. La Virgen de Peña Sacra y su cofradía de Madrid (siglos XVII-XVIII

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Fernández Suárez, Roberto

1998-06-01

Full Text Available The autor analyzes the aims of a 18th-century brotherhood in Madrid in promoting the cult to an image of Mary of Manzanares el Real, Madrid. This brotherhood, which incorporated and formed part of a specific and plural religious geography, operated in association with two convents of Madrid —Trinidad Calzada and San Felipe el Real— to legitimize the cult. By means of a self-serving campaign of control, the brotherhood destroyed, over decades, any element which could overshadow the cult in every aspect and type of ritual related to celebrations in the honor of Mary: a process that led to the complete manipulation of these celebrations.Se analizan las pretensiones de una cofradía madrileña del siglo XVIII de rendir culto a una imagen mañana venerada en Manzanares el Real (Madrid. Insertada en una geografía religiosa variada y plural, esta cofradía mantuvo contactos con dos conventos madrileños, la Trinidad Calzada y san Felipe el Real, para legitimar su culto. Bajo una interesada campaña de control, consiguió, durante muchos años, eliminar cualquier elemento que pudiera hacerle sombra en todos los modos rituales de la festividad de la Virgen, hasta llegar a su manipulación completa.

New Madrid seismotectonic study. Activities during fiscal year 1977

International Nuclear Information System (INIS)

Buschbach, T.C.

1977-10-01

Approximately 30 highly qualified scientists are participating in a coordinated geological, geophysical, and seismological study of the area within a 200-mile radius of New Madrid, Missouri. The study is designed to define the structural setting and tectonic history of the area in order to realistically evaluate earthquake risks in the siting of nuclear facilities. The region studied includes Illinois, Indiana, Kentucky, Tennessee, Alabama, Arkansas, and Missouri. An inventory of existing data and supporting research in the area was prepared. New information from aeromagnetic, ground magnetic, and gravity surveys has been obtained, and the data are currently being processed

Cystic Fibrosis-Related Diabetes (CFRD): Daily Management

Science.gov (United States)

Cystic Fibrosis-Related Diabetes (CFRD): Daily Management September 20, 2011 This Web cast is supported by an unrestricted ... Moran, MD Professor, Pediatric Endocrinology University of Minnesota Cystic Fibrosis-Related Diabetes (CFRD): Daily Management September 20, 2011 ...

Outcome in cystic fibrosis liver disease.

LENUS (Irish Health Repository)

Rowland, Marion

2011-01-01

Evidence suggests that cystic fibrosis liver disease (CFLD) does not affect mortality or morbidity in patients with cystic fibrosis (CF). The importance of gender and age in outcome in CF makes selection of an appropriate comparison group central to the interpretation of any differences in mortality and morbidity in patients with CFLD.

[Genetic counseling in cystic fibrosis].

Science.gov (United States)

Julia, S; Bieth, E

2000-08-01

Genetic counseling is an important part of health care in patients with cystic fibrosis or respiratory diseases associated with the CFTR (cystic fibrosis transmembrane conductance regulator) gene, including certain types of allergic bronchopulmonary aspergilloses or bronchial diseases (diffuse bronchiectasia). The basic goal is to provide patients with information on the transmission of cystic fibrosis and to asses the risk of recurrence. This risk is determined from molecular biology analyses examining the CFTR gene. Genotyping is the only means of screening for the heterozygous state, frequent in the French population (about 1/30). Because of the large number of mutated alleles not covered entirely by the genetic tests, there remains a question of probability expressed as a residual risk of a heterozygous state. A prenatal genotype diagnosis should be proposed to heterozygous couples who have a 25% risk of having a diseased child. Technically, this is almost always possible and the results are highly reliable. Nevertheless, there remains the risks related to sample taking and the ethical issue about which the patients must be informed. Management of these at risk couples who desire a child must be based on a multidisciplinary approach, particularly important when one of the parents has overt cystic fibrosis.

Radiation pneumonitis and fibrosis

International Nuclear Information System (INIS)

Shopova, V.; Salovsky, P.; Dancheva, V.

2001-01-01

The likelihood of toxic pulmonary lesions development as the result of radiation therapy for pulmonary carcinoma and breast cancer is discussed. Two possible forms of radiation induced changes are described, namely: classical radiation pneumonitis (RP) terminating with lung fibrosis circumscribed in the radiation zone, and sporadic RP giving rise to bilateral lymphatic alveolitis and manifestations outside the irradiation field. Attention is called to the fact that chemotherapy augments the risk of toxic lung damage occurrence. A number of markers for early RP diagnosis, including lactate dehydrogenase activity, KL-6, procollagen III, transforming growth factor β, C-reactive protein and partial oxygen pressure are listed. Therapeutic possibilities in coping with RP and pulmonary fibrosis are assayed. Apart from the standard therapeutic approach using corticosteroids and azatioprin, ideas are set forth concerning the application of some antioxidants, angiotensin converting enzyme inhibitors and γ-interferon. It is pointed out that radiation pneumonitis and pulmonary fibrosis treatment has an essential practical bearing on life expectancy and quality of life in a great number of cancer patients. (author)

Radiotherapy of breast fibrosis

International Nuclear Information System (INIS)

Heibel, J.H.

1979-01-01

In a retrospective study radiotherapy of breast fibrosis in hormone-treated men with histologically confirmed prostate carcinoma was examined. 10 patients had received hormones even before irradiation, 113 obtained hormone administration only after irradiation. The objective size of the glandular body and the overall size of the breast were measured with a special method developed by the author. 46 patients indicated complaints. With hypertrophic mamma and hypertrophic mamilla in 67 examined patients, 127 different symptoms resulted in total. Four patients of the group who had obtained hormones before irradiation, suffered from subjective symptoms. It resulted that radiotherapy of breast fibrosis carried out during hormone treatment is no gynecomastia prophylaxis, that already existent mamma hypertrophies are irreversible, but that existent sensations were notably reduced within 6 months after irradiation therapy. These results indicate the necessity of a radiotherapy of the mamma fibrosis before the hormone treatment is begun. Particularly in cases of higher operative risks, also the possibility of preferring radiotherapy to mastectomy should be fully utilized, in view of adequate or even better therapeutic results. (orig./MG) [de

Pancreatic fibrosis correlates with exocrine pancreatic insufficiency after pancreatoduodenectomy.

Science.gov (United States)

Tran, T C K; van 't Hof, G; Kazemier, G; Hop, W C; Pek, C; van Toorenenbergen, A W; van Dekken, H; van Eijck, C H J

2008-01-01

Obstruction of the pancreatic duct can lead to pancreatic fibrosis. We investigated the correlation between the extent of pancreatic fibrosis and the postoperative exocrine and endocrine pancreatic function. Fifty-five patients who were treated for pancreatic and periampullary carcinoma and 19 patients with chronic pancreatitis were evaluated. Exocrine pancreatic function was evaluated by fecal elastase-1 test, while endocrine pancreatic function was assessed by plasma glucose level. The extent of fibrosis, duct dilation and endocrine tissue loss was examined histopathologically. A strong correlation was found between pancreatic fibrosis and elastase-1 level less than 100 microg/g (p pancreatic insufficiency. A strong correlation was found between pancreatic fibrosis and endocrine tissue loss (p pancreatic fibrosis nor endocrine tissue loss were correlated with the development of postoperative diabetes mellitus. Duct dilation alone was neither correlated with exocrine nor with endocrine function loss. The majority of patients develop severe exocrine pancreatic insufficiency after pancreatoduodenectomy. The extent of exocrine pancreatic insufficiency is strongly correlated with preoperative fibrosis. The loss of endocrine tissue does not correlate with postoperative diabetes mellitus. Preoperative dilation of the pancreatic duct per se does not predict exocrine or endocrine pancreatic insufficiency postoperatively. Copyright 2008 S. Karger AG, Basel.

"Tipping" extracellular matrix remodeling towards regression of liver fibrosis

DEFF Research Database (Denmark)

Magdaleno, Fernando; Schierwagen, Robert; Uschner, Frank E

2018-01-01

Fibrosis development was initially conceived as an incessant progressive condition. Nowadays, it has become evident that fibrotic tissue undergoes a continuous two-way process: fibrogenesis and fibrinolysis, characterizing the remodeling of extracellular matrix (ECM). However, in established...... fibrosis, this two-way process is tipped towards fibrogenesis and this leads to a self-perpetuating accumulation of ECM, a distinct metabolic unit, together with other cells and processes promoting fibrosis deposition. Several mechanisms promote fibrosis regression, such as degradation of ECM, infiltration...

Inhibiting core fucosylation attenuates glucose-induced peritoneal fibrosis in rats.

Science.gov (United States)

Li, Longkai; Shen, Nan; Wang, Nan; Wang, Weidong; Tang, Qingzhu; Du, Xiangning; Carrero, Juan Jesus; Wang, Keping; Deng, Yiyao; Li, Zhitong; Lin, Hongli; Wu, Taihua

2018-06-01

Ultrafiltration failure is a major complication of long-term peritoneal dialysis, resulting in dialysis failure. Peritoneal fibrosis induced by continuous exposure to high glucose dialysate is the major contributor of ultrafiltration failure, for which there is no effective treatment. Overactivation of several signaling pathways, including transforming growth factor-β1 (TGF-β1) and platelet-derived growth factor (PDGF) pathways, contribute to the development of peritoneal fibrosis. Therefore, simultaneously blocking multiple signaling pathways might be a potential novel method of treating peritoneal fibrosis. Previously, we showed that core fucosylation, an important posttranslational modification of the TGF-β1 receptors, can regulate the activation of TGF-β1 signaling in renal interstitial fibrosis. However, it remains unclear whether core fucosylation affects the progression of peritoneal fibrosis. Herein, we show that core fucosylation was enriched in the peritoneal membrane of rats accompanied by peritoneal fibrosis induced by a high glucose dialysate. Blocking core fucosylation dramatically attenuated peritoneal fibrosis in the rat model achieved by simultaneously inactivating the TGF-β1 and PDGF signaling pathways. Next the protective effects of blocking core fucosylation and imatinib (a selective PDGF receptor inhibitor) on peritoneal fibrosis were compared and found to exhibit a greater inhibitory effect over imatinib alone, suggesting that blocking activation of multiple signaling pathways may have superior inhibitory effects on the development of peritoneal fibrosis. Thus, core fucosylation is essential for the development of peritoneal fibrosis by regulating the activation of multiple signaling pathways. This may be a potential novel target for drug development to treat peritoneal fibrosis. Copyright © 2018 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

Shaded Relief and Radar Image with Color as Height, Madrid, Spain

Science.gov (United States)

2002-01-01

The white, mottled area in the right-center of this image from NASA's Shuttle Radar Topography Mission (SRTM) is Madrid, the capital of Spain. Located on the Meseta Central, a vast plateau covering about 40 percent of the country, this city of 3 million is very near the exact geographic center of the Iberian Peninsula. The Meseta is rimmed by mountains and slopes gently to the west and to the series of rivers that form the boundary with Portugal. The plateau is mostly covered with dry grasslands, olive groves and forested hills.Madrid is situated in the middle of the Meseta, and at an elevation of 646 meters (2,119 feet) above sea level is the highest capital city in Europe. To the northwest of Madrid, and visible in the upper left of the image, is the Sistema Central mountain chain that forms the 'dorsal spine' of the Meseta and divides it into northern and southern subregions. Rising to about 2,500 meters (8,200 feet), these mountains display some glacial features and are snow-capped for most of the year. Offering almost year-round winter sports, the mountains are also important to the climate of Madrid.Three visualization methods were combined to produce this image: shading and color coding of topographic height and radar image intensity. The shade image was derived by computing topographic slope in the northwest-southeast direction. North-facing slopes appear bright and south-facing slopes appear dark. Color coding is directly related to topographic height, with green at the lower elevations, rising through yellow and brown to white at the highest elevations. The shade image was combined with the radar intensity image in the flat areas.Elevation data used in this image was acquired by the SRTM aboard the Space Shuttle Endeavour, launched on Feb. 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM was designed to

How lowering speed limits in an urban highway affects traffics performance and emissions: the case of Madrid M-30 ring-road

OpenAIRE

Pérez Prada, Fiamma; Monzón de Cáceres, Andrés

2014-01-01

The city of Madrid keeps not meeting the GHG and air pollutant limits set by the European legislation. A broad range of strategies have being taken into account to reduce both types of emissions; however traffic management meas ures are usually consigned to the sidelines. In 2004, Madrid City Council launched a plan to re-design its inner ring-road supported by a socioeconomic study that evaluated the environmental and operational benefits of the project. For safety reasons the planned spe...

The Interplay between Inflammation and Fibrosis in Kidney Transplantation

Directory of Open Access Journals (Sweden)

Irina B. Torres

2014-01-01

Full Text Available Serial surveillance renal allograft biopsies have shown that early subclinical inflammation constitutes a risk factor for the development of interstitial fibrosis. More recently, it has been observed that persistent inflammation is also associated with fibrosis progression and chronic humoral rejection, two histological conditions associated with poor allograft survival. Treatment of subclinical inflammation with steroid boluses prevents progression of fibrosis and preserves renal function in patients treated with a cyclosporine-based regimen. Subclinical inflammation has been reduced after the introduction of tacrolimus based regimens, and it has been shown that immunosuppressive schedules that are effective in preventing acute rejection and subclinical inflammation may prevent the progression of fibrosis and chronic humoral rejection. On the other hand, minimization protocols are associated with progression of fibrosis, and noncompliance with the immunosuppressive regime constitutes a major risk factor for chronic humoral rejection. Thus, adequate immunosuppressive treatment, avoiding minimization strategies and reinforcing educational actions to prevent noncompliance, is at present an effective approach to combat the progression of fibrosis.

Cystic fibrosis Delta F508 heterozygotes, smoking, and reproduction

DEFF Research Database (Denmark)

Dahl, Morten; Tybjaerg-Hansen, A; Wittrup, H H

1998-01-01

Cystic fibrosis is the most common fatal autosomal recessive disease affecting Caucasian populations. It remains a puzzle how this disease is maintained at such a remarkably high incidence, however, it could be due to a reproductive advantage in cystic fibrosis heterozygotes. We tested this hypot......Cystic fibrosis is the most common fatal autosomal recessive disease affecting Caucasian populations. It remains a puzzle how this disease is maintained at such a remarkably high incidence, however, it could be due to a reproductive advantage in cystic fibrosis heterozygotes. We tested.......001). In conclusion, overall these results do not support a reproductive advantage for cystic fibrosis DeltaF508 heterozygotes. However, the data cannot totally exclude the possibility that nonsmoking DeltaF508 heterozygotes experience a reproductive advantage while smoking DeltaF508 heterozygotes experience...... the opposite, a reproductive disadvantage. Accordingly, the data suggest a previously undocumented role of smoking on fecundity among cystic fibrosis heterozygotes....

Role of Receptor Tyrosine Kinase Signaling in Renal Fibrosis

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Feng Liu

2016-06-01

Full Text Available Renal fibrosis can be induced in different renal diseases, but ultimately progresses to end stage renal disease. Although the pathophysiologic process of renal fibrosis have not been fully elucidated, it is characterized by glomerulosclerosis and/or tubular interstitial fibrosis, and is believed to be caused by the proliferation of renal inherent cells, including glomerular epithelial cells, mesangial cells, and endothelial cells, along with defective kidney repair, renal interstitial fibroblasts activation, and extracellular matrix deposition. Receptor tyrosine kinases (RTKs regulate a variety of cell physiological processes, including metabolism, growth, differentiation, and survival. Many studies from in vitro and animal models have provided evidence that RTKs play important roles in the pathogenic process of renal fibrosis. It is also showed that tyrosine kinases inhibitors (TKIs have anti-fibrotic effects in basic research and clinical trials. In this review, we summarize the evidence for involvement of specific RTKs in renal fibrosis process and the employment of TKIs as a therapeutic approach for renal fibrosis.

The SO2 pollution in Madrid: Pt. 2

International Nuclear Information System (INIS)

Finzi, G.; Garcia, R.; Hernandez, E.

1983-01-01

In this work, two different stochastic models will be considered, both oriented to the real-time forecast of daily SO 2 pollution in Madrid. The first one a ''black-box'' model, in which the input-output transfer function is identified by means of the methodology given by Box and Jenkins. The second one is a ''grey-box'' model with a simple reasonable structure in accordance with the physical laws of the phenomena. Moreover, its parameters can assume different values according to the different meteorological synoptic classes defined in part I. The comparison between the performance of the two models shows that the second one is more effective in predicting the critical pollution values

Living (and work of Peruvian immigrants in Madrid

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G. Pérez Pérez

2016-10-01

Full Text Available The present article is based on the analysis of the information obtained by means of a statistical analysis of a survey conduct among 110 Peruvian immigrants in Madrid. The living conditions of these workers are presented under a series of headings which include the job sectors in which they settle, various aspects of their working conditions and salaries, dwellings, leisure time activities, contact with their country of origin and the strength of their associationism. Previously, a sociodemographic description of the sample in set out based on an analysis of their distribution by age, sex, level of education and other variables of interest such as when and how they came to Spain or their legal situation.

Liver Disease in Cystic Fibrosis: an Update

Science.gov (United States)

Parisi, Giuseppe Fabio; Di Dio, Giovanna; Franzonello, Chiara; Gennaro, Alessia; Rotolo, Novella; Lionetti, Elena; Leonardi, Salvatore

2013-01-01

Context Cystic fibrosis (CF) is the most widespread autosomal recessive genetic disorder that limits life expectation amongst the Caucasian population. As the median survival has increased related to early multidisciplinary intervention, other manifestations of CF have emergedespecially for the broad spectrum of hepatobiliary involvement. The present study reviews the existing literature on liver disease in cystic fibrosis and describes the key issues for an adequate clinical evaluation and management of patients, with a focus on the pathogenetic, clinical and diagnostic-therapeutic aspects of liver disease in CF. Evidence Acquisition A literature search of electronic databases was undertaken for relevant studies published from 1990 about liver disease in cystic fibrosis. The databases searched were: EMBASE, PubMed and Cochrane Library. Results CF is due to mutations in the gene on chromosome 7 that encodes an amino acidic polypeptide named CFTR (cystic fibrosis transmembrane regulator). The hepatic manifestations include particular changes referring to the basic CFTR defect, iatrogenic lesions or consequences of the multisystem disease. Even though hepatobiliary disease is the most common non-pulmonary cause ofmortalityin CF (the third after pulmonary disease and transplant complications), only about the 33%ofCF patients presents clinically significant hepatobiliary disease. Conclusions Liver disease will have a growing impact on survival and quality of life of cystic fibrosis patients because a longer life expectancy and for this it is important its early recognition and a correct clinical management aimed atdelaying the onset of complications. This review could represent an opportunity to encourage researchers to better investigate genotype-phenotype correlation associated with the development of cystic fibrosis liver disease, especially for non-CFTR genetic polymorphisms, and detect predisposed individuals. Therapeutic trials are needed to find strategies of

Género y participación laboral en la comunidad de Madrid. Las dimensiones espaciales de un proceso de cambio

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Rodríguez Moya, Juana

2007-06-01

Full Text Available This paper studies the characteristics and recent evolution (1986-2001 of labourforce participation by gender in the region of Madrid, Spain. These characteristics can be related to the recent economic reestructuring process experienced by global capitalism and its productive, social and territorial consequences in our region. After a study of the sociodemographic dimensions of the labourmarket, a territorial perspective is adopted: we recognize, at a local level of detail, the different spatial patterns of male and female activity rates and their evolution. Finally, the analysis attemps to identify the effect of the spatial variation of certain municipal indicators on the distribution of the labourforce participation by gender along the Madrid Metropolitan Area and the entire region of Madrid.

En este artículo se estudian las características y evolución de la participación laboral según género en la Comunidad de Madrid en el periodo 1986-2001 en el marco de los procesos de cambio social, productivo y territorial que han afectado a la región en los últimos años. El trabajo se divide en dos partes: en la primera se estudia la caracterización del mercado laboral según género en relación con algunas variables sociodemográficas. En la segunda se adopta una perspectiva espacial: se reconocen las diferencias inter- municipales en el ritmo de incorporación de las mujeres al mundo laboral durante los últimos años, y también los patrones de distribución espacial de la participación de hombres y mujeres a lo largo de la Comunidad de Madrid. Por último, se estudia la relación de las tasas con un conjunto de indicadores municipales, lo que permitirá establecer algunos criterios para la interpretación de la variabilidad espacial y temporal de la participación femenina y su comparación con el caso de los hombres.

Edificio del Ilustre Colegio de Registradores de la Propiedad, en Madrid, España

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Azpiazu Ordóñez, J. R.

1966-05-01

Full Text Available This building has a basement, ground floor, seven additional floors, and an attic. The basement is occupied by the heating and air conditioning installations, the electricity meters the archive of the registrars, and houses for the doorman and porter. On the ground floor there is an information and doorman's booth, a map of Spain with the zones covered by each registrar, the hall, lifts, stairs, whilst the rest of the floor is devoted to commercial activities. The first floor belongs to the Registrars' College, and the 2nd, 3rd, 4th, 5th and 6th floors have been allocated to the offices of all the property registrars of Madrid. The 7th floor and the attic are offices, to be let to outsiders.El edificio consta de: sótano, planta baja, siete plantas de altura, y planta de ático. El sótano alberga los servicios de: calefacción y refrigeración, cuarto de contadores, archivo de legajos de Registros, viviendas del portero y conserje, etc. En la planta baja se encuentran: la cabina de información y estancia del portero, el mapa de Madrid con la demarcación de Registros, el hall de ascensores y escalera, etc.; el resto de la planta está ocupado por eventuales locales comerciales. La planta primera está destinada a sede del Ilustre Colegio de Registradores de la Propiedad; las plantas segunda, tercera, cuarta, quinta y sexta se han reservado para instalar todos los Registros de Madrid; y las plantas séptima y de ático se han destinado para oficinas de alquiler.

Fibrosis imaging : Current concepts and future directions

NARCIS (Netherlands)

Baues, Maike; Dasgupta, Anshuman; Ehling, Josef; Prakash, Jai; Boor, Peter; Tacke, Frank; Kiessling, Fabian; Lammers, Twan

2017-01-01

Fibrosis plays an important role in many different pathologies. It results from tissue injury, chronic inflammation, autoimmune reactions and genetic alterations, and it is characterized by the excessive deposition of extracellular matrix components. Biopsies are routinely employed for fibrosis

Cystic fibrosis with normal sweat chloride concentration: case report

Directory of Open Access Journals (Sweden)

Silva Filho Luiz Vicente Ferreira da

2003-01-01

Full Text Available Cystic fibrosis is a genetic disease usually diagnosed by abnormal sweat testing. We report a case of an 18-year-old female with bronchiectasis, chronic P. aeruginosa infection, and normal sweat chloride concentrations who experienced rapid decrease of lung function and clinical deterioration despite treatment. Given the high suspicion ofcystic fibrosis, broad genotyping testing was performed, showing a compound heterozygous with deltaF508 and 3849+10kb C->T mutations, therefore confirming cystic fibrosis diagnosis. Although the sweat chloride test remains the gold standard for the diagnosis of cystic fibrosis, alternative diagnostic tests such as genotyping and electrophysiologic measurements must be performed if there is suspicion of cystic fibrosis, despite normal or borderline sweat chloride levels.

Reversal of liver fibrosis: From fiction to reality.

Science.gov (United States)

Zoubek, Miguel Eugenio; Trautwein, Christian; Strnad, Pavel

2017-04-01

In chronic liver diseases, an ongoing hepatocellular injury together with inflammatory reaction results in activation of hepatic stellate cells (HSCs) and increased deposition of extracellular matrix (ECM) termed as liver fibrosis. It can progress to cirrhosis that is characterized by parenchymal and vascular architectural changes together with the presence of regenerative nodules. Even at late stage, liver fibrosis is reversible and the underlying mechanisms include a switch in the inflammatory environment, elimination or regression of activated HSCs and degradation of ECM. While animal models have been indispensable for our understanding of liver fibrosis, they possess several important limitations and need to be further refined. A better insight into the liver fibrogenesis resulted in a large number of clinical trials aiming at reversing liver fibrosis, particularly in patients with non-alcoholic steatohepatitis. Collectively, the current developments demonstrate that reversal of liver fibrosis is turning from fiction to reality. Copyright © 2017. Published by Elsevier Ltd.

Technical Note: Historic gypsum-kilns (Morata de Tajuña, Madrid

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Llamas Borrajo, J. F.

2007-08-01

Full Text Available In the locality of Morata de Tajuña and surroundings there was an important settlement of gypsum pits and limekilns, together with other historical industries, now disappear. These activities were developed mainly during the 1960´s and 70´s, but its production decreased because of changes in the productive processes (substitution of discontinuous processes by continuous ones, higher kilns, etc. (1. Nevertheless, some of these furnaces still remain, as well as ancient workers who have provided important information. Within the research project funded by the Madrid´s Government, entitled: Industrial archaeology: Conservation of the mining and metallurgical heritage of Madrid (IV, ancient gypsum pits have been identified and inventoried. The ancient gypsiferous extraction history was recovered and the productive processes fluxes were reconstructed. The state of the heritage is evaluated and the conservation of some of the elements is recommended. Likewise, the intangible heritage was also investigated, being able to show a legend related with these kilns.En Morata de Tajuña y pueblos limítrofes hay una importante tradición yesera y calera, así como de otras industrias de materiales de la construcción ya desaparecidas, sobre todo en los años 60-70 del pasado siglo, debido a cambios en los sistemas productivos (paso de sistemas discontinuos a continuos, hornos mayores, etc. (1. Por eso aún se conservan algunos hornos y también viven antiguos productores, a los que hemos podido preguntar sobre los procesos productivos. En el marco de un proyecto de investigación de la Consejería de Educación de la Comunidad de Madrid titulado “Arqueología Industrial: conservación del patrimonio minero-metalúrgico madrileño (IV” se están identificando e inventariando viejas yeserías, recuperando la historia yesera local, reconstruyendo los flujos productivos y entrevistando a antiguos operarios. De esta manera, se pretende evaluar

BANCA PRIVADA Y VIVIENDA USADA EN LA CIUDAD DE MADRID

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Víctor Jiménez Barrado

2016-01-01

Full Text Available El número de viviendas usadas en poder de los bancos ha aumentado de forma notable en los últimos diez años como consecuencia de la crisis económica e hipotecaria. El considerable incremento del paquete de activos tóxicos inmobiliarios (más del 36% entre el año 2012 y 2015 procede, en buena medida, de los impagos a la banca por parte de las familias. La ciudad de Madrid es una de las poblaciones más afectadas por este fenómeno, en la que se acumulan los desahucios día tras día. El presente estudio cuantifica y analiza, a través de la información que facilitan las inmobiliarias de las cinco principales entidades bancarias del país, esta bolsa de viviendas de segunda mano en la capital española. La localización de las mismas dentro del núcleo urbano permite conocer el grado de afectación por distritos. Por otro lado, nos hemos servido de la base de datos socioeconómicos de la Administración Local para determinar la incidencia social del posicionamiento de la banca privada. El análisis espacial a través de Sistemas de Información Geográfica ha revelado comportamientos anómalos de la banca en relación al mercado de compra-venta de viviendas usadas en la ciudad de Madrid.

Inhibition of the Unfolded Protein Response Mechanism Prevents Cardiac Fibrosis.

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Jody Groenendyk

Full Text Available Cardiac fibrosis attributed to excessive deposition of extracellular matrix proteins is a major cause of heart failure and death. Cardiac fibrosis is extremely difficult and challenging to treat in a clinical setting due to lack of understanding of molecular mechanisms leading to cardiac fibrosis and effective anti-fibrotic therapies. The objective in this study was to examine whether unfolded protein response (UPR pathway mediates cardiac fibrosis and whether a pharmacological intervention to modulate UPR can prevent cardiac fibrosis and preserve heart function.We demonstrate here that the mechanism leading to development of fibrosis in a mouse with increased expression of calreticulin, a model of heart failure, stems from impairment of endoplasmic reticulum (ER homeostasis, transient activation of the unfolded protein response (UPR pathway and stimulation of the TGFβ1/Smad2/3 signaling pathway. Remarkably, sustained pharmacologic inhibition of the UPR pathway by tauroursodeoxycholic acid (TUDCA is sufficient to prevent cardiac fibrosis, and improved exercise tolerance.We show that the mechanism leading to development of fibrosis in a mouse model of heart failure stems from transient activation of UPR pathway leading to persistent remodelling of cardiac tissue. Blocking the activation of the transiently activated UPR pathway by TUDCA prevented cardiac fibrosis, and improved prognosis. These findings offer a window for additional interventions that can preserve heart function.

Self-management education for cystic fibrosis.

LENUS (Irish Health Repository)

Savage, Eileen

2011-01-01

Self-management education may help patients with cystic fibrosis and their families to choose, monitor and adjust treatment requirements for their illness, and also to manage the effects of illness on their lives. Although self-management education interventions have been developed for cystic fibrosis, no previous systematic review of the evidence of effectiveness of these interventions has been conducted.

Effects and mechanisms of pirfenidone, prednisone and acetylcysteine on pulmonary fibrosis in rat idiopathic pulmonary fibrosis models.

Science.gov (United States)

Yu, Wencheng; Guo, Fang; Song, Xiaoxia

2017-12-01

Previous studies have reported that caveolin-1 (Cav-1) is associated with lung fibrosis. However, the role of Cav-1 expression in pirfenidone-treated idiopathic pulmonary fibrosis (IPF) is unknown. This study investigated Cav-1 expression in pirfenidone-treated IPF, and compared the effects of pirfenidone with acetylcysteine and prednisone on IPF. Rat IPF model was established by endotracheal injection of 5 mg/kg bleomycin A5 into the specific pathogen-free Wistar male rats. Pirfenidone (P, 100 mg/kg once daily), prednisone (H, 5 mg/kg once daily) and acetylcysteine (N, 4 mg/kg 3 times per day) were used to treat the rat model by intragastric administration for 45 consecutive days, respectively. The normal rats without IPF were used as the controls. After 15, 30 and 45 days of drug treatment, lung histopathology was assessed. The expression of Cav-1 was determined using real-time quantitative PCR and Western blot; the expression of tumour necrosis factor-α (TNF-α), transforming growth factor-β1 (TGF-β1) and platelet-derived growth factor (PDGF) was determined by enzyme-linked immunosorbent assay. After 15, 30 and 45 days of drug treatment, comparison of the three drug-treated groups with the model group showed significantly lower (p fibrosis scores of lung tissues, as well as expression of TGF-β1, TNF-α and PDGF, but the expression of Cav-1 was higher (p fibrosis score was significantly lower and the protein expression of Cav-1 was significantly higher in the P group (p fibrosis scores (r = -0.506, p pulmonary fibrosis in rat IPF models, which may be related with enhanced caveolin-1, reduced TNF-α, TGF-β1, PDGF.

La nueva embajada alemana, en Madrid

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Schoebel Ungria, G.

1967-02-01

Full Text Available This embassy involves two buildings, which, because of their style, appropriate aspect, the fine taste of their design, and the highly efficient manner in which the volumes agree with the building site, constitutes a singular ornament to one of the best zones of Madrid. All the materials are traditional in Spanish constructional practice, and were carefully chosen: their full plastic and chromatic quality being well utilised.Los dos edificios que componen el conjunto constituyen, por su tratamiento, por su representatividad, por el gusto con que han sido construidos y por el respetuoso trato dado a los volúmenes del aprovechamiento autorizado, un ornato singular en una de las zonas más nobles y vistosas de la capital de España. Todos los materiales empleados son los tradicionales del país anfitrión y fueron elegidos con esmero, conservándolos en toda su pureza plástica de carácter y cromática.

Antonio Ricci en Madrid: 1586-1635

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García López, David

2010-03-01

Full Text Available Life of painter Antonio Ricci is studied by new documents from his arrived at Escorial with Federico Zuccari in 1586. Ricci worked in the Palace of Madrid and was involved in the birth of the Academy of Painting. Here are studied his work as Painter and Appraiser, or his portrait of Philip IV of Spain and his relationship with Jeronimo Gratti, Caballero de Gracia.

Nuevas aportaciones documentales aclaran la vida del pintor Antonio Ricci en la Corte española desde su llegada a El Escorial junto a Federico Zuccari en 1586. Ricci trabajó como pintor en el entorno palaciego y estuvo involucrado desde el principio en el intento de creación de la Academia madrileña de pintores. Se detallan aquí su trabajo como tasador, su retrato del futuro Felipe IV o su cercana relación con un personaje tan singular como Jeronimo Gratti, el Caballero de Gracia.

[Arsenic levels in drinking water supplies from underground sources in the community of Madrid].

Science.gov (United States)

Aragonés Sanz, N; Palacios Diez, M; Avello de Miguel, A; Gómez Rodríguez, P; Martínez Cortés, M; Rodríguez Bernabeu, M J

2001-01-01

In 1998, arsenic concentrations of more than 50 micrograms/l were detected in some drinking water supplies from underground sources in the Autonomous Community of Madrid, which is the maximum permissible concentration for drinking water in Spain. These two facts have meant the getting under way of a specific plan for monitoring arsenic in the drinking water in the Autonomous Community of Madrid. The results of the first two sampling processes conducted in the arsenic level monitoring plan set out are presented. In the initial phase, water samples from 353 water supplies comprised within the census of the Public Health Administration of the Autonomous Community of Madrid were analyzed. A water supply risk classification was made based on these initial results. In a second phase, six months later, the analyses were repeated on those 35 water supplies which were considered to possibly pose a risk to public health. Seventy-four percent (74%) of the water supplies studied in the initial phase were revealed to have an arsenic concentration of less than 10 micrograms/l, 22.6% containing levels of 10 micrograms/l-50 micrograms/l, and 3.7% over 50 micrograms/l. Most of the water supplies showing arsenic levels of more than 10 micrograms/l are located in the same geographical area. In the second sampling process (six months later), the 35 water supplies classified as posing a risk were included. Twenty-six (26) of these supplies were revealed to have the same arsenic level ((10-50 micrograms/l), and nine changed category, six of which had less than 10 micrograms/l and three more than 50 micrograms/l. In the Autonomous Community of Madrid, less than 2% of the population drinks water coming from supplies which are from underground sources. The regular water quality monitoring conducted by the Public Health Administration has led to detecting the presence of more than 50 micrograms/l of arsenic in sixteen drinking water supplies from underground sources, which is the maximum

Low Blood Lead Levels and educational achievement in 7-8 year old children in the Community of Madrid (Spain Bajos niveles de plomo en sangre y rendimiento escolar en niños de 7-8 años en la Comunidad de Madrid (España Baixos níveis de chumbo no sangue e sucesso escolar nas crianças entre os 7-8 anos na Comunidade de Madrid (Espanha

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María José Martínez García

2013-06-01

Full Text Available Background: Lead affects the behavioral and cognitive functions of children. The current lead safety level for avoiding these adverse effects is still controversial.Methods of study: A cross-sectional study included 511 children from 23 primary schools within the Comunidad de Madrid (the Madrid Region –including the city of Madrid and the large urban-industrial conurbation of satellite towns surrounding it, Spain. The children’s blood lead levels were determined by atomic absorption spectrophotometry. In addition, the teachers completed an eight-item questionnaire about the children’s behavior and academic achievement. Parents filled in a self-completion survey about the sociodemographic variables of the children and the family.Results: The mean Blood Lead Level (BLL of the children was 4.1 μg/dL SD 1.6 μg/dL (log transformed 3.8 μg/dL SD 0.2 μg/dL. Multivariate analysis controlling for relevant sociodemographic cofactors (among others, sex, age and educational level of the parents showed a negative association, but this was not statistically significant.Conclusions: Despite the low blood lead levels found in the children of the Comunidad de Madrid (Spain and the design limitations of the study, the results obtained suggest the existence of a harmful, but not statistically significant, effect of blood lead on the behavior and academic achievement of children.Objetivos: El plomo en sangre provoca en los niños efectos sobre las funciones cognitivas y sobre el comportamiento. No existe acuerdo sobre los niveles en sangre que evitarían esos efectos.Métodos: Estudio transversal en el que participaron 511 niños pertenecientes a 23 colegios de la Comunidad de Madrid (la ciudad de Madrid y su Corona Metropolitana, España, a los que se les determinaron los niveles de plomo en sangre por espectrofotometría de absorción atómica. Además, los profesores cumplimentaron un cuestionario de ocho preguntas sobre aspectos conductuales y de

Prediction of fibrosis progression in chronic viral hepatitis

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Grace Lai-Hung Wong

2014-09-01

Full Text Available Prediction of liver fibrosis progression has a key role in the management of chronic viral hepatitis, as it will be translated into the future risk of cirrhosis and its various complications including hepatocellular carcinoma. Both hepatitis B and C viruses mainly lead to fibrogenesis induced by chronic inflammation and a continuous wound healing response. At the same time direct and indirect profibrogenic responses are also elicited by the viral infection. There are a handful of well-established risk factors for fibrosis progression including older age, male gender, alcohol use, high viral load and co-infection with other viruses. Metabolic syndrome is an evolving risk factor of fibrosis progression. The new notion of regression of advanced fibrosis or even cirrhosis is now strongly supported various clinical studies. Even liver biopsy retains its important role in the assessment of fibrosis progression, various non-invasive assessments have been adopted widely because of their non-invasiveness, which facilitates serial applications in large cohorts of subjects. Transient elastography is one of the most validated tools which has both diagnostic and prognostic role. As there is no single perfect test for liver fibrosis assessment, algorithms combining the most validated noninvasive methods should be considered as initial screening tools.

Adherence to nutritional recommendations in vending machines at secondary schools in Madrid (Spain), 2014-2015.

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Monroy-Parada, Doris Xiomara; Jácome-González, María Luisa; Moya-Geromini, María Ángeles; Rodríguez-Artalejo, Fernando; Royo-Bordonada, Miguel Ángel

2017-07-13

To describe the nutritional content of products offered in food and drink vending machines at secondary schools in the Madrid Autonomous Community (Spain), and to evaluate these items' adherence to the nutritional recommendations of the National Health System Consensus Document on School Food. Cross-sectional study of a sample of 330 secondary schools in Madrid across the period 2014-2015. Secondary school vending machines were identified by telephone interview. The products offered in a representative sample of six machines were identified by inspection in situ, and their nutritional composition was obtained from the labelling. A total of 94.5% of the 55 products on offer failed to comply with at least one nutritional criterion of the Consensus Document on School Food. The recommendation relating to sugar content registered the highest level of non-compliance, with 52.7% of products, followed by the recommendations relating to energy (47.3%) and fats (45.5%). The mean number of unmet criteria was 2.2, with this figure being higher in foods than in drinks (2.8 versus 1; p <0.01). Almost all the products on display in secondary school vending machines in Madrid were in breach of the Consensus Document on School Food, mainly due to an excess of calories, sugars and fats. Compulsory nutritional criteria and a procedure for monitoring adherence should be established, specifying those responsible for performing this task and the corrective measures to be applied in the event of non-compliance. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

Endocytosis and intracellular protein degradation in cystic fibrosis fibroblasts

International Nuclear Information System (INIS)

Jessup, W.; Dean, R.T.

1983-01-01

Normal rates of pinocytosis of [ 3 H]sucrose were measured in cystic fibrosis fibroblasts, and were not affected by the addition of cystic fibrosis serum. Bulk protein degradation (a significant proportion of which occurs intralysosomally following autophagy) and its regulation by growth state were apparently identical in normal and cystic fibrosis cultures. (Auth.)

Nootkatone confers hepatoprotective and anti-fibrotic actions in a murine model of liver fibrosis by suppressing oxidative stress, inflammation, and apoptosis.

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Kurdi, Amani; Hassan, Kamal; Venkataraman, Balaji; Rajesh, Mohanraj

2018-02-01

In this study, the hepatoprotective and anti-fibrotic actions of nootkatone (NTK) were investigated using carbon tetrachloride (CCl 4 )-induced liver fibrosis in mice. CCl 4 administration elevated serum aspartate and alanine transaminases levels, respectively. In addition, CCl 4 produced hepatic oxidative and nitrative stress, characterized by diminished hemeoxygenase-1 expression, antioxidant defenses, and accumulation of 4-hydroxynonenal and 3-nitrotyrosine. Furthermore, CCl 4 administration evoked profound expression of pro-inflammatory cytokine expressions such as tumor necrosis factor-α, monocyte chemoattractant protein-1, and interleukin-1β in hepatic tissues, which corroborated with nuclear factor κB activation. Additionally, CCl 4 -treated animals exhibited higher apoptosis, characterized by increased caspase 3 activity, DNA fragmentation, and poly (ADP-ribose) polymerase activation. Moreover, histological and biochemical investigations revealed marked fibrosis in the livers of CCl 4 -administered animals. However, NTK treatment mitigated CCl 4 -induced phenotypic changes. In conclusion, our findings suggest that NTK exerts hepatoprotective and anti-fibrotic actions by suppressing oxidative stress, inflammation, and apoptosis. © 2017 Wiley Periodicals, Inc.

Physico-chemical quality of drinking water in the northwest area of Madrid (Spain); Calidad fisico-quimica de las aguas de abastecimiento de la zona noroeste de Madrid

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Garcia Mata, M.; Orzaez Villanueva, M. T.; Tenorio Sanz, M. D.; Garcia Puertas, P. [Universidad Complutense de Madrid (Spain); Montes Boltella, C. [Universidad Carlos III. Leganes Madrid (Spain)

2001-07-01

A physico-chemical analytical study of the edible waters of the northwest area of Madrid has been made. The object was to evaluate the quality characters of this water thought the water analysis of 40 representative buildings. The parameters analyzed were odour, taste, turbidity, pH, conductivity, nitrate, nitrite, ammonia, oxid ability and chlorine. The results show the analyzed waters agree with the current public consume waters legislation through with some punctual exceptions. (Author) 13 refs.

Hepatic fibrosis: Concept to treatment.

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Trautwein, Christian; Friedman, Scott L; Schuppan, Detlef; Pinzani, Massimo

2015-04-01

Understanding the molecular mechanisms underlying liver fibrogenesis is fundamentally relevant to developing new treatments that are independent of the underlying etiology. The increasing success of antiviral treatments in blocking or reversing the fibrogenic progression of chronic liver disease has unearthed vital information about the natural history of fibrosis regression, and has established important principles and targets for antifibrotic drugs. Although antifibrotic activity has been demonstrated for many compounds in vitro and in animal models, none has been thoroughly validated in the clinic or commercialized as a therapy for fibrosis. In addition, it is likely that combination therapies that affect two or more key pathogenic targets and/or pathways will be needed. To accelerate the preclinical development of these combination therapies, reliable single target validation is necessary, followed by the rational selection and systematic testing of combination approaches. Improved noninvasive tools for the assessment of fibrosis content, fibrogenesis and fibrolysis must accompany in vivo validation in experimental fibrosis models, and especially in clinical trials. The rapidly changing landscape of clinical trial design for liver disease is recognized by regulatory agencies in the United States (FDA) and Western Europe (EMA), who are working together with the broad range of stakeholders to standardize approaches to testing antifibrotic drugs in cohorts of patients with chronic liver diseases. Copyright © 2015. Published by Elsevier B.V.

Workplace rehabilitation centers for people with mental illness in Madrid: A resource for employment in crisis times (2008-2012

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Segundo Valmorisco Pizarro

2015-04-01

Full Text Available The current article tries to detect the variables that explain labour insertion rates (close to 50% of people with severe and enduring mental illness who come to work rehabilitation centres (CRL´s in the Community of Madrid. To this end, firstly, has been used a documentary methodology through the use of activity memoirs of the CRL´s in the Community of Madrid with activity in 2008-2012. And, second, a qualitative methodology using In-depth interviews with professionals of different profiles of various CRL´s as well as the technical coordinator of the public network of social care and people with severe and enduring mental illness of the Community of Madrid; and Focus groups according to professional category, as well as people served and family. The results show that the public network of care for people with severe and enduring mental illness, offers more than 5,900 seats in different collective resources (psychosocial rehabilitation centres, day centres, social support, vocational rehabilitation centres, nursing homes or supervised apartments. Specifically, CRL´s  serving a total of 1,313 people, of which 47.4% find employment (622 people with severe and enduring mental illness.

Videosurveillance in the center of Madrid: moving towards an electronic panopticon?

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Santiago Ruiz Chasco

2014-08-01

Full Text Available In the downtown of Madrid there are currently 147 CCTV cameras controlled by the Municipal Police, forming an entire control mesh digitalized through which the look of power is imposed as a standard element in order to produce safety spaces. Far from being a declining reality, this is presented with increasing frequency as a "necessity", and thus, the mayor of Madrid, Ana Botella, has asked to the Government Delegation for installing 46 surveillance cameras more, in order to create "a large shopping and leisure environment covered with closed circuit television, an "ambitious security plan for shopping tourism". One of the central areas where they are concentrated is the neighborhood of Lavapies, where a total of 48 cameras to "fight crime and increase the sense of security" are installed. The discourses who try to legitimize the process of mass implementation of video surveillance in public space usually refer to "security reasons", and "improving the quality of life for residents and visitors". But ... what safety and quality of life are we talking about? Who and how are you protecting? Is it really an effective system of crime control? Try to answer these questions and allude to some resistance movements that have emerged against this process of implementation of urban electronic panopticon in order to question critically the discourses of safety is the objective of this article.

Nephrogenic systemic fibrosis

DEFF Research Database (Denmark)

Marckmann, Peter

2008-01-01

PURPOSE OF REVIEW: The aim of this article is to outline the history of nephrogenic systemic fibrosis, a new and serious disease of patients with renal failure, and to give an update on its aetiology and prevalence. RECENT FINDINGS: Epidemiological and histochemical studies demonstrated....... Increasingly poor renal function, aberrations in calcium-phosphate metabolism and erythropoietin treatment seem to increase the risk of the disease and its severity. Up to 25-30% of patients with renal failure exposed to gadolinium-based contrast agents may develop nephrogenic systemic disease. The figure...... that gadolinium-containing contrast agents used for magnetic resonance imaging have an essential causative role in most, if not all, cases of nephrogenic systemic fibrosis. One particular agent, gadodiamide, caused the majority of cases, but gadopentetate dimeglumine has also been implicated in several cases...

Basigin/CD147 promotes renal fibrosis after unilateral ureteral obstruction.

Science.gov (United States)

Kato, Noritoshi; Kosugi, Tomoki; Sato, Waichi; Ishimoto, Takuji; Kojima, Hiroshi; Sato, Yuka; Sakamoto, Kazuma; Maruyama, Shoichi; Yuzawa, Yukio; Matsuo, Seiichi; Kadomatsu, Kenji

2011-02-01

Regardless of their primary causes, progressive renal fibrosis and tubular atrophy are the main predictors of progression to end-stage renal disease. Basigin/CD147 is a multifunctional molecule-it induces matrix metalloproteinases and hyaluronan, for example-and has been implicated in organ fibrosis. However, the relationship between basigin and organ fibrosis has been poorly studied. We investigated basigin's role in renal fibrosis using a unilateral ureteral obstruction model. Basigin-deficient mice (Bsg(-/-)) demonstrated significantly less fibrosis after surgery than Bsg(+/+) mice. Fewer macrophages had infiltrated in Bsg(-/-) kidneys. Consistent with these in vivo data, primary cultured tubular epithelial cells from Bsg(-/-) mice produced less matrix metalloproteinase and exhibited less motility on stimulation with transforming growth factor β. Furthermore, Bsg(-/-) embryonic fibro blasts produced less hyaluronan and α-smooth muscle actin after transforming growth factor β stimulation. Together, these results demonstrate for the first time that basigin is a key regulator of renal fibrosis. Basigin could be a candidate target molecule for the prevention of organ fibrosis. Copyright © 2011 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved.

GuMNet - Guadarrama Monitoring Network initiative (Madrid,Spain)

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Santolaria-Canales, Edmundo

2017-04-01

The Guadarrama Monitoring Network initiative (GuMNet) is an observational infrastructure focused on monitoring the state of the atmosphere, surface and subsurface in the Sierra de Guadarrama, 50 km NW of the city of Madrid. The network is composed of 10 automatic real time weather stations ranging from low altitude (ca. 900 m.a.s.l) to high mountain areas (ca. 2400 m.a.s.l). The GuMNet infrastructure consists in 10 real time automatic weather stations with instrumentation for observing the state of the atmosphere, surface and the subsurface at the Sierra de Guadarrama, just 50 km north-northwest of the city of Madrid. GuMNet lays the foundations of a research network on weather, soil thermodynamics, boundary layer physics, climate and ecosystem oriented impacts, air pollutions, etc. in the Sierra de Guadarrama. GuMNet represents a first step to provide a unique observational network in an environment of high protection to be used as a laboratory serving a wide range of scientific and educational interests. High altitude sites are focused on periglacial areas and lower altitude sites have emphasis on pastures. One of the low altitude sites is equipped with a 10 m high anemometric tower with a 3D sonic anemometer at the top jointly with a CO2/H2O analyzer that will allow sampling of wind profiles and H2O and CO2 eddy covariance fluxes, important for soil respiration and CO2 and water vapor exchange. A portable station has also a 3D sonic anemometer with CO2/H2O analyzer, this 4 meters-high portable tower is designed for comparison with other soil terrain fluxes. The network is connected via general packet radio service (GPRS) to the central lab in the Campus of Excellence of Moncloa and a management software has been developed to handle the operation of the infrastructure. The deployment of instrumentation and connection of sites to the network was finished in 2016. GuMNet is currently in the process of becoming operational. Conceptually, GuMNet intends to convert a

Interleukin-22 Inhibits Bleomycin-Induced Pulmonary Fibrosis

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Minrui Liang

2013-01-01

Full Text Available Pulmonary fibrosis is a progressive and fatal fibrotic disease of the lungs with unclear etiology. Recent insight has suggested that early injury/inflammation of alveolar epithelial cells could lead to dysregulation of tissue repair driven by multiple cytokines. Although dysregulation of interleukin- (IL- 22 is involved in various pulmonary pathophysiological processes, the role of IL-22 in fibrotic lung diseases is still unclear and needs to be further addressed. Here we investigated the effect of IL-22 on alveolar epithelial cells in the bleomycin- (BLM- induced pulmonary fibrosis. BLM-treated mice showed significantly decreased level of IL-22 in the lung. IL-22 produced γδT cells were also decreased significantly both in the tissues of lungs and spleens. Administration of recombinant human IL-22 to alveolar epithelial cell line A549 cells ameliorated epithelial to mesenchymal transition (EMT and partially reversed the impaired cell viability induced by BLM. Furthermore, blockage of IL-22 deteriorated pulmonary fibrosis, with elevated EMT marker (α-smooth muscle actin (α-SMA and overactivated Smad2. Our results indicate that IL-22 may play a protective role in the development of BLM-induced pulmonary fibrosis and may suggest IL-22 as a novel immunotherapy tool in treating pulmonary fibrosis.

[Endomyocardial fibrosis with massive calcification of the left ventricle].

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Trigo, Joana; Camacho, Ana; Gago, Paula; Candeias, Rui; Santos, Walter; Marques, Nuno; Matos, Pedro; Brandão, Victor; Gomes, Veloso

2010-03-01

Endomyocardial fibrosis is a rare disease, endemic in tropical countries. It is characterized by fibrosis of the endocardium that can extend to myocardium. Important calcification of the endocardium is rare with only a few cases reported in the literature. We report a case of endomyocardial fibrosis in a european caucasian patient, associated with massive calcification of left ventricle.

Cystic Fibrosis-Related Diabetes

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Kayani Kayani

2018-02-01

Full Text Available Cystic fibrosis (CF is the most common autosomal recessive disorder in Caucasian populations. Individuals with CF have seen significant increases in life expectancy in the last 60 years. As a result, previously rare complications are now coming to light. The most common of these is cystic fibrosis-related diabetes (CFRD, which affects 40–50% of CF adults. CFRD significantly impacts the pulmonary function and longevity of CF patients, yet a lack of consensus on the best methods to diagnose and treat CFRD remains. We begin by reviewing our understanding of the pathogenesis of CFRD, as emerging evidence shows the cystic fibrosis transmembrane conductance regulator (CFTR also has important roles in the release of insulin and glucagon and in the protection of β cells from oxidative stress. We then discuss how current recommended methods of CFRD diagnosis are not appropriate, as continuous glucose monitoring becomes more effective, practical, and cost-effective. Finally, we evaluate emerging treatments which have narrowed the mortality gap within the CF patient group. In the future, pharmacological potentiators and correctors directly targeting CFTR show huge promise for both CFRD and the wider CF patient groups.

La transformación de los mercados municipales de Madrid. Análisis legislativo, comercial, y económico de los mercados de abastos madrileños

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Alejandro Rodríguez Sebastián

2015-01-01

Full Text Available ResumenDurante la última década, el Ayuntamiento de Madrid ha desarrollado diferentes políticas con el objetivo de revitalizar los mercados de abastos de la ciudad. Una de ellas ha sido la inserción de cadenas de supermercados junto a las estructuras comerciales tradicionales de los mercados, actuando a modo de "locomotoras’ económicas. Por otro lado, es reconocible la aparición en ciertos mercados de nuevos patrones de consumo, unos asociados a estilos de vida propios de élites y otros surgidos a raíz de las modificaciones realizadas en los mercados. Este trabajo pretende analizar las causas y consecuencias de las diversas transformaciones llevadas a cabo en la red de mercados municipales de Madrid, diferenciando las pautas seguidas en los mercados del centro de la ciudad de los de la periferia.Palabras clave  Mercados municipales, comercio, Madrid, centralidad, periferia, gentrificación comercialAbstractDuring the last decade, Madrid City Council has developed different policies aimed at revitalising the traditional retail markets in the city. One of these has been the insertion of supermarkets next to the traditional commercial structures, acting as economic driving forces. Furthermore, the appearance of new consumption patterns is a remarkable fact, some related to wealthy lifestyles, others arisen due to the changes made in the markets. The aim of this paper is to analyse the causes and consequences of the transformations held in Madrid market network, distinguishing the guidelines followed both in the city centre and in the outskirts.KeywordsTraditional retail markets, trade, Madrid, centrality, suburbs, commercial gentrification

European Cystic Fibrosis Society Standards of Care

DEFF Research Database (Denmark)

Stern, Martin; Bertrand, Dominique Pougheon; Bignamini, Elisabetta

2014-01-01

Since the earliest days of cystic fibrosis (CF) treatment, patient data have been recorded and reviewed in order to identify the factors that lead to more favourable outcomes. Large data repositories, such as the US Cystic Fibrosis Registry, which was established in the 1960s, enabled successful ...... to indicators of health, the role of CF Centres, regional networks, national health policy, and international data registration and comparisons.......Since the earliest days of cystic fibrosis (CF) treatment, patient data have been recorded and reviewed in order to identify the factors that lead to more favourable outcomes. Large data repositories, such as the US Cystic Fibrosis Registry, which was established in the 1960s, enabled successful...... therapies, approaches to care and indeed data recording. The quality of care for individuals with CF has become a focus at several levels: patient, centre, regional, national and international. This paper reviews the quality management and improvement issues at each of these levels with particular reference...

Immunoreactive trypsin and neonatalscreening for cystic fibrosis

International Nuclear Information System (INIS)

Travert, G.; Laroche, D.; Blandin, C.; Pasquet, C.

1988-01-01

Immunoreactive trypsin (IRT) was measured in dried blood spots from 160.822 five-day-old babies as a part of a regionwide neonatal screening program for cystic fibrosis. A second test was performed for 492 babies in whom blood IRT levels were found greater than 900 μg/l; retesting revealed persistent elevation in 55. Sweat testing confirmed cystic fibrosis in 43 babies, but results were normal in 12. During the course of this study, a total of 51 cystic fibrosis babies were identified: 43 by newborn screening, 6 because they had meconium ileus; so, early diagnosis was achieved in 49 cases out of 51. Two newborn babies did not have elevated IRT and they were missed by the screening test. Our results confirm that elevated blood IRT is characteristic of newborn babies with cystic fibrosis and show that this test has an excellent specificity (99.7%) and a good sensitivity (95%) when used as a neonatal screening test [fr

Molecular and cellular mechanisms of pulmonary fibrosis

Science.gov (United States)

2012-01-01

Pulmonary fibrosis is a chronic lung disease characterized by excessive accumulation of extracellular matrix (ECM) and remodeling of the lung architecture. Idiopathic pulmonary fibrosis is considered the most common and severe form of the disease, with a median survival of approximately three years and no proven effective therapy. Despite the fact that effective treatments are absent and the precise mechanisms that drive fibrosis in most patients remain incompletely understood, an extensive body of scientific literature regarding pulmonary fibrosis has accumulated over the past 35 years. In this review, we discuss three broad areas which have been explored that may be responsible for the combination of altered lung fibroblasts, loss of alveolar epithelial cells, and excessive accumulation of ECM: inflammation and immune mechanisms, oxidative stress and oxidative signaling, and procoagulant mechanisms. We discuss each of these processes separately to facilitate clarity, but certainly significant interplay will occur amongst these pathways in patients with this disease. PMID:22824096

Reconstruyendo redes, repensando espacios: experiencias migrantes de argentinos en Madrid (2002/2003

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Susana Schmidt

2009-12-01

Full Text Available Los proyectos migratorios implican importantes cambios en la articulación de los espacios sociales. No sólo porque las redes se amplían a nuevos contactos y amistades en el lugar de radicación sino también porque las antiguas relaciones con quienes se quedan en el lugar de procedencia entran en un proceso de transformación. En esta contribución utilizamos la historia oral para acercarnos a las experiencias de un grupo de argentinos que vino a establecerse a Madrid a raíz de la crisis de 2001. Indagamos en la reconstrucción de sus redes sociales en destino y en la manera en que comienzan a repensar sus vínculos con Argentina.___________________ABSTRACT:The migratory projects carry important changes in the articulation of the social spaces. Not only because the networks widen to include new contacts and friendships, also because the old relations in the origin country begin a transformation process. This paper uses the oral history to examine the experiences of a group of Argentines settled in Madrid as a result of the crisis of 2001. It investigates the reconstruction of their social networks in destination and how they rethink their links to Argentina.

La ganadería lanar en Madrid y su tierra durante la Edad Media

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Tomás Puñal Fernández

1998-01-01

Full Text Available El estudio de la ganadería en general y ovina en particular ofrece un campo muy generoso de investigación porque permite conocer muchas de las estructuras socioeconómicas regionales y locales de un país o territorio. En el caso de Madrid dicho estudio es importante por cuanto en el conjunto de las labores agropecuarias del concejo, las ganaderas fueron las que mejor marcaron su desarrollo económico. La tierra madrileña es tierra de ganado, sobre todo lanar, y ello fue el punto de referencia de diversas actividades económicas que iban desde el abastecimiento de carne para la alimentación hasta la obtención de materia prima, lana y pieles, para las industrias textil y del cuero. Para tener una visión más amplia e interdisciplinar el presente estudio se ha hecho desde una doble perspectiva económica y social. Desde la ganadería estante y local a la trashumante, con especial mención a la Mesta y toda su problemática, así como los aspectos cuantitativos derivados del número de ovejas y el tamaño y tipo de los rebaños y sus aspectos fiscales concomitantes. En relación a ello toda la infraestructura de pastos y cañadas. Los aspectos sociales se refieren a los propietarios de ovejas como una oligarquía rural de labradores enriquecidos, así como a los trabajadores del ganado, es decir los pastores, sus contratos, salarios y condiciones de vida. En conjunto el panorama que se ofrece es muy significativo y permite acercarnos un poco más a la realidad socioeconómica del Madrid medieval.The study of the livestock in general and sheep in particular, offers a huge field to research as it allows to know many of the local and regional socioeconomíc structures of a city or country. In the case of Madrid, that study is important because the sheep livestock is, among the rest of the agricultural activities, the main one for its contribution to the economic development. Madrid is a livestock área, mainly for sheep, as the point of

Ormond's disease or secondary retroperitoneal fibrosis? An overview of retroperitoneal fibrosis

Energy Technology Data Exchange (ETDEWEB)

Heckmann, M.; Uder, M.; Kuefner, M.A.; Heinrich, M.C. [Universitaetsklinikum Erlangen (Germany). Radiologisches Inst.

2009-04-15

Retroperitoneal fibrosis represents a rare inflammatory disease. About two thirds of all cases seem to be idiopathic (= Ormond's disease). The remaining one third is secondary and may be ascribed to infections, trauma, radiation therapy, malignant diseases, and the use of certain drugs. Up to 15 % of patients have additional fibrotic processes outside the retroperitoneum. The clinical symptoms of retroperitoneal fibrosis are non-specific. In sonography retroperitoneal fibrosis appears as a retroperitoneal hypoechoic mass which can involve the ureters and thus cause hydronephrosis. Intravenous urography and MR urography can demonstrate the typical triad of medial deviation and extrinsic compression of the ureters and hydronephrosis. CT and MRI are the modalities of choice for the diagnosis and follow-up of this disease. The lesion typically begins at the level of the fourth or fifth lumbar vertebra and appears as a plaque, encasing the aorta and the inferior vena cava and often enveloping and medially displacing the ureters. In unenhanced CT, retroperitoneal fibrosis appears as a mass that is isodense with muscle. When using MRI, the mass is hypointense in T1-weighted images and of variable intensity in T2-weighted images according to its stage: it may be hyperintense in early stages, while the tissue may have a low signal in late stages. After the administration of contrast media, enhancement is greatest in the early inflammatory phase and minimal in the late fibrotic phase. Dynamic gadolinium enhancement can be useful for assessing disease activity, monitoring response to treatment, and detecting relapse. To differentiate retroperitoneal masses, diffusion-weighted MRI may provide useful information. (orig.)

La batalla eclesial por Madrid (1923-1936. Los conflictos entre Eijo Garay y Federico Tedeschini

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Rodríguez Lago, José Ramón

2012-07-01

Full Text Available The relationships between the leaders of the Catholic hierarchy are determined by their own theological cosmovisions and their different pastoral strategies, but also by the ambitions of power and the expectations of promotion in the “cursus honorum”. The conflicts that took place from 1923 to 1936 between the apostolic nuncio in Spain, Federico Tedeschini, and the bishop of Madrid, Leopoldo Eijo Garay, are an excellent example of these intricate relationships.Las relaciones entre los dirigentes de la jerarquía católica se ven condicionadas por sus propias cosmovisiones teológicas y sus diferentes estrategias pastorales, pero también por las ambiciones de poder y las expectativas de promoción en el “cursus honorum”. Los conflictos suscitados de 1922 a 1936 entre el Nuncio Pontificio en España, Federico Tedeschini, y el Obispo de Madrid, Leopoldo Eijo Garay, son una excelente prueba de ello.

Ivacaftor: A Novel Gene-Based Therapeutic Approach for Cystic Fibrosis

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Condren, Michelle E.; Bradshaw, Marquita D.

2013-01-01

Ivacaftor is a new therapeutic agent that acts at the cystic fibrosis transmembrane conductance regulator (CFTR) channel to alter activity. It is approved for use in patients 6 years and older with cystic fibrosis who have at least 1 G551D mutation in the CFTR gene. It is unlike any other current pharmacologic agent for cystic fibrosis in that it specifically targets the gene defect associated with cystic fibrosis as opposed to treating resulting symptomology. Mucoactive agents, antibiotics, ...

COMPARACIÓN DEL COSTE DE LA INCAPACIDAD TEMPORAL POR CONTINGENCIA COMÚN EN 2006 ENTRE LAS PROVINCIAS DE BARCELONA Y MADRID

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Mónica Ballesteros Polo

2009-01-01

Full Text Available Fundamento: La incapacidad temporal por contingencia común es un importante problema de salud pública con grandes repercusiones socioeconómicas, que no se distribuye territorialmente de forma homogénea. El objetivo de este trabajo es comparar las diferencias en los costes de la incapacidad temporal por contingencia común entre las provincias de Barcelona y Madrid. Métodos: Estudio descriptivo basado en casos incidentes de incapacidad temporal por contingencia común de más de 15 días de duración seguidos hasta su finalización en una cohorte retrospectiva en el año 2006. La población de estudio fueron los trabajadores de las empresas afiliadas a una Mutua de Accidentes de Trabajo y Enfermedades Profesionales para la gestión de dicha incapacidad ubicados en las provincias de Barcelona y Madrid. Se comparó la incidencia, duración y base reguladora diaria entre Barcelona y Madrid, ajustando por sexo, edad y sector económico mediante modelos estadísticos que tuvieron en cuenta la repetición de episodios en un mismo individuo. Resultados: Se identificaron 24.527 episodios de incapacidad temporal por contingencia común, siendo el 62% de Barcelona. El coste medio por episodio fue un 33% más elevado en la provincia de Barcelona (2.589 t vs. 1.941 t. Los episodios ocurridos en la provincia de Barcelona, respecto a Madrid, presentaron una incidencia un 22% superior (1,22, IC95%:1,10- 1,36 y la base reguladora media por episodio fue 7,8 t superior (IC95%:7,20-8,40. Respecto a la duración de los procesos la razón de tiempos fue de 1,03 (IC95%: 1,01-1,05. Conclusiones: Se observó una mayor incidencia y base reguladora diaria en la provincia de Barcelona respecto a la de Madrid que podría explicar su mayor coste.

Drug- and radiation-induced pulmonary fibrosis

International Nuclear Information System (INIS)

Uthgenannt, H.

1976-01-01

These two forms of pulmonary fibrosis which according to their type have nothing to do with one another, are presented as they are well suited to clarify the problems of the diagnosis of pulmonary fibrosis which is not a fixed concept for the pathologists. The frequent discrepancy found between the subjective clinical symptoms, clinical findings and X-ray and morphological pictures is indicated. (MG) [de

Intestinal fibrosis is reduced by early elimination of inflammation in a mouse model of IBD: impact of a "Top-Down" approach to intestinal fibrosis in mice.

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Johnson, Laura A; Luke, Amy; Sauder, Kay; Moons, David S; Horowitz, Jeffrey C; Higgins, Peter D R

2012-03-01

The natural history of Crohn's disease follows a path of progression from an inflammatory to a fibrostenosing disease, with most patients requiring surgical resection of fibrotic strictures. Potent antiinflammatory therapies reduce inflammation but do not appear to alter the natural history of intestinal fibrosis. The aim of this study was to determine the relationship between intestinal inflammation and fibrogenesis and the impact of a very early "top-down" interventional approach on fibrosis in vivo. In this study we removed the inflammatory stimulus from the Salmonella typhimurium mouse model of intestinal fibrosis by eradicating the S. typhimurium infection with levofloxacin at sequential timepoints during the infection. We evaluated the effect of this elimination of the inflammatory stimulus on the natural history of inflammation and fibrosis as determined by gross pathology, histopathology, mRNA expression, and protein expression. Fibrogenesis is preceded by inflammation. Delayed eradication of the inflammatory stimulus by antibiotic treatment represses inflammation without preventing fibrosis. Early intervention significantly ameliorates but does not completely prevent subsequent fibrosis. This study demonstrates that intestinal fibrosis develops despite removal of an inflammatory stimulus and elimination of inflammation. Early intervention ameliorates but does not abolish subsequent fibrosis, suggesting that fibrosis, once initiated, is self-propagating, suggesting that a very early top-down interventional approach may have the most impact on fibrostenosing disease. Copyright © 2011 Crohn's & Colitis Foundation of America, Inc.

[Spatial analysis of syphilis and gonorrhea infections in a Public Health Service in Madrid].

Science.gov (United States)

Wijers, Irene G M; Sánchez Gómez, Amaya; Taveira Jiménez, Jose Antonio

2017-06-21

Sexually transmitted diseases are a significant public health problem. Within the Madrid Autonomous Region, the districts with the highest syphilis and gonorrhea incidences are part of the same Public Health Service (Servicio de Salud Pública del Área 7, SSPA 7). The objective of this study was to identify, by spatial analysis, clusters of syphilis and gonorrhea infections in this SSPA in Madrid. All confirmed syphilis and gonorrhea cases registered in SSPA 7 in Madrid were selected. Moran's I was calculated in order to identify the existence of spatial autocorrelation and a cluster analysis was performed. Clusters and cumulative incidences (CI) per health zone were mapped. The district with most cases was Centro (CI: 67.5 and 160.7 per 100.000 inhabitants for syphilis and gonorrhea, respectively) with the highest CI (120.0 and 322.6 per 100.000 inhabitants) in the Justicia health zone.91.6% of all syphilis cases and 89.6% of gonorrhea cases were among men who have sex with men (MSM). Moran's I was 0.54 and 0.55 (p=0.001) for syphilis and gonorrhea, respectively. For syphilis, a cluster was identified including the six health zones of the Centro district, with a relative risk (RR)of 6.66 (p=0.001). For gonorrhea, a cluster was found including the Centro district, three health zones of the Chamberí district and one of Latina (RR 5.05; p=0.001). Centro was the district with most cases of syphilis and gonorrhea and the most affected population were MSM. For both infections, clusters were found with an important overlap. By identifying the most vulnerable health zones and populations, these results can help to design public health measures for preventing sexually transmitted diseases.

Características y localización de la hostelería en la Comunidad de Madrid

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Gutiérrez Ronco, Sicilia

2002-12-01

Full Text Available This article analyses the characteristics, number and localisation of hotel resources in the Autonomous Community of Madrid throughout the last decade (1992- 2002.In this period, the Community has experienced a remarkable increase of hotel premises due to the following factors, among others: the relocation of economic activities from inner capital locations to adjacent counties, the enlargement of public communication networks, the exploitation of natural and cultural heritage, new leisure offers linked to economic changes and the UE financial investments in rural areas. As a result, quality standards have risen up outstandingly and, more important yet, new hotel locations have reached out (i the metropolitan counties immediately adjacent to the urban core, (ii the northern mountain fringe and (iii the SW quarter.

[es] Se analiza la evolución del número, característica y sobre todo localización de la hostelería de la Comunidad Autónoma de Madrid en el último decenio. El desplazamiento de actividades económicas de Madrid-Capital hacia los municipios de su entorno, el incremento de la red de comunicaciones, la explotación de los recursos naturales y culturales de la Comunidad, las nuevas ofertas de ocio ligadas a los cambios económicos y las ayudas de la U.E. al medio rural, han provocados en la hotelería un considerable aumento de establecimientos, una mejora de la calidad y sobre todo la extensión de su localización hacia los municipios metropolitanos, hacia la mayoría de los municipios serranos y hacia los localizados en el sector SW. [fr] On analyse l'évolution de le nombre, caractéristiques, et sur tout la localisation de l'hôtellerie de la Communauté Autonome de Madrid dans le dernier espace de dix ans. Le déplacement de les activités économiques de Madrid vers les communes proches, l'accroissement de la réseau des communications, l'exploitation de les ressources naturelles et culturelles, les nouveaux offres

Accuracy of the Enhanced Liver Fibrosis Test vs FibroTest, Elastography, and Indirect Markers in Detection of Advanced Fibrosis in Patients With Alcoholic Liver Disease.

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Thiele, Maja; Madsen, Bjørn Stæhr; Hansen, Janne Fuglsang; Detlefsen, Sönke; Antonsen, Steen; Krag, Aleksander

2018-04-01

Alcohol is the leading cause of cirrhosis and liver-related mortality, but we lack serum markers to detect compensated disease. We compared the accuracy of the Enhanced Liver Fibrosis test (ELF), the FibroTest, liver stiffness measurements (made by transient elastography and 2-dimensional shear-wave elastography), and 6 indirect marker tests in detection of advanced liver fibrosis (Kleiner stage ≥F3). We performed a prospective study of 10 liver fibrosis markers (patented and not), all performed on the same day. Patients were recruited from primary centers (municipal alcohol rehabilitation, n = 128; 6% with advanced fibrosis) and secondary health care centers (hospital outpatient clinics, n = 161; 36% with advanced fibrosis) in the Region of Southern Denmark from 2013 through 2016. Biopsy-verified fibrosis stage was used as the reference standard. The primary aim was to validate ELF in detection of advanced fibrosis in patients with alcoholic liver disease recruited from primary and secondary health care centers, using the literature-based cutoff value of 10.5. Secondary aims were to assess the diagnostic accuracy of ELF for significant fibrosis and cirrhosis and to determine whether combinations of fibrosis markers increase diagnostic yield. The ELF identified patients with advanced liver fibrosis with an area under the receiver operating characteristic curve (AUROC) of 0.92 (95% confidence interval 0.89-0.96); findings did not differ significantly between patients from primary vs secondary care (P = .917). ELF more accurately identified patients with advanced liver fibrosis than indirect marker tests, but ELF and FibroTest had comparable diagnostic accuracies (AUROC of FibroTest, 0.90) (P = .209 for comparison with ELF). Results from the ELF and FibroTest did not differ significantly from those of liver stiffness measurement in intention-to-diagnose analyses (AUROC for transient elastography, 0.90), but did differ in the per-protocol analysis (AUROC for

Blood Gene Expression Profiling of Breast Cancer Survivors Experiencing Fibrosis

International Nuclear Information System (INIS)

Landmark-Hoyvik, Hege; Dumeaux, Vanessa; Reinertsen, Kristin V.; Edvardsen, Hege; Fossa, Sophie D.; Borresen-Dale, Anne-Lise

2011-01-01

Purpose: To extend knowledge on the mechanisms and pathways involved in maintenance of radiation-induced fibrosis (RIF) by performing gene expression profiling of whole blood from breast cancer (BC) survivors with and without fibrosis 3-7 years after end of radiotherapy treatment. Methods and Materials: Gene expression profiles from blood were obtained for 254 BC survivors derived from a cohort of survivors, treated with adjuvant radiotherapy for breast cancer 3-7 years earlier. Analyses of transcriptional differences in blood gene expression between BC survivors with fibrosis (n = 31) and BC survivors without fibrosis (n = 223) were performed using R version 2.8.0 and tools from the Bioconductor project. Gene sets extracted through a literature search on fibrosis and breast cancer were subsequently used in gene set enrichment analysis. Results: Substantial differences in blood gene expression between BC survivors with and without fibrosis were observed, and 87 differentially expressed genes were identified through linear analysis. Transforming growth factor-β1 signaling was identified as the most significant gene set, showing a down-regulation of most of the core genes, together with up-regulation of a transcriptional activator of the inhibitor of fibrinolysis, Plasminogen activator inhibitor 1 in the BC survivors with fibrosis. Conclusion: Transforming growth factor-β1 signaling was found down-regulated during the maintenance phase of fibrosis as opposed to the up-regulation reported during the early, initiating phase of fibrosis. Hence, once the fibrotic tissue has developed, the maintenance phase might rather involve a deregulation of fibrinolysis and altered degradation of extracellular matrix components.

Loss of Matrix Metalloproteinase-13 Attenuates Murine Radiation-Induced Pulmonary Fibrosis

International Nuclear Information System (INIS)

Flechsig, Paul; Hartenstein, Bettina; Teurich, Sybille; Dadrich, Monika; Hauser, Kai; Abdollahi, Amir; Groene, Hermann-Josef; Angel, Peter; Huber, Peter E.

2010-01-01

Purpose: Pulmonary fibrosis is a disorder of the lungs with limited treatment options. Matrix metalloproteinases (MMPs) constitute a family of proteases that degrade extracellular matrix with roles in fibrosis. Here we studied the role of MMP13 in a radiation-induced lung fibrosis model using a MMP13 knockout mouse. Methods and Materials: We investigated the role of MMP13 in lung fibrosis by investigating the effects of MMP13 deficiency in C57Bl/6 mice after 20-Gy thoracic irradiation (6-MV Linac). The morphologic results in histology were correlated with qualitative and quantitative results of volume computed tomography (VCT), magnetic resonance imaging (MRI), and clinical outcome. Results: We found that MMP13 deficient mice developed less pulmonary fibrosis than their wildtype counterparts, showed attenuated acute pulmonary inflammation (days after irradiation), and a reduction of inflammation during the later fibrogenic phase (5-6 months after irradiation). The reduced fibrosis in MMP13 deficient mice was evident in histology with reduced thickening of alveolar septi and reduced remodeling of the lung architecture in good correlation with reduced features of lung fibrosis in qualitative and quantitative VCT and MRI studies. The partial resistance of MMP13-deficient mice to fibrosis was associated with a tendency towards a prolonged mouse survival. Conclusions: Our data indicate that MMP13 has a role in the development of radiation-induced pulmonary fibrosis. Further, our findings suggest that MMP13 constitutes a potential drug target to attenuate radiation-induced lung fibrosis.

PECULIARITIES OF ENT-DAMAGE IN CHILDREN WITH CYSTIC FIBROSIS

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I.V. Martynova

2011-01-01

Full Text Available Traditional approach to cystic fibrosis patients treatment doesn’t involve upper respiratory tract assessment, though abnormal changes — consequences of the cystic fibrosis transmembrane conductivity regulator gene mutation- do affect nasal and paranasal mucosa to the same extent. Approximately half of cystic fibrosis patients suffer from chronic rhinosinusitis and/or nasal polyposis that worsens the clinical course of already severe disease. Chronic hyperplasia in paranasal cavities can be quite extensive, recurrent and can lead to destruction of osseous walls of the cavity and of nasal septum. Thus increasing the amount of hospital admissions and and their duration. Low awareness of ENT-specialists working in polyclinics and in hospitals of ENT-pathology in cystic fibrosis patients leads to belated diagnostics, excessive manipulations, ineffective treatment, including surgery. All these lays grounds to implication of the early screening diagnostic program and development of proper treatment methods of ENT-complications of cystic fibrosis — therapeutic as well as surgical, with strict specification of indications and contraindications. Key words: cystic fibrosis, chronic rhino sinusitis, nasal polyposis. (Voprosy sovremennoi pediatrii — Current Pediatrics. — 2011; 10 (5: 49–53.

The Commodification of English in "Madrid, Comunidad Bilingüe": Insights from the CLIL Classroom

Science.gov (United States)

Relaño Pastor, Ana María

2015-01-01

This article analyzes how multilingual education in the Madrid region has been addressed through the medium of Spanish/English content and language integrated learning (CLIL) bilingual programs, widely implemented in public schools of this region in the last decade. By adopting a critical interpretive perspective (Tollefson in "Language…

Imaging pulmonary fibrosis; Imagerie des fibroses pulmonaires

Energy Technology Data Exchange (ETDEWEB)

Brauner, M.W.; Rety, F.; Naccache, J.M.; Girard, F.; Valeyre, D.F. [Hopital Avicenne, 93 - Bobigny (France). Service de radiologie et de pneumologie

2001-02-01

Localized fibrosis of the lung is usually scar tissue while diffuse pulmonary fibrosis is more often a sign of active disease. Chronic infiltrative lung disease may be classified into four categories: idiopathic pneumonitis, collagen diseases, granulomatosis (sarcoidosis), and caused by known diseases (pneumoconiosis, hypersensitivity pneumonitis, drug-induced lung disease, radiation). (authors)

Impact of a CXCL12/CXCR4 Antagonist in Bleomycin (BLM Induced Pulmonary Fibrosis and Carbon Tetrachloride (CCl4 Induced Hepatic Fibrosis in Mice.

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Leola N Chow

Full Text Available Modulation of chemokine CXCL12 and its receptor CXCR4 has been implicated in attenuation of bleomycin (BLM-induced pulmonary fibrosis and carbon tetrachloride (CCl4-induced hepatic injury. In pulmonary fibrosis, published reports suggest that collagen production in the injured lung is derived from fibrocytes recruited from the circulation in response to release of pulmonary CXCL12. Conversely, in hepatic fibrosis, resident hepatic stellate cells (HSC, the key cell type in progression of fibrosis, upregulate CXCR4 expression in response to activation. Further, CXCL12 induces HSC proliferation and subsequent production of collagen I. In the current study, we evaluated AMD070, an orally bioavailable inhibitor of CXCL12/CXCR4 in alleviating BLM-induced pulmonary and CCl4-induced hepatic fibrosis in mice. Similar to other CXCR4 antagonists, treatment with AMD070 significantly increased leukocyte mobilization. However, in these two models of fibrosis, AMD070 had a negligible impact on extracellular matrix deposition. Interestingly, our results indicated that CXCL12/CXCR4 signaling has a role in improving mortality associated with BLM induced pulmonary injury, likely through dampening an early inflammatory response and/or vascular leakage. Together, these findings indicate that the CXCL12-CXCR4 signaling axis is not an effective target for reducing fibrosis.

La cultura skate en las sociedades contemporáneas: una aproximación etnográfica a la ciudad de Madrid

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Israel Márquez

2015-01-01

Full Text Available Este artículo propone un acercamiento al fenómeno del skate en la ciudad de Madrid a partir de un estudio etnográfico multisituado en el que se combina investigación online y offline. A partir de esta metodología, ofrecemos una interpretación de algunas de las principales características que presenta la cultura skate en nuestra sociedad, particularmente en la ciudad de Madrid, poniendo énfasis en los aspectos más intersubjetivos y culturales de esta realidad. La práctica del skate en Madrid ha experimentado un visible incremento en los últimos años y el marco analítico que proponemos para el estudio de su difusión y generalización responde a cambios en el orden cultural de las sociedad occidentales y de la propia cultura skate, en dinámica interdependencia con la esfera económica, como orden de producción y distribución de servicios y productos culturales y deportivos.

Intrinsic pro-angiogenic status of cystic fibrosis airway epithelial cells

International Nuclear Information System (INIS)

Verhaeghe, Catherine; Tabruyn, Sebastien P.; Oury, Cecile; Bours, Vincent; Griffioen, Arjan W.

2007-01-01

Cystic fibrosis is a common genetic disorder characterized by a severe lung inflammation and fibrosis leading to the patient's death. Enhanced angiogenesis in cystic fibrosis (CF) tissue has been suggested, probably caused by the process of inflammation, as similarly described in asthma and chronic bronchitis. The present study demonstrates an intrinsic pro-angiogenic status of cystic fibrosis airway epithelial cells. Microarray experiments showed that CF airway epithelial cells expressed several angiogenic factors such as VEGF-A, VEGF-C, bFGF, and PLGF at higher levels than control cells. These data were confirmed by real-time quantitative PCR and, at the protein level, by ELISA. Conditioned media of these cystic fibrosis cells were able to induce proliferation, migration and sprouting of cultured primary endothelial cells. This report describes for the first time that cystic fibrosis epithelial cells have an intrinsic angiogenic activity. Since excess of angiogenesis is correlated with more severe pulmonary disease, our results could lead to the development of new therapeutic applications

Don Andrés Bello y don José Fernández Madrid

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Gabriel Giraldo Jaramillo

1959-05-01

Full Text Available Breve pero intensa fue la amistad de estos dos ilustres grancolombianos durante su residencia en Londres. Fernández Madrid desempeñaba el cargo de Ministro Plenipotenciario de Colombia ante el Gobierno de Su Majestad Británica y Bello estuvo por algún tiempo al frente de la secretaría de dicha misión diplomática.

Fibrosis quística que simula un síndrome de Bartter Cystic fibrosis mimicking Bartter syndrome

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Neri G Campañá Cobas

2008-12-01

Full Text Available La fibrosis quística es una enfermedad que se hereda como trastorno autosómico recesivo. La presentación clásica está caracterizada por enfermedad pulmonar crónica, deficiencia pancreática y concentraciones altas de electrolitos en sudor. En algunos pacientes la presentación puede ser monosíntomatica, por ejemplo, la depleción de electrolitos en sangre. El propósito de este informe es comunicar el caso de una lactante de 2 meses de edad diagnosticada de fibrosis quística, que inicialmente pareció ser un síndrome de Bartter. El motivo de ingreso fue un vómito, decaimiento y signos de deshidratación. Se realizó gasometría, estudio de electrolitos en sangre, determinación de concentración de electrolitos en la orina, prueba de electrolitos en sudor y estudio genético para fibrosis quística. La concentración de potasio (28 mEeq/L hizo pensar en un síndrome de Bartter y se comenzó tratamiento con indometacina y cloruro de potasio; se normalizaron todos los parámetros. Dos meses después reingresó con deshidratación ligera por un vómito, trastornos mixtos del equilibrio ácido-base, hiponatremia, hipocloremia y ligera hiperpotasemia. Se realizaron electrolitos en sudor en 3 ocasiones y fueron positivos, y el estudio genético para fibrosis quística demostró una mutación delta F508.Cystic fibrosis is a disease that is inherited as a recessive autosomal disorder. The classical presentation is characterized by chronic lung disease, pancreatic deficiency and high concentrations of electrolytes in sweat. In some patients, the presentation may be monosymptomatic as, for example, the depletion of electrolytes in blood. The objective of this paper is to report the case of a 2-months-old female infant with diagnosis of cystic fibrosis that initially seemed to be a Bartter syndrome. The reason to be admitted was vomit, dwindles and dehydration signs. Gasometry, study of electrolytes in blood, determination of concentration of

Evaluation of the aspartate aminotransferase/platelet ratio index and enhanced liver fibrosis tests to detect significant fibrosis due to chronic hepatitis C.

Science.gov (United States)

Petersen, John R; Stevenson, Heather L; Kasturi, Krishna S; Naniwadekar, Ashutosh; Parkes, Julie; Cross, Richard; Rosenberg, William M; Xiao, Shu-Yuan; Snyder, Ned

2014-04-01

The assessment of liver fibrosis in chronic hepatitis C patients is important for prognosis and making decisions regarding antiviral treatment. Although liver biopsy is considered the reference standard for assessing hepatic fibrosis in patients with chronic hepatitis C, it is invasive and associated with sampling and interobserver variability. Serum fibrosis markers have been utilized as surrogates for a liver biopsy. We completed a prospective study of 191 patients in which blood draws and liver biopsies were performed on the same visit. Using liver biopsies the sensitivity, specificity, and negative and positive predictive values for both aspartate aminotransferase/platelet ratio index (APRI) and enhanced liver fibrosis (ELF) were determined. The patients were divided into training and validation patient sets to develop and validate a clinically useful algorithm for differentiating mild and significant fibrosis. The area under the ROC curve for the APRI and ELF tests for the training set was 0.865 and 0.880, respectively. The clinical sensitivity in separating mild (F0-F1) from significant fibrosis (F2-F4) was 80% and 86.0% with a clinical specificity of 86.7% and 77.8%, respectively. For the validation sets the area under the ROC curve for the APRI and ELF tests was, 0.855 and 0.780, respectively. The clinical sensitivity of the APRI and ELF tests in separating mild (F0-F1) from significant (F2-F4) fibrosis for the validation set was 90.0% and 70.0% with a clinical specificity of 73.3% and 86.7%, respectively. There were no differences between the APRI and ELF tests in distinguishing mild from significant fibrosis for either the training or validation sets (P=0.61 and 0.20, respectively). Using APRI as the primary test followed by ELF for patients in the intermediate zone, would have decreased the number of liver biopsies needed by 40% for the validation set. Overall, use of our algorithm would have decreased the number of patients who needed a liver biopsy

Therapy of experimental NASH and fibrosis with galectin inhibitors.

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Peter G Traber

Full Text Available Non-alcoholic steatohepatitis (NASH and resultant liver fibrosis is a major health problem without effective therapy. Some data suggest that galectin-3 null mice are resistant to the development of NASH with fibrosis. We examined the ability of two complex carbohydrate drugs that bind galectin-3, GM-CT-01 and GR-MD-02, to treat NASH with fibrosis in a murine model. GR-MD-02 treatment resulted in marked improvement in liver histology with significant reduction in NASH activity and collagen deposition. Treatments seemed also to improve both glomerulopathy and interstitial fibrosis observed in kidneys. The improvement in liver histology was evident when animals were treated early in disease or after establishment of liver fibrosis. In all measures, GM-CT-01 had an intermediate effect between vehicle and GR-MD-02. Galectin-3 protein expression was increased in NASH with highest expression in macrophages surrounding lipid laden hepatocytes, and reduced following treatment with GR-MD-02, while the number of macrophages was unchanged. Treatment with GR-MD-02 also reduced the expression of pathological indicators including iNOS, an important TH1 inflammatory mediator, CD36, a scavenger receptor for lipoproteins on macrophages, and α-smooth muscle actin, a marker for activated stellate cells which are the primary collagen producing cells in liver fibrosis. We conclude that treatment with these galectin-3 targeting drugs improved histopathological findings of NASH and markedly reduced fibrosis in a murine model of NASH. While the mechanisms require further investigation, the treatment effect is associated with a reduction of galectin-3 expressed by activated macrophages which was associated with regression of NASH, including hepatocellular fat accumulation, hepatocyte ballooning, intra-portal and intra-lobular inflammatory infiltrate, and deposition of collagen. Similar effects were found with GM-CT-01, but with approximately four-fold lower potency than

Living with Cystic Fibrosis: A Guide for the Young Adult.

Science.gov (United States)

Cystic Fibrosis Foundation, Atlanta, GA.

Intended for the young adult with cystic fibrosis, the booklet provides information on dealing with problems and on advances in treatment and detection related to the disease. Addressed are the following topics: description of cystic fibrosis; inheritance of cystic fibrosis; early diagnosis; friends, careers, and other matters; treatment;…

Unusual Presentation Of Idiopathic Retroperitoneal Fibrosis: Case ...

African Journals Online (AJOL)

Idiopathic retroperitoneal fibrosis (IRF) is an uncommon entity described as progressive proliferation of connective tissues leading to a fibrous plaque-like lesions that encases the aorta and inferior vena cava inferior to the level of the renal arteries. Mass forming retroperitoneal fibrosis is rare. We present a rare case of a ...

Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis

DEFF Research Database (Denmark)

Johansen, H.K.; Gøtzsche, Peter C.; Johansen, Helle Krogh

2008-01-01

BACKGROUND: Chronic pulmonary infection in cystic fibrosis results in progressive lung damage. Once colonisation of the lungs with Pseudomonas aeruginosa occurs, it is almost impossible to eradicate. Vaccines, aimed at reducing infection with Pseudomonas aeruginosa, have been developed. OBJECTIVES......: To assess the effectiveness of vaccination against Pseudomonas aeruginosa in cystic fibrosis. SEARCH STRATEGY: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register using the terms vaccines AND pseudomonas (last search May 2008) and PubMed using the terms vaccin* AND cystic...... fibrosis (last search May 2008). SELECTION CRITERIA: Randomised trials (published or unpublished) comparing Pseudomonas aeruginosa vaccines (oral, parenteral or intranasal) with control vaccines or no intervention in cystic fibrosis. DATA COLLECTION AND ANALYSIS: The authors independently selected trials...

Role of histone deacetylases(HDACs) in progression and reversal of liver fibrosis

Energy Technology Data Exchange (ETDEWEB)

Li, Xing; Wu, Xiao-Qin; Xu, Tao; Li, Xiao-Feng; Yang, Yang; Li, Wan-Xia; Huang, Cheng; Meng, Xiao-Ming; Li, Jun, E-mail: lijun@ahmu.edu.cn

2016-09-01

Liver fibrosis refers to a reversible wound healing process response to chronic liver injuries. Activation of hepatic stellate cells (HSCs) is closely correlated with the development of liver fibrosis. Histone deacetylases(HDACs) determine the acetylation levels of core histones to modulate expression of genes. To demonstrate the link between HDACs and liver fibrosis, CCl4-induced mouse liver fibrosis model and its spontaneous reversal model were established. Results of the current study demonstrated that deregulation of liver HDACs may involved in the development of liver fibrosis. Among 11 HDACs tested in our study (Class I, II, and IV HDACs), expression of HDAC2 was maximally increased in CCl4-induced fibrotic livers but decreased after spontaneous recovery. Moreover, expression of HDAC2 was elevated in human liver fibrotic tissues. In this regard, the potential role of HDAC2 in liver fibrosis was further evaluated. Our results showed that administration of HSC-T6 cells with transforming growth factor-beta1 (TGF-β1) resulted in an increase of HDAC2 protein expression in dose- and time-dependent manners. Moreover, HDAC2 deficiency inhibited HSC-T6 cell proliferation and activation induced by TGF-β1. More importantly, the present study showed HDAC2 may regulate HSCs activation by suppressing expression of Smad7, which is a negative modulator in HSCs activation and liver fibrosis. Collectively, these observations revealed that HDAC2 may play a pivotal role in HSCs activation and liver fibrosis while deregulation of HDACs may serve as a novel mechanism underlying liver fibrosis. - Highlights: • This is the first report to systematically examine expressions of HDACs during liver fibrosis and fibrosis reversal. • Aberrant expression of HDAC2 contributes to the development of liver fibrosis. • Provided important foundation for further liver fibrosis conversion studies.

Pulmonary tuberculosis in patients with idiopathic pulmonary fibrosis

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Chung, Myung Jin; Goo, Jin Mo E-mail: jmgoo@plaza.snu.ac.kr; Im, Jung-Gi

2004-11-01

Objectives: Patients with idiopathic pulmonary fibrosis (IPF) have an increased risk of pulmonary tuberculosis. However, detecting pulmonary tuberculosis may be difficult due to the underlying fibrosis. The aim of this report is to describe the radiological and clinical findings of pulmonary tuberculosis in patients with idiopathic pulmonary fibrosis. Materials and methods: We reviewed 143 consecutive patients in whom IPF was diagnosed by either the histological or radio-clinical criteria. Among them, nine patients were histologically (n=2) or bacteriologically (n=7) confirmed to have active pulmonary tuberculosis. The location and patterns of pulmonary tuberculosis were examined on a thin section CT scan. Results: The most common thin section CT findings were subpleural nodules (n=6; mean diameter, 3.2 cm) and a lobar or segmental consolidation (n=3). The lesions were located most commonly in the right lower lobe (n=4). The incidence of tuberculosis in patients with idiopathic pulmonary fibrosis was more than five times higher than that of the general population. Conclusion: The atypical manifestation of pulmonary tuberculosis is common in patients with idiopathic pulmonary fibrosis, which may mimic lung cancer or bacterial pneumonia.

Pulmonary tuberculosis in patients with idiopathic pulmonary fibrosis

International Nuclear Information System (INIS)

Chung, Myung Jin; Goo, Jin Mo; Im, Jung-Gi

2004-01-01

Objectives: Patients with idiopathic pulmonary fibrosis (IPF) have an increased risk of pulmonary tuberculosis. However, detecting pulmonary tuberculosis may be difficult due to the underlying fibrosis. The aim of this report is to describe the radiological and clinical findings of pulmonary tuberculosis in patients with idiopathic pulmonary fibrosis. Materials and methods: We reviewed 143 consecutive patients in whom IPF was diagnosed by either the histological or radio-clinical criteria. Among them, nine patients were histologically (n=2) or bacteriologically (n=7) confirmed to have active pulmonary tuberculosis. The location and patterns of pulmonary tuberculosis were examined on a thin section CT scan. Results: The most common thin section CT findings were subpleural nodules (n=6; mean diameter, 3.2 cm) and a lobar or segmental consolidation (n=3). The lesions were located most commonly in the right lower lobe (n=4). The incidence of tuberculosis in patients with idiopathic pulmonary fibrosis was more than five times higher than that of the general population. Conclusion: The atypical manifestation of pulmonary tuberculosis is common in patients with idiopathic pulmonary fibrosis, which may mimic lung cancer or bacterial pneumonia

MicroRNA mimicry blocks pulmonary fibrosis

Science.gov (United States)

Montgomery, Rusty L; Yu, Guoying; Latimer, Paul A; Stack, Christianna; Robinson, Kathryn; Dalby, Christina M; Kaminski, Naftali; van Rooij, Eva

2014-01-01

Over the last decade, great enthusiasm has evolved for microRNA (miRNA) therapeutics. Part of the excitement stems from the fact that a miRNA often regulates numerous related mRNAs. As such, modulation of a single miRNA allows for parallel regulation of multiple genes involved in a particular disease. While many studies have shown therapeutic efficacy using miRNA inhibitors, efforts to restore or increase the function of a miRNA have been lagging behind. The miR-29 family has gained a lot of attention for its clear function in tissue fibrosis. This fibroblast-enriched miRNA family is downregulated in fibrotic diseases which induces a coordinate increase of many extracellular matrix genes. Here, we show that intravenous injection of synthetic RNA duplexes can increase miR-29 levels in vivo for several days. Moreover, therapeutic delivery of these miR-29 mimics during bleomycin-induced pulmonary fibrosis restores endogenous miR-29 function whereby decreasing collagen expression and blocking and reversing pulmonary fibrosis. Our data support the feasibility of using miRNA mimics to therapeutically increase miRNAs and indicate miR-29 to be a potent therapeutic miRNA for treating pulmonary fibrosis. PMID:25239947

Rosiglitazone attenuates pulmonary fibrosis and radiation-induced intestinal damage

International Nuclear Information System (INIS)

Mangoni, M.; Gerini, C.; Sottili, M.; Cassani, S.; Stefania, G.; Biti, G.; Castiglione, F.; Vanzi, E.; Bottoncetti, A.; Pupi, A.

2011-01-01

Full text of publication follows: Purpose.-The aim of the study was to evaluate radioprotective effect of rosiglitazone (RGZ) on a murine model of late pulmonary damage and of acute intestinal damage. Methods.- Lung fibrosis: C57 mice were treated with the radiomimetic agent bleomycin, with or without rosiglitazone (5 mg/kg/day). To obtain an independent qualitative and quantitative measure for lung fibrosis we used high resolution CT, performed twice a week during the entire observation period. Hounsfield Units (HU) of section slides from the upper and lower lung region were determined. On day 31 lungs were collected for histological analysis. Acute intestinal damage: mice underwent 12 Gy total body irradiation with or without rosiglitazone. Mice were sacrificed 24 or 72 h after total body irradiation and ileum and colon were collected. Results.- Lung fibrosis: after bleomycin treatment, mice showed typical CT features of lung fibrosis, including irregular septal thickening and patchy peripheral reticular abnormalities. Accordingly, HU lung density was dramatically increased. Rosiglitazone markedly attenuated the radiological signs of fibrosis and strongly inhibited HU lung density increase (60% inhibition at the end of the observation period). Histological analysis revealed that in bleomycin-treated mice, fibrosis involved 50-55% of pulmonary parenchyma and caused an alteration of the alveolar structures in 10% of parenchyma, while in rosiglitazone-treated mice, fibrosis involved only 20-25% of pulmonary parenchyma, without alterations of the alveolar structures. Acute intestinal damage: 24 h after 12 Gy of total body irradiation intestinal mucosa showed villi shortening, mucosal thickness and crypt necrotic changes. Rosiglitazone showed a histological improvement of tissue structure, with villi and crypts normalization and oedema reduction. Conclusion.- These results demonstrate that rosiglitazone displays a protective effect on pulmonary fibrosis and radiation

Rosiglitazone attenuates pulmonary fibrosis and radiation-induced intestinal damage

Energy Technology Data Exchange (ETDEWEB)

Mangoni, M.; Gerini, C.; Sottili, M.; Cassani, S.; Stefania, G.; Biti, G. [Radiotherapy Unit, Clinical Physiopathology Department, University of Florence, Firenze (Italy); Castiglione, F. [Department of Human Pathology and Oncology, University of Florence, Firenze (Italy); Vanzi, E.; Bottoncetti, A.; Pupi, A. [Nuclear Medicine Unit, Clinical Physiopathology Department, University of Florence, Firenze (Italy)

2011-10-15

Full text of publication follows: Purpose.-The aim of the study was to evaluate radioprotective effect of rosiglitazone (RGZ) on a murine model of late pulmonary damage and of acute intestinal damage. Methods.- Lung fibrosis: C57 mice were treated with the radiomimetic agent bleomycin, with or without rosiglitazone (5 mg/kg/day). To obtain an independent qualitative and quantitative measure for lung fibrosis we used high resolution CT, performed twice a week during the entire observation period. Hounsfield Units (HU) of section slides from the upper and lower lung region were determined. On day 31 lungs were collected for histological analysis. Acute intestinal damage: mice underwent 12 Gy total body irradiation with or without rosiglitazone. Mice were sacrificed 24 or 72 h after total body irradiation and ileum and colon were collected. Results.- Lung fibrosis: after bleomycin treatment, mice showed typical CT features of lung fibrosis, including irregular septal thickening and patchy peripheral reticular abnormalities. Accordingly, HU lung density was dramatically increased. Rosiglitazone markedly attenuated the radiological signs of fibrosis and strongly inhibited HU lung density increase (60% inhibition at the end of the observation period). Histological analysis revealed that in bleomycin-treated mice, fibrosis involved 50-55% of pulmonary parenchyma and caused an alteration of the alveolar structures in 10% of parenchyma, while in rosiglitazone-treated mice, fibrosis involved only 20-25% of pulmonary parenchyma, without alterations of the alveolar structures. Acute intestinal damage: 24 h after 12 Gy of total body irradiation intestinal mucosa showed villi shortening, mucosal thickness and crypt necrotic changes. Rosiglitazone showed a histological improvement of tissue structure, with villi and crypts normalization and oedema reduction. Conclusion.- These results demonstrate that rosiglitazone displays a protective effect on pulmonary fibrosis and radiation

Phenomenology of summer ozone episodes over the Madrid Metropolitan Area, central Spain

Science.gov (United States)

Querol, Xavier; Alastuey, Andrés; Gangoiti, Gotzon; Perez, Noemí; Lee, Hong K.; Eun, Heeram R.; Park, Yonghee; Mantilla, Enrique; Escudero, Miguel; Titos, Gloria; Alonso, Lucio; Temime-Roussel, Brice; Marchand, Nicolas; Moreta, Juan R.; Arantxa Revuelta, M.; Salvador, Pedro; Artíñano, Begoña; García dos Santos, Saúl; Anguas, Mónica; Notario, Alberto; Saiz-Lopez, Alfonso; Harrison, Roy M.; Millán, Millán; Ahn, Kang-Ho

2018-05-01

Various studies have reported that the photochemical nucleation of new ultrafine particles (UFPs) in urban environments within high insolation regions occurs simultaneously with high ground ozone (O3) levels. In this work, we evaluate the atmospheric dynamics leading to summer O3 episodes in the Madrid air basin (central Iberia) by means of measuring a 3-D distribution of concentrations for both pollutants. To this end, we obtained vertical profiles (up to 1200 m above ground level) using tethered balloons and miniaturised instrumentation at a suburban site located to the SW of the Madrid Metropolitan Area (MMA), the Majadahonda site (MJDH), in July 2016. Simultaneously, measurements of an extensive number of air quality and meteorological parameters were carried out at three supersites across the MMA. Furthermore, data from O3 soundings and daily radio soundings were also used to interpret atmospheric dynamics.The results demonstrate the concatenation of venting and accumulation episodes, with relative lows (venting) and peaks (accumulation) in O3 surface levels. Regardless of the episode type, the fumigation of high-altitude O3 (arising from a variety of origins) contributes the major proportion of surface O3 concentrations. Accumulation episodes are characterised by a relatively thinner planetary boundary layer ( 2400 m a.s.l.). This orographic-meteorological setting causes the vertical recirculation of air masses and enrichment of O3 in the lower tropospheric layers. When the highly polluted urban plume from Madrid is affected by these dynamics, the highest Ox (O3+ NO2) concentrations are recorded in the MMA.Vertical O3 profiles during venting episodes, with strong synoptic winds and a deepening of the planetary boundary layer reaching > 2000 m a.s.l., were characterised by an upward gradient in O3 levels, whereas a reverse situation with O3 concentration maxima at lower levels was found during the accumulation episodes due to local and/or regional production

Gastroenterological endpoints in drug trials for cystic fibrosis

NARCIS (Netherlands)

Bodewes, Frank A. J. A.; Verkade, Henkjan J.; Wilschanski, Micheal

2016-01-01

The phenotype of cystic fibrosis includes a wide variety of clinical and biochemical gastrointestinal presentations. These gastrointestinal characteristics of the disease have come under renewed interest as potential outcome measures and clinical endpoints for therapeutic trials in cystic fibrosis.

Vending Machines of Food and Beverages and Nutritional Profile of their Products at Schools in Madrid, Spain, 2014-2015.

Science.gov (United States)

Monroy-Parada, Doris Xiomara; Ángeles Moya, María; José Bosqued, María; López, Lázaro; Rodríguez-Artalejo, Fernando; Royo-Bordonada, Miguel Ángel

2016-06-09

Policies restricting access to sugary drinks and unhealthy foods in the school environment are associated with healthier consumption patterns. In 2010, Spain approved a Consensus Document regarding Food at Schools with nutritional criteria to improve the nutritional profile of foods and drinks served at schools. The objective of this study was to describe the frequency of food and drink vending machines at secondary schools in Madrid, the products offered at them and their nutritional profile. Cross-sectional study of a random sample of 330 secondary schools in Madrid in 2014-2015. The characteristics of the schools and the existence of vending machines were recorded through the internet and by telephone interview. The products offered in a representative sample of 6 vending machines were identified by in situ inspection, and its nutritional composition was taken from its labeling. Finally, the nutritional profile of each product was analyzed with the United Kingdom profile model, which classifies products as healthy and less healthy. The prevalence of vending machines was 17.3%. Among the products offered, 80.5% were less healthy food and drinks (high in energy, fat or sugar and poor in nutrients) and 10.5% were healthy products. Vending machines are common at secondary schools in Madrid. Most products are vending machines are still less healthy.

Tipos de especies de insectos descritas de la Comunidad de Madrid, conservados en el Museo Nacional de Ciencias Naturales. Inventario Preliminar

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Martín Albaladejo, C.

2006-05-01

Full Text Available This paper offers a list of insect species described from Comunidad de Madrid whose types are kept in the Collection of Entomology of the Museo Nacional de Ciencias Naturales (MNCN. This preliminary inventory includes 505 species and subspecific taxa.

Este trabajo ofrece una relación de las especies de insectos que han sido descritas de la Comunidad de Madrid y cuyos ejemplares tipo se conservan en la Colección de Entomología del Museo Nacional de Ciencias Naturales (MNCN. Este inventario preliminar recoge 505 especies y táxones subespecíficos.

Production site of radiation-induced pulmonary fibrosis

International Nuclear Information System (INIS)

Song Liangwen; Cui Xuemei; Gao Yabing; Yang Ruibiao; Xia Guowei; Wang Dewen

1997-01-01

Production site development and alterations of early pulmonary fibrosis were studied. Single irradiation was made at right thorax of rats with 0, 15 and 30 Gy of γ-irradiation, respectively. The rats were divided into three groups which were sacrificed 1, 3, 5 months post irradiation. Hydroxyproline in lungs was measured by biochemical method. Pulmonary type I and III collagens were measured by polarization method. Distribution of angiotensin II (A II) in pulmonary tissues was displayed by immunohistochemical method. Extent of pulmonary fibrosis relatively increased with irradiation dose and time elapse after irradiation. Ratio of type I to type III collagens increased with increasing fibrosis. Proliferating collagen fibers mainly came from fibroblasts of pulmonary bronchial and arterial adventitia, and extended into pulmonary parenchyma. Meanwhile, type I collagen substituted for type III collagen in interstitium of pulmonary alveoli. A II was positive for fibroblasts and macrophages in pulmonary interstitium. Irradiation can stimulate fibroblasts in interstitium proliferation, and type I collagen substitutes for type III collagen. Expression and synthesis of A II in interstitium may promote the course of pulmonary fibrosis

PREFACE: XXIX International Conference on Photonic, Electronic, and Atomic Collisions (ICPEAC2015)

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Díaz, C.; Rabadán, I.; García, G.; Méndez, L.; Martín, F.

2015-09-01

The 29th International Conference on Photonic, Electronic and Atomic Collisions (XXIX ICPEAC) was held at the Palacio de Congresos ''El Greco'', Toledo, Spain, on 22-28 July, 2015, and was organized by the Universidad Autónoma de Madrid (UAM) and the Consejo Superior de Investigaciones Científicas (CSIC). ICPEAC is held biannually and is one of the most important international conferences on atomic and molecular physics. The topic of the conference covers the recent progresses in photonic, electronic, and atomic collisions with matter. With a history back to 1958, ICPEAC came to Spain in 2015 for the very first time. UAM and CSIC had been preparing the conference for six years, ever since the ICPEAC International General Committee made the decision to hold the XXIX ICPEAC in Toledo. The conference gathered 670 participants from 52 countries and attracted 854 contributed papers for presentation in poster sessions. Among the latter, 754 are presented in issues 2-12 of this volume of the Journal of Physics Conference Series. In addition, five plenary lectures, including the opening one by the Nobel laureate Prof. Ahmed H. Zewail and the lectures by Prof. Maciej Lewenstein, Prof. Paul Scheier, Prof. Philip H. Bucksbaum, and Prof. Stephen J. Buckman, 62 progress reports and 26 special reports were presented following the decision of the ICPEAC International General Committee. Detailed write-ups of most of the latter are presented in issue 1 of this volume, constituting a comprehensive tangible record of the meeting. On the occasion of the International Year of Light (IYL2015) and with the support of the Fundación Española para la Ciencia y la Tecnología (FECYT), the program was completed with two public lectures delivered by the Nobel laureate Prof. Serge Haroche and the Príncipe de Asturias laureate Prof. Pedro M. Echenique on, respectively, ''Fifty years of laser revolutions in physics'rquot; and ''The sublime usefulness of useless science''. Also a

DeltaF508 heterozygosity in cystic fibrosis and susceptibility to asthma

DEFF Research Database (Denmark)

Dahl, Morten; Tybjaerg-Hansen, A; Lange, P

1998-01-01

Cystic fibrosis is a recessive disorder mainly characterised by lung disease. We tested the hypothesis that individuals heterozygous for the common cystic fibrosis deltaF508 mutation are at risk of obstructive pulmonary disease.......Cystic fibrosis is a recessive disorder mainly characterised by lung disease. We tested the hypothesis that individuals heterozygous for the common cystic fibrosis deltaF508 mutation are at risk of obstructive pulmonary disease....

Matrix Remodeling in Pulmonary Fibrosis and Emphysema

Science.gov (United States)

O’Reilly, Philip; Antony, Veena B.; Gaggar, Amit

2016-01-01

Pulmonary fibrosis and emphysema are chronic lung diseases characterized by a progressive decline in lung function, resulting in significant morbidity and mortality. A hallmark of these diseases is recurrent or persistent alveolar epithelial injury, typically caused by common environmental exposures such as cigarette smoke. We propose that critical determinants of the outcome of the injury-repair processes that result in fibrosis versus emphysema are mesenchymal cell fate and associated extracellular matrix dynamics. In this review, we explore the concept that regulation of mesenchymal cells under the influence of soluble factors, in particular transforming growth factor-β1, and the extracellular matrix determine the divergent tissue remodeling responses seen in pulmonary fibrosis and emphysema. PMID:26741177

[Health vulnerability mapping in the Community of Madrid (Spain)].

Science.gov (United States)

Ramasco-Gutiérrez, Milagros; Heras-Mosteiro, Julio; Garabato-González, Sonsoles; Aránguez-Ruiz, Emiliano; Aguirre Martín-Gil, Ramón

The Public Health General Directorate of Madrid has developed a health vulnerability mapping methodology to assist regional social health teams in health planning, prioritisation and intervention based on a model of social determinants of health and an equity approach. This process began with the selection of areas with the worst social indicators in health vulnerability. Then, key stakeholders of the region jointly identified priority areas of intervention and developed a consensual plan of action. We present the outcomes of this experience and its connection with theoretical models of asset-based community development, health-integrated georeferencing systems and community health interventions. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

Pathogenic mechanism in lung fibrosis

International Nuclear Information System (INIS)

Witschi, H.; Haschek, W.M.; Meyer, K.R.; Ullrich, R.L.; Dalbey, W.E.

1979-01-01

The purpose of the study was to examine whether an interaction between two agents causing alveolar epithelial damage would produce lung fibrosis. In mouse lung, intraperitoneal injection of the antioxidant butylated hydroxytoluene causes diffuse alveolar type I cell necrosis, followed by proliferation of type II alveolar cells. In animals exposed to 70% O 2 or 100-200 rad x rays during the phase of type II cell proliferation following BHT, diffuse interstitial lung fibrosis developed within 2 weeks. Quantitative analysis of the lungs for hydroxyproline showed that the interaction between BHT and O 2 or x rays was synergistic. If exposure to O 2 or x rays was delayed until epithelial recovery was complete, no fibrosis was seen. Abnormally high levels of lung collagen persisted up to 6 months after one single treatment with BHT and 100 rad x rays. A commonly seen form of chronic lung damage may thus be caused by an acute interaction between a bloodborne agent which damages the alveolar cell and a toxic inhalant or x rays, provided a critically ordered sequence of exposure is observed

Assessment of cutaneous radiation fibrosis by 20 MHz-sonography

International Nuclear Information System (INIS)

Gottloeber, P.; Braun-Falco, B.; Plewig, G.; Kerscher, M.; Peter, R.U.; Nadeshina, N.

1996-01-01

Radiation fibrosis is the cardinal symptom of the chronicle stage of the cutaneous radiation syndrome. The degree of cutaneous fibrosis can clinically be estimated by palpation. High-frequency 20 MHz-sonography is an established, noninvasive procedure, which renders an exact determination of skin thickness and additionally densitometry is possible. We investigated 15 survivors of the Chernobyl accident in 1986, who developed symptoms of the chronic stage of the cutaneous radiation syndrome. We determined skin thickness and echogenicity of skin areas clinically suggestive of radiation fibrosis before, during and after treatment. 20 MHz-sonography showed a distinct enlargement of the echorich corium and a reduction of the subcutaneous fatty tissue in comparison with the unaffected, contralateral skin, here demonstrating typical features of radiation fibrosis, namely dermal fibrosis and reactive pseudoatrophy and fatty tissue. The histology presented an increase and swelling of the collagen fibers and atypical fibroblastic cells. The patients received treatment with low-dose interferon y (Polyfcron R , 3 x 50μg s.C., three times per week) up to 30 months. A marked reduction of skin thickness and echogenicity reaching nearly normal values could be observed. We conclude that 20 MHz-sonography is an easy to apply, noninvasive, well established procedure to quantify cutaneous radiation fibrosis and to assess therapeutic outcome

Independent predictors of fibrosis in patients with nonalcoholic fatty liver disease.

Science.gov (United States)

Hossain, Noreen; Afendy, Arian; Stepanova, Maria; Nader, Fatema; Srishord, Manirath; Rafiq, Nila; Goodman, Zachary; Younossi, Zobair

2009-11-01

Nonalcoholic fatty liver disease (NAFLD) is a common cause of chronic liver disease. We investigated factors associated with advanced fibrosis in NAFLD. The study included 432 patients with histologically proven NAFLD (26.8% with nonalcoholic steatohepatitis [NASH] and 17.4% with moderate-to severe fibrosis). NASH was defined as steatosis, lobular inflammation, and ballooning degeneration with or without Mallory-Denk bodies and/or fibrosis. Fibrosis was classified into 2 groups: those with no or minimal fibrosis and those with moderate-to-severe fibrosis. Groups were compared using Mann-Whitney and chi-square method analyses. A model was constructed using a stepwise bidirectional method; its predictive power was measured using a 10-fold cross-validation technique. Patients with NASH were more likely to be male (P < .0001); have lower hip-to-waist ratios (P = .03); were less likely to be African American (P = .06); have higher levels of alanine aminotransferase (ALT; P < .0001), aspartate aminotransferase (AST; P < .0001), and serum triglycerides (P = .0154), but lower levels of high-density lipoprotein cholesterol (P < .0001). Patients with moderate-to-severe fibrosis were older (P = .0245); more likely to be male (P = .0189), Caucasian (P = .0382), have diabetes mellitus (P = .0238), and hypertension (P = .0375); and have a lower hip-to-waist ratio (P = .0077) but higher serum AST (P < .0001) and ALT (P < .0001) levels. The multivariate analysis model to predict moderate-to-severe fibrosis included male sex, Caucasian ethnicity, diabetes mellitus, and increased AST and ALT levels (model P value < .0001). In patients with NAFLD, diabetes mellitus and aminotransferase levels are independent predictors of moderate-to-severe fibrosis. They can be used to identify NAFLD patients at risk for advanced fibrosis.

Paul E. Kahle and Federico Pérez Castro: The Origins of the Madrid School of Biblical Text Criticism

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Fernández Tejero, Emilia

2008-06-01

Full Text Available We have frequently been asked about the origins of the Madrid School of Biblical Text Criticism. We have limited the content of this paper to Masoretic studies. Research into the files of the former Instituto Arias Montano of the CSIC disclosed a series of unedited letters between Professors Kahle and Pérez Castro; a paper by F. Pérez Castro and F. Cantera Burgos on “Prof. Paul E. Kahle y los estudios de crítica textual bíblica en España,” and a description by F. Pérez Castro of the first project to edit the Cairo Codex of the Prophets. Through these materials we can trace the main steps of the relationship between these two relevant scholars and the role that such a relationship played in the origin and late development of these studies in Madrid.

A menudo se nos ha preguntado por los orígenes de la escuela de crítica textual bíblica de Madrid. Hemos limitado el contenido de este artículo a los estudios masoréticos. Investigando en los archivos del antiguo Instituto Arias Montano del CSIC hemos encontrado una colección de cartas inéditas entre los Profesores Kahle y Pérez Castro; un artículo escrito por F. Pérez Castro y F. Cantera Burgos titulado «Prof. Paul E. Kahle y los estudios de crítica textual bíblica en España», y la descripción hecha por Pérez Castro del primer proyecto para editar el Códice de Profetas de El Cairo. Gracias a estos testimonios hemos podido documentar las principales fases de la relación entre estos dos eminentes profesores y el papel que tal relación desempeñó en el origen y posterior desarrollo de estos estudios en Madrid.

Differences of diurnal variations of some aliphatic and polycyclic aromatic hydrocarbons concentrations in aerosols of the urban area of Madrid; Estudio de las variaciones diarias en las concentraciones de algunos hidrocarburos alifaticos y aromatico; policiclicos, en aerosoles de la zona urbana de Madrid

Energy Technology Data Exchange (ETDEWEB)

Perez, M M; Perez-Pastor, R M; Bea, F J; Campos, A; Gonzalez, D

1991-07-01

A study on daily concentration changes of polycyclic aromatic and aliphatic hydrocarbons (PAH's and AH's), was carried out in aerosols sampled m the Ciudad Universitaria of Madrid. Samples were taken at morning and night during February and June, for short sampling times, on glass fiber filters in Hi-Vol samplers, and then extracted ultrasonically with cyclohexane. Analysis were performed by HRGC with fused-silica capillary columns. The variable traffic rate, and the strong influence during winter periods of domestic heating are characteristic of this place. The aim of this work was to evaluate diurnal and seasonal variations of selected AH and PAH in the urban area of Madrid, by using descriptive parameters, such as total concentrations of AH and PAH, characteristic profiles and predominance carbon index. (Author)

Ultrasound based evaluation of hepatic steatosis and fibrosis in hepatitis c non-responders

International Nuclear Information System (INIS)

Sohail, S.; Aziz, S.

2013-01-01

To determine the accuracy of ultrasound in the diagnosis and grading of steatosis and fibrosis in Hepatitis C (HCV) patients not responding to ribavarin-interferon therapy. Study Design: A cross-sectional, analytical study. Place and Duration of Study: Radiology Department, Civil Hospital, Karachi, from March 2008 to August 2010. Methodology: Patients with positive HCV RNA despite 24 weeks ribavarin-interferon therapy (non-responders) were subjected to ultrasound and biopsy prior to institution of pegylated interferon therapy for detection and grading of steatosis and fibrosis. Using histopathology as the gold standard, sensitivity, specificity, negative and positive predictive values for ultrasound were determined. Results: The sensitivity of ultrasound for hepatic steatosis was 90.9% for no steatosis (NS), 100% for moderate and gross steatosis and 84.4% for mild steatosis with 100% specificity. The senitivity for fibrosis was 25% for no fibrosis, 100% for mild fibrosis, 89.74% for moderate fibrosis and 100% for gross fibrosis. The overall accuracy for detection of steatosis was 95.39% and that for fibrosis was 98.02%. Hepatic vein showed increased dampening of flow with advancing grades of steatosis and fibrosis. Conclusion: Ultrasound has a high accuracy in the diagnosis and grading of steatosis and fibrosis in HCV nonresponders. Mild fibrosis may confound the diagnosis of mild steatosis. (author)

IDA world congress on desalination and water reuse, october 6-9, 1997, Madrid

Energy Technology Data Exchange (ETDEWEB)

International desalination association

1997-12-31

The books contain the Congress on Desalination and water reuse held in Madrid during October 1997. The five volumen present the following scopes. 1.- Fresh water world and Regional prospective 2.- Membrane desalination design 3. -Evaporative desalination operational experience 4.- Potable water reuse 5.- Plant automation design and experience 6.- Materials and corrosion research 7.- Chemistry and pretreatment. 8.- Research and development review 9.- Water treatment and potabilitation

Adeno-associated virus for cystic fibrosis gene therapy

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S.V. Martini

2011-11-01

Full Text Available Gene therapy is an alternative treatment for genetic lung disease, especially monogenic disorders such as cystic fibrosis. Cystic fibrosis is a severe autosomal recessive disease affecting one in 2500 live births in the white population, caused by mutation of the cystic fibrosis transmembrane conductance regulator (CFTR. The disease is classically characterized by pancreatic enzyme insufficiency, an increased concentration of chloride in sweat, and varying severity of chronic obstructive lung disease. Currently, the greatest challenge for gene therapy is finding an ideal vector to deliver the transgene (CFTR to the affected organ (lung. Adeno-associated virus is the most promising viral vector system for the treatment of respiratory disease because it has natural tropism for airway epithelial cells and does not cause any human disease. This review focuses on the basic properties of adeno-associated virus and its use as a vector for cystic fibrosis gene therapy.

Appetite stimulants for people with cystic fibrosis.

Science.gov (United States)

Chinuck, Ruth; Dewar, Jane; Baldwin, David R; Hendron, Elizabeth

2014-07-27

Chronic loss of appetite in cystic fibrosis concerns both individuals and families. Appetite stimulants have been used to help cystic fibrosis patients with chronic anorexia attain optimal body mass index and nutritional status. However, these may have adverse effects on clinical status. The aim of this review is to systematically search for and evaluate evidence on the beneficial effects of appetite stimulants in the management of CF-related anorexia and synthesize reports of any side-effects. Trials were identified by searching the Cochrane Cystic Fibrosis and Genetic Disorders Group's Cystic Fibrosis Trials Register, MEDLINE, Embase, CINAHL, handsearching reference lists and contacting local and international experts.Last search of online databases: 01 April 2014.Last search of the Cystic Fibrosis Trials Register: 08 April 2014. Randomised and quasi-randomised controlled trials of appetite stimulants, compared to placebo or no treatment for at least one month in adults and children with cystic fibrosis. Authors independently extracted data and assessed the risk of bias within eligible trials. Meta-analyses were performed. Three trials (total of 47 recruited patients) comparing appetite stimulants (cyproheptadine hydrochloride and megesterol acetate) to placebo were included; the numbers of adults or children within each trial were not always reported. The risk of bias of the included trials was graded as moderate.A meta-analysis of all three trials showed appetite stimulants produced a larger increase in weight z score at three months compared to placebo, mean difference 0.61 (95% confidence interval 0.29 to 0.93) (P children, appetite stimulants improved only two of the outcomes in this review - weight (or weight z score) and appetite; and side effects were insufficiently reported to determine the full extent of their impact. Whilst the data may suggest the potential use of appetite stimulants in treating anorexia in adults and children with cystic fibrosis

Comparing the New Madrid Seismic Zone with the Osning Thrust: implications for GIA-induced intraplate tectonics in northern Germany

Science.gov (United States)

Brandes, Christian; Steffen, Holger; Wu, Patrick; Tanner, David; Winsemann, Jutta

2013-04-01

Continental intraplate tectonics is a widespread phenomenon that causes significant earthquakes. These earthquakes even occur in areas that are characterized by low strain rates and there are often long intervals between the individual seismic events (Gangopadhyay & Talwani, 2003) that result in a hazard potential. To better understand the controlling factors of intraplate plate earthquakes in northern Germany, we compare the Osning Thrust with the intensively-studied New Madrid Seismic Zone in the Midwest USA. Both areas share major similarities such as a failed rift-basin setting, the presence of intrusive magmatic bodies in the subsurface, tectonic reactivation during the Late Cretaceous, paleo- and historic seismicity and comparable fault parameters. In addition, both areas have a very similar Late Pleistocene deglaciation history. New Madrid was c. 340 km south of the Laurentide ice sheet and ice retreat started around 21 ka and was completed by 8.5 ka (Grollimund & Zoback, 2001). The Osning Thrust was c. 310 km south of the Scandinavian ice sheet and deglaciation began at 24 ka. Both areas show historic seismicity in a similar time frame (New Madrid Seismic Zone: 1811-1812, Johnston & Schweig, 1996); Osning Thrust: 1612 and 1767, Grünthal & Bosse, 1997). We use numerical simulations to identify the timing of potentially GIA-induced fault activity, which are based on the fault stability margin concept of Wu & Hasegawa (1996). From our modelling results it is evident that the fault stability margin changed to negative between 16 and 13 ka for the Osning Thrust, which matches the OSL data of fault-related growth strata (Brandes et al., 2012). For the New Madrid Seismic Zone, the fault stability margin becomes zero between 2.5 ka BP (before 1812) to about 2 ka after the 1812 event, depending on the parameters of the model. This indicates that for both seismic zones, seismicity due to deglaciation was and still is very likely. From this study it can be derived

EL PERFIL COMPETITIVO LOCAL COMO FACTOR DETERMINANTE PARA EL DESARROLLO DE LA FLORICULTURA EN MADRID (CUNDINAMARCA

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DANIEL HERNÁN SANTIAGO ROMERO

2011-01-01

Full Text Available Este artículo describe los atributos del perfil competitivo del municipio de Madrid y establece las relaciones que, con dicho perfil, ha tenido el desarrollo de cultivos de flores. Se parte de la descripción de la situación actual de la industria de la floricultura en el país. Después, tras establecer los determinantes que desde la teoría se han propuesto para medir la competitividad de un territorio, se analiza el caso particular del municipio de Madrid y define los atributos competitivos que lo caracterizan. Se presentan las relaciones entre el perfil competitivo del municipio y la floricultura, mostrando cómo aquél, se convirtió en un factor determinante para dicha actividad económica. Finalmente se presentan las conclusiones del artículo, las cuales son antecedidas por la presentación de los elementos que representan la mayor fortaleza para el desarrollo económico del municipio en el futuro.

Non-invasive evaluation of cystic fibrosis related liver disease in adults with ARFI, transient elastography and different fibrosis scores.

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Thomas Karlas

Full Text Available BACKGROUND: Cystic fibrosis-related liver disease (CFLD is present in up to 30% of cystic fibrosis patients and can result in progressive liver failure. Diagnosis of CFLD is challenging. Non-invasive methods for staging of liver fibrosis display an interesting diagnostic approach for CFLD detection. AIM: We evaluated transient elastography (TE, acoustic radiation force impulse imaging (ARFI, and fibrosis indices for CFLD detection. METHODS: TE and ARFI were performed in 55 adult CF patients. In addition, AST/Platelets-Ratio-Index (APRI, and Forns' score were calculated. Healthy probands and patients with alcoholic liver cirrhosis served as controls. RESULTS: Fourteen CF patients met CFLD criteria, six had liver cirrhosis. Elastography acquisition was successful in >89% of cases. Non-cirrhotic CFLD individuals showed elastography values similar to CF patients without liver involvement. Cases with liver cirrhosis differed significantly from other CFLD patients (ARFI: 1.49 vs. 1.13 m/s; p = 0.031; TE: 7.95 vs. 4.16 kPa; p = 0.020 and had significantly lower results than individuals with alcoholic liver cirrhosis (ARFI: 1.49 vs. 2.99 m/s; p = 0.002. APRI showed the best diagnostic performance for CFLD detection (AUROC 0.815; sensitivity 85.7%, specificity 70.7%. CONCLUSIONS: ARFI, TE, and laboratory based fibrosis indices correlate with each other and reliably detect CFLD related liver cirrhosis in adult CF patients. CF specific cut-off values for cirrhosis in adults are lower than in alcoholic cirrhosis.

Non-Invasive Evaluation of Cystic Fibrosis Related Liver Disease in Adults with ARFI, Transient Elastography and Different Fibrosis Scores

Science.gov (United States)

Oltmanns, Annett; Güttler, Andrea; Petroff, David; Wirtz, Hubert; Mainz, Jochen G.; Mössner, Joachim; Berg, Thomas; Tröltzsch, Michael; Keim, Volker; Wiegand, Johannes

2012-01-01

Background Cystic fibrosis-related liver disease (CFLD) is present in up to 30% of cystic fibrosis patients and can result in progressive liver failure. Diagnosis of CFLD is challenging. Non-invasive methods for staging of liver fibrosis display an interesting diagnostic approach for CFLD detection. Aim We evaluated transient elastography (TE), acoustic radiation force impulse imaging (ARFI), and fibrosis indices for CFLD detection. Methods TE and ARFI were performed in 55 adult CF patients. In addition, AST/Platelets-Ratio-Index (APRI), and Forns' score were calculated. Healthy probands and patients with alcoholic liver cirrhosis served as controls. Results Fourteen CF patients met CFLD criteria, six had liver cirrhosis. Elastography acquisition was successful in >89% of cases. Non-cirrhotic CFLD individuals showed elastography values similar to CF patients without liver involvement. Cases with liver cirrhosis differed significantly from other CFLD patients (ARFI: 1.49 vs. 1.13 m/s; p = 0.031; TE: 7.95 vs. 4.16 kPa; p = 0.020) and had significantly lower results than individuals with alcoholic liver cirrhosis (ARFI: 1.49 vs. 2.99 m/s; p = 0.002). APRI showed the best diagnostic performance for CFLD detection (AUROC 0.815; sensitivity 85.7%, specificity 70.7%). Conclusions ARFI, TE, and laboratory based fibrosis indices correlate with each other and reliably detect CFLD related liver cirrhosis in adult CF patients. CF specific cut-off values for cirrhosis in adults are lower than in alcoholic cirrhosis. PMID:22848732

Enhanced liver fibrosis test using ELISA assay accurately discriminates advanced stage of liver fibrosis as determined by transient elastography fibroscan in treatment naïve chronic HCV patients.

Science.gov (United States)

Omran, Dalia; Yosry, Ayman; Darweesh, Samar K; Nabeel, Mohammed M; El-Beshlawey, Mohammed; Saif, Sameh; Fared, Azza; Hassany, Mohamed; Zayed, Rania A

2018-02-01

Evaluation of liver fibrosis stage is crucial in the assessment of chronic HCV patients, regarding decision to start treatment and during follow-up. Our aim was to assess the validity of the enhanced liver fibrosis (ELF) score in discrimination of advanced stage of liver fibrosis in naïve chronic HCV patients. We prospectively evaluated liver fibrosis stage in one hundred eighty-one naïve chronic HCV Egyptian patients by transient elastography (TE)-FibroScan. Patients were categorized into mild to moderate fibrosis (≤F2) group and advanced fibrosis (≥F3) group. The ELF score components, hyaluronic acid (HA), amino-terminal propeptide of type-III-procollagen (PIIINP) and tissue inhibitor of metalloproteinase type-1 (TIMP-1), were done using ELISA test. The mean values of ELF and its individual components significantly correlated with the hepatic fibrosis stage as measured by TE-FibroScan (P value 0.001). ELF cutoff value of 9.8 generated a sensitivity of 77.8%, specificity of 67.1%, area under the receiver operator characteristic curve (AUROC) of 0.76 with 95% confidence interval [CI] (0.68-0.83) for detecting advanced fibrosis (F ≥ 3). ELF panel is a good, reliable noninvasive test and showed comparable results to TE-FibroScan in detecting liver fibrosis stage in treatment naïve chronic HCV patients.

Lung adenocarcinoma mimicking pulmonary fibrosis-a case report

International Nuclear Information System (INIS)

Mehić, Bakir; Duranović Rayan, Lina; Bilalović, Nurija; Dohranović Tafro, Danina; Pilav, Ilijaz

2016-01-01

Lung cancer is usually presented with cough, dyspnea, pain and weight loss, which is overlapping with symptoms of other lung diseases such as pulmonary fibrosis. Pulmonary fibrosis shows characteristic reticular and nodular pattern, while lung cancers are mostly presented with infiltrative mass, thick-walled cavitations or a solitary nodule with spiculated borders. If the diagnosis is established based on clinical symptoms and CT findings, it would be a misapprehension. We report a case of lung adenocarcinoma whose symptoms as well as clinical images overlapped strongly with pulmonary fibrosis. The patient’s non-productive cough, progressive dyspnea, restrictive pattern of pulmonary function test and CT scans (showing reticular interstitial opacities) were all indicative of pulmonary fibrosis. The patient underwent a treatment consisting of corticosteroids and antibiotics, to no avail. Histopathology of the lung showed that the patient suffered from mucinous adenocarcinoma. Albeit the immunohistochemical staining was not consistent with lung adenocarcinoma, tumor’s morphological characteristics were consistent, and were used to make the definitive diagnosis. Given the fact that radiography cannot always make a clear-cut difference between pulmonary fibrosis and lung adenocarcinomas, and that clinical symptoms often overlap, histological examination should be considered as gold standard for diagnosis of lung adenocarcinoma

Phosphoproteomic biomarkers predicting histologic nonalcoholic steatohepatitis and fibrosis.

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Younossi, Zobair M; Baranova, Ancha; Stepanova, Maria; Page, Sandra; Calvert, Valerie S; Afendy, Arian; Goodman, Zachary; Chandhoke, Vikas; Liotta, Lance; Petricoin, Emanuel

2010-06-04

The progression of nonalcoholic fatty liver disease (NAFLD) has been linked to deregulated exchange of the endocrine signaling between adipose and liver tissue. Proteomic assays for the phosphorylation events that characterize the activated or deactivated state of the kinase-driven signaling cascades in visceral adipose tissue (VAT) could shed light on the pathogenesis of nonalcoholic steatohepatitis (NASH) and related fibrosis. Reverse-phase protein microarrays (RPMA) were used to develop biomarkers for NASH and fibrosis using VAT collected from 167 NAFLD patients (training cohort, N = 117; testing cohort, N = 50). Three types of models were developed for NASH and advanced fibrosis: clinical models, proteomics models, and combination models. NASH was predicted by a model that included measurements of two components of the insulin signaling pathway: AKT kinase and insulin receptor substrate 1 (IRS1). The models for fibrosis were less reliable when predictions were based on phosphoproteomic, clinical, or the combination data. The best performing model relied on levels of the phosphorylation of GSK3 as well as on two subunits of cyclic AMP regulated protein kinase A (PKA). Phosphoproteomics technology could potentially be used to provide pathogenic information about NASH and NASH-related fibrosis. This information can lead to a clinically relevant diagnostic/prognostic biomarker for NASH.

Novel algorithm for non-invasive assessment of fibrosis in NAFLD.

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Jan-Peter Sowa

Full Text Available INTRODUCTION: Various conditions of liver disease and the downsides of liver biopsy call for a non-invasive option to assess liver fibrosis. A non-invasive score would be especially useful to identify patients with slow advancing fibrotic processes, as in Non-Alcoholic Fatty Liver Disease (NAFLD, which should undergo histological examination for fibrosis. PATIENTS/METHODS: Classic liver serum parameters, hyaluronic acid (HA and cell death markers of 126 patients undergoing bariatric surgery for morbid obesity were analyzed by machine learning techniques (logistic regression, k-nearest neighbors, linear support vector machines, rule-based systems, decision trees and random forest (RF. Specificity, sensitivity and accuracy of the evaluated datasets to predict fibrosis were assessed. RESULTS: None of the single parameters (ALT, AST, M30, M60, HA did differ significantly between patients with a fibrosis score 1 or 2. However, combining these parameters using RFs reached 79% accuracy in fibrosis prediction with a sensitivity of more than 60% and specificity of 77%. Moreover, RFs identified the cell death markers M30 and M65 as more important for the decision than the classic liver parameters. CONCLUSION: On the basis of serum parameters the generation of a fibrosis scoring system seems feasible, even when only marginally fibrotic tissue is available. Prospective evaluation of novel markers, i.e. cell death parameters, should be performed to identify an optimal set of fibrosis predictors.

Molecular Mechanisms of Liver Fibrosis in HIV/HCV Coinfection

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Claudio M. Mastroianni

2014-05-01

Full Text Available Chronic hepatitis C virus (HCV infection is an important cause of morbidity and mortality in people coinfected with human immunodeficiency virus (HIV. Several studies have shown that HIV infection promotes accelerated HCV hepatic fibrosis progression, even with HIV replication under full antiretroviral control. The pathogenesis of accelerated hepatic fibrosis among HIV/HCV coinfected individuals is complex and multifactorial. The most relevant mechanisms involved include direct viral effects, immune/cytokine dysregulation, altered levels of matrix metalloproteinases and fibrosis biomarkers, increased oxidative stress and hepatocyte apoptosis, HIV-associated gut depletion of CD4 cells, and microbial translocation. In addition, metabolic alterations, heavy alcohol use, as well drug use, may have a potential role in liver disease progression. Understanding the pathophysiology and regulation of liver fibrosis in HIV/HCV co-infection may lead to the development of therapeutic strategies for the management of all patients with ongoing liver disease. In this review, we therefore discuss the evidence and potential molecular mechanisms involved in the accelerated liver fibrosis seen in patients coinfected with HIV and HCV.

La imagen en el cuerpo urbano. La transformación de Madrid hacia el consumo

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Daniel Morcillo Álvarez

2017-05-01

Full Text Available El neoliberalismo ha supuesto una transformación en la conceptualización de las clases sociales y una reconfiguración de las relaciones entre ellas. En tal sentido, ha emprendido un cambio en los centros urbanos, intensificando su uso comercial y turístico a partir de la inversión pública en la imagen de la ciudad. En Madrid, entre los años 1998 y 2007, de hegemonía neoliberal, se ha invertido, precisamente, en proyectos que han cambiado la escena urbana, reforzando el carácter fetichista del espacio y fomentando, con ello, el reforzamiento de los valores de excelencia y prestigio social. A partir del análisis de la inversión pública en proyectos de escena urbana, se procede a estudiar aquí los efectos que las peatonalizaciones y semipeatonalizaciones han tenido en la conceptualización del centro de Madrid, en los años de máxima expansión neoliberal.

La Junta de Información en Madrid para las reformas en Las Antillas, 1866

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M. Dolores Domingo Acebrón

2002-04-01

Full Text Available The Junta de Information organised in 1866 by the Spanish authorities brought together in Madrid official representatives and people from the Antilles to discuss an essential topic: the situation of Cuba and Puerto Rico. Their complaints and petitions were specific, leaving no doubt as to what Cubans and Puerto Ricans desired. They wished for, on the one hand, the abolition of slavery, and on the other, greater political freedom: in sum, a series of social, economic and political reforms. In reponse, the Spanish authorities displayed an inflexible and intransigent disposition, which did not help the understanding between Antillas and the Spanish. The Spanish authorities responded by increasing direct taxes and rejecting the abolition of customs. On the political front, Spain maintained its extreme defense of the «statu quo». The commissioners from the Antilles found confirmed in Madrid the metropolis's lack of interest towards Cuban and Puerto Rican problems. The situation became irreversible once the independence movement had begun, wiht the objective of achieving freedom from Spanish colonialism.

Agmatine attenuates silica-induced pulmonary fibrosis.

Science.gov (United States)

El-Agamy, D S; Sharawy, M H; Ammar, E M

2014-06-01

There is a large body of evidence that nitric oxide (NO) formation is implicated in mediating silica-induced pulmonary fibrosis. As a reactive free radical, NO may not only contribute to lung parenchymal tissue injury but also has the ability to combine with superoxide and form a highly reactive toxic species peroxynitrite that can induce extensive cellular toxicity in the lung tissues. This study aimed to explore the effect of agmatine, a known NO synthase inhibitor, on silica-induced pulmonary fibrosis in rats. Male Sprague Dawley rats were treated with agmatine for 60 days following a single intranasal instillation of silica suspension (50 mg in 0.1 ml saline/rat). The results revealed that agmatine attenuated silica-induced lung inflammation as it decreased the lung wet/dry weight ratio, protein concentration, and the accumulation of the inflammatory cells in the bronchoalveolar lavage fluid. Agmatine showed antifibrotic activity as it decreased total hydroxyproline content of the lung and reduced silica-mediated lung inflammation and fibrosis in lung histopathological specimen. In addition, agmatine significantly increased superoxide dismutase (p Agmatine also reduced silica-induced overproduction of pulmonary nitrite/nitrate as well as tumor necrosis factor α. Collectively, these results demonstrate the protective effects of agmatine against the silica-induced lung fibrosis that may be attributed to its ability to counteract the NO production, lipid peroxidation, and regulate cytokine effects. © The Author(s) 2014.

Viability of a New Road Infrastructure with Heterogeneous Users in Madrid Access

OpenAIRE

Pedro Cantos-Sanchez; Rafael Moner-Colonques; Jose J. Sempere-Monerris; Oscar Alvarez

2008-01-01

This paper explores the importance of heterogeneity in value of time when assessing the viability of a new road infrastructure to alleviate congestion problems. The Spanish government has developed a congestion pricing demonstration entering Madrid city centre, where road users have to choose between a free but highly congested road and a priced free-flowing road. We consider a continuum of users who differ in their value of time. Users dislike congestion and this is more so the more a user v...

Incidencia de notificación de situaciones conflictivas con los ciudadanos en el área 6 de la comunidad autónoma de Madrid Incidence of notification of conflict situations with citizens in area 6 of the community of Madrid

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María Maestre Naranjo

2011-06-01

Full Text Available La violencia en el lugar de trabajo se ha convertido en un problema mundial; afectando a todos los sectores y categorías laborales. Las consecuencias de la violencia en las victimas generan enfermedad física, problemas psicológicos, abuso de medicamentos y sustancias tóxicas; también, se ven afectados el ámbito familiar y social. Se realiza un estudio en los trabajadores del SERMAS (Servicio Madrileño de Salud del área 6 de salud de la Comunidad Autónoma de Madrid, para determinar la incidencia de la comunicación de situaciones conflictivas con los ciudadanos, identificar el ámbito de actuación, la categoría profesional más afectada, conocer la prevalencia del tipo de agresión e identificar las consecuencias tras las situaciones conflictivas notificadas.Violence in the workplace has become a global problem, affecting all sectors and job categories. The consequences of violence on victims generate physical illness, psychological problems, drug and toxic substances abuse. Family and social sphere are also affected. We performed a study to determine the incidence of the communication of conflict situations between citizens and SERMAS workers (Madrid Health Service in area 6 of the Community of Madrid, as well as to identify the scope, identify job categories most affected, discover the prevalence of the type of aggression and identify the consequences after reporting conflict situations.

Subclinical anaemia of chronic disease in adult patients with cystic fibrosis.

LENUS (Irish Health Repository)

O'connor, T M

2012-02-03

Patients with chronic hypoxaemia develop secondary polycythaemia that improves oxygen-carrying capacity. Therefore, normal haemoglobin and haematocrit values in the presence of chronic arterial hypoxaemia in cystic fibrosis constitute \\'relative anaemia\\'. We sought to determine the cause of this relative anaemia in patients with cystic fibrosis. We studied haematological indices and oxygen saturation in healthy volunteers (n=17) and in adult patients with cystic fibrosis (n=15). Patients with cystic fibrosis had lower resting arterial oxygen saturation when compared with normal volunteers (P<0.0001), and exercise led to a greater reduction in arterial oxygen saturation (P<0.0001). However, haemoglobin and haematocrit values in patients with cystic fibrosis did not significantly differ from normal volunteers. Serum iron (P=0.002), transferrin (P=0.02), and total iron-binding capacity (P=0.01) were lower in patients with cystic fibrosis. There were no significant differences in serum ferritin, percentage iron saturation, serum erythropoietin or red cell volume between the groups. The data presented demonstrate a characteristic picture of anaemia of chronic disease in adult patients with cystic fibrosis, except for normal haemoglobin and haematocrit values. Normal haemoglobin and haematocrit values in patients with cystic fibrosis appear to represent a combination of the effects of arterial hypoxaemia promoting polycythaemia, counterbalanced by chronic inflammation promoting anaemia of chronic disease.

Idiopathic pulmonary fibrosis.

Science.gov (United States)

Xaubet, Antoni; Ancochea, Julio; Molina-Molina, María

2017-02-23

Idiopathic pulmonary fibrosis is a fibrosing interstitial pneumonia associated with the radiological and/or histological pattern of usual interstitial pneumonia. Its aetiology is unknown, but probably comprises the action of endogenous and exogenous micro-environmental factors in subjects with genetic predisposition. Its diagnosis is based on the presence of characteristic findings of high-resolution computed tomography scans and pulmonary biopsies in absence of interstitial lung diseases of other aetiologies. Its clinical evolution is variable, although the mean survival rate is 2-5 years as of its clinical presentation. Patients with idiopathic pulmonary fibrosis may present complications and comorbidities which modify the disease's clinical course and prognosis. In the mild-moderate disease, the treatment consists of the administration of anti-fibrotic drugs. In severe disease, the best therapeutic option is pulmonary transplantation. In this paper we review the diagnostic and therapeutic aspects of the disease. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

Fibrosis index based on four factors better predicts advanced fibrosis or cirrhosis than aspartate aminotransferase/platelet ratio index in chronic hepatitis C patients

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Chia-Chi Wang

2015-10-01

Conclusion: FIB-4 could predict hepatic fibrosis in CHC patients. By adding two parameters (age and alanine aminotransferase, FIB-4 better predicts advanced fibrosis and cirrhosis than APRI in CHC patients.

Origin and function of myofibroblasts in kidney fibrosis.

Science.gov (United States)

LeBleu, Valerie S; Taduri, Gangadhar; O'Connell, Joyce; Teng, Yingqi; Cooke, Vesselina G; Woda, Craig; Sugimoto, Hikaru; Kalluri, Raghu

2013-08-01

Myofibroblasts are associated with organ fibrosis, but their precise origin and functional role remain unknown. We used multiple genetically engineered mice to track, fate map and ablate cells to determine the source and function of myofibroblasts in kidney fibrosis. Through this comprehensive analysis, we identified that the total pool of myofibroblasts is split, with 50% arising from local resident fibroblasts through proliferation. The nonproliferating myofibroblasts derive through differentiation from bone marrow (35%), the endothelial-to-mesenchymal transition program (10%) and the epithelial-to-mesenchymal transition program (5%). Specific deletion of Tgfbr2 in α-smooth muscle actin (αSMA)(+) cells revealed the importance of this pathway in the recruitment of myofibroblasts through differentiation. Using genetic mouse models and a fate-mapping strategy, we determined that vascular pericytes probably do not contribute to the emergence of myofibroblasts or fibrosis. Our data suggest that targeting diverse pathways is required to substantially inhibit the composite accumulation of myofibroblasts in kidney fibrosis.

Higher Anti-Liver Fibrosis Effect of Cordyceps militaris-Fermented Product Cultured with Deep Ocean Water via Inhibiting Proinflammatory Factors and Fibrosis-Related Factors Expressions

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Yu-Ping Hung

2017-06-01

Full Text Available Deep ocean water (DOW has been shown to enhance the functional components of fungi, resulting in increased health benefits. Therefore, using DOW for culturing fungi can enhance the cordycepin and adenosine of Cordyceps militaris (CM and its protective effects on the liver. In this study, the antiliver fibrosis effects and mechanisms of ultrapure water-cultured CM (UCM, DOW-cultured CM (DCM, synthetic water-cultured CM, DOW, cordycepin, and adenosine were compared in the liver fibrosis mice induced by intraperitoneal injections of thioacetamide (TAA. The results indicated that DCM exhibited superior performance in reducing liver collagen accumulation, mitigating liver injuries, inhibiting proinflammatory factors and fibrosis-related factor (TGF-β1, Smad2/3, α-SMA, COL1A1 expression compared with UCM. DOW, cordycepin, and adenosine also performed antiliver fibrosis effect. Therefore, because DCM is rich in DOW and functional components, it can achieve anti-liver fibrosis effects through multiple pathways. These ameliorative effects are considerably superior to those of UCM.

Higher Anti-Liver Fibrosis Effect of Cordyceps militaris-Fermented Product Cultured with Deep Ocean Water via Inhibiting Proinflammatory Factors and Fibrosis-Related Factors Expressions.

Science.gov (United States)

Hung, Yu-Ping; Lee, Chun-Lin

2017-06-08

Deep ocean water (DOW) has been shown to enhance the functional components of fungi, resulting in increased health benefits. Therefore, using DOW for culturing fungi can enhance the cordycepin and adenosine of Cordyceps militaris (CM) and its protective effects on the liver. In this study, the antiliver fibrosis effects and mechanisms of ultrapure water-cultured CM (UCM), DOW-cultured CM (DCM), synthetic water-cultured CM, DOW, cordycepin, and adenosine were compared in the liver fibrosis mice induced by intraperitoneal injections of thioacetamide (TAA). The results indicated that DCM exhibited superior performance in reducing liver collagen accumulation, mitigating liver injuries, inhibiting proinflammatory factors and fibrosis-related factor (TGF-β1, Smad2/3, α-SMA, COL1A1) expression compared with UCM. DOW, cordycepin, and adenosine also performed antiliver fibrosis effect. Therefore, because DCM is rich in DOW and functional components, it can achieve anti-liver fibrosis effects through multiple pathways. These ameliorative effects are considerably superior to those of UCM.

Utility of diffusion-weighted imaging in the evaluation of liver fibrosis

Energy Technology Data Exchange (ETDEWEB)

Bakan, Ayse Ahsen; Inci, Ercan; Cimilli, Tan [Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Radiology, Istanbul (Turkey); Bakan, Selim [Istanbul University, Faculty of Medicine, Deparment of Radiology, Istanbul (Turkey); Gokturk, Suut [Istanbul University, Faculty of Medicine, Department of Internal Medicine, Division of Gastroenterohepatology, Istanbul (Turkey)

2012-03-15

To evaluate the usefulness of diffusion- weighted MRI (DWI) in the detection and staging of liver fibrosis and inflammation. DWI was performed with b-factors of 0, 500 and 1000 s/mm{sup 2}. ADC values were obtained by placing circular regions of interest in four segments of the liver. Differences between the study (n = 34) and control groups' (n = 25) ADC values were examined. Further, this study investigated if and how ADC values were related to fibrosis stages and histological activity index (HAI) scores. The mean ADC value of the liver was smaller in the study group compared with the control group (P < 0.001). Spearman rho correlation analyses showed lower ADC values were associated with higher fibrosis and HAI scores (P < 0.01). There were statistically significant differences in liver ADC values between each combination of fibrosis stages (e.g. stages 0 and 1, 0 and 2) except for stages 1 and 2. ADC values prove to be a valuable technique for the diagnosis of liver fibrosis and inflammation. They can also be useful in fibrosis staging, particularly in distinguishing later stages of fibrosis from intermediate and early stages. (orig.)

Festival food coma in cystic fibrosis.

Science.gov (United States)

Pandit, Chetan; Graham, Christie; Selvadurai, Hiran; Gaskin, Kevin; Cooper, Peter; van Asperen, Peter

2013-07-01

Children with cystic fibrosis liver disease and portal hypertension are at risk of developing acute hepatic encephalopathy. Even in the presence of normal synthetic liver function these children may have porto-systemic shunting. We report a case of an adolosecent who had cystic fibrosis liver disease and presented with life threatening hepatinc encephalopathy. This case illustrates that it is necessary to consider an appropriate dietary regimen in adolosecents with liver disease to prevent hepatic decompensation. Copyright © 2012 Wiley Periodicals, Inc.

Los valores en el deporte: una experiencia educativa a través del Barça-Madrid Values in sport: a pedagogical experience with the football match Barça-Madrid

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Xavier Ginesta Portet

2007-03-01

Full Text Available El deporte ejerce mucha influencia en nuestra sociedad; y, sobre todo, entre los más jóvenes, quienes consumen deporte no sólo en las escuelas, sino también a través de los medios de comunicación. En algunos casos, los valores que los maestros y entrenadores intentan transmitir a sus alumnos o deportistas son diferentes que los valores que transmite el deporte-espectáculo consumido en directo o a través de los medios. En este artículo se relata, a partir del derbi de fútbol Barça-Madrid, una experiencia para intentar desarrollar la capacidad crítica del alumno respecto al deporte. Sport is very influential in our societies; above all, on youngsters. Young consumers are exposed to sport, not only at school, but also through the mass media. Sometimes, the values that teachers and coaches instil in their young pupils, sportsmen and sportswomen, are not the same values which they receive when they watch sport-entertainment events, through mass media or live. In this paper, we analyse an experience, a Barça-Madrid derby, to try to develop the critical capability of students regarding sport.

Lost in the city: the responsible consumption as message, and the city of Madrid as communication ecosystem

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Concepción Piñeiro

2012-03-01

Full Text Available The current rate of consumption is much higher than the ecology capacity of our environment. This is substantially important in cities where the imbalance of metabolic fluxes is greater. In this sense, to promote responsible consumption is the key to look for the urban sustainability, where the major communication messages are based on the current consumer society. Therefore we ask: what messages of responsible consumption are in the city? what discourses and practices related to responsible consumption are in Madrid? This work is an exploratory approach to that context and we use the technique of drift (28 drifts out in 2009 and distributed in four districts of the city of Madrid. We identify multiple and diverse discourses and practices associated with responsible consumption, especially in areas such as mobility, energy and water consumption or the use of time and space.Escuchar

The role of anaerobic bacteria in the cystic fibrosis airway.

Science.gov (United States)

Sherrard, Laura J; Bell, Scott C; Tunney, Michael M

2016-11-01

Anaerobic bacteria are not only normal commensals, but are also considered opportunistic pathogens and have been identified as persistent members of the lower airway community in people with cystic fibrosis of all ages and stages of disease. Currently, the role of anaerobic bacteria in cystic fibrosis lower airway disease is not well understood. Therefore, this review describes the recent studies relating to the potential pathophysiological role(s) of anaerobes within the cystic fibrosis lungs. The most frequently identified anaerobic bacteria in the lower airways are common to both cystic fibrosis and healthy lungs. Studies have shown that in cystic fibrosis, the relative abundance of anaerobes fluctuates in the lower airways with reduced lung function and increased inflammation associated with a decreased anaerobic load. However, anaerobes found within the lower airways also produce virulence factors, may cause a host inflammatory response and interact synergistically with recognized pathogens. Anaerobic bacteria are potentially members of the airway microbiota in health but could also contribute to the pathogenesis of lower airway disease in cystic fibrosis via both direct and indirect mechanisms. A personalized treatment strategy that maintains a normal microbial community may be possible in the future.

The Sociology and Entrenchment. A Cystic Fibrosis Test for Everyone?

DEFF Research Database (Denmark)

Koch, Lene; Stemerding, Dirk

1994-01-01

Socialmedicine, genetic screening, cystic fibrosis, ethics, political regulation, sociology of technology......Socialmedicine, genetic screening, cystic fibrosis, ethics, political regulation, sociology of technology...

Blood lipids analysis in patients with hepatitis and hepatic fibrosis

International Nuclear Information System (INIS)

Si Jianhong

2007-01-01

Objective: To investigate the correlationship between blood hepatic fibrosis markers and blood lipids levels. Methods: Serum hepatic fibrosis markers (HA, PC III, IV-C, LN) levels were determined with RIA and serum lipids (TG, TCh HDL; LDL, apoA1, apoB) were measured with biochemical methods in 98 patients with hepatitis in various stages and 50 controls. Liver biopsy was done in all the hepatitis patients. Results: Hepatic fibrosis was classified into 5 grades (S0-S4) according to the pathology shown in the biopsy specimen. The serum lipid levels decreased along with the increase of severity of fibrosis from S0 to S4. Levels in S4 patients were significantly lower than those in controls (P 0.05). Conclusion: The serum hepatic fibrosis markers levels increased and lipids levels decreased along with the progress of hepatitis from acute to cirrhosis. (authors)

The Making of a Feminist: Spaces of Self-Formation among Latina Immigrant Activists in Madrid

Science.gov (United States)

Dyrness, Andrea

2016-01-01

This article explores the role and meaning of auto-formación (self-formation) in the making of feminist, activist identities among Latin American activist women in Madrid, Spain. I argue that auto-formación, a collective process of self-recovery and consciousness-raising that is shared by third world feminists around the world, allows migrant…

Nephrogenic systemic fibrosis (NSF) and gadolinium-based contrast ...

African Journals Online (AJOL)

Nephrogenic systemic fibrosis (NSF), unknown before March 1997 and first described in 2000, is a systemic disorder characterised by widespread tissue fibrosis. The first known case occurred in 1997, after the use of gadolinium-based contrast agents (GBCAs) at high doses in patients with renal failure had become routine.

Gluteal muscle fibrosis with abduction contracture of the hip.

Science.gov (United States)

Al Bayati, Mohammed Ali; Kraidy, Bakir Kadhum

2016-03-01

Gluteal muscle fibrosis with hip contracture is a rare condition and causes major disability; literature reports are sparse. The aim of this study is to present, for the first time in Iraq and the region, a case series of gluteal fibrosis and the results of surgical treatment. Seven children--six boys and one girl--diagnosed as having gluteal muscle fibrosis with hip contracture, were investigated and treated by open surgical release of fibrotic bands and physiotherapy. All patients improved dramatically over the subsequent weeks, and were able to sit and squat in the normal position. Gluteal muscle fibrosis with hip contracture is present in Iraq and more awareness is needed for early diagnosis. Surgical treatment provided excellent results. More studies are needed to delineate the aetiology of the condition.

Idiopathic pulmonary fibrosis in a Staffordshire bull terrier with hypothyroidism.

Science.gov (United States)

Corcoran, B M; Dukes-McEwan, J; Rhind, S; French, A

1999-04-01

Radiographic evidence of chronic interstitial lung changes, usually believed to be attributable to lung fibrosis, is readily recognised in canine practice. Furthermore, there is a body of anecdotal evidence suggesting that a specific clinical entity consistent with chronic lung fibrosis occurs in specific breeds of terrier dogs. However, there is little pathological data to confirm these radiographic and clinical findings and, therefore, chronic interstitial lung disease of dogs is poorly characterised. In this report, a case of chronic pulmonary fibrosis is described in which histopathological confirmation was possible, and suggested that the condition might be analogous to idiopathic pulmonary fibrosis (cryptogenic fibrosing alveolitis) in humans.

[The Madrid autonomous community epidemiological bulletin. A survey on its dissemination and opinion thereof on among primary care physicians for the year 2000].

Science.gov (United States)

Fernández Rodríguez, Silvia; Zorrilla Torras, Belén; Ramírez Fernández, Rosa; Alvarez Castillo, M Carmen; López-Gay Lucio, Dulce; Ibáñez Martín, Cosuelo; Bueno Vallejos, Rafael

2002-01-01

The Autonomous Community of Madrid Epidemiological Bulletin is the main communications link between epidemiological monitoring system and health care professionals. The purpose of this study is that of ascertaining the dissemination and opinion of this Autonomous Community of Madrid Epidemiological Bulletin among primary care physicians for the purpose of adapting this publication to its readers' interests. A telephone survey among primary care physicians in the Autonomous Community of Madrid, asking how often they read the Bulletin, the interest and usefulness of the information included in it. The sample size was estimated at 346 physicians. A two-stage sampling process was carried out-by cluster sampling in the first stage, randomly selecting 125 health care centers and 2.7 physicians per center, 17% being primary care team coordinators. A comparison is made of the results among physicians and coordinators by means of the Chi-square and Fisher's Exact Test method, with Epi-Info v.6. A total of 305 surveys were conducted (245 physicians and 60 coordinators). There was an awareness of the existence of the Autonomous Community of Madrid Epidemiological Bulletin on the part of 91.5% (CI 95%: 88.1-94.8), and 27.2% (CI 95%: 21.9-32.5) were familiar with more than 50% of the last issues published. A total of 92.4% (CI 95%: 89.4-95.8) considered the Bulletin to be interesting or highly interesting, grading its usefulness an average of 3.5 on a maximum scale of 5. Of the permanent sections, the most highly-valued was Epidemic Outbreaks, those reports related to meningococcal infection, tuberculosis and HIV/AIDS being the most highly-valued. The Autonomous Community of Madrid Epidemiological Bulletin is a publication which, although not widely-known by the primary care physicians in the Community, is well-valued when it is read, thus being a useful feedback tool within the Epidemiological Monitoring System.

Risk factors associated with the blood lead levels of children in the Community of Madrid in 2010

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José María Ordóñez-Iriarte

2013-12-01

Full Text Available Introduction: Lead is a toxic element for humans, with children being the most vulnerable population.Objective: To find out the risk factors associated to the existing blood lead levels (BLLs of children in the Community of Madrid, after 9 years of lead being banned in gasoline.Methods: A cross-sectional study was carried out in 2010 with a sample of 85 children, less than 15 years of age, recruited via the outpatients’ service of the Pediatrics Department of the Hospital Clínico San Carlos in Madrid. Routine blood tests provided the opportunity for determining other blood parameters. Lead levels were measured using electrothermal-atomization atomic absorption spectrometry with the Zeeman-effect background correction. In addition, a survey was undertaken directed to the parents for gathering information about a series of socioeconomic and environmental variables.Results: The arithmetic mean of the BLLs in the children was 1.1 μg/dL (SD=0.7 μg/dL with a range from 0.1 μg/dL to 3.4 μg/dL. The geometric mean was 0.9 μg/dL (SD= 1.1 μg/dL. The risk factors associated to these BLLs are the following: playing in the street; low educational level of the parents; leisure activities of one of the parents linked to lead; tobacco smoking of the father; and drinking tap water.Conclusions: The BLLs of the children in the Community of Madrid have decreased, but there are still sociodemographic and environmental risk factors associated to the present levels.

Differences of diurnal variations of some aliphatic and polycyclic aromatic hydrocarbons concentrations in aerosols of the urban area of Madrid; Estudio de las variaciones diarias en las concentraciones de algunos hidrocarburos alifaticos y aromatico; policiclicos, en aerosoles de la zona urbana de Madrid

Energy Technology Data Exchange (ETDEWEB)

Perez, M. M.; Perez-Pastor, R. M.; Bea, F. J.; Campos, A.; Gonzalez, D.

1991-07-01

A study on daily concentration changes of polycyclic aromatic and aliphatic hydrocarbons (PAH's and AH's), was carried out in aerosols sampled m the Ciudad Universitaria of Madrid. Samples were taken at morning and night during February and June, for short sampling times, on glass fiber filters in Hi-Vol samplers, and then extracted ultrasonically with cyclohexane. Analysis were performed by HRGC with fused-silica capillary columns. The variable traffic rate, and the strong influence during winter periods of domestic heating are characteristic of this place. The aim of this work was to evaluate diurnal and seasonal variations of selected AH and PAH in the urban area of Madrid, by using descriptive parameters, such as total concentrations of AH and PAH, characteristic profiles and predominance carbon index. (Author)

International Conference on the Organometallic and Coordination Chemistry of Germanium, Tin and Lead (6th) Held in Brussels, Belgium on July 23-28, 1989

Science.gov (United States)

1989-07-28

Molybdenumý-Tn and Molybdenum-M~ercury Bonds P08 Tudela. David Departamento de Quimica (C-VIII), Universidad Aut6noma de Madrid, 28049 Madrid, Spain The...Departamento de Quimica Inorgfnica. Facultad de QuImicas . Universidad Complutense de Madrid. Madrid, 28040. SPAIN. Previously it has been shown that...University ot New York at Albany Albany, NY 12222, USA Camipo Santillana, Jose Antonio, Mr. Dpto Quimica Inorganica, Pac. CC. Quimicas Universidad

Historical water supply to The Monastery of El Paular: a “qanat” in the Guadarrama mountain range (Madrid, Spain); Abastecimiento histórico de agua al monasterio de El Paular: un qanat en la Sierra del Guadarrama (Madrid, España)

Energy Technology Data Exchange (ETDEWEB)

López Vera, F.; López-Camacho, B.

2017-09-01

The “qanat” is an ingenious system of collecting and conducting groundwater to a supply point. Its origin dates back to 3000 years ago in the area known today as Armenia, and it had spread widely throughout Persia by 600 BC. The expansion of Islam spread this technique from China to the Iberian Peninsula, where it has received various local names. In Madrid, the technique was widely used for water supply from the ninthcentury until the mid-twentieth century, and in recent centuries received the name “Viajes de agua”. However, the geological and socio-economic environment of the Sierra de Guadarrama in Madrid is not, and has never been, appropriate for the implementation of this type of water catchment. This is why the qanat supply of the former Charterhouse of Santa María de El Paular (Rascafría), which shows a very similar typology to the “Viajes de agua”, modified or constructed in Madrid between the 17th and 19th centuries, is so original. Three “capirotes” (hoods) and a “distribution ark” have been located “in situ” in the vicinity of the Monastery and another “capirote” is used as an ornamental element in the courtyard of the old Hotel El Paular. In this paper we present the results obtained in the field study and files on this “Viaje de agua”, its context within the old Monastery supply, its water quality and various hydrological and hydraulic considerations. [Spanish] El qanat es un ingenioso sistema de captación y conducción de agua subterránea cuyo origen se sitúa en la zona conocida hoy como Armenia hace 3000 años y ampliamente difundida en Persia hacia el 600 aC. La expansión del Islam difundió esta técnica desde China a la Península Ibérica, donde ha estado muy extendida, conocida con diversos nombres locales. En Madrid, fue muy utilizada para el abastecimiento de agua desde el siglo IX hasta mediados del siglo XX, recibiendo en los últimos siglos el castizo nombre de “viaje de agua”. Sin embargo, el

Promoting Entrepreneurial Culture in the University: The Institutional Collaborative Model at the Universidad Autonoma de Madrid

Science.gov (United States)

de Pablo, Isidro; Alfaro, Fernando; Rodriguez, Miriam; Valdes, Esperanza

2011-01-01

This paper presents a case of collaboration between different types of public services and the private sector for the promotion of an entrepreneurial culture. This collaboration is achieved by means of a centre established and developed by the Universidad Autonoma de Madrid, the Centro de Iniciativas Emprendedoras (the Centre for Entrepreneurial…

induced pulmonary fibrosis in mice via regulation of IL

African Journals Online (AJOL)

TRAF6, IL-33 and ST2 in lung tissue were determined by western blotting assay. Serum levels of ..... facilitate excessive tissue repair and fibrosis [20]. Therefore ... to cancer biology. ... liver regeneration, fibrosis and carcinogenesis. Hepatol.

Catálogo de las muestras de fauna de la Comunidad de Madrid conservadas en la colección de Tejidos y ADN del Museo Nacional de Ciencias Naturales

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Rey, I.

2006-05-01

Full Text Available This work presents the catalogue of preserved samples of animal species (vertebrate and invertebrate from Comunidad de Madrid kept in the Tissues and DNA Collection of the Museo Nacional de Ciencias Naturales. Percentages are shown, calculated against the total number of samples and animal class kept in the collection. This information shows the effort developed by the Museo Nacional de Ciencias Naturales to preserve at the genomic level the greatest possible level of genomic biodiversity in Comunidad de Madrid.

Este trabajo presenta el catálogo de muestras conservadas en la colección de Tejidos y ADN de las especies animales (vertebrados e invertebrados de la Comunidad de Madrid. Se proporcionan los porcentajes frente al total de las muestras conservadas en la colección y las clases animales representadas. Esta información pone de manifiesto el esfuerzo que el Museo Nacional de Ciencias Naturales realiza para conservar a nivel genómico el mayor porcentaje posible de la diversidad actual de la Comunidad de Madrid.

Fibrocytes in pulmonary fibrosis: a brief synopsis

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Shyam Maharaj

2013-12-01

Full Text Available Fibrocytes are bone marrow-derived, circulating mesenchymal progenitor cells that play a role in several fibrotic disorders, including lung fibrosis. They are attracted to injured tissue by various chemokines. It is likely that fibrocytes play a detrimental role in tissue homeostasis and promote fibrosis, although this paradigm needs further confirmation. This would make fibrocytes a possible novel treatment target for fibrotic disorders. Fibrocytes also have some potential as a biomarker for idiopathic pulmonary fibrosis (IPF and other diseases, but the promising preliminary data from single centre studies still require independent validation. Despite several, as yet, unresolved issues, it has become clear that fibrocytes are more than an incidental finding in lung injury and repair, and may hold great promise for the future of IPF management.

Retroperitoneal fibrosis with pancreatic involvement – radiological appearance

International Nuclear Information System (INIS)

Zielonko, Joanna; Obołończyk, Łukasz

2011-01-01

Retroperitoneal fibrosis or Ormond’s disease is an uncommon process characterized by fibrous tissue proliferation in the retroperitoneum, usually involving the aorta, inferior vena cava and iliac vessels. Obstructive hydronephrosis is often observed due to ureteral entrapment. This report presents a case of the peripancreatic location of the disease. The role of CT and MRI in establishing diagnosis of retroperitoneal fibrosis in an atypical site is discussed. A 52-year-old woman with Hashimoto’s thyroiditis was admitted to hospital because of pain suggesting renal colic. The patient was subjected to ultrasound, CT, and MRI which did not confirm urolithiasis but revealed pancreatic infiltration. Partial pancreatectomy, left-sided adrenalectomy and splenectomy were performed. Retroperitoneal fibrosis was diagnosed in the histopathological examination. A few weeks after surgery, a complication such as pancreatitis developed. Repeat CT confirmed it and showed right hydronephrosis secondary to ureteral involvement by a mass adjacent to the common iliac artery (defined as a typical manifestation of retroperitoneal fibrosis). Nephrostomy and conservative treatment improved the clinical state of the patient. No progression of the process was observed in the follow-up examinations. Atypical retroperitoneal fibrosis remains a diagnostic challenge. Imaging techniques CT and MRI are useful tools for evaluating the extent of Ormond’s disease. An unusual distribution of the process (e.g. peripancreatic location reported in this study) requires histopathological assessment to establish the final diagnosis

Nephrogenic systemic fibrosis

DEFF Research Database (Denmark)

Khurram, Misbah; Skov, Lone; Rossen, Kristian

2007-01-01

Nephrogenic systemic fibrosis (NSF) is a fibrotic disease seen in renal failure patients that may lead to severe physical disability. It has been demonstrated in recent studies that NSF can be caused by some gadolinium-containing MRI contrast agents. In this report we present one of a total of 26...

MEDIDAS DE EXPOSICIÓN A LA MOVILIDAD EN LAS LESIONES GRAVES POR TRÁFICO EN LA COMUNIDAD DE MADRID

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Luis Velázquez Buendía

2015-01-01

Full Text Available Fundamentos: La búsqueda de indicadores apropiados para estimar el riesgo de lesiones por tráfico es actualmente un área de interés relevante. El objetivo de este estudio fue realizar una descripción de la morbilidad hospitalaria y la mortalidad por lesiones por tráfico en la Comunidad de Madrid, según edad y sexo, utilizando y comparando entre sí tasas por población, por personas-km y por personas-horas. Métodos: Estudio descriptivo transversal en la Comunidad de Madrid referido al período 2003-2005. Se estimaron y compararon por edad y sexo tasas de morbilidad y mortalidad por población, por personas-km recorridos y por personas-horas de desplazamiento. Se utilizaron como fuentes de información el Conjunto Mínimo Básico de Datos Hospitalarios de 2003-2005, la Encuesta Domiciliaria de Movilidad de 2004 en la Comunidad de Madrid y el registro de mortalidad del Instituto de Estadística de la Comunidad de Madrid. Resultados: Se identificaron 7.413 altas hospitalarias y 1.046 defunciones. Las tasas poblacionales de morbilidad hospitalaria y mortalidad fueron de 62,24 y 9,20/100.000 habitantes respectivamente en hombres, y de 23,80 y 2,97/100.000 en mujeres, siendo las más elevadas en varones de 16-24 años (119,27 altas y 12,00 fallecidos por 100.000 habitantes. Las tasas por exposición más altas correspondieron a mujeres de 65 y más años: 649,78 altas y 96,72 fallecidas por 109 km, y 13,11 altas y 1,95 fallecidas por 106 horas de desplazamiento. Conclusiones: La morbi-mortalidad fue mayor en hombres en todos los indicadores. Los indicadores basados en la exposición a la movilidad, frente a las tasas poblacionales, reducen la morbi-mortalidad de lesiones por tráfico en hombres y en edades jóvenes y aumentan la misma en edades avanzadas.

Assessment of myocardial fibrosis with T1 mapping MRI

International Nuclear Information System (INIS)

Everett, R.J.; Stirrat, C.G.; Semple, S.I.R.; Newby, D.E.; Dweck, M.R.; Mirsadraee, S.

2016-01-01

Myocardial fibrosis can arise from a range of pathological processes and its presence correlates with adverse clinical outcomes. Cardiac magnetic resonance (CMR) can provide a non-invasive assessment of cardiac structure, function, and tissue characteristics, which includes late gadolinium enhancement (LGE) techniques to identify focal irreversible replacement fibrosis with a high degree of accuracy and reproducibility. Importantly the presence of LGE is consistently associated with adverse outcomes in a range of common cardiac conditions; however, LGE techniques are qualitative and unable to detect diffuse myocardial fibrosis, which is an earlier form of fibrosis preceding replacement fibrosis that may be reversible. Novel T1 mapping techniques allow quantitative CMR assessment of diffuse myocardial fibrosis with the two most common measures being native T1 and extracellular volume (ECV) fraction. Native T1 differentiates normal from infarcted myocardium, is abnormal in hypertrophic cardiomyopathy, and may be particularly useful in the diagnosis of Anderson–Fabry disease and amyloidosis. ECV is a surrogate measure of the extracellular space and is equivalent to the myocardial volume of distribution of the gadolinium-based contrast medium. It is reproducible and correlates well with fibrosis on histology. ECV is abnormal in patients with cardiac failure and aortic stenosis, and is associated with functional impairment in these groups. T1 mapping techniques promise to allow earlier detection of disease, monitor disease progression, and inform prognosis; however, limitations remain. In particular, reference ranges are lacking for T1 mapping values as these are influenced by specific CMR techniques and magnetic field strength. In addition, there is significant overlap between T1 mapping values in healthy controls and most disease states, particularly using native T1, limiting the clinical application of these techniques at present.

Assessment of myocardial fibrosis with T1 mapping MRI.

Science.gov (United States)

Everett, R J; Stirrat, C G; Semple, S I R; Newby, D E; Dweck, M R; Mirsadraee, S

2016-08-01

Myocardial fibrosis can arise from a range of pathological processes and its presence correlates with adverse clinical outcomes. Cardiac magnetic resonance (CMR) can provide a non-invasive assessment of cardiac structure, function, and tissue characteristics, which includes late gadolinium enhancement (LGE) techniques to identify focal irreversible replacement fibrosis with a high degree of accuracy and reproducibility. Importantly the presence of LGE is consistently associated with adverse outcomes in a range of common cardiac conditions; however, LGE techniques are qualitative and unable to detect diffuse myocardial fibrosis, which is an earlier form of fibrosis preceding replacement fibrosis that may be reversible. Novel T1 mapping techniques allow quantitative CMR assessment of diffuse myocardial fibrosis with the two most common measures being native T1 and extracellular volume (ECV) fraction. Native T1 differentiates normal from infarcted myocardium, is abnormal in hypertrophic cardiomyopathy, and may be particularly useful in the diagnosis of Anderson-Fabry disease and amyloidosis. ECV is a surrogate measure of the extracellular space and is equivalent to the myocardial volume of distribution of the gadolinium-based contrast medium. It is reproducible and correlates well with fibrosis on histology. ECV is abnormal in patients with cardiac failure and aortic stenosis, and is associated with functional impairment in these groups. T1 mapping techniques promise to allow earlier detection of disease, monitor disease progression, and inform prognosis; however, limitations remain. In particular, reference ranges are lacking for T1 mapping values as these are influenced by specific CMR techniques and magnetic field strength. In addition, there is significant overlap between T1 mapping values in healthy controls and most disease states, particularly using native T1, limiting the clinical application of these techniques at present. Copyright © 2016 The Royal College

Localized bilateral perirenal fibrosis, a rare cause of idiopathic retroperitoneal fibrosis

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Maja Kveder

2014-08-01

Full Text Available Background: Idiopathic retroperitoneal fibrosis is an infrequent process of unknown aetiology characterised by fibrous tissue proliferation in the retroperitoneum. Even less frequent is a localized form of this disease by a proliferation of fibrous tissue around single or both kidneys.Case report: We describe a case of 46-year old man in whom medical management was started for accidentally discovered arterial hypertension, which turned out to be difficult to control.   During diagnostic work-up of hypertension, an abdominal ultrasound was obtained a year later demonstrating slight bilateral caliectasis without obvious visible cause for it. Laboratory exams have shown significantly impaired renal function, normocytic anaemia, slightly higher sedimentation rate, increased CRP and normal urinalysis. Nephrologist has decided for hospitalisation during which magnetic resonance imaging was performed  showing a few mm wide tissue coats surrounding both kidneys with fluid lying between the coat and kidney capsule. A biopsy of perirenal mass has confirmed a dense cellular lesion consisted of interweaved fascicles of spindle-shaped cells. After exclusion of tumours and other causes, a diagnosis of retroperitoneal fibrosis was confirmed. Clinical picture and laboratory data corresponded to idiopathic form of this disease. A treatment with tamoxifen was started after patient refused treatment with methylprednisolone. During tamoxifen monotherapy, there was gradual significant improvement of general symptoms, notable decline in inflammation markers, improvement of anaemia, normalisation of kidney function, and normalisation of blood pressure. Conclusion: Retroperitoneal fibrosis is still an obscure and multifaceted disease. A proper selection of diagnostic methods is the key to correct and fast diagnosis as well as good grounding for proper treatment.

FibroMeters: a family of blood tests for liver fibrosis.

Science.gov (United States)

Calès, P; Boursier, J; Oberti, F; Hubert, I; Gallois, Y; Rousselet, M-C; Dib, N; Moal, V; Macchi, L; Chevailler, A; Michalak, S; Hunault, G; Chaigneau, J; Sawadogo, A; Lunel, F

2008-09-01

FibroMeters are blood tests for liver fibrosis with several specificities: two main diagnostic targets (fibrosis stage and area of fibrosis); adaptation to specific causes; and results confirmed by an expert system. Thus, FibroMeters comprise six different tests: one for staging and one for quantitation of liver fibrosis in each of the three main causes of chronic liver disease-chronic viral hepatitis, alcoholic liver disease (ALD) and non-alcoholic fatty liver disease (NAFLD). FibroMeters display a high overall diagnostic accuracy and are the only tests to correctly classify 100% of HCV patients without fibrosis or with cirrhosis. They have 90% predictive values in a higher proportion of patients than with other usual blood tests. A 90% correct classification is available in 100% of HCV patients with the following reliable diagnostic intervals: F0/1, F1/2, F2+/-1, F3+/-1. In real-life conditions, the reproducibility of FibroMeters is higher than that of liver biopsy or ultrasonographic elastometry. FibroMeters are robust tests with the most stable diagnostic performance across different centers. Optional tests are also available, such as a specific one for cirrhosis, which has a diagnostic accuracy of 93.0% (AUROC: 0.92) and a 100% positive predictive value for diagnosis of HCV cirrhosis. Determination by FibroMeters of the area of fibrosis - the only direct, non-invasive, quantitative measurement of liver fibrosis - are especially useful for following-up cirrhosis as it correlates well with clinical events. FibroMeters are also very accurate in HVB or HIV-HCV co-infected patients. The tests specific for ALD and NAFLD also have a high diagnostic accuracy (AUROCs: 0.96 and 0.94, respectively, for significant fibrosis).

Radiation-induced pulmonary fibrosis: examination of chemokine and chemokine receptor families.

Science.gov (United States)

Johnston, Carl J; Williams, Jacqueline P; Okunieff, Paul; Finkelstein, Jacob N

2002-03-01

Fibrosis is a common outcome of chronic inflammation or injury. Pulmonary fibrosis may be the result of abnormal repair after an acute inflammatory response. The process of repair initiated by a tissue insult is largely a function of the activation of cells to produce important biological mediators such as cytokines, growth factors and chemokines, which orchestrate most aspects of the inflammatory response. Consequently, altered regulation of the production of inflammatory cell cytokines and chemokines after injury and repair likely contributes to the fibrosis. Our hypothesis is that chronic expression of specific chemokine and chemokine receptors during the fibrotic phase induced by thoracic irradiation may perpetuate the recruitment and activation of lymphocytes and macrophages, which may contribute to the development of fibrosis. Fibrosis-sensitive (C57BL/6) and fibrosis-resistant (C3H/HeJ) mice were irradiated with a single dose of 12.5 Gy to the thorax. Total lung RNA was prepared and hybridized using microarray analysis and RNase protection assays. At 26 weeks postirradiation, messages encoding the chemokines BLC (now known as Scyb13), C10 (now known as Scya6), IP-10 (now known as Scyb10), MCP-1 (now known as Scya2), MCP-3 (now known as Scya7), MIP-1gamma (now known as Scya9), and RANTES (now known as Scya5) and the chemokine receptors Ccr1, Ccr2, Ccr5 and Ccr6 were elevated in fibrosis-sensitive (C57BL/6) mice. In contrast, only the messages encoding SDF-1alpha (now known as Sdf1) and Ccr1 were elevated 26 weeks postirradiation in fibrosis-resistant (C3H/HeJ) mice. Our results point to the CC and CCR family members as the predominant chemokine responders during the development of fibrosis. These studies suggest that monocyte/macrophage and lymphocyte recruitment and activation are key components of radiation-induced fibrosis.

Guidelines for the medical treatment of idiopathic pulmonary fibrosis.

Science.gov (United States)

Xaubet, Antoni; Molina-Molina, María; Acosta, Orlando; Bollo, Elena; Castillo, Diego; Fernández-Fabrellas, Estrella; Rodríguez-Portal, José Antonio; Valenzuela, Claudia; Ancochea, Julio

2017-05-01

Idiopathic pulmonary fibrosis is defined as chronic fibrosing interstitial pneumonia limited to the lung, with poor prognosis. The incidence has been rising in recent years probably due to improved diagnostic methods and increased life expectancy. In 2013, the SEPAR guidelines for the diagnosis and treatment for idiopathic pulmonary fibrosis were published. Since then, clinical trials and meta-analyses have shown strong scientific evidence for the use of pirfenidone and nintedanib in the treatment of idiopathic pulmonary fibrosis. In 2015, the international consensus of 2011 was updated and new therapeutic recommendations were established, prompting us to update our recommendation for the medical treatment of idiopathic pulmonary fibrosis accordingly. Diagnostic aspects and non-pharmacological treatment will not be discussed as no relevant developments have emerged since the 2013 guidelines. Copyright © 2017 SEPAR. Publicado por Elsevier España, S.L.U. All rights reserved.

Redes alimentarias alternativas en grandes ciudades: los mercados de productores agrarios en Madrid

OpenAIRE

Ricardo Méndez Gutiérrez del Valle; Obdulia Monteserín Abella

2017-01-01

Las redes alimentarias alternativas constituyen una temática de investigación emergente en los estudios urbanos, que cuestiona los modelos dominantes de producción, distribución y consumo de alimentos. Una de sus manifestaciones son los mercados de productores, que ponen en contacto directo a productores periurbanos y rurales con consumidores urbanos, favoreciendo las relaciones de proximidad y los circuitos cortos. El artículo investiga los mercados de productores en Madrid mediante una estr...

Politics of civility: the case of the Association of Undocumented People of Madrid

DEFF Research Database (Denmark)

Agustin, Oscar Garcia

2013-01-01

The mobilization of undocumented immigrants in civil society reflects the politics of civility, defined by Balibar as the creation of a space for an inclusive political community based on equality. The case analysed in this article, the Association of Undocumented People of Madrid, refers......, they also require a more radical change in society (i.e. ‘societal change’). Thinking beyond the framework of national citizenship, migrants, as workers, attempt to foster alternative economic and social conditions....

Pancreatic fibrosis correlates with exocrine pancreatic insufficiency after pancreatoduodenectomy

NARCIS (Netherlands)

T.C. Tran; G. van 't Hof; G. Kazemier (Geert); W.C.J. Hop (Wim); C.J. Pek (Chulja); A.W. van Toorenenbergen (Albert); H. van Dekken (Herman); C.H.J. van Eijck (Casper)

2008-01-01

textabstractBackground: Obstruction of the pancreatic duct can lead to pancreatic fibrosis. We investigated the correlation between the extent of pancreatic fibrosis and the postoperative exocrine and endocrine pancreatic function. Methods: Fifty-five patients who were treated for pancreatic and

Nutrient Status of Adults with Cystic Fibrosis

Science.gov (United States)

GORDON, CATHERINE M.; ANDERSON, ELLEN J.; HERLYN, KAREN; HUBBARD, JANE L.; PIZZO, ANGELA; GELBARD, RONDI; LAPEY, ALLEN; MERKEL, PETER A.

2011-01-01

Nutrition is thought to influence disease status in patients with cystic fibrosis (CF). This cross-sectional study sought to evaluate nutrient intake and anthropometric data from 64 adult outpatients with cystic fibrosis. Nutrient intake from food and supplements was compared with the Dietary Reference Intakes for 16 nutrients and outcomes influenced by nutritional status. Attention was given to vitamin D and calcium given potential skeletal implications due to cystic fibrosis. Measurements included weight, height, body composition, pulmonary function, and serum metabolic parameters. Participants were interviewed about dietary intake, supplement use, pulmonary function, sunlight exposure, and pain. The participants’ mean body mass index (±standard deviation) was 21.8±4.9 and pulmonary function tests were normal. Seventy-eight percent used pancreatic enzyme replacement for malabsorption. Vitamin D deficiency [25-hydroxyvitamin D (25OHD)<37.5 nmol/L] was common: 25 (39%) were deficient despite adequate vitamin D intake. Lipid profiles were normal in the majority, even though total and saturated fat consumption represented 33.0% and 16.8% of energy intake, respectively. Reported protein intake represented 16.9% of total energy intake (range 10%–25%). For several nutrients, including vitamin D and calcium, intake from food and supplements in many participants exceeded recommended Tolerable Upper Intake Levels. Among adults with cystic fibrosis, vitamin D deficiency was common despite reported adequate intake, and lipid profiles were normal despite a relatively high fat intake. Mean protein consumption was adequate, but the range of intake was concerning, as both inadequate or excessive intake may have deleterious skeletal effects. These findings call into question the applicability of established nutrient thresholds for patients with cystic fibrosis. PMID:18060897

[Typologies of Madrid's citizens (Spain) at the end-of-life: cluster analysis].

Science.gov (United States)

Ortiz-Gonçalves, Belén; Perea-Pérez, Bernardo; Labajo González, Elena; Albarrán Juan, Elena; Santiago-Sáez, Andrés

2018-03-06

To establish typologies within Madrid's citizens (Spain) with regard to end-of-life by cluster analysis. The SPAD 8 programme was implemented in a sample from a health care centre in the autonomous region of Madrid (Spain). A multiple correspondence analysis technique was used, followed by a cluster analysis to create a dendrogram. A cross-sectional study was made beforehand with the results of the questionnaire. Five clusters stand out. Cluster 1: a group who preferred not to answer numerous questions (5%). Cluster 2: in favour of receiving palliative care and euthanasia (40%). Cluster 3: would oppose assisted suicide and would not ask for spiritual assistance (15%). Cluster 4: would like to receive palliative care and assisted suicide (16%). Cluster 5: would oppose assisted suicide and would ask for spiritual assistance (24%). The following four clusters stood out. Clusters 2 and 4 would like to receive palliative care, euthanasia (2) and assisted suicide (4). Clusters 4 and 5 regularly practiced their faith and their family members did not receive palliative care. Clusters 3 and 5 would be opposed to euthanasia and assisted suicide in particular. Clusters 2, 4 and 5 had not completed an advance directive document (2, 4 and 5). Clusters 2 and 3 seldom practiced their faith. This study could be taken into consideration to improve the quality of end-of-life care choices. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

Proceso constructivo del Rockódromo Arena de Madrid, España

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Barbero, J. M.

2009-06-01

Full Text Available It has understand this project as a need to repair the Rockodromo place located in Casa de Campo of Madrid by means of the construction of Arena pavilion, an auxiliary pavilion and a connection tunnel. The aim is the possibility of contain multiple uses, as spectacle use with a total capacity of 10.800 seat spectators, a fair use. It has projected a roof with a “bicycle wheel typology” for covering the Arena Pavilion as the most identify element. This roof will is able to provide the light that needs this building types.Este proyecto parte de la necesidad de consolidar el recinto del Rockódromo de la Casa de Campo de Madrid mediante la construcción de un Pabellón Arena, un Pabellón auxiliar y un Túnel de conexión. El propósito de la obra consiste en la posibilidad de albergar en el Pabellón unos usos múltiples que permitan su funcionamiento como lugar de espectáculos, con una capacidad de 10.800 asientos, así como de usos feriales. Se ha proyectado una cubierta como el elemento más identificador, con una tipología de “rueda de bicicleta”, para cubrir el Pabellón Arena, que debido a su diafanidad y versatilidad puede ser capaz de suministrar la luz que requieren este tipo de edificios.

PEDICLE TONGUE FLAP SURGERY IN ORAL SUBMUCOUS FIBROSIS

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Muthubabu K

2016-09-01

Full Text Available BACKGROUND Oral submucous fibrosis is a disease of unknown aetiology and is a legacy of Indians. It has been variously treated both medically and surgically but neither has been found to be rewarding. Various groups have been studying the therapy schedules and aetiological association, but the conclusions have remained unclear. AIM The study aims to focus on newer surgical therapy stressing on the mechanics and use of pedicle tongue flap in the management of this condition. METHODS AND MATERIALS The study comprised of 40 patients from our outpatient department suffering from oral submucous fibrosis in the age group of 11 to 70 years. The contributory factors of oral submucous fibrosis and the symptoms of the disease were evaluated and the role of pedicle tongue flap surgery in the management of this disease which is a premalignant condition is discussed. RESULTS AND CONCLUSION Pedicle tongue flap surgery has given promising results in the treatment of trismus due to oral submucous fibrosis. After the surgery, none of our patients developed any malignant change.

Differences of diurnal variations of some aliphatic and polycyclic aromatic hydrocarbons concentrations in aerosols of the urban area of Madrid

International Nuclear Information System (INIS)

Perez, M. M.; Perez-Pastor, R. M.; Bea, F. J.; Campos, A.; Gonzalez, D.

1991-01-01

A study on daily concentration changes of polycyclic aromatic and aliphatic hydrocarbons (PAH's and AH's), was carried out in aerosols sampled m the Ciudad Universitaria of Madrid. Samples were taken at morning and night during February and June, for short sampling times, on glass fiber filters in Hi-Vol samplers, and then extracted ultrasonically with cyclohexane. Analysis were performed by HRGC with fused-silica capillary columns. The variable traffic rate, and the strong influence during winter periods of domestic heating are characteristic of this place. The aim of this work was to evaluate diurnal and seasonal variations of selected AH and PAH in the urban area of Madrid, by using descriptive parameters, such as total concentrations of AH and PAH, characteristic profiles and predominance carbon index. (Author)

Episodic seasonal Pseudo-Bartter syndrome in cystic fibrosis.

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Kintu, Brett; Brightwell, Alex

2014-06-01

Pseudo-Bartter syndrome (PBS) describes an uncommon but well recognised complication of cystic fibrosis leading to hypochloraemic, hypokalaemic metabolic alkalosis. Pseudo-Bartter syndrome is usually seen at initial presentation or within the first two years of life in children with cystic fibrosis. Risk factors for development of PBS include warm weather conditions, severe respiratory or pancreatic disease and gastrointestinal losses (e.g. vomiting and diarrhoea). PBS is rare in older children and adolescents although epidemics have been associated with heat wave conditions in warmer climates. In this era of climate change, it is crucial that clinicians consider Pseudo-Bartter syndrome when patients with cystic fibrosis present unwell during summer. Copyright © 2014 Elsevier Ltd. All rights reserved.

Treatment and education reduce the severity of schistosomiasis periportal fibrosis

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Paula Carolina Valenca Silva

2013-07-01

Full Text Available Introduction This study evaluates the factors associated with the development of severe periportal fibrosis in patients with Schistosoma mansoni. Methods A cross-sectional study was conducted from April to December 2012 involving 178 patients infected with S. mansoni who were treated in the Hospital das Clínicas of Pernambuco, Brazil. Information regarding risk factors was obtained using a questionnaire. Based on the patients' epidemiological history, clinical examination, and upper abdomen ultrasound evaluation, patients were divided into 2 groups: 137 with evidence of severe periportal fibrosis and 41 patients without fibrosis or with mild or moderate periportal fibrosis. Univariate and multivariate analyses were conducted using EpiInfo software version 3.5.5. Results Illiterate individuals (30.1% and patients who had more frequent contact with contaminated water in towns in the Zona da Mata of Pernambuco (33.2% were at greater risk for severe periportal fibrosis. Based on multivariate analysis, it was determined that an education level of up to 11 years of study and specific prior treatment for schistosomiasis were preventive factors for severe periportal fibrosis. Conclusions The prevailing sites of the severe forms of periportal fibrosis are still within the Zona da Mata of Pernambuco, although there has been an expansion to urban areas and the state coast. Specific treatment and an increased level of education were identified as protective factors, indicating the need for implementing social, sanitary, and health education interventions aimed at schistosomiasis to combat the risk factors for this major public health problem.

Inhibiting aerobic glycolysis suppresses renal interstitial fibroblast activation and renal fibrosis.

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Ding, Hao; Jiang, Lei; Xu, Jing; Bai, Feng; Zhou, Yang; Yuan, Qi; Luo, Jing; Zen, Ke; Yang, Junwei

2017-09-01

Chronic kidney diseases generally lead to renal fibrosis. Despite great progress having been made in identifying molecular mediators of fibrosis, the mechanism that governs renal fibrosis remains unclear, and so far no effective therapeutic antifibrosis strategy is available. Here we demonstrated that a switch of metabolism from oxidative phosphorylation to aerobic glycolysis (Warburg effect) in renal fibroblasts was the primary feature of fibroblast activation during renal fibrosis and that suppressing renal fibroblast aerobic glycolysis could significantly reduce renal fibrosis. Both gene and protein assay showed that the expression of glycolysis enzymes was upregulated in mouse kidneys with unilateral ureter obstruction (UUO) surgery or in transforming growth factor-β1 (TGF-β1)-treated renal interstitial fibroblasts. Aerobic glycolysis flux, indicated by glucose uptake and lactate production, was increased in mouse kidney with UUO nephropathy or TGF-β1-treated renal interstitial fibroblasts and positively correlated with fibrosis process. In line with this, we found that increasing aerobic glycolysis can remarkably induce myofibroblast activation while aerobic glycolysis inhibitors shikonin and 2-deoxyglucose attenuate UUO-induced mouse renal fibrosis and TGF-β1-stimulated myofibroblast activation. Furthermore, mechanistic study indicated that shikonin inhibits renal aerobic glycolysis via reducing phosphorylation of pyruvate kinase type M2, a rate-limiting glycolytic enzyme associated with cell reliance on aerobic glycolysis. In conclusion, our findings demonstrate the critical role of aerobic glycolysis in renal fibrosis and support treatment with aerobic glycolysis inhibitors as a potential antifibrotic strategy. Copyright © 2017 the American Physiological Society.

Fibrosis endomiocárdica

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María Juliana Rodríguez-González

2017-07-01

Una de las formas más comunes de miocardiopatía restrictiva es la fibrosis endomiocárdica la cual es endémica en algunas zonas tropicales especialmente en África (países de bajos ingresos, pero en nuestro medio hay pocos reportes de aparición. Su etiología es desconocida, aunque existen diversos mecanismos que han sido involucrados en su fisiopatología. Su diagnóstico se basa en estudios imagenológicos (ecocardiograma transtorácico y resonancia magnética nuclear cardíaca. El pronóstico es muy pobre, y usualmente se diagnostica en etapas muy avanzadas de la enfermedad. Se describe el caso de una paciente femenina, adulta media, que debutó con cardiopatía restrictiva, cuyo diagnóstico final fue fibrosis endomiocárdica.

Características sociodemográficas de la población inmigrante diagnosticada de tuberculosis en la Comunidad de Madrid Sociodemographic characteristics of the immigrant population with a diagnosis of tuberculosis in the autonomous community of Madrid (Spain

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Belén Sanz Barbero

2007-04-01

Full Text Available Objetivo: Describir las características sociodemográficas de la población inmigrante enferma de tuberculosis en la Comunidad de Madrid. Pacientes y método: Estudio descriptivo. Captación de casos: 15 hospitales de la Comunidad de Madrid y 3 consultas de atención primaria de la Cruz Roja. Se incluyeron a los inmigrantes económicos, mayores de 15 años, no internos en prisión y diagnosticados de tuberculosis durante el año 2003. Resultados: Se identificaron 312 personas, 296 formaron parte del estudio. Las principales nacionalidades fueron Ecuador (27,4% y Marruecos (19,3%. Un 18,9% de la población no tenía cobertura sanitaria. El tiempo medio transcurrido desde la entrada en España y la enfermedad fue de 29,5 meses. El 66,9% vivía con algún familiar. El 63,2% de la población que estaba laboralmente activa realizaba trabajos informales. El principal factor de riesgo fue ser bebedor de riesgo. Conclusiones: Es necesario conocer la situación sociosanitaria de la población inmigrante enferma de tuberculosis para poder adaptar los programas de control a una nueva situación epidemiológica y social.Objetive: To describe the social and demographic characteristics of immigrant patients diagnosed of tuberculosis in the Community of Madrid. Participants and method: Descriptive study. The information was gathered from the patients diagnosed in 15 hospitals of the Community of Madrid, and 3 primary health Red Cross facilities. Criteria for inclusion: to be tuberculosis diagnosed during the year 2003, to be economic immigrant, to be older than 15 year-old, and not to be in prison. Results: 312 persons were identified. 296 were included in the study. Main nationalities: Ecuador (27.4% and Morocco (19.3%. The 18.9% of the population does not have health insurance. The time between the arrival to Spain and the illness was 29.5 months. The 66.9% of the cases lived with some relatives. The 63.2% of the active population worked in the informal

Evidences of Paleoearthquakes in Palaeolithic settlements within fluvial sequences of the Tagus Basin (Madrid, Central Spain).

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Silva, Pablo G.; Rodríguez Pascua, M. A.; Pérez López, R.; Giner Robles, J. L.; Roquero, E.; Tapias, F.; López Recio, M.; Rus, I.; Morin, J.

2010-05-01

Multiple evidences of soft-sediment to brittle deformation within the Pleistocene fluvial terraces of the Tagus, Jarama, Tajuña and Manzanares river valleys have been described since the middle 20th Century. Cryoturbation, hydroplastic deformations due to underlying karstic collapses or halokinesis on the substratum of neogene gypsums, and seismic shaking have been proposed to interpret these structures. These deformations are typically concentrated in the +18-20 m terrace levels, and closely linked to well-known Palaeolithic sites, in some cases overlaying and/or affecting true prehistoric settlements (i.e. Arganda, Arriaga and Tafesa sites) within the Jarama and Manzanares valleys. The affected settlements typically display acheulian lithic industry linked to the scavenging of large Pleistocene mammals (i.e. Elephas antiquus). Commonly, deformational structures are concentrated in relatively thin horizons (10-50 cm thick) bracketed by undeformed fluvial sands and gravels. The soft-sediment deformations usually consist on medium to fine sized sands injected and protruded in overlaying flood-plain clayey silts, showing a wide variety of convolutes, injections, sand-dikes, dish and pillar structures, mud volcanoes, faults and folds, some times it is possible to undertake their 3D geometrical analysis due to the exceptional conservation of the structures (Tafesa). Recent geo-archaeological prospecting on the for the Palaeolithic Site of Arriaga (South Madrid City) conducted during the year 2009, let to find out an exceptional horizon of deformation of about 1.20 m thick. It consisted on highly disturbed and pervasively liquefacted sands, which hardly can be attributed to no-seismic processes. The acheulian lithic industry of the Madrid Region have been classically attributed the Late Middle Pleistocene (Comunidad de Madrid, AUDEMA S.A. (Proyecto Arriaga-2009). This is a contribution of GQM-AEQUA.

[Historical compilation of cystic fibrosis].

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Navarro, Salvador

2016-01-01

Cystic fibrosis is the most common life-shortening recessively inherited disorder in the Caucasian population. The genetic mutation that most frequently provokes cystic fibrosis (ΔF508) appeared at least 53,000years ago. For many centuries, the disease was thought to be related to witchcraft and the "evil eye" and it was only in 1938 that Dorothy H. Andersen characterized this disorder and suspected its genetic origin. The present article reviews the pathological discoveries and diagnostic and therapeutic advances made in the last 75 years. The review ends with some considerations for the future. Copyright © 2015 Elsevier España, S.L.U. and AEEH y AEG. All rights reserved.

FRACCIONAMIENTO DE CONTAMINANTES ORGÁNICOS PERSISTENTES EN AIRE URBANO DE MADRID: FASE GAS Y FASE PARTICULADA

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Beatriz Barbas

2014-01-01

Full Text Available En el presente trabajo se evaluó la presencia de algunos Contaminantes Orgánicos Persistentes (COP en muestras de aire de la ciudad de Madrid (España, discriminando entre la fase gas (FG y la materia particulada en suspensión (MPS. Para ello se utilizaron captadores activos de alto volumen (CAV equipados con espumas de poliuretano y filtros de microfibra de vidrio. Los policlorobifenilos resultaron los contaminantes mayoritarios (104.6 ± 86.6 pg/Nm3, media ± desviación estándar, seguidos de polibromodifenil éteres (20.4 ± 11.6 pg/Nm3, declorane plus (0.8 ± 0.5 pg/Nm3 y finalmente policlorodibenzo-p-dioxinas y policlorodibenzofuranos (0.3 ± 0.1 pg/Nm3. Los resultados, en concordancia con los obtenidos en otras ciudades, no sólo confirman la presencia de COP en el aire de Madrid, sino que evidencian diferencias importantes en cuanto al fraccionamiento (presencia mayoritaria en la fase gas o en la fase particulada entre los distintos analitos y congéneres evaluados.

Cocaine abuse or dependency and other pyschiatric disorders. Madrid study on dual pathology.

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Arias, Francisco; Szerman, Nestor; Vega, Pablo; Mesias, Beatriz; Basurte, Ignacio; Morant, Consuelo; Ochoa, Enriqueta; Poyo, Félix; Babin, Francisco

2013-01-01

The main objective of this study was to analyse the cocaine addict subgroup from the Madrid study of prevalence of dual disorders in community mental health and substance misuse services. The sample consisted of 837 outpatients from Madrid, Spain. We compared 488 subjects who had a lifetime diagnosis of cocaine abuse or dependence, and 222 subjects who did not have a cocaine substance use disorder. We used the Mini International Neuropsychiatric Interview to evaluate axis I mental disorders, and the Personality Disorder Questionnaire to evaluate personality disorders. Almost three-quarters (73.4%) of cocaine addicts had a current dual disorder. Most prevalent were mood and anxiety disorders. Almost half (49.6%) had a personality disorder. Most of them (94.9%) had other substance use disorders. Cocaine addicts did not have higher prevalence rates of dual pathology than addicts with no cocaine abuse or dependence. Cocaine addicts were associated to a diagnosis of antisocial personality disorder, agoraphobia, and post-traumatic stress disorder, and they had an early age of onset of alcohol and cannabis use. Dual pathology is no higher in cocaine addicts in treatment than in addicts who do not use cocaine, however cocaine addicts started other drugs earlier, and were associated with specific mental disorders. Copyright © 2012 SEP y SEPB. Published by Elsevier Espana. All rights reserved.

Inhaled mannitol for cystic fibrosis.

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Nevitt, Sarah J; Thornton, Judith; Murray, Clare S; Dwyer, Tiffany

2018-02-09

Several agents are used to clear secretions from the airways of people with cystic fibrosis. Mannitol increases mucociliary clearance, but its exact mechanism of action is unknown. The dry powder formulation of mannitol may be more convenient and easier to use compared with established agents which require delivery via a nebuliser. Phase III trials of inhaled dry powder mannitol for the treatment of cystic fibrosis have been completed and it is now available in Australia and some countries in Europe. This is an update of a previous review. To assess whether inhaled dry powder mannitol is well tolerated, whether it improves the quality of life and respiratory function in people with cystic fibrosis and which adverse events are associated with the treatment. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises references identified from comprehensive electronic databases, handsearching relevant journals and abstracts from conferences.Date of last search: 28 September 2017. All randomised controlled studies comparing mannitol with placebo, active inhaled comparators (for example, hypertonic saline or dornase alfa) or with no treatment. Authors independently assessed studies for inclusion, carried out data extraction and assessed the risk of bias in included studies. The quality of the evidence was assessed using GRADE. Six studies (reported in 50 publications) were included with a total of 784 participants.Duration of treatment in the included studies ranged from 12 days to six months, with open-label treatment for an additional six months in two of the studies. Five studies compared mannitol with control (a very low dose of mannitol or non-respirable mannitol) and the final study compared mannitol to dornase alfa alone and to mannitol plus dornase alfa. Two large studies had a similar parallel design and provided data for 600 participants, which could be pooled where data for a particular outcome and time point were

Expression of scavenger receptor‐AI promotes alternative activation of murine macrophages to limit hepatic inflammation and fibrosis

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Labonte, Adam C.; Sung, Sun‐Sang J.; Jennelle, Lucas T.; Dandekar, Aditya P.

2016-01-01

The liver maintains an immunologically tolerant environment as a result of continuous exposure to food and bacterial constituents from the digestive tract. Hepatotropic pathogens can take advantage of this niche and establish lifelong chronic infections causing hepatic fibrosis and hepatocellular carcinoma. Macrophages (Mϕ) play a critical role in regulation of immune responses to hepatic infection and regeneration of tissue. However, the factors crucial for Mϕ in limiting hepatic inflammation or resolving liver damage have not been fully understood. In this report, we demonstrate that expression of C‐type lectin receptor scavenger receptor‐AI (SR‐AI) is crucial for promoting M2‐like Mϕ activation and polarization during hepatic inflammation. Liver Mϕ uniquely up‐regulated SR‐AI during hepatotropic viral infection and displayed increased expression of alternative Mϕ activation markers, such as YM‐1, arginase‐1, and interleukin‐10 by activation of mer receptor tyrosine kinase associated with inhibition of mammalian target of rapamycin. Expression of these molecules was reduced on Mϕ obtained from livers of infected mice deficient for the gene encoding SR‐AI (msr1). Furthermore, in vitro studies using an SR‐AI‐deficient Mϕ cell line revealed impeded M2 polarization and decreased phagocytic capacity. Direct stimulation with virus was sufficient to activate M2 gene expression in the wild‐type (WT) cell line, but not in the knockdown cell line. Importantly, tissue damage and fibrosis were exacerbated in SR‐AI–/– mice following hepatic infection and adoptive transfer of WT bone‐marrow–derived Mϕ conferred protection against fibrosis in these mice. Conclusion: SR‐AI expression on liver Mϕ promotes recovery from infection‐induced tissue damage by mediating a switch to a proresolving Mϕ polarization state. (Hepatology 2017;65:32‐43). PMID:27770558

Vaccines for preventing infection with Pseudomonas aeruginosa in cystic fibrosis

DEFF Research Database (Denmark)

Johansen, Helle Krogh; Gøtzsche, Peter C

2015-01-01

BACKGROUND: Chronic pulmonary infection in cystic fibrosis results in progressive lung damage. Once colonisation of the lungs with Pseudomonas aeruginosa occurs, it is almost impossible to eradicate. Vaccines, aimed at reducing infection with Pseudomonas aeruginosa, have been developed....... This is an update of a previously published review. OBJECTIVES: To assess the effectiveness of vaccination against Pseudomonas aeruginosa in cystic fibrosis. SEARCH METHODS: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register using the terms vaccines AND pseudomonas (last search 30...... March 2015). We previously searched PubMed using the terms vaccin* AND cystic fibrosis (last search 30 May 2013). SELECTION CRITERIA: Randomised trials (published or unpublished) comparing Pseudomonas aeruginosa vaccines (oral, parenteral or intranasal) with control vaccines or no intervention in cystic...

Thermodynamic Aspects and Reprogramming Cellular Energy Metabolism during the Fibrosis Process

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Alexandre Vallée

2017-11-01

Full Text Available Fibrosis is characterized by fibroblast proliferation and fibroblast differentiation into myofibroblasts, which generate a relaxation-free contraction mechanism associated with excessive collagen synthesis in the extracellular matrix, which promotes irreversible tissue retraction evolving towards fibrosis. From a thermodynamic point of view, the mechanisms leading to fibrosis are irreversible processes that can occur through changing the entropy production rate. The thermodynamic behaviors of metabolic enzymes involved in fibrosis are modified by the dysregulation of both transforming growth factor β (TGF-β signaling and the canonical WNT/β-catenin pathway, leading to aerobic glycolysis, called the Warburg effect. Molecular signaling pathways leading to fibrosis are considered dissipative structures that exchange energy or matter with their environment far from the thermodynamic equilibrium. The myofibroblastic cells arise from exergonic processes by switching the core metabolism from oxidative phosphorylation to glycolysis, which generates energy and reprograms cellular energy metabolism to induce the process of myofibroblast differentiation. Circadian rhythms are far-from-equilibrium thermodynamic processes. They directly participate in regulating the TGF-β and WNT/β-catenin pathways involved in energetic dysregulation and enabling fibrosis. The present review focusses on the thermodynamic implications of the reprogramming of cellular energy metabolism, leading to fibroblast differentiation into myofibroblasts through the positive interplay between TGF-β and WNT/β-catenin pathways underlying in fibrosis.

Situación de las empresas de mantenimiento higiénico-sanitario de instalaciones de riesgo de legionelosis en la Comunidad de Madrid Situation of the companies of hygienic maintenance of facilities of risk of legionelosis in Madrid

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Consuelo de Garrastazu Díaz

2006-12-01

Full Text Available El control del mantenimiento higiénico-sanitario de las instalaciones de riesgo de legionelosis se verifica a través de tres tipos de actuaciones: las notificaciones de torres de refrigeración y condensadores evaporativos, el registro de las empresas que realizan estos tratamientos a terceros y la formación reglada del personal que realiza los mismos. Además, mediante la inspección sanitaria se verifica el correcto funcionamiento de este mecanismo de de vigilancia y control.En relación con las empresas que realizan el mantenimiento higiénico-sanitario, y realizado un análisis temporal frente a otras empresas de servicios biocidas, se ha constatado que se trata básicamente de las que ya realizaban servicios de control vectorial (empresas DDD. En la Comunidad de Madrid y frente a los criterios adoptados por otras comunidades autónomas, se exige que estas empresas cuenten con almacén propio o subcontratado o bien que justifiquen una gestión adecuada de producto, de manera que siempre esté bajo la supervisión y control del personal especializado para su utilización. Asimismo, se exige que estas empresas cuenten con un Director Técnico, que se responsabilice de los procedimientos de actuación y tratamientos realizados. En cuanto a la realización de tratamientos por parte de empresas registradas en otras comunidades autónomas, actualmente no se insta al registro de éstas en Madrid si no disponen de domicilio social o industrial, pudiendo realizar el mantenimiento siempre que dicha actividad esté debidamente registrada en la comunidad autónoma donde estén ubicados.La Comunidad de Madrid está homologada por el Ministerio de Sanidad y Consumo para la autorización de cursos de formación de personal que realiza operaciones de mantenimiento higiénico-sanitario de instalaciones de riesgo de Legionella, contando en la actualidad con 26 cursos autorizados. El seguimiento de estos cursos se realiza mediante la exigencia de una

Angiotensin II type 1 and 2 receptors and lymphatic vessels modulate lung remodeling and fibrosis in systemic sclerosis and idiopathic pulmonary fibrosis.

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Parra, Edwin Roger; Ruppert, Aline Domingos Pinto; Capelozzi, Vera Luiza

2014-01-01

To validate the importance of the angiotensin II receptor isotypes and the lymphatic vessels in systemic sclerosis and idiopathic pulmonary fibrosis. We examined angiotensin II type 1 and 2 receptors and lymphatic vessels in the pulmonary tissues obtained from open lung biopsies of 30 patients with systemic sclerosis and 28 patients with idiopathic pulmonary fibrosis. Their histologic patterns included cellular and fibrotic non-specific interstitial pneumonia for systemic sclerosis and usual interstitial pneumonia for idiopathic pulmonary fibrosis. We used immunohistochemistry and histomorphometry to evaluate the number of cells in the alveolar septae and the vessels stained by these markers. Survival curves were also used. We found a significantly increased percentage of septal and vessel cells immunostained for the angiotensin type 1 and 2 receptors in the systemic sclerosis and idiopathic pulmonary fibrosis patients compared with the controls. A similar percentage of angiotensin 2 receptor positive vessel cells was observed in fibrotic non-specific interstitial pneumonia and usual interstitial pneumonia. A significantly increased percentage of lymphatic vessels was present in the usual interstitial pneumonia group compared with the non-specific interstitial pneumonia and control groups. A Cox regression analysis showed a high risk of death for the patients with usual interstitial pneumonia and a high percentage of vessel cells immunostained for the angiotensin 2 receptor in the lymphatic vessels. We concluded that angiotensin II receptor expression in the lung parenchyma can potentially control organ remodeling and fibrosis, which suggests that strategies aimed at preventing high angiotensin 2 receptor expression may be used as potential therapeutic target in patients with pulmonary systemic sclerosis and idiopathic pulmonary fibrosis.

Colchicine for alcoholic and non-alcoholic liver fibrosis or cirrhosis

DEFF Research Database (Denmark)

Rambaldi, A; Gluud, C

2001-01-01

Colchicine is an anti-inflammatory and anti-fibrotic drug. Several randomized clinical trials have addressed the question whether colchicine has any efficacy in patients with alcoholic as well as non-alcoholic fibrosis and cirrhosis. The objectives were to assess the efficacy of colchicine...... evaluated in randomized trials on mortality, liver related mortality, liver related complications, liver fibrosis markers, liver histology, alcohol consumption, quality of life, and health economics in patients with alcoholic and non-alcoholic fibrosis or cirrhosis....

The Processes and Mechanisms of Cardiac and Pulmonary Fibrosis

NARCIS (Netherlands)

Murtha, Lucy A.; Schuliga, Michael J.; Mabotuwana, Nishani S.; Hardy, Sean A.; Waters, David W.; Burgess, Janette K.; Knight, Darryl A.; Boyle, Andrew J.

2017-01-01

Fibrosis is the formation of fibrous connective tissue in response to injury. It is characterized by the accumulation of extracellular matrix components, particularly collagen, at the site of injury. Fibrosis is an adaptive response that is a vital component of wound healing and tissue repair.

Analysis of aliphatic and aromatic hydrocarbons in particulate matter in Madrid urban area. Analisis de hidrocarburos aromaticos policiclicos e hidrocarburos alifaticos en aerosoles de la zona urbana de Madrid

Energy Technology Data Exchange (ETDEWEB)

Perez, M.; Mendez, J.; Bomboi, M.T.

1988-02-01

Levels of n-alkanes and polycyclic aromatic hydrocarbons have been measured in the air particulate matter during six months, from January to June of 1987, in an urban area of Madrid. The hydrocarbons were collected on glass fiber filter by high volume sampling. The extraction was varried out by sohxlet and ultrasonic techniques. The extracts were clean-up on silica gel fractionation and the chromatographic analysis was performed by capillary coluymn gas chromatographic. Final results are discussed as well as the inmission values related to the possible emission sources.

Molecular basis of hepatic fibrosis and current status of its diagnosis and treatment

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LI Yan

2018-01-01

Full Text Available During the process of acute or chronic liver injury, hepatic stellate cells interact with various types of cells such as hepatic parenchymal cells, Kupffer cells, and liver sinusoidal endothelial cells to mediate extracellular matrix deposition and sinusoid capillarization and thus initiate the process of hepatic fibrosis. The nature of hepatic fibrosis is repair response after liver injury. Liver biopsy is regarded as the gold standard for the diagnosis of hepatic fibrosis; however, it is generally associated with the risk of bleeding and even death. Noninvasive diagnostic methods for liver fibrosis mainly include serum biomarkers, imaging techniques, and predictive statistical model, but such methods cannot completely replace liver biopsy. At present, the treatment of hepatic fibrosis focuses on the research and development of new drugs targeting primary disease, hepatic stellate cells, or balance of extracellular matrix synthesis/degradation. The research on the molecular mechanism of hepatic fibrosis provides a solid theoretical basis for exploring the treatment of hepatic fibrosis.

Epithelial-mesenchymal transition: An emerging target in tissue fibrosis

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Li, Meirong; Luan, Fuxin; Zhao, Yali; Hao, Haojie; Zhou, Yong; Han, Weidong

2016-01-01

Epithelial-mesenchymal transition (EMT) is involved in a variety of tissue fibroses. Fibroblasts/myofibroblasts derived from epithelial cells contribute to the excessive accumulation of fibrous connective tissue in damaged tissue, which can lead to permanent scarring or organ malfunction. Therefore, EMT-related fibrosis cannot be neglected. This review highlights the findings that demonstrate the EMT to be a direct contributor to the fibroblast/myofibroblast population in the development of tissue fibrosis and helps to elucidate EMT-related anti-fibrotic strategies, which may enable the development of therapeutic interventions to suppress EMT and potentially reverse organ fibrosis. PMID:26361988

Effect of iron, taurine and arginine on rat hepatic fibrosis

International Nuclear Information System (INIS)

Song Liangwen; Wang Dewen; Cui Xuemei

1997-01-01

Objective: The promotion role of iron on pathogenesis of hepatic fibrosis and the protective role of taurine and L-arginine against hepatic fibrosis were studied. Method: The model of rat radiation hepatic fibrosis was used. Experimental rats were divided into 0 Gy, 30 Gy, 30 Gy + iron, 30 Gy + taurine and 30 Gy + L-arginine groups. Serum iron, liver tissue hydroxyproline (Hyp) and malondialdehyde (MDA) were measured one and three months respectively after irradiation of hepatic tissue, production and distribution characteristics of hepatic tissue type I and III collagen were observed with a polarizing microscope. Results: Administration of iron agent could significantly increase hepatic tissue MDA content and serum iron concentration, one month after irradiation, hepatic tissue Hyp in 30 Gy + iron group began to increase, and collagen in hepatic tissue obviously increased. Taurine and L-arginine could reduce serum iron concentration and decrease production of hepatic fissure Hyp. Conclusion: Exogenous iron agent could promote early development of radiation hepatic fibrosis; taurine and arginine could diminish pathologic alteration of hepatic fibrosis to a certain extent

Radiation-induced neck fibrosis in patients with nasopharyngeal carcinoma

International Nuclear Information System (INIS)

Li Jian; Wang Rensheng; Gan Langge; Liu Wenqi; Zhang Yong

2005-01-01

Objective: To investigate the post-irradiation neck fibrosis in patients with nasopharyngeal carcinoma and its related factors. Methods: A total of 267 patients received conventional fractionated radiotherapy with D T 50-72 Gy on the neck a half year to 10 years ago were observed for the changes of cervical shape and functions. Results: Different degrees of post-irradiation neck fibrosis were seen in all patients. The rate of heavy degree of neck radiation fibrosis was 24.34 %, and it was 2.74% when received preventive dose on the neck. There was a very significant difference between patients who received late course of tangential irradiation on the neck and those who didn't receive (P=0.0001). The incidence of post-irradiation neck fibrosis didn't increase when patients received radiotherapy combined with chemotherapy (P=0.2678). The function of cervical muscles turned weak in patients received radiotherapy delivered by 6 MV accelerator in late course of tangential irradiation, whereas skin damage was severer in patients treated with 60 Co γ-rays. Conclusions: The incidence of heavy degree of post-irradiation neck fibrosis is high ,and is related closely to late course of tangential irradiation. The authors should avoid adopting this sort of irradiation on the neck. (authors)

A new model of progressive pulmonary fibrosis in rats

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Last, J.A.; Gelzleichter, T.R.; Pinkerton, K.E.; Walker, R.M.; Witschi, H. (Univ. of California, Davis (United States))

1993-08-01

Sprague-Dawley rats were exposed for 6 h daily to 0.8 ppm of ozone and 14.4 ppm of nitrogen dioxide. Approximately 7 to 10 wk after the initiation of exposure, animals began to demonstrate respiratory insufficiency and severe weight loss. About half of the rats died between Days 55 and 78 of exposure; no overt ill effects were observed in animals exposed to filtered air, to ozone alone, or to nitrogen dioxide. Biochemical findings in animals exposed to ozone and nitrogen dioxide included increased lung content of DNA, protein, collagen, and elastin, which was about 300% higher than the control values. The collagen-specific crosslink hydroxy-pyridinium, a biomarker for mature collagen in the lung, was decreased by about 40%. These results are consistent with extensive breakdown and remodeling of the lung parenchyma and its associated vasculature. Histopathologic evaluation showed severe fibrosis, alveolar collapse, honeycombing, macrophage and mast cell accumulation, vascular smooth muscle hypertrophy, and other indications of severe progressive interstitial pulmonary fibrosis and end-stage lung disease. This unique animal model of progressive pulmonary fibrosis resembles the final stages of human idiopathic pulmonary fibrosis and should facilitate studying underlying mechanisms and potential therapy of progressive pulmonary fibrosis.

Historical water supply to The Monastery of El Paular: a “qanat” in the Guadarrama mountain range (Madrid, Spain)

International Nuclear Information System (INIS)

López Vera, F.; López-Camacho, B.

2017-01-01

The “qanat” is an ingenious system of collecting and conducting groundwater to a supply point. Its origin dates back to 3000 years ago in the area known today as Armenia, and it had spread widely throughout Persia by 600 BC. The expansion of Islam spread this technique from China to the Iberian Peninsula, where it has received various local names. In Madrid, the technique was widely used for water supply from the ninthcentury until the mid-twentieth century, and in recent centuries received the name “Viajes de agua”. However, the geological and socio-economic environment of the Sierra de Guadarrama in Madrid is not, and has never been, appropriate for the implementation of this type of water catchment. This is why the qanat supply of the former Charterhouse of Santa María de El Paular (Rascafría), which shows a very similar typology to the “Viajes de agua”, modified or constructed in Madrid between the 17th and 19th centuries, is so original. Three “capirotes” (hoods) and a “distribution ark” have been located “in situ” in the vicinity of the Monastery and another “capirote” is used as an ornamental element in the courtyard of the old Hotel El Paular. In this paper we present the results obtained in the field study and files on this “Viaje de agua”, its context within the old Monastery supply, its water quality and various hydrological and hydraulic considerations. [es

Role of NLRC5 in progression and reversal of hepatic fibrosis

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Liu, Xuejiao, E-mail: liuxuejiao0615@163.com [School of Pharmacy, Anhui Key Laboratory of Bioactivity of Natural Products, Anhui Medical University, Hefei 230032 (China); Institute for Liver Diseases, Anhui Medical University, Hefei 230032 (China); Wu, Yuting; Yang, Yang; Li, Wanxia; Huang, Cheng; Meng, Xiaoming [School of Pharmacy, Anhui Key Laboratory of Bioactivity of Natural Products, Anhui Medical University, Hefei 230032 (China); Institute for Liver Diseases, Anhui Medical University, Hefei 230032 (China); Li, Jun, E-mail: lj@ahmu.edu.cn [School of Pharmacy, Anhui Key Laboratory of Bioactivity of Natural Products, Anhui Medical University, Hefei 230032 (China); Institute for Liver Diseases, Anhui Medical University, Hefei 230032 (China); School of Pharmacy, Anhui Medical University, Mei Shan load, Hefei 230032, Anhui Province (China)

2016-03-01

Background: NLRC5, as the largest member of NLRs family, has recently been identified as a critical regulator of immune responses through negatively regulating NF-κB which is associated with the development of hepatic fibrosis. However, the expression and potential roles of NLRC5 in hepatic fibrosis and its reversal are still to be defined. Methods: C57BL/6 mice were treatment with carbon tetrachloride (CCl{sub 4}) induce hepatic fibrosis and its reversal. In vitro, models of hepatic fibrosis and its reversal are established by the treatment with TGF-β and MDI. The expression of NLRC5 was determined by RT-PCR, Western blot and immunohistochemistry. Consequently, NLRC5 was overexpressed or knockdown by transfecting PEGFP-C2-NLRC5 or NLRC5-siRNA respectively in the reversal of hepatic fibrosis, and the expression of fibrogenic genes such as α-SMA and Col1α1 was quantified. The NF-κB activity was detected as well. Results: Immunohistochemistry, RT-PCR and Western blot analysis with liver tissues and primary HSCs showed that NLRC5 was highly expressed in hepatic fibrosis and correspondingly decreased in the reversal stage. The differential expression of NLRC5 was confirmed in vitro. Enforced NLRC5 expression increased the expression of α-SMA and Col1α1, and blockade of NLRC5 reduced the fibrotic response. While the opposite expression of phosphorylated NF-kB p65 and phospho-IκBα was found. Conclusion: NLRC5 is differentially expressed in hepatic tissues and hepatic stellate cells during hepatic fibrosis and its reversal. All the data indicated that NLRC5 may play a crucial role in regulating the reversal of hepatic fibrosis through NF-κB signaling pathway. - Highlights: • The activated HSCs can be reverted to quiescent HSCs by MDI treatment. • NLRC5 expressed differentially during different stages of hepatic fibrosis and its reversal. • Enforced NLRC5 in reverted LX-c cells boosted the expression of α-SMA and Col1α1. • Blockade of NLRC5 diminished �

2 obras de Fisac en Madrid: Edificio «Vega» para oficinas y vivienda unifamiliar en Somosaguas

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Fisac, M.

1967-11-01

Full Text Available 2 Buildings by M. Fisac «Vega» office building in Madrid This aesthetically thought out building is eminently urban, with natural gardens and no enclosing fences or artificial obstacles separating the site from the street. The «Vega» building comprises a central block, with the vertical communications, including stairs and three lifts, and and three wings that correspond to the triangular shape of the site. The basic constructional mediiun, which has been very wisely used, both for the paraments and flooring, is untreated reinforced concrete. Single family dwelling at Somosaguas, Madrid The various zones of the building have been planned mainly in relation to their orientation, so that the living zone faces to the South, and the bedrooms are on the East. Also, the separate parts of the building are situated at various levels, to have as much sunshine as possible, and achieve optimum adaptation to the site profile. The garden is also planned on multiple levels in accord with the ground topography. In this building, too, untreated concrete has been adopted almost exclusively, together with precast units and granite stone.Edificio «Vega» para oficinas, en Madrid Estéticamente concebido con un carácter eminentemente urbano, con ajardinamientos libres, sin vallas ni obstáculos a las calles colindantes, dicho edificio «Vega» está compuesto: — por un nudo central, en el que están situados los enlaces verticales: una escalera y tres ascensores; — y tres ramas que corresponden a los tres vértices del triángulo del solar. El material fundamental y sabiamente empleado en estructura y forjados, es el hormigón armado visto. Vivienda unifamiliar en Somosaguas, Madrid La composición de las distintas ZONAS del edificio se ha hecho atendiendo, principalmente, a las características de vistas y orientación, quedando, a mediodía, la zona de estar, y a saliente, la de dormitorios. Asimismo, las diversas partes del edificio aparecen

Deep learning for staging liver fibrosis on CT: a pilot study.

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Yasaka, Koichiro; Akai, Hiroyuki; Kunimatsu, Akira; Abe, Osamu; Kiryu, Shigeru

2018-05-14

To investigate whether liver fibrosis can be staged by deep learning techniques based on CT images. This clinical retrospective study, approved by our institutional review board, included 496 CT examinations of 286 patients who underwent dynamic contrast-enhanced CT for evaluations of the liver and for whom histopathological information regarding liver fibrosis stage was available. The 396 portal phase images with age and sex data of patients (F0/F1/F2/F3/F4 = 113/36/56/66/125) were used for training a deep convolutional neural network (DCNN); the data for the other 100 (F0/F1/F2/F3/F4 = 29/9/14/16/32) were utilised for testing the trained network, with the histopathological fibrosis stage used as reference. To improve robustness, additional images for training data were generated by rotating or parallel shifting the images, or adding Gaussian noise. Supervised training was used to minimise the difference between the liver fibrosis stage and the fibrosis score obtained from deep learning based on CT images (F DLCT score) output by the model. Testing data were input into the trained DCNNs to evaluate their performance. The F DLCT scores showed a significant correlation with liver fibrosis stage (Spearman's correlation coefficient = 0.48, p deep learning model based on CT images, with moderate performance. • Liver fibrosis can be staged by a deep learning model based on magnified CT images including the liver surface, with moderate performance. • Scores from a trained deep learning model showed moderate correlation with histopathological liver fibrosis staging. • Further improvement are necessary before utilisation in clinical settings.

Microengineered in vitro model of cardiac fibrosis through modulating myofibroblast mechanotransduction

International Nuclear Information System (INIS)

Zhao, Hui; Li, Xiaokang; Zhao, Shan; Zeng, Yang; Ding, Haiyan; Du, Yanan; Zhao, Long; Sun, Wei

2014-01-01

Cardiac fibrosis greatly impairs normal heart function post infarction and there is no effective anti-fibrotic drug developed at present. The current therapies for cardiac infarction mainly take effect by eliminating occlusion in coronary artery by thrombolysis drugs, vascular stent grafting or heart bypass operation, which are capable to provide sufficient blood flow for intact myocardium yet showed subtle efficacy in ameliorating fibrosis condition. The advances of in vitro cell/tissue models open new avenues for drug assessment due to the low cost, good controllability and availability as well as the convenience for operation as compared to the animal models. To our knowledge, no proper biomimetic in vitro cardiac fibrosis model has been reported yet. Here we engineered an in vitro cardiac fibrosis model using heart-derived fibroblasts, and the fibrogenesis was recapitulated by patterning the substrate rigidity which mimicked the mechanical heterogeneity of myocardium post-infarction. Various biomarkers for cardiac fibrosis were assayed to validate the biomimicry of the engineered platform. Subsequent addition of Rho-associated protein kinase (ROCK) pathway inhibitor reduced the ratio of myofibroblasts, indicating the feasibility of applying this platform in screening anti-fibrosis drugs. (paper)

Breakthrough Therapies: Cystic Fibrosis (CF) Potentiators and Correctors

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Solomon, George M.; Marshall, Susan G.; Ramsey, Bonnie W.; Rowe, Steven M.

2015-01-01

Cystic Fibrosis is caused by mutations in the Cystic Fibrosis Transmembrane conductance Regulator (CFTR) gene resulting in abnormal protein function. Recent advances of targeted molecular therapies and high throughput screening have resulted in multiple drug therapies that target many important mutations in the CFTR protein. In this review, we provide the latest results and current progress of CFTR modulators for the treatment of cystic fibrosis, focusing on potentiators of CFTR channel gating and Phe508del processing correctors for the Phe508del CFTR mutation. Special emphasis is placed on the molecular basis underlying these new therapies and emerging results from the latest clinical trials. The future directions for augmenting the rescue of Phe508del with CFTR modulators is also emphasized. PMID:26097168

The cystic-fibrosis-associated ΔF508 mutation confers post-transcriptional destabilization on the C. elegans ABC transporter PGP-3

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Liping He

2012-11-01

Membrane proteins make up ∼30% of the proteome. During the early stages of maturation, this class of proteins can experience localized misfolding in distinct cellular compartments, such as the cytoplasm, endoplasmic reticulum (ER lumen and ER membrane. ER quality control (ERQC mechanisms monitor folding and determine whether a membrane protein is appropriately folded or is misfolded and warrants degradation. ERQC plays crucial roles in human diseases, such as cystic fibrosis, in which deletion of a single amino acid (F508 results in the misfolding and degradation of the cystic fibrosis transmembrane conductance regulator (CFTR Cl– channel. We introduced the ΔF508 mutation into Caenorhabditis elegans PGP-3, a 12-transmembrane ABC transporter with 15% identity to CFTR. When expressed in intestinal epithelial cells, PGP-3wt was stable and efficiently trafficked to the apical plasma membrane through a COPII-dependent mechanism. However, PGP-3ΔF508 was post-transcriptionally destabilized, resulting in reduced total and apical membrane protein levels. Genetic or physiological activation of the osmotic stress response pathway, which causes accumulation of the chemical chaperone glycerol, stabilized PGP-3ΔF508. Efficient degradation of PGP-3ΔF508 required the function of several C. elegans ER-associated degradation (ERAD homologs, suggesting that destabilization occurs through an ERAD-type mechanism. Our studies show that the ΔF508 mutation causes post-transcriptional destabilization and degradation of PGP-3 in C. elegans epithelial cells. This model, combined with the power of C. elegans genetics, provides a new opportunity to genetically dissect metazoan ERQC.

Edificio de «La Caixa» Madrid – España

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Bosch Aymerich, José M.

1980-10-01

Full Text Available This eight-storey building, for «La Caixa», occupies a city block on the downtown avenue of Paseo de la Castellana in Madrid. The lower floors have cants on their four corners, which fade away gradually giving the building a more original note. All of the floors are developed about a central core, and the lower floors are to be used for «La Caixa» needs. The foundations were carried out on the basis of reinforced concrete piles. Metal pillars were used for the structure, and the flooring system was on the basis of a continuous reinforced slab. The exterior of the building was executed in the form of an aluminium curtain wall, with finishing touches in a U shape which break up the glazed surface.

Este edificio de ocho plantas, destinado a «La Caixa», ocupa una manzana en el céntrico Paseo de la Castellana de Madrid. Las plantas Inferiores presentan chaflanes en sus cuatro esquinas, los cuales van desapareciendo progresivamente ganando así el edificio en originalidad. Todas las plantas, de las cuales las inferiores están destinadas al servicio de «La Caixa», se desarrollan en torno a un núcleo central. La cimentación se realizó a base de pilotes de hormigón armado. Para la estructura se emplearan pilares metálicos y el sistema de forjado a base de una losa continua armada. Se adoptó para las fachadas la solución de un muro cortina de aluminio, con remates en forma de U que cortan la superficie acristalada.

Noninvasive Assessment of Fibrosis in Patients with Nonalcoholic Fatty Liver Disease

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Elena Buzzetti

2015-01-01

Full Text Available Nonalcoholic fatty liver disease (NAFLD is prevalent in 20–25% of the general population and is associated with metabolic risk factors such as obesity, diabetes mellitus, and dyslipidemia. Histologically, NAFLD ranges from simple steatosis to nonalcoholic steatohepatitis (NASH, fibrosis, and cirrhosis. As NASH develops in only 10–15% of patients with NAFLD, it is not practical to biopsy all patients who present with NAFLD. Noninvasive fibrosis tests have been extensively developed recently and offer alternatives for staging fibrosis. Despite their increasing use, such tests cannot adequately differentiate simple steatosis from NASH. At present, such tests can be used as first line tests to rule out patients without advanced fibrosis and thus prevent unnecessary secondary care referrals in a significant number of patients. In this review we present the evidence for the use of noninvasive fibrosis tests in patients with NAFLD.

Fibrosis of the pancreas: the initial tissue damage and the resulting pattern.

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Klöppel, Günter; Detlefsen, Sönke; Feyerabend, Bernd

2004-07-01

Fibrosis in the pancreas is caused by such processes as necrosis/apoptosis, inflammation or duct obstruction. The initial event that induces fibrogenesis in the pancreas is an injury that may involve the interstitial mesenchymal cells, the duct cells and/or the acinar cells. Damage to any one of these tissue compartments of the pancreas is associated with cytokine-triggered transformation of resident fibroblasts/pancreatic stellate cells into myofibroblasts and the subsequent production and deposition of extracellular matrix. Depending on the site of injury in the pancreas and the involved tissue compartment, predominantly inter(peri)lobular fibrosis (as in alcoholic chronic pancreatitis), periductal fibrosis (as in hereditary pancreatitis), periductal and interlobular fibrosis (as in autoimmune pancreatitis) or diffuse inter- and intralobular fibrosis (as in obstructive chronic pancreatitis) develops.

[Cystic fibrosis--initial diagnosis in a 39-year-old patient].

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Bargon, J; Rickmann, J; Jacobi, V; Straub, R; Arnemann, J; Wagner, T O

2000-12-15

Cystic fibrosis is the most common hereditary disorder among Caucasians. Most of the patients are diagnosed as children. However, some cases are going undiagnosed into adulthood and are then often misdiagnosed because the non-pediatricians do not know cystic fibrosis very well and do not consider this diagnosis in adult patients. We present the medical history of a woman, who was diagnosed with cystic fibrosis at the age of 39 years, although she had suffered from bronchiectasis, pancreatic insufficiency and liver cirrhosis since many years. Her medical history was long with some diagnosis, but because of her age nobody considered the final diagnosis. In adult patients with bronchiectasis, liver cirrhosis and pancreatic insufficiency in combination or with only one of these symptoms, cystic fibrosis should be included into the differential diagnosis.

Population cardiovascular health and urban environments: the Heart Healthy Hoods exploratory study in Madrid, Spain

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Usama Bilal

2016-08-01

Full Text Available Abstract Background Our aim is to conduct an exploratory study to provide an in-depth characterization of a neighborhood’s social and physical environment in relation to cardiovascular health. A mixed-methods approach was used to better understand the food, alcohol, tobacco and physical activity domains of the urban environment. Methods We conducted this study in an area of 16,000 residents in Madrid (Spain. We obtained cardiovascular health and risk factors data from all residents aged 45 and above using Electronic Health Records from the Madrid Primary Health Care System. We used several quantitative audit tools to assess: the type and location of food outlets and healthy food availability; tobacco and alcohol points of sale; walkability of all streets and use of parks and public spaces. We also conducted 11 qualitative interviews with key informants to help understanding the relationships between urban environment and cardiovascular behaviors. We integrated quantitative and qualitative data following a mixed-methods merging approach. Results Electronic Health Records of the entire population of the area showed similar prevalence of risk factors compared to the rest of Madrid/Spain (prevalence of diabetes: 12 %, hypertension: 34 %, dyslipidemia: 32 %, smoking: 10 %, obesity: 20 %. The food environment was very dense, with many small stores (n = 44 and a large food market with 112 stalls. Residents highlighted the importance of these small stores for buying healthy foods. Alcohol and tobacco environments were also very dense (n = 91 and 64, respectively, dominated by bars and restaurants (n = 53 that also acted as food services. Neighbors emphasized the importance of drinking as a socialization mechanism. Public open spaces were mostly used by seniors that remarked the importance of accessibility to these spaces and the availability of destinations to walk to. Conclusion This experience allowed testing and refining

TRIF Differentially Regulates Hepatic Steatosis and Inflammation/Fibrosis in MiceSummary

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Ling Yang

2017-05-01

Full Text Available Background & Aims: Toll-like receptor 4 (TLR4 signaling is activated through 2 adaptor proteins: MyD88 and TIR-domain containing adaptor-inducing interferon-β (TRIF. TLR4 and MyD88 are crucial in nonalcoholic steatohepatitis (NASH and fibrosis. However, the role of TRIF in TLR4-mediated NASH and fibrosis has been elusive. This study investigated the differential roles of TRIF in hepatic steatosis and inflammation/fibrosis. Methods: A choline-deficient amino acid defined (CDAA diet was used for the mouse NASH model. On this diet, the mice develop hepatic steatosis, inflammation, and fibrosis. TLR4 wild-type and TLR4-/- bone marrow chimeric mice and TRIF-/- mice were fed CDAA or a control diet for 22 weeks. Hepatic steatosis, inflammation, and fibrosis were examined. Results: In the CDAA diet–induced NASH, the mice with wild-type bone marrow had higher alanine aminotransferase and hepatic tumor necrosis factor levels than the mice with TLR4-/- bone marrow. The nonalcoholic fatty liver disease activity score showed that both wild-type and TLR4-/- bone marrow chimeras had reduced hepatic steatosis, and that both types of chimeras had similar levels of inflammation and hepatocyte ballooning to whole-body wild-type mice. Notably, wild-type recipients showed more liver fibrosis than TLR4-/- recipients. Although TRIF-/- mice showed reduced hepatic steatosis, these mice showed more liver injury, inflammation, and fibrosis than wild-type mice. TRIF-/- stellate cells and hepatocytes produced more C-X-C motif chemokine ligand 1 (CXCL1 and C-C motif chemokine ligand than wild-type cells in response to lipopolysaccharide. Consistently, TRIF-/- mice showed increased CXCL1 and CCL3 expression along with neutrophil and macrophage infiltration, which promotes liver inflammation and injury. Conclusions: In TLR4-mediated NASH, different liver cells have distinct roles in hepatic steatosis, inflammation, and fibrosis. TRIF promotes hepatic

Targeting Interleukin-13 with Tralokinumab Attenuates Lung Fibrosis and Epithelial Damage in a Humanized SCID Idiopathic Pulmonary Fibrosis Model

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Zhang, Huilan; Oak, Sameer R.; Coelho, Ana Lucia; Herath, Athula; Flaherty, Kevin R.; Lee, Joyce; Bell, Matt; Knight, Darryl A.; Martinez, Fernando J.; Sleeman, Matthew A.; Herzog, Erica L.; Hogaboam, Cory M.

2014-01-01

The aberrant fibrotic and repair responses in the lung are major hallmarks of idiopathic pulmonary fibrosis (IPF). Numerous antifibrotic strategies have been used in the clinic with limited success, raising the possibility that an effective therapeutic strategy in this disease must inhibit fibrosis and promote appropriate lung repair mechanisms. IL-13 represents an attractive target in IPF, but its disease association and mechanism of action remains unknown. In the present study, an overexpression of IL-13 and IL-13 pathway markers was associated with IPF, particularly a rapidly progressive form of this disease. Targeting IL-13 in a humanized experimental model of pulmonary fibrosis using tralokinumab (CAT354) was found to therapeutically block aberrant lung remodeling in this model. However, targeting IL-13 was also found to promote lung repair and to restore epithelial integrity. Thus, targeting IL-13 inhibits fibrotic processes and enhances repair processes in the lung. PMID:24325475

76 FR 64083 - Reliability Technical Conference; Notice of Technical Conference

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2011-10-17

... Technical Conference; Notice of Technical Conference Take notice that the Federal Energy Regulatory Commission will hold a Technical Conference on Tuesday, November 29, 2011, from 1 p.m. to 5 p.m. and... reliability that were identified in earlier Commission technical conferences. The conference also will discuss...

Abdominal CT predictors of fibrosis in patients with chronic pancreatitis undergoing surgery

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Sinha, Amitasha; Afghani, Elham [Johns Hopkins Medical Institutions, Division of Gastroenterology, Baltimore, MD (United States); Singh, Vikesh K. [Johns Hopkins Medical Institutions, Division of Gastroenterology, Baltimore, MD (United States); Johns Hopkins Medical Institutions, Pancreatitis Center, Baltimore, MD (United States); Cruise, Michael; Matsukuma, Karen [Johns Hopkins Medical Institutions, Department of Pathology, Baltimore, MD (United States); Ali, Sumera; Raman, Siva P.; Fishman, Elliot K. [Johns Hopkins Medical Institutions, The Russel H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Andersen, Dana K. [National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD (United States); Makary, Martin A. [Johns Hopkins Medical Institutions, Department of Surgery, Baltimore, MD (United States); Johns Hopkins Medical Institutions, Pancreatitis Center, Baltimore, MD (United States); Zaheer, Atif [Johns Hopkins Medical Institutions, The Russel H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Johns Hopkins Medical Institutions, Pancreatitis Center, Baltimore, MD (United States); Johns Hopkins Medical Institutions, Baltimore, MD (United States)

2015-05-01

To determine which abdominal CT findings predict severe fibrosis and post-operative pain relief in chronic pancreatitis (CP). Pre-operative abdominal CTs of 66 patients (mean age 52 ± 12 years, 53 % males) with painful CP who underwent the Whipple procedure (n = 32), Frey procedure (n = 32) or pancreatic head biopsy (n = 2), between 1/2003-3/2014, were evaluated. CT was evaluated for parenchymal calcifications, intraductal calculi, main pancreatic duct dilation (>5 mm), main pancreatic duct stricture, and abnormal side branch(es). The surgical histopathology was graded for fibrosis. CT findings were evaluated as predictors of severe fibrosis and post-operative pain relief using regression and area under receiver operating curve (AUC) analysis. Thirty-eight (58 %) patients had severe fibrosis. Parenchymal calcification(s) were an independent predictor of severe fibrosis (p = 0.03), and post-operative pain relief over a mean follow-up of 1-year (p = 0.04). Presence of >10 parenchymal calcifications had higher predictive accuracy for severe fibrosis than 1-10 parenchymal calcification(s) (AUC 0.88 vs. 0.59, p = 0.003). The predictive accuracy of >10 versus 1-10 parenchymal calcifications increased after adjusting for all other CT findings (AUC 0.89 vs. 0.63, p = 0.01). Parenchymal calcification(s) independently predict severe fibrosis and are significantly associated with post-operative pain relief in CP. The presence of >10 parenchymal calcifications is a better predictor of severe fibrosis than 1-10 parenchymal calcification(s). (orig.)

Abdominal CT predictors of fibrosis in patients with chronic pancreatitis undergoing surgery

International Nuclear Information System (INIS)

Sinha, Amitasha; Afghani, Elham; Singh, Vikesh K.; Cruise, Michael; Matsukuma, Karen; Ali, Sumera; Raman, Siva P.; Fishman, Elliot K.; Andersen, Dana K.; Makary, Martin A.; Zaheer, Atif

2015-01-01

To determine which abdominal CT findings predict severe fibrosis and post-operative pain relief in chronic pancreatitis (CP). Pre-operative abdominal CTs of 66 patients (mean age 52 ± 12 years, 53 % males) with painful CP who underwent the Whipple procedure (n = 32), Frey procedure (n = 32) or pancreatic head biopsy (n = 2), between 1/2003-3/2014, were evaluated. CT was evaluated for parenchymal calcifications, intraductal calculi, main pancreatic duct dilation (>5 mm), main pancreatic duct stricture, and abnormal side branch(es). The surgical histopathology was graded for fibrosis. CT findings were evaluated as predictors of severe fibrosis and post-operative pain relief using regression and area under receiver operating curve (AUC) analysis. Thirty-eight (58 %) patients had severe fibrosis. Parenchymal calcification(s) were an independent predictor of severe fibrosis (p = 0.03), and post-operative pain relief over a mean follow-up of 1-year (p = 0.04). Presence of >10 parenchymal calcifications had higher predictive accuracy for severe fibrosis than 1-10 parenchymal calcification(s) (AUC 0.88 vs. 0.59, p = 0.003). The predictive accuracy of >10 versus 1-10 parenchymal calcifications increased after adjusting for all other CT findings (AUC 0.89 vs. 0.63, p = 0.01). Parenchymal calcification(s) independently predict severe fibrosis and are significantly associated with post-operative pain relief in CP. The presence of >10 parenchymal calcifications is a better predictor of severe fibrosis than 1-10 parenchymal calcification(s). (orig.)

Recent progress in translational cystic fibrosis research using precision medicine strategies.

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Cholon, Deborah M; Gentzsch, Martina

2018-03-01

Significant progress has been achieved in developing precision therapies for cystic fibrosis; however, highly effective treatments that target the ion channel, CFTR, are not yet available for many patients. As numerous CFTR therapeutics are currently in the clinical pipeline, reliable screening tools capable of predicting drug efficacy to support individualized treatment plans and translational research are essential. The utilization of bronchial, nasal, and rectal tissues from individual cystic fibrosis patients for drug testing using in vitro assays such as electrophysiological measurements of CFTR activity and evaluation of fluid movement in spheroid cultures, has advanced the prediction of patient-specific responses. However, for precise prediction of drug effects, in vitro models of CFTR rescue should incorporate the inflamed cystic fibrosis airway environment and mimic the complex tissue structures of airway epithelia. Furthermore, novel assays that monitor other aspects of successful CFTR rescue such as restoration of mucus characteristics, which is important for predicting mucociliary clearance, will allow for better prognoses of successful therapies in vivo. Additional cystic fibrosis treatment strategies are being intensively explored, such as development of drugs that target other ion channels, and novel technologies including pluripotent stem cells, gene therapy, and gene editing. The multiple therapeutic approaches available to treat the basic defect in cystic fibrosis combined with relevant precision medicine models provide a framework for identifying optimal and sustained treatments that will benefit all cystic fibrosis patients. Copyright © 2017 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

The Role of PPARs in Lung Fibrosis

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Heather F. Lakatos

2007-01-01

wound healing. PPARβ/δ agonists inhibit lung fibroblast proliferation and enhance the antifibrotic properties of PPARγ agonists. PPARγ ligands oppose the profibrotic effect of TGF-β, which induces differentiation of fibroblasts to myofibroblasts, a critical effector cell in fibrosis. PPARγ ligands, including the thiazolidinedione class of antidiabetic drugs, effectively inhibit lung fibrosis in vitro and in animal models. The clinical availability of potent and selective PPARα and PPARγ agonists should facilitate rapid development of successful treatment strategies based on current and ongoing research.

Inactivated Orf virus (Parapoxvirus ovis) elicits antifibrotic activity in models of liver fibrosis.

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Nowatzky, Janina; Knorr, Andreas; Hirth-Dietrich, Claudia; Siegling, Angela; Volk, Hans-Dieter; Limmer, Andreas; Knolle, Percy; Weber, Olaf

2013-05-01

Inactivated Orf virus (ORFV, Parapoxvirus ovis) demonstrates strong antiviral activity in animal models including a human hepatitis B virus (HBV)-transgenic mouse. In addition, expression of interferon (IFN)-γ and interleukin-10 (IL-10) was induced after administration of inactivated ORFV in these mice. IFN-γ and IL-10 are known to elicit antifibrotic activity. We therefore aimed to study antifibrotic activity of inactivated ORFV in models of liver fibrosis. We characterized ORFV-induced hepatic cytokine expression in rats. We then studied ORFV in two models of liver fibrosis in rats, pig serum-induced liver fibrosis and carbon tetrachloride (CCL4 )-induced liver fibrosis. ORFV induced hepatic expression of IFN-γ and IL-10 in rats. ORFV mediated antifibrotic activity when administrated concomitantly with the fibrosis-inducing agents in both models of liver fibrosis. Importantly, when CCL4 -induced liver fibrosis was already established, ORFV application still showed significant antifibrotic activity. In addition, we were able to demonstrate a direct antifibrotic effect of ORFV on stellate cells. These results establish a potential novel antifibrotic therapeutic approach that not only prevents but also resolves established liver fibrosis. Further studies are required to unravel the details of the mechanisms involved. © 2012 The Japan Society of Hepatology.

The Role of Computed Tomography in Monitoring Patients with Cystic Fibrosis

International Nuclear Information System (INIS)

Rybacka, Anna; Karmelita-Katulska, Katarzyna

2016-01-01

Cystic fibrosis is the most common lethal autosomal recessive disorder in the Caucasian population. Although the survival rate in patients constantly improves, lung damage is still the major cause of morbidity and mortality in patients with cystic fibrosis. In clinical practice, evaluation of patients’ pulmonary state is made by combination of monitoring of lung function and more directly by assessing the lung structure in imaging studies. Studies showed that computed tomography findings are more sensitive as compared to the pulmonary function tests. Computed tomography can identify a wide range of morphological abnormalities in patients with cystic fibrosis, such as bronchiectasis (which is progressive, irreversible and probably the most relevant structural change in cystic fibrosis) peribronchial thickening, mucous plugging and many other disorders that occur in the course of the disease. Computed tomography has a crucial role in the assessment of pulmonary damage over time, detecting complications and monitoring treatment effects in patients with cystic fibrosis

Ketamine induced renal fibrosis in a ketamine addition rat model

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Mei-Yu Jang

2017-09-01

Conclusion: Ketamine treatment not only induced cystitis-like syndrome, but also renal fibrosis. These renal interstitial fibrosis changes may be induced by the TGF-β pathway. These preliminary results can provide valuable information from a clinical perspective.

Áreas vulnerables en el centro de Madrid

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Agustín Hernández Aja

2007-07-01

This document shows an vulnerability analysis of the central area of Madrid taken it as the field of APE-00.01. Its objective is to delimit “vulnerable areas” so there can be evaluated the opportunities for interve trough them and then define the best tools in detriment of their vulnerability reasons. To determinate those areas we have developed a sociodemographic analysis where we have found those units of population with vulnerable values. Once determinated, we have synthetize them to define them as easy drafts that makes understandable the work area for later on establish a vulnerable areas catalogue with spatial homogeneity and significant size. The basic nucleus of the análisis has been the sociodemographic fact, based on homogeneus data sources for all the area so they could be referenced to specific spacial areas. In each case has been advised other possible indicators of vulnerability including a signifier selection of thrm on the fifth chapter.

Thrombin and factor Xa link the coagulation system with liver fibrosis.

Science.gov (United States)

Dhar, Ameet; Sadiq, Fouzia; Anstee, Quentin M; Levene, Adam P; Goldin, Robert D; Thursz, Mark R

2018-05-08

Thrombin activates hepatic stellate cells via protease-activated receptor-1. The role of Factor Xa (FXa) in hepatic fibrosis has not been elucidated. We aimed to evaluate the impact of FXa and thrombin in vitro on stellate cells and their respective inhibition in vivo using a rodent model of hepatic fibrosis. HSC-LX2 cells were incubated with FXa and/or thrombin in cell culture, stained for αSMA and relative gene expression and gel contraction calculated. C57BL/6 J mice were administered thioacetamide (TAA) for 8 weeks with Rivaroxaban (n = 15) or Dabigatran (n = 15). Control animals received TAA alone (n = 15). Fibrosis was scored and quantified using digital image analysis and hepatic tissue hydroxyproline estimated. Stellate cells treated with FXa and thrombin demonstrated upregulation of procollagen, TGF-beta, αSMA and significant cell contraction (43.48%+/- 4.12) compared to culturing with FXa or thrombin alone (26.90%+/- 8.90, p = 0.02; 13.1%+/- 9.84, p < 0.001). Mean fibrosis score, percentage area of fibrosis and hepatic hydroxyproline content (2.46 vs 4.08, p = 0.008; 2.02% vs 3.76%, p = 0.012; 276.0 vs 651.3, p = 0.0001) were significantly reduced in mice treated with the FXa inhibitor compared to control mice. FXa inhibition was significantly more effective than thrombin inhibition in reducing percentage area of fibrosis and hepatic hydroxyproline content (2.02% vs 3.70%,p = 0.031; 276.0 vs 413.1,p = 0.001). FXa promotes stellate cell contractility and activation. Early inhibition of coagulation using a FXa inhibitor significantly reduces TAA induced murine liver fibrosis and may be a viable treatment for liver fibrosis in patients.

Building a panel data set on fuel stations located in the Spanish regional areas of Madrid and Barcelona

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Jacint Balaguer

2016-06-01

Full Text Available The data described in this article were collected daily over the period June 10, 2010, to November 25, 2012, from the website of the Spanish Ministry of Industry, Energy and Tourism. The database includes information about fuel stations regarding to their prices (both gross and net of taxes, brand, location (latitude and longitude, and postal code in the Spanish provinces of Madrid and Barcelona. Moreover, obtaining the postal codes has allowed us to select those stations that are operating within the metropolitan areas of Madrid and Barcelona. By considering those fuel stations that uninterruptedly provided prices during the entire period, the data can be especially useful to explore the dynamics of prices in fuel markets. This is the case of Balaguer and Ripollés (2016, “Asymmetric fuel price responses under heterogeneity” [1], who, taking into account the presence of the potential heterogeneity of the behaviour of fuel stations, used this statistical information to perform an analysis on asymmetric fuel price responses.

Fibrosis in nonalcoholic fatty liver disease: Noninvasive assessment using computed tomography volumetry.

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Fujita, Nobuhiro; Nishie, Akihiro; Asayama, Yoshiki; Ishigami, Kousei; Ushijima, Yasuhiro; Takayama, Yukihisa; Okamoto, Daisuke; Shirabe, Ken; Yoshizumi, Tomoharu; Kotoh, Kazuhiro; Furusyo, Norihiro; Hida, Tomoyuki; Oda, Yoshinao; Fujioka, Taisuke; Honda, Hiroshi

2016-10-28

To evaluate the diagnostic performance of computed tomography (CT) volumetry for discriminating the fibrosis stage in patients with nonalcoholic fatty liver disease (NAFLD). A total of 38 NAFLD patients were enrolled. On the basis of CT imaging, the volumes of total, left lateral segment (LLS), left medial segment, caudate lobe, and right lobe (RL) of the liver were calculated with a dedicated liver application. The relationship between the volume percentage of each area and fibrosis stage was analyzed using Spearman's rank correlation coefficient. A receiver operating characteristic (ROC) curve analysis was performed to determine the accuracy of CT volumetry for discriminating fibrosis stage. The volume percentages of the caudate lobe and the LLS significantly increased with the fibrosis stage ( r = 0.815, P volumetry is a useful diagnostic parameter for staging fibrosis in NAFLD patients.

Systems Level Analysis and Identification of Pathways and Networks Associated with Liver Fibrosis

Science.gov (United States)

2014-11-07

Affymetrix GeneChip Rat Genome 230 2.0 Arrays. In GSE13747, liver fibrosis was produced by bile duct ligation [60]. Six replicates of liver fibrosis...fibrosis produced by bile duct ligation. B) GSE6929 represents sunitinib (SU11248) treatment in liver cirrhosis. doi:10.1371/journal.pone.0112193...respectively. In the study associated with the GSE13747 dataset, liver fibrosis was induced using bile duct ligation. We observed the predicted positive

Edificio de oficinas en el paseo de recoletos. Madrid/España

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Andrada Pfeiffer, R.

1988-02-01

Full Text Available The projected building is an attempt to respond to the problems resulting from the construction of a modern office building in a significant, characteristic and consolidated urban environment of Madrid. Among the problems considered by the authors are their relationship with the existing medium-sized buildings, as well as location (the corner of a consolidated block on the avenue-axis Castellana-Recoletos, arquitectonic language (composition of façades, and construction and construction materials (stone and glass. Therefore, the building is conceived from a plan of necessities (offices set in "landscape floors", and as an expression of its urban location, in an area whose uniqueness and importance themselves have suggested the shapes, the materials and their expression.

El proyecto intentó dar respuesta a los problemas que plantea la construcción de un edificio moderno de oficinas en un entorno urbano muy significativo, característico y consolidado de Madrid. Se han valorado tanto los problemas de enlace con los edificios medianeros, como los problemas de situación (esquina de una manzana consolidada en el paseo o eje Castellana-Recoletos, los problemas de lenguaje arquitectónico (composición de las fachadas y los de su construcción y sus materiales (piedra y cristal. Por tanto, se concibe el edificio a partir del programa de necesidades (oficinas en "planta paisaje", como expresión de su situación urbana, en un entorno cuya singularidad e importancia, han ido sugiriendo las formas, los materiales y su expresión.

Why not now? : the electric vehicle as a vehicle of tomorrow

NARCIS (Netherlands)

Katz, C.; Mom, G.P.A.

2014-01-01

Plenary session on the Future of Electromobitliy : 10th Conference of the International Association for the History of Transport, Traffic and Mobility, Madrid, 18 november 2012 : introduced and summarized.

El fenómeno de la dispersión urbana en la Comunidad de Madrid. Evolución morfológica del tejido urbano de la periferia Nordeste de Madrid 1980-2010 / The phenomenon of urban sprawl in the Community of Madrid. Morphological evolution of the urban fabric

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Victoria de Lancer Salas

2011-09-01

Full Text Available ResumenAl entender que, en la actualidad, los modelos de ciudad, cualquier que fuese su naturaleza, deberían de surgir a partir de la búsqueda de alternativas viables, teniendo presente, ante otros aspectos, el coste ambiental que los modelos de ciudad dispersa suponen, nace el interés por entender los fenómenos que, en primera instancia, han provocado la dispersión de la ciudad sobre el territorio.La presente investigación busca estudiar cómo se ha ido desarrollando el fenómeno de la dispersión urbana en la Comunidad de Madrid, a partir del análisis de la evolución de la morfología urbana de ocho municipios periféricos en concreto, destacando cómo se produjo y cuáles han sido los procesos que conforman su constitución, identificando las formas, tipo de crecimiento y desarrollo urbano de dichos municipios.Como conclusión del proceso de investigación, se plantea de manera comparativa cuáles de los aspectos estudiados han sido determinantes de la actual morfología urbana de los municipios estudiados, mostrando su evolución, y cómo se ha visto afectado tanto el crecimiento, como la utilización del territorio en los mismos.Palabras clave Dispersión urbana, periferia Nordeste de Madrid, morfología urbana.AbstractComprehending that, in our day and age, city models, whichever their nature may be, must arise from the pursuit of viable alternatives, bearing in mind, amongst other aspects, the environmental costs which these dispersed city models pose, raises interest in understanding the phenomena which, in first instance, have caused the city to disperse upon the territory.The following research explores the development of the phenomenon which is the urban dispersion of the Community of Madrid, while analyzing the evolution of the urban morphology of eight particular municipalities, highlighting how it occurred and what have been the processes that make up its composition, identifying forms, type of growth and urban development

Lung function imaging methods in Cystic Fibrosis pulmonary disease.

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Kołodziej, Magdalena; de Veer, Michael J; Cholewa, Marian; Egan, Gary F; Thompson, Bruce R

2017-05-17

Monitoring of pulmonary physiology is fundamental to the clinical management of patients with Cystic Fibrosis. The current standard clinical practise uses spirometry to assess lung function which delivers a clinically relevant functional readout of total lung function, however does not supply any visible or localised information. High Resolution Computed Tomography (HRCT) is a well-established current 'gold standard' method for monitoring lung anatomical changes in Cystic Fibrosis patients. HRCT provides excellent morphological information, however, the X-ray radiation dose can become significant if multiple scans are required to monitor chronic diseases such as cystic fibrosis. X-ray phase-contrast imaging is another emerging X-ray based methodology for Cystic Fibrosis lung assessment which provides dynamic morphological and functional information, albeit with even higher X-ray doses than HRCT. Magnetic Resonance Imaging (MRI) is a non-ionising radiation imaging method that is garnering growing interest among researchers and clinicians working with Cystic Fibrosis patients. Recent advances in MRI have opened up the possibilities to observe lung function in real time to potentially allow sensitive and accurate assessment of disease progression. The use of hyperpolarized gas or non-contrast enhanced MRI can be tailored to clinical needs. While MRI offers significant promise it still suffers from poor spatial resolution and the development of an objective scoring system especially for ventilation assessment.

Extracellular Matrix Molecular Remodeling in Human Liver Fibrosis Evolution.

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Andrea Baiocchini

Full Text Available Chronic liver damage leads to pathological accumulation of ECM proteins (liver fibrosis. Comprehensive characterization of the human ECM molecular composition is essential for gaining insights into the mechanisms of liver disease. To date, studies of ECM remodeling in human liver diseases have been hampered by the unavailability of purified ECM. Here, we developed a decellularization method to purify ECM scaffolds from human liver tissues. Histological and electron microscopy analyses demonstrated that the ECM scaffolds, devoid of plasma and cellular components, preserved the three-dimensional ECM structure and zonal distribution of ECM components. This method has been then applied on 57 liver biopsies of HCV-infected patients at different stages of liver fibrosis according to METAVIR classification. Label-free nLC-MS/MS proteomics and computation biology were performed to analyze the ECM molecular composition in liver fibrosis progression, thus unveiling protein expression signatures specific for the HCV-related liver fibrotic stages. In particular, the ECM molecular composition of liver fibrosis was found to involve dynamic changes in matrix stiffness, flexibility and density related to the dysregulation of predominant collagen, elastic fibers and minor components with both structural and signaling properties. This study contributes to the understanding of the molecular bases underlying ECM remodeling in liver fibrosis and suggests new molecular targets for fibrolytic strategies.

Efficacies of prevention and control measures applied during an outbreak in Southwest Madrid, Spain.

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Anaiá da Paixão Sevá

Full Text Available Leishmaniasis is a vector-borne disease of worldwide distribution, currently present in 98 countries. Since late 2010, an unusual increase of human visceral and cutaneous leishmaniasis cases has been observed in the south-western Madrid region, totaling more than 600 cases until 2015. Some hosts, such as human, domestic dog and cat, rabbit (Oryctolagus cuniculus, and hare (Lepus granatensis, were found infected by the parasite of this disease in the area. Hares were described as the most important reservoir due to their higher prevalence, capacity to infect the vector, and presence of the same strains as in humans. Various measures were adopted to prevent and control the disease, and since 2013 there was a slight decline in the human sickness. We used a mathematical model to evaluate the efficacy of each measure in reducing the number of infected hosts. We identified in the present model that culling both hares and rabbits, without immediate reposition of the animals, was the best measure adopted, decreasing the proportion of all infected hosts. Particularly, culling hares was more efficacious than culling rabbits to reduce the proportion of infected individuals of all hosts. Likewise, lowering vector contact with hares highly influenced the reduction of the proportion of infected hosts. The reduction of the vector density per host in the park decreased the leishmaniasis incidence of hosts in the park and the urban areas. On the other hand, the reduction of the vector density per host of the urban area (humans, dogs and cats decreased only their affected population, albeit at a higher proportion. The use of insecticide-impregnated collar and vaccination in dogs affected only the infected dogs' population. The parameters related to the vector contact with dog, cat or human do not present a high impact on the other hosts infected by Leishmania. In conclusion, the efficacy of each control strategy was determined, in order to direct future actions

The transport of drug in fibrosis. Comment on "Towards a unified approach in the modeling of fibrosis: A review with research perspectives" by Martine Ben Amar and Carlo Bianca

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Ivancevic, Vladimir

2016-07-01

The topic of the review article [1] is the derivation of a multiscale paradigm for the modeling of fibrosis. Firstly, the biological process of the physiological and pathological fibrosis including therapeutical actions is reviewed. Fibrosis can be a consequence of tissue damage, infections and autoimmune diseases, foreign material, tumors. Some questions regarding the pathogenesis, progression and possible regression of fibrosis are lacking. At each scale of observation, different theoretical tools coming from computational, mathematical and physical biology have been proposed. However a complete framework that takes into account the different mechanisms occurring at different scales is still missing. Therefore with the main aim to define a multiscale approach for the modeling of fibrosis, the authors of [1] have presented different top-down and bottom-up approaches that have been developed in the literature. Specifically, their description refers to models for fibrosis diseases based on ordinary and partial differential equation, agents [2], thermostatted kinetic theory [3-5], coarse-grained structures [6-8] and constitutive laws for fibrous collagen networks [9]. A critical analysis has been addressed for all frameworks discussed in the paper. Open problems and future research directions referring to both biological and modeling insight of fibrosis are presented. The paper concludes with the ambitious aim of a multiscale model.

Night blindness in a teenager with cystic fibrosis.

LENUS (Irish Health Repository)

Roddy, Marie Frances

2011-12-01

This article describes the case of a 16-year-old boy with cystic fibrosis who presented with difficulty seeing in the dark. He had a history of bowel surgery at birth, and he developed cystic fibrosis liver disease and osteopenia during his teenage years. He always had good lung function. When his serum vitamin A level was checked, it was undetectable in sample. He was diagnosed with night blindness and commenced on high-dose vitamin A. His symptoms resolved within 3 days. However, it took over 1 year for his vitamin A level to return to normal. This case emphasizes the importance of monitoring vitamin levels in cystic fibrosis to detect deficiency and prevent long-term consequences, and it highlights the challenges encountered during the course of night blindness treatment.

A biomarker panel for non-alcoholic steatohepatitis (NASH) and NASH-related fibrosis.

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Younossi, Zobair M; Page, Sandra; Rafiq, Nila; Birerdinc, Aybike; Stepanova, Maria; Hossain, Noreen; Afendy, Arian; Younoszai, Zahra; Goodman, Zachary; Baranova, Ancha

2011-04-01

Patients with biopsy-proven NASH and especially those with fibrosis are at risk for progressive liver disease, emphasizing the clinical importance of developing non-invasive biomarkers for NASH and NASH-related fibrosis. This study examines the performance of a new biomarker panel for NASH and NASH-related fibrosis with a combination of clinical and laboratory variables. Enrolled patients had biopsy-proven NAFLD. Clinical data, laboratory data, and serum samples were collected at the time of biopsy. Fasting serum was assayed for adiponectin, resistin, glucose, M30, M65, Tissue inhibitor of metalloproteinases-1 (Timp-1), ProCollagen 3 N-terminal peptide (PIIINP), and hyaluronic acid (HA). Regression models predictive of NASH, NASH-related fibrosis, and NASH-related advanced fibrosis were designed and cross-validated. Of the 79 enrolled NAFLD patients, 40 had biopsy-proven NASH and 39 had non-NASH NAFLD. Clinical and laboratory data were from this cohort were used to develop a NAFLD Diagnostic Panel that includes three models (models for NASH, NASH-related fibrosis, and NASH-related advanced fibrosis). The model for predicting NASH includes diabetes, gender, BMI, triglycerides, M30 (apoptosis), and M65-M30 (necrosis) [AUC: 0.81, 95% CI, 0.70-0.89, 300 p value <9E 301 (-06)]. The NASH-related fibrosis prediction model includes the same predictors [AUC: 0.80, 95% CI 0.68-0.88, 307 p value <0.00014]. Finally, the NASH-related advanced fibrosis model includes type 2 diabetes, serum triglycerides, Timp-1, and AST [AUC: 0.81, 95% CI, 0.70-0.89; p value, 0.000062]. This NAFLD Diagnostic Panel based on a clinical and laboratory data has good performance characteristics and is easy to use. This biomarker panel could become useful in the management of patients with NAFLD.

Inhibitory effect of dietary capsaicin on liver fibrosis in mice.

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Bitencourt, Shanna; Stradiot, Leslie; Verhulst, Stefaan; Thoen, Lien; Mannaerts, Inge; van Grunsven, Leo A

2015-06-01

Virtually all chronic liver injuries result in the activation of hepatic stellate cells (HSCs). In their activated state, these cells are the main collagen-producing cells implicated in liver fibrosis. Capsaicin (CPS), the active compound of chili peppers, can modulate the activation and migration of HSCs in vitro. Here, we evaluated the potential protective and prophylactic effects of CPS related to cholestatic and hepatotoxic-induced liver fibrosis and its possible underlying mechanism of action. Male Balb/c mice received dietary CPS after 3 days of bile duct ligation (BDL) or before and during carbon tetrachloride (CCl4 ) injections. Mice receiving dietary CPS after BDL had a significant improvement of liver fibrosis accompanied by a decrease in collagen deposition and downregulation of activation markers in isolated HSCs. In the CCl4 model, dietary CPS inhibited the upregulation of profibrogenic markers. However, CPS could not attenuate the CCl4 -induced fibrosis when it was already established. Furthermore, in vitro CPS treatment inhibited the autophagic process during HSC activation. Dietary CPS has potential benefits in the therapy of cholestatic liver fibrosis and in the prophylaxis of hepatotoxic-induced liver injury. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Apamin suppresses biliary fibrosis and activation of hepatic stellate cells.

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Kim, Jung-Yeon; An, Hyun-Jin; Kim, Woon-Hae; Park, Yoon-Yub; Park, Kyung Duck; Park, Kwan-Kyu

2017-05-01

Cholestatic liver disease is characterized by the progressive destruction of biliary epithelial cells (BECs) followed by fibrosis, cirrhosis and liver failure. Activated hepatic stellate cells (HSCs) and portal fibroblasts are the major cellular effectors of enhanced collagen deposition in biliary fibrosis. Apamin, an 18 amino acid peptide neurotoxin found in apitoxin (bee venom), is known to block Ca2+-activated K+ channels and prevent carbon tetrachloride-induced liver fibrosis. In the present study, we aimed to ascertain whether apamin inhibits biliary fibrosis and the proliferation of HSCs. Cholestatic liver fibrosis was established in mouse models with 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC) feeding. Cellular assays were performed on HSC-T6 cells (rat immortalized HSCs). DDC feeding led to increased hepatic damage and proinflammtory cytokine levels. Notably, apamin treatment resulted in decreased liver injury and proinflammatory cytokine levels. Moreover, apamin suppressed the deposition of collagen, proliferation of BECs and expression of fibrogenic genes in the DDC-fed mice. In HSCs, apamin suppressed activation of HSCs by inhibiting the Smad signaling pathway. These data suggest that apamin may be a potential therapeutic target in cholestatic liver disease.

TINF2 Gene Mutation in a Patient with Pulmonary Fibrosis

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T. W. Hoffman

2016-01-01

Full Text Available Pulmonary fibrosis is a frequent manifestation of telomere syndromes. Telomere gene mutations are found in up to 25% and 3% of patients with familial disease and sporadic disease, respectively. The telomere gene TINF2 encodes an eponymous protein that is part of the shelterin complex, a complex involved in telomere protection and maintenance. A TINF2 gene mutation was recently reported in a family with pulmonary fibrosis. We identified a heterozygous Ser245Tyr mutation in the TINF2 gene of previously healthy female patient that presented with progressive cough due to pulmonary fibrosis as well as panhypogammaglobulinemia at age 52. Retrospective multidisciplinary evaluation classified her as a case of possible idiopathic pulmonary fibrosis. Telomere length-measurement indicated normal telomere length in the peripheral blood compartment. This is the first report of a TINF2 mutation in a patient with sporadic pulmonary fibrosis, which represents another association between TINF2 mutations and this disease. Furthermore, this case underlines the importance of telomere dysfunction and not telomere length alone in telomere syndromes and draws attention to hypogammaglobulinemia as a manifestation of telomere syndromes.

The Prognosis of Small Cell Lung Cancer in Patients with Pulmonary Fibrosis.

Science.gov (United States)

Matsumoto, Yoko; Ohara, Sayaka; Furukawa, Ryutaro; Usui, Kazuhiro

2017-10-01

The purpose of this study was to assess the prognosis of small cell lung cancer (SCLC) based on the underlying pulmonary disease. A total of 204 patients with SCLC were reviewed and categorized into three groups: normal, emphysema and fibrosis. The median overall survival duration (OS) in patients with normal lungs (n=57), with emphysema (n=105) and fibrosis (n=42) was 21.3, 16.4 and 10.8 months (p=0.063). In limited-stage disease (LD), the median OS in patients with fibrosis (7.4 months) was shorter than normal (52.7 months) or emphysema patients (26.4 months) (p=0.034). In extensive-stage disease (ED), the median OS in patients with fibrosis (12.7 months) was not significantly different from normal (11.4 months) or emphysema patients (13.5 months) (p=0.600). Patients with fibrosis had a poorer prognosis than normal or emphysema patients in LD-SCLC, but the coexistence of pulmonary fibrosis did not affect the prognostic outcomes in ED-SCLC. Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

The features of radiation induced lung fibrosis related with dosimetric parameters

International Nuclear Information System (INIS)

Oh, Young-Taek; Noh, O Kyu; Jang, Hyunsoo; Chun, Mison; Park, Kyung Joo; Park, Kwang Joo; Kim, Mi-Hwa; Park, Hae-Jin

2012-01-01

Background and purpose: Radiation induced lung fibrosis (RILF) is a major complication after lung irradiation and is very important for long term quality of life and could result in fatal respiratory insufficiency. However, there has been little information on dosimetric parameters for radiotherapy planning in the aspect of RILF. The features of RILF related with dosimetric parameters were evaluated. Methods and materials: Forty-eight patients with non-small cell lung carcinoma who underwent post-operative radiation therapy (PORT) without adjuvant chemotherapy were analyzed. The degree of lung fibrosis was estimated by fibrosis volume and the dosimetric parameters were calculated from the plan of 3-dimensional conformal radiotherapy. Results: The fibrosis volume and V-dose as dosimetric parameters showed significant correlation and the correlation coefficient ranged from 0.602 to 0.683 (P < 0.01). The degree of the correlation line was steeper as the dose increase and threshold dose was not found. Mean lung dose (MLD) showed strong correlation with fibrosis volume (correlation coefficient = 0.726, P < 0.01). Conclusions: The fibrosis volume is continuously increased with V-dose as the reference dose increases. MLD is useful as a single parameter for comparing rival plans in the aspect of RILF.

Type IV collagen as marker of fibrosis in nonalcoholic liver disease

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Alvina Alvina

2016-02-01

Full Text Available Currently nonalcoholic fatty liver disease (NAFLD and nonalcoholic steatohepatitis (NASH are medical problems associated with the increasing prevalence of diabetes mellitus, obesity, hypertension and hypertriglyceridemia, usually designated as the metabolic syndrome associated with insulin resistance. One study demonstrated an increase in NAFLD prevalence of around 17-33% and in NASH prevalence of 5.7-16.5%. NAFLD comprises a range of mild to severe conditions, from simple steatosis to steatohepatitis, hepatic fibrosis and cirrhosis. The diagnosis of hepatic fibrosis is important for prognosis, stratification for treatment, and monitoring of treatment efficacy. Ultrasonography (USG is a simple method for detecting fatty infiltrates in the liver. USG has a sensitivity of 82-89% and a specificity of 93%, but cannot differentiate between hepatic steatosis and fibrosis. The gold standard for evaluation of hepatic fibrosis is liver biopsy, which however is a painful and invasive procedure. Currently determination of serum type IV collagen has been suggested as an alternative to liver biopsy among the non-invasive methods for evaluation of hepatic fibrosis, as its serum concentration is closely correlated with advanced hepatic fibrosis in NASH. Type IV collagen is one of the components of basement membrane and its serum concentration is indicative of degradation of the extracellular matrix.

Type IV collagen as marker of fibrosis in nonalcoholic liver disease

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Alvina

2010-08-01

Full Text Available Currently nonalcoholic fatty liver disease (NAFLD and nonalcoholic steatohepatitis (NASH are medical problems associated with the increasing prevalence of diabetes mellitus, obesity, hypertension and hypertriglyceridemia, usually designated as the metabolic syndrome associated with insulin resistance. One study demonstrated an increase in NAFLD prevalence of around 17-33% and in NASH prevalence of 5.7-16.5%. NAFLD comprises a range of mild to severe conditions, from simple steatosis to steatohepatitis, hepatic fibrosis and cirrhosis. The diagnosis of hepatic fibrosis is important for prognosis, stratification for treatment, and monitoring of treatment efficacy. Ultrasonography (USG is a simple method for detecting fatty infiltrates in the liver. USG has a sensitivity of 82-89% and a specificity of 93%, but cannot differentiate between hepatic steatosis and fibrosis. The gold standard for evaluation of hepatic fibrosis is liver biopsy, which however is a painful and invasive procedure. Currently determination of serum type IV collagen has been suggested as an alternative to liver biopsy among the non-invasive methods for evaluation of hepatic fibrosis, as its serum concentration is closely correlated with advanced hepatic fibrosis in NASH. Type IV collagen is one of the components of basement membrane and its serum concentration is indicative of degradation of the extracellular matrix.

Cystic fibrosis: a mucosal immunodeficiency syndrome

Science.gov (United States)

Cohen, Taylor Sitarik; Prince, Alice

2013-01-01

Cystic fibrosis transmembrane conductance regulator (CFTR) functions as a channel that regulates the transport of ions and the movement of water across the epithelial barrier. Mutations in CFTR, which form the basis for the clinical manifestations of cystic fibrosis, affect the epithelial innate immune function in the lung, resulting in exaggerated and ineffective airway inflammation that fails to eradicate pulmonary pathogens. Compounding the effects of excessive neutrophil recruitment, the mutant CFTR channel does not transport antioxidants to counteract neutrophil-associated oxidative stress. Whereas mutant CFTR expression in leukocytes outside of the lung does not markedly impair their function, the expected regulation of inflammation in the airways is clearly deficient in cystic fibrosis. The resulting bacterial infections, which are caused by organisms that have substantial genetic and metabolic flexibility, can resist multiple classes of antibiotics and evade phagocytic clearance. The development of animal models that approximate the human pulmonary phenotypes—airway inflammation and spontaneous infection—may provide the much-needed tools to establish how CFTR regulates mucosal immunity and to test directly the effect of pharmacologic potentiation and correction of mutant CFTR function on bacterial clearance. PMID:22481418

Always cleave up your mess: targeting collagen degradation to treat tissue fibrosis

Science.gov (United States)

McKleroy, William; Lee, Ting-Hein

2013-01-01

Pulmonary fibrosis is a vexing clinical problem with no proven therapeutic options. In the normal lung there is continuous collagen synthesis and collagen degradation, and these two processes are precisely balanced to maintain normal tissue architecture. With lung injury there is an increase in the rate of both collagen production and collagen degradation. The increase in collagen degradation is critical in preventing the formation of permanent scar tissue each time the lung is exposed to injury. In pulmonary fibrosis, collagen degradation does not keep pace with collagen production, resulting in extracellular accumulation of fibrillar collagen. Collagen degradation occurs through both extracellular and intracellular pathways. The extracellular pathway involves cleavage of collagen fibrils by proteolytic enzyme including the metalloproteinases. The less-well-described intracellular pathway involves binding and uptake of collagen fragments by fibroblasts and macrophages for lysosomal degradation. The relationship between these two pathways and their relevance to the development of fibrosis is complex. Fibrosis in the lung, liver, and skin has been associated with an impaired degradative environment. Much of the current scientific effort in fibrosis is focused on understanding the pathways that regulate increased collagen production. However, recent reports suggest an important role for collagen turnover and degradation in regulating the severity of tissue fibrosis. The objective of this review is to evaluate the roles of the extracellular and intracellular collagen degradation pathways in the development of fibrosis and to examine whether pulmonary fibrosis can be viewed as a disease of impaired matrix degradation rather than a disease of increased matrix production. PMID:23564511

Un acercamiento a la situación higiénico-sanitaria de los distritos de Madrid en el tránsito del siglo XIX al XX

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Porras Gallo, Maria Isabel

2002-06-01

Full Text Available The medical statements of the time show us a common opinion of the deplorable sanitary conditions of Madrid and of the most of its districts in the turn of the XIX century. This situation was so terrible that Madrid was named the «death city». In this project, using as the main sources the Healthy Demographic Statitiscs of the Town Council and of the Home Office, we aim to compare the information appeared in these statements and in the historiography studies with the one obtained by the exam of the variations in the mortality of Madrid districts between 1880 and 1931. In order to do that, this project is focused on the analyse of the changes on the general and infant mortalities and on the different Madrid districts rates of some diseases such as diarrhea and enteritis in under-2s, smallpox, diphtheria, pulmonary tuberculosis, flu and the other respiratory diseases. With all of this we try to know better its sanitary conditions in the period mentioned before.

Los testimonios médicos científico-profesionales de la época ofrecen una opinión generalizada sobre la mala situación higiénico-sanitaria de Madrid y de buena parte de sus distritos en el tránsito del siglo XIX al XX, tanto como para ser calificada como «ciudad de la muerte». Pues bien, en el presente trabajo, utilizando como principales fuentes las Estadísticas Demográfico-Sanitarias del Ayuntamiento y del Ministerio de la Gobernación, se pretende contrastar la información contenida en dichos testimonios y en los estudios historiográficos realizados hasta ahora con la proporcionada por el examen de las variaciones registradas en la mortalidad de los distritos de Madrid entre 1880 y 1931. A tal objeto, el estudio se ha centrado en el análisis de las modificaciones habidas en la mortalidad general e infantil, y en las tasas específicas de algunas enfermedades (diarrea y enteritis en menores de dos años, viruela, difteria, tuberculosis pulmonar, gripe y resto

Del "scriptor" al "publicus notarius" : los escribanos de Madrid en el siglo XIII

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María Teresa Carrasco Lazareno

2003-01-01

Full Text Available Estudio diplomático y jurídicoinstitucional de las escribanías de Madrid en el siglo XIII. Se analiza su evolución desde los primeros "Scriptores» prenotariales conocidos, clérigos y laicos de libre profesión, documentados hasta 1260, hasta la consolidación definitiva de la institución notarial y del instrumento público en el último cuarto del siglo XIII. Se estudian con detenimiento la compleja etapa de transición, en las décadas centrales de la centuria, la figura del «escrivano de congejo de Madrit», profesional estable y antecedente inmediato del escribano público, y la instauración del notariado, de acuerdo con la legislación alfonsina, así como de la escribanía municipal, por otorgamiento de Alfonso X, en 1264. A través de la documentación conservada, se analiza, asimismo, la transformación de la simple carta o «scriptura» testifical en «publicum instrumentum», mediante la valoración de la pervivencia de elementos tradicionales y la aparición de fórmulas diplomáticas que revelan la paulatina introducción.This is a diplomatic and a legal — institutional study about the actuarles offices in Madrid during the Xlllth century Its evolution is analyzed from the first known prenotarial "scriptores», priests and liberal professionals seculars, documented until 1260, until the final consolidation of the notary institution and the public instrument during the last quarter of the Xlllth century There is a detailed study about the complexity of the transitional period, during the central decades of that century, the figure of the «Notary of the Madrid Town Council», as a stable professional and immediate predecessor of the public actuary the establishment of the body of actuarles, according to the Alphonsine legislation, an the municipal actuary office, established by King Alphonse Xth., in 1264. Through the preserved documentation, it is analized, at the same time, the transformation of the simple letter, or

Olas de calor e influencia urbana en Madrid y su área metropolitana

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Fernández García, F.

2008-12-01

Full Text Available The frequency and duration of the warmest temperature episodes, a common phenomenon under the continental Mediterranean conditions of the Spanish Southern Meseta, has increased in the Madrid area since the 80´s, although their magnitude remains unchanged. The effect of the urban environment on those extreme events has exacerbated the heat load due to the persistence of the high temperatures along the night time hours. Nevertheless, the diversity of the urban morphology introduces a spatial variability on the strength of this nocturnal heat load, aggravating it in the densely urbanized areas and mitigating it in the vicinities of the green areas.

La frecuencia y duración de los episodios cálidos extremos, un fenómeno habitual en el clima mediterráneo continental de la Meseta Meridional, ha aumentado en el área de Madrid desde los años noventa, aunque su magnitud permanece constante. En el interior de la aglomeración urbana, el efecto general de la ciudad sobre estos eventos climáticos extremos ha supuesto una exacerbación del calor, no tanto por un aumento de la temperatura máxima, como por una persistencia del calor en las horas nocturnas. No obstante, la diversidad de la morfología urbana introduce variaciones espaciales en la intensidad de este calor nocturno, agravando sus efectos en las áreas densamente urbanizadas y mitigándolos en las proximidades de las áreas verdes.

Experimental induction of pulmonary fibrosis in horses with the gammaherpesvirus equine herpesvirus 5.

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Kurt J Williams

Full Text Available Gammaherpesviruses (γHV are implicated in the pathogenesis of pulmonary fibrosis in humans and murine models of lung fibrosis, however there is little direct experimental evidence that such viruses induce lung fibrosis in the natural host. The equine γHV EHV 5 is associated with equine multinodular pulmonary fibrosis (EMPF, a progressive fibrosing lung disease in its natural host, the horse. Experimental reproduction of EMPF has not been attempted to date. We hypothesized that inoculation of EHV 5 isolated from cases of EMPF into the lungs of clinically normal horses would induce lung fibrosis similar to EMPF. Neutralizing antibody titers were measured in the horses before and after inoculation with EHV 5. PCR and virus isolation was used to detect EHV 5 in antemortem blood and BAL samples, and in tissues collected postmortem. Nodular pulmonary fibrosis and induction of myofibroblasts occurred in EHV 5 inoculated horses. Mean lung collagen in EHV 5 inoculated horses (80 µg/mg was significantly increased compared to control horses (26 µg/mg (p < 0.5, as was interstitial collagen (32.6% ± 1.2% vs 23% ± 1.4% (mean ± SEM; p < 0.001. Virus was difficult to detect in infected horses throughout the experiment, although EHV 5 antigen was detected in the lung by immunohistochemistry. We conclude that the γHV EHV 5 can induce lung fibrosis in the horse, and hypothesize that induction of fibrosis occurs while the virus is latent within the lung. This is the first example of a γHV inducing lung fibrosis in the natural host.

Experimental induction of pulmonary fibrosis in horses with the gammaherpesvirus equine herpesvirus 5.

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Williams, Kurt J; Robinson, N Edward; Lim, Ailam; Brandenberger, Christina; Maes, Roger; Behan, Ashley; Bolin, Steven R

2013-01-01

Gammaherpesviruses (γHV) are implicated in the pathogenesis of pulmonary fibrosis in humans and murine models of lung fibrosis, however there is little direct experimental evidence that such viruses induce lung fibrosis in the natural host. The equine γHV EHV 5 is associated with equine multinodular pulmonary fibrosis (EMPF), a progressive fibrosing lung disease in its natural host, the horse. Experimental reproduction of EMPF has not been attempted to date. We hypothesized that inoculation of EHV 5 isolated from cases of EMPF into the lungs of clinically normal horses would induce lung fibrosis similar to EMPF. Neutralizing antibody titers were measured in the horses before and after inoculation with EHV 5. PCR and virus isolation was used to detect EHV 5 in antemortem blood and BAL samples, and in tissues collected postmortem. Nodular pulmonary fibrosis and induction of myofibroblasts occurred in EHV 5 inoculated horses. Mean lung collagen in EHV 5 inoculated horses (80 µg/mg) was significantly increased compared to control horses (26 µg/mg) (p < 0.5), as was interstitial collagen (32.6% ± 1.2% vs 23% ± 1.4%) (mean ± SEM; p < 0.001). Virus was difficult to detect in infected horses throughout the experiment, although EHV 5 antigen was detected in the lung by immunohistochemistry. We conclude that the γHV EHV 5 can induce lung fibrosis in the horse, and hypothesize that induction of fibrosis occurs while the virus is latent within the lung. This is the first example of a γHV inducing lung fibrosis in the natural host.