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ObjectiveFractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) are invasive methods to assess the functional significance of intermediate severity coronary lesions. Both indexes have been extensively validated in clinical trials in guiding revascularisation in patients with stable ischaemic heart disease undergoing percutaneous coronary intervention (PCI) with improved clinical outcomes. However, the role of these tools in coronary artery bypass grafting (CABG) is less clear.MethodsA meta-analysis of randomised trials and observational studies was carried out to help in determining the optimal strategy for assessing lesion severity and selecting graft targets in patients undergoing CABG. Electronic searches were carried out on Embase, MEDLINE, and Web of Science. A group of four authors independently screened and then assessed the retrieved records. Cochrane's Risk of Bias and Robins-I tools were used for bias assessment. A survey was conducted among surgeons and cardiologists to describe current attitudes towards the preoperative use of functional coronary investigations in practice.ResultsClinical outcomes including mortality at 30 days, perioperative myocardial infarction, number of grafts, incidence of stroke, rate of further need for revascularisation, and patient-reported quality of life did not differ in CABG guided by functional testing from those guided by traditional angiography.The survey revealed that in half of the surgical and cardiology units functional assessment is performed in CABG patients; there is a general perception that functional testing has improved patient care and its use would clarify the role of moderate coronary lesions that often need multidisciplinary rediscussions; moderate stenosis are felt to be clinically relevant; and anatomical considerations need to be taken into account together with functional assessment.ConclusionsAt present, the evidence to support the routine use of functional testing in intermediate lesions for planning CABG is currently insufficient. The pooled data currently available do not show an increased risk in mortality, myocardial injury, and stroke in the FFR/iFR-guided group. Further trials with highly selected populations are needed to clarify the best strategy.Systematic Review RegistrationClinicalTrials.gov, identifier (CRD42023414604).

Abstract The full data set of the NEMO-3 experiment has been used to measure the half-life of the two-neutrino double beta decay of $$^{100}$$ 100 Mo to the ground state of $$^{100}$$ 100 Ru, $$T_{1/2} = \left[ 6.81 \pm 0.01\,\left( \text{ stat }\right) ^{+0.38}_{-0.40}\,\left( \text{ syst }\right) \right] \times 10^{18}$$ T1/2=6.81±0.01stat-0.40+0.38syst×1018 year. The two-electron energy sum, single electron energy spectra and distribution of the angle between the electrons are presented with an unprecedented statistics of $$5\times 10^5$$ 5×105 events and a signal-to-background ratio of $$\sim $$ ∼ 80. Clear evidence for the Single State Dominance model is found for this nuclear transition. Limits on Majoron emitting neutrinoless double beta decay modes with spectral indices of $$\mathrm{n}=2,3,7$$ n=2,3,7 , as well as constraints on Lorentz invariance violation and on the bosonic neutrino contribution to the two-neutrino double beta decay mode are obtained.

Abstract Using data from the NEMO-3 experiment, we have measured the two-neutrino double beta decay ($$2\nu \beta \beta $$ 2νββ ) half-life of $$^{82}$$ 82 Se as $$T_{\smash {1/2}}^{2\nu } \!=\! \left[ 9.39 \pm 0.17\left( \text{ stat }\right) \pm 0.58\left( \text{ syst }\right) \right] \times 10^{19}$$ T1/22ν=9.39±0.17stat±0.58syst×1019 y under the single-state dominance hypothesis for this nuclear transition. The corresponding nuclear matrix element is $$\left| M^{2\nu }\right| = 0.0498 \pm 0.0016$$ M2ν=0.0498±0.0016 . In addition, a search for neutrinoless double beta decay ($$0\nu \beta \beta $$ 0νββ ) using 0.93 kg of $$^{82}$$ 82 Se observed for a total of 5.25 y has been conducted and no evidence for a signal has been found. The resulting half-life limit of $$T_{1/2}^{0\nu } > 2.5 \times 10^{23} \,\text{ y } \,(90\%\,\text{ C.L. })$$ T1/20ν>2.5×1023y(90%C.L.) for the light neutrino exchange mechanism leads to a constraint on the effective Majorana neutrino mass of $$\langle m_{\nu } \rangle < \left( 1.2{-}3.0\right) \,\text{ eV }$$ ⟨mν⟩

Introduction: The complex physiological and psychological responses to regular exercise are yet to be fully elucidated. Exercise strongly modulates the immune system, inducing a plethora of dynamic responses involving the innate immune cell function and inflammatory processes that contribute to both potential health benefits and harmful side effects. Indeed, the relationship between physical exercise, stress, immunity, and metabolism serves as a paramount model of neuroimmunoendocrine interaction. Thus, the objective of this study was to conduct a comprehensive analysis of both systemic and local immunophysiological responses together with behavioral responses to a protocol of anxiety-inducing exercise. Material and methods: C57BL/6J mice were randomly allocated into sedentary or exercised groups, where the anxiety-inducing exercise protocol was based on a 14-day consecutive program of swimming in water at 38 °C. Anxiety-like behavior was corroborated through the elevated plus maze test. Systemic biomarkers of the stress response were assessed using ELISA technique and the expression of systemic inflammatory cytokines with Bio-Plex system. Phagocytic/microbicide activity, the expression of M1/M2 phenotype markers (CD11c, iNOS, CD206, ARG-1) and cytokines of the inflammatory response (MCP-1, IL-8, IL-6, TNF-α, TGF-β, IL-10) of peritoneal macrophages were determined via flow cytometry. Adipose tissue macrophage infiltration was studied through fluorescence immunohistochemistry. Results: Anxiety-like behavior, elevated circulating glucose concentrations, systemic stress and inflammatory responses, together with increased oxidative stress and inflammatory profile of peritoneal macrophages, and macrophage infiltration in white adipose tissue were observed in exercised animals. Conclusions: A protocol of exercise that induces anxiety is associated with a neuroimmunoendocrine dysregulation affecting the feedback between the inflammatory and the stress responses, together with detrimental metabolic effects in glucose modulation. Systemic inflammatory alterations are accompanied by detrimental inflammatory responses in tissue macrophage populations. Altogether, these results show that exercise associated with anxiety, stress, pro-inflammatory responses, and hyperglycaemia represents a model of ‘dangerous exercise’.

Anaerobic digestion is a well-established technology for the sustainable production of biogas. However, to be used as a substitute for natural gas or as vehicle fuel, it is necessary to remove carbon dioxide (CO2) and other contaminants from biogas that can compromise the useful life of combustion engines. Upgraded biogas is known as biomethane (>95% methane content). This work reviews the different technologies used for upgrading biogas, emphasizing microalgae–nanoparticle systems, representing a more sustainable and environmentally friendly system. Parameters affecting these systems performance are discussed, and the trends and areas of opportunity for subsequent work are evaluated through a bibliometric analysis.

Introduction Koro, also known in Cantonese as Shook Yang, which literally translates to “shrinking penis”, has its roots in a cultural belief that a mythological figure would steal the penis of his victims. Predominantly reported in Southeast Asia, it involves an acute fear of genital retraction, often accompanied by the belief that this retraction may lead to death. Over the last two centuries, Koro has undergone several attempts to establish its definition and classification, without a true consensus having been reached. Objectives This study aims to explore the cultural nuances surrounding Koro and reflect on the various conceptualizations that modulated its definition and nosological classification, from Ancient China until the present. Methods A non-systematic literature review with the keywords “koro” and “culture” was conducted. Results Koro was only introduced to the Western world during colonial expansion, drawing the attention of several psychiatrists who, in Asian territory, reported numerous cases in natives, making the very first attempts at a nosological classification, whether as an anxiety neurosis, or as an obsessive-compulsive disorder. The literature reveals significant cultural variations in the manifestation of Koro, challenging the traditional psychiatric understanding rooted in Western diagnostic categories. Cultural factors, including societal beliefs, religious practices, and regional variations, emerged as influential contributors to the prevalence and presentation of Koro. Additionally, the study identified instances of Koro evolving in response to cultural shifts and globalization, emphasizing the dynamic nature of this syndrome. Conclusions This review underscores the need for a comprehensive understanding of Koro that acknowledges its diverse conceptualizations across cultures. Its occurrence, not only in multiple parts of the world, but also in close relation with various comorbidities, has contributed to the dissolution of its primary identity as a culture-bound syndrome, turning Koro into a moving target. Disclosure of Interest None Declared

The development of sustainable aquaculture relies on replacing marine raw materials like fish meal (FM) and fish oil (FO). Emerging alternatives, such as single-cell proteins and alternative lipids, offer promise. This study explored the effects of partially substituting FM with 10% bacterial protein (Methylococcus capsulatus) and completely replacing FO with a blend of poultry oil (PO) and DHA-rich microalgae oil in European sea bass (Dicentrarchus labrax) of unselected (WT) and selected (HG) genotypes. The results indicated that bacterial protein had no adverse impact on fish growth. The HG group demonstrated better growth and feed conversion due to genetic selection. This study also analysed the dietary and genotype effects on body lipid composition and fatty acid profiles. Notably, the HG fish had lower levels of major fatty acids (EPA, DHA, n-3 FAs, and n-3 LC-PUFAs) in their fillets, but not in their whole-body composition. These differences influenced sensory and qualitative aspects. Electronic sensory analyses (the first e-sensory profiling conducted for genetic purposes in fish) showed more significant differences due to diet in the WT group, with a less variable pattern in the e-tongue score in for the HG group. The volatile profiles showed no significant differences. In summary, combining selected fish genotypes with innovative feeds is a step forward in aquaculture. It maximizes nutrient utilization, enhances fish growth, and improves product quality. This approach becomes increasingly important in scenarios with limited FM/FO availability, promoting sustainability in aquaculture.

Abstract Background Broodstock nutritional programming improves the offspring utilization of plant-based diets in gilthead sea bream through changes in hepatic metabolism. Attention was initially focused on fatty acid desaturases, but it can involve a wide range of processes that remain largely unexplored. How all this can be driven by a different genetic background is hardly underlined, and the present study aimed to assess how broodstock nutrition affects differentially the transcriptome and genome-wide DNA methylome of reference and genetically selected fish within the PROGENSA® selection program. Results After the stimulus phase with a low fish oil diet, two offspring subsets of each genetic background received a control or a FUTURE-based diet. This highlighted a different hepatic transcriptome (RNA-seq) and genome-wide DNA methylation (MBD-seq) pattern depending on the genetic background. The number of differentially expressed transcripts following the challenge phase varied from 323 in reference fish to 2,009 in genetically selected fish. The number of discriminant transcripts, and associated enriched functions, were also markedly higher in selected fish. Moreover, correlation analysis depicted a hyper-methylated and down-regulated gene expression state in selected fish with the FUTURE diet, whereas the opposite pattern appeared in reference fish. After filtering for highly represented functions in selected fish, 115 epigenetic markers were retrieved in this group. Among them, lipid metabolism genes (23) were the most reactive following ordering by fold-change in expression, rendering a final list of 10 top markers with a key role on hepatic lipogenesis and fatty acid metabolism (cd36, pitpna, cidea, fasn, g6pd, lipt1, scd1a, acsbg2, acsl14, acsbg2). Conclusions Gene expression profiles and methylation signatures were dependent on genetic background in our experimental model. Such assumption affected the magnitude, but also the type and direction of change. Thus, the resulting epigenetic clock of reference fish might depict an older phenotype with a lower methylation for the epigenetically responsive genes with a negative methylation-expression pattern. Therefore, epigenetic markers will be specific of each genetic lineage, serving the broodstock programming in our selected fish to prevent and mitigate later in life the risk of hepatic steatosis through changes in hepatic lipogenesis and fatty acid metabolism.

Resumen: Introducción: Las patologías de los tendones peroneos son una causa importante de dolor en la región lateral del tobillo. Se ha propuesto en la literatura que la implantación baja del vientre muscular del peroneo corto ocupa más espacio en el surco retromaleolar y podría causar laxitud del retináculo superior asociándose a luxación de los tendones, tenosinovitis y/o roturas. El objetivo del estudio es caracterizar la población con implantación baja del vientre muscular del peroneo corto y estudiar la asociación entre la implantación baja del vientre muscular del peroneo corto visualizado en la resonancia magnética y la luxación de los tendones peroneos. Métodos: Se desarrolló un estudio de casos y controles con una muestra de 103 pacientes. Los casos fueron pacientes con luxación de los tendones peroneos e implantación baja del vientre muscular del peroneo corto y los controles pacientes con luxación de los tendones peroneos e implantación normal del vientre muscular del peroneo corto. Resultados: La prevalencia de luxación clínica de los tendones peroneos en pacientes con implantación baja del vientre muscular del peroneo corto fue de 7,64%, y la prevalencia de luxación clínica de los tendones peroneos en pacientes con implantación normal del vientre muscular del peroneo corto fue de 8,88%. El OR fue de 0,85 (IC 0,09-7,44, p = 0,88). Discusión: Nuestros hallazgos sugieren que no hay una relación estadísticamente significativa entre la implantación baja del vientre muscular del peroneo corto y la luxación clínica de los tendones peroneos. Abstract: Introduction: Peroneal tendon pathologies are an important cause of pain in the lateral aspect of the ankle. It has been proposed in the literature that low lying peroneus brevis muscle belly occupies more space in the retromalleolar groove and could cause laxity of the superior retinaculum which would promote tendon dislocation, tenosynovitis or ruptures. The objective of the study is to characterize the population with low lying peroneus brevis muscle belly and determine the association between the low lying peroneus brevis muscle belly found on magnetic resonance imaging and clinical peroneal tendon dislocation. Methods: A case-control study was developed with a sample of 103 patients. The cases were patients with low lying peroneus brevis muscle belly and peroneal dislocation and the controls were patients with normal implantation of the peroneus brevis muscle and peroneal tendon dislocation. Results: The prevalence of clinical peroneal dislocation in patients with low implantation of the peroneal brevis muscle belly was 7.64%, and the prevalence of clinical peroneal dislocation in patients with normal implantation of the peroneus brevis muscle belly was 8.88%. The OR was 0.85 (CI 0.09–7.44, P = 0.88). Discussion: Our findings indicate that there is no statistically significant relationship between low lying peroneus brevis muscle belly and clinical dislocation of the peroneal tendons.

Dietary supplementation of aquafeeds with functional additives is a commonly employed strategy in order to reduce the potential negative effects associated to fishmeal (FM) and fish oil (FO) replacement by alternative protein and oil sources. Nevertheless, the wide variety of functional ingredients with different bioactive properties hinders the selection of appropriate dietary supplementation strategies on feed formulation. The present study aimed to develop an observational multiple-linear regression (MLR) model to identify the effects of a variety of functional ingredients supplementation on European sea bass juveniles (Dicentrarchus labrax) growth performance and feed utilization. A literature survey was conducted gathering a total of 61 dietary treatments. The functional ingredients were classified in three main groups, namely, “probiotics”, “prebiotics” or “others” (including plant derived compounds such as essential oils, extracts and powders). Three different MLR were obtained and validated, allowing to describe the effects of functional ingredients supplementation on fish specific growth rate (SGR) (with a final R-squared (R2) = 0.96, adjusted R-squared (adj R2) = 0.92 and a p-value= 7.21E-08)), fish feed intake (FI) (R2 = 0.97, adj R2 = 0.95 and a p-value= 5.42E-12)) and fish feed conversion ratio (FCR) (R2 = 0.90, adj R2 = 0.80 and a p-value= 2.02E-05)). MLR model trimming, allowed the detection of a significant positive correlation (cor) between dietary prebiotics supplementation and SGR (cor= 0.32, p-value= 8.52E-04). On the contrary, prebiotic supplementation presented a negative correlation with fish FI (cor= −0.44, p-value= 6.27E-05) and FCR (cor= −0.41, p-value= 8.96E-05).

We present the second and final release of optical spectroscopy of Type Ia supernovae (SNe Ia) obtained during the first and second phases of the Carnegie Supernova Project (CSP-I and CSP-II). The newly released data consist of 148 spectra of 30 SNe Ia observed in the course of CSP-I and 234 spectra of 127 SNe Ia obtained during CSP-II. We also present 216 optical spectra of 46 historical SNe Ia, including 53 spectra of 30 SNe Ia observed by the Calán/Tololo Supernova Survey. We combine these observations with previously published CSP data and publicly available spectra to compile a large sample of measurements of spectroscopic parameters at maximum light, consisting of pseudo-equivalent widths and expansion velocities of selected features for 232 CSP and historical SNe Ia (including more than 1000 spectra). Finally, we review some of the strongest correlations between spectroscopic and photometric properties of SNe Ia. Specifically, we define two samples: one consisting of SNe Ia discovered by targeted searches (most of them CSP-I objects) and the other composed of SNe Ia discovered by untargeted searches, which includes most of the CSP-II objects. The analyzed correlations are similar for both samples. We find a larger incidence of SNe Ia belonging to the cool and broad-line Branch subtypes among the events discovered by targeted searches, shallow-silicon SNe Ia are present with similar frequencies in both samples, while core normal SNe Ia are more frequent in untargeted searches.

Introduction: Peroneal tendon pathologies are an important cause of pain in the lateral aspect of the ankle. It has been proposed in the literature that low lying peroneus brevis muscle belly occupies more space in the retromalleolar groove and could cause laxity of the superior retinaculum which would promote tendon dislocation, tenosynovitis or ruptures. The objective of the study is to characterise the population with low lying peroneus brevis muscle belly and determine the association between the low lying peroneus brevis muscle belly found on magnetic resonance imaging and clinical peroneal tendon dislocation. Methods: A case–control study was developed with a sample of 103 patients. The cases were patients with low lying peroneus brevis muscle belly and peroneal dislocation and the controls were patients with normal implantation of the peroneus brevis muscle and peroneal tendon dislocation. Results: The prevalence of clinical peroneal dislocation in patients with low implantation of the peroneal brevis muscle belly was 7.64%, and the prevalence of clinical peroneal dislocation in patients with normal implantation of the peroneus brevis muscle belly was 8.88%. The OR was 0.85 (CI 0.09–7.44, p = 0.88). Discussion: Our findings indicate that there is no statistically significant relationship between low lying peroneus brevis muscle belly and clinical dislocation of the peroneal tendons. Resumen: Introducción: Las patologías de los tendones peroneos son una causa importante de dolor en la región lateral del tobillo. Se ha propuesto en la literatura que la implantación baja del vientre muscular del peroneo corto ocupa más espacio en el surco retromaleolar y podría causar laxitud del retináculo superior asociándose a luxación de los tendones, tenosinovitis y/o roturas. El objetivo del estudio es caracterizar la población con implantación baja del vientre muscular del peroneo corto y estudiar la asociación entre la implantación baja del vientre muscular del peroneo corto visualizado en la resonancia magnética y la luxación de los tendones peroneos. Métodos: Se desarrolló un estudio de casos y controles con una muestra de 103 pacientes. Los casos fueron pacientes con luxación de los tendones peroneos e implantación baja del vientre muscular del peroneo corto y los controles pacientes con luxación de los tendones peroneos e implantación normal del vientre muscular del peroneo corto. Resultados: La prevalencia de luxación clínica de los tendones peroneos en pacientes con implantación baja del vientre muscular del peroneo corto fue de 7,64%, y la prevalencia de luxación clínica de los tendones peroneos en pacientes con implantación normal del vientre muscular del peroneo corto fue de 8,88%. El OR fue de 0,85 (IC 0,09-7,44, p = 0,88). Discusión: Nuestros hallazgos sugieren que no existe una relación estadísticamente significativa entre la implantación baja del vientre muscular del peroneo corto y la luxación clínica de los tendones peroneos.

ABSTRACT: Unfit chicks with low viability are often euthanized in the layer industry. An effective euthanasia protocol is characterized by rapid, irreversible insensibility, followed by prompt death. This study was conducted to evaluate the efficacy of three cervical dislocation methods for killing layer chicks (2–3-day-old, avg BW ± SD; 44 ± 3 g, n = 40): manual cervical dislocation (CD), assisted manual cervical dislocation (ACD; the bird's ventral neck is placed on a blunt table edge and the back of the neck pressed firmly), and mechanical cervical dislocation by Koechner Euthanizing Device (KED-model-S). All three killing methods were assessed on anesthetized chicks (intramuscular injections of medetomidine [0.3 mg/kg BW] and ketamine [30 mg/kg BW] were used to induce clinical anesthesia). CD and ACD were also evaluated using conscious chicks to compare the killing methods and to determine the effect of anesthesia on response variables. There were no differences in time to loss of pupillary light reflex, cessation of heartbeat, or duration of gasping between conscious chicks killed with CD and ACD, but these values were all longer for conscious compared to anesthetized chicks. KED resulted in longer latencies to loss of pupillary light reflex, cessation of heartbeat, and duration of gasping.Radiographs revealed that both CD and ACD resulted in cervical luxation, mainly below the C4 vertebra, whereas KED did not cause luxation in any of the 8 chicks tested. Chicks killed by CD and ACD presented more subdural hemorrhage (SDH) at the site of cervical dislocation than those killed by KED. None of the killing methods resulted in brain trauma. Compared to CD and ACD, KED resulted in longer latency to brain death and less anatomical pathology indicating a lower efficacy of KED as an on-farm killing method.

Whilst the last decades have seen a clear shift in emphasis from managing natural hazards to managing risk, the majority of natural-hazard risk research still focuses on single hazards. Internationally, there are calls for more attention for multi-hazards and multi-risks. Within the European Union (EU), the concepts of multi-hazard and multi-risk assessment and management have taken centre stage in recent years. In this perspective paper, we outline several key developments in multi-(hazard-)risk research in the last decade, with a particular focus on the EU. We present challenges for multi-(hazard-)risk management as outlined in several research projects and papers. We then present a research agenda for addressing these challenges. We argue for an approach that addresses multi-(hazard-)risk management through the lens of sustainability challenges that cut across sectors, regions, and hazards. In this approach, the starting point is a specific sustainability challenge, rather than an individual hazard or sector, and trade-offs and synergies are examined across sectors, regions, and hazards. We argue for in-depth case studies in which various approaches for multi-(hazard-)risk management are co-developed and tested in practice. Finally, we present a new pan-European research project in which our proposed research agenda will be implemented, with the goal of enabling stakeholders to develop forward-looking disaster risk management pathways that assess trade-offs and synergies of various strategies across sectors, hazards, and spatial scales.

Abstract Background Optimal infant and young child feeding practices (IYCFP) reduce childhood stunting and are associated with additional health benefits. In Tanzania, IYCFP are far from optimal where 32% of children under the age of 5 years are stunted. The purpose of this study was to examine whether behavior change communication focused on reducing child undernutrition was associated with improved IYCFP in Tanzania. Methods A cross-sectional survey was administered to approximately 10,000 households with children under the age of 2 at baseline and endline. Bivariate analyses and logistic regression was used to examine the relationship between exposure to behavior change communication and timely initiation of breastfeeding, exclusive breastfeeding, continued breastfeeding at one year, timely complementary feeding (CF), minimum meal frequency (MMF), minimum dietary diversity (MDD), and minimum acceptable diet (MAD). Results Mothers who heard a radio spot about IYCFP were more likely than mothers who had not heard a radio spot about IYCFP to begin complementary foods at six months. Their children were also more likely to achieve MMF, MDD, and MAD with odds ratios of 2.227 (p = 0.0061), 1.222 (p = 0.0454), 1.618 (p =

Introduction: Dementia is a chronic, degenerative disease with a strong impact on families and health systems. The instruments currently in use for measuring cognitive impairment have different psychometric characteristics in terms of application time, cut-off point, reliability, and validity. The objective of this review is to describe the characteristics of the validated, Spanish-language versions of the Mini-Cog, Clock-Drawing Test, and Mini–Mental State Examination scales for cognitive impairment screening. Development: We performed a three-stage literature search of articles published on Medline since 1953. We selected articles on validated, Spanish-language versions of the scales that included data on reliability, validity, sensitivity, and specificity. Conclusions: The 3 screening tools assessed in this article provide support for primary care professionals. Timely identification of mild cognitive impairment and dementia is crucial for the prognosis of these patients. Resumen: Introducción: La demencia es una enfermedad crónica degenerativa de alto impacto para las familias y los sistemas de salud. Los instrumentos de medición del deterioro cognitivo que se utilizan actualmente tienen características psicométricas diferentes en cuanto a tiempo de aplicación, punto de corte, confiabilidad y validez. El objetivo de la presente revisión fue describir las características de las escalas Mini Cog, Prueba del Reloj y Mini Mental para tamizaje de deterioro cognitivo validadas al idioma español. Desarrollo: La búsqueda bibliográfica se realizó en tres etapas mediante la base de datos Medline a partir del año 1953. Se realizó una selección de publicaciones validadas al español que incluyeran la confiabilidad, validez, sensibilidad y especificidad de las escalas. Conclusiones: Las tres herramientas de tamizaje descritas en este artículo proporcionan un apoyo para el personal de salud. La detección oportuna es crucial para el pronóstico de las personas que viven con deterioro cognitivo leve o demencia.

Introduction With the increasing push to legalize cannabis in Western nations, there is a need to gauge the potential impact of this policy change on vulnerable populations, such as those with mental illness, including schizophrenia, mood and anxiety disorders. Objectives Understand the effects of cannabis in people with mental illness and the impact of policies legalizing cannabis in societies. Methods Literature review performed on PubMed and Google Scholar databases, using the keywords “cannabis”, “mental health”, “psychiatry”. Results Cannabis use is a modifiable risk factor for the development and exacerbation of mental illness. The strongest evidence of risk is for the development of a psychotic disorder, associated with early and consistent use in youth and young adults. Cannabis-related mental health adverse events precipitating Emergency Department (ED) or Emergency Medical Services presentations can include anxiety, suicidal thoughts, psychotic or attenuated psychotic symptoms, and can account for 25–30% of cannabis-related ED visits. Up to 50% of patients with cannabis-related psychotic symptoms presenting to the ED requiring hospitalization will go on to develop schizophrenia. With the legalization of cannabis in various jurisdiction and the subsequent emerging focus of research in this area, our understanding of who (e.g., age groups and risk factors) are presenting with cannabis-related adverse mental health events in an emergency situation is starting to become clearer. Conclusions There’s a need to provide a reconciliation of the addiction vulnerability and allostatic hypotheses to explain addiction comorbidity in mentally ill cannabis users, as well as to further aid in developing a rational framework for assessment and treatment of problematic cannabis use in these patients. Disclosure of Interest None Declared

Introduction Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by social and communication deficits and restricted and repetitive or stereotyped behaviours. The prevalence of ASD has been thought to be higher in men, which may reflect aspects of the own aetiology of the disorder. Still, it may also be associated with misdiagnosis or missed diagnosis of females with autism due to specific phenotypic traits. Objectives To explore the differences between sex/gender in autism’s clinical presentation. Methods Non-systematic literature review using the most relevant papers found on PubMed and Google Scholar using the following keywords: “autism spectrum disorder”, “gender differences”, and “autistic women”. Results Autistic women seem to have a “camouflage” phenomenon, characterized by a high level of functioning, less unusual play or restricted interests, better socio-emotional reciprocity and coping behaviours. Therefore, women with ASD commonly have an anteriority of multiple diagnoses, which delays their access to the support and care they need. Conclusions Professionals must be aware of the sex/gender clinical differences to prevent the misdiagnosis or missed diagnosis of females with autism. Moreover, the current clinical criteria used to diagnose ASD may underserve the female population and deserve to be reviewed. Disclosure of Interest None Declared

Introduction Research on life stress in bipolar disorder largely fails to account for the possibility of a dynamic relationship between psychosocial stress and episode initiation. The kindling hypothesis states that over the course of recurrent affective disorders, there is a weakening temporal relationship between major life stress and episode initiation that could reflect either a progressive sensitization or progressive autonomy to life stress. Objectives To explore the concept of the Kindling model applied to bipolar disorder and to present a clinical case of a bipolar patient whose latter mood episodes were caused by adverse life events. Methods We performed a non-systematic literature review using the most relevant papers found on the database PubMed with the keywords “kindling effect”, “allostatic load”, “bipolar disorder” and “prevention”. Description of the clinical case report. Results The phenomenon of kindling was first discovered by Goddard in 1967 who described it in epilepsy. Later, Post applied it to the bipolar disorder, arguing that the initial episodes of both unipolar and bipolar affective disorders are often precipitated by psychosocial stressors, but after multiple recurrences, not only do precipitated episodes continue to occur, but so do spontaneous ones as well. We present the case report of a 62 years old woman, divorced, diagnosed with type 1 bipolar disorder since she was 20 years old. She always have had poor adherence to her medication and follow-up with Psychiatry consultation, with a non-containing sociofamily environment that does not promote clinical stability. Over the time, her admissions on the Psychiatry ward were more frequent and precipitated by adverse life events, mainly caused by the deteriorated relationship with her children. Conclusions The kindling model clarifies aspects of the longitudinal course of episode development, recurrence, and progression to spontaneity, as well as further conceptual and theoretical rationales for intervention in order to prevent illness progression. Disclosure of Interest None Declared

Introduction Obsessive-compulsive disorder (OCD) is a clinical syndrome whose hallmarks are excessive, anxiety-evoking thoughts and compulsive behaviours that are generally recognized as unreasonable, but which cause significant distress and impairment. OCD may also occur in the context of other neuropsychiatric disorders, most commonly other anxiety and mood disorders. The question remains as to whether these combinations of disorders should be regarded as independent, cooccurring disorders or as different manifestations of an incompletely understood constellation of OCD spectrum disorders with a common aetiology. Objectives To review critically whether there is a robust basis for the concept of an obsessive–compulsive (OC) spectrum of disorders, and if so, which disorders should be included. Methods Literature review performed on PubMed and Google Scholar databases, using the keywords “obsessive–compulsive disorder”, “obsessive–compulsive spectrum”, “body dysmorphic disorder”, “hypochondriasis”, “trichotillomania”, “psychiatry”. Results Obsessive–compulsive disorder (OCD) itself is a heterogeneous condition or group of conditions, and this needs to be appreciated in any articulation of a ‘spectrum’ of OC disorders. The basis for ‘membership’ of the spectrum is inconsistent and varied, with varying level of support for inclusion in the putative spectrum. Conclusions A more fruitful approach may be to consider behaviours and dimensions in OCD and OC spectrum disorders, and that this should be encompassed in further developments of the OC spectrum model. Disclosure of Interest None Declared

Water management in mountain regions is facing multiple pressures due to climate change and anthropogenic activities. This is particularly relevant for mountain areas where water abundance in the past allowed for many anthropogenic activities, exposing them to future water scarcity. Here stochastic system dynamics modelling (SDM) was implemented to explore water scarcity conditions affecting the stored water and turbined outflows in the Santa Giustina (S. Giustina) reservoir (Autonomous Province of Trento, Italy). The analysis relies on a model chain integrating outputs from climate change simulations into a hydrological model, the output of which was used to test and select statistical models in an SDM for replicating turbined water and stored volume within the S. Giustina dam reservoir. The study aims at simulating future conditions of the S. Giustina reservoir in terms of outflow and volume as well as implementing a set of metrics to analyse volume extreme conditions. Average results on 30-year slices of simulations show that even under the short-term RCP4.5 scenario (2021–2050) future reductions for stored volume and turbined outflow are expected to be severe compared to the 14-year baseline (1999–2004 and 2009–2016; −24.9 % of turbined outflow and −19.9 % of stored volume). Similar reductions are expected also for the long-term RCP8.5 scenario (2041–2070; −26.2 % of turbined outflow and −20.8 % of stored volume), mainly driven by the projected precipitations having a similar but lower trend especially in the last part of the 2041–2070 period. At a monthly level, stored volume and turbined outflow are expected to increase for December to March (outflow only), January to April (volume only) depending on scenarios and up to +32.5 % of stored volume in March for RCP8.5 for 2021–2050. Reductions are persistently occurring for the rest of the year from April to November for turbined outflows (down to −56.3 % in August) and from May to December for stored volume (down to −44.1 % in June). Metrics of frequency, duration and severity of future stored volume values suggest a general increase in terms of low volume below the 10th and 20th percentiles and a decrease of high-volume conditions above the 80th and 90th percentiles. These results point at higher percentage increases in frequency and severity for values below the 10th percentile, while volume values below the 20th percentile are expected to last longer. Above the 90th percentile, values are expected to be less frequent than baseline conditions, while showing smaller severity reductions compared to values above the 80th percentile. These results call for the adoption of adaptation strategies focusing on water demand reductions. Months of expected increases in water availability should be considered periods for water accumulation while preparing for potential persistent reductions of stored water and turbined outflows. This study provides results and methodological insights that can be used for future SDM upscaling to integrate different strategic mountain socio-economic sectors (e.g. hydropower, agriculture and tourism) and prepare for potential multi-risk conditions.

Abstract Aria is a plant hosting a $${350}\,\hbox {m}$$ 350 m cryogenic isotopic distillation column, the tallest ever built, which is being installed in a mine shaft at Carbosulcis S.p.A., Nuraxi-Figus (SU), Italy. Aria is one of the pillars of the argon dark-matter search experimental program, lead by the Global Argon Dark Matter Collaboration. It was designed to reduce the isotopic abundance of $${^{39}\hbox {Ar}}$$ 39 Ar in argon extracted from underground sources, called Underground Argon (UAr), which is used for dark-matter searches. Indeed, $${^{39}\hbox {Ar}}$$ 39 Ar is a $$\beta $$ β -emitter of cosmogenic origin, whose activity poses background and pile-up concerns in the detectors. In this paper, we discuss the requirements, design, construction, tests, and projected performance of the plant for the isotopic cryogenic distillation of argon. We also present the successful results of the isotopic cryogenic distillation of nitrogen with a prototype plant.

The action of propeller-induced jets on the seabed of ports can cause erosion and the deposition of sediment around the port basin, potentially significantly impacting the bottom topography over the medium and long term. If such dynamics are constantly repeated for long periods, a drastic reduction in ships' clearance can result through accretion, or the stability and duration of structures can be threatened through erosion. These sediment-related processes present port management authorities with problems, both in terms of navigational safety and the optimization of management and maintenance activities of the port's bottom and infrastructure. In this study, which is based on integrated numerical modeling, we examine the hydrodynamics and the related bottom sediment erosion and accumulation patterns induced by the action of vessel propellers in the passenger port of Genoa, Italy. The proposed new methodology offers a state-of-the-art science-based tool that can be used to optimize and efficiently plan port management and seabed maintenance.

Peracetic acid (PAA) is a European Union Commission authorized disinfectant for use in animal health care. It has shown a strong inactivation potential for bacteria, viruses, fungi and bacterial spores. A stress-related adaptive response after an exposure to PAA has been described in different species of fish such as carp (Cyprinus carpio), rainbow trout (Oncorhynchus mykiss). The present study aims to evaluate the response of gilthead seabream systemic (plasma) as mucosal (gill and skin) defences after PAA a unique exposure (5 min), by measuring cortisol, glucose and lactate in plasma, as well as the expression of several genes (glutathione peroxidase, glucocorticoid receptor, superoxide dismutase 2 and superoxide dismutase involved in the response to oxidative stress in mucosal tissues). study. We observe how seabream (Sparus aurata) copes with oxidative stress induced by PAA. PAA exposure did not induce an important antioxidant response in fish, whereas induced a mild response to stress, with a fast and effective recovery of basal levels after 24 h. Although PAA triggers a mild stress response, the response described in our study reflect that it can be used for sea bream in the concentration tested with no severe physiological consequences.

This study investigated how the carbon dioxide (CO2) concentration within a chamber affects the efficacy of CO2 euthanasia and how the efficacy of CO2 induction methods changes as birds age. In experiment 1, pairs of broiler chicks (n = 192; 0, 3, and 6 D of age) were immersed into a chamber prefilled with 70, 80, 90, or 100% CO2. For experiment 2, 3- and 6-day-old broiler chicks (n = 88) were immersed in pairs into 100% CO2 or exposed to CO2 gradual fill in a chamber with a displacement rate of 28% chamber volume per minute. Latency to performance of headshaking (HS) and gasping (GS) as potential indicators of distress, loss of posture indicative of insensibility, and the cessation of rhythmic breathing (CRB) and cessation of movement (COM) as the indicators of death were monitored (live focal sampling/video recordings). The duration and frequency of HS and GS were assessed. For both experiments, behavior data were analyzed for CO2 method and age (4 × 3 factorial). Age and CO2 concentration interacted for latency to CRB and COM, with longer latencies for 0-day-old chicks immersed into 70% CO2 than other concentrations and ages. CO2 concentration did not affect latency to HS, GS, or loss of posture but affected CRB and COM, with latencies longest for 70% and shortest for 90 and 100% CO2. Newly hatched chicks had a longer latency to CRB and COM and longer duration and frequency of distress behaviors than older chicks. At all ages, initiation of all behaviors occurred later with gradual fill compared to immersion. There was an increased duration and frequency of distress behaviors with gradual induction compared with immersion. Overall, immersion into 90 to 100% CO2 resulted in the shortest time to insensibility and death, with a decreased duration and frequency of distress behaviors. Chicks immersed into 70% CO2 had the longest duration of GS and time to death. Age affects the efficacy of CO2 euthanasia, with increasing age decreasing time to death and the duration and frequency of distress behaviors.

Resumen: Introducción y objetivo: El dolor abdominal en niños es causa frecuente de consulta en el servicio de urgencias. Un grupo importante se compone de pacientes con estreñimiento crónico y coproestasis. La radiografía simple de abdomen es muy utilizada para el diagnóstico y para descartar necesidad de tratamiento quirúrgico. El presente trabajo explora la asociación de la intensidad del dolor y el grado de coproestasis. Material y métodos: Estudio transversal analítico en el que se realizó la comparación entre 2 escalas radiográficas para asociar el grado de coproestasis observado con la intensidad del dolor abdominal en pacientes que acuden al servicio de urgencias en un periodo de 7 meses. El análisis se realizó con 2 escalas radiográficas distintas utilizadas por dos observadores diferentes con el fin de comprobar si ambas son reproducibles. Para determinar el grado de concordancia interobservador se utilizó el coeficiente Kappa, y la prueba estadística empleada para la asociación entre el dolor abdominal y el grado de coproestasis fue el coeficiente de correlación de Spearman. Resultados: Se obtuvo una asociación significativa entre la intensidad del dolor y el grado radiográfico de coproestasis (p

In Colombia earthen buildings, mostly adobe, makes up 80% of the national monumental heritage and historic urban centres. Moreover, vernacular earthen techniques have been largely used for dwellings in rural villages, small towns or informal settlements and represent, nowadays, a huge architectural and cultural heritage of the country. Due the brittle behaviour and low ductility of the building material, characterized by both low tensile and bending strength, earth constructions show high seismic vulnerability; nevertheless, though Colombian earthquake hazard level is considered very high, current national seismic building regulations do not include any reference to earthen architecture. Seismic failure mechanisms most frequently occurring to masonry architecture, as adobe buildings rehabilitation techniques and seismic behaviour improvement practices, have been widely published. This paper aims to investigate possible causes associated to failure mechanisms due to common adobe building practices in Colombia and intervention strategies, to be eventually implemented in order to reduce risks. The paper focuses on strategies and technologies for seismic retrofitting, while evaluating their effectiveness and feasibility through ‘sustainability’ indicators, based on literature quantitative and qualitative data, and strictly related to rural Colombian economic, social and environmental conditions, where available resources are scarce and labour often not qualified.

Introduction and aim: Abdominal pain in children is a frequent cause of emergency room consultation. An important group of those patients presents with chronic constipation and fecal impaction. Plain abdominal x-ray is widely used for making a diagnosis and ruling out the need for surgical treatment. The present study examined the association between pain intensity and fecal impaction grade. Materials and methods: An analytic cross-sectional study was conducted that compared two radiographic scales to determine the association between the grade of fecal impaction observed and abdominal pain intensity in patients that sought medical attention at an emergency service within a 7-month period. The analysis was carried out by two different observers, utilizing two different radiographic scales to confirm their reproducibility. The degree of interobserver agreement was measured using the Kappa coefficient and the association between abdominal pain and fecal impaction grade was measured through the Spearman correlation coefficient. Results: There was a significant association between pain intensity and the radiographic grade of fecal impaction (p

This research work describes the manufacturing and characterization of novel engineering materials consisted of fully bio-based blends of polyamide 1010 (PA1010) with 20 wt% of polylactide (PLA). Four different compatibilizers were used to enhance the miscibility and the performance of the biopolymer blends. Two multi-functionalized vegetable oils (maleinized linseed oil (MLO) and epoxidized linseed oil (ELO)) and two petroleum-derived glycidyl-based additives (epoxy styrene-acrylic oligomer (ESAO) and styrene-glycidyl methacrylate copolymer (PS-GMA)) were tested during melt compounding. The resultant biopolymer blends were processed by either cast film extrusion or injection molding to obtain films and pieces, respectively. Thin films with an average thickness of 50–60 µm and thick pieces of 4 mm were obtained, and their mechanical, morphological, thermal, thermomechanical, barrier and, optical properties were characterized. Although all four compatibilizers successfully provided compatibilization to the blends, the chemically modified vegetable oils, that is, MLO and ELO yielded the injection-molded pieces with the most balanced mechanical properties in terms of strength and toughness. Besides, the resultant films showed very low oxygen transmission rate values, thus broadening the potential of these biopolymer blends for the food packaging industry.

Abstract Background Recurrent bacterial infections of the respiratory tract are one of the major clinical features of the primary ciliary dyskinesia (PCD), a rare genetic disease due to malfunctioning of motile cilia. Chronic infections and persistent inflammation of the respiratory system result in progressive lung disease. Aim of the study was to highlight the main factors associated with clinical, functional and anatomical deterioration in PCD patients. Methods We retrospectively analyzed data from 58 patients with PCD, 37 adults and 21 children. The demographic and clinical data, forced expiratory volume at 1 s (FEV1) and forced vital capacity (FVC), sputum microbiology and imaging results (chest CT scores-modified Bhalla) were recorded. Patients were stratified according to the number of exacerbations (

Due to genetic selection for fast growth and high breast meat yield, commercial strains of broiler chickens and broiler breeders are predisposed to high feed intake; however, feeding broiler breeders ad libitum impairs their health and reproductive performance. Broiler breeders are feed-restricted throughout rearing to maintain health and performance, yet feed restriction results in hunger, feeding frustration and lack of satiety. The objective of this study was to examine the effect of alternative feeding strategies, including feed additives (separately or combined) and a fixed non-daily feeding schedule, on the feeding motivation and welfare of broiler breeders during rearing. At 3 weeks of age, 180 Ross 308 breeder pullets were allocated to 90 cages and fed with one of five isocaloric treatments: (1) daily control diet (control), (2) daily calcium propionate diet (CaP), (3) daily soybean hull diet (SBH), (4) daily alternative diet (alternative: CaP + SBH) and (5) 4/3 control diet (four on-feed days and three non-consecutive off-feed days per week). The CaP diet included calcium propionate at 1.4% from 3 to 6 weeks of age, and at 3.2% from 7 to 12 weeks of age, and the SBH diet contained soybean hulls included at 40%. The alternative diet included both soybean hulls and calcium propionate at the same inclusion rate as the SBH and CaP diets, respectively. Pullets were weighed and scored for feather coverage every week. A feed intake test was conducted at 3, 4, 8, 10 and 11 weeks of age for 10 min during on- and off-feed days. At 12 weeks of age, feather samples were analysed for fault bars. Data were analysed using linear mixed regression models, with cage nested in the models and age as a repeated measure. At 4 weeks of age, pullets fed soybean hull-enriched diets (SBH and alternative diets) and those on the 4/3 schedule had lower feed intake than control pullets (P = 0.02). Feathers from pullets fed the SBH diet had fewer fault bars than those fed the CaP diet (P = 0.04). The results indicated that the inclusion of soybean hulls (alone or combined with calcium propionate) and a 4/3 feeding schedule can reduce feeding motivation of broiler breeders during early rearing.

The evolution of white dwarfs is essentially a gravothermal process of cooling in which the basic ingredients for predicting their evolution are well identified, although not always well understood. There are two independent ways to test the cooling rate. One is the luminosity function of the white dwarf population, and another is the secular drift of the period of pulsation of those individuals that experience variations. Both scenarios are sensitive to the cooling or heating time scales, for which reason, the inclusion of any additional source or sink of energy will modify these properties and will allow to set bounds to these perturbations. These studies also require complete and statistical significant samples for which current large data surveys are providing an unprecedented wealth of information. In this paper we review how these techniques are applied to several cases like the secular drift of the Newton gravitational constant, neutrino magnetic moments, axions and weakly interacting massive particles (WIMPS).

Currently, the obtention of nano-structures based on III-V materials is expensive. This calls for novel and inexpensive nanostructure manufacturing approaches. In this work we report on the manufacture of a nanostructures consisting of alternating layers of In and GaAs on a Si substrate by magnetron sputtering. Furthermore, we characterized the produced nanostructures using secondary ion mass spectroscopy (SIMS), X-ray diffraction analysis, and Raman spectroscopy. SIMS revealed variation in the concentration of In atoms across In/GaAs/ In interphases, and X-ray diffraction revealed planes corresponding to phases associated with GaAs and InAs due to In interfacial diffusion across GaAs layers. Finally, in order to study the composition and cristal quality of the manufactures nanostaructures, Raman spectra were taken using laser excitation lines of 452 nm, 532 nm, and 562 nm at different points across the nanostructures. This allowed to determine the transverse and longitudinal optical modes of GaAs and InAs, characteristic of a two-mode behavior. An acoustic longitudinal vibrational mode LA(Γ) of GaAs and an acoustic longitudinal mode activated by disorder (DALA) were observed. These resulted from the substitution of Ga atoms for In atoms in high concentrations due to the generation of Ga(VGa) and/or As(VAs) vacancies. This set of analyses show that magnetron sputtering can be a viable and relatively low-cost technique to obtain this type of semiconductors.

The hydrogeochemical characterization and water-rock interaction processes in the subbasins of Santa Catarina and Ocampo-Paraíso in the Zona Media of San Luis Potosí have allowed identifying the types of groundwater. The results of the chemical analysis and the regional geological study show the possible rock-water interaction mechanisms. These results indicate that the composition of the groundwater in each of these basins reflects the dissolution of the carbonate and magnesium minerals of the carbonate rocks of Cretaceous age (El Abra Formation), by rainwater, and of the groundwater through a granular medium with a strong influence of the material of volcanic origin. The Ca-HCO3, Ca-Mg-HCO3, water type are modified during the groundwater flow by incorporation of Na+ and SO42- ions. The San Nicolás (subbasin III) has covered by fluvial deposits in a climatic conditions of semiarid regions. The hydrogeochemical analysis of major ions, lithium and bromine allowed identifying that the extracted water from the region is a product of mixing process, involving three endmembers (ternary mixture). The first, Santa Catarina (C1), has the lowest concentrations of bromine and lithium and its recharge occur in the highest altitude land in the region, towards the Sierra de Álvarez. The second end member (C2), displays high values of bromine, low in lithium and originates towards the Ocampo Paraíso Valley. The third end member (C3), has low bromine concentrations, high in lithium, and comes from San Nicolás Tolentino area. The mixing percentages indicate that C1 contributes 50%, C2 gives 31% and C3 adds 19% water to the system. doi: https://doi.org/10.22201/igeof.00167169p.2019.58.4.2056

The net rate of freshwater input to the Arctic Ocean has been calculated in the past by two methods: directly, as the sum of precipitation, evaporation and runoff, an approach hindered by sparsity of measurements, and by the ice and ocean budget method, where the net surface freshwater flux within a defined boundary is calculated from the rate of dilution of salinity, comparing ocean inflows with ice and ocean outflows. Here a third method is introduced, the geochemical method, as a modification of the budget method. A standard approach uses geochemical tracers (salinity, oxygen isotopes, inorganic nutrients) to compute “source fractions” that quantify a water parcel's constituent proportions of seawater, freshwater of meteoric origin, and either sea ice melt or brine (from the freezing-out of sea ice). The geochemical method combines the source fractions with the boundary velocity field of the budget method to quantify the net flux derived from each source. Here it is shown that the geochemical method generates an Arctic Ocean surface freshwater flux, which is also the meteoric source flux, of 200±44 mSv (1 Sv=106 m3 s−1), statistically indistinguishable from the budget method's 187±44 mSv, so that two different approaches to surface freshwater flux calculation are reconciled. The freshwater export rate of sea ice (40±14 mSv) is similar to the brine export flux, due to the “freshwater deficit” left by the freezing-out of sea ice (60±50 mSv). Inorganic nutrients are used to define Atlantic and Pacific seawater categories, and the results show significant non-conservation, whereby Atlantic seawater is effectively “converted” into Pacific seawater. This is hypothesized to be a consequence of denitrification within the Arctic Ocean, a process likely becoming more important with seasonal sea ice retreat. While inorganic nutrients may now be delivering ambiguous results on seawater origins, they may prove useful to quantify the Arctic Ocean's net denitrification rate. End point degeneracy is also discussed: multiple property definitions that lie along the same “mixing line” generate confused results.

Introduction Psychedelics - including LSD (lysergic acid diethylamide), psilocybin, DMT (N, N-dimethyltryptamine), ayahuasca and mescaline - have an ancient history across various civilizations. In 1950, after LSD’s discovery by Hofmann, psychedelics enjoyed a short-lived relationship with psychiatry, before prohibitive legislature emerging in response to the recreational use in the mid-1960s. However, the last decade has witnessed a renewed scientific interest in psychedelics - a phenomenon referred to as the ‘Psychedelic Renaissance’. Objectives Review the pharmacology of psychedelic drugs and the latest evidence of its therapeutic potentials in anxiety, mood and addictive disorders. Methods Literature review performed on PubMed and Google Scholar databases, using the keywords “psychedelics”, “hallucinogens”, “d-lysergic acid diethylamide (LSD)”, “psilocybin”, “ayahuasca”, “mescaline”, “DMT (N,N-dimethyltryptamine)”. Results The psychedelics or “classic hallucinogens” can be subdivided into three sub-classes: the plant-derived tryptamines (psilocybin and ibogaine) and phenethylamines (mescaline), and the semisynthetic ergolines (LSD). The therapeutic potentials are mediated by an agonist action on 5-HT2A receptors expressed in frontal and paralimbic structures involved in mood and emotion regulation, introspection, interoception and self-consciousness. Stimulation of 5-HT2ARincreases the glutamatergic tone and neuroplasticity and is accompanied by reduced amygdala activity, reducing anxiety. Experimental, open-label, and RCTs showed anxiolytic, antidepressive, and antiaddictive effects with psychedelics. As examples, psilocybin and LSD reduced anxiety and depression in cancer patients and symptoms of alcohol and tobacco dependence, and ayahuasca reduced depression in treatment-resistant depression. Conclusions Despite the promising effects of psychedelics on anxiety, depression and addiction, the evidence is still preliminary, waiting for long-term studies with bigger samples. Conflict of interest No significant relationships.

Introduction Suicide is an intriguing act of the human being. The reasons behind the violation of an instinct for survival is far from being understood. Besides, the emergence of assisted dying is raising even more questions about the concept of rational suicide, defined as a well-thought-out decision to die by whom is mentally competent. Objectives Understand the concept of rational suicide, in parallel with suicide, by exploring the views on this debate over the years and elucidating the relationship with mental disorders, mental capacity and patient’s rights. Methods Literature review performed on PubMed and Google Scholar databases, using the keywords “rational suicide”, “assisted death”, “suicide”, “phenomenology”, “mental capacity” and “responsibility for life”. Results The theological condemnations of suicide – as sin or crime – were put aside with psychiatric development in the last century. Durkheim was the first important precursor of the contemporary view - suicide is a form of mental illness (psychosis or depression) not compatible with rational deliberation. With the increasingly open debate on assisted dying, this vision is being tested by cases of terminally ill patients subjected to experiences that many wouldn’t choose to tolerate. Moral right to self-determination and needless suffering are examples of arguments in favor of rational suicide. Conclusions The need for an open discussion about rational suicide is raising, specifically in relation to psychiatric disorders, mainly to resolve the conflict between the duty of care of psychiatrists and the autonomy of patients. Disclosure No significant relationships.

Introduction Insight is a complex and multidimensional phenomenon. Metacognition, awareness of illness or anosognosia are some of the terms used to designate this feature of the mental state exam. Objectives To attempt to explore the evolution of the concept of insight as a psychiatric symptom over the years and to bring up some up-to-date features on this theme. Methods Literature review, using the most relevant papers, with the keywords “psychiatric insight”, “awareness of illness”, “metacognition” and “phenomenology”. Results The term ‘insight’ has been described since 1896 when Kraepelin had noticed that patients with dementia praecox were unaware of their condition. Nowadays, it is recognized in several psychiatric disorders, with different meanings in each one. Overall, insight in psychiatry involves an attempt to see one’s thinking and behaviour ‘objectively’ and comparing it to some representation of mental health. Impaired insight has been linked to poor treatment compliance and outcomes, overall symptom severity, higher relapse, lower self-esteem, and impaired psychosocial functioning. White matter and connectivity problems may be related to poorer insight, as well as impaired frontal lobe functioning. In psychotic disorders, lack of insight is a primary symptom with poorer outcomes. Regarding affective disorders, the lower the mood the better the insight. Neuroimaging has been correlating insight with the inferior frontal gyrus, anterior insula, inferior parietal lobule, and ventromedial prefrontal cortex. In everyday practice, there are scales used to assess insight. Conclusions Inferences about patients’ insight are important to evaluate severity of illness, suicidal risk, compliance, and response to treatment.

Introduction Nowadays, ‘Acute and transient psychotic disorders’ in ICD-10 and ‘Brief psychotic disorders’ in DSM-5 are both classifications of the same clinical entity. Over the years, several concepts have been formulated to define the same syndrome. Objectives To explore the historical evolution of brief psychotic disorders and relate them to current nosologies. Methods Literature review, using the most relevant papers, with the keywords “brief psychosis”, “bouffée délirante”, “cycloid psychosis”, “psychogenic psychosis”, “atypical psychosis” and “holodysphrenia”. Results Initially, in 1896, Kahlbaum coined the term ‘dysphrenia’, a group of severe form of psychosis that remitted without showing the typical sequence of disease states and without leaving a lasting alteration. Later, Kraepelin included this kind of disorder in manic depressive illness, which he first named as ‘periodic delirium’ and then as ‘delirious mania’. Magnan, in the pre-Kraepelinian era, created the term ‘bouffée délirante’, a sudden onset of delusional ideas with rapid evolution and intense symptomatology with complete remission usually followed after a short time. Later on, Henry Ey grabbed this entity and renewed it, contrasting it to the defined concept of schizophrenia. Other psychiatric schools have proposed numerous designations: ‘cycloid psychosis’ by Kleist from the German school, ‘psychogenic psychosis’ by Wimmer of the Scandinavian school and ‘holodysphrenias’ by Barahona-Fernandes from the Portuguese school. Cultural variants are also observed, as ‘amok’ seen in Malaysia or ‘shinbyung’ in Korea. Conclusions The intensity and polymorphism of brief psychosis present a clinical challenge. The historical evolution may be helpful on recognizing this entity in current clinical practice.

Neobenedenia girellae is considered an epizootic infection for intensively cultured fish species. Particularly, for greater amberjack (Seriola dumerili) N. girellae causes high mortality rates and supposes a bottleneck during its on-growing period. Thus, the objective of this work was to describe the skin morphological alterations caused by a N. girellae infection on greater amberjack. Greater amberjack juveniles were sampled pre and post experimental infection with N. girellae obtaining cranial and dorsal skin samples. Samples were processed for morphological and ultrastructural studies and revealed clear differences in the structure of both regions, confirming the cranial region as the most susceptible region to be parasitized due to an absence of scales and lower goblet cells density. N. girellae adhesion disrupted the structure of epidermal epithelial cells by overpressure. Stratum spongiosum surface-epithelial cells located near the parasite presented a clear cell degradation process, associated in some cases with cellular detachment. N. girellae infection induced epidermal hydropic degeneration and, in some cases, focal spongiosis. Tissue ulcerative lesions caused by the parasite’s attachment structures were characterized by a specific mobilization of leucocytes to the fixation areas. Thus, N.girellae induces important alterations in greater amberjack epidermis independently of the skin region that explain the appearance of secondary infections and associated mortalities.

Introducción y objetivos: Ugni molinae (Myrtaceae) es una especie arbustiva nativa del sur de Chile − donde se la conoce como “murta” o “murtilla” − y de Argentina. Este estudio tiene como objetivo aportar información morfo-arquitectural de U. molinae, y así promover su cultivo e introducción en sistemas productivos de Argentina. M&M: Se realizaron observaciones de U. molinae a diferentes niveles (planta completa, ejes y brotes anuales) sobre plantas desarrolladas en poblaciones naturales y plantas derivadas de semillas o de enraizamiento de estacas y mantenidas en viveros por cinco años. Resultados: Los brotes cortos de U. molinae completan su extensión sin ramificarse, mientras que los brotes de mayor longitud pueden ramificarse durante su alargamiento a partir de nudos intermedios y/o distales. El inicio de la floración se produce a partir del segundo al tercer año desde la germinación de una semilla o del enraizamiento de una estaca. La mayoría de las flores se forman a fines de la primavera a partir de nudos basales de brotes en alargamiento. La arquitectura de las plantas cambia desde claramente jerárquica a no-jerárquica en los primeros años de desarrollo. Conclusiones: Ugni molinae puede multiplicarse con facilidad a partir del enraizamiento de estacas o de germinación de semillas. El desarrollo de un entrenudo corto asociado a hojas verdes pequeñas es un claro indicador del límite entre brotes anuales sucesivos. Se necesitan estudios más detallados acerca del desarrollo y la productividad de esta especie en la Argentina para evaluar su inclusión en sistemas productivos.

Introduction: Glioblastoma is the most common primary brain tumour. Despite advances in treatment, its prognosis remains dismal, with a mean survival time of about 14 months. Many articles have addressed direct costs, those associated with the diagnosis and treatment of the disease. Indirect costs, those associated with loss of productivity due to the disease, have seldom been described. Material and method: We conducted a retrospective study in patients diagnosed with glioblastoma at Hospital Universitario Donostia between January 1, 2010 and December 31, 2013. We collected demographics, data regarding the treatment received, and survival times. We calculated the indirect costs with the human capital approach, adjusting the mean salaries of comparable individuals by sex and age and obtaining mortality data for the general population from the Spanish National Statistics Institute. Past salaries were updated to 2015 euros according to the annual inflation rate and we applied a discount of 3.5% compounded yearly to future salaries. Results: We reviewed the records of 99 patients: 46 women (mean age 63.53) and 53 men (mean age 59.94); 29 patients underwent a biopsy and the remaining 70 underwent excisional surgery. Mean survival was 18.092 months for the whole series. The total indirect cost for the series was €11 080 762 (2015). Mean indirect cost per patient was €111 926 (2015). Discussion: Although glioblastoma is a relatively uncommon type of tumour, accounting for only 4% of all cancers, its poor prognosis and potential sequelae generate disproportionately large morbidity and mortality rates which translate to high indirect costs. Clinicians should be aware of the societal impact of glioblastoma and indirect costs should be taken into account when cost effectiveness studies are performed to better illustrate the overall consequences of this disease. Resumen: Introducción: El glioblastoma es el tumor cerebral más frecuente. A pesar de los avances en su tratamiento, el pronóstico sigue siendo pobre, con una supervivencia media en torno a los 14 meses. Los costes directos, aquellos asociados al diagnóstico y el tratamiento de la enfermedad, han sido descritos ampliamente. Los costes indirectos, aquellos derivados de la pérdida de productividad debido a la enfermedad, han sido descritos en escasas ocasiones. Material y método: Realizamos un estudio retrospectivo, incluyendo a los pacientes diagnosticados entre el 1 de enero del 2010 y el 31 de diciembre del 2013 de glioblastoma en el Hospital Universitario Donostia. Recogimos datos demográficos, relativos al tratamiento ofertado y la supervivencia. Calculamos los costes indirectos a través del método del capital humano, obteniendo datos de sujetos comparables según sexo y edad, y de mortalidad de la población general a través del Instituto Nacional de Estadística. Los salarios pasados fueron actualizados a euros de 2015 según la tasa de inflación interanual y los salarios futuros fueron descontados en un 3,5% anual en forma de interés compuesto. Resultados: Revisamos a 99 pacientes, 46 mujeres (edad media 63,53 años) y 53 hombres (edad media 59,94 años). En 29 pacientes se realizó una biopsia y en los 70 restantes se realizó una cirugía resectiva. La supervivencia global media fue de 18,092 meses. Los costes indirectos totales fueron de 11.080.762 € (2015). El coste indirecto medio por paciente fue de 111.926 € (2015). Discusión: A pesar de que el glioblastoma es un tipo relativamente poco frecuente de tumor, que supone el 4% de todos los tipos de cáncer, su mal pronóstico y sus posibles secuelas generan una mortalidad y morbilidad desproporcionadamente altas. Esto se traduce en unos costes indirectos muy elevados. El clínico debe ser consciente del impacto del glioblastoma en la sociedad y los costes indirectos deben ser tenidos en cuenta en los estudios de coste-efectividad para conocer las consecuencias globales de esta enfermedad. Keywords: Costs, Glioblastoma, Radiotherapy, Chemotherapy, Prognosis, Survival, Palabras clave: Costes, Glioblastoma, Radioterapia, Quimioterapia, Pronóstico, Supervivencia

Resumen: Introducción: El glioblastoma es el tumor cerebral más frecuente. A pesar de los avances en su tratamiento, el pronóstico sigue siendo pobre, con una supervivencia media en torno a los 14 meses. Los costes directos, aquellos asociados al diagnóstico y el tratamiento de la enfermedad, han sido descritos ampliamente. Los costes indirectos, aquellos derivados de la pérdida de productividad debido a la enfermedad, han sido descritos en escasas ocasiones. Material y método: Realizamos un estudio retrospectivo, incluyendo a los pacientes diagnosticados entre el 1 de enero del 2010 y el 31 de diciembre del 2013 de glioblastoma en el Hospital Universitario Donostia. Recogimos datos demográficos, relativos al tratamiento ofertado y la supervivencia. Calculamos los costes indirectos a través del método del capital humano, obteniendo datos de sujetos comparables según sexo y edad, y de mortalidad de la población general a través del Instituto Nacional de Estadística. Los salarios pasados fueron actualizados a euros de 2015 según la tasa de inflación interanual y los salarios futuros fueron descontados en un 3,5% anual en forma de interés compuesto. Resultados: Revisamos a 99 pacientes, 46 mujeres (edad media 63,53 años) y 53 hombres (edad media 59,94 años). En 29 pacientes se realizó una biopsia y en los 70 restantes se realizó una cirugía resectiva. La supervivencia global media fue de 18,092 meses. Los costes indirectos totales fueron de 11.080.762 € (2015). El coste indirecto medio por paciente fue de 111.926 € (2015). Discusión: A pesar de que el glioblastoma es un tipo relativamente poco frecuente de tumor, que supone el 4% de todos los tipos de cáncer, su mal pronóstico y sus posibles secuelas generan una mortalidad y morbilidad desproporcionadamente altas. Esto se traduce en unos costes indirectos muy elevados. El clínico debe ser consciente del impacto del glioblastoma en la sociedad y los costes indirectos deben ser tenidos en cuenta en los estudios de coste-efectividad para conocer las consecuencias globales de esta enfermedad. Abstract: Introduction: Glioblastoma is the most common primary brain tumour. Despite advances in treatment, its prognosis remains dismal, with a mean survival time of about 14 months. Many articles have addressed direct costs, those associated with the diagnosis and treatment of the disease. Indirect costs, those associated with loss of productivity due to the disease, have seldom been described. Material and method: We conducted a retrospective study in patients diagnosed with glioblastoma at Hospital Universitario Donostia between January 1, 2010 and December 31, 2013. We collected demographics, data regarding the treatment received, and survival times. We calculated the indirect costs with the human capital approach, adjusting the mean salaries of comparable individuals by sex and age and obtaining mortality data for the general population from the Spanish National Statistics Institute. Past salaries were updated to 2015 euros according to the annual inflation rate and we applied a discount of 3.5% compounded yearly to future salaries. Results: We reviewed the records of 99 patients: 46 women (mean age 63.53) and 53 men (mean age 59.94); 29 patients underwent a biopsy and the remaining 70 underwent excisional surgery. Mean survival was 18.092 months for the whole series. The total indirect cost for the series was €11 080 762 (2015). Mean indirect cost per patient was €111 926 (2015). Discussion: Although glioblastoma is a relatively uncommon type of tumour, accounting for only 4% of all cancers, its poor prognosis and potential sequelae generate disproportionately large morbidity and mortality rates which translate to high indirect costs. Clinicians should be aware of the societal impact of glioblastoma and indirect costs should be taken into account when cost effectiveness studies are performed to better illustrate the overall consequences of this disease. Palabras clave: Costes, Glioblastoma, Radioterapia, Quimioterapia, Pronóstico, Supervivencia, Keywords: Costs, Glioblastoma, Radiotherapy, Chemotherapy, Prognosis, Survival

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