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Both diabetes mellitus and heart failure often go hand in hand. The results of recent studies on decreased mortality, heart failure hospitalization and the occurrence of cardiovascular events, which have shown certain non-insulin hypoglycemic agents, have brought about changes in the diabetes treatment recommendations. The classic goal of diabetes treatment, focused on reducing glycated hemoglobin to reduce microvascular damage, although still important, may have faded into the background, since we have drugs that could also reduce macrovascular damage. [ABSTRACT FROM AUTHOR]

Testosterone (T), estrogen receptor alpha (ERα), and androgen receptor (AR) play a significant role in the regulation of paternal behavior. We determined the effects of deprivation of paternal care on alterations in paternal behavior, T concentrations in plasma, and the presence of ERα and AR in the medial preoptic area (mPOA), bed nucleus of the stria terminalis (BNST), medial amygdala (MeA), and olfactory bulb (OB), as well as the corticosterone (CORT) concentrations in plasma caused by deprivation of paternal care in the Mongolian gerbil (Meriones unguiculatus). Twenty pairs of gerbils were formed; the pups were deprived of paternal care (DPC) in 10 pairs. In another 10 pairs, the pups received paternal care (PC). Ten males raised in DPC condition and 10 males raised in PC conditions were mated with virgin females. When they became fathers, each DPC male and PC male was subjected to tests of paternal behavior on day three postpartum. Blood samples were obtained to quantify T and CORT concentrations, and the brains were removed for ERα and AR immunohistochemistry analyses. DPC males gave less care to their pups than PC males, and they had significantly lower T concentrations and levels of ERα and AR in the mPOA and BNST than PC males. DPC males also had higher CORT concentrations than PC males. These results suggest that in the Mongolian gerbil father's absence causes a decrease in paternal care in the offspring, which is associated with alterations in the neuroendocrine mechanisms that regulate it., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Sperm capacitation involves biochemical and physiological changes that enable sperm to fertilize the oocyte. It can be induced in vitro under controlled conditions that simulate the environment of the oviduct. While extensively studied in mammals, its approach in lizards remains absent. Understanding the mechanisms that ensure reproduction is essential for advancing the implementation of assisted reproductive technologies in this group. We aimed to perform a sperm analysis to determine if capacitation-related changes were induced after incubation with capacitating media. Fifteen males of Sceloporus torquatus were collected during the early stage of the reproductive season. The sperm were isolated from the seminal plasma and then diluted up to a volume of 150 μL using BWW medium to incubate with 5% CO 2 at 30 °C for a maximum duration of 3 h. A fraction was retrieved hourly for ongoing sperm assessment. The sperm analysis included assessments of its motility, viability, the capacitation status using the chlortetracycline (CTC) assay, and the acrosome integrity with the lectin binding assay to detect changes during incubation. We found that total motility was maintained up to 2 h post incubation, after which it decreased. However, sperm viability remained constant. From that moment on, we observed a transition to a deeper and less symmetrical flagellar bending in many spermatozoa. The CTC assay indicated a reduction in the percentage of sperm showing the full (F) pattern and an increase in those exhibiting the capacitated (B) and reactive (RA) patterns, accompanied by an elevation in the percentage of damaged acrosomes as revealed by the lectin binding assay. In mammals, these changes are often associated with sperm capacitation. Our observations support the notion that this process may also occur in saurian. While sperm analysis is a valuable method for assessing certain functional changes, additional approaches are required to validate this process.

The Spanish Guideline on the Management of Asthma, better known by its acronym in Spanish GEMA, has been available for more than 20 years. Twenty-one scientific societies or related groups both from Spain and internationally have participated in the preparation and development of the updated edition of GEMA, which in fact has been currently positioned as the reference guide on asthma in the Spanish language worldwide. Its objective is to prevent and improve the clinical situation of people with asthma by increasing the knowledge of healthcare professionals involved in their care. Its purpose is to convert scientific evidence into simple and easy-to-follow practical recommendations. Therefore, it is not a monograph that brings together all the scientific knowledge about the disease, but rather a brief document with the essentials, designed to be applied quickly in routine clinical practice. The guidelines are necessarily multidisciplinary, developed to be useful and an indispensable tool for physicians of different specialties, as well as nurses and pharmacists. Probably the most outstanding aspects of the guide are the recommendations to: establish the diagnosis of asthma using a sequential algorithm based on objective diagnostic tests; the follow-up of patients, preferably based on the strategy of achieving and maintaining control of the disease; treatment according to the level of severity of asthma, using six steps from least to greatest need of pharmaceutical drugs, and the treatment algorithm for the indication of biologics in patients with severe uncontrolled asthma based on phenotypes. And now, in addition to that, there is a novelty for easy use and follow-up through a computer application based on the chatbot-type conversational artificial intelligence (ia-GEMA)., (© 2023 Published by Elsevier España, S.L.U. on behalf of Sociedad Española de Neumología y Cirugía Torácica (SEPAR).)

Estradiol and progesterone have been recognized as important mediators of reproductive events in the female mainly via binding to their receptors. This study aimed to characterize the immunolocalization of the estrogen receptor alfa (ERα), estrogen receptor beta (ERβ) and progesterone receptor (PR) in the ovarian follicles of the lizard Sceloporus torquatus . The localization of steroid receptors has a spatio-temporal pattern that depends on the stage of follicular development. The immunostaining intensity of the three receptors was high in the pyriform cells and the cortex of the oocyte of previtellogenic follicles. During the vitellogenic phase, the granulosa and theca immunostaining was intense even with the modification of the follicular layer. In the preovulatory follicles, the receptors were found in yolk and additionally, ERα was also located in the theca. These observations suggest a role for sex steroids in regulating follicular development in lizards, like other vertebrates.

In this paper, we propose the design of an optical system based on two parallel suspended silicon nanowires that support a range of optical resonances that efficiently confine and scatter light in the infrared range as the base of an all-optical displacement sensor. The effects of the variation of the distance between the nanowires are analyzed. The simulation models are designed by COMSOL Multiphysics software, which is based on the finite element method. The diameter of the nanocylinders ( d = 140 nm) was previously optimized to achieve resonances at the operating wavelengths ( λ = 1064 nm and 1310 nm). The results pointed out that a detectable change in their resonant behavior and optical interaction was achieved. The proposed design aims to use a simple light source using a commercial diode laser and simplify the readout systems with a high sensitivity of 1.1 × 10 6 V/m 2 and 1.14 × 10 6 V/m 2 at 1064 nm and 1310 nm, respectively. The results may provide an opportunity to investigate alternative designs of displacement sensors from an all-optical approach and explore their potential use.

Reproduction is regulated by multiple factors that influence physiology and behavior to ensure the continuity of species. However, more work is needed to examine the complex relationships between environmental factors and endocrine transducers that modulate reproductive cycles, particularly in lizards. Here, we aimed to characterize the variation in plasma sex steroid levels in different stages of the reproductive cycle in the lizard Sceloporus torquatus and assess whether sex steroid levels were related to environmental factors (temperature, photoperiod, precipitation, and relative humidity) and body condition. Plasma concentrations of estradiol (E 2 ) and progesterone (P 4 ) from blood samples were quantified by enzyme-linked immunosorbent assay (ELISA) and radioimmunoanalysis (RIA), respectively. Our results indicate that sex steroid concentrations were positively related to follicular development but negatively related to temperature and precipitation. E 2 increased as the follicles grew, and its concentrations were highest in the preovulatory phase. P 4 showed a similar pattern and persisted during pregnancy. Changes in body condition were non-significant and mainly unrelated to the reproductive stage and plasma sex steroids. Our findings indicate that sex steroids change depending on the season and reproductive stage. We observed high concentrations of E 2 and P 4 in the late vitellogenic and preovulatory stages, probably because of their role in promoting vitellogenesis and ovulation. Additionally, we observed that follicular development is correlated with temperature and photoperiod. To better understand the mechanisms underlying reproduction, future studies of captive populations where environmental factors can be manipulated are needed., (Copyright © 2021 Elsevier Inc. All rights reserved.)

This study aimed to provide evidence on estrogen and androgen pathways regulating the Mongolian gerbil's paternal and infanticidal behaviors (Meriones unguiculatus). We analyzed estrogen receptor alpha (ERα) and androgen receptor (AR) distribution in the medial preoptic area (mPOA), the bed nucleus of stria terminalis (BNST), as well as the anterior hypothalamic nucleus (AHN), the ventromedial hypothalamus nucleus (VMH), and the periaqueductal gray area (PAG) nuclei activated when males interact paternally or aggressively with the pups, respectively. Twenty aggressive males towards the pups and 10 paternal were selected through a screen paternal behavior test. Three groups of 10 males each were formed: paternal males (PAT), males with testosterone (T)-induced paternal behavior (T-PAT), and aggressive males (AGG). Male gerbils could interact with a pup for a few minutes, and their brains were removed and dissected for ERα and AR immunoreactivity (ir). The results showed that in T-PAT and PAT males, the number of ERα-ir and AR-ir cells in the mPOA/BNST was significantly higher than in AGG males. In AGG males, the number of ERα-ir and AR-ir cells in the AHN/VMH/PAG was significantly higher than PAT and T-PAT males. This difference in the presence of ERα and AR in nuclei activated in paternal interactions in the Mongolian gerbil supports the idea that these receptors participate in regulating paternal behavior. Also, these results suggest, for the first time, that they could be involved in the infanticidal behavior in this rodent., (Copyright © 2021 Elsevier B.V. All rights reserved.)

Within the framework of multi-criteria decision analysis (MCDA), weighting methods are typically used to capture decision-makers' preferences. In this regard, the increasing use of the combined LCA (Life Cycle Assessment) + DEA (Data Envelopment Analysis) methodology as an MCDA tool requires an in-depth analysis of how the preferences of decision-makers could affect the outcomes of LCA + DEA studies. This work revisits a case study of 30 retail stores/supply chains located in Spain by applying alternative weighted DEA approaches to evaluate the influence of decision-makers' preferences (weights) on the final outcomes, with a focus on efficiency scores and operational and environmental benchmarks. The ultimate goal is to effectively capture the view of stakeholders when applying LCA + DEA for the sound, sustainability-oriented management of multiple similar entities. Different weight vectors are separately applied to three types of DEA elements: operational inputs, time terms, and divisions. Besides, preferences from three alternative standpoints are considered: company manager through direct rating, and environmental policy-maker and local community through AHP (analytic hierarchy process). A significant influence on efficiency scores and sustainability benchmarks was found when weighting decision-makers' preferences on operational inputs. Additionally, a moderate influence was observed when weighting divisions according to a policy-maker or local community perspective. Although the results are case-specific, they lead to the general recommendation to enrich LCA + DEA studies by following not only an equal-weight approach but also approaches that include the preferences of the stakeholders effectively involved in the study., Competing Interests: Declaration of competing interest The authors declare no conflict of interest., (Copyright © 2020 Elsevier B.V. All rights reserved.)

E 2 and its alpha receptor (ERα) have an essential role in the regulation of maternal behavior. In dwarf hamster (Phodopus campbelli), E 2 facilitates the display of paternal care, and it is possible that ERα is part of the neuroendocrine mechanisms that regulate this behavior. The aim of this study was to analyze the influence of copulation, cohabitation with the pregnant mate and the presence of the pups on paternal behavior, circulating E 2 levels and the presence of ERα in the medial preoptic area (mPOA) and medial amygdala (MeA) in dwarf hamsters. Eight males were mated with intact females (IFs), 8 with tubally ligated females (TLFs) and 8 with ovariectomized females (OFs). In males mated with IFs, paternal behavior tests were performed after copulation, halfway through pregnancy and 24 h after the birth of their pups. Males mated with TLFs were subjected to paternal behavior tests at equivalent periods as the males mated with IFs. In males mated with OFs, paternal behavior tests were performed on days 1, 5 and 10 of cohabitation. After the last paternal behavior tests, blood samples were taken for quantification of E 2 by radioimmunoassay (RIA), and the brains were dissected to determine ERα immunoreactivity (ir) in the mPOA and MeA. Fathers mated with IFs had higher serum E 2 concentrations and more ERα-ir cells in the mPOA than those of males mated with TLFs and OFs. These results suggest that E 2 and its ERα may be associated with paternity in the dwarf hamster., (Copyright © 2019 Elsevier Inc. All rights reserved.)

Assessing the efficiency of retail supply chains (RSCs) requires analytical tools that address the different activities involved in these chains. In this sense, dynamic network Data Envelopment Analysis (DEA) arises as a suitable method to evaluate the operational performance of RSCs over a period of time. However, its use for sustainability-oriented efficiency assessment constitutes a knowledge gap that limits its applicability for thorough decision-making processes, e.g. at the retail company level. This article fills this gap through the combination of Life Cycle Assessment (LCA) and dynamic network DEA. A novel five-step LCA + DEA approach is proposed and applied to a case study of 30 RSCs in Spain for the period 2015-2017. In this case, the supply chain structure involves three divisions: central distribution, operation of retail stores, and home delivery. Both overall- and term-efficiency scores were found to widely range from 0.38 to 1.00, with only 1 RSC deemed efficient. Regarding divisional efficiency, store operation was found to generally show significantly higher efficiency scores than the distribution divisions. The link between long distribution distances and low efficiency stresses the relevance of integrating a network perspective into the efficiency assessment. In addition to efficiency scores, the LCA + DEA approach enriches the assessment by providing environmental, operational and socio-economic benchmarks to further support the management of RSCs from a sustainability perspective., (Copyright © 2019 Elsevier B.V. All rights reserved.)

A sound management of retail stores is a crucial aspect in the path towards a sustainable commercial sector, with a lack of research studies in the field of joint efficiency and sustainability assessment within this sector. In this sense, this work delves into the role of operational efficiency in the sustainability-oriented management of retail stores through the case study of 30 groceries in Spain over the period 2015-2017. With this purpose, and given the current knowledge gap in period-oriented sustainability benchmarking for management plans, for the first time a five-step methodological framework based on the combination of Life Cycle Assessment (LCA) and dynamic Data Envelopment Analysis (DEA) was proposed and applied to a case study within the service sector. The overall- and term-efficiency scores calculated through this method led to the general conclusion of a relatively good performance of the set of grocery stores over the evaluated period, which is associated with the centralised management strategy followed by the retail company. Furthermore, operational, socio-economic and environmental benchmarks were calculated as target values that could assist decision-makers at the retail company level in setting the path for a sustainable operation of the company's stores. Overall, the proposed period-oriented LCA + DEA method proved to be a feasible and valuable tool for sustainability management of retail stores, being preferred over the static (i.e., single term) alternative provided that time-series data are available at the company level., (Copyright © 2019 Elsevier B.V. All rights reserved.)

Ensuring sustainable production patterns doing more and better with less is a key sustainable development goal. In this sense, the joint use of Life Cycle Assessment and Data Envelopment Analysis (i.e., the LCA+DEA methodology) arises as a quantitative tool for the eco-efficiency assessment of multiple similar entities. To date, the LCA+DEA methodology has been widely applied to case studies within the primary and secondary sectors. However, the applicability of this combined methodology to case studies within the tertiary (service) sector is still unexplored, which constitutes a current knowledge gap in this field. This work contributes to filling this gap by benchmarking the operational and environmental performance of a sample of 30 groceries located in Spain. All the evaluated groceries were found to involve relative efficiency scores above 0.60, with one third of the groceries deemed fully efficient. Average reductions of 3-26% in the consumption of operational inputs were calculated, leading to average reductions of 9% in the carbon footprint and 10% in the energy footprint. Furthermore, economic savings of up to 3% of the annual turnover were estimated. These results were further enriched through the application of a super-efficiency DEA model for a refined identification of the best-performers, as well as through the novel use of a specific model for the gradual operational and environmental benchmarking of the sample. Overall, a high applicability of the LCA+DEA methodology for eco-efficiency assessment within the service sector is concluded, facilitating the identification and quantification of sustainable operational patterns., (Copyright © 2019 Elsevier B.V. All rights reserved.)

Introduction: Poisoning by carbon monoxide is the most frequent form of intoxication in our milieu as a result of exposure to poisonous gases. The effects of carbon monoxide poisoning are not limited to acute exposure, since, following apparent recovery from the acute intoxication, neurological or behavioural disorders may appear., Patients and Methods: A study was conducted to examine the cases of carbon monoxide poisoning that had occurred in a healthcare area of 80,000 inhabitants over a 10-year period. These patients were then submitted to a follow-up to appraise the appearance of delayed neurological syndrome (DNS) and its relationship with different variables in the initial exposure to the carbon monoxide, in the treatment that was administered or in the severity of the intoxication., Results and Conclusions: It was observed that around 9.1% of those intoxicated by carbon dioxide detected within the healthcare district of Salnés went on to develop DNS, which is more frequent in patients with severe analytical criteria and very unlikely in those who do not have them. Patients with DNS did not express any clinical or analytical manifestations that differed from those who did not have the syndrome; no differences were observed in relation to the oxygen therapy that was administered. The rate of DNS within the healthcare district of Salnés between 2002 and 2012 is 0.84 cases per 100,000 inhabitants per year.