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Background and Objective: The high incidence of thyroid nodular disease has raised concerns on the therapeutic management of benign thyroid nodules. The development of minimally invasive techniques is an alternative to surgery and has a low rate of complications. Our objective was to evaluate the safety and efficacy profile of percutaneous ethanol injections (PEI) with ethanol aspiration of symptomatic cystic and predominantly cystic thyroid nodules (cystic component > 50%) treated in the thyroid nodule high-resolution unit (TNHRU) of Hospital de Tortosa Verge de la Cinta Hospital, Tarragona, Spain., Patients and Methods: The present work is a prospective, observational and descriptive study of 32 patients (87.5% women, mean age of 43; SD, 12) evaluated at the TNHRU from August 2022 through December 2023. Demographic data such as age, sex, previous thyroid function, diagnostic method, initial nodular volume, nodular composition and nodular location were analyzed. Using ultrasounds, measurements of diameters and thyroid nodule volume were taken. We aspirated a total of 50% of the cystic content and injected between 2 mL and 5 mL of 99% ethanol (depending on cystic volume). After letting the ethanol act inside the nodule for 5 to 10 minutes, all the cystic content and the injected ethanol were aspirated. We performed an ultrasound follow-up at 1, 3 and 6 months, calculating the total volume and the volume reduction rate (VRR). The impact on health-related quality of life (HRQoL) was assessed using the ThyPRO-39es questionnaire, which was administered before and after the PEI treatment at the 6-month follow-up., Results: The median volume reduction at the end of the 6-month follow-up was 0.23 mL (0.00-0.67), and the VRR, 98.57% (94.80-100.00). The difference between the initial volume and the mean volume at the 1-, 3-, and 6-month follow-ups was statistically significant, as was the VRR between the 1-month and the 3- and 6-month follow-ups. Six patients (18.80%) required 2 PEIs and only 2 patients (6.3%) required 3 PEIs. The overall quality of life, which was scored from 0 (good) to 4 (poor), significantly improved from 1.28; SD, 0.81 up to 0.19; SD, 0.40 (p < 0.001)., Conclusions: PEI is an effective alternative to treat cystic thyroid nodules resulting in an improved patients' HRQoL. It can be performed outpatiently with a low rate of complications, thus making it suitable for inclusion in the service portfolio of a HRTNU., Competing Interests: Declaration of competing interest None declared., (Copyright © 2024 SEEN and SED. Published by Elsevier España, S.L.U. All rights reserved.)

Most studies assessing the effects of microplastics (MPs) on freshwater ecosystems use reference materials of a certain size, shape, and polymer type. However, in the environment, aquatic organisms are exposed to a mixture of different polymers with different sizes and shapes, resulting in different bioaccessible fractions and effects. This study assesses the fate and effects of an environmentally relevant mixture of high-density polyethylene (HDPE) fragments, polypropylene (PP) fragments, and polyester (PES) fibres in indoor freshwater microcosms over 28 days. The MP mixture contained common polymers found in freshwater ecosystems, had a size range between 50 and 3887 µm, and was artificially aged using a mercury lamp. The invertebrate species included in the microcosms, Lymnea stagnalis (snail) and Lumbriculus variegatus (worm), were exposed to four MP concentrations: 0.01, 0.05, 0.1 and 1 % of sediment dry weight. MPs fate was assessed by performing a balance of the MPs in the surface water, water column, and sediment after a stabilization period and at the end of the experiment. Sedimentation rates per day were calculated (2.13 % for PES, 1.46 % for HDPE, 1.87 % for PP). The maximum size of MPs taken up by the two species was determined and compared to the added mixture and their mouth size. The size range taken up by L. variegatus was smaller than L. stagnalis and significantly different from the size range in the added mixture. The No Observed Effect Concentrations (NOECs) for the reproduction factor of L. variegatus and the number of egg clutches produced by L. stagnalis were 0.01 % and 0.1 % sediment dry weight, respectively. The EC10 and EC50 for the same endpoint for L. stagnalis were 0.25 % and 0.52 %, respectively. This study shows that current MP exposure levels in freshwater sediments can result in sub-lethal effects on aquatic organisms, highlighting the importance of testing MP mixtures., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)

There is a clear inequality in gender distribution for the STEM areas (Science, Technology, Engineering, and Mathematics). Furthermore, there is a noticeable lack of diversity and a socio-economic gap that requires actionable solutions. To explore potential factors that affect the participation of women in STEM, this paper reviews two possible groups of determinants: national culture and complexity thinking. A survey with 684 respondents from higher education institutions in Chile, Ecuador, Mexico, and Spain was undertaken. The instrument measured four components of complexity thinking namely critical, scientific, innovative, and systemic). Using analysis of variance between two groups and between multiple groups, differences were observed between the countries' samples and between genders. Once the significance was confirmed, boxplots for each dimension were elaborated to facilitate the visualization of the distributions. The scores were compared with the national culture values to seek possible behavioral patterns in the data. The results reveal two groups between the observed countries. Also, there are clear indications of a relationship between the national culture dimensions and the complex thinking components., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 Published by Elsevier Ltd.)

Background: Flight performance and dispersal behaviour can differ between sexes, resulting in sex-biased dispersal. The primary sex ratio of populations may also explain dispersal bias between sexes, as this bias may evolve with the primary sex ratio to reduce intrasexual competition. Although dispersal bias between sexes is relevant to population dynamics, there are few studies on sex-biased dispersal in insects. We studied the flight performance and dispersal behaviour of seven saproxylic beetle species associated with tree hollows from a sex perspective. We also analysed the possible coevolution of flight performance with the primary sex ratio., Methods: Wing loading and wing aspect ratio were used as measures of the flight performance of species and sexes. Dispersal behaviour was explored by analysing the frequency of each sex in interception traps versus the primary sex ratio obtained by tree hollow emergence traps using contingency tables and posthoc standardized residuals. A more active flight behaviour was expected for the sex with higher capture frequency in the interception traps. To explore the causes of flight performance bias between sexes, we searched for possible correlations between wing loading or wing aspect ratio and primary sex ratio using Pearson's correlation coefficient., Results: Wing loading and wing aspect ratio differed between species and sexes, with flight performance being higher in males than in females for four of the seven species analysed. Dispersal behaviour and flight performance matched in the case of Elater ferrugineus; males showed higher flight performance and were the most collected sex in the interception traps (more active flyers). In contrast, the higher flight activity of Cetonia carthami aurataeformis females was not correlated with a higher flight performance than that of males. Moreover, we found that a bias in the primary sex ratio towards females is often correlated with a decrease in female flight performance., Conclusions: We stress that flight performance and dispersal behaviour of sexes do not always go hand in hand. Moreover, the relationship between the sex ratio and flight performance bias between sexes is not driven by competition within the most abundant sex. The inclusion of a sex perspective in insect dispersal studies would be useful to detect dispersal bias between sexes and its causes and would allow for further analysis of its effects on population dynamics., (© 2022. The Author(s).)

We explored the dependence of some Cetoniidae species on saproxylic environments and microhabitats in a Mediterranean oak forest by analyzing species collected using different kinds of traps-log emergence, hollow emergence, and interception traps-and the sex ratio of the species in each trap. Comparing the sex ratio of the species collected via emergence versus interception was useful to unravel the degree of dependence on saproxylic microhabitats. Among the species studied, Cetonia aurataeformis Curti, 1913 (Coleoptera: Cetoniidae) was the only obligate tree hollow inhabitant. Special attention should thus be paid to the maintenance of tree hollows for the species' conservation in Mediterranean forests. A gradient of dependence on tree hollows was established from the more dependent Protaetia (Potosia) cuprea (Fabricius, 1775) (Coleoptera: Cetoniidae) and Protaetia (Potosia) opaca (Fabricius, 1787) (Coleoptera: Cetoniidae) to the less dependent Protaetia (Netocia) morio (Fabricius, 1781) (Coleoptera: Cetoniidae). All the latter species can be considered facultatively dependent, to varying degrees, on tree hollows. By contrast, the saproxylic affinity of Protaetia (Netocia) oblonga (Gory and Percheron, 1833) (Coleoptera: Cetoniidae), Tropinota squalida (Scopoli, 1783) (Coleoptera: Cetoniidae) and Oxythyrea funesta (Poda, 1761) (Coleoptera: Cetoniidae) was doubtful. Generally, the sex ratio of the studied species was female-biased. A possible explanation may be local male competition for females, suggesting the Cetoniinae is a female world. However, the range of difference in the female-biased sex ratio among species suggests it is important to explore other possible causes, such as differences in dispersal abilities., (© The Author(s) 2020. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

Approximately 40 genotypes of the human papillomavirus (HPV) have been identified in cervical mucosa. In particular, HPV-16 and HPV-18 have been associated with cervical neoplasia. Squamous intraepithelial lesions (SILs) are precursors of cervical cancer. This study aimed to identify the HPV by genotype in SILs using a linear array genotyping test in a population in Mexico. We performed a cross-sectional study of 129 female patients with or without SILs, as determined by colposcopy, who completed a risk factor questionnaire. Cervical swab samples were obtained and genotyped using a Linear Array HPV Genotyping assay. Forty-nine (37.98%) samples were positive for HPV, and 24 genotypes were identified among these samples. The most common genotype was HPV-16. Twelve genotypes were found in both high- and low-grade SILs (HPV-6, 16, 31, 39, 51, 52, 53, 58, 59, 61, 67, and 84), of which seven were high-risk SILs (HPV-16, 31, 39, 51, 52, 58, and 59). Among the populations studied, the most frequent genotype was HPV-16, multiple infections were found, and four patients without injury tested positive for HPV.

The increasing demand for water resources in arid and semiarid countries has stimulated the use of non-conventional water resources such as reclaimed water. Consequently, turfgrass irrigation with reclaimed water has become a regular practice in these regions. The main goal of this research was to assess the effects of reclaimed water (RW) irrigation in Madrid urban parks by studying changes in grass nutrient balance and its biomass production. Irrigation with reclaimed water led to a grass biomass increase, mainly due to the high proportion of nutrients received through the irrigation water. The main nutrient input in RW irrigation were of Cl, S, K and Na. RW also contributed to a significant increase in nutrient removal by grass. Thus, all this information generated should be taken into account by park managers in order to fulfill the grass aesthetic value and its nutritional requirements in those urban parks irrigated with RW., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

The inconsistent use of hormonal contraceptive methods can result, during the first year of use, in one in twelve women still having an undesired pregnancy. This may lead to women experiencing fear of becoming pregnant (FBP). We have only found one study examining the proportion of FBP among women who used hormonal contraceptives. To gather further scientific evidence we undertook an observational, cross-sectional study involving 472 women at a Spanish university in 2005-2009. The inclusion criteria were having had vaginal intercourse with a man in the previous three months and usual use for contraception of a male condom or hormonal contraceptives, or no method of contraception. The outcome was FBP. The secondary variables were contraceptive method used (oral contraceptives; condom; none), desire to increase the frequency of sexual relations, frequency of sexual intercourse with the partner, the sexual partner not always able to ejaculate, desire to increase the partner's time before orgasm, age and being in a stable relationship. A multivariate logistic regression model was used to determine the associated factors. Of the 472 women, 171 experienced FBP (36.2%). Factors significantly associated (p < 0.05) with this FBP were method of contraception (condom and none), desire to increase the partner's ability to delay orgasm and higher frequency of sexual intercourse with the partner. There was a high proportion of FBP, depending on the use of efficient contraceptive methods. A possible solution to this problem may reside in educational programmes. Qualitative studies would be useful to design these programmes.

Introduction: The aim of this study was to mesure the expression of gamma interferon in HPV and Chlamydia trachomatis infection in squamous intraepithelial lesions., Method: Samples from 100 patients diagnosed by colposcopy with or without squamous intraepithelial lesions were used in the present study. Each patient was found to be infected by HPV and C.trachomatis. Relative gamma interferon mRNA expression was assessed using a real-time reverse transcriptase PCR assay (RT-PCR)., Results: The relative units of expression of gamma interferon mRNA were 13, 1.8 and 0.3, for HPV and C.trachomatis co-infection, or HPV or C.trachomatis infection, respectively., Conclusion: HPV and C.trachomatis could overstimulate the expression of gamma interferon., (Copyright © 2014 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.)

The SWAT model was applied to the Ompólveda River Basin (Guadalajara, central Spain) to assess the hydrological feasibility of the Pareja Limno-reservoir. A limno-reservoir is a water management infrastructure designed to counteract some negative impacts caused by large reservoirs under Mediterranean climate. Highly detailed inputs were selected to set up the model. Its performance was evaluated by graphical and statistical techniques and compared with the previous knowledge of the basin. An overall good performance was obtained during the calibration and validation periods (monthly and annual NSE values of 0.67 and 0.60, respectively, for calibration and 0.70 and 0.83, respectively, for validation). Total discharge was well simulated, and flow components prediction was acceptable. However, the model is not accurate at predicting evapotranspiration. Once evaluated, the model was used to simulate the water discharge into the Pareja Limno-reservoir during 2008 and 2009, establishing a water balance and assessing its hydrologic feasibility. The water balance predicted the absence of surplus during summer (2008 and 2009) and autumn (2009), matching up with the decrease of water level and demonstrating the usefulness of SWAT as a tool to evaluate the hydrologic feasibility of the Pareja Limno-reservoir. Very low discharges from the Ompólveda River after a sequence of normal and dry years are the main factors responsible of this phenomenon, whereas the effect of the wastewater flow redirection in the Pareja village is negligible. These results question the usefulness of the Pareja Limno-reservoir during summer, the most favorable season for recreational activities., (Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.)

Objective: To develop and validate a rapid administration questionnaire to assess patient satisfaction with the pharmaceutical care (PhC) service in Spanish community pharmacies., Methods: A semi-structured and self-administered questionnaire was designed focused on the cumulative experience of patients with the PhC service. This was reviewed by a panel of 8 experts in 2 rounds. The validation was carried out in community pharmacies that performed the PhC service and agreed to participate. All patients or their caregivers who attended a pharmacy during the study period, and who could read and write, were included. An exploratory factor analysis was performed to assess the validity as evidence of internal structure and reliability was estimated using Cronbach's alpha coefficient., Results: A total of 8 community pharmacies belonging to 7 provinces of Spain took part and 103 questionnaires were obtained. Factor analysis revealed a single component explaining 33.6% of the total variance. We obtained a Cronbach's alpha coefficient of 0.75. Patients additional comments expressed in 9.7% of the questionnaires were related to emphasising, and thanking for, the care provided by the PhC service., Conclusions: The questionnaire developed has provided evidence of content validity, internal structure validity, and reliability to assess the patient satisfaction with the PhC service in Spanish community pharmacies., (Copyright © 2011 SECA. Published by Elsevier Espana. All rights reserved.)