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Centro Científico Tecnológico - Santa Fe

facilitySanta Fe, Argentina

Research output, citation impact, and the most-cited recent papers from Centro Científico Tecnológico - Santa Fe (Argentina). Aggregated across the NobleBlocks index of 300M+ scholarly works.

Total works
2.1K
Citations
49.6K
h-index
84
i10-index
1.2K
Also known as
Centro Científico Tecnológico - Santa FeCentro Científico Tecnológico del Consejo Nacional de Investigaciones Científicas y Técnicas

Top-cited papers from Centro Científico Tecnológico - Santa Fe

Belatacept and Long-Term Outcomes in Kidney Transplantation
Flavio Vincenti, Lionel Rostaing, J.M. Boria Grinyo, Kim Rice +4 more
2016· New England Journal of Medicine753doi:10.1056/nejmoa1506027

BACKGROUND: In previous analyses of BENEFIT, a phase 3 study, belatacept-based immunosuppression, as compared with cyclosporine-based immunosuppression, was associated with similar patient and graft survival and significantly improved renal function in kidney-transplant recipients. Here we present the final results from this study. METHODS: We randomly assigned kidney-transplant recipients to a more-intensive belatacept regimen, a less-intensive belatacept regimen, or a cyclosporine regimen. Efficacy and safety outcomes for all patients who underwent randomization and transplantation were analyzed at year 7 (month 84). RESULTS: A total of 666 participants were randomly assigned to a study group and underwent transplantation. Of the 660 patients who were treated, 153 of the 219 patients treated with the more-intensive belatacept regimen, 163 of the 226 treated with the less-intensive belatacept regimen, and 131 of the 215 treated with the cyclosporine regimen were followed for the full 84-month period; all available data were used in the analysis. A 43% reduction in the risk of death or graft loss was observed for both the more-intensive and the less-intensive belatacept regimens as compared with the cyclosporine regimen (hazard ratio with the more-intensive regimen, 0.57; 95% confidence interval [CI], 0.35 to 0.95; P=0.02; hazard ratio with the less-intensive regimen, 0.57; 95% CI, 0.35 to 0.94; P=0.02), with equal contributions from the lower rates of death and graft loss. The mean estimated glomerular filtration rate (eGFR) increased over the 7-year period with both belatacept regimens but declined with the cyclosporine regimen. The cumulative frequencies of serious adverse events at month 84 were similar across treatment groups. CONCLUSIONS: Seven years after transplantation, patient and graft survival and the mean eGFR were significantly higher with belatacept (both the more-intensive regimen and the less-intensive regimen) than with cyclosporine. (Funded by Bristol-Myers Squibb; ClinicalTrials.gov number, NCT00256750.).

Tick-Pathogen Interactions and Vector Competence: Identification of Molecular Drivers for Tick-Borne Diseases
José de la Fuente, Sandra Antunes, Sarah Bonnet, Alejandro Cabezas‐Cruz +4 more
2017· Frontiers in Cellular and Infection Microbiology458doi:10.3389/fcimb.2017.00114

Ticks and the pathogens they transmit constitute a growing burden for human and animal health worldwide. Vector competence is a component of vectorial capacity and depends on genetic determinants affecting the ability of a vector to transmit a pathogen. These determinants affect traits such as tick-host-pathogen and susceptibility to pathogen infection. Therefore, the elucidation of the mechanisms involved in tick-pathogen interactions that affect vector competence is essential for the identification of molecular drivers for tick-borne diseases. In this review, we provide a comprehensive overview of tick-pathogen molecular interactions for bacteria, viruses, and protozoa affecting human and animal health. Additionally, the impact of tick microbiome on these interactions was considered. Results show that different pathogens evolved similar strategies such as manipulation of the immune response to infect vectors and facilitate multiplication and transmission. Furthermore, some of these strategies may be used by pathogens to infect both tick and mammalian hosts. Identification of interactions that promote tick survival, spread, and pathogen transmission provides the opportunity to disrupt these interactions and lead to a reduction in tick burden and the prevalence of tick-borne diseases. Targeting some of the similar mechanisms used by the pathogens for infection and transmission by ticks may assist in development of preventative strategies against multiple tick-borne diseases.

Golimumab, a human anti–tumor necrosis factor α monoclonal antibody, injected subcutaneously every four weeks in methotrexate‐naive patients with active rheumatoid arthritis: Twenty‐four–week results of a phase III, multicenter, randomized, double‐blind, placebo‐controlled study of golimumab before methotrexate as first‐line therapy for early‐onset rheumatoid arthritis
Paul Emery, Roy Fleischmann, Larry W. Moreland, Elizabeth C. Hsia +4 more
2009· Arthritis & Rheumatism396doi:10.1002/art.24638

OBJECTIVE: To assess the safety and efficacy of golimumab in methotrexate (MTX)-naive patients with active rheumatoid arthritis (RA). METHODS: MTX-naive patients with RA (n = 637) were randomized to receive placebo plus MTX (group 1), golimumab 100 mg plus placebo (group 2), golimumab 50 mg plus MTX (group 3), or golimumab 100 mg plus MTX (group 4). Subcutaneous injections of golimumab or placebo were administered every 4 weeks. The dosage of MTX/placebo capsules started at 10 mg/week and escalated to 20 mg/week. The primary end point, the proportion of patients meeting the American College of Rheumatology 50% improvement criteria (achieving an ACR50 response) at week 24, required significant differences between groups 3 and 4 combined (combined group) versus group 1 and significant differences in a pairwise comparison (group 3 or group 4 versus group 1). RESULTS: An intent-to-treat (ITT) analysis of the ACR50 response at week 24 did not show a significant difference between the combined group and group 1 (38.4% and 29.4%, respectively; P=0.053), while a post hoc modified ITT analysis (excluding 3 untreated patients) of the ACR50 response showed statistically significant differences between the combined group and group 1 (38.5% versus 29.4%; P=0.049) and between group 3 (40.5%; P=0.038) but not group 4 (36.5%; P=0.177) and group 1. Group 2 was noninferior to group 1 for the ACR50 response at week 24 (33.1%; 95% confidence interval lower bound -5.2%; predefined delta value for noninferiority -10%). The combination of golimumab plus MTX demonstrated a significantly better response compared with placebo plus MTX in most other efficacy parameters, including response/remission according to the Disease Activity Score in 28 joints. Serious adverse events occurred in 7%, 3%, 6%, and 6% of patients in groups 1, 2, 3, and 4, respectively. CONCLUSION: Although the primary end point was not met, the modified ITT analysis of the primary end point and other prespecified efficacy measures demonstrated that the efficacy of golimumab plus MTX is better than, and the efficacy of golimumab alone is similar to, the efficacy of MTX alone in reducing RA signs and symptoms in MTX-naive patients, with no unexpected safety concerns.

Social Network Analysis. Review of General Concepts and Use in Preventive Veterinary Medicine
Beatriz Martínez‐López, Andrés M. Perez, José Manuel Sánchez‐Vizcaíno
2009· Transboundary and Emerging Diseases266doi:10.1111/j.1865-1682.2009.01073.x

Social network analysis (SNA) and graph theory have been used widely in sociology, psychology, anthropology, biology and medicine. Social network analysis and graph theory provide a conceptual framework to study contact patterns and to identify units of analysis that are frequently or intensely connected within the network. Social network analysis has been used in human epidemiology as a tool to explore the potential transmission of infectious agents such as HIV, tuberculosis, hepatitis B and syphilis. In preventive veterinary medicine, SNA is an approach that offers benefits for exploring the nature and extent of the contacts between animals or farms, which ultimately leads to a better understanding of the potential risk for disease spread in a susceptible population. Social network analysis, however, has been applied only recently in preventive veterinary medicine, therefore the characteristics of the technique and the potential benefits of its use remain unknown for an important section of the international veterinary medicine community. The objectives of this paper were to review the concepts and theoretical aspects underlying the use of SNA and graph theory, with particular emphasis on their application to the study of infectious diseases of animals. The paper includes a review of recent applications of SNA in preventive veterinary medicine and a discussion of the potential uses and limitations of this methodology for the study of animal diseases.

Long-Term Belatacept Exposure Maintains Efficacy and Safety at 5 Years: Results From the Long-Term Extension of the BENEFIT Study
Lionel Rostaing, Flavio Vincenti, J.M. Grinyó, Kim Rice +4 more
2013· American Journal of Transplantation189doi:10.1111/ajt.12460

The Belatacept Evaluation of Nephroprotection and Efficacy as First-line Immunosuppression Trial randomized patients receiving a living or standard criteria deceased donor kidney transplant to a more (MI) or less intensive (LI) regimen of belatacept or cyclosporine A (CsA). The 5-year results of the long-term extension (LTE) cohort are reported. A total of 456 (68.5% of intent-to-treat) patients entered the LTE at 36 months; 406 patients (89%) completed 60 months. Between Months 36 and 60, death occurred in 2%, 1% and 5% of belatacept MI, belatacept LI and CsA patients, respectively; graft loss occurred in 0% belatacept and 2% of CsA patients. Acute rejection between Months 36 and 60 was rare: zero belatacept MI, one belatacept LI and one CsA. Rates for infections and malignancies for Months 36-60 were generally similar across belatacept groups and CsA, respectively: fungal infections (14%, 15%, 12%), viral infections (21%, 18%, 16%) and malignancies (6%, 6%, 9%). No new posttransplant lymphoproliferative disorder cases occurred after 36 months. Mean calculated GFR (MDRD, mL/min/1.73 m(2) ) at Month 60 was 74 for belatacept MI, 76 for belatacept LI and 53 for CsA. These results show that the renal function benefit and safety profile observed in belatacept-treated patients in the early posttransplant period was sustained through 5 years.

Cystic echinococcosis in South America: systematic review of species and genotypes of <i>Echinococcus granulosus sensu lato</i> in humans and natural domestic hosts
Marcela Cucher, Natalia Macchiaroli, Germán Baldi, Federico Camicia +4 more
2015· Tropical Medicine & International Health156doi:10.1111/tmi.12647

OBJECTIVE: To systematically review publications on Echinococcus granulosus sensu lato species/genotypes reported in domestic intermediate and definitive hosts in South America and in human cases worldwide, taking into account those articles where DNA sequencing was performed; and to analyse the density of each type of livestock that can act as intermediate host, and features of medical importance such as cyst organ location. METHODS: Literature search in numerous databases. We included only articles where samples were genotyped by sequencing since to date it is the most accurate method to unambiguously identify all E. granulosus s. l. genotypes. Also, we report new E. granulosus s. l. samples from Argentina and Uruguay analysed by sequencing of cox1 gene. RESULTS: In South America, five countries have cystic echinococcosis cases for which sequencing data are available: Argentina, Brazil, Chile, Peru and Uruguay, adding up 1534 cases. E. granulosus s. s. (G1) accounts for most of the global burden of human and livestock cases. Also, E. canadensis (G6) plays a significant role in human cystic echinococcosis. Likewise, worldwide analysis of human cases showed that 72.9% are caused by E. granulosus s. s. (G1) and 12.2% and 9.6% by E. canadensis G6 and G7, respectively. CONCLUSIONS: E. granulosus s. s. (G1) accounts for most of the global burden followed by E. canadensis (G6 and G7) in South America and worldwide. This information should be taken into account to suit local cystic echinococcosis control and prevention programmes according to each molecular epidemiological situation.

Electronic structure, structural properties, and dielectric functions of IV-VI semiconductors: PbSe and PbTe
E.A. Albanesi, C.M.I. Okoye, Carlos O. Rodriguez, E. L. Peltzer y Blancá +1 more
2000· Physical review. B, Condensed matter127doi:10.1103/physrevb.61.16589

The electronic structure and frequency dependent dielectric function $\ensuremath{\varepsilon}(\ensuremath{\omega})$ of rocksalt semiconductors PbSe and PbTe are investigated using the local density approximation (LDA) and the generalized gradient approximation as two different exchange and correlation approximations, within the full-potential linearized augmented plane-wave approach. Spin-orbit coupling has been incorporated in the study. The results are presented and compared with other recent calculations and experimental data. Structural properties are also obtained by means of calculations of total energy as a function of lattice parameters. The bulk structural parameters are sensitive to the choice of exchange and correlation approximation. The essential features of the band structure and density of states of PbSe and PbTe are reproduced by our calculations and agree quite well with available experimental results. The position of the minimum energy gap is correctly predicted, although the value of the gap is as usual, underestimated by the local density approximation with respect to the experimental data. This gap value is improved by the inclusion of the generalized gradient approximation. Also, we have calculated the real $[{\ensuremath{\varepsilon}}_{1}(\ensuremath{\omega})]$ and imaginary $[{\ensuremath{\varepsilon}}_{2}(\ensuremath{\omega})]$ parts of $\ensuremath{\varepsilon}(\ensuremath{\omega})$ for both compounds, in the framework of the LDA scheme for exchange and correlation. The inclusion of spin-orbit coupling leads to a richer structure in both ${\ensuremath{\varepsilon}}_{1}(\ensuremath{\omega})$ and ${\ensuremath{\varepsilon}}_{2}(\ensuremath{\omega}).$ The agreement with experimental results is satisfactory.

Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases
the ARIA Study Group, J. Jean Bousquet, the MASK Study Group, Holger J. Schünemann +4 more
2019· Clinical and Translational Allergy123doi:10.1186/s13601-019-0279-2

BACKGROUND: In all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy. MAIN BODY: As an example for chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life ICPs centred around the patient with rhinitis, and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation, health literacy and self-care through technology-assisted "patient activation", (ii) Implementation of care pathways by pharmacists and (iii) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care, and MASK has been recognized by DG Santé as a Good Practice in the field of digitally-enabled, integrated, person-centred care. CONCLUSION: In 20 years, ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement.

Rezafungin—Mechanisms of Action, Susceptibility and Resistance: Similarities and Differences with the Other Echinocandins
Guillermo García‐Effrón
2020· Journal of Fungi118doi:10.3390/jof6040262

Rezafungin (formerly CD101) is a new β-glucan synthase inhibitor that is chemically related with anidulafungin. It is considered the first molecule of the new generation of long-acting echinocandins. It has several advantages over the already approved by the Food and Drug Administration (FDA) echinocandins as it has better tissue penetration, better pharmacokinetic/phamacodynamic (PK/PD) pharmacometrics, and a good safety profile. It is much more stable in solution than the older echinocandins, making it more flexible in terms of dosing, storage, and manufacturing. These properties would allow rezafungin to be administered once-weekly (intravenous) and to be potentially administered topically and subcutaneously. In addition, higher dose regimens were tested with no evidence of toxic effect. This will eventually prevent (or reduce) the selection of resistant strains. Rezafungin also has several similarities with older echinocandins as they share the same in vitro behavior (very similar Minimum Inhibitory Concentration required to inhibit the growth of 50% of the isolates (MIC50) and half enzyme maximal inhibitory concentration 50% (IC50)) and spectrum, the same target, and the same mechanisms of resistance. The selection of FKS mutants occurred at similar frequency for rezafungin than for anidulafungin and caspofungin. In this review, rezafungin mechanism of action, target, mechanism of resistance, and in vitro data are described in a comparative manner with the already approved echinocandins.

First-principles calculations of the band gap and optical properties of germanium sulfide
L. Makinistian, E.A. Albanesi
2006· Physical Review B104doi:10.1103/physrevb.74.045206

There are controversial results among the available experimental data of the germanium sulfide band gap, as well as between these results and the theoretical model-based band calculations published to date. To elucidate this situation, we performed an ab initio calculation of its electronic structure adopting the local density and generalized gradient approximations for the exchange-correlation potential. In addition, these calculations were carried out with and without the inclusion of the spin-orbit interaction. The main difference between our calculations and previous experimental and theoretical results is that we found several critical points in the valence and conduction bands that compete in defining the gap. This explains the diversity of the existent experimental results, which is also a consequence of the strong crystal anisotropy. Also, we suggest the important role of the $s\text{\ensuremath{-}}\mathrm{Ge}$ states contribution at the edge of the valence band. Based on our electronic structure, we discuss the experimental core spectra and optical properties of germanium sulfide. We found an excellent agreement between our results and the available experimental core spectra data. Furthermore, our calculated optical functions of $\mathrm{GeS}$ were satisfactorily compared against existing experimental data and they explain the origin of the optical transitions.

A multiharmonic method for non‐linear vibration analysis
Alberto Cardona, Thierry Coune, Albert Lerusse, Michel Géradin
1994· International Journal for Numerical Methods in Engineering103doi:10.1002/nme.1620370911

Abstract A multiharmonic method for analysis of non‐linear dynamic systems submitted to periodic loa conditions is presented. The approach is based on a systematic use of the fast Fourier transform. The e linearization of the resulting equations in the frequency domain allows to obtain full quadratic converg rate.

Rhinitis associated with asthma is distinct from rhinitis alone: The <scp>ARIA‐MeDALL</scp> hypothesis
Jean Bousquet, Erik Melén, Tari Haahtela, Gerard H. Koppelman +4 more
2023· Allergy103doi:10.1111/all.15679

Asthma, rhinitis, and atopic dermatitis (AD) are interrelated clinical phenotypes that partly overlap in the human interactome. The concept of "one-airway-one-disease," coined over 20 years ago, is a simplistic approach of the links between upper- and lower-airway allergic diseases. With new data, it is time to reassess the concept. This article reviews (i) the clinical observations that led to Allergic Rhinitis and its Impact on Asthma (ARIA), (ii) new insights into polysensitization and multimorbidity, (iii) advances in mHealth for novel phenotype definitions, (iv) confirmation in canonical epidemiologic studies, (v) genomic findings, (vi) treatment approaches, and (vii) novel concepts on the onset of rhinitis and multimorbidity. One recent concept, bringing together upper- and lower-airway allergic diseases with skin, gut, and neuropsychiatric multimorbidities, is the "Epithelial Barrier Hypothesis." This review determined that the "one-airway-one-disease" concept does not always hold true and that several phenotypes of disease can be defined. These phenotypes include an extreme "allergic" (asthma) phenotype combining asthma, rhinitis, and conjunctivitis. Rhinitis alone and rhinitis and asthma multimorbidity represent two distinct diseases with the following differences: (i) genomic and transcriptomic background (Toll-Like Receptors and IL-17 for rhinitis alone as a local disease; IL-33 and IL-5 for allergic and non-allergic multimorbidity as a systemic disease), (ii) allergen sensitization patterns (mono- or pauci-sensitization versus polysensitization), (iii) severity of symptoms, and (iv) treatment response. In conclusion, rhinitis alone (local disease) and rhinitis with asthma multimorbidity (systemic disease) should be considered as two distinct diseases, possibly modulated by the microbiome, and may be a model for understanding the epidemics of chronic and autoimmune diseases.

Sous-Vide as a Technique for Preparing Healthy and High-Quality Vegetable and Seafood Products
Sandra Zavadlav, Marijana Blažić, Franco Van de Velde, Charito Vignatti +4 more
2020· Foods98doi:10.3390/foods9111537

Sous-vide is a technique of cooking foods in vacuum bags under strictly controlled temperature, offering improved taste, texture and nutritional values along with extended shelf life as compared to the traditional cooking methods. In addition to other constituents, vegetables and seafood represent important sources of phytochemicals. Thus, by applying sous-vide technology, preservation of such foods can be prolonged with almost full retention of native quality. In this way, sous-vide processing meets customers’ growing demand for the production of safer and healthier foods. Considering the industrial points of view, sous-vide technology has proven to be an adequate substitute for traditional cooking methods. Therefore, its application in various aspects of food production has been increasingly researched. Although sous-vide cooking of meats and vegetables is well explored, the challenges remain with seafoods due to the large differences in structure and quality of marine organisms. Cephalopods (e.g., squid, octopus, etc.) are of particular interest, as the changes of their muscular physical structure during processing have to be carefully considered. Based on all the above, this study summarizes the literature review on the recent sous-vide application on vegetable and seafood products in view of production of high-quality and safe foodstuffs.

Demographic data, natural history, and prognostic factors of idiopathic thrombocytopenic purpura in children: A multicentered study from Argentina
Hugo Donato, Armando Picón, Mònica Martínez, María Cristina Rapetti +4 more
2008· Pediatric Blood & Cancer95doi:10.1002/pbc.21872

BACKGROUND: Demographics, outcome, and management of idiopathic thrombocytopenic purpura (ITP) in children present differences between countries. Although several factors influence outcome, it is impossible to predict at diagnosis which patients will have acute or chronic disease. High rates of spontaneous remission in chronic ITP have been reported. PROCEDURE: Data concerning 1,683 patients with ITP diagnosed from 1981 to date are presented; outcome was evaluated in 1,418 children. RESULTS: Remarkable presenting features were an incidence peak in the first 2 years of age and male predominance in patients <24 months of age. Three age groups with different recovery rates (P < 0.001) were established (2-12 months: 89.8%; 1-8 years: 71.3%; 9-18 years: 49.0%). Platelet count <10 x 10(9)/L and history of previous illness were associated with higher remission rates only in patients >12 months of age. The score developed by the NOPHO Group showed a predictive value of 83.9% for acute ITP. Spontaneous remission between 6 months and 11 years from diagnosis was achieved by 107 of 325 (32.9%) non-splenectomized children with chronic ITP, and in 44.9% of them between 6 and 12 months from diagnosis. CONCLUSIONS: Age and score were main prognostic factors. Infants <1 year of age are a special group with a brief course and very high recovery rate that are not influenced by other prognostic factors. Definition of groups based on age and scoring could be useful to establish differential management guidelines. The cut-off value to define chronic ITP should be changed to 12 months.

Respiratory Studies in Newborn Infants. II: Pulmonary Ventilation and Mechanics of Breathing in the First Minutes of Life, Including the Onset of Respiratio1
P Karlberg, Ruth B. Cherry, F Escardo, Güray Koç
1962· Acta Paediatrica93doi:10.1111/j.1651-2227.1962.tb06521.x

Summary 1. Respiratory volume changes and intra‐esophageal pressure changes have been simultaneously recorded beginning before or during the first breaths in 18 infants. 2. Respiratory adaptive changes for successful extra‐uterine existence occur rapidly. Some of the features are summarized below. 3. The average air exchange in the first 20 seconds after the first breaths is 2–3 times the resting minute volume observed later in the neonatal period. 4. A residual volume is established in some infants beginning with the first breath. In others this was not recorded and evidence is presented which suggests it may occur prior to the first breath. 5. The total pressure change of the first breath ranged from 40–100 cm O. In succeeding breaths this decreased. Typical pressure‐volume diagrams (“respiratory loops”) are illustrated and their possible significance discussed. 6. During the first few breaths the lung compliance was one‐fifth to one‐third and the pulmonary flow resistance 24 times that found in older neonates.

Consensus-Based Management Protocol (CREVICE Protocol) for the Treatment of Severe Traumatic Brain Injury Based on Imaging and Clinical Examination for Use When Intracranial Pressure Monitoring Is Not Employed
Randall M. Chesnut, Nancy Temkin, Walter Videtta, Gustavo Petroni +4 more
2020· Journal of Neurotrauma88doi:10.1089/neu.2017.5599

Globally, intracranial pressure (ICP) monitoring use in severe traumatic brain injury (sTBI) is inconsistent and susceptible to resource limitations and clinical philosophies. For situations without monitoring, there is no published comprehensive management algorithm specific to identifying and treating suspected intracranial hypertension (SICH) outside of the one ad hoc Imaging and Clinical Examination (ICE) protocol in the Benchmark Evidence from South American Trials: Treatment of Intracranial Pressure (BEST:TRIP) trial. As part of an ongoing National Institutes of Health (NIH)-supported project, a consensus conference involving 43 experienced Latin American Intensivists and Neurosurgeons who routinely care for sTBI patients without ICP monitoring, refined, revised, and augmented the original BEST:TRIP algorithm. Based on BEST:TRIP trial data and pre-meeting polling, 11 issues were targeted for development. We used Delphi-based methodology to codify individual statements and the final algorithm, using a group agreement threshold of 80%. The resulting CREVICE (Consensus REVised ICE) algorithm defines SICH and addresses both general management and specific treatment. SICH treatment modalities are organized into tiers to guide treatment escalation and tapering. Treatment schedules were developed to facilitate targeted management of disease severity. A decision-support model, based on the group's combined practices, is provided to guide this process. This algorithm provides the first comprehensive management algorithm for treating sTBI patients when ICP monitoring is not available. It is intended to provide a framework to guide clinical care and direct future research toward sTBI management. Because of the dearth of relevant literature, it is explicitly consensus based, and is provided solely as a resource (a "consensus-based curbside consult") to assist in treating sTBI in general intensive care units in resource-limited environments.

The Cost of Continuity: Performance of Iterative Solvers on Isogeometric Finite Elements
Nathan Collier, Lisandro Dalcín, David Pardo, Victor M. Calo
2013· SIAM Journal on Scientific Computing88doi:10.1137/120881038

In this paper we study how the use of a more continuous set of basis functions affects the cost of solving systems of linear equations resulting from a discretized Galerkin weak form. Specifically, we compare performance of linear solvers when discretizing using $C^0$ B-splines, which span traditional finite element spaces, and $C^{p-1}$ B-splines, which represent maximum continuity. We provide theoretical estimates for the increase in cost of the matrix-vector product as well as for the construction and application of black-box preconditioners. We accompany these estimates with numerical results and study their sensitivity to various grid parameters such as element size $h$ and polynomial order of approximation $p$ in addition to the aforementioned continuity of the basis. Finally, we present timing results for a range of preconditioning options for the Laplace problem. We conclude that the matrix-vector product operation is at most $\left.{33p^2}\middle/{8}\right.$ times more expensive for the more continuous space, although for moderately low $p$, this number is significantly reduced. Moreover, if static condensation is not employed, this number further reduces to at most a value of 8, even for high $p$. Preconditioning options can be up to $p^3$ times more expensive to set up, although this difference significantly decreases for some popular preconditioners such as incomplete LU factorization.

Ultrasound Nail Imaging on Patients With Psoriasis and Psoriatic Arthritis Compared With Rheumatoid Arthritis and Control Subjects
Clarisa Sandobal, E. Lladó Carbó, José Iribas, Susana Roverano +1 more
2013· JCR Journal of Clinical Rheumatology85doi:10.1097/rhu.0000000000000054

OBJECTIVE: The objective of this study was too show findings at finger nails level revealed by high-frequency gray-scale ultrasound (US) and power Doppler in patients with psoriatic arthritis (PsA),and cutaneous psoriasis compared with rheumatoid arthritis and control subjects. METHODS: We studied 35 patients with PsA, 20 with cutaneous psoriasis, and control groups (28 control subjects and 27 patients with rheumatoid arthritis). All nails of both hands were observed (1097 nails, 3 excluded because of trauma). In every patient, we classified the morphologic abnormalities disclosed in ventral and dorsal nail plates. We also measured the distance between ventral plate and the bone margin of the distal phalanx at the right index finger. RESULTS: All patients and control subjects presented abnormalities in the US imaging. Those with psoriatic arthritis and cutaneous psoriasis showed a higher number of compromised nails. When classifying those abnormalities using the typology of Wortsman et al, patients with psoriatic arthritis showed loosening of the borders of the ventral plate (type II), whereas patients with cutaneous psoriasis showed focal hyperechoic involvement of the ventral plate without involvement of the dorsal plate (type I). Patients of the control group could not be classified, although 31 of 55 showed thinning of the ventral plate without hyperechoic deposits. Nineteen of 35 patients with psoriatic arthritis, and 10 of 20 patients with cutaneous psoriasis did not show any nail clinical alterations. Nevertheless, the US detected type II alterations in the first group and type I in the second group. Patients with psoriatic arthropathy had power Doppler increases in distal interphalangeal joints and nail beds in a statistically significant form (P = 0.0001).When measuring the distance between the ventral plate and the bone margin of the distal phalanx, there was homogeneity among samples in patients and control subjects. A receiver operating characteristic curve analysis determined that a cut point of 2 mm clearly defined these 2 groups. There was a significant difference (P < 0.0001) between the mean distance ventral plate-osseous margin of the distal phalanx in psoriatic arthritis patients (P = 0.001) and patients with cutaneous psoriasis (P = 0.005) versus rheumatoid arthritis patients (P = 0.548). CONCLUSIONS: As a predominant finding in our study, we observed abnormalities of the ventral plate in patients with PsA (type II) and abnormalities (type I) in patients with cutaneous psoriasis. We found a significant difference between the mean distance ventral plate-osseous margin of the distal phalanx in patients with PsA and patients with cutaneous psoriasis versus control subjects. Ultrasound imaging could be a feasible and sensitive tool to describe, measure, and follow morphologic characteristics and changes of the nail in psoriatic and/ or psoriatic arthritis patients with or without clinical nail lesions.

ASCARIDOLE AND RELATED PEROXIDES FROM THE GENUS CHENOPODIUM
Valery M. Dembitsky, Ilya A. Shkrob, L Hanŭs
2008· Biomedical Papers85doi:10.5507/bp.2008.032

AIM: Detection of monoterpenoid ascaridole and other terpenoids in the genus Chenopodium from the East Mediterranean. METHOD: Distribution of ascaridole in leaves of 13 species medicinal plant belonging to the genus Chenopodium was examined with the help of the GC MS method. RESULTS: cis Ascaridole was found as a major peroxy monoterpenoid (up to 46.9 %) in the oil. Three minor isomers: cis isoascaridole (1.1 6.4 %), trans ascaridole (1 2 %), and trans isoascaridole (1 2 %) were also detected. The biological activities and biosynthesis of ascaridole are further discussed. CONCLUSIONS: The results on Ascaridol and the major volatiles and semi volatiles of wild species belonging to the genus Chenopodium provide important information on biologically active monoterpenoid compounds and volatile metabolites biosynthesized in wild medicinal plants growing in the East Mediterranean.

The EOF of polymer solutions
Marı́a Laura Olivares, Luciana Vera‐Candioti, Claudio L. A. Berli
2009· Electrophoresis84doi:10.1002/elps.200800578

The EOF of polymer solutions is analysed in the framework of continuum fluid mechanics and the standard electrokinetic model. Two key aspects are taken into consideration: the non-Newtonian character of the fluid and the polymer concentration near the interface, which greatly modify the fluid viscosity in the region where electroosmosis takes place. A satisfactory mathematical model is derived for the electroosmotic mobility of solutions that present polymer depletion at the wall. The case of solutions containing polymers that adsorb onto the wall is briefly reviewed, and a preliminary approach is discussed for the limit of strong polymer adsorption. In order to illustrate the theoretical discussions, experimental data obtained from aqueous solutions of carboxymethyl cellulose in fused-silica capillaries are presented. Relevant results are observed, which are appropriately captured by the modelling proposed. The fundamental phenomena discussed in this work are of interest in microfluidics and electrophoresis.