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To evaluate Red blood cell distribution width (RDW) as a sepsis prognostic biomarker. 203 septic patients admitted to the ICU. Analysis of RDW dynamics, hospital mortality discrimination ability and the added value when incorporated to the SOFA, LODS, SAPS-II and APACHE-II scores using the AUC-ROC. Non-survivors presented higher RDW values during the first week after ICU admission (p = 0.048). Only SOFA and RDW were independently associated with mortality when adjusted by Charlson, immunosuppression, nosocomial infection, NEWS2, SAPS-II, septic shock and haemoglobin (p < 0.05). After adjustment, AUC-ROC was 0.827, 0.822, 0.824, 0.834 and 0.812 for each model including admission, 24, 48 and 72-h and 7-days RDW, respectively. When added to the scores, 24-h RDW and admission RDW improved their discrimination ability (SOFA AUC-ROC = 0.772 vs 0.812 SOFA + admission RDW, p = 0.041; LODS AUC-ROC = 0.687 vs 0.710, p = 0.002; SAPS-II AUC-ROC = 0.734 vs 0.785, p = 0.021; APACHE-II AUC-ROC = 0.672 vs 0.755, p = 0.003). Admission RDW with SOFA presented the better discrimination ability for mortality. RDW is an independent prognostic marker of death in septic patients admitted in the ICU that improves SOFA, LODS, APACHE-II and SAPS-II discrimination ability. This parameter could be incorporated to the prognostic scores as a marker of systemic dysfunction and dysregulated inflammatory response. •During the first week after ICU admission, non-survivors septic patients presented higher RDW.•Along with SOFA, RDW was the only independently factor associated with mortality after adjustment.•When added to the prognostic scores, 24-hoursh RDW and mostly admission RDW improved their discrimination ability.•RDW is an available parameter that reflects the dysregulated inflammatory response and systemic dysfunction.

Analyzing the nutritional and defensive chemistry of Quercus rugosa provides insight into gall wasp interactions. Quercus rugosa is the most widely distributed white oak species in Mexico. It is the dominant canopy species in its geographic distribution range and has the largest number of associated gall wasp species (Cynipidae: Cynipini). Our main aims were to characterize the nutritional and defensive chemistry of Q. rugosa leaves and determine whether this chemistry differed between leaves with and without galls. We evaluated 60 trees from six populations of Q. rugosa in central Mexico. For each tree, we analyzed the nutritional chemistry (nitrogen, phosphorus, carbon, and carbon/nitrogen ratio) and defensive chemistry (secondary metabolites). Also, we characterized the community of cynipids in the leaf tissue of each tree. We documented 18 cynipid species, and the cynipid communities differed in composition among localities. We recorded the presence of a total of ten phenolics. The composition of nutritional and defensive chemicals differed significantly between leaves with and without galls in each locality. The nutritional and defensive chemical compounds of Q. rugosa were influenced by their associated cynipids. Our results suggest that gall-inducing cynipids influence the production of secondary metabolites in leaves with galls through the reassignment of nutritional compounds by the hosts.

The hybridization phenomenon increases genetic diversity and modifies recombinant individuals’ secondary metabolite (SMs) content, affecting the canopy-dependent community. Hybridization events occur when Quercus rugosa and Q. glabrescens oaks converge in sympatry. Here, we analyzed the effect of the genetic diversity (He) and SMs of Q. rugosa, Q. glabrescens and hybrids on the community of gall-inducing wasps (Cynipidae) and their parasitoids on 100 oak canopy trees in two allopatric and two hybrid zones. Eighteen gall wasp species belonging to six genera and six parasitoid genera contained in four families were identified. The most representative parasitoid genera belonged to the Chalcidoidea family. Abundance, infestation levels and richness of gall wasps and their parasitoids registered the next pattern: Q. rugosa higher than the hybrids, and the hybrids equal to Q. glabrescens. Oak host genetic diversity was the variable with the highest influence on the quantitative SMs expression, richness and abundance of gall wasps and their parasitoids. The influence of SMs on gall wasps and their parasitoids showed the next pattern: scopoletin > quercitrin > rutin = caffeic acid = quercetin glucoside. Our findings indicate that genetic diversity may be a key factor influencing the dynamics of tri-trophic interactions that involve oaks.

Knowledge of soil-to-plant transfer processes is a key element that can have a significant health impact. Much effort has been taken to characterize the speciation of anthropogenic radionuclides released into the environment. However, the information about naturally occurring radionuclides is scarce. This work evaluate the potential risks of transference, that is, the bioavailability of the 234,238U, 226Ra, 228,230,232Th, and 210Po in three different soils collected in Mediterranean ecosystems. Chemical speciation of these radionuclides was carried out according to two different methods, Pavlotskaya and a modification of Tessier’s protocol. Most of these radionuclides were associated to fractions strongly bound to soil particles and not able to be transferred. Increasing concentrations of U and Th extracted with increasing volume of NH4OAc 1 M were observed, until it reached saturation. Readily bioavailable fraction in both methods (either exchangeable or water soluble + exchangeable) decreased in the following order: 226Ra > 234,238 U > 228,230,232Th > 210Po. It was found that < 3% of the natural radionuclide concentration in soil are readily bioavailable for plant uptake in this region of Spain, and the resulting human health risk is negligible from natural radionuclide ingestion.

Lo primero que todos los padres debemos tener claro, es que el control de esfinteres requiere maduracion, no es una competencia, el que algunos ninos lo consiguen a partir de los dos anos y otros hasta los cinco, es decir, dentro de este periodo es normal. Primero se desarrolla el control de las heces y mas tarde el de la miccion. Si despues de cinco anos y aun no hay control del esfinter y ano, es conveniente consultar a su pediatra y realizar los estudios necesarios para descartar alguna patologia asociada, dentro de las que frecuentemente se encuentra la infeccion de vias urinarias. Si. Debemos tomar en cuenta que esta etapa del desarrollo del nino forma parte importante de la estructura de su personalidad, es una epoca para el de retos, logros y avances que van forjando su autonomia, que coinciden con el desarrollo motor (camina, corre, sube, baja y descubre a traves de la relacion con sus padres); la importancia que tienen para el sus heces y orina es tal, que conductas agresivas al respecto, se convierten tambien en agresion para su persona, y conductas propositivas seran por lo tanto utiles para su maduracion.