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Carbocysteine as Adjuvant Therapy in Acute Respiratory Tract Infections in Patients without Underlying Chronic Conditions: Systematic Review and Meta-Analysis

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Open Journal of Respiratory Diseases 2024年第2期14卷 39-50页

作者： Myriam Calle Rubio Olga de la Serna Blazquez José Luis R. martin Manuel Ruiz Cuetos Pulmonology Department Hospital Clínico San Carlos Madrid Spain Department of Medicine School of Medicine Universidad Complutense de Madrid Madrid Spain Instituto de Investigacion Sanitaria del Hospital Clínico San carlos (IdISSC) Madrid Spain Pediatric Pulmonology Unit Pediatrics Department Hospital Universitario La Paz Madrid Spain Simplifying Research Institute Layos Spain Medical department in ITF Research Pharma S.L.U. Alcobendas Spain

Objective: This study aims to systematically examine the existing evidence regarding the clinical benefits of carbocysteine as an adjunctive treatment in acute bronchopulmonary and otorhinological processes. Design: Systematic review and meta-analysis. Data sources: An electronic search was conducted across PubMed, Cochrane Library, ***, and the European Clinical Trial Register, with the search dated to May 2023. Bibliographic references from other literature reviews and meta-analyses were also reviewed. The search was limited to randomized clinical trials published in any language and year. It was completed by cross-checking the references of the located articles. Methods: Inclusion criteria covered studies assessing systemic or inhaled carbocysteine, regardless of dosing regimen. Concomitant medication use was acceptable if balanced between intervention and control groups. Authors independently extracted data, resolving disagreements through consensus. Methodological quality assessment relied on critical reading of each study. Dichotomous variables were analyzed using odds ratio (OR), and a final effect size was calculated. Statistical significance was established when confidence intervals did not cross the neutral value. Heterogeneity was assessed via the X2 test and I2 index. Results: Out of 318 initially identified studies, 4 met inclusion criteria. The meta-analysis for poor general condition yielded an OR of 0.45 in favor of intervention, p = 0.013, with non-significant heterogeneity. Cough events showed a percentage of 15.8% for carbocysteine vs. 27.2% for placebo. On the seventh day, expectoration rates were 18.37% for carbocysteinevs 33.3% for placebo. Conclusions: The observed clinical benefits align with carbocysteine’s mucoactive and muco-regulatory properties, complemented by anti-inflammatory and antioxidant actions. Carbocysteine stands out among mucolytic agents. In the context of persistent infectious diseases,

关键词： Acute Respiratory Infections Carbocystenine Systematic Review Meta-Analysis

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TML:a language to specify aerial robotic missions for the framework Aerostack

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International Journal of Intelligent Computing and Cybernetics 2017年第4期10卷 491-512页

作者： martin Molina Ramon A.Suarez-Fernandez carlos Sampedro Jose Luis Sanchez-Lopez Pascual Campoy Department of Artificial Intelligence Technical University of Madrid(UPM)MadridSpain Centre for Automation and Robotics Technical University of MadridMadridSpain

Purpose–The purpose of this paper is to describe the specification language TML for adaptive mission plans that the authors designed and implemented for the open-source framework Aerostack for aerial ***/methodology/approach–The TML language combines a task-based hierarchical approach together with a more flexible representation,rule-based reactive planning,to facilitate *** approach includes additional notions that abstract programming *** authors built an interpreter integrated in the software framework *** interpreter was validated with flight experiments for multi-robot missions in dynamic ***–The experiments proved that the TML language is easy to use and expressive enough to formulate adaptive missions in dynamic *** experiments also showed that the TML interpreter is efficient to execute multi-robot aerial missions and reusable for different *** TML interpreter is able to verify the mission plan before its execution,which increases robustness and safety,avoiding the execution of certain plans that are not ***/value–One of the main contributions of this work is the availability of a reliable solution to specify aerial mission plans,integrated in an active open-source project with periodic *** the best knowledge of the authors,there are not solutions similar to this in other active open-source *** additional contributions,TML uses an original combination of representations for adaptive mission plans(*** trees with original abstract notions and rule-based reactive planning)together with the demonstration of its adequacy for aerial robotics.

关键词： Adaptive mission plans Aerial robotic systems Autonomous aerial systems Mission plan specification

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Epidemiology of co-infections in pregnant women living with human immunodeficiency virus 1 in rural Gabon:a cross-sectional study

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Infectious Diseases of Poverty 2023年第4期12卷 83-92页

作者： Saskia Dede Davi Dearie Glory Okwu Marc Luetgehetmann Frederique Mbang abba martin Aepfelbacher Lillian Rene Endamne Ayodele Alabi Rella Zoleko-Manego Ghyslain Mombo-Ngoma Saidou Mahmoudou Marylyn martina Addo Michael Ramharter Johannes Mischlinger Centre of Tropical Medicine Bernhard-Nocht Institute for Tropical Medicine and I.Department of MedicineUniversity Medical Center Hamburg-EppendorfHamburgGermany German Centre for Infection Research Partner Site Hamburg-Lübeck-Borstel-RiemsHamburg-Lübeck-Borstel-RiemsHamburgGermany Centre de Recherches Médicales de Lambaréné LambarénéGabon Saskia Dede DaviDearie Glory OkwuFrederique Mbang AbbaAyodele Center for Diagnostics Institute of Medical MicrobiologyVirology and HygieneUniversity Medical Center Hamburg-Eppendorf(UKE)HamburgGermany Albert-Schweitzer Hospital LambarénéGabon Department of Parasitology Leiden University Medical CenterAlbinusdreefThe Netherlands Department for Clinical Immunology of Infectious Diseases and I.Department of Medicine University Medical Center Hamburg-EppendorfHamburgGermany

Background There is no recent epidemiological data on HIV infection in Gabon,particularly in pregnant *** close this gap,an HIV-prevalence survey was conducted among Gabonese pregnant women,followed by a cross-sectional case-control study in which the prevalence of various co-infections was compared between HIV-positive and HIV-negative pregnant *** Between 2018 and 2019,data for the HIV-prevalence survey were collected retrospectively in 21 Gabonese antenatal care centres(ANCs).Subsequently,for the prospective co-infection study,all HIV-positive pregnant women were recruited who frequented the ANC in Lambarénéand a comparator sub-sample of HIV-negative pregnant women was recruited;these activities were performed from February 2019 to February *** mean number of coinfections was ascertained and compared between HIV-positive and HIV-negative ***,the odds for being co-infected with at least one co-infection was evaluated and compared between HIV-positive and HIV-negative *** HIV-positivity was 3.9%(646/16,417)among pregnant women.183 pregnant women were recruited in the co-infection study.63%of HIV-positive and 75%of HIV-negative pregnant women had at least one *** was a trend indicating that HIV-negative women were more often co-infected with sexually transmitted infections(STIs)than HIV-positive women[mean(standard deviation,SD):2.59(1.04)vs 2.16(1.35),respectively;P=0.056];this was not the case for vector-borne infections[mean(SD):0.47(0.72)vs 0.43(0.63),respectively;P=0.59].Conclusions Counterintuitively,the crude odds for concomitant STIs was lower in HIV-positive than in HIV-negative *** change of magnitude from the crude to adjustedOR is indicative for a differential sexual risk factor profile among HIV-positive and HIV-negative women in this *** might potentially be explained by the availability of sexual health care counselling for HIV-positive women within the framework of the nati

关键词： HIV Cross-sectional study Pregnancy Sexually transmitted infections Gabon

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Single droplet drying of detergents:Experimentation and modelling

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Particuology 2021年第5期19卷 35-47页

作者： Borja Hernandez Rosa Mondragon Mark A.Pintoa Leonor Hernandez J.Enrique Julia Juan carlos Jarque Sergio Chiva Mariano martin Newcastle Innovation Centre Procter&Gamble R&DNewcastle upon TyneUK Departamento de Ingenieria Quimica y Textil.Universidad de Salamanca SalamancaSpain Departamento de Ingenieria Mecanica y Construccion Universitat Jaume ICastellon de la PlanaSpain Instituto de Tecnologia Ceramica Universitat Jaume ICastellon de la PlanaSpain

This study evaluates the single droplet drying(SDD)of *** data are used to validate a theoretical multistage *** experiments are carried out in an acoustic levitator analysing six different detergent formulations at 393 *** work is completed by developing a model based on conservation *** model is composed of the three stages observed in the drying *** the first stage,an external surface drying stage occurs until the surface is saturated and the crust is *** the next stage,the drying rate is governed by diffusion through the *** the same time,the particle heats up until boiling conditions are achieved in the core of the *** this point,the third stage *** the final stage,the droplet core is in boiling conditions which are governed by the pressure drop through the crust and the concentration of *** model has been evaluated for the different formulations being flexible to predict the drying of different mixtures with good accuracy.

关键词： Drying Single droplet Acoustic levitator Detergents

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High interpretable machine learning classifier for early glaucoma diagnosis

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International Journal of Ophthalmology(English edition) 2021年第3期14卷 393-398页

作者： carlos Salvador Fernandez Escamez Elena martin Giral Susana Perncho martinez Nicolas Toledano Fernandez Ophthalmology Department Hospital de FuenlabradaMadrid 28942Spain Doctorate Program in Heath Sciences Universidad Rey Juan CarlosAlcorcon 28922MadnidSpain

AIM:To develop a classifier for differentiating between healthy and early stage glaucoma eyes based on peripapillary retinal nerve fiber layer(RNFL)thicknesses measured with optical coherence tomography(OCT),using machine learning algorithms with a high ***:Ninety patients with early glaucoma and 85 healthy eyes were *** glaucoma eyes showed a visual field(VF)defect with mean deviation>-6.00 d B and characteristic glaucomatous *** thickness in every quadrant,clock-hour and average thickness were used to feed machine learning *** analysis was conducted to detect and exclude *** gradient boosting algorithms were used to calculate the importance of parameters on the classifier and to check the relation between their values and its impact on the *** with the lowest importance were excluded and a weighted decision tree analysis was applied to obtain an interpretable *** under the ROC curve(AUC),accuracy and generalization ability of the model were estimated using cross validation ***:Average and 7 clock-hour RNFL thicknesses were the parameters with the highest impor *** between parameter values and impact on classification displayed a stepped pattern for average *** tree model revealed that average thickness lower than 82μm was a high predictor for early *** scores had AUC of 0.953(95%CI:0.903-0998),with an accuracy of 89%.CONCLUSION:Gradient boosting methods provide accurate and highly interpretable classifiers to discriminate between early glaucoma and healthy *** and 7-hour RNFL thicknesses have the best discriminant power.

关键词： machine learning glaucoma diagnosis optical coherence tomography

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Fourier-Limited Attosecond Pulse from High Harmonic GenerationAssistedbyUlitrafast MagneticFields

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Ultrafast Science 2023年第5期3卷 51-59页

作者： Rodrigo martin-Hernandez Hongtao Hu Andrius Baltuska Luis Plaja carlos Hernandez-Garcia'I Grupo de Investigacion en Aplicaciones del Lasery Fotonica Departamento de Fisica AplicadaUniversidad de SalamancaE-37008 SalamancaSpain Photonics Institute Technische Universitat WienA-1040 ViennaAustria

One of the main constraints for reducing the temporal duration of attosecond pulses is the attochirp inherent to the process of high-order harmonic generation(HHG).Though the attochirp can be compensated in the extreme-ultraviolet using dispersive materials,this is unfeasible toward x-rays,where the shortest attosecond or even sub-attosecond pulses could be *** theoretically demonstrate that HHG driven by a circularly polarized infrared pulse while assisted by an strong oscillating ultrafast intense magnetic field enables the generation of few-cycle Fourier-limited few attosecond *** such a novel scenario,the magnetic field transversally confines the ionized electron during the HHG process,analogously to a nanowire *** the electron is ionized,the transverse electron dynamics is excited by the magnetic field,acting as a high-energy reservoir to be released in the form of phase-locked spectrally wide high-frequency harmonic radiation during the electron recollision with the parent *** addition,the transverse breathing dynamics of the electron wavepacket,introduced by the magnetic trapping,strongly modulates the recollision efficiency of the electronic trajectories,thus the attosecond pulse *** aftermath is the possibility of producing high-frequency(hundreds of eV)attosecond isolated few-cycle pulses,almost Fourier *** isolated intense magnetic fields considered in our simulations,of tens of kT,can be produced in finite spatial volumes considering structured beams or stationary configurations of counter-propagating state-of-the-art multi-terawatt/petawatt lasers.

关键词： harmonic trapping intense

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Diagnostic performance of serum interleukin-6 in pediatric acute appendicitis:a systematic review

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World Journal of Pediatrics 2022年第2期18卷 91-99页

作者： Javier Arredondo Montero carlos Bardaji Pascual Monica Bronte Anaut Natalia Lopez-Andres Giuseppa Antona Nerea martin-Calvo Pediatric Surgery Department Complejo Hospitalario de NavarraCalle Irunlarrea 331008 PamplonaNavarraSpain Pathology Department Complejo Hospitalario de NavarraPamplonaSpain Cardiovascular Translational Research Navarrabiomed(Miguel Servet Foundation)Complejo Hospitalario de Navarra(CHN)Universidad Publica de Navarra(UPNA)IdiSNAPamplonaSpain Department of Preventive Medicine and Public Health Instituto de Investigacion Sanitaria de Navarra(IdiSNA).University of Navarra.PamplonaSpain CIBER Fisiopatologia de la Obesidad y Nutricion(CIBERobn) Health Institute CarlosⅢMadridSpain

Background Despite the radiological and analytical advances of the last decades,there is still a significant rate of diagnostic error in pediatric acute *** recent years,multiple biomarkers have emerged as potential diagnostic *** study aimed to examine the diagnostic performance of serum interleukin-6 in pediatric acute *** We conducted a systematic review of the literature that involved an extensive search in the main databases of medical bibliography(Medline,PubMed,Web of Science and SciELO).Two independent reviewers selected the relevant articles based on the previously defined inclusion and exclusion *** quality of the selected article was rated using the QUADAS2 *** extraction was performed by two independent *** The research in the medical bibliography databases resulted in 68 *** removed 26 *** the remaining 42 articles,we excluded 33 following the inclusion and exclusion *** the final 9 studies included in this review,8 provided measured serum interleukin-6 values,and all of them reported significant differences between groups,but inconsistent results regarding sensitivity and *** The diagnostic performance of interleukine-6 alone for the diagnosis of acute appendicitis in children is *** sensitivity and specificity of interleukine-6 for the diagnosis of non-complicated acute appendicitis in the pediatric population are moderate but increased in complicated *** seems to be a direct relationship between serum level of interleukin-6 and the hours of evolution of abdominal pain in children with acute *** increasingly widespread use of non-operative management of acute appendicitis warrants further exploration of the classificatory potential of this marker between complicated and uncomplicated *** consider that this may be an avenue of research to explore in the future.

关键词： Acute appendicitis Children Interleukin-6 Pediatric Sensitivity Specificity Systematic review

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Auricular embryonal rhabdomyosarcoma

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World Journal of Pediatrics 2022年第5期18卷 358-360页

作者： Javier Arredondo Montero Monica Bronte Anaut Sara Hernandez-martin Juan carlos Lopez-Gutierrez Pediatric Surgery Department Complejo Hospitalario de NavarraCalle Irunlarrea 331008 PamplonaNavarraSpain Pathology Department Complejo Hospitalario de NavarraPamplonaSpain Pediatric Surgery Department Hospital Universitario La PazMadridSpain

A 13-month-old girl presented with a red-violaceous tumor of 13 mm in diameter on the inner side of the root of the right helix,with increased temperature and cystic consistency(Fig.1).No pulse was palpable in the *** ultrasonography was performed,showing a 1.6 cm rounded lesion with well-defined margins,hypoechogenic and homogeneous,compatible with *** treatment with oral propranolol was started without improve-ment.

关键词： sarcoma ultrasonography showing

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Acetosolv delignification of marabou (Dichrostachys cinerea) wood with and without acid prehydrolysis

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Forestry Studies in China 2011年第1期13卷 64-70页

作者： Venkata Prabhakar SOUDHAM Dani RODRIGUEZ George J M ROCHA Mohammad J TAHERZADEH carlos martin Bioresource Technology Group Department of Chemistry and Chemical EngineeringUniversity of Matanzas School of Engineering University of Bors Department of Biotechnology Lorena School of EngineeringUniversity of So Paulo

The chemical composition of marabou（Dichrostachys cinerea） wood and its treatment with acetic acid were *** different treatment approaches,direct acetosolv and combined acid prehydrolysis/acetosolv,were *** effects of acetic acid concentration（50%,70% and 90%） and temperature（normal boiling temperature and 121°C） on yield of solids,solubilization of lignin and hemicelluloses and recovery of cellulose were evaluated for both *** solubilization of marabou components was observed in the direct acetosolv treatment at 121°C,especially at the highest acetic acid concentration,where around 84.8% of lignin and 78% of hemicelluloses were *** the material was subjected to acid prehydrolysis prior to acetosolv treatment,lignin solubilization was improved,especially at low acetic acid *** 80% of the solubilized lignin was recovered from the liquors in the direct acetosolv treatment,but the recovery was lower in the combined *** was well preserved in all the treatment schemes.

关键词： Dichrostachys cinerea delignification acetosolv acid hydrolysis

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Leukocyte-technetium-99m uptake in Crohn's disease:Does it show subclinical disease?

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World Journal of Gastroenterology 2010年第3期16卷 365-371页

作者： Luciene G Mota Luiz GV Coelho carlos JR Simal Maria LA Ferrari Clodomiro Toledo Josep martin-Comin Simone OF Diniz Valbert N Cardoso Nuclear Engineering Department Federal University of Minas Gerais Gastro-enterology ALFA Institute Clinical HospitalFederal University of Minas Gerais Nuclear Medicine Felício Rocho HospitalMedicine FacultyFederal University of Minas Gerais Medicine Nuclear Center Bellvitge Hospital Radioisotope Laboratory Pharmacy FacultyFederal University of Minas Gerais

AIM:To evaluate inflammatory activity in patients with Crohn's disease (CD) using technetium-99m-hexamethylpropyleneamine oxime (99mTc-HMPAO) granulocyte ***: Twenty patients (7 male and 13 female) with CD and five healthy volunteers were selected for 99mTc-HMPAO granulocyte scintigraphy. The Crohn's Disease Activity Index (CDAI), blood tests and C-reactive protein (CRP) of each patient were performed 7 d before the scintigraphic images. The leukocytes were labeled according to the International Society of Radiolabeled Blood Elements (ISORBE) consensus protocol and the scintigraphic images, including single photon emission computed tomography, were obtained 30 min and 2 h after injection of the radiolabeled ***:The labeling yield of the leukocytes with the lipophilic complex 99mTc-HMPAO was 55.0%±10%. Six of the 20 patients (30%) presented congruent results for the three parameters investigated (CDAI, Scintigraphic Index and CRP). On the other hand, 14 patients (70%) did not show congruent results. There was no significant correlation between the indices analyzed according to the Spearman test (P>0.05,n=20).CONCLUSION: The results suggest that 99mTc-HMPAO-labeled leukocyte scintigraphy could be important for determining inflammatory activity in CD even in the absence of clinical symptoms.

关键词： Technetium-99m Hexamethylpropyleneamine oxime Leukocytes Inflammatory bowel disease Scintigraphy

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