Performance of modified first-stage French Vertical Flow Constructed Wetlands under extreme operational conditions.

Operation conditions considerably affect the removal efficiency of wastewater treatment systems, and yet we still lack data on how these systems function under extreme dilution rates and climatic conditions at high altitudes. Here, we applied two modified First-Stage French Vertical Flow Constructed Wetlands (FS-FVFCWs) for sewage treatment in Northern Tropical Andes. Specifically, within 18 months, we conducted a pilot-scale experiment at two hydraulic loading rates (HLRs) of 0.

Chronbiologically-based sub-groups in bipolar I disorder: A latent profile analysis.

Background: Bipolar disorder presents with significant phenotypic heterogeneity. The aim of this study was to investigate whether bipolar disorder, type I (BDI) subjects could be meaningfully classified into homogeneous groups according to activity, sleep, and circadian characteristics using latent profile analysis (LPA). We hypothesized that distinct BDI sub-groups would be identified based primarily on circadian-associated markers.

Carbon Nanotube Reinforced Poly(ε-caprolactone)/Epoxy Blends for Superior Mechanical and Self-Sensing Performance in Multiscale Glass Fiber Composites.

In this paper, a novel carbon nanotube (CNT) polycaprolactone (PCL), epoxy, and glass fiber (GF) composite is reported. Here, the nanoreinforced composites show a flexural strength increase of around 30%, whereas the interlaminar shear strength increases by 10-15% in comparison to unenhanced samples. This occurs because the addition of the CNTs induces a better PCL/epoxy/GF interaction.

Point-of-Encounter Assessment: Using Health Belief Model Constructs to Change Grading Behaviors.

Objective: Fourth-year medical students need feedback to improve. Even during 1-month rotations, there needs to be a formal mid-clerkship feedback session. Better feedback involves multiple surgical evaluators at multiple levels.

An integrated mechanistic modeling of a facultative pond: Parameter estimation and uncertainty analysis.

Imitating natural lakes, pond treatment systems inherit a high complexity with interconnected web of biochemical reactions and complex hydraulic processes. As such, its simulation requires a large and integrated model, which has been a challenge for pond engineers. In this study, we develop an all-encompassing model to gain a quantitative and comprehensive understanding of the hydraulic, physicochemical and microbiological conversion processes in the most common pond, a facultative pond.

Report of Adverse Events in Colombia: A Successful Case.

Background: The Colombian National Food and Drug Surveillance Institute (INVIMA) is responsible for monitoring the safety and efficacy of medicines circulating the Colombian market.

Discussion: This article summarizes the three key strategies the institution has implemented to strengthen the National Pharmacovigilance Program: improving the interaction and working relationship with regional health authorities, expanding the National Pharmacovigilance Network and implementing the electronic submission of adverse events.

Conclusion: The number of adverse events reported in Colombia increased from 5,447 in 2013 to 95,658 in 2017, reaching a population-based reporting ratio within international standards (563 in 2016).

Exploring the influence of meteorological conditions on the performance of a waste stabilization pond at high altitude with structural equation modeling.

Algal photosynthesis plays a key role in the removal mechanisms of waste stabilization ponds (WSPs), which is indicated in the variations of three parameters, dissolved oxygen, pH, and chlorophyll a. These variations can be considerably affected by extreme climatic conditions at high altitude. To investigate these effects, three sampling campaigns were conducted in a high-altitude WSP in Cuenca (Ecuador).

Disparities in breast cancer: a multi-institutional comparative analysis focusing on American Hispanics.

Unlabelled: Breast cancer (BC) is the leading cause of cancer death in Hispanic/Latino women nationwide. Hispanic women are more likely to be presented with advanced disease and adverse prognosis subtypes. The aim of this study is to describe the clinico- pathological characteristics and disparities in breast cancer in this group at two tertiary care University-based medical centers.

Hispanic Americans and Non-Hispanic White Americans Have a Similar Inflammatory Bowel Disease Phenotype: A Systematic Review with Meta-Analysis.

Background: Inflammatory bowel disease (IBD) is a devastating immune-mediated disease on the rise in Hispanics living in the USA. Prior observational studies comparing IBD characteristics between Hispanics and non-Hispanic whites (NHW) have yielded mixed results.

Aims: We performed a meta-analysis of observational studies examining IBD phenotype in Hispanics compared to NHW.

The association between mood state and chronobiological characteristics in bipolar I disorder: a naturalistic, variable cluster analysis-based study.

Background: Multiple types of chronobiological disturbances have been reported in bipolar disorder, including characteristics associated with general activity levels, sleep, and rhythmicity. Previous studies have focused on examining the individual relationships between affective state and chronobiological characteristics. The aim of this study was to conduct a variable cluster analysis in order to ascertain how mood states are associated with chronobiological traits in bipolar I disorder (BDI).

Comparison of Health Examination Survey Methods in Brazil, Chile, Colombia, Mexico, England, Scotland, and the United States.

Comparability of population surveys across countries is key to appraising trends in population health. Achieving this requires deep understanding of the methods used in these surveys to examine the extent to which the measurements are comparable. In this study, we obtained detailed protocols of 8 nationally representative surveys from 2007-2013 from Brazil, Chile, Colombia, Mexico, the United Kingdom (England and Scotland), and the United States-countries that that differ in economic and inequity indicators.

Degenerate primer MOB typing of multiresistant clinical isolates of E. coli uncovers new plasmid backbones.

Degenerate Primer MOB Typing is a PCR-based protocol for the classification of γ-proteobacterial transmissible plasmids in five phylogenetic relaxase MOB families. It was applied to a multiresistant E. coli collection, previously characterized by PCR-based replicon-typing, in order to compare both methods.

CFD study to determine the optimal configuration of aerators in a full-scale waste stabilization pond.

Aerated lagoons (ALs) are important variants of the pond wastewater treatment technology that have not received much attention in the literature. The hydraulic behaviour of ALs and especially the Facultative aerated lagoons (FALs) is very complex since the aeration in these systems is designed for oxygen transfer but not necessarily to create complete mixing. In this work, the energy expenditure of the aerators was studied by means of a scenario analysis.

CFD analysis of sludge accumulation and hydraulic performance of a waste stabilization pond.

Sludge management in waste stabilization ponds (WSPs) is essential for safeguarding the system performance. Sludge accumulation patterns in WSPs are strongly influenced by the pond hydrodynamics. CFD modeling was applied to study the relation between velocity profiles and sludge deposition during 10 years of operation of the Ucubamba WSP in Cuenca (Ecuador).

A degenerate primer MOB typing (DPMT) method to classify gamma-proteobacterial plasmids in clinical and environmental settings.

Transmissible plasmids are responsible for the spread of genetic determinants, such as antibiotic resistance or virulence traits, causing a large ecological and epidemiological impact. Transmissible plasmids, either conjugative or mobilizable, have in common the presence of a relaxase gene. Relaxases were previously classified in six protein families according to their phylogeny.

A compartmental model to describe hydraulics in a full-scale waste stabilization pond.

The advancement of experimental and computational resources has facilitated the use of computational fluid dynamics (CFD) models as a predictive tool for mixing behaviour in full-scale waste stabilization pond systems. However, in view of combining hydraulic behaviour with a biokinetic process model, the computational load is still too high for practical use. This contribution presents a method that uses a validated CFD model with tracer experiments as a platform for the development of a simpler compartmental model (CM) to describe the hydraulics in a full-scale maturation pond (7 ha) of a waste stabilization ponds complex in Cuenca (Ecuador).

Plasmid typing and genetic context of AmpC β-lactamases in Enterobacteriaceae lacking inducible chromosomal ampC genes: findings from a Spanish hospital 1999-2007.

Objectives: To gain insights into ampC transmission between bacterial strains.

Methods: We examined the genetic context of 117 acquired ampC genes from 27119 Enterobacteriaceae collected between 1999 and 2007. Plasmid analysis was carried out by PCR-based replicon or relaxase typing, S1-PFGE and Southern hybridization.

Identification of bacterial plasmids based on mobility and plasmid population biology.

Plasmids contain a backbone of core genes that remains relatively stable for long evolutionary periods, making sense to speak about plasmid species. The identification and characterization of the core genes of a plasmid species has a special relevance in the study of its epidemiology and modes of transmission. Besides, this knowledge will help to unveil the main routes that genes, for example antibiotic resistance (AbR) genes, use to travel from environmental reservoirs to human pathogens.

Spread of bla(CTX-M-14) is driven mainly by IncK plasmids disseminated among Escherichia coli phylogroups A, B1, and D in Spain.

Since its first description in 2000, CTX-M-14 has become one of the most widespread extended-spectrum beta-lactamases in Spain. In the present Escherichia coli multilevel population genetic study involving the characterization of phylogroups, clones, plasmids, and genetic platforms, 61 isolates from 16 hospitalized patients and 40 outpatients and healthy volunteers recovered from 2000 to 2005 were analyzed. Clonal relatedness (XbaI pulsed-field gel electrophoresis [PFGE] type, phylogenetic group, multilocus sequence type [MLST]) was established by standard methods.