Long-term citalopram administration reduces responsiveness of HPA axis in patients with major depression: relationship with S-citalopram concentrations in plasma and cerebrospinal fluid (CSF) and clinical response.

RATIONALE: A dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis is a well-documented neurobiological finding in major depression. Moreover, clinically effective therapy with antidepressant drugs may normalize the HPA axis activity. OBJECTIVE: The aim of this study was to test whether citalopram (R/S-CIT) affects the function of the HPA axis in patients with major depression (DSM IV). METHODS: Twenty depressed patients (11 women and 9 men) were challenged with a combined dexamethasone (DEX) suppression and corticotropin-releasing hormone (CRH) stimulation test (DEX/CRH test) following a placebo week and after 2, 4, and 16 weeks of 40 mg/day R/S-CIT treatment. RESULTS: The results show a time-dependent reduction of adrenocorticotrophic hormone (ACTH) and cortisol response during the DEX/CRH test both in treatment responders and nonresponders within 16 weeks. There was a significant relationship between post-DEX baseline cortisol levels (measured before administration of CRH) and severity of depression at pretreatment baseline. Multiple linear regression analyses were performed to identify the impact of psychopathology and hormonal stress responsiveness and R/S-CIT concentrations in plasma and cerebrospinal fluid (CSF). The magnitude of decrease in cortisol responsivity from pretreatment baseline to week 4 on drug [delta-area under the curve (AUC) cortisol] was a significant predictor (p<0.0001) of the degree of symptom improvement following 16 weeks on drug (i.e., decrease in HAM-D21 total score). The model demonstrated that the interaction of CSF S-CIT concentrations and clinical improvement was the most powerful predictor of AUC cortisol responsiveness. CONCLUSION: The present study shows that decreased AUC cortisol was highly associated with S-CIT concentrations in plasma and CSF. Therefore, our data suggest that the CSF or plasma S-CIT concentrations rather than the R/S-CIT dose should be considered as an indicator of the selective serotonergic reuptake inhibitors (SSRIs) effect on HPA axis responsiveness as measured by AUC cortisol response.

Desenvolupament d’aplicacions potencials dels SIG a l’avaluació ambiental de Plans d’Ordenació Urbanística Municipal (POUM)

Aquest projecte es contextualitza dins el marc de l’avaluació ambiental dels plans d’ordenació urbanística municipal (POUM) que es realitza a les oficies territorials d’avaluació ambiental (OTAA) de la Generalitat de Catalunya. Concretament, l’objectiu principal d’aquest és el de desenvolupar un model d’anàlisi mitjançant sistemes de la informació geogràfica (SIG) per l’avaluació ambiental dels POUM, i la seva posterior integració d’aquest en una aplicació. Aquesta aplicació, a més, permetrà obtenir un informe de resultats finals amb les afectacions que puguin tenir les diferents figures de protecció ambiental pel planejament urbanístic. Tanmateix, el tècnic de la OTAA podrà també extreure imatges d’aquestes afectacions i incorporar-les a l’informe final. Així doncs, gràcies a aquesta aplicació, el tècnic podrà obtenir un informe de forma ràpida de les afectacions del POUM que li serviran per elaborar l’Informe de Sostenibilitat Ambiental, que és un document integrat en els plans objecte d’avaluació ambiental en què es formalitza l’avaluació ambiental duta a terme.

Detection of testosterone administration based on the carbon isotope ratio profiling of endogenous steroids: international reference populations of professional soccer players.

BACKGROUND AND OBJECTIVES: The determination of the carbon isotope ratio in androgen metabolites has been previously shown to be a reliable, direct method to detect testosterone misuse in the context of antidoping testing. Here, the variability in the 13C/12C ratios in urinary steroids in a widely heterogeneous cohort of professional soccer players residing in different countries (Argentina, Italy, Japan, South Africa, Switzerland and Uganda) is examined. METHODS: Carbon isotope ratios of selected androgens in urine specimens were determined using gas chromatography/combustion/isotope ratio mass spectrometry (GC-C-IRMS). RESULTS: Urinary steroids in Italian and Swiss populations were found to be enriched in 13C relative to other groups, reflecting higher consumption of C3 plants in these two countries. Importantly, detection criteria based on the difference in the carbon isotope ratio of androsterone and pregnanediol for each population were found to be well below the established threshold value for positive cases. CONCLUSIONS: The results obtained with the tested diet groups highlight the importance of adapting the criteria if one wishes to increase the sensitivity of exogenous testosterone detection. In addition, confirmatory tests might be rendered more efficient by combining isotope ratio mass spectrometry with refined interpretation criteria for positivity and subject-based profiling of steroids.

Gestió forestal de masses d'arboç (Arbutus unedo) en regeneració després de foc al terme municipal d'Esparreguera

Els incendis forestals són una pertorbació amb un paper decisiu en l’estructura i dinàmica dels ecosistemes mediterranis. La majoria de les seves espècies vegetals presenten mecanismes de resposta al foc, com la germinació de llavors i la rebrotada d’individus cremats. Les masses forestals regenerades a partir de rebrots assoleixen densitats massa altes i una baixa producció, i, per tant, és fonamental dur a terme una gestió mitjançant tractaments silvícoles. El principal objectiu d’aquest projecte és quantificar l’efecte de la selecció de rebrots i la selecció de rebrots més la desbrossada sobre el creixement de l’Arbutus unedo. S’han estudiat 12 parcel—les en regeneració després dels incendis de 1985, 1986 i 1994 al terme municipal d’Esparreguera. Els resultats mostren que els dos tractaments afavoreixen de la mateixa manera el creixement dels peus d’Arbutus unedo, a causa de la disminució de la competència intraespecífica i interespecífica. La desbrossada (a nivell de parcel—la, no d’individu), no obstant, provoca un increment probablement perjudicial de l’alçada dels rebrots, per la major disponibilitat de llum. Per tal de proposar un model de gestió forestal, s’ha realitzat una anàlisi multicriterial dels diferents escenaris, on s’han considerat altres criteris, com són el model de combustible, la possibilitat de pastura i el cost econòmic. L’alternativa preferida en els boscos d’Arbutus unedo és la selecció de rebrots i la desbrossada.

Gestor d'expedients per l'Institut Municipal d'Hisenda

El projecte recull el treball portat a càrrec per l’anàlisi, disseny i implementació d’una eina per l’Institut Municipal D’Hisenda de l’Ajuntament de Barcelona que compleixi les necessitats d’un sistema d’informació capaç de gestionar els expedients que genera una sèrie de tributs, les sancions que comporten així com la documentació necessària per la comunicació amb el ciutadà. Per realitzar l’aplicació s’han utilitzat tecnologies que ens permeten treballar en l’entorn web, un nucli programat en llenguatge Java sobre la plataforma MVC de Struts, tot sobre un servidor d’aplicacions WebSphere i un motor de base de dades Oracle.

Pediculose capitis: prevalência em escolares da Rede Municipal Pública de Belo Horizonte, Minas Gerais, Brasil

During 1985, 50,356 children and adolecents from 105 public schools of Belo Horizonte, Minas Gerais State were questioned about or examined for head lice (Pediculus capitis). The mean prevalence of pediculosis, obtainde from the questionnaires and sometimes confirmed by head inspections, was 7.7% or else 10.2% when adjusted to 38,311 respondents. Current and past infestations combined - within a period of three months before survey - revealed a total prevalence of 57.4%. Significant differences were observed among socioeconomic levels, and grades of school age. The more prevalent categories among the factors studied were: sex - femal: 9.2% (P<0.001); ethnic group - white: 10.0% (P<0.001); hair length - long: 9.5% (P<0.05); year age-group - 1-5 years: 19.2% (P<0.001), with a peak in the 5th year (21.3%).

Sistema d’Informació Geogràfica (SIG) d’urbanisme integrat en una plataforma corporativa del SIG municipal

El document recull la memòria del projecte final del projecte de la desena edició del Màster en Tecnologies de la Informació Geogràfica impartit en Laboratori d’Informació Geogràfica i Teledetecció (LIGIT) del departament de geografia de la UAB i realitzat amb col•laboració de l’empresa SEYS. El projecte es contextualitza en el desenvolupament del Sistema d’Informació Geogràfica (SIG) d’urbanisme integrat en una plataforma corporativa del SIG municipal per a l’Ajuntament de Tarragona com a resposta a la revisió del planejament urbanístic (POUM) El projecte es desenvolupa en tres blocs: Urbanisme, Cartografia bàsica i interoperativitat. Les tasques realitzades en aquestes pràctiques versen sobre dos d’aquest mòduls:  Urbanisme, on s’estructura les dades del POUM per tal d’establir una base de dades. Aquesta servirà de base pel desenvolupament de l’aplicatiu que facilitarà les tasques del departament d’urbanisme  Interoperativitat, on es desenvoluparà un servidor de la informació geoespacial , per tal de poder-hi accedir des del diferents departaments de l’Ajuntament, i un geoportal per visualitzar-les.

Evaluation of acute administration of natural products with potential diuretic effects, in humans

In order to evaluate the potential diuretic effect of two natural products, Elephantopus scaber and Alpinia speciosa, a trial administration was carried out in ten healthy volunteers and the effects compared to the those of a placebo. The substances were given on different days, with a seven day interval between doses. The amount of substance administered to the subjects was five times the usual dose i.e. 7.5 g/100 ml and 0.8 g/100 ml respectively. The following parameters parameteres were measured: urinary and plasma sodium, potassium, uric acid, calcium, phosphate, urea, creatinine. The subjects were also examined clinically and total urinary volume was assessed. The only significant finding (p < 0.05) was a slight diuresis with Alpinia speciosa, which also lowered the diastolic (p < 0.05) and systolic (p < 0.01) blood pressures. No effect on electrolytes or renal function parameters was observed, and this probably excludes any renal tubular or glomerular effect from these substances.

Peut-on faire confiance à l'administration ? Une analyse du concept de confiance, appliqué au secteur public

D'une manière générale, la confiance est un « lubrifiant » (Arrow, 1974) facilitant les relations sociales (eg Luhmann, 1968, Giddens, 1984, Zucker, 1986). D'un point de vue économique, un environnement institutionnel bénéficiant d'une confiance élevée serait corrélé avec la performance de l'économie nationale (eg Dyer and Chu, 2003). La confiance, en tant que capital social, permettrait et engendrerait des comportements altruistes et coopératifs impactant et soutenant la prospérité économique d'une communauté (Fukuyama, 1995). Dans un cadre organisationnel, la confiance engendre une communication plus ouverte et facilite l'échange d'information (eg Smith and Barclay, 1997, Currall and Judge, 1995), facilite la gestion des conflits (eg Blomqvist, 2002), l'apprentissage commun (eg Bijlsma-Frankema, 2004) ou diminue les coûts d'intégration (eg Bidault and Jarillo, 1995), par exemple.

Plataforma telemàtica de serveis administratius de l'Ajuntament de Ripollet

PTSA és el projecte resultat del desenvolupament de la Plataforma Telemàtica de Serveis Administratius proposada com a iniciativa per l'Ajuntament de Ripollet. Amb l'objectiu de promoure la utilització dels canals de comunicació segurs entre el ciutadà i l'Administració, aporta els serveis d'acreditació, registre i consulta. Integrada amb el portal ripollet.cat, implementa les tecnologies per al tractament de l'acreditació d'usuaris mitjançant certificació digital i la generació dinàmica de documents signats electrònicament. Dins el marc d'execució de la llei 11/2007 d'accés electrònic dels ciutadans als serveis públics, és un gran primer pas en el llarg camí amb destinació a una Administració electrònica completa i de qualitat.

Postmortem computed tomography angiography, contrast medium administration and toxicological analyses in urine.

Postmortem angiography methods that use water soluble or lipid soluble liquid contrast compounds may potentially modify the composition of fluid-based biological samples and thus influence toxicological findings. In this study, we investigated whether toxicological investigations performed in urine collected prior to and post angiography using Angiofil? mixed with paraffin oil are characterized by different qualitative or quantitative results. In addition, we studied whether diluting samples with 1% and 3% contrast medium solution may modify molecule concentration. A postmortem angiography group consisting of 50 cases and a postmortem group without angiography consisting of 50 cases were formed. In the first group, toxicological investigations were performed in urine samples collected prior to and post angiography as well as in undiluted and diluted samples. In the second group, analyses were performed in undiluted and diluted urine, bile, gastric content, cerebrospinal and pericardial fluids collected during autopsy. The preliminary results indicate that differences may be observed between urine samples collected prior to and post angiography in the number of identified molecules in relation to specific cases. Analyses performed in diluted samples failed to reveal differences that might potentially alter the interpretation of toxicological results in all analyzed specimens for nearly all molecules, except for tetrahydrocannabinol and its metabolites. Though these findings suggest that toxicology might be effectively performed, in very special cases and for a large number of molecules, in biological samples collected after angiography, it remains recommendable to collect biological fluids for toxicology prior to contrast medium injection.

A drug administration decision support system

Drug delivery is one of the most common clinical routines in hospitals, and is critical to patients' health and recovery. It includes a decision making process in which a medical doctor decides the amount (dose) and frequency (dose interval) on the basis of a set of available patients' feature data and the doctor's clinical experience (a priori adaptation). This process can be computerized in order to make the prescription procedure in a fast, objective, inexpensive, non-invasive and accurate way. This paper proposes a Drug Administration Decision Support System (DADSS) to help clinicians/patients with the initial dose computing. The system is based on a Support Vector Machine (SVM) algorithm for estimation of the potential drug concentration in the blood of a patient, from which a best combination of dose and dose interval is selected at the level of a DSS. The addition of the RANdom SAmple Consensus (RANSAC) technique enhances the prediction accuracy by selecting inliers for SVM modeling. Experiments are performed for the drug imatinib case study which shows more than 40% improvement in the prediction accuracy compared with previous works. An important extension to the patient features' data is also proposed in this paper.

Pharmacokinetics and posterior segment biodistribution of ESBA105, an anti-TNF-alpha single-chain antibody, upon topical administration to the rabbit eye.

PURPOSE: The purpose of this study was to characterize local distribution and systemic absorption of the tumor necrosis factor (TNF)-alpha inhibitory single-chain antibody fragment (scFv) ESBA105 following topical administration to the eye in vivo. METHODS: Rabbits received ESBA105 as topical eye drops in two dosing regimens. First, pharmacokinetics after the topical route of administration was compared to the intravenous (i.v.) route by means of applying the identical cumulative daily dose of ESBA105. In a second study rabbits received five eye drops daily for six consecutive days in a lower frequency topical dosing regimen. Kinetics and biodistribution of ESBA105 in ocular tissues and fluids as well as in sera were determined in all animals. RESULTS: After topical administration to the eye, ESBA105 quickly reaches therapeutic concentrations in all ocular compartments. Systemic exposure after topical administration is 25,000-fold lower than exposure after i.v. injection of the identical cumulative daily dose. ESBA105 levels in vitreous humor and neuroretina are significantly higher on topical administration than after i.v. injection. Absolute and relative intraocular biodistribution of ESBA105 is different with topical and systemic delivery routes. Compared to its terminal half-life in circulation (7 hours), the vitreal half-life of ESBA105 is significantly enhanced (16-24 hours). CONCLUSIONS: On topical administration, ESBA105 is efficiently absorbed and distributed to all compartments of the eye, whereby systemic drug exposure is very low. Based on its unique intraocular biodistribution and pharmacokinetics and the absolute intraocular levels reached, topical ESBA105 appears highly attractive for treatment of various ophthalmological disorders.