Background: Craniofacial injuries are thought to be commonly associated with traumatic brain injury (TBI), but there is conflicting evidence in the literature. The objective of this retrospective cohort study is to evaluate the incidence of TBI in patients with craniofacial trauma. Methods: The study included 2982 consecutive patients with either solitary or concurrent diagnoses of TBI and facial fractures, seen and evaluated at a single level II trauma center between January 1, 2010 and December 31, 2020. Continuous variables were compared against whether the patient had one or both diagnoses.Results: Of the target population, 55.8% had a solitary diagnosis of TBI, 30.28% had a solitary diagnosis of facial fractures, and 13.92% had concurrent diagnoses of both TBI and facial fractures. Patients with concurrent diagnoses had a significantly longer mean length of stay (LOS) compared to those with solitary diagnoses (9.92 ± 16.33 days vs. 6.21 ± 10.96 days, p<0.01), but age (p=0.68) and ICU LOS (p=0.09) did not differ significantly between the two groups. Conclusions: Trauma to the face should be given special attention due to the close relationship between facial bones and the brain. Patients with concurrent diagnoses of TBI and facial fractures had worse hospital outcomes than those with solitary diagnoses of either TBI or facial trauma.

Considering the important demand of fresh water and its scarce availability, water desalination is an interesting technology, producing about 44 Mm³/year worldwide, but, in general the most common desalination techniques are highly energy demanding. Freezing-Melting (F/M) desalination uses just up to 70% less thermal energy, but is the least used process mainly, due to the difficulty of the salt separation. This study proposes a model able to analyses the thermodynamic potential that allows the salt diffusion during the F/M process, using an aqueous solution of sodium chloride. This should allow to obtain a sensitive analysis of the process to promote the separation between the high concentration brine and the ice with liquid separation by physical process. The unidimensional model is based on the evolution of both processes: thermal and mass diffusions, depending on temperature and saline gradients, predicting whether the salt will remain inside the ice or not. Thus, the thermal potential is adjusted to frozen only when the salt has been "pushed" towards the brine. Mostly models have base their results on the assumption of a “certain value of saline concentration of the liquid fraction”, value in which there is great disagreement. In this paper the calculations are based on the concentration in the solid-liquid interface, which has been extensively studied and there is a coincidence in those results, being the main advantage of the proposed model.

This review focuses on the role of small extracellular vesicles in the pathophysiological mechanisms of retinal degenerative diseases. Many of these mechanisms are related or modulated by the oxidative burden of the retinal cells. It has been recently demonstrated that cellular communication in the retina involves extracellular vesicles and that their rate of release and cargo features might be affected by the cellular environment and in some instances also mediated by autophagy. The fate of these vesicles is diverse, and could end up in the circulation and be used as markers, or target neighbour cells modulating gene and protein expression and eventually also angiogenesis. Neovascularization in the retina promotes vision loss in diseases such as diabetic retinopathy and age-related macular degeneration. The importance of micro RNAs, either as small extracellular vesicles’ cargo or free circulating, on the regulation of retinal angiogenesis is also discussed.