Superbugs

An error occurred while processing the template.
The following has evaluated to null or missing:
==> mostrarTituloH2  [in template "20102#20129#105831" at line 4, column 40]

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Tip: If the failing expression is known to legally refer to something that's sometimes null or missing, either specify a default value like myOptionalVar!myDefault, or use <#if myOptionalVar??>when-present<#else>when-missing</#if>. (These only cover the last step of the expression; to cover the whole expression, use parenthesis: (myOptionalVar.foo)!myDefault, (myOptionalVar.foo)??
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FTL stack trace ("~" means nesting-related):
	- Failed at: #assign hayH2 = getterUtil.getBoolean...  [in template "20102#20129#105831" at line 4, column 1]
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1<#assign title = .vars['reserved-article-title'].getData()> 
2<div class="containerInterior"> 
3<#assign hayH1 = getterUtil.getBoolean(MostrarTituloH1.getData())> 
4<#assign hayH2 = getterUtil.getBoolean(mostrarTituloH2.getData())> 
5 
6<#if hayH1> 
7    <h1 aria-level="1" role="heading" id="titulo">${layout.getName(locale)}</h1> 
8</#if> 
9<#if hayH2> 
10 
11    <#if TituloContenido.getData()?? && TituloContenido.getData() != ""> 
12        <#assign contenido = TituloContenido.getData()> 
13    <#else> 
14        <#assign contenido = title> 
15    </#if> 
16 
17    <#if hayH1> 
18        <p  id="subtitulo"  
19            aria-level="2"  
20            role="heading"  
21            style=" 
22                color: #007f33 !important; 
23                font-size: 45px; 
24                font-family: 'IberPangea Medium', sans-serif; 
25                line-height: 45px; 
26                margin-top: .75em; 
27                margin-bottom: .9em;"> 
28            ${contenido} 
29        </p> 
30    <#else> 
31        <p  id="subtitulo" 
32            style=" 
33                color: #007f33 !important; 
34                font-size: 45px; 
35                font-family: 'IberPangea Medium', sans-serif; 
36                line-height: 45px; 
37                margin-top: .75em; 
38                margin-bottom: .9em;"> 
39            ${contenido} 
40        </p> 
41    </#if> 
42 
43</#if> 
44 
45<#if getterUtil.getBoolean(MostrarCategorias.getData())> 
46 
47 
48 
49    <#assign journalArticleId = .vars['reserved-article-id'].data> 
50    <#assign journalArticleLocalService = serviceLocator.findService("com.liferay.journal.service.JournalArticleLocalService")> 
51 
52    <#assign assetCategoryPropertyLocalService = serviceLocator.findService("com.liferay.asset.category.property.service.AssetCategoryPropertyLocalService") /> 
53 
54    <#assign article = journalArticleLocalService.getArticle(groupId, .vars['reserved-article-id'].data) /> 
55    <#assign assetEntryLocalService = serviceLocator.findService("com.liferay.asset.kernel.service.AssetEntryLocalService")> 
56    <#assign asset = assetEntryLocalService.getEntry('com.liferay.journal.model.JournalArticle', article.resourcePrimKey) > 
57    <#assign layoutLocalService = serviceLocator.findService("com.liferay.portal.kernel.service.LayoutLocalService") /> 
58 
59    <p class="tag-categorias"> 
60 
61    <#list asset.getCategories() as category> 
62 
63 
64 
65    <#if assetCategoryPropertyLocalService.fetchCategoryProperty(category.getCategoryId(), "friendlyURL")??> 
66 
67        <#assign categoryFriendly = '/tag/' + assetCategoryPropertyLocalService.fetchCategoryProperty(category.getCategoryId(), "friendlyURL").getValue() /> 
68 
69        <#if layoutLocalService.fetchLayoutByFriendlyURL(groupId, false, categoryFriendly)??> 
70            <#assign  categoryLayout = layoutLocalService.fetchLayoutByFriendlyURL(groupId, false, categoryFriendly) /> 
71            <#assign categoryLayoutURL = portalUtil.getLayoutFullURL(categoryLayout, themeDisplay) /> 
72 
73            <a class="tag-categoria" href="${categoryLayoutURL}">${category.getTitle(locale)?cap_first}</a> 
74 
75        <#else> 
76        <a class="tag-categoria" href="/tag/#">${category.getTitle(locale)?cap_first}</a> 
77 
78        </#if> 
79    </#if> 
80 
81 
82 
83 
84    </#list> 
85 
86    </p> 
87 
88</#if> 
89<div id="contenidoEntradilla">${DescripcionDetalleContenido.getData()}</div> 
90 
91 
92<#if ContenidoWebcofl.getSiblings()?has_content> 
93	<#list ContenidoWebcofl.getSiblings() as cur_ContenidoWebcofl> 
94		<#assign 
95			webContentData = jsonFactoryUtil.createJSONObject(cur_ContenidoWebcofl.getData()) 
96		/> 
97 
98			<#if webContentData?length gt 5> 
99					<@liferay_asset["asset-display"] 
100                                className = webContentData.className 
101                                classPK = webContentData.classPK?number 
102                        /> 
103 
104			</#if> 
105 
106 
107	</#list> 
108</#if> 
109</div> 
110<@liferay_util["html-top"]> 
111<style> 
112    #decPagination div.containerInterior p#subtitulo { 
113        font-family: "Iberpangea Medium"; 
114        font-size: 45px; 
115        line-height: 45px; 
116        color: #007F33; 
117        margin-bottom: 20px; 
118
119 
120 
121    div.contenidoCentrado div.contenidoInterior div.containerInterior p.tag-categorias a.tag-categoria:focus{ 
122        outline: 2px solid rgba(0, 0, 0, 0.7) !important; 
123
124    p.tag-categorias > .tag-categoria { 
125        width: auto !important; 
126        max-width: inherit !important; 
127
128     
129    div.faldon h2 { 
130        width: 100%; 
131        float: left; 
132        font-size: 1.26em; 
133        font-family: IberPangeaText Light, sans-serif; 
134        margin-bottom: 2em; 
135        border-bottom: 1px solid #e0e0e0; 
136        padding-bottom: .8em; 
137        color: #427314 !important; 
138 
139        line-height: 1.35em; 
140        margin-top: .75em; 
141
142    .contenidoInterior div.faldon h2+ul li:before { 
143        margin: .15em 0 0 -1.75em; 
144        font-size: 1em; 
145
146    .cursiva_texto { 
147        font-style: italic; 
148
149    .contenidoInterior h1 { 
150		font-family: 'IberPangea', sans-serif !important; 
151		font-size: 32px !important; 
152		border: none !important; 
153		line-height: 36px !important; 
154		letter-spacing: 0px !important; 
155		color: #00402A !important; 
156		padding-left: 0em !important; 
157		margin-bottom: 14px !important; 
158
159    p span.table a.enlace-actualidad[href*="/tag/"], 
160    p span.table a.enlace-actualidad[href*="/label/"], 
161    p.tag-categorias a.tag-categoria[href*="/tag/"], 
162    p.tag-categorias a.tag-categoria[href*="/label/"]{ 
163        line-height: 23px !important; 
164
165    .contenidoInterior #contenidoEntradilla p.entradilla { 
166        font-family: IberPangeaText, sans-serif !important; 
167        font-size: 17px !important; 
168        line-height: 23px !important; 
169        font-weight: 700; 
170        color: #615D5A !important; 
171        margin-top: 2em; 
172
173       
174    .contenidoInterior h2#subtitulo{ 
175        font-family: 'IberPangea  Medium', sans-serif !important; 
176        margin-bottom: 0.4em; 
177
178   #decPagination div.containerInterior{ 
179        max-width:980px; 
180        margin:0 auto 25px; 
181
182    #decPagination div.containerInterior h1#titulo{ 
183        font-family:"Iberpangea Medium"; 
184        font-size:32px; 
185        line-height:36px; 
186        color:#00402A; 
187        text-transform:none; 
188        border-left:none; 
189        margin-top:20px; 
190
191    #decPagination div.containerInterior h2#subtitulo{ 
192        font-family:"Iberpangea Medium"; 
193        font-size:45px; 
194        line-height:45px; 
195        color:#007F33; 
196        margin-bottom:20px; 
197
198    #decPagination div.containerInterior p.tag-categorias{ 
199        margin-bottom:30px !important; 
200
201    #decPagination div.containerInterior p.tag-categorias a.tag-categoria{ 
202        margin-right:20px; 
203        color:#00402A; 
204
205    #decPagination div.containerInterior div#contenidoEntradilla p.entradilla{ 
206        font-family:"IberpangeaText"; 
207        font-size:20px ; 
208        line-height:26px; 
209        color:#615D5A; 
210
211    @media all and (max-width:500px){ 
212        #decPagination div.containerInterior h1#titulo{ 
213            font-size:26px; 
214            line-height:36px; 
215
216        #decPagination div.containerInterior h2#subtitulo{ 
217            font-size:35px; 
218            line-height:35px; 
219            margin-bottom:20px; 
220
221        #decPagination div.containerInterior div#contenidoEntradilla p.entradilla{ 
222            font-family:"IberpangeaText Bold"; 
223            font-size:16px ; 
224            line-height:24px; 
225
226
227    @media screen and (max-width: 47.95em) { 
228        .contenidoInterior h1 { 
229            font-size: 26px !important; 
230
231        .contenidoInterior h2#subtitulo{ 
232            font-size: 35px; 
233            line-height: 35px; 
234            color: #007F33 !important; 
235            margin-bottom: 1em; 
236
237        .contenidoInterior #contenidoEntradilla p.entradilla { 
238            margin-top: 0.8em; 
239
240        .contenidoInterior #contenidoEntradilla p.entradilla { 
241            line-height: 24px !important; 
242
243
244 
245 
246</style> 
247</@> 
Superbacterias
An example of pharmaceutical research into antibiotics for curing diseases with DNA-boosting drugs.

What are superbugs and how do they resist antibiotics?

Superbugs are strains of bacteria that have become resistant to known antibiotics, often including the most modern ones. Bacteria, like any other organism, try to survive in the face of external stresses and have the added advantage that they have a high facility to mutate as well as to reproduce; under the right conditions, hundreds of millions can appear in a few hours. This allows their DNA mutations to be relatively rapid and, if these modifications prove useful and survive, this mutation can be further refined.

Superbugs
How antibiotics work and how bacteria can become resistant

 SEE INFOGRAPHIC: How antibiotics work and how bacteria can become resistant? [PDF]

Superbugs are caused by the misuse of antibiotics. When antibiotics are overused or misused, the bacteria that have caused the disease in question are overexposed and produce mutations in an attempt to survive. In what experts call "genetic capitalism", a resistant bacterium has an evolutionary advantage so that it not only tends to maintain itself, but is also more likely to continue acquiring resistance mechanisms.

There are rare occasions when resistance arises randomly. On other occasions, so-called bacterial transformation occurs, when the genes responsible for the resistance are acquired from the environment; other times it is obtained from related bacteria - conjugation - or from bacteriophage viruses - known as transduction.

No matter how modern and sophisticated antibiotics become, bacteria will continue to perfect their mutations, and the more they are abused, the more bacteria will evolve to resist them. It is therefore a problem that cannot be stopped, only slowed down.

What are the most resistant bacteria?

The World Health Organisation itself has established three groups of multi-resistant bacteria, according to their priority. 

  • In priority 1 or critical, where all are resistant to carbapenems, the so-called broad-spectrum antibiotics, are Acinetobacter baumannii, Pseudomonas aeruginosa, some enterobacteria such as Klebsiella pneumonie, Escherichia coli and several species of the genera Serratia and Proteus. In the case of Klebsiellas, cases have already been found where no antibiotic is effective.
  • Priority 2 or high are Enterococcus faecium (vancomycin resistant), Staphylococcus aureus (methicillin and vancomycin resistant), Helicobacter pylori (immune to clarithromycin), Campylobacter spp. and Salmonella (both resistant to fluoroquinolones) and Neisseria gonorrhoeae (cephalosporin and fluoroquinolone resistant).
  • And finally, there is priority 3 or medium which includes Streptococcus pneumoniae (penicillin-insensitive), Haemophilus influenzae (ampicillin-resistant) and Shigella spp. (fluoroquinolone-immune). 

Social and economic impact of superbugs

By 2020, this type of antibiotic-resistant bacteria was causing 700,000 deaths a year, some 33,000 in Europe and, according to estimates by the Spanish Agency for Medicines and Health Products, some 4,000 in Spain, three times the number caused by traffic accidents. Predictions had predicted that by 2050 the death toll would reach 10 million worldwide (cancer currently kills around 8 million people a year) but experts predict that, at the current rate, this figure will be reached at least a decade earlier.

An added problem is that there are very few experimental antibiotics that can address this situation.  Specifically, there are only 32 treatments in clinical development targeting priority pathogens. This production is not profitable for pharmaceutical companies, and private investment in 2019 was only 120 million euros, while some 8.6 billion euros were invested in the search for cancer treatments.

In addition, climate change appears to be a further problem, with a growing number of experts suggesting that rising temperatures are making it easier and faster for bacteria to bypass the protective barrier provided by current antibiotics.

How to slow down this process?

Recommendations to slow down the arrival of more superbugs cover different areas as this is a major global public health problem. On the one hand, the medical community has important guidelines to reduce the prescription of antibiotics, limiting their use if their benefit is questionable. It is also important to monitor veterinary medication, a sector where 70% of antibiotics end up and where they have been used, and continue to be used in developing countries, to support animal growth.

On the patient side, there are two key measures:

  •  Avoid self-medication: Antibiotics should always be prescribed by a doctor and should never be taken without a doctor's supervision. Antibiotics should especially be avoided for viral illnesses such as influenza.
  •  Completion of treatments: Treatment should not be discontinued when symptoms begin to subside, but only when the doctor has prescribed it, because if it is stopped before then, the bacterial infection may not be completely eliminated, causing it to adapt to the antibiotic and become resistant to it.