19 research outputs found
Persistencia: Nuestro primer cortometraje
Universidad de Sevilla. Grado en Comunicación Audiovisua
Insights into the role of major bioactive dietary nutrients in lamb meat quality: a review
Feed supplementation with α-linolenic acid (ALA) and linoleic acid (LA) increases their content in muscle, ALA increases n-3 polyunsaturated fatty acids and decrease n-6/n-3 ratio in muscle, and LA increases rumenic acid. However, high LA supplementation may have negative effects on lambs’ lipid oxidative stability of meat. When the sources of ALA and LA are fed as fresh forage, the negative effects are counterbalanced by the presence of other bioactive compounds, as vitamin E (mainly α-tocopherol) and polyphenols, which delay the lipid oxidation in meat. There is a wide consensus on the capability of vitamin E delaying lipid oxidation on lamb meat, and its feed content should be adjusted to the length of supplementation. A high dietary inclusion of proanthocyanidins, phenolic compounds and terpenes reduce the lipid oxidation in muscle and may improve the shelf life of meat, probably as a result of a combined effect with dietary vitamin E. However, the recommended dietary inclusion levels depend on the polyphenol type and concentration and antioxidant capacity of the feedstuffs, which cannot be compared easily because no routine analytical grading methods are yet available. Unless phenolic compounds content in dietary ingredients/supplements for lambs are reported, no specific association with animal physiology responses may be established.This review was funded by Ministry of Science, Innovation and Universities of Spain (Grant numbers: INIA RTA2017–00008-C02–01 and − 02), and the Technology Transfer Operation of the Rural Development Program of Catalonia 2014–2020 (Government of Catalonia and the European Regional Development Funds, Grant code 01.02.01)
Sex as a prognostic factor for mortality in critically ill adults with sepsis: a systematic review and meta-analysis.
Objective To assess the role of sex as an independent
prognostic factor for mortality in patients with sepsis
admitted to intensive care units (ICUs).
Design Systematic review and meta-analysis.
Data sources MEDLINE, Embase, Web of Science,
ClinicalTrials. gov and the WHO Clinical Trials Registry from
inception to 17 July 2020.
Study selection Studies evaluating independent
associations between sex and mortality in critically ill
adults with sepsis controlling for at least one of five core
covariate domains prespecified following a literature
search and consensus among experts.
Data extraction and synthesis Two authors
independently extracted and assessed the risk of bias
using Quality In Prognosis Studies tool. Meta-analysis
was performed by pooling adjusted estimates. The Grades
of Recommendations, Assessment, Development and
Evaluation approach was used to rate the certainty of
evidence.
Results From 14 304 records, 13 studies (80 520
participants) were included. Meta-analysis
did not find
sex-based
differences in all-cause
hospital mortality (OR
1.02, 95% CI 0.79 to 1.32; very low-certainty
evidence)
and all-cause
ICU mortality (OR 1.19, 95% CI 0.79 to 1.78;
very low-certainty
evidence). However, females presented
higher 28-day
all-cause
mortality (OR 1.18, 95% CI 1.05
to 1.32; very low-certainty
evidence) and lower 1-year
all-cause
mortality (OR 0.83, 95% CI 0.68 to 0.98; low-certainty
evidence). There was a moderate risk of bias in
the domain adjustment for other prognostic factors in six
studies, and the certainty of evidence was further affected
by inconsistency and imprecision.
Conclusion The prognostic independent effect of sex on
all-cause
hospital mortality, 28-day
all-cause
mortality
and all-cause
ICU mortality for critically ill adults with
sepsis was uncertain. Female sex may be associated with
decreased 1-year
all-cause
mortality.post-print1281 K
Genome-wide multi-trait analysis of irritable bowel syndrome and related mental conditions identifies 38 new independent variants
Irritable bowel syndrome (IBS) is a chronic disorder of gut-brain interaction frequently accompanied by mental conditions, including depression and anxiety. Despite showing substantial heritability and being partly determined by a genetic component, the genetic underpinnings explaining the high rates of comorbidity remain largely unclear and there are no conclusive data on the temporal relationship between them. Exploring the overlapping genetic architecture between IBS and mental conditions may help to identify novel genetic loci and biological mechanisms underlying IBS and causal relationships between them. We quantified the genetic overlap between IBS, neuroticism, depression and anxiety, conducted a multi-trait genome-wide association study (GWAS) considering these traits and investigated causal relationships between them by using the largest GWAS to date. IBS showed to be a highly polygenic disorder with extensive genetic sharing with mental conditions. Multi-trait analysis of IBS and neuroticism, depression and anxiety identified 42 genome-wide significant variants for IBS, of which 38 are novel. Fine-mapping risk loci highlighted 289 genes enriched in genes upregulated during early embryonic brain development and gene-sets related with psychiatric, digestive and autoimmune disorders. IBS-associated genes were enriched for target genes of anti-inflammatory and antirheumatic drugs, anesthetics and opioid dependence pharmacological treatment. Mendelian-randomization analysis accounting for correlated pleiotropy identified bidirectional causal effects between IBS and neuroticism and depression and causal effects of the genetic liability of IBS on anxiety. These findings provide evidence of the polygenic architecture of IBS, identify novel genome-wide significant variants for IBS and extend previous knowledge on the genetic overlap and relationship between gastrointestinal and mental disorders. The online version contains supplementary material available at 10.1186/s12967-023-04107-5
Fatty liver index as a predictor for type 2 diabetes in subjects with normoglycemia in a nationwide cohort study
Our aim was to evaluate whether fatty liver index (FLI) is associated with the risk of type 2 diabetes (T2DM) development within the Spanish adult population and according to their prediabetes status; additionally, to examine its incremental predictive value regarding traditional risk factors. A total of 2260 subjects (Prediabetes: 641 subjects, normoglycemia: 1619 subjects) from the [email protected] cohort study were studied. Socio-demographic, anthropometric, clinical data and survey on habits were recorded. An oral glucose tolerance test was performed and fasting determinations of glucose, lipids and insulin were made. FLI was calculated and classified into three categories: Low ( 60). In total, 143 people developed diabetes at follow-up. The presence of a high FLI category was in all cases a significant independent risk factor for the development of diabetes. The inclusion of FLI categories in prediction models based on different conventional T2DM risk factors significantly increase the prediction power of the models when all the population was considered. According to our results, FLI might be considered an early indicator of T2DM development even under normoglycemic condition. The data also suggest that FLI could provide additional information for the prediction of T2DM in models based on conventional risk factors
Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)
Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters.
Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs).
Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001).
Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio
CIBERER : Spanish national network for research on rare diseases: A highly productive collaborative initiative
Altres ajuts: Instituto de Salud Carlos III (ISCIII); Ministerio de Ciencia e Innovación.CIBER (Center for Biomedical Network Research; Centro de Investigación Biomédica En Red) is a public national consortium created in 2006 under the umbrella of the Spanish National Institute of Health Carlos III (ISCIII). This innovative research structure comprises 11 different specific areas dedicated to the main public health priorities in the National Health System. CIBERER, the thematic area of CIBER focused on rare diseases (RDs) currently consists of 75 research groups belonging to universities, research centers, and hospitals of the entire country. CIBERER's mission is to be a center prioritizing and favoring collaboration and cooperation between biomedical and clinical research groups, with special emphasis on the aspects of genetic, molecular, biochemical, and cellular research of RDs. This research is the basis for providing new tools for the diagnosis and therapy of low-prevalence diseases, in line with the International Rare Diseases Research Consortium (IRDiRC) objectives, thus favoring translational research between the scientific environment of the laboratory and the clinical setting of health centers. In this article, we intend to review CIBERER's 15-year journey and summarize the main results obtained in terms of internationalization, scientific production, contributions toward the discovery of new therapies and novel genes associated to diseases, cooperation with patients' associations and many other topics related to RD research
Topografías efímeras. Análisis histórico-plástico de las dunas de Maspalomas
Historia, evolución y análisis formal de un espléndido accidente geográfico. Se estudian aspectos primigenios que hicieron famosas a las dunas de Maspalomas, así como peculiaridades morfológicas y espaciales, mediante planimetría y fotografías de propia elaboración. Una topografía tan volátil como los granos de arena que adoptan las formas del viento. Paisaje inmutable durante siglos pese a sus crecientemente nocivos encuentros con lo humano. Se divide esta investigación en dos tomos, haciendo referencia a cualidades tanto ajenas a las dunas, como constitutivas de las mismas. Destacamos específicamente el año 1961, como la génesis de lo que es hoy la ciudad de Playa del Inglés. Así como dibujos personales, en los que se acota técnicamente el paisaje en cuestión, a distintas escalas. El texto descriptivo se acompaña de dibujos e imágenes analíticas sucesivas, poniendo en valor el texto, y su intención subliminal. Rescatar valores olvidados del paisaje y ser conscientes de la fragilidad del campo dunar, la cual refuerza su singularidad. Quizás, aprendiendo a mirar a las dunas desde un punto de vista holístico; imitando a nuestros antepasados en el respeto a lo natural; incorporando un sentido apolíneo a lo funcional (y viceversa), será posible curar las heridas causadas de manera retrospectiv
Psicothema
Resumen tomado de la publicaciónActivación de género en palabras transparentes y opacas. Dos experimentos de tiempo de reacción se realizaron para evaluar el procesamiento del género en palabras del español con género transparente, terminadas en -o/-a (e.g., banco) y palabras opacas, terminadas en consonantes (e.g., virtud). En el experimento 1 los participantes efectuaron una tarea de categorización de género en la que debían decidir el género de un target precedido por una palabra del mismo género (e.g., banquillo-BANCO) o de diferente género (e.g., banqueta-BANCO). Los resultados indicaron un efecto de priming negativo, esto indica el uso de una estrategia atencional para decidir el género del target, pero también un cálculo automático del género del prime. En el experimento 2 se realizó una tarea de decisión léxica con los mismos estímulos del experimento 1, añadiéndose estímulos de género opaco. Los resultados mostraron tiempos de reacción más largos para palabras de género transparente con respecto a las opacas, esto porque las primeras son morfológicamente más complejas que las segundas y también a que se trata de tareas léxicas distintas. En ambos experimentos encontramos un efecto de priming negativo cuando prime y target correspondían al mismo género. Este efecto podría indicar que los participantes no pueden ignorar el género del prime cuando responden al target.AsturiasColegio Oficial de Psicólogos de Asturias; Calle Ildefonso Sánchez del Rio, 4-1 B; 33001 Oviedo; Tel. +34985285778; Fax +34985281374;ES
Efficacy and Safety of Reslizumab in Patients with Severe Asthma with Inadequate Response to Omalizumab: A Multicenter, Open-Label Pilot Study
[Background] Patients with severe allergic and eosinophilic asthma could qualify for different biologic therapies.[Objective] To evaluate the efficacy and safety of weight-based intravenous reslizumab dosing in patients who have previously failed therapy with omalizumab.[Methods] We carried out a 24-week prospective, multicenter, open-label, single-group, self-controlled study in patients with severe eosinophilic asthma who had previously failed to respond to omalizumab. The main objective was to determine whether treatment with reslizumab significantly improved asthma symptoms assessed by the Asthma Control Test (ACT) at week 24. Secondary objectives were to evaluate symptoms at weeks 4 and 12, change in FEV1 at week 24, and the incidence of severe exacerbations over the study period.[Results] Twenty-nine patients (62.1% women, median age, 50.8 years) were included in the study. The median ACT score significantly increased from 13.0 (interquartile range, 8.0-18.0) at baseline to 21.0 (interquartile range, 14.0-24.0) at 24 weeks (P = .002). Only 2 of 29 patients developed at least 1 severe exacerbation during follow-up and none of them required hospitalization. Overall, 15 of 25 patients (60%) were considered as being controlled (ACT score of ≥20 and no exacerbations) at week 24. The percentage of patients who were receiving daily systemic corticosteroids significantly decreased from 72.4% to 52.0% (P = .019). Adverse events were mostly moderate and within the range of previously reported side effects with reslizumab.[Conclusion] Reslizumab is an effective and safe option for patients with severe eosinophilic asthma and a history of omalizumab failure