Sociodemographic and clinical profile of long COVID-19 patients, and its correlation with medical leave: a comprehensive descriptive and multicenter study

The persistent condition of COVID-19 is characterized by a wide range of symptoms that have had a significant impact on both the health status and occupational life of the population. In this observational and multicenter study, the relationship between the sociodemographic and clinical profile of Spanish patients diagnosed with long COVID, and the work-related disability resulting from this pathology was analyzed. The analysis included 689 responses. A descriptive analysis of the variables recorded was performed, together with a bivariate analysis to determine associations between work-related disability and variables such as gender, age, health status, disabling symptoms or comorbidities. The results obtained highlight fatigue and lack of concentration (brain fog) as the most incapacitating symptoms among patients diagnosed with long COVID. Multivariate analysis revealed that time since diagnosis (OR: 0.57, CI95%: 0.36–0.89, p: 0.013), concomitant renal insufficiency (OR: 4.04, CI95%: 1.42–11.4, p: 0.008), and symptoms like fatigue (OR: 0.56, CI95%: 0.33–0.99) and tremors (OR: 2.0, CI95%: 1.06–3.69, p: 0.029), were associated with work-related disability. These findings highlight the need to improve the health and work-related management of this condition in the healthcare system. Besides risk factor control, it is suggested to pay special attention to determining the appropriate timing of medical leave work reintegration, along with coordination between primary care and occupational health services to ensure the gradual and tailored return of patients with long COVID to the workforce

Empirical Wavelet Transform-based Detection of Anomalies in ULF Geomagnetic Signals Associated to Seismic Events with a Fuzzy Logic-based System for Automatic Diagnosis

Owing to the relevance and severity of damages caused by earthquakes (EQs), the development and application of new methods for seismic activity detection that offer an efficient and reliable diagnosis in terms of processing and performance are still demanding tasks. In this work, the application of the Empirical Wavelet Transform (EWT) for seismic detection in ultra-low-frequency (ULF) geomagnetic signals is presented. For this, several ULF signals associated to seismic activities and random calm periods are analysed. These signals have been obtained through a tri-axial fluxgate magnetometer at the Juriquilla station localized in Queretaro, Mexico, longitude -100.45° N and latitude 20.70°E. In order to show the advantages of the proposal, a comparison with the discrete wavelet transform (DWT) is presented. The results shown a better detection capability of seismic signals before, during, and after the main shock than the ones obtained by the DWT, which makes the proposal a more suitable and reliable tool for this task. Finally, a fuzzy logic (FL)-based system for automatic diagnosis using the variance of the EWT outputs for the tri-axial fluxgate magnetometer signals is also proposed

Los Olmos empiezan a recuperar sus territorios

El artículo describe la problemática de la grafiosis y el papel del proyecto LIFE+"Olmos Vivos" (LIFE13 BIO/ES/000556)en la recuperación de los olmos

Accurate quantification of atherosclerotic plaque volume by 3D vascular ultrasound using the volumetric linear array method.

Direct quantification of atherosclerotic plaque volume by three-dimensional vascular ultrasound (3DVUS) is more reproducible than 2DUS-based three-dimensional (2D/3D) techniques that generate pseudo-3D volumes from summed 2D plaque areas; however, its accuracy has not been reported. We aimed to determine 3DVUS accuracy for plaque volume measurement with special emphasis on small plaques (a hallmark of early atherosclerosis). The in vitro study consisted of nine phantoms of different volumes (small and medium-large) embedded at variable distances from the surface (superficial vs. >5 cm-depth) and comparison of 3DVUS data generated using a novel volumetric-linear array method with the real phantom volumes. The in vivo study was undertaken in a rabbit model of atherosclerosis in which 3DVUS and 2D/3D volume measurements were correlated against gold-standard histological measurements. In the in vitro setting, there was a strong correlation between 3DVUS measures and real phantom volume both for small (3.0-64.5 mm(3) size) and medium-large (91.1-965.5 mm(3) size) phantoms embedded superficially, with intraclass correlation coefficients (ICC) of 0.99 and 0.98, respectively; conversely, when phantoms were placed at >5 cm, the correlation was only moderate (ICC = 0.67). In the in vivo setting there was strong correlation between 3DVUS-measured plaque volumes and the histological gold-standard (ICC = 0.99 [4.02-92.5 mm(3) size]). Conversely, the correlation between 2D/3D values and the histological gold standard (sum of plaque areas) was weaker (ICC = 0.87 [49-520 mm(2) size]), with large dispersion of the differences between measurements in Bland-Altman plots (mean error, 79.2 mm(2)). 3DVUS using the volumetric-linear array method accurately measures plaque volumes, including those of small plaques. Measurements are more accurate for superficial arterial territories than for deep territories.S

PET detector block with accurate 4D capabilities

[EN] In this contribution, large SiPM arrays (8 x 8 elements of 6 x 6 mm(2) each) are processed with an ASIC-based readout and coupled to a monolithic LYSO crystal to explore their potential use for TOF-PET applications. The aim of this work is to study the integration of this technology in the development of clinical PET systems reaching sub-300 ps coincidence resolving time (CRT). The SiPM and readout electronics have been evaluated first, using a small size 1.6 mm (6 mm height) crystal array (32 x 32 elements). All pixels were well resolved and they exhibited an energy resolution of about 20% (using Time-over-Threshold methods) for the 511 keV photons. Several parameters have been scanned to achieve the optimum readout system performance, obtaining a CRT as good as 330 +/- 5 ps FWHM. When using a black-painted monolithic block, the spatial resolution was measured to be on average 2.6 +/- 0.5 mm, without correcting for the source size. Energy resolution appears to be slightly above 20%. CRT measurements with the monolithic crystal detector were also carried out. Preliminary results as well as calibration methods specifically designed to improve timing performance, are being analyzed in the present manuscript.This project has received funding from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation program (grant agreement No 695536). It has also been supported by the Spanish Ministerio de Economia, Industria y Competitividad under Grants No. FIS2014-62341-EXP and TEC2016-79884-C2-1-R.Lamprou, E.; Aguilar -Talens, A.; Gonzalez-Montoro, A.; Monzó Ferrer, JM.; Cañizares-Ledo, G.; Iranzo-Egea, S.; Vidal San Sebastian, LF.... (2018). PET detector block with accurate 4D capabilities. Nuclear Instruments and Methods in Physics Research Section A Accelerators Spectrometers Detectors and Associated Equipment. 912:132-136. https://doi.org/10.1016/j.nima.2017.11.002S13213691

LXR Nuclear receptors are transcriptional regulators of dendritic cell chemotaxis

The liver X receptors (LXRs) are ligand-activated nuclear receptors with established roles in the maintenance of lipid homeostasis in multiple tissues. LXRs exert additional biological functions as negative regulators of inflammation, particularly in macrophages. However, the transcriptional responses controlled by LXRs in other myeloid cells, such as dendritic cells (DCs), are still poorly understood. Here we used gain- and loss-of-function models to characterize the impact of LXR deficiency on DC activation programs. Our results identified an LXR-dependent pathway that is important for DC chemotaxis. LXR-deficient mature DCs are defective in stimulus-induced migration in vitro and in vivo. Mechanistically, we show that LXRs facilitate DC chemotactic signaling by regulating the expression of CD38, an ectoenzyme important for leukocyte trafficking. Pharmacological or genetic inactivation of CD38 activity abolished the LXR-dependent induction of DC chemotaxis. Using the low-density lipoprotein receptor-deficient (LDLR−/−) LDLR−/− mouse model of atherosclerosis, we also demonstrated that hematopoietic CD38 expression is important for the accumulation of lipid-laden myeloid cells in lesions, suggesting that CD38 is a key factor in leukocyte migration during atherogenesis. Collectively, our results demonstrate that LXRs are required for the efficient emigration of DCs in response to chemotactic signals during inflammation

Diseño de herramientas e iniciativas para la revisión, mejora continua y difusión de programas formativos en la Facultad de Ciencias de la Documentación (UCM)

El proyecto que se presenta es una iniciativa de innovación y mejora de gestión de la calidad promovido por el Decanato de la Facultad de Ciencias de la Documentación para definir propuestas de mejora de los títulos del Grado y Máster detectadas en la gestión de los procesos de seguimiento y renovación de la acreditación. Con esta propuesta se pretende reforzar el Sistema de Garantía Interna de Calidad de la Facultad de Ciencias de la Documentación, y de un modo específico, el diseño de herramientas e iniciativas para la revisión, mejora continua y difusión de los programas formativos a partir de los procedimientos y fuentes de datos incluidos en el Sistema de Información de las titulaciones: Memorias anuales de seguimiento de los títulos; informes de seguimiento de la actividad docente, de la evaluación y calidad del profesorado; encuestas de satisfacción del alumnado, profesorado y personal de apoyo; registros del sistema de quejas y sugerencias, así como los informes sobre la inserción laboral. Los resultados y evidencias resultantes constituyen la base para orientar las actuaciones y así como mejora continua de los programas formativos en Información y Documentación así como la empleabilidad de los egresados, potenciando la formación de los alumnos en los nuevos perfiles que el mercado actual demanda

Direct-acting Antivirals for the Treatment of Kidney Transplant Patients With Chronic Hepatitis C Virus Infection in Spain: A Long-term Prospective Observational Study

Background: Direct-acting antivirals (DAA) allow effective and safe eradication of hepatitis C virus (HCV) in most patients. There are limited data on the long-term effects of all-oral, interferon-free DAA combination therapies in kidney transplant (KT) patients infected with HCV. Here we evaluated the long-term tolerability, efficacy, and safety of DAA combination therapies in KT patients with chronic HCV infection. Methods: Clinical data from KT patients treated with DAA were collected before, during, and after the treatment, including viral response, immunosuppression regimens, and kidney and liver function. Results: Patients (N = 226) were mostly male (65.9%) aged 56.1 +/- 10.9 years, with a median time from KT to initiation of DAA therapy of 12.7 years and HCV genotype 1b (64.6%). Most patients were treated with sofosbuvir-based therapies. Rapid virological response at 1 month was achieved by 89.4% of the patients and sustained virological response by week 12 by 98.1%. Liver function improved significantly after DAA treatment. Tacrolimus dosage increased 37% from the beginning of treatment (2.5 +/- 1.7 mg/d) to 1 year after the start of DAA treatment (3.4 +/- 1.9 mg/d, P < 0.001). Median follow-up was 37.0 months (interquartile range, 28.4-41.9) and death-censored graft survival was 91.1%. Adverse events resulting from DAA treatment, especially anemia, were reported for 31.0% of the patients. Conclusions: Chronic HCV infection can be treated efficiently and safely with DAA therapy in KT patients. Most patients retained stable kidney function and improved liver function. Tacrolimus dose had to be increased in most patients, potentially as a result of better liver function