Building a rheumatology biobank for reliable basic/translational research and precision medicine

Research biobanks are non-profit structures that collect, manipulate, store, analyze and distribute systematically organized biological samples and data for research and development purposes. Over the recent years, we have established a biobank, the Rheumatology BioBank (RheumaBank) headed by the Medicine and Rheumatology unit of the IRCCS Istituto Ortopedico Rizzoli (IOR) in Bologna, Italy for the purpose of collecting, processing, storing, and distributing biological samples and associated data obtained from patients suffering from inflammatory joint diseases. RheumaBank is a research biobank, and its main objective is to promote large-scale, high-quality basic, translational, and clinical research studies that can help elucidate pathogenetic mechanisms and improve personalization of treatment choice in patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA) and other spondyloarthritides (SpA)

Post-Acute COVID-19 Joint Pain and New Onset of Rheumatic Musculoskeletal Diseases: A Systematic Review

As the number of reports of post-acute COVID-19 musculoskeletal manifestations is rapidly rising, it is important to summarize the current available literature in order to shed light on this new and not fully understood phenomenon. Therefore, we conducted a systematic review to provide an updated picture of post-acute COVID-19 musculoskeletal manifestations of potential rheumatological interest, with a particular focus on joint pain, new onset of rheumatic musculoskeletal diseases and presence of autoantibodies related to inflammatory arthritis such as rheumatoid factor and anti-citrullinated protein antibodies. We included 54 original papers in our systematic review. The prevalence of arthralgia was found to range from 2% to 65% within a time frame varying from 4 weeks to 12 months after acute SARS-CoV-2 infection. Inflammatory arthritis was also reported with various clinical phenotypes such as symmetrical polyarthritis with RA-like pattern similar to other prototypical viral arthritis, polymyalgia-like symptoms, or acute monoarthritis and oligoarthritis of large joints resembling reactive arthritis. Moreover, high figures of post-COVID-19 patients fulfilling the classification criteria for fibromyalgia were found, ranging from 31% to 40%. Finally, the available literature about prevalence of rheumatoid factor and anti-citrullinated protein antibodies was largely inconsistent. In conclusion, manifestations of rheumatological interest such as joint pain, new-onset inflammatory arthritis and fibromyalgia are frequently reported after COVID-19, highlighting the potential role of SARS-CoV-2 as a trigger for the development of autoimmune conditions and rheumatic musculoskeletal diseases

Covid-19 vaccine hesitancy in systemic sclerosis

Non

Identificación de flujos entre acuíferos a nivel regional en base a datos hidroquímicos (Alt Empordà, NE España)

A escala regional, los flujos de agua subterránea entre formaciones hidrogeológicas condicionan su ba lance hídrico y, con él, su régimen de explotación. En este estudio se caracteriza la dinámica hidrogeológica a nivel regional de la depresión del Alt Empordà (Girona, NE España) en base a datos hidroquímicos, con el objetivo de identificar flujos de agua subterránea entre las formaciones que constituyen la zona de recarga (relieves circundantes) y la depresión. En este sistema, el ión sulfato resulta un trazador adecuado para identificar los procesos hidroquímicos y de mezcla que acontecen en este zona. Los datos presentados sugieren que la presencia de sulfato, y por consiguiente la recarga, se debe a aportaciones de flujos profundos, en algunos casos desde las unidades geológicas inferiores, ajenos a la recarga local por precipitación desde la superficie.At a regional scale, groundwater flow between aquifer systems controls their water budget and, therefore, its exploitation regime. This study characterizes the hydrogeology at a regional level of the Alt Empordà Basin (Girona, NE Spain). Our goal consists in recognizing recharge flowpaths, based on hydrochemical data, between the aquifer systems located in the ranges (recharge) areas and these within the basin. Sulfate stands as an appropriate tracer to identify hydrochemical as well as mixing processes and, therefore, recharge relationships. Field data suggest that sulfate occurrence is related to deep groundwater fluxes unrelated to the local rainfall recharge.Universidad Nacional de La Plat

POS1246 COVID-19 IN ITALIAN PATIENTS WITH RHEUMATIC AUTOIMMUNE SYSTEMIC DISEASES: RESULTS OF A NATIONWIDE SURVEY STUDY

Background: SARS-CoV-2 infection poses a serious challenge for patients with rheumatic autoimmune systemic diseases (ASD), characterized by marked immune-system dysregulation and frequent visceral organ involvement. Objectives: To evaluate the impact of Covid-19 pandemic in a large series of Italian patients with ASD. Methods: Our multicenter telephone survey (8-week period, March-April 2020) included a large series of 2,994 patients (584 M, 2,410 F, mean age 58.9±13.4SD years) with ASD followed at 34 tertiary referral centers of 14 regions of northern, central, and southern Italian macro areas, characterized by different prevalence of SARS-CoV-2 infection. According to currently used criteria, Covid-19 was classified as definite Covid-19 (signs or symptoms of Covid-19 confirmed by positive oral/nasopharyngeal swabs at PCR testing) or highly suspected Covid-19 (signs or symptoms highly

Environmental impact expected for the mining of gravel in the medium course of the Fluvià river area (La Garrotxa, prov. of Girona)

The main environmental impacts related to the gravel pits in the medium course of the Fluvia river have been assessed. In order to compute the global impact an index based on the numerical values of different impacts has been defined. This index is applied to different areas and the results reveal that the environmental impact expected for a gravel pit is high or moderate close to the main streams and low in the rest of the territor