Effect of viral storm in patients admitted to intensive care units with severe COVID-19 in Spain: a multicentre, prospective, cohort study

Background: The contribution of the virus to the pathogenesis of severe COVID-19 is still unclear. We aimed to evaluate associations between viral RNA load in plasma and host response, complications, and deaths in critically ill patients with COVID-19. Methods: We did a prospective cohort study across 23 hospitals in Spain. We included patients aged 18 years or older with laboratory-confirmed SARS-CoV-2 infection who were admitted to an intensive care unit between March 16, 2020, and Feb 27, 2021. RNA of the SARS-CoV-2 nucleocapsid region 1 (N1) was quantified in plasma samples collected from patients in the first 48 h following admission, using digital PCR. Patients were grouped on the basis of N1 quantity: VIR-N1-Zero ([removed]2747 N1 copies per mL). The primary outcome was all-cause death within 90 days after admission. We evaluated odds ratios (ORs) for the primary outcome between groups using a logistic regression analysis. Findings: 1068 patients met the inclusion criteria, of whom 117 had insufficient plasma samples and 115 had key information missing. 836 patients were included in the analysis, of whom 403 (48%) were in the VIR-N1-Low group, 283 (34%) were in the VIR-N1-Storm group, and 150 (18%) were in the VIR-N1-Zero group. Overall, patients in the VIR-N1-Storm group had the most severe disease: 266 (94%) of 283 patients received invasive mechanical ventilation (IMV), 116 (41%) developed acute kidney injury, 180 (65%) had secondary infections, and 148 (52%) died within 90 days. Patients in the VIR-N1-Zero group had the least severe disease: 81 (54%) of 150 received IMV, 34 (23%) developed acute kidney injury, 47 (32%) had secondary infections, and 26 (17%) died within 90 days (OR for death 0·30, 95% CI 0·16–0·55; p<0·0001, compared with the VIR-N1-Storm group). 106 (26%) of 403 patients in the VIR-N1-Low group died within 90 days (OR for death 0·39, 95% CI 0·26–0·57; p[removed]11 página

UHF propagation and cellular system design

SIGLEAvailable from British Library Document Supply Centre- DSC:D170752 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Mechanical characterization at nanometric scale for heterogeneous graphite-salt phase change materials with a statistical approach

Instrumented indentation technique; Statistical method; Heterogeneous materials; Hardness; Young's modulus; Phase change materialsA statistical indentation analysis of a series of phase change graphite–salt composite materials for latent heat thermal energy storage applications was investigated using instrumented indentation technique with the aim of isolate the mechanical influence of each phase. This method employs the instrumented indentation technique to extract the in situ hardness and Young's modulus properties of individual components without the need to observe the residual imprints for heterogeneous materials. This approach relies on a large array of imprints (around 1000 indentations performed at 200 nm of indentation depth) and the statistical analysis of the resulting data. A statistical study by a Cumulative Distribution Function fit and Gaussian simulated distributions showed that the mechanical properties for each compound can be isolated when the indentation depth is much lower than the size of the secondary phases.Peer ReviewedPostprint (published version

Mechanical characterization at nanometric scale for heterogeneous graphite-salt phase change materials with a statistical approach

Instrumented indentation technique; Statistical method; Heterogeneous materials; Hardness; Young's modulus; Phase change materialsA statistical indentation analysis of a series of phase change graphite–salt composite materials for latent heat thermal energy storage applications was investigated using instrumented indentation technique with the aim of isolate the mechanical influence of each phase. This method employs the instrumented indentation technique to extract the in situ hardness and Young's modulus properties of individual components without the need to observe the residual imprints for heterogeneous materials. This approach relies on a large array of imprints (around 1000 indentations performed at 200 nm of indentation depth) and the statistical analysis of the resulting data. A statistical study by a Cumulative Distribution Function fit and Gaussian simulated distributions showed that the mechanical properties for each compound can be isolated when the indentation depth is much lower than the size of the secondary phases.Peer Reviewe

Fibroblast activation and abnormal extracellular matrix remodelling as common hallmarks in three cancer-prone genodermatoses

Altres ajuts: CIBERER; European Regional Development Funds; Comunidad de Madrid (AvanCell-CM S2017/BMD-3692); Fundació La Marato de TV3 (201331-30); CERCA Programme, Generalitat de Catalunya; Fundación Científica de la Asociación Española Contra el Cancer.Background: Recessive dystrophic epidermolysis bullosa (RDEB), Kindler syndrome (KS) and xeroderma pigmentosum complementation group C (XPC) are three cancer-prone genodermatoses whose causal genetic mutations cannot fully explain, on their own, the array of associated phenotypic manifestations. Recent evidence highlights the role of the stromal microenvironment in the pathology of these disorders. Objectives: To investigate, by means of comparative gene expression analysis, the role played by dermal fibroblasts in the pathogenesis of RDEB, KS and XPC. Methods: We conducted RNA-Seq analysis, which included a thorough examination of the differentially expressed genes, a functional enrichment analysis and a description of affected signalling circuits. Transcriptomic data were validated at the protein level in cell cultures, serum samples and skin biopsies. Results: Interdisease comparisons against control fibroblasts revealed a unifying signature of 186 differentially expressed genes and four signalling pathways in the three genodermatoses. Remarkably, some of the uncovered expression changes suggest a synthetic fibroblast phenotype characterized by the aberrant expression of extracellular matrix (ECM) proteins. Western blot and immunofluorescence in situ analyses validated the RNA-Seq data. In addition, enzyme-linked immunosorbent assay revealed increased circulating levels of periostin in patients with RDEB. Conclusions: Our results suggest that the different causal genetic defects converge into common changes in gene expression, possibly due to injury-sensitive events. These, in turn, trigger a cascade of reactions involving abnormal ECM deposition and underexpression of antioxidant enzymes. The elucidated expression signature provides new potential biomarkers and common therapeutic targets in RDEB, XPC and KS. What's already known about this topic?. Recessive dystrophic epidermolysis bullosa (RDEB), Kindler syndrome (KS) and xeroderma pigmentosum complementation group C (XPC) are three genodermatoses with high predisposition to cancer development. Although their causal genetic mutations mainly affect epithelia, the dermal microenvironment likely contributes to the physiopathology of these disorders. What does this study add?. We disclose a large overlapping transcription profile between XPC, KS and RDEB fibroblasts that points towards an activated phenotype with high matrix-synthetic capacity. This common signature seems to be independent of the primary causal deficiency, but reflects an underlying derangement of the extracellular matrix via transforming growth factor-β signalling activation and oxidative state imbalance. What is the translational message?. This study broadens the current knowledge about the pathology of these diseases and highlights new targets and biomarkers for effective therapeutic intervention. It is suggested that high levels of circulating periostin could represent a potential biomarker in RDEB

Teachers' network and digital repository of educational resources: A history of contemporary capitalism I. The crisis of the liberal State and the first globalization through filmic, literary and aesthetic sources.

Se trata de crear un repositorio digital de apoyo a la docencia virtual, con contribuciones innovadoras en el empleo de fuentes artísticas y culturales para el estudio de la crisis del Estado liberal y de la primera globalización (1920-1930).This project aims to create a digital repository to support virtual teaching, with innovative contributions in the use of artistic and cultural sources for the study of the crisis of the liberal State and the first globalization (1920-1930).Depto. de Filosofía y SociedadFac. de FilosofíaFALSEUCMsubmitte

Methodology of a Large Multicenter Observational Study of Patients with COVID-19 in Spanish Intensive Care Units.

The COVID-19 pandemic created tremendous challenges for health-care systems. Intensive care units (ICU) were hit with a large volume of patients requiring ICU admission, mechanical ventilation, and other organ support with very high mortality. The Centro de Investigación Biomédica en Red-Enfermedades Respiratorias (CIBERES), a network of Spanish researchers to investigate in respiratory disease, commissioned the current proposal in response to the Instituto de Salud Carlos III (ISCIII) call. CIBERESUCICOVID is a multicenter, observational, prospective/retrospective cohort study of patients with COVID-19 admitted to Spanish ICUs. Several work packages were created, including study population and ICU data collection, follow-up, biomarkers and miRNAs, data management and quality. This study included 6102 consecutive patients admitted to 55 ICUs homogeneously distributed throughout Spain and the collection of blood samples from more than 1000 patients. We enrolled a large population of COVID-19 ICU-admitted patients including baseline characteristics, ICU and MV data, treatments complications, and outcomes. The in-hospital mortality was 31%, and 76% of patients required invasive mechanical ventilation. A 3-6 month and 1 year follow-up was performed. Few deaths after 1 year discharge were registered. Low anti-SARS-CoV-2 S antibody levels predict mortality in critical COVID-19. These antibodies contribute to prevent systemic dissemination of SARS-CoV-2. The severity of COVID-19 impacts the circulating miRNA profile. Plasma miRNA profiling emerges as a useful tool for risk-based patient stratification in critically ill COVID-19 patients. We present the methodology used in a large multicenter study sponsored by ISCIII to determine the short- and long-term outcomes in patients with COVID-19 admitted to more than 50 Spanish ICUs

El siglo de Oro en escena

Del teatro de Sánchez de Badajoz (siglo xvi) al de Bances Candamo (finales del xvii), de las múltiples riquezas de la comedia lopesca a las excelencias del teatro calderoniano, de la prosa cervantina a la de un Mateo Alemán, del Pinciano al maestro Correas, y «trecientas cosas más»: los artículos reunidos en este libro componen un extenso panorama de los más recientes resultados de la investigación internacional sobre toda la literatura española del Siglo de Oro, ofrecidos al profesor Marc Vitse por sus más destacados discípulos, amigos y admiradores.À Marc,Odett