Evaluation of diagnostic and prognostic candidate biomarkers in drug-induced liver injury vs. other forms of acute liver damage

Aims: Detection and characterization of idiosyncratic drug-induced liver injury (DILI) currently rely on standard liver tests, which are suboptimal in terms of specificity, sensitivity and prognosis. Therefore, DILI diagnosis can be delayed, with important consequences for the patient. In this study, we aimed to evaluate the potential of osteopontin, cytokeratin-18 (caspase-cleaved: ccK18 and total: K18), α-glutathione- S-transferase and microRNA-122 as new DILI biomarkers. Methods: Serial blood samples were collected from 32 DILI and 34 non-DILI acute liver injury (ALI) cases and a single sample from 43 population controls without liver injury (HLC) and analysed using enzyme-linked immunosorbent assay (ELISA) or single-molecule arrays. Results: All biomarkers differentiated DILI and ALI from HLC with an area under receiver operator characteristic curve (AUC) value of >0.75 but were less efficient in distinguishing DILI from ALI, with ccK18 (0.79) and K18 (0.76) demonstrating highest potential. However, the AUC improved considerably (0.98) for ccK18 when comparing DILI and a subgroup of autoimmune hepatitis cases. Cytokeratin-18, microRNA- 122 and α-glutathione-S-transferase correlated well with traditional transaminases, while osteopontin correlated most strongly with the international normalized ratio (INR). Conclusions: ccK18 appears promising in distinguishing DILI from autoimmune hepatitis but less so from other forms of acute liver injury. Osteopontin demonstrates prognostic potential with higher levels detected in more severe cases regardless of aetiologyConsejería de Salud y Familia de la Junta de Andalucía, Grant/Award Numbers: PI- 0274-2016, P18-RT-3364Instituto de Salud Carlos III (ISCIII) cofounded by Fondo Europeo de Desarrollo Regional - FEDER, Grant/Award Numbers: PI19/00883, PI18/00901UMA18-FEDERJA-193; Universidad de Málaga/CBU

Programa de entrenamiento en relajación y entrenamiento cognoscitivo para decrementar los niveles de ansiedad en pacientes hipertensos con tratamiento médico /

Para demostrar la efectividad de un programa de entrenamiento en relajación y un entrenamiento cognoscitivo sobre el decremento de los niveles de ansiedad en pacientes hipertensos, sé utilizó un diseño experimental de medida pre y post con grupo control. Para ello se seleccionó una muestra al azar del grupo de pacientes que asisten al Club de Hipertensos de la Clínica FONCOLPUERTOS de la ciudad de Cartagena. El instrumento aplicado fue el Inventario de Situaciones y Respuestas de Ansiedad (ISRA). La variable independiente es el entrenamiento en conocimientos y relajación progresiva. La dependiente es los niveles de ansiedad. El tratamiento se desarrolló en 10 sesiones de 45 a 120 minutos cada una. La hipótesis de investigación fue "si aplicamos un programa de entrenamiento en relajación y entrenamiento cognoscitivo en pacientes hipertensos de la clínica FONCOLPUERTO entonces encontraremos diferencias significativas en los niveles de ansiedad de dichos pacientes". Se formuló una hipótesis nula para los mismos efectos, Mediante un análisis estadístico se demostró la efectividad del programa de entrenamiento sobre los niveles de ansiedad. Mostrando un decremento en la variable dependiente que se ve reflejado en los factores motor, cognoscitivo y fisiológico en los cuales se vio de una forma más directa la modificación conductual del tratamientoIncluye bibliografí

Evaluation of diagnostic and prognostic candidate biomarkers in drug-induced liver injury vs. other forms of acute liver damage

Aims Detection and characterization of idiosyncratic drug-induced liver injury (DILI) currently rely on standard liver tests, which are suboptimal in terms of specificity, sensitivity and prognosis. Therefore, DILI diagnosis can be delayed, with important consequences for the patient. In this study, we aimed to evaluate the potential of osteopontin, cytokeratin-18 (caspase-cleaved: ccK18 and total: K18), α-glutathione-S-transferase and microRNA-122 as new DILI biomarkers. Methods Serial blood samples were collected from 32 DILI and 34 non-DILI acute liver injury (ALI) cases and a single sample from 43 population controls without liver injury (HLC) and analysed using enzyme-linked immunosorbent assay (ELISA) or single-molecule arrays. Results All biomarkers differentiated DILI and ALI from HLC with an area under receiver operator characteristic curve (AUC) value of >0.75 but were less efficient in distinguishing DILI from ALI, with ccK18 (0.79) and K18 (0.76) demonstrating highest potential. However, the AUC improved considerably (0.98) for ccK18 when comparing DILI and a subgroup of autoimmune hepatitis cases. Cytokeratin-18, microRNA-122 and α-glutathione-S-transferase correlated well with traditional transaminases, while osteopontin correlated most strongly with the international normalized ratio (INR). Conclusions ccK18 appears promising in distinguishing DILI from autoimmune hepatitis but less so from other forms of acute liver injury. Osteopontin demonstrates prognostic potential with higher levels detected in more severe cases regardless of aetiology.Consejería de Salud y Familia de la Junta de Andalucía, Grant/Award Numbers: PI 0274-2016, P18-RT-3364; Instituto de Salud Carlos III (ISCIII) cofounded by Fondo Europeo de Desarrollo Regional - FEDER, Grant/Award Numbers: PI19/00883, PI18/00901, UMA18-FEDERJA-193; Universidad de Málaga/CBUA for open access charge: Universidad de Málaga / CBUA. Funding for open access charge: Universidad de Málaga / CBU

Estudios históricos 7 : arquitectura y diseño

1 archivo PDF (160 páginas)Compilación de doce conferencias de excelencia académica presentadas en el Seminario de Historia de la Arquitectura y del Diseño en el siglo XX, UAM-UNAM. Éstas se organizan, en una primera parte, como investigaciones referidas a la historia de la Arquitectura y del diseño en México y a la globalización ... y, en segunda, al resto del mundo: Reino Unido, Bilbao, Berlín, Barcelona, Alemania

Educación para el siglo XXI: Derechos humanos, ciudadanía y diversidad sexual

172 p. Libro ElectrónicoEste libro recoge el resultado de la sistematización del programa “Maestros y maestras que inspiran” de la línea de Derechos humanos, ciudadanía y diversidad sexual. Estos documentos contienen los relatos de los docentes participantes, como resultado del trabajo dentro y fuera de las aulas en diferentes colegios del Distrito Capital. Los docentes narran sus experiencias desde los diversos contextos, así como las diferentes metodologías utilizadas todas con el fin de forta-lecer la ciudadanía, no solo de sus estudiantes, sino de ellos mismos, de padres y madres de familia y la comunidad en general. Finalmente nos cuentan, cuáles fueron los principales logros y las recomendacio-nes para otros docentes que quieran seguir sus pasos

Pandêmon Nosêma. Una revisión historiográfica de cómo las sociedades respondieron ante las epidemias a lo largo de la historia

A historiographic review of the main epidemic episodes suffered by humanity from Prehistory to the 20th century is carried out, with the aim of analyzing the incidence that successive infectious-contagious diseases had in different societies at each time, regarding four study variables: social, economic, political and mentalities.  Keywords Disease, population, poverty, crisis, social stigma, manipulation.Se realiza una revisión historiográfica de los principales episodios epidémicos sufridos por la humanidad desde la Prehistoria hasta el siglo XX, con el propósito de analizar la incidencia que han tenido las sucesivas enfermedades infecto-contagiosas en las diferentes sociedades en cada época, atendiendo a cuatro variables de estudio: la social, la económica, la política y la esfera de las mentalidades. Palabras clave Enfermedad, población, pobreza, crisis, estigmatización, manipulación

Pandêmon Nosêma. Una revisión historiográfica de cómo las sociedades respondieron ante las epidemias a lo largo de la historia

A historiographic review of the main epidemic episodes suffered by humanity from Prehistory to the 20th century is carried out, with the aim of analyzing the incidence that successive infectious-contagious diseases had in different societies at each time, regarding four study variables: social, economic, political and mentalities.  Keywords Disease, population, poverty, crisis, social stigma, manipulation.Se realiza una revisión historiográfica de los principales episodios epidémicos sufridos por la humanidad desde la Prehistoria hasta el siglo XX, con el propósito de analizar la incidencia que han tenido las sucesivas enfermedades infecto-contagiosas en las diferentes sociedades en cada época, atendiendo a cuatro variables de estudio: la social, la económica, la política y la esfera de las mentalidades. Palabras clave Enfermedad, población, pobreza, crisis, estigmatización, manipulación

Doñana. Acta vertebrata. vol 22 (1/2)

Relación entre el uso del espacio del mito (Aeghitalos caudatus) y la disponibilidad de artrópodos durante el periodo primavera-veranoHábitos frugívoros de la corzuela parda (Mazama gouazoubira, Ficher, 1814) (Mammalia: Cervidae), en un ambiente secundario de yungasComparación entre varias técnicas de estimación de la edad en zorros, Vulpes vulpes, de Doñana (sur de la Península Ibérica)Características morfológicas de los corzos (Capreolus capreolus) de las sierras de Cádiz-Málaga.Etograma y relación de la conducta con el hábitat y con la edad en el ñandú (Rhea americana)Variación estacional del área de campeo de Oxymycterus rufus (Rodentia: Cricetidae), en el delta del rio Paraná, ArgentinaTracking of a female american mink (Mustela vison, Schreber, 1777) in NE Spain.Nidificación de láridos en la provincia de Almeria (SE Ibérico)Expansión del área de distribución de Microtus arvalis asturianus Miller, 1908 (Rodentia, Arvicolidae) en la meseta norte (España)Diet of the thekla lark, Galerida theklae, in a shrubsteppe of southeastern SpainAlimentación de la lechuza campestre (Asio flammeus) en la submeseta norte (España), durante el periodo reproductorUso de cajas anidaderas por lirones grises (Glis glis) y ratones leonados (Apodemus flavicollis) en el norte de la Península Ibérica.Theoretical flight ranges of waders resting in the Ebro Delta during autumn migrationPeer reviewe

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Systematic Collaborative Reanalysis of Genomic Data Improves Diagnostic Yield in Neurologic Rare Diseases

Altres ajuts: Generalitat de Catalunya, Departament de Salut; Generalitat de Catalunya, Departament d'Empresa i Coneixement i CERCA Program; Ministerio de Ciencia e Innovación; Instituto Nacional de Bioinformática; ELIXIR Implementation Studies (CNAG-CRG); Centro de Investigaciones Biomédicas en Red de Enfermedades Raras; Centro de Excelencia Severo Ochoa; European Regional Development Fund (FEDER).Many patients experiencing a rare disease remain undiagnosed even after genomic testing. Reanalysis of existing genomic data has shown to increase diagnostic yield, although there are few systematic and comprehensive reanalysis efforts that enable collaborative interpretation and future reinterpretation. The Undiagnosed Rare Disease Program of Catalonia project collated previously inconclusive good quality genomic data (panels, exomes, and genomes) and standardized phenotypic profiles from 323 families (543 individuals) with a neurologic rare disease. The data were reanalyzed systematically to identify relatedness, runs of homozygosity, consanguinity, single-nucleotide variants, insertions and deletions, and copy number variants. Data were shared and collaboratively interpreted within the consortium through a customized Genome-Phenome Analysis Platform, which also enables future data reinterpretation. Reanalysis of existing genomic data provided a diagnosis for 20.7% of the patients, including 1.8% diagnosed after the generation of additional genomic data to identify a second pathogenic heterozygous variant. Diagnostic rate was significantly higher for family-based exome/genome reanalysis compared with singleton panels. Most new diagnoses were attributable to recent gene-disease associations (50.8%), additional or improved bioinformatic analysis (19.7%), and standardized phenotyping data integrated within the Undiagnosed Rare Disease Program of Catalonia Genome-Phenome Analysis Platform functionalities (18%)