185 research outputs found

    Atazanavir-Based Therapy Is Associated with Higher Hepatitis C Viral Load in HIV Type 1-Infected Subjects with Untreated Hepatitis C

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    Comunicación cortaWe assessed the relationship between atazanavir (ATV)-based antiretroviral treatment (ART) and plasma hepatitis C virus (HCV) viral load in a population of HIV/HCV-coinfected patients. HIV/HCV-coinfected patients who received ART based on a protease inhibitor (PI) or nonnucleoside reverse transcriptase inhibitor (NNRTI) were included. Patients were stratified by ART drug [ATV/rtv, lopinavir (LPV/rtv), efavirenz (EFV), nevirapine (NVP), and other PIs], HCV genotype (1/4 and 2/3), and IL28B genotype (CC and non-CC). The Kruskal-Wallis test and chi-squared test were used to compare continuous and categorical variables, respectively. Multivariate analysis consisted of a stepwise linear regression analysis. Six hundred and forty-nine HIV/HCV-coinfected patients were included. HCV genotype 1/4 patients who received ATV had higher HCV RNA levels [6.57 (5.9-6.8) log IU/ml] than those who received LPV [6.1 (5.5-6.5) log IU/ml], EFV [6.1 (5.6-6.4) log IU/ml], NVP [5.8 (5.5-5.9) log IU/ml], or other PIs [6.1 (5.7-6.4) log IU/ml] (p=0.014). This association held for the IL28B genotype (CC versus non-CC). The association was not found in patients carrying HCV genotypes 2/3. The linear regression model identified the IL28B genotype and ATV use as independent factors associated with HCV RNA levels. ATV-based therapy may be associated with a higher HCV RNA viral load in HIV/HCV-coinfected patients

    Ultrasonido a la cabecera del paciente: una herramienta diagnóstica de disección aórtica en el departamento de emergencias

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    The acute aortic syndrome can present as a characteristic clinical picture of a vascular emergency, or on the contrary as a completely atypical form, where the diagnosis challenges the emergency physician, leading to fatal mistakes by ignoring the diagnosis of this entity. In order to show the usefulness of ultrasound performed at the patient bedside in the diagnosis of aortic dissection, we described 9 cases of patients admitted to the emergency department and who were diagnosed with acute aortic syndrome, thanks to the initial ultrasonographic assessment made by residents and specialists in emergency medicine in one hospital in Bogotá, Colombia. This case report shows that ultrasound at the patient bedside, is a noninvasive diagnostic method, accessible and useful for early detection of this disease in the emergency services. © 2016 Sociedad Colombiana de Cardiología y Cirugía Cardiovascula

    Revista de Vertebrados de la Estación Biológica de Doñana

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    Contribución al estudio de la bermejuela Rutilus arcasi, Steindachner, 1866 de la cuenca del Júcar (Osteichthyes: Cyprinidae)II. Edad y crecimientoSobre la taxonomía de Barbus comiza Steindachner, 1865 (Ostariophysi: Cyprinidae)Fenología de una comunidad de anfibios asociada a cursos fluviales temporales.Nueva especie para la ciencia de Anolis (Lacertilia: Iguanidae) de Cuba pertenecient eal complejo argillaceusSegregación ecológica en una comunidad de ofidios.El Aguila Imperial (Aquila adalberti): dispersión de los jóvenes, estructura de edades y mortalidaSobre diferencias individuales en la alimentación de Tyto albaInfluencia de las condiciones ambientales sobre la organización de la comunidad de aves invernantes en un bosque subalpino mediterráneoVariaciones en la agregación y distribución de la cabra montés (Capra pyrenaica Schinz,1838) detectadas con un muestreo de excrementosAlimentación del conejo (Oryctolagus cuniculus L. 1758) en Doñana. SO, EspañaSobre la distribución de Barbus meridionales Risso, 1826 (Ostariophysi: Cyprinidae) en la Península IbéricaSobre la distribución de Barbus meridionales Risso, 1826 (Ostariophysi: Cyprinidae) en la Península IbéricaNueva cita de Barbus microcephalus Almaça (Pisces, Cyprinidae) en España.Revisión taxonómica y distribución de Cobitis maroccana Pellegrin, 1929 (Osteichthyes, Cobitidae)Datos sobre una población de Lacerta viviparaSobre la presencia de Emys orbicularis en la provincia de León.Algunas observaciones sobre la captura de quirópteros por Falco subbuteo y Falco tinunculusNyctalus leisleri (Kuhk, 1818) (Mammalia: Chiroptera). Una nueva especie para las islas CanariaNuevos datos acerca de la distribución del topillo campesino Microtus arvalis, PALLAS 1778, en la Península IbéricaPeer reviewe

    Scattering of 11 Be around the Coulomb barrier

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    Preliminary results on the 11Be+120Sn quasielastic scattering as well as the 11Be → 10Be + n breakup channel are presented in this work. The angular distributions of these channels were measured at REX-ISOLDE-CERN. The accuracy and angular range of the presented results provide stronger constrains to the theoretical interpretation than existing published results. We compare these new data with coupled-channel (CC) and continuum-discretized coupled-channel (CDCC) calculations. The role played by transfer and breakup channels in the elastic scattering is discussed.CICYT FPA2007- 62170MEC FINURA (FPA2007-63074) CPAN (CSD 2007-00042)DGICYT FPA2006-13807-c02-01 CSD-2007-0004

    Study of the scattering of halo nuclei around the Coulomb barrier

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    During the past ten years the present collaboration has carried out several experiments related with the study of radioactive nuclei. One of the topics in which we have centered our research, is the scattering of halo nuclei at energies around the Coulomb barrier. As part of this study, we present in this work a review of the results obtained from the scattering of 6He, 11Be and 11Li. The presence of a "halo" in these exotic nuclei is found to have a striking effect on the dynamics of these reactions, making their study an interesting experimental problem and a challenge for existing reaction theories.Ministerio de Ciencia y Tecnología FPA2005-04460, FPA2005-02379, FPA-2000-1592-C03-02, FPA2003-05958, FPA2002- 04181-C04-02/03, FPA2006-13807-c02-0, FPA2009- 07653Programa Español Consolider-Ingenio 2010 CSD2007-0004

    Recruitment Disruption and the Role of Unaffected Populations for Potential Recovery After the Pinna nobilis Mass Mortality Event

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    A devastating mass mortality event (MME) very likely caused by the protozoan Haplosporidium pinnae first detected in 2016 in the Western Mediterranean Sea, is pushing the endemic bivalve Pinna nobilis to near extinction. Populations recovery, if possible, will rely on larval dispersal from unaffected sites and potential recolonization through recruitment of resistant juveniles. To assess the impact of the MME on the species’ larval recruitment, an unprecedented network of larval collector stations was implemented over several thousands of kilometers along the Western Mediterranean coasts during the 3 years after the onset of the MME. The findings of this network showed a generalized disruption in recruitment with dramatic consequences for the recovery of the species. However, there were exceptions to this pattern and recruits were recorded in a few sites where the resident population had been decimated. This hints to the importance of unaffected populations as larval exporting sources and the role of oceanographic currents in larval transport in the area, representing a beacon of hope in the current extremely worrying scenario for this emblematic species.En prens

    Vegetation evolution during the Last Maximum Glacial Periodin FU-1 sequence (Fuentillejo Lacustrin «Maar», Campo de Calatrava, Ciudad Real)

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    We show data pollen, of core in Fuentillejo-1 (FU-1) located in the maar lake Fuentillejo site (Campo de Calatrava, Ciudad Real), in order to know the palaeoenviromental changes. The sedimentary record upper 10 m (unit 23), show a deposition of different sedimentary facies, during the last 20240 a. cal BP. The decrease of forest and low diversity values are characteristiques to the Last Maximum Glacier. The expansion of thermophilous trees and human activity signal have been identified the Holoceno.Se presentan los datos polínicos, procedentes del sondeo Fuentillejo-1 (FU-1), realizado en el centro de la laguna del maar de Fuentillejo (Campo de Calatrava, Ciudad Real). La descripción del registro sedimentario de los primeros 10 m, correspondiente a la unidad litológica 23 del registro sedimentario del sondeo FU-1, ha permitido interpretar cuáles fueron los condicionantes ambientales y climáticos con anterioridad a 20240 a. cal. BP. El descenso de la masa forestal, la pérdida de diversidad y la existencia de niveles estériles en el contenido de polen definen las características climáticas durante el Último Máximo Glaciar; la recuperación del bosque mediterráneo y la actividad antrópica identifican al Holoceno.</span

    Variability of NT-proBNP and Its Relationship with Inflammatory Status in Patients with Stable Essential Hypertension: A 2-Year Follow-Up Study

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    The variability of NT-proBNP levels has been studied in heart failure, yet no data exist on these changes over time in hypertensive patients. Furthermore, studies on the relationship between natriuretic peptides and inflammatory status are limited.220 clinically and functionally asymptomatic stable patients (age 59 ± 13, 120 male) out of 252 patients with essential hypertension were followed up, and NT-proBNP was measured at baseline, 12 and 24 months. No differences in NT-proBNP were found with respect to the basal stage in the hypertrophic group, but significant changes were found in non-hypertrophic subjects. The reproducibility of NT-proBNP measurements was better in patients with hypertrophy than in the non-hypertrophic group for the three intervals (stage I-basal; stage II-stage I; stage II-basal) with a reference change value of 34%, 35% and 41%, respectively, in the hypertrophic group. A more elevated coefficient of correlation was obtained in the hypertrophic group than in patients without hypertrophy: basal versus stage I (r = 0.79, p < 0.0001 and r = 0.59, p < 0.0001) and stage I versus stage II (r = 0.86, p < 0.0001 and r = 0.56, p < 0.0001). Finally, levels of NT-proBNP significantly correlated with sTNF-R1 (p < 0.0001) and IL-6 (p < 0.01) during follow-up. A multivariate linear regression analysis showed that sTNF-R1 is an independent factor of NT-proBNP.This work shows that there is good stability in NT-proBNP levels in a follow-up study of asymptomatic patients with stable hypertension and left ventricular hypertrophy. As a consequence, assessment of NT-proBNP concentrations may be a useful tool for monitoring the follow-up of hypertensive patients with hypertrophy. Measured variations in peptide levels, exceeding 35% in a 12-month follow-up and 41% in a 24-month follow-up, may indicate an increase in cardiovascular risk, and therefore implies adjustment in the medical treatment. In addition, this study shows a link between neurohormonal and inflammatory activation in these patients
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