11 research outputs found
Cooper pair dispersion relation for weak to strong coupling
Cooper pairing in two dimensions is analyzed with a set of renormalized
equations to determine its binding energy for any fermion number density and
all coupling assuming a generic pairwise residual interfermion interaction. \
Also considered are Cooper pairs (CPs) with nonzero center-of-mass momentum
(CMM)--usually neglected in BCS theory--and their binding energy is expanded
analytically in powers of the CMM up to quadratic terms. A Fermi-sea-dependent
{\it linear} term in the CMM dominates the pair excitation energy in weak
coupling (also called the BCS regime) while the more familiar quadratic term
prevails in strong coupling (the Bose regime). The crossover, though strictly
unrelated to BCS theory {\it per se,} is studied numerically as it is expected
to play a central role in a model of superconductivity as a Bose-Einstein
condensation of CPs where the transition temperature vanishes for all
dimensionality for quadratic dispersion, but is {\it nonzero} for all
for linear dispersion.Comment: 11 pages plus 3 figures, revised version accepted in Physical Review
Inadequate use of antibiotics in the covid-19 era: effectiveness of antibiotic therapy
Background: Since December 2019, the COVID-19 pandemic has changed the concept of medicine. This work aims to analyze the use of antibiotics in patients admitted to the hospital due to SARS-CoV-2 infection. Methods: This work analyzes the use and effectiveness of antibiotics in hospitalized patients with COVID-19 based on data from the SEMI-COVID-19 registry, an initiative to generate knowledge about this disease using data from electronic medical records. Our primary endpoint was all-cause in-hospital mortality according to antibiotic use. The secondary endpoint was the effect of macrolides on mortality. Results: Of 13, 932 patients, antibiotics were used in 12, 238. The overall death rate was 20.7% and higher among those taking antibiotics (87.8%). Higher mortality was observed with use of all antibiotics (OR 1.40, 95% CI 1.21–1.62; p <.001) except macrolides, which had a higher survival rate (OR 0.70, 95% CI 0.64–0.76; p <.001). The decision to start antibiotics was influenced by presence of increased inflammatory markers and any kind of infiltrate on an x-ray. Patients receiving antibiotics required respiratory support and were transferred to intensive care units more often. Conclusions: Bacterial co-infection was uncommon among COVID-19 patients, yet use of antibiotics was high. There is insufficient evidence to support widespread use of empiric antibiotics in these patients. Most may not require empiric treatment and if they do, there is promising evidence regarding azithromycin as a potential COVID-19 treatment. © 2021, The Author(s)
Evolution of the use of corticosteroids for the treatment of hospitalised COVID-19 patients in Spain between March and November 2020: SEMI-COVID national registry
Objectives: Since the results of the RECOVERY trial, WHO recommendations about the use of corticosteroids (CTs) in COVID-19 have changed. The aim of the study is to analyse the evolutive use of CTs in Spain during the pandemic to assess the potential influence of new recommendations. Material and methods: A retrospective, descriptive, and observational study was conducted on adults hospitalised due to COVID-19 in Spain who were included in the SEMI-COVID- 19 Registry from March to November 2020. Results: CTs were used in 6053 (36.21%) of the included patients. The patients were older (mean (SD)) (69.6 (14.6) vs. 66.0 (16.8) years; p < 0.001), with hypertension (57.0% vs. 47.7%; p < 0.001), obesity (26.4% vs. 19.3%; p < 0.0001), and multimorbidity prevalence (20.6% vs. 16.1%; p < 0.001). These patients had higher values (mean (95% CI)) of C-reactive protein (CRP) (86 (32.7-160) vs. 49.3 (16-109) mg/dL; p < 0.001), ferritin (791 (393-1534) vs. 470 (236- 996) µg/dL; p < 0.001), D dimer (750 (430-1400) vs. 617 (345-1180) µg/dL; p < 0.001), and lower Sp02/Fi02 (266 (91.1) vs. 301 (101); p < 0.001). Since June 2020, there was an increment in the use of CTs (March vs. September; p < 0.001). Overall, 20% did not receive steroids, and 40% received less than 200 mg accumulated prednisone equivalent dose (APED). Severe patients are treated with higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%. Conclusions: Patients with greater comorbidity, severity, and inflammatory markers were those treated with CTs. In severe patients, there is a trend towards the use of higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%
Epidemiological trends of HIV/HCV coinfection in Spain, 2015-2019
Altres ajuts: Spanish AIDS Research Network; European Funding for Regional Development (FEDER).Objectives: We assessed the prevalence of anti-hepatitis C virus (HCV) antibodies and active HCV infection (HCV-RNA-positive) in people living with HIV (PLWH) in Spain in 2019 and compared the results with those of four similar studies performed during 2015-2018. Methods: The study was performed in 41 centres. Sample size was estimated for an accuracy of 1%. Patients were selected by random sampling with proportional allocation. Results: The reference population comprised 41 973 PLWH, and the sample size was 1325. HCV serostatus was known in 1316 PLWH (99.3%), of whom 376 (28.6%) were HCV antibody (Ab)-positive (78.7% were prior injection drug users); 29 were HCV-RNA-positive (2.2%). Of the 29 HCV-RNA-positive PLWH, infection was chronic in 24, it was acute/recent in one, and it was of unknown duration in four. Cirrhosis was present in 71 (5.4%) PLWH overall, three (10.3%) HCV-RNA-positive patients and 68 (23.4%) of those who cleared HCV after anti-HCV therapy (p = 0.04). The prevalence of anti-HCV antibodies decreased steadily from 37.7% in 2015 to 28.6% in 2019 (p < 0.001); the prevalence of active HCV infection decreased from 22.1% in 2015 to 2.2% in 2019 (p < 0.001). Uptake of anti-HCV treatment increased from 53.9% in 2015 to 95.0% in 2019 (p < 0.001). Conclusions: In Spain, the prevalence of active HCV infection among PLWH at the end of 2019 was 2.2%, i.e. 90.0% lower than in 2015. Increased exposure to DAAs was probably the main reason for this sharp reduction. Despite the high coverage of treatment with direct-acting antiviral agents, HCV-related cirrhosis remains significant in this population
Geochemistry of metasedimentary rocks from the Eastern Pyrenees (Iberian Peninsula): Implications for correlation of Ediacaran terranes along the Gondwanan margin
The North African margin of Gondwana formed by subduction and accretion during Ediacaran to Cambrian times. Sections of this active margin were incorporated during the late Paleozoic to the Variscan and Appalachian orogens. In the Variscan realm, these sections define in some regions a Cadomian basement comprising thick metasedimentary series associated with coeval subduction-related magmatic rock dated in the range 650–500 Ma. In the Cap de Creus Massif (Eastern Pyrenean domain), the Cadomian metasedimentary rocks formed from sediments derived from mixed felsic and intermediate/mafic sources, intruded by granitoid and minor mafic igneous rocks. These series were formed in a peri-Gondwanan volcanic arc setting, like other Cadomian series described in the SW of the Iberian Massif, such as Serie Negra Group of the Ossa Morena Complex. However, the Nd model ages of the Cap de Creus metasedimentary samples range from 1431 to 1620 Ma and are younger than those of their SW Iberia equivalents. This result can be interpreted as an indication of an eastern location in the Ediacaran - Cambrian peri-Gondwanan magmatic arc. Furthermore, the Cadomian series in the Central Iberian Zone have even younger Nd model ages than those of SW and NE Iberia. We present two end-member paleogeographic models consistent with reconstruction of the initial location of the Cap de Creus Massif and its relations with other domains (Ossa Morena Complex and Central Iberian Zone) in this sector of the North African Gondwanan margin.We would like to express our gratitude to the Prof. G. Meinhold and another anonymous reviewer for the suggestions and recommendations that have helped to improve our manuscript. We appreciate their time and effort. We also thank to the editor Prof. Victoria Pease for her consideration of our research and her editorial assistance. Financial support has been provided by the Spanish projects PID2020-112489-GB-C21, PID2021-122467NB-C22 and PID2021-125585NB-I00, funded from the Ministerio de Ciencia, Innovación y Universidades/Agencia Estatal de Investigación/Fondo Europeo de Desarrollo Regional (FEDER), EU
Lactococcus garvieae endocarditis in a native valve identified by MALDI-TOF MS and PCR-based 16s rRNA in Spain: A case report
Lactococcus garvieae is a Gram-positive, catalase negative coccus arranged in pairs or short chains, well-known as a fish pathogen. We report a case of Infective Endocarditis (IE) by L. garvieae in a native valve from a 68-year-old male with unknown history of contact with raw fish and an extensive history of heart disease. This case highlights the reliability of MALDI-TOF MS compared to conventional methods in the identification of rare microorganisms like this