Heart rate recovery normality data recorded in response to a maximal exercise test in physically active men.

Background. Despite a growing clinical interest in determining the heart rate recovery (HRR) response to exercise, the limits of a normal HRR have not yet been well established. Purpose. This study was designed to examine HRR following a controlled maximal exercise test in healthy, physically active adult men. Methods. The subjects recruited (n=789) performed a maximal stress test on a treadmill. HRR indices were calculated by subtracting the 1st and 3rd minute heart rates during recovery from the maximal heart rate obtained during stress testing and designated these as HRR-1 and HRR-3, respectively. The relative change in HRR was determined as the decrease in HR produced at the time points 1 min and 3 min after exercise as a percentage of the peak HR (%HRR-1/HRpeak and %HRR-3/HRpeak, respectively). Percentile values of HRR-1 and HRR-3 were generated for the study population. Results. Mean HHR-1 and HHR-3 were 15.24±8.36 bpm and 64.58±12.17 bpm, respectively and %HRR-1/HRpeak and %HRR-3/HRpeak were 8.60±4.70% and 36.35±6.79%, respectively. Significant correlation was detected between Peak VO2 and HRR-3 (r=0.36; p<0.001) or %HRR-3/HRpeak (r=0.23; p<0.001). Conclusions. Our study provides normality data for heart rate recovery following a maximal ergometry test obtained in a large population of physically active men.pre-print166 K

Calidad de vida y estrés laboral: la incidencia del Burnout en el deporte de alto rendimiento madrileño. Quality of life and job stress: Burnout among high performance sport professionals from Madrid.

<b>Resumen</b><p align="justify">En la literatura sobre la psicología de la salud en las organizaciones es generalmente aceptado que el Burnout (Síndrome de quemarse por el trabajo) aparece como consecuencia de un estrés laboral crónico excesivo que provoca una disminución de la habilidad en el desempeño de la actividad profesional y la aparición de diferentes problemas de salud en quien lo padece. El Burnout (Síndrome de quemarse por el trabajo) ha sido conceptualizado como un síndrome psicológico tridimensional de agotamiento emocional, despersonalización y baja realización personal en el trabajo. El propósito de este estudio es evaluar la presencia del Burnout en el colectivo de los profesionales del Alto Rendimiento Deportivo. Para ello se utilizó una muestra de 102 profesionales en activo empleados en 20 organizaciones representativas del fenómeno del Alto Rendimiento Deportivo de la ciudad de Madrid, España. Para medir la incidencia del Burnout (Síndrome de quemarse por el trabajo) se utilizó el Inventario de Burnout de Maslach. Los resultados obtenidos en este colectivo fueron de un 37,25% con altos niveles de Burnout (Síndrome de quemarse por el trabajo), 50% con nivel intermedio y 12,75% con bajo nivel. Estos profesionales presentan mayores niveles de baja realización personal en el trabajo (26,47%) y menores niveles de despersonalización (11,76%) y agotamiento emocional (10,78%). También se encontraron diferencias en los niveles cuando fueron comparados con otros profesionales del deporte.</p><b>Abstract</b><p align="justify">It is widely accepted in organizational and health psychology literatures that burnout is a consequence of chronic job stress wh+ºich causes an array of negative work related performance and health outcomes. Burnout was conceptualized as a 3-dimensional psychological syndrome consisting of emotional exhaustion, depersonalization and decreased personal accomplishment. The purpose of this study was to assess the presence of Burnout syndrome in High performance sport professionals. The sample consisted of 102 employees from 20 High performance sport organizations in the city of Madrid, Spain. Maslach Burnout Inventory (MBI) was used to measure burnout. Results point to the presence of the syndrome in this collective in the following percentages: high level of burnout (37,25%), intermediate level (50%) and low level (12,75%). This professionals displayed a higher level of personal accomplishment (26,47%) and lower levels of depersonalization (11,76%) and emotional exhaustion (10,78%). Differences were found in the levels when compared to others sport professionals.</p

Inactivation of human plasma alters the structure and biomechanical properties of engineered tissues

Acknowledgments The authors are grateful to Echevarne Laboratories for the coagulation experiments and to Gloria Carmona and Rosario Sánchez Pernaute as well as all members of the Unidad de Producción y Reprogramación Celular (UPRC) for technical help and support. All figures were created through BioRender.com accessed on 1 September 2021.Funding This research was funded by the Spanish Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+i) from Ministerio de Ciencia, Innovación y Universidades (Instituto de Salud Carlos III), grants FIS PI17/0391, RTC-2017- 6658-1, PI20/0317 and ICI19/00024 (BIOCLEFT), co-financed by Fondo Europeo de Desarrollo Regional ERDF-FEDER, European Union and PE-0395-2019 from Consejería de Salud y Familias, Junta de Andalucía, Spain.Fibrin is widely used for tissue engineering applications. The use of blood derivatives, however, carries a high risk of transmission of infectious agents, necessitating the application of pathogen reduction technology (PRT). The impact of this process on the structural and biomechanical properties of the final products is unknown. We used normal plasma (PLc) and plasma inactivated by riboflavin and ultraviolet light exposure (PLi) to manufacture nanostructured cellularized fibrin-agarose hydrogels (NFAHs), and then compared their structural and biomechanical properties. We also measured functional protein C, prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT) and coagulation factors [fibrinogen, Factor (F) V, FVIII, FX, FXI, FXIII] in plasma samples before and after inactivation. The use of PLi to manufacture cellularized NFAHs increased the interfibrillar spacing and modified their biomechanical properties as compared with cellularized NFAH manufactured with PLc. PLi was also associated with a significant reduction in functional protein C, FV, FX, and FXI, and an increase in the international normalized ratio (derived from the PT), APTT, and TT. Our findings demonstrate that the use of PRT for fibrin-agarose bioartificial tissue manufacturing does not adequately preserve the structural and biomechanical properties of the product. Further investigations into PRT-induced changes are warranted to determine the applications of NFAH manufactured with inactivated plasma as a medicinal product.Spanish Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+i) from Ministerio de Ciencia, Innovación y Universidades (Instituto de Salud Carlos III), grants FIS PI17/0391, RTC-2017- 6658-1, PI20/0317 and ICI19/00024 (BIOCLEFT)Fondo Europeo de Desarrollo Regional ERDF-FEDEREuropean UnionPE-0395-2019 from Consejería de Salud y Familias, Junta de Andalucía, Spai

Near surface geophysical analysis of the Navamuño depression (Sierra de Béjar, Iberian Central System): Geometry, sedimentary infill and genetic implications of tectonic and glacial footprint

The geometric and genetic characterization of the Navamuño depression peatland system (Iberian Central System) is presented here using results from a geophysical survey. This depression is a ~30 ha pseudo-endorheic flat basin over granitic bedrock. Three geophysical techniques were used to map the subsurface geology, and identify and describe the infill sequence: shallow seismic refraction (SR), magnetic resonance sounding (MRS) and electrical resistivity measurements (VES and ERT). The three main geoelectrical layers (G1, G2, G3) identified in previous research, have also been identified in the present work. Using the data obtained in this new research we have been able to analyse these three geological layers in detail and reinterpret them. They can be grouped genetically into two sedimentary units: an ancient sedimentary body (G3), of unknown age and type, beneath an Upper Pleistocene (G2) and Holocene (G1) sedimentary infill. The facies distribution and geometry of the Upper Pleistocene was examined using the Sequence Stratigraphy method, revealing that the Navamuño depression was an ice-dammed in the last glacial cycle resulting in glaciolacustrine sedimentation. A highly permeable sedimentary layer or regolith exists beneath the glaciolacustrine deposits. Below 40 m depth, water content falls dramatically down to a depth of 80 m where unweathered bedrock may be present. The information obtained from geophysical, geological and geomorphological studies carried out in this research, enabled us to consider various hypotheses as to the origin of this depression. According to these data, the Navamuño depression may be explained as the result of a transtensional process from the Puerto de Navamuño strike-slip fault during the reactivation of the Iberian Central System (Paleogene-Lower Miocene, Alpine orogeny), and can be correlated with the pull-apart type basins described in these areas. The neotectonic activity of this fault and the icedammed processes in these areas during the Last Glacial Cycle (MIS2) were the main causes of recent sedimentary infill in this depression

Evaluation of the awareness of novel advanced therapies among family medicine residents in Spain

Advanced therapies are increasingly demanded by patients with the intent of treating some incurable conditions. Because family medicine professionals play an important role as health educators, their residency programs should incorporate new knowledge related to advanced therapies. To successfully implement these programs, how family medicine residents perceive these therapies should be investigated. The main components of perception, i.e. conceptual, procedural and attitudinal, refer to knowledge, skills and feelings, respectively. We designed a specific questionnaire to assess the components of perceptions of advanced therapies in 300 medical residents enrolled in the Spanish National Family Medicine Residency Program. Each component consisted of 4 or 5 topics and each topic contained 6 items. Respondents scored highest in the procedural component (average 4.12±1.00), followed by the attitudinal (3.94±1.07) and conceptual component (3.04±1.43). Differences among the three components were statistically significant (p<0.00017). Family medicine residents perceived that procedures to implement advanced therapies are well established, especially their application. However, they felt their cognitive background was insufficient to respond efficiently to the expectations generated by these new therapeutic tools, especially in the regulatory framework. High awareness of the risks and limitations of these treatments was reflected by residents’ preference for clinically tested therapies. Although they appropriately situated treatment with these therapies within hospital care, they associated the biofabrication of novel products with research centers, although these therapeutic tools can be produced in different facilities. These results are potentially useful for designing future training programs and health policies for family medicine residents, and suggest the need to implement specific training programs in advanced therapies at the conceptual, procedural and attitudinal level.This work was supported by CTS-115 (Tissue Engineering Group), Junta de Andalucia

Effective use of mesenchymal stem cells in human skin substitutes generated by tissue engineering

Mesenchymal stem cells (MSCs) can differentiate toward epithelial cells and may be used as an alternative source for generation of heterotypical artificial human skin substitutes, thus, enhancing their development and translation potential to the clinic. The present study aimed at comparing four types of heterotypical human bioengineered skin generated using MSCs as an alternative epithelial cell source. Adipose-tissue-derived stem cells (ADSCs), dental pulp stem cells (DPSCs), Wharton’s jelly stem cells (WJSCs) and bone marrow stem cells (BMSCs) were used for epidermal regeneration on top of dermal skin substitutes. Heterotypic human skin substitutes were evaluated before and after implantation in immune-deficient athymic mice for 30 d. Histological and genetic studies were performed to evaluate extracellular matrix synthesis, epidermal differentiation and human leukocyte antigen (HLA) molecule expression. The four cell types differentiated into keratinocytes, as shown by the expression of cytokeratin 10 and filaggrin 30 d post-grafting; also, they induced dermal fibroblasts responsible for the synthesis of extracellular fibrillar and non-fibrillar components, in a similar way among each other. WJSCs and BMSCs showed higher expression of cytokeratin 10 and filaggrin, suggesting these cells were more prone to epidermal regeneration. The absence of HLA molecules, even when the epithelial layer was differentiated, supports the future clinical use of these substitutes – especially ADSCs, DPSCs and WJSCs – with low rejection risk. MSCs allowed the generation of bioengineered human skin substitutes with potential clinical usefulness. According to their epidermal differentiation potential and lack of HLA antigens, WJSCs should preferentially be used.Spanish Ministry of Economy and Competitiveness (Instituto de Salud Carlos III), FIS PI15/2048 (co-financed by ERDF-FEDER, European Union), award number AC17/00013 (NanoGSkin) by ISCIII thorough AES 2017 and within the EuroNanoMed framework and PE-0393-20

Highly Active and Stable Ni/La-Doped Ceria Material for Catalytic CO2Reduction by Reverse Water-Gas Shift Reaction

[EN] The design of an active, effective, and economically viable catalyst for CO2 conversion into value-added products is crucial in the fight against global warming and energy demand. We have developed very efficient catalysts for reverse water-gas shift (rWGS) reaction. Specific conditions of the synthesis by combustion allow the obtention of macroporous materials based on nanosized Ni particles supported on a mixed oxide of high purity and crystallinity. Here, we show that Ni/La-doped CeO2 catalysts─with the "right"Ni and La proportions─have an unprecedented catalytic performance per unit mass of catalyst for the rWGS reaction as the first step toward CO2 valorization. Correlations between physicochemical properties and catalytic activity, obtained using a combination of different techniques such as X-ray and neutron powder diffraction, Raman spectroscopy, in situ near ambient pressure X-ray photoelectron spectroscopy, electron microscopy, and catalytic testing, point out to optimum values for the Ni loading and the La proportion. Density functional theory calculations of elementary steps of the reaction on model Ni/ceria catalysts aid toward the microscopic understanding of the nature of the active sites. This finding offers a fundamental basis for developing economical catalysts that can be effectively used for CO2 reduction with hydrogen. A catalyst based on Ni0.07/(Ce0.9La0.1Ox)0.93 shows a CO production of 58 × 10-5 molCO·gcat-1·s-1 (700 °C, H2/CO2 = 2; selectivity to CO > 99.5), being stable for 100 h under continuous reaction.We acknowledge the financial support of the Spanish Ministry of Science and Innovation (PID2021-123287OB-I00, PID2021-122477-OB-I00, PID2021-128915NB-I00, and RTI2018-101604-B-I00) and of the CSIC through the i-LINK 2021 program (LINKA20408). Financial support has also been received from AEI-MINECO/FEDER (Nympha Project, PID2019-106315RB-I00), “Comunidad de Madrid” regional government, and the European Structural Funds (FotoArt-CM project, S2018/NMT-4367). Authors also acknowledge financial support from the grant PLEC2021-007906 funded by MCIN/AEI/10.13039/501100011033 and the “European Union NextGenerationEU/PRTR”. We are grateful to ILL (France) for making all facilities available. This project also received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement no. 832121. Computer time provided by the RES (Red Española de Supercomputación) resources at the MareNostrum 4 (BSC, Barcelona) node and the DECI resources at the BEM cluster of the WCSS based in Poland with the support from PRACE aislb is acknowledged

Genetic diversity of HLA system in four populations from Baja California, Mexico: Mexicali, La Paz, Tijuana and rural Baja California

We studied HLA class I (HLA-A, -B) and class II (HLA-DRB1, -DQB1) alleles by PCR-SSP based typing in 250 Mexicans from the states of Baja California Norte and Baja California Sur living in Mexicali (N = 100), La Paz (N = 75), Tijuana (N = 25) and rural communities (N = 50) to obtain information regarding allelic and haplotypic frequencies. The most frequent haplotypes for the Baja California region include nine Native American and five European haplotypes. Admixture estimates revealed that the main genetic components are European (50.45 ± 1.84% by ML; 42.03% of European haplotypes) and Native American (43.72 ± 2.36% by ML; 40.24% of Native American haplotypes), while the African genetic component was less apparent (5.83 ± 0.98% by ML; 9.36% of African haplotypes)

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

Genomics improves risk stratifi cation of adults with T-cell acute lymphoblastic leukemia enrolled in measurable residual disease-oriented trials

Genetic information has been crucial to understand the pathogenesis of T-cell acute lymphoblastic leukemia (T-ALL) at diagnosis and at relapse, but still nowadays has a limited value in a clinical context. Few genetic markers are associated with the outcome of T-ALL patients, independently of measurable residual disease (MRD) status after therapy. In addition, the prognostic relevance of genetic features may be modulated by the specific treatment used. We analyzed the genetic profile of 145 T-ALL patients by targeted deep sequencing. Genomic information was integrated with the clinical -biological and survival data of a subset of 116 adult patients enrolled in two consecutive MRD-oriented trials of the Spanish PETHEMA (Programa Espanol de Tratamientos en Hematologia) group. Genetic analysis revealed a mutational profile defined by DNMT3A/ N/KRAS/ MSH2/ U2AF1 gene mutations that identified refractory/resistant patients. Mutations in the DMNT3A gene were also found in the non-leukemic cell fraction of patients with T-ALL, revealing a possible mutational-driven clonal hematopoiesis event to prime T-ALL in elderly. The prognostic impact of this adverse genetic profile was independent of MRD status on day +35 of induction therapy. The combined worse-outcome genetic signature and MRD on day +35 allowed risk stratification of T-ALL into standard or high-risk groups with significantly different 5 -year overall survival (OS) of 52% (95% confidence interval: 37-67) and 17% (95% confidence interval: 1-33), respectively. These results confirm the relevance of the tumor genetic profile in predicting patient outcome in adult T-ALL and highlight the need for novel gene-targeted chemotherapeutic schedules to improve the OS of poor-prognosis T-ALL patients