Update on the usefulness of optical coherence tomography in assessing the iridocorneal angle

The iridocorneal angle, due to its implications in the physiopathology of aqueous humour drainage, is a fundamental structure of the anterior chamber. Anterior segment optical coherence tomography (AS−OCT) is a rapid and non-invasive technique that obtains images in vivo. The high resolution allows it to analyse the normal anatomy of the angle, any alterations, and the changes that occur after different therapeutic interventions. AS−OCT technology has evolved to provide images that allow the identification and quantification of the angular structures in healthy subjects and in glaucoma patients, and especially the trabecular meshwork and the Schlemm's canal. It also enables the angle width to be quantified, with some objective parameters that have been standardised in recent years, such as the trabecular-iris angle (TIA), the angle opening distance (AOD), and the trabecular-iris area (TISA). This technique has multiple uses in the study of the different mechanisms of angle closure, the evaluation of changes after a laser peripheral iridotomy or iridoplasty after cataract surgery, as well as after the implantation of phakic lenses

Genetic Study of SARS-CoV-2 Non Structural Protein 12 in COVID-19 Patients Non Responders to Remdesivir

Remdesivir (RDV) was the first antiviral drug approved by the FDA to treat severe coronavirus disease-2019 (COVID-19) patients. RDV inhibits SARS-CoV-2 replication by stalling the non structural protein 12 (nsp12) subunit of the RNA-dependent RNA polymerase (RdRp). No evidence of global widespread RDV-resistance mutations has been reported, however, defining genetic pathways to RDV resistance and determining emergent mutations prior and subsequent antiviral therapy in clinical settings is necessary. This study identified 57/149 (38.3%) patients who did not respond to one course (5-days) (n = 36/111, 32.4%) or prolonged (5 to 20 days) (n = 21/38, 55.3%) RDV therapy by subgenomic RNA detection. Genetic variants in the nsp12 gene were detected in 29/49 (59.2%) non responder patients by Illumina sequencing, including the de novo E83D mutation that emerged in an immunosuppressed patient after receiving 10 + 8 days of RDV, and the L838I detected at baseline and/or after prolonged RDV treatment in 9/49 (18.4%) non responder subjects. Although 3D protein modeling predicted no interference with RDV, the amino acid substitutions detected in the nsp12 involved changes on the electrostatic outer surface and in secondary structures that may alter antiviral response. It is important for health surveillance to study potential mutations associated with drug resistance as well as the benefit of RDV retreatment, especially in immunosuppressed patients and in those with persistent replication. IMPORTANCE This study provides clinical and microbiologic data of an extended population of hospitalized patients for COVID-19 pneumonia who experienced treatment failure, detected by the presence of subgenomic RNA (sgRNA). The genetic variants found in the nsp12 pharmacological target of RDV bring into focus the importance of monitoring emergent mutations, one of the objectives of the World Health Organization (WHO) for health surveillance. These mutations become even more crucial as RDV keeps being prescribed and new molecules are being repurposed for the treatment of COVID-19. The present article offers new perspectives for the clinical management of non responder patients treated and retreated with RDV and emphasizes the need of further research of the benefit of combinatorial therapies and RDV retreatment, especially in immunosuppressed patients with persistent replication after therapy.This work was financed by a Gilead Sciences grant (IN-ES-540-6089) and CIBER Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, España (CB21/13/00081). This work was financed by ad hoc patronage funds for research on COVID-19 from donations from citizens and organizations to the Hospital Clínic de Barcelona-Fundació Clínic per a la Recerca Biomèdica.S

Experiencias recientes para el desarrollo y evaluación de competencias transversales en el ámbito de la Ingeniería Mecánica y Ciencia de los Materiales

[EN] This paper presents some activities developed in the last two years from the Innovation and Educational Quality Team of the Universitat Politècnica de València, INTEGRAL, to work and evaluate generic competences in subjects within the field of Mechanical Engineering and Materials Science . The idea is to show examples of learning activities that allow developing these competences in technical-scientific subjects, based on previous experiences of the components of the Team, and drawing conclusions and proposals for improvement after their implementation in recent courses.[ES] En esta comunicación se presentan las actividades más relevantes desarrolladas en los dos últimos cursos desde el Equipo de Innovación y Calidad Educativa de la Universitat Politècnica de València, INTEGRAL, para trabajar y evaluar competencias transversales en asignaturas del ámbito de la Ingeniería Mecánica y de Ciencia de los Materiales. La idea es ofrecer ejemplos de actividades de aprendizaje que permiten desarrollar estas competencias en asignaturas de carácter técnico-científico, partiendo de experiencias anteriores de los componentes del Equipo, y extrayendo conclusiones y propuestas de mejora tras su implantación en cursos recientes.Los autores quieren mostrar su agradecimiento al Vicerrectorado de Estudios, Calidad y Acreditación de la Universitat Politècnica de València por la financiación obtenida a través del programa PIME 2018-19 bajo la referencia DPTO.IMM.Carballeira Morado, J.; Giner Navarro, J.; Martínez Casas, J.; Sonseca Olalla, A.; Suñer Martinez, J.; Vila Tortosa, MP.; Pedrosa Sanchez, AM.... (2019). Experiencias recientes para el desarrollo y evaluación de competencias transversales en el ámbito de la Ingeniería Mecánica y Ciencia de los Materiales. En IN-RED 2019. V Congreso de Innovación Educativa y Docencia en Red. Editorial Universitat Politècnica de València. 1432-1446. https://doi.org/10.4995/INRED2019.2019.10522OCS1432144

Relevance of gastrointestinal manifestations in a large Spanish cohort of patients with systemic lupus erythematosus: what do we know?

SLE can affect any part of the gastrointestinal (GI) tract. GI symptoms are reported to occur in >50% of SLE patients. To describe the GI manifestations of SLE in the RELESSER (Registry of SLE Patients of the Spanish Society of Rheumatology) cohort and to determine whether these are associated with a more severe disease, damage accrual and a worse prognosis. METHODS: We conducted a nationwide, retrospective, multicentre, cross-sectional cohort study of 3658 SLE patients who fulfil =4 ACR-97 criteria. Data on demographics, disease characteristics, activity (SLEDAI-2K or BILAG), damage (SLICC/ACR/DI) and therapies were collected. Demographic and clinical characteristics were compared between lupus patients with and without GI damage to establish whether GI damage is associated with a more severe disease. RESULTS: From 3654 lupus patients, 3.7% developed GI damage. Patients in this group (group 1) were older, they had longer disease duration, and were more likely to have vasculitis, renal disease and serositis than patients without GI damage (group 2). Hospitalizations and mortality were significantly higher in group 1. Patients in group 1 had higher modified SDI (SLICC Damage Index). The presence of oral ulcers reduced the risk of developing damage in 33% of patients. CONCLUSION: Having GI damage is associated with a worse prognosis. Patients on a high dose of glucocorticoids are at higher risk of developing GI damage which reinforces the strategy of minimizing glucocorticoids. Oral ulcers appear to decrease the risk of GI damage. © The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Rheumatology

¿La evaluación evoluciona? Una experiencia de coevaluación en ABP

Desde hace 8 años, el grado de Ingeniería Multimedia imparte el 4º curso utilizando Aprendizaje Basado en Proyectos (ABP) e integrando a todas las asignaturas en él. El programa ha tenido mucho éxito, pero siempre ha acusado un problema, la evaluación. Al tratarse de un trabajo en grupo altamente colaborativo, que integra a todas las asignaturas del curso y que durante los dos semestres trabaja en un único gran proyecto, es muy difícil discernir el trabajo real realizado por cada componente del equipo, produciéndose descompensaciones o incluso malas prácticas. Durante años, se ha tratado de adoptar medidas para paliar esta situación, pero persisten algunas disfunciones. Para solucionarlo, hemos diseñado e implantado una metodología de coevaluación, alineada con la gestión del programa ABP y que persigue dos objetivos: procurar un reparto de nota asociado con el esfuerzo individual realizado, basado en información objetiva y cuantificable, junto con una evaluación formativa y sumativa justa; y desarrollar las habilidades blandas imprescindibles hoy en día en entornos de trabajo colaborativos. En este artículo presentamos la herramienta de coevaluación desarrollada, la valoración realizada sobre la herramienta por las/os participantes en la experiencia y exalumnos de años anteriores, y los resultados obtenidos hasta la fecha.For the last 8 years, the Multimedia Engineering degree has been teaching the 4th year using Project Based Learning (PBL) and integrating all the subjects in it. The program has been very successful, but there has always been one problem: assessment. As it is a highly collaborative group work, integrating all the subjects of the course and working on a single large project during the two semesters, it is very difficult to discern the real work done by each member, causing imbalances or even malpractice. For years, we have tried to adopt measures to mitigate this situation, but without any positive results. To solve this problem, we have designed and implemented a co-evaluation methodology, aligned with the PBL program management, which has two objectives: to ensure a distribution of points associated with the individual effort, based on objective and measurable information, together with a fair formative and summative evaluation; and to develop the soft skills that are essential in current collaborative work environments. In this article we present the co-evaluation tool developed, the assessment made of the tool by the participants in the experience and alumni from previous years, and the results obtained to date.El presente trabajo ha contado con una ayuda del Programa de Redes de investigación en docencia universitaria del Instituto de Ciencias de la Educación de la Universidad de Alicante (convocatoria 2021-22). Ref.: 5490, Diseño y desarrollo de una metodología y plataforma TIC para coevaluación en ABP

Higher versus lower nut consumption and changes in cognitive performance over two years in a population at risk of cognitive decline: a cohort study

Background: Tree nuts and peanuts (henceforth, nuts) are nutrient-dense foods rich in neuroprotective components; thus, their consumption could benefit cognitive health. However, evidence to date is limited and inconsistent regarding the potential benefits of nuts for cognitive function. Objective: To prospectively evaluate the association between nut consumption and 2-y changes in cognitive performance in older adults at cognitive decline risk. Methods: A total of 6,630 participants aged 55 to 75 y (mean age 65.0±4.9 y, 48.4% women) with overweight/obesity and metabolic syndrome completed a validated semi-quantitative food frequency questionnaire and a comprehensive battery of neuropsychological tests at baseline and a 2-y follow-up. Composite cognitive scores were used to assess global, general, attention, and executive function domains. Nut consumption was categorized as Results: Nut consumption was positively associated with 2-y changes in general cognitive function (P-trend Conclusion: Frequent nut consumption was associated with a smaller decline in general cognitive performance over 2 y in older adults at risk of cognitive decline. Randomized clinical trials to verify our findings are warranted

III Jornadas de Jóvenes Investigadores en Arqueología: Libro de Actas

Libro de Actas de las III Jornadas de Jóvenes Investigadores en Arqueologí

Adopting a High-Polyphenolic Diet Is Associated with an Improved Glucose Profile: Prospective Analysis within the PREDIMED-Plus Trial

Previous studies suggested that dietary polyphenols could reduce the incidence and complications of type-2 diabetes (T2D); although the evidence is still limited and inconsistent. This work analyzes whether changing to a diet with a higher polyphenolic content is associated with an improved glucose profile. At baseline, and at 1 year of follow-up visits, 5921 participants (mean age 65.0 ± 4.9, 48.2% women) who had overweight/obesity and metabolic syndrome filled out a validated 143-item semi-quantitative food frequency questionnaire (FFQ), from which polyphenol intakes were calculated. Energy-adjusted total polyphenols and subclasses were categorized in tertiles of changes. Linear mixed-effect models with random intercepts (the recruitment centers) were used to assess associations between changes in polyphenol subclasses intake and 1-year plasma glucose or glycosylated hemoglobin (HbA1c) levels. Increments in total polyphenol intake and some classes were inversely associated with better glucose levels and HbA1c after one year of follow-up. These associations were modified when the analyses were run considering diabetes status separately. To our knowledge, this is the first study to assess the relationship between changes in the intake of all polyphenolic groups and T2D-related parameters in a senior population with T2D or at high-risk of developing T2

Family History and Breast Cancer Hormone Receptor Status in a Spanish Cohort

Breast cancer is a heterogenous disease that impacts racial/ethnic groups differently. Differences in genetic composition, lifestyles, reproductive factors, or environmental exposures may contribute to the differential presentation of breast cancer among Hispanic women.A population-based study was conducted in the city of Santiago de Compostela, Spain. A total of 645 women diagnosed with operable invasive breast cancer between 1992 and 2005 participated in the study. Data on demographics, breast cancer risk factors, and clinico-pathological characteristics of the tumors were collected. Hormone receptor negative tumors were compared with hormone receptor postive tumors on their clinico-pathological characteristics as well as risk factor profiles.Among the 645 breast cancer patients, 78% were estrogen receptor-positive (ER+) or progesterone receptor-positive (PR+), and 22% were ER−&PR−. Women with a family history of breast cancer were more likely to have ER−&PR− tumors than women without a family history (Odds ratio, 1.43; 95% confidence interval, 0.91–2.26). This association was limited to cancers diagnosed before age 50 (Odds ratio, 2.79; 95% confidence interval, 1.34–5.81).An increased proportion of ER−&PR− breast cancer was observed among younger Spanish women with a family history of the disease