Sobre la circunscripción y posición taxonómica de Centaurea caballeroi (Compositae)

Se aportan datos sobre algunos táxones del grupo de Centaurea linifolia presentes en las sierras de la Comunidad Valenciana y áreas limítrofes. Como resultado se propone reconocer en C. antennata tres subespecies, con síndromes de caracteres propios, que ocupan áreas geográficas bien delimitadas y presentan un comportamiento ecológico diferenciado. Según esto, se propone la nueva combinación C. antennata subsp. caballeroi para las poblaciones del sur de Tarragona y norte de Castellón, seleccionándose además un lectótipo. Para cada taxon aceptado se indican sus caracteres morfológicos diferenciales, distribución y ecología. Además, se aporta una clave de identificación.Data are reported on several taxa of the aggregate of Centaurea linifolia that grow in the mountains of the Valencian Community and neighboring areas. As a result, in the complex of C. antennata three taxa are accepted at the subspecific rank, which have their own syndrome of morphological characters, occur in well-defined territories and show different ecological behavior. The new combination C. antennata subsp. caballeroi is stated to name populations from southern Tarragona and northern Castellón provinces. Moreover, a lectotype is selected for the latter name. For each accepted taxon, its diagnostic morphological traits, distribution and ecology are commented. An identification key is also presented

Monitoring of miR-181a-5p and miR-155-5p Plasmatic Expression as Prognostic Biomarkers for Acute and Subclinical Rejection in de novo Adult Liver Transplant Recipients.

Background and Aims: News strategies for the accurate assessment of the state of immunosuppression (IS) in liver transplant recipients are needed to prevent rejection and minimize drug-related side effects. miRNAs can potentially be used as diagnostic or prognostic biomarkers in transplant patients. This study evaluated the capacity of a plasmatic miRNA panel (miR-155-5p, miR-122-5p, miR-181a-5p, and miR148-3p) as an early non-invasive prognostic and diagnostic biomarker for T cell-mediated acute rejection (TCMAR) and subclinical rejection (SCR) in adult liver recipients. Methods: A total of 145 liver recipients were included. All patients received a calcineurin inhibitor with or without mycophenolate mofetil and methylprednisolone. Plasmatic miRNA expression was assessed by qPCR before and at different time-points after liver transplantation. Results: Seventeen patients experienced TCMAR, and eight were diagnosed with SCR during the protocol biopsy at the 3rd month post-transplantation. Pre-transplantation, miR-155-5p expression was significantly higher in TCMAR patients and in SCR patients than in non-rejectors, and miR-181a-5p expression was also significantly higher in SCR patients than in non-rejectors. Post-transplantation, before transaminase-level modification, significantly increased miR-181a-5p, miR-155-5p, and miR-122-5p expression was observed in TCMAR and SCR patients. Binary logistic regression analyses showed, post-transplantation, that TCMAR risk was better predicted by individual expression of miR-181a-5p (LOGIT = -6.35 + 3.87*miR-181a-5p), and SCR risk was better predicted by the combination of miR-181a-5p and miR-155-5p expression (LOGIT = -5.18 + 2.27*miR-181a-5p+1.74*miR-155-5p). Conclusions: Pre-transplantation plasmatic miR-155-5p expression may be useful for stratifying low-immunologic-risk patients, and post-transplantation miR-181a-5p and miR-155-5p may be candidates for inclusion in early, non-invasive prognostic biomarker panels to prevent TCMAR or SCR and better identify patient candidates for IS minimization. Large prospective randomized multicenter trials are needed to refine the cut-off values and algorithms and validate the clinical usefulness of these biomarkers

Technical Efficiency of Dairy Farms in Sierra Andina Using Neural Network Modeling

The aim of this paper was to estimate the efficiency of milk production of 1 168 cases in Ecuadoran Sierra Sur Andina, with the implementation of a neural network model with multilayer perceptrons. These cases were collected from secondary samples provided by the Official Institute of National Statistics of Ecuador, in 2016. The variables chosen for the model were total milk production on the previous day (P), as dependent variable, and total cattle heads (CH), total laborers in the field (E), and total area attended by laborer (S), as independent variables. The data from individual cases and their impact on the dependent variable were used as the variable selection criteria. The average efficiency was 8.11%, from which the total efficient cases detected (>0.70) were 11 (0.9% of the sample). Later, the cases studied were classified into three groups, depending on the estimated efficiency: Group 1 (≤ 0.4 efficiency); Group 2 (>0.4-≤0.7 efficiency); and Group 3 (>0.7 efficiency). A comparison produced several statistical differences (P<0.01) for variables total milk production/year on the farm, total field laborers, farm size, total cows, total cattle heads, calvings, pregnant cows, and served cows.The aim of this paper was to estimate the efficiency of milk production of 1 168 cases in Ecuadoran Sierra Sur Andina, with the implementation of a neural network model with multilayer perceptrons. These cases were collected from secondary samples provided by the Official Institute of National Statistics of Ecuador, in 2016. The variables chosen for the model were total milk production on the previous day (P), as dependent variable, and total cattle heads (CH), total laborers in the field (E), and total area attended by laborer (S), as independent variables. The data from individual cases and their impact on the dependent variable were used as the variable selection criteria. The average efficiency was 8.11%, from which the total efficient cases detected (>0.70) were 11 (0.9% of the sample). Later, the cases studied were classified into three groups, depending on the estimated efficiency: Group 1 (≤ 0.4 efficiency); Group 2 (>0.4-≤0.7 efficiency); and Group 3 (>0.7 efficiency). A comparison produced several statistical differences (P<0.01) for variables total milk production/year on the farm, total field laborers, farm size, total cows, total cattle heads, calvings, pregnant cows, and served cows

Significado pronóstico y evolución a largo plazo de la frecuencia cardiaca en los pacientes con trasplante cardiaco

[Abstract] Introduction and objectives. The aim of the present study was to examine the prognostic significance of heart rate and its trend in heart transplantation. Methods. This observational study enrolled 170 patients who received a bicaval heart transplant between 1995 and 2005; all were in sinus rhythm. The resting heart rate was determined via electrocardiography at the end of the first posttransplant year and annually until the tenth year. Cox analysis was used to evaluate the incidence of adverse events with a mean (standard deviation) follow-up of 8.9 (3.1) years. The primary study end point was the composite outcome of death or graft dysfunction. Results. The resting heart rate at the end of the first posttransplant year was an independent predictor of the primary composite end point (hazard ratio = 1.054; 95% confidence interval, 1.028-1.080; P < .001) and was significantly associated with total mortality (hazard ratio = 1.058; 95% confidence interval, 1.030-1.087; P < .001) and mortality from cardiac causes (hazard ratio = 1.069; 95% confidence interval, 1.026-1.113; P = .001), but not with graft dysfunction (hazard ratio = 1.028; 95% confidence interval, 0.989-1.069; P = .161). For patients with a heart rate ≥ 105 or < 90 bpm vs those with 90-104 bpm, the hazard ratios of the primary end point were 2.233 (95% confidence interval, 1.250-3.989; P = .007) and 0.380 (95% confidence interval, 0.161-0.895; P = .027), respectively. Heart rate tended to decrease in the first 10 years after transplantation (P = .001). Patients with a net increase in heart rate during follow-up showed a higher incidence of adverse events. Conclusions. An elevated heart rate is an adverse prognostic marker after heart transplantation.[Resumen] Introducción y objetivos. Estudiar la evolución y el significado pronóstico de la frecuencia cardiaca tras el trasplante cardiaco. Métodos. Estudio observacional de 170 pacientes que recibieron un trasplante cardiaco bicavo entre 1995 y 2005; todos estaban en ritmo sinusal. La frecuencia cardiaca en reposo se determinó a partir de electrocardiogramas al final del primer año tras el trasplante y anualmente hasta el décimo año. Mediante análisis de Cox, se evaluó la incidencia de eventos adversos en un seguimiento medio de 8,9 ± 3,1 años. El evento principal del estudio fue la variable combinada muerte o disfunción del injerto. Resultados. La frecuencia cardiaca en reposo, medida al final del primer año tras el trasplante, fue un predictor independiente del evento combinado principal (hazard ratio = 1,054; intervalo de confianza del 95%, 1,028-1,080; p < 0,001). Se observó una asociación estadísticamente significativa con la mortalidad total (hazard ratio = 1,058; intervalo de confianza del 95%, 1,030-1,087; p < 0,001) y con la mortalidad por causas cardiacas (hazard ratio = 1,069; intervalo de confianza del 95%, 1,026-1,113; p = 0,001), pero no con la disfunción del injerto (hazard ratio = 1,028; intervalo de confianza del 95%, 0,989-1,069; p = 0,161). Para los pacientes con frecuencia cardiaca ≥ 105 y < 90 lpm frente a aquellos con 90-104 lpm, las hazard ratio del evento principal fueron, respectivamente, 2,233 (intervalo de confianza del 95%, 1,250-3,989, p = 0,007) y 0,380 (intervalo de confianza del 95%, 0,161-0,895; p = 0,027). Este parámetro presentó una tendencia decreciente en los primeros 10 años del trasplante (p = 0,001). Los pacientes con incremento neto de frecuencia cardiaca en el seguimiento mostraron mayor incidencia de eventos adversos. Conclusiones. La frecuencia cardiaca elevada es un marcador pronóstico adverso tras el trasplante cardiaco

Effects of Supplementation with Microminerals on Production Indicators and Blood, Feces, and Urine Traces of Grazing Alpaca (Lama lama)

To analyze the effect of additional microminerals in the diet supplement on weight and diameter of alpaca fiber, the application of three doses of selenium and zinc (0.0; 1.0; and 1.5 cc) on the diet, on CRD factorial arrangement (3 x 2) + (3 x 2), was assessed. The results showed statistically significant differencences for treatments: selenium doses, ages, zinc doses, and for zinc interaction by ages (Se1E2 with 74.33 kg at 90 days, for height at the withers, Zn1E2, averaging 91.33 cm). Fiber length for treatments Se1E1 and Se1E2 averaged 3 cm. For fiber diameter, treatments 1 (Se0E1) and Se1E1, group 1, and treatments Zn0E2 and Zn1E1, group 2, showed the best fiber quality (P &lt; 0.05), averaging 28 microns. Live weight and fiber quality from mature animals based on supplementation with Se and Zn had beneficial effects, which improved phenotypical features of production, like live weight, though residues were found in 3-5 year old animals

Reduced mitochondrial pyruvate carrier expression in hearts with heart failure and reduced ejection fraction patients: ischemic vs. non-ischemic origin

[Abstract] Introduction and objectives: Mitochondrial pyruvate carrier (MPC) mediates the entry of pyruvate into mitochondria, determining whether pyruvate is incorporated into the Krebs cycle or metabolized in the cytosol. In heart failure (HF), a large amount of pyruvate is metabolized to lactate in the cytosol rather than being oxidized inside the mitochondria. Thus, MPC activity or expression might play a key role in the fate of pyruvate during HF. The purpose of this work was to study the levels of the two subunits of this carrier, named MPC1 and MPC2, in human hearts with HF of different etiologies. Methods: Protein and mRNA expression analyses were conducted in cardiac tissues from three donor groups: patients with HF with reduced ejection fraction (HFrEF) with ischemic cardiomyopathy (ICM) or idiopathic dilated cardiomyopathy (IDC), and donors without cardiac pathology (Control). MPC2 plasma levels were determined by ELISA. Results: Significant reductions in the levels of MPC1, MPC2, and Sirtuin 3 (SIRT3) were observed in ICM patients compared with the levels in the Control group. However, no statistically significant differences were revealed in the analysis of MPC1 and MPC2 gene expression among the groups. Interestingly, Pyruvate dehydrogenase complex (PDH) subunits expression were increased in the ICM patients. In the case of IDC patients, a significant decrease in MPC1 was observed only when compared with the Control group. Notably, plasma MPC2 levels were found to be elevated in both disease groups compared with that in the Control group. Conclusion: Decreases in MPC1 and/or MPC2 levels were detected in the cardiac tissues of HFrEF patients, with ischemic or idiopatic origen, indicating a potential reduction in mitochondrial pyruvate uptake in the heart, which could be linked to unfavorable clinical features

Vaccinate fast but leave no one behind: a call to action for COVID-19 vaccination in Spain

During the first five months of 2021, Spains COVID-19 vaccination campaign progressed slowly and failed to reach marginalised populations. Here, we discuss how, despite recent improvements, it remains important to further engage key stakeholders to ensure nobody is left behind

In-hospital postoperative infection after heart transplantation: risk factors and development of a novel predictive score

[Abstract] Introduction: Infection is one of the most significant complications following heart transplantation (HT). The aim of this study was to identify specific risk factors for early postoperative infections in HT recipients, and to develop a multivariable predictive model to identify HT recipients at high risk. Methods: A single-center, observational, and retrospective study was conducted. The dependent variable was in-hospital postoperative infection. We examined demographic and epidemiological data from donors and recipients, surgical features, and adverse postoperative events as independent variables. Backwards, stepwise multivariable logistic regression with a P-value < 0.05 was used to identify clinical factors independently associated with the risk of in-hospital postoperative infections following HT. Results: Six hundred seventy-seven patients were included in this study. During the in-hospital postoperative period, 348 episodes of infection were diagnosed in 239 (35.9%) patients. Seven variables were identified as independent clinical predictors of early postoperative infection after HT: history of diabetes mellitus, previous sternotomy, preoperative mechanical ventilation, primary graft failure, major surgical bleeding, use of mycophenolate mofetil, and use of itraconazole. Based on the results of multivariable models, we constructed a 7-variable (8-point) score to predict the risk of in-hospital postoperative infection in HT recipients, which showed a reasonable ability to predict the risk of in-hospital postoperative infection in this population. Prospective external validation of this new score is warranted to confirm its clinical applicability. Conclusions: In-hospital postoperative infection is a common complication after HT, affecting 35% of patients who underwent this procedure at our institution. Diabetes mellitus, previous sternotomy, preoperative mechanical ventilation, primary graft failure, major surgical bleeding, use of mycophenolate mofetil, and itraconazole were all independent clinical predictors of early postoperative infection after HT