Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Molecular characteristics of permanganate- and dichromate-oxidation-resistant soil organic matter from a black-C-rich colluvial soil

16 páginas.-- 3 figuras.-- 3 tablas.-- 85 referenciasSamples from a colluvial soil rich in pyrogenic material (black C, BC) in north-west Spain were subjected to K2Cr2O7 and KMnO4 oxidation and the residual soil organic matter (SOM) was NaOH-extracted and analysed using analytical pyrolysis-gas chromatography-mass spectroscopy (Py-GC/MS) and solid-state 13C cross-polarisation magic angle spinning-nuclear magnetic resonance (13C CP MAS-NMR) in order to study the susceptibility of different SOM fractions (fresh, degraded/microbial, BC and aliphatic) towards these oxidising agents. Untreated samples that were NaOH-extracted were also analysed. The Py-GC/MS and 13C NMR indicated that KMnO4 promotes the oxidation of carbohydrate products, mostly from degraded/microbial SOM and lignocellulose, causing a relative enrichment of aliphatic and aromatic structures. Residual SOM after K2Cr2O7 oxidation contained BC, N-containing BC and aliphatic structures. This was corroborated by a relatively intense resonance of aromatic C and some signal of alkyl C in 13C NMR spectra. These results confirm that dichromate oxidation residues contain a non-pyrogenic fraction mainly consisting of aliphatic structures.The contribution of M. Camps-Arbestain to this research was funded by MAF and NZAGRC.Peer reviewe

Biochar determination in soils by applying pyrolysis GC-MS analysis and Black Carbon (BC) concentration trough dichromate and permanganate oxidation

Resumen de la Comunicación presentada en el Goldschmidt2013 Conference Abstracts. Biochar Interactions with Soil, Plant and Water – Processes and Fate, Florencia (Italia) 2013Distinguishing pyrogenic and non-pyrogenic SOM components is a difficult task as non-selective pyrolysis products such as MAHs, PAHs and phenols can derive from multiple sources. However, black carbon (BC) may contribute significantly to the MAHs and PAHs in a given pyrolysate, especially if BC is more abundant than alternative sources. In this study, samples from a soil rich in pyrogenic material in NW Spain were subjected to K2Cr2O7 and KMnO4 oxidation and the residual SOM was NaOH-extracted and analyzed using analytical Py-GC-MS in order to study the susceptibility of different SOM fractions (fresh, degraded/microbial, aliphatic and specially BC) towards this oxidation agent. Besides solid-state 13C CP MAS-NMR was also performed to support theses results. Non-oxidized samples following the same NaOH-extraction procedure were also analyzed. From Py-GC-MS, residual SOM after K2Cr2O7 oxidation contained BC, N-containing BC (BN) and aliphatic structures whilst carbohydrate products and lignocellulose were completely oxidized. This was corroborated by a relatively intense resonance of aromatic C and some signal of alkyl C (supporting the presence of a non-pyrogenic fraction mainly consisting of aliphatic structures) in 13C NMR spectra. Thus K2Cr2O7 effectively concentrates MAHs, PAHs and BN derived from BC. For KMnO4, both techniques indicated that this reagent promotes the oxidation of carbohydrate products, mostly from degraded/microbial SOM but slightly oxidized lignocellulose and aromatic structures (pyrogenic and nonpyrogenic) not providing a good assessment of the BC signal.Peer Reviewe

Comparing NaOH-extractable organic matter of acid forest soils that differ in their pedogenic trends: A pyrolysis-GC/MS study

Soil organic matter (SOM) in Alu-andic Andosols and Alu-humic Umbrisols is believed to accumulate because of the protection caused by binding to aluminium (Al). We investigated soils that differed in the abundance of organo-Al complexes to determine the effect of such binding on SOM chemistry. For this, the surface horizons of three types of acid soils in the Basque Country (northern Spain) under forest stands were studied: (i) Alu-andic Andosols (AND soils) on basalts and trachytes, (ii) Umbrisols or so-called 'aluminic'(ALU) soils also on basalts and trachytes and (iii) soils with a podzolizing trend (POD), on quartzites. Values of Al extractable with sodium pyrophosphate (Alp) in the surface horizons of these soils ranged between 8.5 and 13.1, 1.9 and 9.3, and 0.8 and 3.7 g kg-1 dry weight, for the AND, ALU and POD soils respectively. For POD and ALU soils, surface horizons were sampled at two depths, 0-5 and 5-20 cm, whereas the AND soils were sampled at different depths down to the B horizon. NaOH-extractable SOM from three AND soils, 12 ALU soils and 12 POD soils was studied by pyrolysis-gas chromatography/mass spectrometry. The POD soils had the largest loads of plant-derived markers (lignin, long-chain alkanes and alkenes, methyl ketones, fatty acids); SOM of the AND soils had the smallest amounts of plant-derived SOM and the largest amounts of microbial products (microbial sugars and N-compounds) of the soils studied. ALU soils had an intermediate pattern, as expected. The results indicate that the SOM of Alu-andic Andosols, developed from basalt and trachyte rocks, is essentially dissimilar to that of soils derived from quartz-rich parent material, under the same climate conditions and similar forest stands. The dominance of secondary (microbial-derived) SOM in Alu-andic Andosols, also observed in previous research on Sil-andic Andosols (these are dominated by short-range ordered Si compounds in contrast to the dominance of organo-Al complexes in Alu-andic Andosols), reveals the small contribution of primary (plant-derived) material to SOM in soils with andic properties. © 2011 The Authors. Journal compilation © 2011 British Society of Soil Science.M.S.A.’s period at Wageningen University was funded by INIA, Instituto Nacional de Investigación y Tecnología Agraria y Alimentación (proyecto SUM2006-0013.00.00). N.G.B. was funded by the same Project.Peer Reviewe

[Correspondencia de Camilo Díaz Baliño] , 1917-1936

Mss. (algúns en fotocopia) autógrafo e mecanografiadoResumen: Correspondencia recibida por Camilo Díaz Baliño entre os anos 1917-1936 relacionada con asuntos persoais e laboraisBiblioteca de GaliciaForma de ingreso: Depósito. Fuente de ingreso: Díaz Pardo, Isaac. Fecha de ingreso: 2011. Propietario: Herdeiros de Isaac Díaz PardoDixitalización Telefónica-IDP 2012Contén : Cartas de: Manuel Abelenda (1 páx.) -- Cesar Alvarez (1 páx.) -- Carlos Amigo Collía (2 páxs.) -- Banco Hispano-Americano (2 páxs.) -- Alfonso Barreiro (3 páxs.) -- Eliseo Barros Gamallo (1 páx.),(2 páxs.) -- Ramón Beade (2 páxs.) -- Benito(2 páxs.) -- Fernando Blanco(1 páx.) -- José Bouzas y Cardama (1 páx.) -- Albino Bouzó Fernández (1 páx.),(2 páxs) -- José Cabada Vázquez (4 páxs.),(1 páx.),(1 páx.) --Salvador Cabeza (1 páx.) -- Antonio Carballa (1 páx.) -- Leandro y Euxenio Carré (2 páxs.) -- V. Carro (1 páx.) -- Santiago Casares (1 páx.) -- Alvaro Cebreiro (2 páxs.) -- Centro Gallego de Buenos Aires (1 páx.),(1 páx.) -- Compostela (2 páxs.) -- Manolo: Continental (2 páxs.) -- Coral de Ruada (1 páx.),(2 páxs.) -- Amando Cotarelo(1 páx.),(1 páx.) -- Eduardo Dorado Xaneiro (8 páx.) -- Círculo Mercantil e Idustrial: Ramón Fernández (1 páx.) --Virgilio Fernández(3 páxs.) -- Ramón Fernández Mato (2 páxs.) -- B. Ferreiro(1 páx.) -- Jenaro de la Fuente (1 páx.) -- Isaac Fraga: Espéctaculos Empresa Fraga (1 páx.),(1 páx.) -- Antonio Folgar Lema(1 páx.)--Alicio Garcitoral (1 páx.) -- Cándido González Raño (1 páx.) -- Daniel González Rodriguez (2 páxs.),(2 páxs.) -- Edurardo G.del Río (1 páx.) -- Hermanos Hernández (2 páxs.),(1 páx.),(1 páx.),(1 páx.) -- José Iglesias Sánchez (2 páxs.) -- Irmandades da Fala (1 páx.) -- José Silva? (2 páxs.) -- Arturo Longa (1 páx.) -- Casimiro López (1 páx.) -- Edmundo López (1 páx.),(1 páx.) -- Eduardo R. Losada y Rebellón (2 páx.) -- Carlos Maside (1 páx.) -- Enrique Mayer (1 páx.) -- Antonio Méndez Laserna (1 páx.) -- Anselmo Padín (1 páx.) -- Xavier Pardo (1 páx.) -- Partido Republicano Radical Socialista (1 páx.) -- Pérez Bustamante (1 páx.) -- Modesto Piñeiro (2 páxs.) -- Salustiano Portela (2 páxs.) -- José Seijo Rubio (2 páxs.) -- Suarez Picallo (2 páxs.) -- Luis Losada (1 páx), (1 páx.) -- Ricardo Valdés (2 páxs.),(2 páxs.),(2 páxs.),(1 páx.) -- A.Nilo Varela (1 páx.),(2 páxs.),(2 páxs.) -- Juan Varela de Limia (1 páx.) -- Victorino? Varela (1 páx.) -- Jesús Varela (3 páxs.) -- F.Vázquez Suarez (1 páx.) -- Santiago Vidal Gimeno (1 páx.) -- Pedro Vieitez (1 páx.) -- M. Villar (2 páxs.) -- Anónima (1 páx.) -- Anónima (1 páx.