Asociación de enfermedad celíaca y enfermedad inflamatoria intestinal en el área sanitaria del Hospital Infanta Sofía (Madrid)

Tesis doctoral inédita leída en la Universidad Autónoma de Madrid, Facultad de Medicina, Departamento de Medicina. Fecha de lectura: 19-05-2016Esta tesis tiene embargado el acceso al texto completo hasta el 19-11-201

The toarcian oceanic anoxic event (Early Jurassic) in the Neuquén Basin, Argentina: A reassessment of age and carbon isotope stratigraphy

The Toarcian oceanic anoxic event (T-OAE) is recorded by the presence of globally distributed marine organic carbon– rich black shales and a negative carbon isotope shift, with δ13Corg values as low as -33‰, interrupting an overarching positive excursion. Here we present new biostratigraphic data and high-resolution δ13Corg data from two Southern Hemisphere localities: Arroyo Serrucho in the north and Arroyo Lapa in the south of the Neuquén Basin, Argentina. Previous studies at these localities aimed to provide an accurate numerical age for the T-OAE and characterization of its carbon isotope stratigraphy. The new carbon isotope data and ammonite biostratigraphy presented here from Arroyo Serrucho show the T-OAE to be recorded lower in the section than supposed by previous authors, thus calling into question the published age of the T-OAE in this section. A newly investigated exposure at Arroyo Lapa North shows a complex carbon isotope record with at least three high-amplitude fluctuations in the hoelderi zone (equivalent to the serpentinum zone in northwestern Europe), with δ13Corg values of <-28‰, and two intervening positive isotope excursions, with δ13Corg values around -24‰. At Arroyo Lapa South, the characteristic major stepped negative carbon isotope excursion is recorded, with δ13Corg values of <-30‰ and total organic-carbon contents increasing to 11%; above this level an erosional surface of a submarine channel truncates the section. These new data are globally correlative and unambiguously illustrate the global reach of the T-OAE.Fil: Al Suwaidi, Aisha H.. Petroleum Institute University; Emiratos Árabes UnidosFil: Hesselbo, Stephen P.. University of Exeter; Reino UnidoFil: Damborenea, Susana Ester. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. División Paleozoología Invertebrados; ArgentinaFil: Manceñido, Miguel Oscar. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. División Paleozoología Invertebrados; ArgentinaFil: Jenkyns, Hugh C.. University of Oxford; Reino UnidoFil: Riccardi, Alberto Carlos. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaFil: Angelozzi, Gladys Noemí. YPF - Tecnología; ArgentinaFil: Baudin, François. Université Pierre et Marie Curie; Franci

Should inflammatory bowel disease clinicians provide their patients with e-Health resources?: patients' and professionals' perspectives

[Abstract] Introduction: The internet is emerging as a source of information for patients with inflammatory bowel disease (IBD). However, it is not always reliable and may cause anxiety. We aim to assess patients' information habits and patients' and professionals' perceptions of a national website integrated as an educational resource for the IBD unit. Methods: Patients aged 18-65 years, comfortable with the internet, and attending follow-ups at participating IBD units (March-June 2019) and their professionals were invited to evaluate a recommended website through an online survey. Results: Three hundred eighty-nine patients and 95 professionals completed the survey. The internet (n = 109; 27.4%) was the second preferred source of information after the health care team (n = 229; 57.5%). Eighty percent of patients searched the internet for information on their disease and 28.6% did so at least once a week (n = 114), especially newly diagnosed ones (<2 years). Patients valued a website recommended by their professional (n = 379; 95.2%) and endorsed by the National Working Group (n = 377; 94.7%). They would attend online educational initiatives on the website (n = 279; 70.1%) and complete periodical surveys to improve its usefulness (n = 338; 84.9%). According to IBD professionals, this type of website is the best patient source of supplementary information (n = 76; 80%) and they "prescribe" it to most patients (67.0 ± 25.2%), especially the newly diagnosed patients (52.7 ± 26.5%). It effectively integrates routine face-to-face education (n = 95; 100%). Conclusions: Patients of IBD units, especially newly diagnosed ones, appreciate a trusted e-Health resource to back up professional information. The favorable opinion of patients and professionals will allow its use in training interventions

Immigrant IBD Patients in Spain Are Younger, Have More Extraintestinal Manifestations and Use More Biologics Than Native Patients

BackgroundPrevious studies comparing immigrant ethnic groups and native patients with IBD have yielded clinical and phenotypic differences. To date, no study has focused on the immigrant IBD population in Spain. MethodsProspective, observational, multicenter study comparing cohorts of IBD patients from ENEIDA-registry who were born outside Spain with a cohort of native patients. ResultsWe included 13,524 patients (1,864 immigrant and 11,660 native). The immigrants were younger (45 +/- 12 vs. 54 +/- 16 years, p < 0.001), had been diagnosed younger (31 +/- 12 vs. 36 +/- 15 years, p < 0.001), and had a shorter disease duration (14 +/- 7 vs. 18 +/- 8 years, p < 0.001) than native patients. Family history of IBD (9 vs. 14%, p < 0.001) and smoking (30 vs. 40%, p < 0.001) were more frequent among native patients. The most prevalent ethnic groups among immigrants were Caucasian (41.5%), followed by Latin American (30.8%), Arab (18.3%), and Asian (6.7%). Extraintestinal manifestations, mainly musculoskeletal affections, were more frequent in immigrants (19 vs. 11%, p < 0.001). Use of biologics, mainly anti-TNF, was greater in immigrants (36 vs. 29%, p < 0.001). The risk of having extraintestinal manifestations [OR: 2.23 (1.92-2.58, p < 0.001)] and using biologics [OR: 1.13 (1.0-1.26, p = 0.042)] was independently associated with immigrant status in the multivariate analyses. ConclusionsCompared with native-born patients, first-generation-immigrant IBD patients in Spain were younger at disease onset and showed an increased risk of having extraintestinal manifestations and using biologics. Our study suggests a featured phenotype of immigrant IBD patients in Spain, and constitutes a new landmark in the epidemiological characterization of immigrant IBD populations in Southern Europe

Risk Factors for COVID-19 in Inflammatory Bowel Disease: A National, ENEIDA-Based Case–Control Study (COVID-19-EII)

(1) Scant information is available concerning the characteristics that may favour the acquisition of COVID-19 in patients with inflammatory bowel disease (IBD). Therefore, the aim of this study was to assess these differences between infected and noninfected patients with IBD. (2) This nationwide case-control study evaluated patients with inflammatory bowel disease with COVID-19 (cases) and without COVID-19 (controls) during the period March-July 2020 included in the ENEIDA of GETECCU. (3) A total of 496 cases and 964 controls from 73 Spanish centres were included. No differences were found in the basal characteristics between cases and controls. Cases had higher comorbidity Charlson scores (24% vs. 19%; p = 0.02) and occupational risk (28% vs. 10.5%; p < 0.0001) more frequently than did controls. Lockdown was the only protective measure against COVID-19 (50% vs. 70%; p < 0.0001). No differences were found in the use of systemic steroids, immunosuppressants or biologics between cases and controls. Cases were more often treated with 5-aminosalicylates (42% vs. 34%; p = 0.003). Having a moderate Charlson score (OR: 2.7; 95%CI: 1.3-5.9), occupational risk (OR: 2.9; 95%CI: 1.8-4.4) and the use of 5-aminosalicylates (OR: 1.7; 95%CI: 1.2-2.5) were factors for COVID-19. The strict lockdown was the only protective factor (OR: 0.1; 95%CI: 0.09-0.2). (4) Comorbidities and occupational exposure are the most relevant factors for COVID-19 in patients with IBD. The risk of COVID-19 seems not to be increased by immunosuppressants or biologics, with a potential effect of 5-aminosalicylates, which should be investigated further and interpreted with caution

Polifenoles y colitis ulcerosa: Un estudio exploratorio de los efectos del consumo moderado de vino tinto en el microbioma intestinal y oral en pacientes en fase activa

Resumen del trabajo presentado a la 15ª Reunión de la Red Española de Bacterias Lácticas: Bacterias Lácticas en Alimentación y Salud. Valencia, 26 y 27 de mayo de 2022.Proyectos AGL2015-64522-C2-R y PID2019-108851RB-C21 (Ministerio de Ciencia e Innovación), y ALIBIRD-CM 2020 P2018/BAA-4343 (Comunidad de Madrid).Peer reviewe