The microbiota-gut-brain axis: from dysbiosis to neurodegenerative disease

Treballs Finals de Grau de Farmàcia, Facultat de Farmàcia i Ciències de l'Alimentació, Universitat de Barcelona, 2022. Tutor/a: Raquel Martín VenegasThe relation between the gut and the brain has been discussed for years, but the concept of gut microbiota (GM) has not been linked for so long. Having suggested its involvement in neurodegenerative disorders, this literature review aims to summarise the current knowledge on the possible bidirectional pathways that could explain it, while discussing the composition and alterations of the GM and the main pathological features that characterise neurodegeneration. It also presents the existing scientific evidence on the use of GM as a therapeutic target, accompanied by a systematic review-meta-analysis that evaluates the indication of one of the possible interventions: the faecal microbiota transplantation (FMT). GM is made up of the trillions of microorganisms in the gut, mostly bacteria, which interact dynamically with the host, contributing to both health and disease. These, through neural, endocrine and immune pathways, based on mechanisms that require further research, can modify the gut-brain axis promoting neurodegenerative processes such as neuroinflammation, protein misfolding and loss of integrity of the intestinal and blood-brain barriers, thus facilitating the passage of components derived from a deregulated GM that has been characterised in Alzheimer's and Parkinson's patients. Although more studies are needed, the promising results obtained in animal and more limited human trials, using GM modulating interventions such as oral bacteriotherapy or FMT, give hope for the cure and early detection of these increasingly prevalent diseases

Gestión ambiental en instalaciones náutico-recreativas

La calidad ambiental es un factor de competitividad relevante para los destinos costeros mediterráneos. Las instalaciones náutico-recreativas ocupan un papel destacado en los espacios costeros, tanto por su función en la diversificación del modelo productivo de "Sol y Playa" como por su responsabilidad en la conservación del medio marino y litoral. En el presente estudio se realiza un breve análisis de los instrumentos que los puertos deportivos disponen para garantizar un estado aceptable en las condiciones ambientales de sus instalaciones. Se pretende asimismo mostrar la situación actual en la que se encuentran los puertos deportivos de las costas andaluza, murciana y valenciana

Modelo de escuelas evolutivas para campos de refugiados y desplazados en el Sahel

La Fundación Entreculturas, en línea con sus actividades para el desarrollo integral de los sectores desfavorecidos en África, ha elaborado un proyecto en consorcio con JRS (Servicio Jesuita al Refugiado) con el objetivo de “garantizar el acceso a una educación primaria de calidad para la población retornada y las comunidades reintegradas en zonas de acogida en el Este de Chad”. Este proyecto tratará de intervenir en las condiciones educativas tratando la problemática de una manera global: a través de la formación de docentes, la promoción comunitaria, la reducción de la pobreza, la equidad de género y la construcción de infraestructuras. La presente propuesta trata de responder a este último punto, planteando una solución técnica adecuada y pertinente desde el punto de vista del producto y del proceso. Con el documento se pretende aportar una serie de soluciones constructivas que puedan ser utilizadas tanto en los contextos específicos de este proyecto como en otros con características similares, de manera que se contribuya a una estandarización de los procesos y soluciones garantizando la calidad, seguridad, economía, rapidez y control en este tipo de situaciones de emergencia, en los que el tiempo de planificación y ejecución es limitado

Effects of temporal bias on the assessment of an ecological perturbation: a case study of the Prestige oil spill

The impacts of unpredictable ecological perturbations are often assessed via measurements of environmental change only after the event has occurred. Temporal series of satellite images provide a cost-effective way to gather information before ecological perturbations occur. However, in previous studies, the disturbances have neither been always centred in time in the series of the focal environmental variable nor has the relevance of the temporal coverage been explicitly tested through factorial designs. In this study, we manipulated the temporal coverage and the position of the disturbance event in the temporal series to examine whether and how the assessment is affected. Specifically, we tested the effect of the Prestige oil spill on monthly sea chlorophyll concentration and net primary productivity along the north-western Spanish coast. We designed planned comparisons through factorial analyses to test two alternative hypotheses: (1) the spill has negative consequences on phytoplankton activity and/or abundance due to physiological constraints or (2) it has positive consequences on phytoplankton abundance as a result of changes in biotic interactions. The relevance of the statistical effects was critically dependent on the temporal coverage and the position of the spill event in the temporal series. Short periods (three years) were insufficient to cover the range of variability even if the disturbance was centred in the time series. Similarly, results from longer time series (up to eight years) in which the event was temporally biased (at the beginning of the time series) also differed from those that were centred in the entire time window. Temporal series for the study of ecological impacts should be as long as necessary to encompass the temporal variability of the study systems (up to nine years in our study case), and the disturbance event should be centred in the time series to reduce potential spurious effects of temporal autocorrelation. However, our results revealed that each one of these requirements alone was not sufficient to encompass all of the natural variability, and thus both requirements should be met. For impact assessments we encourage the use of unbiased satellite data series to complement in situ measurements.PA was supported by a 'Ramón y Cajal' contract (RYC-2011-07670) and by the project CGL2014-56416-P, and DS-F by a 'Juan de la Cierva' contract (JCI-2011-10529), all from the Spanish Ministry of Economy and Competitiveness. SV was supported by a postdoctoral contract from the Universidad de Alcalá.Peer reviewe

INTERGROWTH-21st versus a customized method for the prediction of neonatal nutritional status in hypertensive disorders of pregnancy

Background Hypertensive disorders of pregnancy (HDP) generate complications and are one of the principal causes of maternal, foetal, and neonatal mortality worldwide. It has been observed that in pregnancies with HDP, the incidence of foetuses small for their gestational age (SGA) is twice as high as that in noncomplicated pregnancies. In women with HDP, the identification of foetuses (SGA) is substantially important, as management and follow-up are determined by this information. Objective The objective of this study was to evaluate whether the INTERGROWTH-21st method or customized birthweight references better identify newborns with an abnormal nutritional status resulting from HDP. Method A comparative analysis study was designed with two diagnostic methods for the prediction of neonatal nutritional status in pregnancies with HDP. The performance of both methods in identifying neonatal malnutrition (defined by a neonatal body mass index < 10(th) centile or a ponderal index < 10(th) centile) was assessed by calculating sensitivity, specificity, positive predictive value, negative predictive value, diagnostic odds ratio, Youden's index and probability ratios. Results The study included 226 pregnant women diagnosed with HDP. The customized method identified 45 foetuses as small for gestational age (19.9%), while the INTERGROWTH-21st method identified 27 newborns with SGA (11.9%). The difference between proportions was statistically significant (p < 0.01). Using body mass index (< 10(th) centile) as a measure of nutritional status, newborns identified as SGA by the customized method showed a higher risk of malnutrition than those identified as SGA by INTERGROWTH-21st (RR: 4.87 (95% CI: 1.86-12.77) vs. 3.75 (95% CI: 1.49-9.43)) (DOR: 5.56 (95% CI: 1.82-16.98) vs. 4.84 (95% CI: 1.51-15.54)) Even when using Ponderal index (< 10(th) centile), newborns identified as SGA by the customized method showed a higher risk of malnutrition than those identified as SGA by INTERGROWTH-21st (RR 2.37 (95% CI: 1.11-5.05) vs. 1.68 (95% CI: 0.70-4.03))(DOR 2.62 (95% CI: 1.00-6.87) vs. 1.90 (95% CI: 0.61-5.92)). Conclusion In pregnant women with HDP, the predictive ability of the customized foetal growth curves to identify neonatal malnutrition appears to surpass that of INTERGROWTH-21st

Funcionamiento familiar en adolescentes en riesgo de suicidio con rasgos de personalidad límite: un estudio exploratorio

La alta prevalencia de suicidio en población adolescente en todo el mundo supone un reto mundial en salud mental. El ambiente familiar ha sido señalado como una importante variable implicada en el riesgo de suicidio de los adolescentes, ejerciendo tanto de factor de riesgo como protector. El estudio tiene como objetivo entender qué variables del funcionamiento familiar de la Escala de Clima Social en la Familia se relacionan con la puntuación de la Escala de Ideación Suicida de Beck en una muestra 37 adolescentes entre 14 y 18 años (M = 15.76; DT = 1.07) con rasgos de personalidad límite. Se partió de la hipótesis de que peores niveles de funcionamiento familiar aumentarían el riesgo de suicidio. Los resultados mostraron que la ideación suicida era mayor cuando las puntuaciones en la escala Relaciones (calidad de la comunicación e interacción) en la familia eran menores. Al analizar cada escala, se demostró la importancia específica de la subescala Expresividad, referida al grado de expresión libre de los sentimientos en la familia de forma que, a menor expresividad en la familia, mayor ideación suicida presentaban los adolescentes, y la subescala Social-Recreativa, referida a la participación social y en actividades de ocio de la familia, de modo que a mayor participación social, menor riesgo suicida. Estos resultados son apoyados por otros estudios que demuestran la importancia de modificar el entorno familiar para influir en el riesgo suicida de los adolescentes. El valor de estos datos implica la consideración de incluir a las familias en los programas de tratamiento para adolescentes suicidas.Family functioning in suicidal adolescents with borderline personality traits. High prevalence of suicide in adolescent population all over the world is considered a world challenge in mental health. Family environment has been pointed as an important factor involved in adolescents’ suicide risk, playing a role not only as a risk factor but also as protective. This study has its goal on understanding which factors of the family functioning, measured by the Social Environment in the Family Scale, are related to the total score of the Beck Suicide Ideation Scale in a sample of 37 adolescents with ages between 14 and 17 years old (M = 15.76; SD = 1.06) borderline personality traits. It was hypothesized that worse levels of family functioning will increase suicide risk in adolescents. Results showed that the risk of suicide was higher when the Relationships Scale total score (quality of communication and interaction in the family) was lower. After analyzing each subscale separately, it was demonstrated the specific relevance of Expressivity Subscale, referred to the level of free expression of feelings in the family, suggesting that the lower expressivity in the family, the higher suicide ideation showed by the adolescents, and Social-Recreative, referred to the social participation and leisure of the family, what means the more social participation, the less suicide ideation. These results are supported by other studies that show the relevance of modifying the family environment for reducing the suicidal risk among adolescents. The value of this data involves taking into account the families in the treatment programs for suicidal adolescents

The Fourteenth Data Release of the Sloan Digital Sky Survey: First Spectroscopic Data from the extended Baryon Oscillation Spectroscopic Survey and from the second phase of the Apache Point Observatory Galactic Evolution Experiment

The fourth generation of the Sloan Digital Sky Survey (SDSS-IV) has been in operation since July 2014. This paper describes the second data release from this phase, and the fourteenth from SDSS overall (making this, Data Release Fourteen or DR14). This release makes public data taken by SDSS-IV in its first two years of operation (July 2014-2016). Like all previous SDSS releases, DR14 is cumulative, including the most recent reductions and calibrations of all data taken by SDSS since the first phase began operations in 2000. New in DR14 is the first public release of data from the extended Baryon Oscillation Spectroscopic Survey (eBOSS); the first data from the second phase of the Apache Point Observatory (APO) Galactic Evolution Experiment (APOGEE-2), including stellar parameter estimates from an innovative data driven machine learning algorithm known as "The Cannon"; and almost twice as many data cubes from the Mapping Nearby Galaxies at APO (MaNGA) survey as were in the previous release (N = 2812 in total). This paper describes the location and format of the publicly available data from SDSS-IV surveys. We provide references to the important technical papers describing how these data have been taken (both targeting and observation details) and processed for scientific use. The SDSS website (www.sdss.org) has been updated for this release, and provides links to data downloads, as well as tutorials and examples of data use. SDSS-IV is planning to continue to collect astronomical data until 2020, and will be followed by SDSS-V.Comment: SDSS-IV collaboration alphabetical author data release paper. DR14 happened on 31st July 2017. 19 pages, 5 figures. Accepted by ApJS on 28th Nov 2017 (this is the "post-print" and "post-proofs" version; minor corrections only from v1, and most of errors found in proofs corrected

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

Sloan Digital Sky Survey IV: mapping the Milky Way, nearby galaxies, and the distant universe

We describe the Sloan Digital Sky Survey IV (SDSS-IV), a project encompassing three major spectroscopic programs. The Apache Point Observatory Galactic Evolution Experiment 2 (APOGEE-2) is observing hundreds of thousands of Milky Way stars at high resolution and high signal-to-noise ratios in the near-infrared. The Mapping Nearby Galaxies at Apache Point Observatory (MaNGA) survey is obtaining spatially resolved spectroscopy for thousands of nearby galaxies (median ). The extended Baryon Oscillation Spectroscopic Survey (eBOSS) is mapping the galaxy, quasar, and neutral gas distributions between and 3.5 to constrain cosmology using baryon acoustic oscillations, redshift space distortions, and the shape of the power spectrum. Within eBOSS, we are conducting two major subprograms: the SPectroscopic IDentification of eROSITA Sources (SPIDERS), investigating X-ray AGNs and galaxies in X-ray clusters, and the Time Domain Spectroscopic Survey (TDSS), obtaining spectra of variable sources. All programs use the 2.5 m Sloan Foundation Telescope at the Apache Point Observatory; observations there began in Summer 2014. APOGEE-2 also operates a second near-infrared spectrograph at the 2.5 m du Pont Telescope at Las Campanas Observatory, with observations beginning in early 2017. Observations at both facilities are scheduled to continue through 2020. In keeping with previous SDSS policy, SDSS-IV provides regularly scheduled public data releases; the first one, Data Release 13, was made available in 2016 July

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide