El neolític antic i l"inici de l"edat del bronze a les excavacions del nou conservatori del Liceu

[cat] En aquest article es presenta l"estudi interdisciplinari de les ocupacions prehistòriques recents (neolític i inici de l"edat del bronze) localitzades durant la construcció del Conservatori del Gran Liceu de Barcelona, al barri del Raval de la mateixa ciutat. Les restes ocupacionals corresponen a un assentament amb evidències d"estructures de combustió i diversos elements de suport. Hi destaca la conservació d"alguns magnífics fogars, així com un conjunt de materials abiòtics i biòtics que permeten augmentar el coneixement de les primeres comunitats agrícoles del Pla de Barcelona. [spa] En este artículo se presenta el estudio interdisciplinar de las ocupaciones prehistóricas recientes (Neolítico e inicio de la Edad del Bronce) localizadas durante la construcción del Conservatorio del Gran Liceo de Barcelona, en el barrio del Raval de la misma ciudad. Los restos de ocupación corresponden a un asentamiento con evidencias de estructuras de combustión y otros elementos de soporte. Entre ellos destaca la conservación de algunos magníficos hogares así como un conjunto de materiales abióticos y bióticos que permiten aumentar el conocimiento sobre las primeras comunidades agrícolas del llano de Barcelona. [eng] This paper presents the interdisciplinary study of the recent prehistoric occupations (Neolithic and Early Bronze Age) found during the construction of El Liceu Conservatoire in Barcelona"s El Raval district. Occupational remains correspond to a settlement with traces of combustion structures and several supporting elements. It emphasises the preservation of some magnificent fireplaces and a set of archaeological abitoic and biotic materials that can increase knowledge of the first farming communities in the Barcelona plain. [fra] Cet article présente l"étude interdisciplinaire des occupations préhistoriques récentes (néolithique et début de l"âge du bronze) localisées lors de la construction du Conservatoire du Grand Théâtre du Liceu (opéra) de Barcelone, dans le quartier du Raval. Les vestiges d"occupation correspondent à un établissement présentant des structures de combustion et différents éléments de support. On y remarque la conservation de quelques magnifiques foyers ainsi qu"un ensemble de matériaux abiotiques et biotiques qui peuvent enrichir les connaissances sur les premières communautés agricoles de la plaine de Barcelone

Nuclear Translocation of b-Catenin during Mesenchymal Stem Cells Differentiation into Hepatocytes Is Associated with a Tumoral Phenotype

Wnt/b-catenin pathway controls biochemical processes related to cell differentiation. In committed cells the alteration of this pathway has been associated with tumors as hepatocellular carcinoma or hepatoblastoma. The present study evaluated the role of Wnt/b-catenin activation during human mesenchymal stem cells differentiation into hepatocytes. The differentiation to hepatocytes was achieved by the addition of two different conditioned media. In one of them, b-catenin nuclear translocation, up-regulation of genes related to the Wnt/b-catenin pathway, such as Lrp5 and Fzd3, as well as the oncogenes c-myc and p53 were observed. While in the other protocol there was a Wnt/b-catenin inactivation. Hepatocytes with nuclear translocation of b-catenin also had abnormal cellular proliferation, and expressed membrane proteins involved in hepatocellular carcinoma, metastatic behavior and cancer stem cells. Further, these cells had also increased auto-renewal capability as shown in spheroids formation assay. Comparison of both differentiation protocols by 2D-DIGE proteomic analysis revealed differential expression of 11 proteins with altered expression in hepatocellular carcinoma. Cathepsin B and D, adenine phosphoribosyltransferase, triosephosphate isomerase, inorganic pyrophosphatase, peptidyl-prolyl cis-trans isomerase A or lactate dehydrogenase b-chain were up-regulated only with the protocol associated with Wnt signaling activation while other proteins involved in tumor suppression, such as transgelin or tropomyosin b-chain were downregulated in this protocol. In conclusion, our results suggest that activation of the Wnt/b-catenin pathway during human mesenchymal stem cells differentiation into hepatocytes is associated with a tumoral phenotyp

Estudiante universitario. Propuestas y testimonios

Los textos multimodales, nuevos retos semióticos, el aula invertida, la metodología de la investigación universitaria, el proceso acción-reflexión-acción y el aprendizaje en el posgrado son temáticas que reflejan la responsabilidad educativa de distintos centros educativos nacionales e internacionales. Implementar nuevas formas de aprender y enseñar en tiempos de vertiginosos cambios es urgente. Esta publicación, además de los temas mencionados, se complementa con testimonios de estudiantes universitarios que escriben su propia vivencia y reflexión sobre el aprendizaje y realidad académica, fruto de una retrospección y análisis de su vida estudiantil desde sus primeros años hasta su graduación. Sus perspectivas acerca del proceso educativo plantean interesantes reflexiones, preguntas y retos para quienes aspiramos a mejorar la realidad educativa

Nuclear Translocation of β-Catenin during Mesenchymal Stem Cells Differentiation into Hepatocytes Is Associated with a Tumoral Phenotype

Wnt/β-catenin pathway controls biochemical processes related to cell differentiation. In committed cells the alteration of this pathway has been associated with tumors as hepatocellular carcinoma or hepatoblastoma. The present study evaluated the role of Wnt/β-catenin activation during human mesenchymal stem cells differentiation into hepatocytes. The differentiation to hepatocytes was achieved by the addition of two different conditioned media. In one of them, β-catenin nuclear translocation, up-regulation of genes related to the Wnt/β-catenin pathway, such as Lrp5 and Fzd3, as well as the oncogenes c-myc and p53 were observed. While in the other protocol there was a Wnt/β-catenin inactivation. Hepatocytes with nuclear translocation of β-catenin also had abnormal cellular proliferation, and expressed membrane proteins involved in hepatocellular carcinoma, metastatic behavior and cancer stem cells. Further, these cells had also increased auto-renewal capability as shown in spheroids formation assay. Comparison of both differentiation protocols by 2D-DIGE proteomic analysis revealed differential expression of 11 proteins with altered expression in hepatocellular carcinoma. Cathepsin B and D, adenine phosphoribosyltransferase, triosephosphate isomerase, inorganic pyrophosphatase, peptidyl-prolyl cis-trans isomerase A or lactate dehydrogenase β-chain were up-regulated only with the protocol associated with Wnt signaling activation while other proteins involved in tumor suppression, such as transgelin or tropomyosin β-chain were down-regulated in this protocol. In conclusion, our results suggest that activation of the Wnt/β-catenin pathway during human mesenchymal stem cells differentiation into hepatocytes is associated with a tumoral phenotype

Association between serum tissue inhibitor of matrix metalloproteinase-1 levels and mortality in patients with severe brain trauma injury

OBJECTIVE: Matrix metalloproteinases (MMPs) and tissue inhibitors of matrix metalloproteinases (TIMPs) play a role in neuroinflammation after brain trauma injury (TBI). Previous studies with small sample size have reported higher circulating MMP-2 and MMP-9 levels in patients with TBI, but no association between those levels and mortality. Thus, the aim of this study was to determine whether serum TIMP-1 and MMP-9 levels are associated with mortality in patients with severe TBI. METHODS: This was a multicenter, observational and prospective study carried out in six Spanish Intensive Care Units. Patients with severe TBI defined as Glasgow Coma Scale (GCS) lower than 9 were included, while those with Injury Severity Score (ISS) in non-cranial aspects higher than 9 were excluded. Serum levels of TIMP-1, MMP-9 and tumor necrosis factor (TNF)-alpha, and plasma levels of tissue factor (TF) and plasminogen activator inhibitor (PAI)-1 plasma were measured in 100 patients with severe TBI at admission. Endpoint was 30-day mortality. RESULTS: Non-surviving TBI patients (n = 27) showed higher serum TIMP-1 levels than survivor ones (n = 73). We did not find differences in MMP-9 serum levels. Logistic regression analysis showed that serum TIMP-1 levels were associated 30-day mortality (OR = 1.01; 95% CI = 1.001-1.013; P = 0.03). Survival analysis showed that patients with serum TIMP-1 higher than 220 ng/mL presented increased 30-day mortality than patients with lower levels (Chi-square = 5.50; P = 0.02). The area under the curve (AUC) for TIMP-1 as predictor of 30-day mortality was 0.73 (95% CI = 0.624-0.844; P<0.001). An association between TIMP-1 levels and APACHE-II score, TNF- alpha and TF was found. CONCLUSIONS: The most relevant and new findings of our study, the largest series reporting data on TIMP-1 and MMP-9 levels in patients with severe TBI, were that serum TIMP-1 levels were associated with TBI mortality and could be used as a prognostic biomarker of mortality in TBI patients

NEWSHUB: Incubadora de contenidos formativos para la comunicación profesional de los resultados del Aprendizaje Basado en Proyectos (ABP)

NEWSHUB es un espacio de encuentro académico y profesional. Su principal función es cubrir necesidades específicas de formación tanto para el profesorado como para el alumnado en materia de comunicación. La finalidad es facilitar que se diseñen actividades de aprendizaje basado en proyectos orientadas a generar productos comunicativos de calidad profesional, que sirvan a un tiempo como herramienta eficiente de aprendizaje en el entorno académico además de recurso destacado en el porfolio del alumnado para la búsqueda de empleo o la formalización de proyectos emprendedores. NEWSHUB es una incubadora de proyectos. Rediseñamos actividades y prácticas de clase para que se ajusten a una aplicación eficaz de la metodología de aprendizaje basado en proyectos. Ofrecemos asesoría y acompañamiento a docentes y estudiantes para que desarrollen su actividad académica integrando estrategias y procesos de calidad propios del ámbito profesional. NEWSHUB es una plataforma de formación. Ponemos contenidos formativos sobre comunicación eficiente a disposición de la comunidad educativa e investigadora y del sector de la orientación laboral y el fomento del emprendimiento. Ofrecemos recursos educativos abiertos a través de una plataforma web modular, interoperable y accesible, que alberga contenidos digitales de producción propia y un banco de buenas prácticas. NEWSHUB es coaching digital. Con la nueva situación provocada por la pandemia tenemos que adaptar nuestra manera de enseñar y de aprender haciendo que el entorno virtual sea un espacio en el que tanto profesores como estudiantes se encuentren tan cómodos como en el aula. Para ello acompañaremos a los docentes en ese tránsito y contaremos con la opinión directa de los alumnos/as que participan en nuestro proyecto. NEWSHUB conecta asignaturas, docentes y estudiantes para que los resultados de los distintos procesos de enseñanza-aprendizaje se optimicen para el cumplimiento de los objetivos clave del proyecto: aplicar eficazmente metodologías abiertas en el aula; alimentar el porfolio y el currículum en la búsqueda de empleo y el fomento del emprendimiento; y generar recursos educativos y modelos de buenas prácticas para formar en una comunicación eficiente. NEWSHUB también permite crear un puente entre profesores/as, alumnos/as y materias de otras facultades e incluso de otros países. La virtualización permite deslocalizar y ponernos en contacto para intercambiar experiencias, programas y recursos educativos proporcionando una visión más rica y abierta en diferentes contextos culturales y de diversidad. Como principal novedad, en esta segunda parte del proyecto, NEWSHUB se vuelve más internacional incorporando a profesores y profesoras de facultades de Comunicación y Diseño que imparten materiales similares. El objetivo de esta internacionalización es comparar el proceso de enseñanza y aprendizaje basada en proyectos en diferentes contextos culturales

Healthcare workers hospitalized due to COVID-19 have no higher risk of death than general population. Data from the Spanish SEMI-COVID-19 Registry

Aim To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). Methods Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. Results As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). Conclusions Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Regulatory sites for splicing in human basal ganglia are enriched for disease-relevant information

Genome-wide association studies have generated an increasing number of common genetic variants associated with neurological and psychiatric disease risk. An improved understanding of the genetic control of gene expression in human brain is vital considering this is the likely modus operandum for many causal variants. However, human brain sampling complexities limit the explanatory power of brain-related expression quantitative trait loci (eQTL) and allele-specific expression (ASE) signals. We address this, using paired genomic and transcriptomic data from putamen and substantia nigra from 117 human brains, interrogating regulation at different RNA processing stages and uncovering novel transcripts. We identify disease-relevant regulatory loci, find that splicing eQTLs are enriched for regulatory information of neuron-specific genes, that ASEs provide cell-specific regulatory information with evidence for cellular specificity, and that incomplete annotation of the brain transcriptome limits interpretation of risk loci for neuropsychiatric disease. This resource of regulatory data is accessible through our web server, http://braineacv2.inf.um.es/

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