Mediterranean Coastal Lagoons Review: Sites to Visit before Disappearance

Coastal lagoons are an established priority habitat in the European environment because of the biological communities that inhabit them. Their origin is related to the transport of sediments from a nearby river or the movement of sands by the marine currents that produce the closure of a gulf. Therefore, they are recent geological formations, which also disappear quickly if environmental conditions change. The 37 coastal lagoons with a surface area greater than 10 km2 located in the Mediterranean basin have been identified. Fishing has been the traditional use of these lagoons, in addition to their use as a navigation harbor when they are open to the sea. Pollution, quality problems and their consequences are the most studied topics in recent publications. Sentinel-2 images taken in the summer of 2020 have been used to study water transparency, suspended matter and chlorophyll a concentration. The result was that only six of them are in good ecological condition, but most of them are eutrophic due to the impacts on their environment and the inflow of poor quality water. The cultural values of these lagoons must also be protected and preserved

Very fast variations of SiO maser emission in evolved stars

Context. Stars on the asymptotic giant branch (AGB) are long-period variables that present strong flux variations at almost all wavelengths, including the SiO maser lines. The periods of these variations are of 300-500 days in Mira-type stars and somewhat shorter in semi-regular variables. The variability of the SiO lines on short timescales has been investigated, but the data are inconclusive. Aims. We aim to study the time evolution of the SiO maser lines in Mira-type and semi-regular variables at short timescales. We also discuss the origin of the observed fast variations. Methods. We observed the SiO maser lines at 7 mm (28SiO v=1,2 J=1-0) and 3 mm (28SiO v=1 J=2-1) using the 40 m Yebes antenna and the 30 m IRAM telescope, respectively, with a minimum spacing of 1 day. We studied the semi-regular variables RX Boo and RT Vir and the Mira-type variables U Her, R LMi, R Leo, and $\chi$ Cyg. We performed a detailed statistical analysis of the variations on different timescales. Results. RX Boo shows strong and fast variations in the intensity of the different spectral features of the SiO lines at 7 mm and 3 mm. On a timescale of one day, we find variations of >10% in 25% of the cases. Variations of greater than $\sim$50% are often found when the observations are separated by 2 or 3 days. A similar variation rate of the SiO lines at 7 mm is found for RT Vir, but the observations of this object are less complete. On the contrary, the variations of the SiO maser line intensity in the Mira-type variables are moderate, with typical variation rates around <10% in 7 days. This phenomenon can be explained by the presence of particularly small maser-emitting clumps in semi-regular variables, which would lead to a strong dependence of the intensity on the density variations due to the passage of shocks

Convenio sobre el comercio internacional de especies amenazadas de fauna y flora silvestre (tortugas)

Treball presentat a l'assignatura de Deontologia i Veterinària Legal (21223

Dificultades al aplicar la escala Post-Ureteroscopic Lesion Scale para determinar la gravedad de las lesiones de la pared ureteral

Objective: To analyze the level of agreement of the Post-Ureteroscopy Lesion Scale (PULS) and the consequences on its application in clinical practice with more reliable statistical data than the one used in the original work. Methods: 14 URS and 14 micro-URS were performed in 14 female porcine model. All the procedures were video recorded and an anatomopathological analysis was performed in each ureter. Sixteen urologists (9 endourologists and 7 general urologists) and 4 residents evaluated the ureteral lesions according to the PULS, with degrees 0, 1 and ≥2. The agreement was calculated with percentages, Kendall’s W coefficient and the indicators Fleiss’ Kappa and Krippendorff’s Alpha, while the inter-rater agreement was calculated with Spearman’s correlation and Cohen’s Kappa. Results: The percent of agreement was 11.1%. The coefficients were likewise classified as low or very low, with the greatest agreement found among the inexperienced. Also, 50% of the raters did not agree with the rest. Conclusions: The low inter-rater agreement, the specificity of the PULS and the clinical-pathological correlation suggests that this scale is not simple, and probably has a long learning curve.Objetivo: Analizar el nivel de concordancia de la Post-Ureteroscopic Lesion Scale (PULS), y examinar las consecuencias de su aplicación en la práctica clínica con datos estadísticos más fiables que los utilizados en el trabajo original. Métodos: Se realizaron 14 ureteroscopias (URS) y 14 micro-ureteroscopias (micro-URS) en 14 cerdos hembra. Todos los procedimientos se grabaron en vídeo y se realizó un análisis anatomopatológico en cada uréter. Dieciséis urólogos (9 endourólogos y 7 urólogos generales) y 4 médicos internos evaluaron las lesiones ureterales según la escala PULS, con grados 0, 1 y ≥2. La concordancia se calculó mediante porcentajes, el coeficiente W de Kendall, el índice Kappa de Fleiss y el Alfa de Krippendorff. La concordancia entre evaluadores se calculó con la correlación de Spearman y el coeficiente Kappa de Cohen. Resultados: El porcentaje de concordancia fue del 11,1%. Los coeficientes se clasificaron como bajos o muy bajos, y encontramos una mayor concordancia entre los evaluadores sin experiencia. Por otro lado, no hubo acuerdo/concordancia en/entre el 50% de los evaluadores. Conclusiones: La baja concordancia entre evaluadores, la especificidad de la PULS y la correlación clínico-patológica sugieren las dificultades del uso de esta escala y una curva de aprendizaje probablemente larga

Food habits of children between 10 and 12 years according to ethnic origin of parents in the metropolitan area of Alicante and Elche (Spain)

Introducción: El objetivo de este estudio es conocer la prevalencia de hábitos alimentarios inadecuados en niñas y niños escolarizados en el tercer ciclo de educación primaria de distinto origen étnico. Material y Métodos: Para ello se llevó a cabo un estudio descriptivo. La muestra estuvo compuesta por 241 niños y niñas matriculados en 5º y 6º de primaria en centros educativos de Alicante y Elche (España). Los datos se obtuvieron a través de un formulario que recogía trece preguntas sobre datos sociodemográficos de los alumnos y sus familiares y una segunda parte, el cuestionario Krece-Plus. Resultados: Los resultados muestran que un 18,3% posee un nivel nutricional bajo, de los cuales el 11,4% pertenecen a la etnia gitana. El 68,5% de los niños y niñas afirman consumir dulces y golosinas. Además, el 27% acude más de una vez por semana a un fast-food, mostrando diferencias significativas entre los niños y niñas de origen autóctono y de etnia gitana. Conclusiones: Los hábitos alimentarios inadecuados de los niños no están determinados por el origen étnico de los progenitores.Introduction: The objective of this study is to know the prevalence of inadequate eating habits in girls and boys attending the third cycle of primary education of a different ethnic gender. Material and Methods: a descriptive study was carried out. The sample consisted of 241 children enrolled in 5th and 6th grade of primary school in Alicante and Elche (Spain). The data were obtained through a form that collected answers about sociodemographic data of the students and their families and a second part, the Krece-Plus questionnaire. Results: The results show that 18.3% have a low nutritional level, of which 11.4% are of gypsy ethnicity. 68.5% of children say they consume sweets and sweets. In addition, 27% go to fast-food more than once a week, showing significant differences between children of indigenous origin and gypsy ethnicity. Conclusions: The inadequate eating habits of children are not determined by the ethnic origin of the parents

Melioidosis, un souvenir caro e inolvidable

Melioidosis is an endemic disease in Southeast Asia and Northern Australia. It was introduced to Western countries as a result of tourism and commercial traffic. It is more frequent in patients with diabetes and alcoholism. It can produce cutaneous abscesses, pneumonia, bacteremia without focus and osteomyelitis, among other affectations. The delay in diagnosis in non-endemic regions increases mortality. The treatment is based on the use of antibiotics combined with surgical drainage when appropriate. Mortality is high, although early treatment with adequate duration reduces the risk of relapse and death. We present the case of a 26-year-old woman with tibial osteomyelitis caused by Burkholderia pseudomallei after a trip to Thailand.La melioidosis es una enfermedad endémica en el Sudeste Asiático y norte de Australia, e importada a países occidentales como consecuencia del turismo y del tráfico comercial. Es más frecuente en pacientes con diabetes y alcoholismo. Puede producir abscesos cutáneos, neumonía, bacteriemia sin foco y osteomielitis, entre otras afectaciones. El diagnóstico en regiones no endémicas suele retrasarse, lo que aumenta la mortalidad. El tratamiento se basa en el uso de antibióticos combinado con drenaje quirúrgico cuando procede. La mortalidad es elevada, aunque un tratamiento precoz con duración adecuada disminuye el riesgo de recaídas y de muerte. Presentamos el caso de una mujer de 26 años con una osteomielitis tibial por Burkholderia pseudomallei tras un viaje a Tailandia

Mesenchymal Stromal Cell-Based Therapies as Promising Treatments for Muscle Regeneration After Snakebite Envenoming

Snakebite envenoming is a global neglected disease with an incidence of up to 2.7 million new cases every year. Although antivenoms are so-far the most effective treatment to reverse the acute systemic effects induced by snakebite envenoming, they have a limited therapeutic potential, being unable to completely neutralize the local venom effects. Local damage, such as dermonecrosis and myonecrosis, can lead to permanent sequelae with physical, social, and psychological implications. The strong inflammatory process induced by snake venoms is associated with poor tissue regeneration, in particular the lack of or reduced skeletal muscle regeneration. Mesenchymal stromal cells (MSCs)-based therapies have shown both anti-inflammatory and pro-regenerative properties. We postulate that using allogeneic MSCs or their cell-free products can induce skeletal muscle regeneration in snakebite victims, improving all the three steps of the skeletal muscle regeneration process, mainly by anti-inflammatory activity, paracrine effects, neovascularization induction, and inhibition of tissue damage, instrumental for microenvironment remodeling and regeneration. Since snakebite envenoming occurs mainly in areas with poor healthcare, we enlist the principles and potential of MSCs-based therapies and discuss regulatory issues, good manufacturing practices, transportation, storage, and related-procedures that could allow the administration of these therapies, looking forward to a safe and cost-effective treatment for a so far unsolved and neglected health problem.The authors are supported by the University Pablo de Olavide (Sevilla), the University Miguel Hernández (Elche, Alicante), National University Toribio Rodriguez de Mendoza (Chachapoyas, Peru) Grants: Contrato N° 09-2019-FONDECYT-BM-INC.INV to JRT, JDRF 2-SRA-2019-837-S-B and AVI-GVA COVID-19-68 to BS, Fundación Andaluza de I+D and Al-Andalus Biopharma Project (FAID-2018-1). The authors CC-O, CG-D, and TCSA were supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico, Brazil (CNPq) (Process: 406163/2018-9), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brazil - CAPES (Program COFECUB Process: 88881.191812/2018-01) and by Fundação de Amparo à Pesquisa do Estado de Minas Gerais, Brazil (FAPEMIG)

Amino acid substitutions associated with treatment failure of hepatitis C virus infection

Trabajo presentado en el XVI Congreso Nacional de Virología, celebrado en Málaga (España) del 06 al 09 de septiembre de 2022.Despite the high sustained virological response rates achieved with current directly-acting antiviral agents (DAAs) against hepatitis C virus (HCV), around 2% to 5% of patients do not achieve such a response. Identification of amino acid substitutions associated with treatment failure requires analytical designs, such as subtype-specific ultra-deep sequencing (UDS) methods for HCV characterization and patient management. By deep sequencing analysis of 220 subtyped HCV samples from infected patients who failed therapy, collected from 39 Spanish hospitals, we determined amino acid sequences of the DAA-target proteins NS3, NS5A and NS5B, by UDS of HCV patient samples, in search of resistanceassociated substitutions (RAS). Using this procedure, we have identified six highly represented amino acid substitutions (HRSs) in NS5A and NS5B of HCV, which are not bona fide RAS. They were present frequently in basal and post-treatment virus of patients who failed therapy to different DAA-based therapies. Contrary to several RAS, HRSs belong to the acceptable subset of substitutions according to the PAM250 replacement matrix. Coherently, their mutant frequency, measured by the number of deep sequencing reads within the HCV quasispecies that encode the relevant substitutions, ranged between 90% and 100% in most cases. Also, they have limited predicted disruptive effects on the threedimensional structures of the proteins harboring them. The information on HRSs that will be gathered during sequencing should be relevant not only to help predict treatment outcomes and disease progression but also to further understand HCV population dynamics, which appears much more complex than thought prior to the introduction of deep sequencing.The work at CBMSO was supported by grants SAF2014-52400-R from MINECO, SAF2017-87846-R and BFU2017-91384-EXP MICIU, PI18/00210 from ISCIII, S2013/ABI-2906 (PLATESA) and S2018/BAA-4370 (PLATESA2) from Comunidad de Madrid/FEDER. C.P. is supported by the Miguel Servet program of the ISCIII (CP14/00121 and CPII19/00001), cofinanced by the European Regional Development Fund (ERDF). CIBERehd is funded by ISCIII. Institutional grants from the Fundación Ramón Areces and Banco Santander to the CBMSO are also acknowledged. The team at CBMSO belongs to the Global Virus Network (GVN). The work in Barcelona was supported by ISCIII, cofinanced by ERDF grant number PI19/00301 and by the Centro para el Desarrollo Tecnológico Industrial (CDTI) from the MICIU, grant number IDI20151125. Work at CAB was supported by MINECO grant BIO2016-79618R and PID2019-104903RB-I00 (funded by the EU under the FEDER program) and by the Spanish State research agency (AEI) through project number MDM-2017-0737 Unidad de Excelencia “María de Maeztu”-Centro de Astrobiología (CSIC-INTA). Work at IBMB was supported by MICIN grant BIO2017-83906-P (funded by the EU under the FEDER program). C.G.-C. is supported by predoctoral contract PRE2018-083422 from MICIU. B.M.-G. is supported by predoctoral contract PFIS FI19/00119 from Instituto de Salud Carlos III (Ministerio de Sanidad y Consumo), cofinanced by Fondo Social Europeo (FSE).Peer reviewe

Prognostic significance of FLT3-ITD length in AML patients treated with intensive regimens

FLT3-ITD mutations are detected in approximately 25% of newly diagnosed adult acute myeloid leukemia (AML) patients and confer an adverse prognosis. The FLT3-ITD allelic ratio has clear prognostic value. Nevertheless, there are numerous manuscripts with contradictory results regarding the prognostic relevance of the length and insertion site (IS) of the FLT3-ITD fragment. We aimed to assess the prognostic impact of these variables on the complete remission (CR) rates, overall survival (OS) and relapse-free survival (RFS) of AML patients with FLT3-ITDmutations. We studied the FLT3-ITD length of 362 adult AML patients included in the PETHEMA AML registry. We tried to validate the thresholds of ITD length previously published (i.e., 39 bp and 70 bp) in intensively treated AML patients (n = 161). We also analyzed the mutational profile of 118 FLT3-ITD AML patients with an NGS panel of 39 genes and correlated mutational status with the length and IS of ITD. The AUC of the ROC curve of the ITD length for OS prediction was 0.504, and no differences were found when applying any of the thresholds for OS, RFS or CR rate. Only four out of 106 patients had ITD IS in the TKD1 domain. Our results, alongside previous publications, confirm that FLT3-ITD length lacks prognostic value and clinical applicability. © 2021, The Author(s)

SARS-CoV-2 mutant spectra reveal differences between COVID-19 severity categories

Trabajo presentado en el XVI Congreso Nacional de Virología, celebrado en Málaga (España) del 06 al 09 de septiembre de 2022.RNA virus populations are composed of complex mixtures of genomes that are termed mutant spectra. SARS-CoV-2 replicates as a viral quasispecies, and mutations that are detected at low frequencies in a host can be dominant in subsequent variants. We have studied mutant spectrum complexities of SARS-CoV-2 populations derived from thirty nasopharyngeal swabs of patients infected during the first wave (April 2020) in the Hospital Universitario Fundación Jiménez Díaz. The patients were classified according to the COVID-19 severity in mild (non-hospitalized), moderate (hospitalized) and exitus (hospitalized with ICU admission and who passed away due to COVID-19). Using ultra-deep sequencing technologies (MiSeq, Illumina), we have examined four amplicons of the nsp12 (polymerase)-coding region and two amplicons of the spike-coding region. Ultra-deep sequencing data were analyzed with different cut-off frequency for mutation detection. Average number of different point mutations, mutations per haplotype and several diversity indices were significantly higher in SARS-CoV-2 isolated from patients who developed mild disease. A feature that we noted in the SARS-CoV-2 mutant spectra from diagnostic samples is the remarkable absence of mutations at intermediate frequencies, and an overwhelming abundance of mutations at frequencies lower than 10%. Thus, the decrease of the cut-off frequency for mutation detection from 0.5% to 0.1% revealed an increasement (50- to 100 fold) in the number of different mutations. The significantly higher frequency of mutations in virus from patients displaying mild than moderate or severe disease was maintained with the 0.1% cut- off frequency. To evaluate whether the frequency repertoire of amino acid substitutions differed between SARS-CoV-2 and the well characterized hepatitis C virus (HCV), we performed a comparative study of mutant spectra from infected patients using the same bioinformatics pipelines. HCV did not show the deficit of intermediate frequency substitutions that was observed with SARS-CoV-2. This difference was maintained when two functionally equivalent proteins, the corresponding viral polymerases, were compared. In conclusion, SARS-CoV-2 mutant spectra are rich reservoirs of mutants, whose complexity is not uniform among clinical isolates. Virus from patients who developed mild disease may be a source of new variants that may acquire epidemiological relevance.This work was supported by Instituto de Salud Carlos III, Spanish Ministry of Science and In-novation (COVID-19 Research Call COV20/00181), and co-financed by European Development Regional Fund ‘A way to achieve Europe’. The work was also supported by grants CSIC-COV19-014 from Consejo Superior de Investigaciones Científicas (CSIC), project 525/C/2021 from Fundació La Marató de TV3, PID2020-113888RB-I00 from Ministerio de Ciencia e Innovación, BFU2017-91384-EXP from Ministerio de Ciencia, Innovación y Universidades (MCIU), PI18/00210 and PI21/00139 from Instituto de Salud Carlos III, and S2018/BAA-4370 (PLATESA2 from Comunidad de Madrid/FEDER). C.P., M.C., and P.M. are supported by the Miguel Servet programme of the Instituto de Salud Carlos III (CPII19/00001, CPII17/00006, and CP16/00116, respectively) co-financed by the European Regional Development Fund (ERDF). CIBERehd (Centro de Investi-gación en Red de Enfermedades Hepáticas y Digestivas) is funded by Instituto de Salud Carlos III. Institutional grants from the Fundación Ramón Areces and Banco Santander to the CBMSO are also acknowledged. The team at CBMSO belongs to the Global Virus Network (GVN). B.M.-G. is supported by predoctoral contract PFIS FI19/00119 from Instituto de Salud Carlos III (Ministerio de Sanidad y Consumo) cofinanced by Fondo Social Europeo (FSE). R.L.-V. is supported by predoctoral contract PEJD-2019-PRE/BMD-16414 from Comunidad de Madrid. C.G.-C. is sup-ported by predoctoral contract PRE2018-083422 from MCIU. BS was supported by a predoctoral research fellowship (Doctorados Industriales, DI-17-09134) from Spanish MINECO