Revision of the risk of secondary leukaemia after mitoxantrone in multiple sclerosis populations is required

The objective in this paper is to compare the cumulative incidence and incidence density of therapy-related acute myeloid leukaemia in two cohorts of patients with multiple sclerosis treated with mitoxantrone, and with previously reported data in the literature. Six new cases of acute myeloid leukaemia were observed by prospectively following two Spanish series of 142 and 88 patients with worsening relapsing multiple sclerosis and secondary-progressive disease treated with mitoxantrone. A literature review shows 32 further cases of acute myeloid leukaemia reported, 65.6% of which are therapy-related acute promyelocytic leukaemia. Five cases in the cohorts fulfilled the diagnostic criteria for acute promyelocytic leukaemia, and one patient was diagnosed with pre-B-acute lymphoblastic leukaemia. Acute myeloid leukaemia latency after mitoxantrone discontinuation was 1 to 45 months. The accumulated incidence and incidence density was 2.82% and 0.62%, respectively, in the Valencian cohort, and 2.27% and 0.44% in the Catalonian cohort. In the only seven previously reported series, the accumulated incidence varied from 0.15% to 0.80%. The real incidence of acute myeloid leukaemia after mitoxantrone therapy in the multiple sclerosis population could be higher as evidenced by the growing number of cases reported. Haematological monitoring should continue for at least 5 years after the last dose of mitoxantrone. These data stress the necessity of re-evaluating this ris

Estudio estadístico de accidentes marítimos en aguas españolas

A partir de estos informes sobre siniestros pretendo realizar un estudio y obtener de este modo un conjunto de datos que nos sirvan para interpretar estos sucesos en información real. Gracias a estos informes podemos averiguar estadísticamente cuáles son los motivos más frecuentes por los que se producen accidentes marítimos, que tipo de barcos tienen más predisposición a accidentarse o localizar puntos negros en cuanto a tráfico en navegación por aguas de jurisdicción española

Estudio estadístico de accidentes marítimos en aguas españolas

A partir de estos informes sobre siniestros pretendo realizar un estudio y obtener de este modo un conjunto de datos que nos sirvan para interpretar estos sucesos en información real. Gracias a estos informes podemos averiguar estadísticamente cuáles son los motivos más frecuentes por los que se producen accidentes marítimos, que tipo de barcos tienen más predisposición a accidentarse o localizar puntos negros en cuanto a tráfico en navegación por aguas de jurisdicción española

Can we save a marine species affected by a highly infective, highly lethal, waterborne disease from extinction?

Anthropogenic drivers and global warming are altering the occurrence of infectious marine diseases, some of which produce mass mortalities with considerable ecosystemic and economic costs. The Mediterranean Sea is considered a laboratory to examine global processes, and the fan mussel Pinna nobilis a sentinel species within it. Since September 2016, fan mussels suffer a die-off, very likely provoked by the protozoan Haplosporidium pinnae. Population dynamic surveys, rescue programmes, larvae collector installation and protection of infected adults from predators, have increased knowledge about the factors conditioning the spread of the die-off; previous model simulations indicate that water temperature and salinity seem to be related to the manifestation of the disease, which at the end are strongly influenced by climate change and anthropogenic actions. The absence of natural recruitment implies that fan mussel populations are not recovering, but the survival of populations living in paralic environments provides an opportunity to study the disease and its conditioning factors. The fan mussel disease outbreak provides a case example for how climate change may mediate host-protozoan dynamics and poses several questions: are we witnessing the potential extinction of a sentinel species? Can we avoid it by applying active measures? If so, which measures will be more effective? How many other more overlooked species might experience a massive and unnoticed die-off before it is too late to implement any preservation action? This is especially relevant because the loss of keystone species can drive to community effects that influence marine ecosystem processes.This research was partially funded by the Spanish Ministry for the Ecological Transition, project 28-5310 “Rescate de 215 ejemplares de nacra (Pinna nobilis) y su mantenimiento en 5 centros especializados en el marco del Proyecto UFE IP-PAF INTEMARES (LIFE15 IPE ES 012)”, “Gestión integrada, innovadora y participativa de la Red Natura 2000 en el medio marino español” as well as those agreements and contracts with the participating entities (IFAPA, IRTA, IEO) derived from this project, and by the Prince Albert II of Monaco Foundation to project BF/HEM 15-1662, “The study, protection and possible breeding of pen shell (Pinna nobilis) in the Boka Kotorska Bay”. Maite Vázquez-Luis was supported by the postdoctoral contract, Juan de la Cierva-Incorporación (IJCI-2016-29329) of Ministerio de Ciencia, Innovación y Universidades. G. Catanese was supported by a research contract from the INIA-CCAA (DOC INIA 8/2013) MINECO programme. The M. López-Sanmartín contract is co-financed by the State Plan for Scientific and Technical Research and Innovation 2013–2016, MINECO, ref. PTA215-11709-I