The age again in the eye of the COVID-19 storm: evidence-based decision making

Background: One hundred fifty million contagions, more than 3 million deaths and little more than 1 year of COVID-19 have changed our lives and our health management systems forever. Ageing is known to be one of the significant determinants for COVID-19 severity. Two main reasons underlie this: immunosenescence and age correlation with main COVID-19 comorbidities such as hypertension or dyslipidaemia. This study has two aims. The first is to obtain cut-off points for laboratory parameters that can help us in clinical decision-making. The second one is to analyse the effect of pandemic lockdown on epidemiological, clinical, and laboratory parameters concerning the severity of the COVID-19. For these purposes, 257 of SARSCoV2 inpatients during pandemic confinement were included in this study. Moreover, 584 case records from a previously analysed series, were compared with the present study data. Results: Concerning the characteristics of lockdown series, mild cases accounted for 14.4, 54.1% were moderate and 31.5%, severe. There were 32.5% of home contagions, 26.3% community transmissions, 22.5% nursing home contagions, and 8.8% corresponding to frontline worker contagions regarding epidemiological features. Age > 60 and male sex are hereby confirmed as severity determinants. Equally, higher severity was significantly associated with higher IL6, CRP, ferritin, LDH, and leukocyte counts, and a lower percentage of lymphocyte, CD4 and CD8 count. Comparing this cohort with a previous 584-cases series, mild cases were less than those analysed in the first moment of the pandemic and dyslipidaemia became more frequent than before. IL-6, CRP and LDH values above 69 pg/mL, 97 mg/L and 328 U/L respectively, as well as a CD4 T-cell count below 535 cells/?L, were the best cut-offs predicting severity since these parameters offered reliable areas under the curve. Conclusion: Age and sex together with selected laboratory parameters on admission can help us predict COVID-19 severity and, therefore, make clinical and resource management decisions. Demographic features associated with lockdown might affect the homogeneity of the data and the robustness of the results

Historia geológica y reconstrucción paleobiológica de los depósitos paleontológicos de la playa de El Confital (Gran Canaria, islas Canarias)

XXXIV Jornadas de Paleontología y IV Congreso Ibérico de Paleontología (Vila Real, Portugal. Sep 2018) p. 491-499El archipiélago canario está situado cerca de la costa NO de África y es de naturaleza volcánica. Fuerteventura y Lanzarote son las islas más antiguas del archipiélago (23 y 15 Ma aproximadamente) seguidas por Gran Canaria (14 Ma), siendo en estas tres islas solamente donde vamos a encontrar depósitos fosilíferos pertenecientes a las series Mioceno y Plioceno (Meco et al., 2015). El episodio MIS5e (Eemiense), por el contrario, podemos encontrarlo en todas las islas (Meco et al., 2002; Zazo et al., 2003; Martín-González et al., 2016). Este trabajo se centra en el estudio de los depósitos fosilíferos asociados a ambos periodos que aparecen en la playa de El Confital, en la isla de Gran Canaria Los afloramientos se encuentran al suroeste de La Isleta, un islote eminentemente volcánico situado en el extremo NE de Las Palmas de Gran Canaria unido al edificio insular principal por un tómbolo de arena, el istmo de Guanarteme. Se trata de una plataforma litoral activa modelada sobre piroclastos de origen hidromagmático (Hansen, 2008), que ha sido alterada antrópicamente en tiempos recientes. Las Palmas de Gran Canaria constituye uno de los escasos ejemplos en los que se pueden observar yacimientos paleontológicos de diferentes edades. En la parte alta de la ciudad se encuentra la Formación Detrítica de Las Palmas, de edad Mio-Plioceno, que contiene una importante asociación fosilífera estudiada por diferentes autores (Rothpletz & Simonelli, 1890; Meco et al., 2007; Betancort, 2012; Martín-González et al., 2018); mientras que en la zona baja se encuentran los afloramientos pertenecientes al episodio transgresivo marino MIS5e (Meco et al., 2002). En la playa de El Confital podemos encontrar, en ambos extremos, los yacimientos del Eemiense, al sur, cuyo estudio paleontológico y estratigráfico preliminar fue realizado por Cabrera (1987) y del Mioceno, al noroeste, donde Meco et al. (2015) citan por primera vez la existencia del nivel con Ostrea offretti Linnaeus. En este trabajo realizamos un análisis volcano-estratigráfico y paleontológico integral de la playa de El Confital con el fin de reconstruir la evolución temporal de la fauna fosilizada en esta zona.Museo de Ciencias Naturales (MCN). OAMCÁrea de Paleontología, Facultad de Biología, Universidad de La LagunaDpto. de Geologia, Faculdade de Ciências, Universidade de LisboaCIBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, InBIO Laboratório Associado, Pólo dos AçoresInstituto Dom Luiz, Faculdade de Ciências da Universidade de LisboaUnidad Territorial de Canarias, Instituto Geológico y Minero de España (IGME)IOCAG. Instituto de Oceanografía y Cambio Global. Universidad de Las Palmas de Gran CanariaTELLUS. Arqueología y Prehistoria en el Sur de Iberia. HUM-949Department of Geosciences, Williams CollegeDpto. de Geografía. Universidad de La LagunaÁrea de Patrimonio Geológico y Minero, Instituto Geológico y Minero de España (IGME).Área de Geología. Universidad Rey Juan Carlo

HTLV-1 infection in solid organ transplant donors and recipients in Spain

HTLV-1 infection is a neglected disease, despite infecting 10-15 million people worldwide and severe illnesses develop in 10% of carriers lifelong. Acknowledging a greater risk for developing HTLV-1 associated illnesses due to immunosuppression, screening is being widely considered in the transplantation setting. Herein, we report the experience with universal HTLV testing of donors and recipients of solid organ transplants in a survey conducted in Spain. All hospitals belonging to the Spanish HTLV network were invited to participate in the study. Briefly, HTLV antibody screening was performed retrospectively in all specimens collected from solid organ donors and recipients attended since the year 2008. A total of 5751 individuals were tested for HTLV antibodies at 8 sites. Donors represented 2312 (42.2%), of whom 17 (0.3%) were living kidney donors. The remaining 3439 (59.8%) were recipients. Spaniards represented nearly 80%. Overall, 9 individuals (0.16%) were initially reactive for HTLV antibodies. Six were donors and 3 were recipients. Using confirmatory tests, HTLV-1 could be confirmed in only two donors, one Spaniard and another from Colombia. Both kidneys of the Spaniard were inadvertently transplanted. Subacute myelopathy developed within 1 year in one recipient. The second recipient seroconverted for HTLV-1 but the kidney had to be removed soon due to rejection. Immunosuppression was stopped and 3 years later the patient remains in dialysis but otherwise asymptomatic. The rate of HTLV-1 is low but not negligible in donors/recipients of solid organ transplants in Spain. Universal HTLV screening should be recommended in all donor and recipients of solid organ transplantation in Spain. Evidence is overwhelming for very high virus transmission and increased risk along with the rapid development of subacute myelopathy

A search for ultra-high-energy photons at the Pierre Auger Observatory exploiting air-shower universality

The Pierre Auger Observatory is the most sensitive detector to primary photons with energies above ∼0.2 EeV. It measures extensive air showers using a hybrid technique that combines a fluorescence detector (FD) with a ground array of particle detectors (SD). The signatures of a photon-induced air shower are a larger atmospheric depth at the shower maximum (X$_{max}$) and a steeper lateral distribution function, along with a lower number of muons with respect to the bulk of hadron-induced background. Using observables measured by the FD and SD, three photon searches in different energy bands are performed. In particular, between threshold energies of 1-10 EeV, a new analysis technique has been developed by combining the FD-based measurement of X$_{max}$ with the SD signal through a parameter related to its muon content, derived from the universality of the air showers. This technique has led to a better photon/hadron separation and, consequently, to a higher search sensitivity, resulting in a tighter upper limit than before. The outcome of this new analysis is presented here, along with previous results in the energy ranges below 1 EeV and above 10 EeV. From the data collected by the Pierre Auger Observatory in about 15 years of operation, the most stringent constraints on the fraction of photons in the cosmic flux are set over almost three decades in energy

Study on multi-ELVES in the Pierre Auger Observatory

Since 2013, the four sites of the Fluorescence Detector (FD) of the Pierre Auger Observatory record ELVES with a dedicated trigger. These UV light emissions are correlated to distant lightning strikes. The length of recorded traces has been increased from 100 μs (2013), to 300 μs (2014-16), to 900 μs (2017-present), to progressively extend the observation of the light emission towards the vertical of the causative lightning and beyond. A large fraction of the observed events shows double ELVES within the time window, and, in some cases, even more complex structures are observed. The nature of the multi-ELVES is not completely understood but may be related to the different types of lightning in which they are originated. For example, it is known that Narrow Bipolar Events can produce double ELVES, and Energetic In-cloud Pulses, occurring between the main negative and upper positive charge layer of clouds, can induce double and even quadruple ELVES in the ionosphere. This report shows the seasonal and daily dependence of the time gap, amplitude ratio, and correlation between the pulse widths of the peaks in a sample of 1000+ multi-ELVES events recorded during the period 2014-20. The events have been compared with data from other satellite and ground-based sensing devices to study the correlation of their properties with lightning observables such as altitude and polarity