Estudio gammagráfico y bioquímico del hígado en 1342 enfermos neoplásicos

La autora ha revisado 1768 gammagráficas hepáticas correspondientes a 1342 enfermos neoplásicos realizadas con gammográfos lineales con detectores de 3 y 5 pulgadas. Del estudio de los datos clínicos bioquímicos y de comprobación anátomo-patológica en los que ha sido posible ha llegado a una serie de conclusiones entre ellas: que la gammagráfica hepatica estudiadas y que las pruebas clínicas habituales para la detectación de metastásis hepáticas.- Dada la frecuencia de aparición de metástasis hepáticas en determinados tumores cree la autora que la grammagrafía se debe realizar en ellos sistemáticamente para su correcta clasificación por el sistema tnm

Powder Particle Size Effects on Microstructure and Mechanical Properties of Mechanically Alloyed ODS Ferritic Steels

Reduced activation ferritic (RAF) steels are expected to be widely used in challenging nuclear industrial applications under severe thermo-mechanical regimes and intense neutron loads. Therefore, actual research panorama is facing the strengthening strategies necessary to maximize both performance and endurance under these conditions. Oxide dispersion strengthened (ODS) RAF steels are leader candidates as structural materials in fusion energy reactors thanks to the reinforcement obtained with a fine dispersion of nanosized oxides in their matrix. In this study, the influence of the initial powder particle size and the selected processing route on the final material has been investigated. Two RAF ODS steels coming from atomized pre-alloyed powders with nominal particle powder sizes of 70 and 30 µm and composition Fe-14Cr-2W-0.4Ti-0.3Y$_{2}$O$_{3}$ (wt. %) were manufactured by mechanical alloying. Alloyed powders were compacted by hot isostatic pressing, hot crossed rolled, and annealed at 1273 K. Initial powder particle size differences minimize after milling. Both steels present an almost completely recrystallized material and similar grain sizes. The same type and distributions of secondary phases, Cr-W-rich, Ti-rich, and Y-Ti oxide nanoparticles, have been also characterized by transmission electron microscopy (TEM) in both alloy samples. The strengthening effect has been confirmed by tensile and Charpy impact tests. The two alloys present similar strength values with slightly better ductile brittle transition temperature (DBTT) and ductility for the steel produced with the smaller powder size

Powder particle size effects on microstructure and mechanical properties of mechanically alloyed ODS ferritic steels

This article belongs to the Special Issue New Developments in Dispersion Strengthening of Metals and Alloys.Reduced activation ferritic (RAF) steels are expected to be widely used in challenging nuclear industrial applications under severe thermo-mechanical regimes and intense neutron loads. Therefore, actual research panorama is facing the strengthening strategies necessary to maximize both performance and endurance under these conditions. Oxide dispersion strengthened (ODS) RAF steels are leader candidates as structural materials in fusion energy reactors thanks to the reinforcement obtained with a fine dispersion of nanosized oxides in their matrix. In this study, the influence of the initial powder particle size and the selected processing route on the final material has been investigated. Two RAF ODS steels coming from atomized pre-alloyed powders with nominal particle powder sizes of 70 and 30 µm and composition Fe-14Cr-2W-0.4Ti-0.3Y2O3 (wt. %) were manufactured by mechanical alloying. Alloyed powders were compacted by hot isostatic pressing, hot crossed rolled, and annealed at 1273 K. Initial powder particle size differences minimize after milling. Both steels present an almost completely recrystallized material and similar grain sizes. The same type and distributions of secondary phases, Cr-W-rich, Ti-rich, and Y-Ti oxide nanoparticles, have been also characterized by transmission electron microscopy (TEM) in both alloy samples. The strengthening effect has been confirmed by tensile and Charpy impact tests. The two alloys present similar strength values with slightly better ductile brittle transition temperature (DBTT) and ductility for the steel produced with the smaller powder size.This investigation has been supported by the AEI (Agencia Estatal de Investigación) with reference AEI/10.13039/501100011033 (project PID2019-105325RB-C33); the Comunidad de Madrid (Spain) through the programs MULTIMAT (S2013/MIT-2862), Talento-CAM (2017-T1/IND-5439), and the multiannual agreement with UC3M ("Excelencia para el Profesorado Universitario"-EPUC3M14)

Microstructure and tensile properties of ODS ferritic steels mechanically alloyed with Fe2Y

An oxide dispersion strengthened ODS ferritic steel has been produced by mechanical alloying of Fe–14Cr–2W–0.2Ti (wt.%) prealloyed powder with 0.55 (wt.%) Fe2Y intermetallic particles and consolidated by hot isostatic pressing. The microstructure after thermal treatments confirms the homogeneous precipitation of Y-Ti oxides with nanometric sizes. Tensile properties as a function of the testing temperature from room temperature to 973 K have been measured and the results are discussed with respect to similar ODS ferritic steels fabricated by a powder metallurgy route using Y2O3 powder

Serum lipid profile among sporadic and familial forms of Parkinson’s disease

Brain cholesterol metabolism has been described as altered in Parkinson’s disease (PD) patients. Serum lipid levels have been widely studied in PD with controversial results among different populations and age groups. The present study is aimed at determining if the serum lipid profile could be influenced by the genetic background of PD patients. We included 403 PD patients (342 sporadic PD patients, 30 GBA-associated PD patients, and 31 LRRK2-associated PD patients) and 654 healthy controls (HCs). Total cholesterol, HDL, LDL, and triglycerides were measured in peripheral blood. Analysis of covariance adjusting for sex and age (ANCOVA) and post hoc tests were applied to determine the differences within lipid profiles among the groups. Multivariate ANCOVA revealed significant differences among the groups within cholesterol and LDL levels. GBA-associated PD patients had significantly lower levels of total cholesterol and LDL compared to LRRK2-associated PD patients and HCs. The different serum cholesterol levels in GBA-associated PD might be related to diverse pathogenic mechanisms. Our results support the hypothesis of lipid metabolism disruption as one of the main PD pathogenic mechanisms in patients with GBA-associated PD. Further studies would be necessary to explore their clinical implications.This work was supported by the Spanish Ministry of Science and Innovation [RTC2019-007150-1], the Instituto de Salud Carlos III-Fondo Europeo de Desarrollo Regional (ISCIII-FEDER) [PI14/01823, PI16/01575, PI18/01898, PI19/01576], the Consejería de Economía, Innovación, Ciencia y Empleo de la Junta de Andalucía [CVI-02526, CTS-7685], the Consejería de Salud y Bienestar Social de la Junta de Andalucía [PI-0471-2013, PE-0210-2018, PI-0459-2018, PE-0186-2019], and the Fundación Alicia Koplowitz. Pilar Gómez-Garre was supported by the “Nicolás Monardes” program [C-0048-2017] (from Andalusian Regional Ministry of Health). Silvia Jesús was supported by the “Acción B Clínicos Investigadores” program from the Consejería de Salud y Familias de la Junta de Andalucía [B-0007-2019]. Daniel Macías-García was supported by the “Río Hortega” program [CM18/00142] from the Instituto de Salud Carlos III (ISCIII-FEDER). María Teresa Periñán was supported by the Spanish Ministry of Education, Culture and Sports [FPU16/05061]. Miguel Ángel Labrador-Espinosa is supported by University of Seville [USE-18817-A].Peer reviewe

Criteria for specimen collection in special situations of Newborn Screening. Review

La espectrometría de masas en tándem (MS-MS) ha permitido ampliar el alcance del cribado neonatal. Eso hace más complicado determinar el momento más adecuado para la toma de muestra, sobre todo en recién nacidos prematuros y/o bajo peso y/o ingresados en unidades neonatales. El objetivo del presente estudio ha sido revisar las normas de toma de muestra de los distintos programas en estas situaciones, a nivel nacional e internacional. Se obtienen los datos a través de páginas web de salud pública, de plataformas de búsqueda o por contacto con los centros. Existe gran disparidad de criterios para la toma de una nueva muestra, incluso dentro de un mismo país. La limitación de información disponible, hizo imposible obtener resultados de muchos países, en particular de África, Asia o Latinoamérica. A pesar de que cada vez más estados se acogen a las recomendaciones del Clinical and Laboratory Standards Institute u otros organismos internacionales, el aumento del coste que implica, hace muy difícil conseguir la estandarización.The most significant breakthrough in the newborn screening (NBS) programs was the introduction of the tandem mass spectrometry (MS-MS) to the laboratory, which makes it possible to detect multiple disorders. However, it is difficult to choose the ideal time for the specimen collection, particularly in preterm, low birth weight, and sick newborns. The aim of this study was to revise the protocols, in national and international programs for specimen collection in these newborns. Data were collected from web pages of public health, internet searches, and contact with the laboratories. The results showed a great disparity in criteria for a new specimen collection, as well as among different centres within a country. It has been difficult to obtain this information from many countries in Africa, Asia, and Latin America. Although an increasing number of laboratories follow the recommendations of the Clinical and Laboratory Standards Institute or other international guidelines, the increased cost involved makes standardisation difficult.info:eu-repo/semantics/publishedVersio

Criteria for specimen collection in special situations of Newborn Screening. Review

La espectrometría de masas en tándem (MS-MS) ha permitido ampliar el alcance del cribado neonatal. Eso hace más complicado determinar el momento más adecuado para la toma de muestra, sobre todo en recién nacidos prematuros y/o bajo peso y/o ingresados en unidades neonatales. El objetivo del presente estudio ha sido revisar las normas de toma de muestra de los distintos programas en estas situaciones, a nivel nacional e internacional. Se obtienen los datos a través de páginas web de salud pública, de plataformas de búsqueda o por contacto con los centros. Existe gran disparidad de criterios para la toma de una nueva muestra, incluso dentro de un mismo país. La limitación de información disponible, hizo imposible obtener resultados de muchos países, en particular de África, Asia o Latinoamérica. A pesar de que cada vez más estados se acogen a las recomendaciones del Clinical and Laboratory Standards Institute u otros organismos internacionales, el aumento del coste que implica, hace muy difícil conseguir la estandarización.The most significant breakthrough in the newborn screening (NBS) programs was the introduction of the tandem mass spectrometry (MS-MS) to the laboratory, which makes it possible to detect multiple disorders. However, it is difficult to choose the ideal time for the specimen collection, particularly in preterm, low birth weight, and sick newborns. The aim of this study was to revise the protocols, in national and international programs for specimen collection in these newborns. Data were collected from web pages of public health, internet searches, and contact with the laboratories. The results showed a great disparity in criteria for a new specimen collection, as well as among different centres within a country. It has been difficult to obtain this information from many countries in Africa, Asia, and Latin America. Although an increasing number of laboratories follow the recommendations of the Clinical and Laboratory Standards Institute or other international guidelines, the increased cost involved makes standardisation difficult.info:eu-repo/semantics/publishedVersio

Metabolic-associated fatty liver disease: from simple steatosis towards liver cirrhosis and potential complications. Proceedings of the Third Translational Hepatology Meeting, endorsed by the Spanish Association for the Study of the Liver (AEEH)

This is a meeting report of the 3rd Translational Hepatology Meeting held in Alicante, Spain, in October 2021. The meeting, which was organized by the Spanish Association for the Study of the Liver (AEEH), provided an update on the recent advances in the field of basic and translational hepatology, with a particular focus on the molecular and cellular mechanisms and therapeutic targets involved in metabolic-associated fatty liver disease (MAFLD), metabolic-associated steatohepatitis (MASH), cirrhosis and end-stage hepatocellular carcinoma (HCC).S

Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease

© The Author(s) 2023, corrected publication 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.Peripheral inflammatory immune responses are thought to play a major role in the pathogenesis of Parkinson’s disease (PD). The neutrophil-to-lymphocyte ratio (NLR), a biomarker of systemic inflammation, has been reported to be higher in patients with PD than in healthy controls (HCs). The present study was aimed at determining if the peripheral inflammatory immune response could be influenced by the genetic background of patients with PD. We included a discovery cohort with 222 patients with PD (132 sporadic PD, 44 LRRK2-associated PD (with p.G2019S and p.R1441G variants), and 46 GBA-associated PD), as well as 299 HCs. Demographic and clinical data were recorded. Leukocytes and their subpopulations, and the NLR were measured in peripheral blood. Multivariate lineal regression and post-hoc tests were applied to determine the differences among the groups. Subsequently, a replication study using the Parkinson’s Progression Markers Initiative cohort was performed which included 401 patients with PD (281 sPD patients, 66 LRRK2-PD patients, 54 GBA-PD patients) and a group of 174 HCs. Patients with sporadic PD and GBA-associated PD showed a significantly lower lymphocyte count, a non-significantly higher neutrophil count and a significantly higher NLR than HCs. The peripheral inflammatory immune response of patients with LRRK2-associated PD did not differ from HCs. Our study supports the involvement of a peripheral inflammatory immune response in the pathophysiology of sPD and GBA-associated PD. However, this inflammatory response was not found in LRRK2-associated PD, probably reflecting different pathogenic inflammatory mechanisms.The authors thank the donors and the Hospital Universitario Virgen del Rocío-Instituto de Biomedicina de Sevilla Biobank (Andalusian Public Health System Biobank and ISCIII-Red de Biobancos PT17/0015/0041) for the human specimens used in this study. This work was supported by the Spanish Ministry of Science and Innovation [RTC2019-007150-1], the Instituto de Salud Carlos III-Fondo Europeo de Desarrollo Regional (ISCIII-FEDER) [PI14/01823, PI16/01575, PI18/01898, PI19/01576, PI21/01875, and PI22/01704], the Consejería de Economía, Innovación, Ciencia y Empleo de la Junta de Andalucía [CVI-02526, CTS-7685], the Consejería de Salud y Bienestar Social de la Junta de Andalucía [PI-0471-2013, PE-0210-2018, PI-0459-2018, PE-0186-2019], the Consejería de Transformación Económica, Industria, Conocimiento y Universidades de la Junta de Andalucía [PY20_00896], and the Fundación Alicia Koplowitz. Several authors of this publication are members of the European Reference Network for Rare Neurological Diseases – Project ID No 739510. Pilar Gómez-Garre was supported by the “Nicolás Monardes” program (C-0048-2017; from the Andalusian Regional Ministry of Health). Silvia Jesús was supported by the “Acción B Clínicos Investigadores” program from the Consejería de Salud y Familias, Junta de Andalucía (B-0007-2019). Daniel Macías-Garcia was supported by the “Juan Rodés” program (JR22/00073) from the Instituto de Salud Carlos III. Laura Muñoz-Delgado was supported by the “Río Hortega” program (CM21/00051) from the Instituto de Salud Carlos III. Rafael Díaz Belloso was supported by pre-doctoral contract for training in health research (PFIS) from Instituto de Salud Carlos III. Sergio García Díaz was supported by an University Teacher Training Programme (FPU) from the Spanish Ministry of Education.Peer reviewe

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