37 research outputs found
Synthesis of Porous and Mechanically Compliant Carbon Aerogels Using Conductive and Structural Additives
We report the synthesis of conductive and mechanically compliant monolithic carbon aerogels prepared by sol-gel polycondensation of melamine-resorcinol-formaldehyde (MRF) mixtures by incorporating diatomite and carbon black additives. The resulting aerogels composites displayed a well-developed porous structure, confirming that the polymerization of the precursors is not impeded in the presence of either additive. The aerogels retained the porous structure after etching off the siliceous additive, indicating adequate cross-linking of the MRF reactants. However, the presence of diatomite caused a significant fall in the pore volumes, accompanied by coarsening of the average pore size (predominance of large mesopores and macropores). The diatomite also prevented structural shrinkage and deformation of the as-prepared monoliths upon densification by carbonization, even after removal of the siliceous framework. The rigid pristine aerogels became more flexible upon incorporation of the diatomite, favoring implementation of binderless monolithic aerogel electrodes.This work was partially funded by the Spanish MINECO (CTM2014/56770-R,
IPT-2011-1450-310000 ADECAR) and Junta de AndalucĂa (FQM288). The help of D.L. GarcĂa in the preparation
of the specimens is greatly appreciated. C.O.A. thanks the financial support of the European Research Council
through a Consolidator Grant (ERC-CoG-648161-PHOROSOL).Peer reviewe
Synthesis of Porous and Mechanically Compliant Carbon Aerogels Using Conductive and Structural Additives
We report the synthesis of conductive and mechanically compliant monolithic carbon
aerogels prepared by sol-gel polycondensation of melamine-resorcinol-formaldehyde (MRF) mixtures
by incorporating diatomite and carbon black additives. The resulting aerogels composites displayed
a well-developed porous structure, confirming that the polymerization of the precursors is not
impeded in the presence of either additive. The aerogels retained the porous structure after etching
off the siliceous additive, indicating adequate cross-linking of the MRF reactants. However, the
presence of diatomite caused a significant fall in the pore volumes, accompanied by coarsening
of the average pore size (predominance of large mesopores and macropores). The diatomite also
prevented structural shrinkage and deformation of the as-prepared monoliths upon densification
by carbonization, even after removal of the siliceous framework. The rigid pristine aerogels became
more flexible upon incorporation of the diatomite, favoring implementation of binderless monolithic
aerogel electrodes
High efficacy of Sofosbuvir plus Simeprevir in a large cohort of Spanish cirrhotic patients infected with genotypes 1 and 4
[Abstract]
Background and Aims. Hepatitis C (HCV) therapy with Sofosbuvir (SOF)/Simeprevir (SMV) in clinical trials and realâworld clinical practice, showed high rates of sustained virological response (SVR) in nonâcirrhotic genotype (GT)â1 and GTâ4 patients. These results were slightly lower in cirrhotic patients. We investigated realâlife effectiveness and safety of SOF/SMV with or without ribavirin (RBV) in a large cohort of cirrhotic patients.
Methods. This collaborative multicentre study included data from 968 patients with cirrhosis infected with HCVâGT1 or 4, treated with SOF/SMV±RBV in 30 centres across Spain between Januaryâ2014 and Decemberâ2015. Demographic, clinical, virological and safety data were analysed.
Results. Overall SVR was 92.3%; the majority of patients were treated with RBV (62%) for 12 weeks (92.4%). No significant differences in SVR were observed between genotypes (GT1a:94.3%; GT1b:91.7%; GT4:91.1%). Those patients with more advanced liver disease (Child B/C, MELDâ„10) or portal hypertension (platelet countâ€100Ă109/L, transient elastographyâ„21 Kpa) showed significantly lower SVR rates (84.4%â91.9%) than patients with less advanced liver disease (93.8%â95.9%, P<.01 in all cases). In the multivariate analysis, the use of RBV, female gender, baseline albuminâ„35 g/L, MELD<10 and lack of exposure to a triple therapy regimen were independent predictors of SVR (P<.05). Serious adverse events (SAEs) and SAEâassociated discontinuation events occurred in 5.9% and 2.6%.
Conclusions. In this large cohort of cirrhotic patients managed in the realâworld setting in Spain, SOF/SMV±RBV yielded to excellent SVR rates, especially in patients with compensated liver cirrhosis. In addition, this combination showed to be safe, with low rates of SAEs and early discontinuations.Instituto de Salud Carlos III; PI15/0015
Novel genes and sex differences in COVID-19 severity
[EN] Here, we describe the results of a genome-wide study conducted in 11â939 coronavirus disease 2019 (COVID-19) positive cases with an extensive clinical information that were recruited from 34 hospitals across Spain (SCOURGE consortium). In sex-disaggregated genome-wide association studies for COVID-19 hospitalization, genome-wide significance (Pâ<â5âĂâ10â8) was crossed for variants in 3p21.31 and 21q22.11 loci only among males (Pâ= 1.3âĂâ10â22 and Pâ= 8.1âĂâ10â12, respectively), and for variants in 9q21.32 near TLE1 only among females (Pâ= 4.4âĂâ10â8). In a second phase, results were combined with an independent Spanish cohort (1598 COVID-19 cases and 1068 population controls), revealing in the overall analysis two novel risk loci in 9p13.3 and 19q13.12, with fine-mapping prioritized variants functionally associated with AQP3 (Pâ= 2.7âĂâ10â8) and ARHGAP33 (Pâ= 1.3âĂâ10â8), respectively. The meta-analysis of both phases with four European studies stratified by sex from the Host Genetics Initiative (HGI) confirmed the association of the 3p21.31 and 21q22.11 loci predominantly in males and replicated a recently reported variant in 11p13 (ELF5, Pâ=â4.1âĂâ10â8). Six of the COVID-19 HGI discovered loci were replicated and an HGI-based genetic risk score predicted the severity strata in SCOURGE. We also found more SNP-heritability and larger heritability differences by age (<60 or â„60 years) among males than among females. Parallel genome-wide screening of inbreeding depression in SCOURGE also showed an effect of homozygosity in COVID-19 hospitalization and severity and this effect was stronger among older males. In summary, new candidate genes for COVID-19 severity and evidence supporting genetic disparities among sexes are provided.S
Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2
The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality
Handbook of Active Ageing and Quality of Life: From Concepts to Applications
La ediciĂłn de este libro estuvo a cargo de Fermina Rojo-PĂ©rez y Gloria FernĂĄndez-Mayoralas.El documento adjunto contiene la cubierta, portada e Ăndice del libro.This handbook presents an overview of studies on the relationship of active ageing and quality of life. It addresses the new challenges of ageing from the paradigm of positive ageing (active, healthy and successful) for a better quality of life. It provides theoretical perspectives and empirical studies, including scientific knowledge as well as practical experiences about the good ageing and the quality of later life around the world, in order to respond to the challenges of an aged population. The handbook is structured in 4 sections covering theoretical and conceptual perspectives, social policy issues and research agenda, methods, measurement instrument-scales and evaluations, and lastly application studies including domains and geographical contexts.Peer reviewe
Time to Switch to Second-line Antiretroviral Therapy in Children With Human Immunodeficiency Virus in Europe and Thailand.
Background: Data on durability of first-line antiretroviral therapy (ART) in children with human immunodeficiency virus (HIV) are limited. We assessed time to switch to second-line therapy in 16 European countries and Thailand. Methods: Children aged <18 years initiating combination ART (â„2 nucleoside reverse transcriptase inhibitors [NRTIs] plus nonnucleoside reverse transcriptase inhibitor [NNRTI] or boosted protease inhibitor [PI]) were included. Switch to second-line was defined as (i) change across drug class (PI to NNRTI or vice versa) or within PI class plus change of â„1 NRTI; (ii) change from single to dual PI; or (iii) addition of a new drug class. Cumulative incidence of switch was calculated with death and loss to follow-up as competing risks. Results: Of 3668 children included, median age at ART initiation was 6.1 (interquartile range (IQR), 1.7-10.5) years. Initial regimens were 32% PI based, 34% nevirapine (NVP) based, and 33% efavirenz based. Median duration of follow-up was 5.4 (IQR, 2.9-8.3) years. Cumulative incidence of switch at 5 years was 21% (95% confidence interval, 20%-23%), with significant regional variations. Median time to switch was 30 (IQR, 16-58) months; two-thirds of switches were related to treatment failure. In multivariable analysis, older age, severe immunosuppression and higher viral load (VL) at ART start, and NVP-based initial regimens were associated with increased risk of switch. Conclusions: One in 5 children switched to a second-line regimen by 5 years of ART, with two-thirds failure related. Advanced HIV, older age, and NVP-based regimens were associated with increased risk of switch
ESTUDIO FITOQUĂMICO DE LA TIQUILIA PARONYCHOIDES (PHIL) A. RICHARDSON "FLOR DE ARENA"
The present research refers to Tiquila paronychoides(flor de arena). By phitochemistrey analysis has been determined the following compounds: tanins, flavonoids, alcaloids and ester [acid grass) which was isolated. The ester was characterizated by lnfrared Spectroscopy and Nuclear Magnetic Resonance Spectroscopy 1H-NMR and 13C-NMRLa presente investigaciĂłn estĂĄ dedicada a la Tiquila paronychoides(flor de arena). A partir de anĂĄlisis fitoquĂmico se ha determinado la presencia de los siguientes compuestos: taninos, terpenos, flavonoides. alcaloides y un Ă©ster (ĂĄcido graso aislado). El Ă©ster fue caracterizado por espectroscopia infrarroja, Resonancia MagnĂ©tica Nuclear 1H-RMN y 13C-RMN