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Alvarez-Romero C, Polo-Molina A, Sánchez-Úbeda EF, Jimenez-De-Juan C, Cuadri-Benitez MP, Rivas-Gonzalez JA, Portela J, Palacios R, Rodriguez-Morcillo C, Muñoz A, Parra-Calderon CL, Nieto-Martin MD, Ollero-Baturone M, Hernández-Quiles C. Machine Learning-Based Prediction of Changes in the Clinical Condition of Patients With Complex Chronic Diseases: 2-Phase Pilot Prospective Single-Center Observational Study. JMIR Form Res 2024; 8:e52344. [PMID: 38640473 DOI: 10.2196/52344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 01/18/2024] [Accepted: 02/19/2024] [Indexed: 04/21/2024] Open
Abstract
BACKGROUND Functional impairment is one of the most decisive prognostic factors in patients with complex chronic diseases. A more significant functional impairment indicates that the disease is progressing, which requires implementing diagnostic and therapeutic actions that stop the exacerbation of the disease. OBJECTIVE This study aimed to predict alterations in the clinical condition of patients with complex chronic diseases by predicting the Barthel Index (BI), to assess their clinical and functional status using an artificial intelligence model and data collected through an internet of things mobility device. METHODS A 2-phase pilot prospective single-center observational study was designed. During both phases, patients were recruited, and a wearable activity tracker was allocated to gather physical activity data. Patients were categorized into class A (BI≤20; total dependence), class B (2060; moderate or mild dependence, or independent). Data preprocessing and machine learning techniques were used to analyze mobility data. A decision tree was used to achieve a robust and interpretable model. To assess the quality of the predictions, several metrics including the mean absolute error, median absolute error, and root mean squared error were considered. Statistical analysis was performed using SPSS and Python for the machine learning modeling. RESULTS Overall, 90 patients with complex chronic diseases were included: 50 during phase 1 (class A: n=10; class B: n=20; and class C: n=20) and 40 during phase 2 (class B: n=20 and class C: n=20). Most patients (n=85, 94%) had a caregiver. The mean value of the BI was 58.31 (SD 24.5). Concerning mobility aids, 60% (n=52) of patients required no aids, whereas the others required walkers (n=18, 20%), wheelchairs (n=15, 17%), canes (n=4, 7%), and crutches (n=1, 1%). Regarding clinical complexity, 85% (n=76) met patient with polypathology criteria with a mean of 2.7 (SD 1.25) categories, 69% (n=61) met the frailty criteria, and 21% (n=19) met the patients with complex chronic diseases criteria. The most characteristic symptoms were dyspnea (n=73, 82%), chronic pain (n=63, 70%), asthenia (n=62, 68%), and anxiety (n=41, 46%). Polypharmacy was presented in 87% (n=78) of patients. The most important variables for predicting the BI were identified as the maximum step count during evening and morning periods and the absence of a mobility device. The model exhibited consistency in the median prediction error with a median absolute error close to 5 in the training, validation, and production-like test sets. The model accuracy for identifying the BI class was 91%, 88%, and 90% in the training, validation, and test sets, respectively. CONCLUSIONS Using commercially available mobility recording devices makes it possible to identify different mobility patterns and relate them to functional capacity in patients with polypathology according to the BI without using clinical parameters.
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Affiliation(s)
- Celia Alvarez-Romero
- Computational Health Informatics Group, Institute of Biomedicine of Seville, Virgen del Rocío University Hospital, Consejo Superior de Investigaciones Científicas, University of, Seville, Spain
| | - Alejandro Polo-Molina
- Institute for Research in Technology (IIT), ICAI School of Engineering, Comillas Pontifical University, Madrid, Spain
| | | | | | | | - Jose Antonio Rivas-Gonzalez
- Computational Health Informatics Group, Institute of Biomedicine of Seville, Virgen del Rocío University Hospital, Consejo Superior de Investigaciones Científicas, University of, Seville, Spain
| | - Jose Portela
- Institute for Research in Technology (IIT), ICAI School of Engineering, Comillas Pontifical University, Madrid, Spain
| | - Rafael Palacios
- Institute for Research in Technology (IIT), ICAI School of Engineering, Comillas Pontifical University, Madrid, Spain
| | - Carlos Rodriguez-Morcillo
- Institute for Research in Technology (IIT), ICAI School of Engineering, Comillas Pontifical University, Madrid, Spain
| | - Antonio Muñoz
- Institute for Research in Technology (IIT), ICAI School of Engineering, Comillas Pontifical University, Madrid, Spain
| | - Carlos Luis Parra-Calderon
- Computational Health Informatics Group, Institute of Biomedicine of Seville, Virgen del Rocío University Hospital, Consejo Superior de Investigaciones Científicas, University of, Seville, Spain
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Ramírez P, Muñoz A. Liver xenotransplantation: Time to make the leap to the clinic. Cir Esp 2024:S2173-5077(24)00015-2. [PMID: 38224766 DOI: 10.1016/j.cireng.2023.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 11/08/2023] [Indexed: 01/17/2024]
Affiliation(s)
- Pablo Ramírez
- Catedrático de Cirugía y Jefe de Servicio, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria Pascual Parrilla (IMIB), Murcia, Spain.
| | - Antonio Muñoz
- Catedrático de Producción Animal y Genética Porcina, Universidad de Murcia, Murcia, Spain
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3
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Jaime FJ, Muñoz A, Rodríguez-Gómez F, Jerez-Calero A. Strengthening Privacy and Data Security in Biomedical Microelectromechanical Systems by IoT Communication Security and Protection in Smart Healthcare. Sensors (Basel) 2023; 23:8944. [PMID: 37960646 PMCID: PMC10647665 DOI: 10.3390/s23218944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 10/31/2023] [Accepted: 11/01/2023] [Indexed: 11/15/2023]
Abstract
Biomedical Microelectromechanical Systems (BioMEMS) serve as a crucial catalyst in enhancing IoT communication security and safeguarding smart healthcare systems. Situated at the nexus of advanced technology and healthcare, BioMEMS are instrumental in pioneering personalized diagnostics, monitoring, and therapeutic applications. Nonetheless, this integration brings forth a complex array of security and privacy challenges intrinsic to IoT communications within smart healthcare ecosystems, demanding comprehensive scrutiny. In this manuscript, we embark on an extensive analysis of the intricate security terrain associated with IoT communications in the realm of BioMEMS, addressing a spectrum of vulnerabilities that spans cyber threats, data manipulation, and interception of communications. The integration of real-world case studies serves to illuminate the direct repercussions of security breaches within smart healthcare systems, highlighting the imperative to safeguard both patient safety and the integrity of medical data. We delve into a suite of security solutions, encompassing rigorous authentication processes, data encryption, designs resistant to attacks, and continuous monitoring mechanisms, all tailored to fortify BioMEMS in the face of ever-evolving threats within smart healthcare environments. Furthermore, the paper underscores the vital role of ethical and regulatory considerations, emphasizing the need to uphold patient autonomy, ensure the confidentiality of data, and maintain equitable access to healthcare in the context of IoT communication security. Looking forward, we explore the impending landscape of BioMEMS security as it intertwines with emerging technologies such as AI-driven diagnostics, quantum computing, and genomic integration, anticipating potential challenges and strategizing for the future. In doing so, this paper highlights the paramount importance of adopting an integrated approach that seamlessly blends technological innovation, ethical foresight, and collaborative ingenuity, thereby steering BioMEMS towards a secure and resilient future within smart healthcare systems, in the ambit of IoT communication security and protection.
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Affiliation(s)
- Francisco J. Jaime
- Computer Science Department, University of Malaga, 29071 Málaga, Spain; (F.J.J.); (F.R.-G.)
| | - Antonio Muñoz
- Computer Science Department, University of Malaga, 29071 Málaga, Spain; (F.J.J.); (F.R.-G.)
| | | | - Antonio Jerez-Calero
- Pediatrics Department, Medicine Faculty, University of Granada, Avda. De La Investigación 11, 18016 Granada, Spain;
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Zavala A, Vargas MI, Ayala W, Muñoz A, Chávez MA, López J, Delgado R. Reconstruction of cervico-thoracic defect with bipedicled deep inferior epigastric perforator free flap following resection of a giant recurrent thyroid tumor: a case report and review of literature. J Surg Case Rep 2023; 2023:rjad491. [PMID: 37680994 PMCID: PMC10480101 DOI: 10.1093/jscr/rjad491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 08/13/2023] [Indexed: 09/09/2023] Open
Abstract
The bipedicled Deep Inferior Epigastric Perforator (DIEP) flap, originally described and primarily utilized in autologous breast reconstruction for specific cases, has expanded its applications to encompass diverse anatomical regions in recent years. This report presents the case of a 69-year-old woman with a recurrent giant thyroid tumor who underwent surgical resection, resulting in a large cervico-thoracic defect effectively reconstructed using a bipedicled DIEP flap. The patient's postoperative recovery was uneventful, and the follow-up assessments revealed a healthy, well-perfused flap that provided sufficient coverage to critical structures, adequate restoration of the region contour, and enough volume to offset potential adverse effects of subsequent radiation therapy. In addition, this report incorporates a concise literature review highlighting the expanding indications of the bipedicled DIEP flap beyond breast reconstruction, showing the versatility and efficacy of the bipedicled DIEP flap in addressing complex soft-tissue defects in various anatomical areas.
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Affiliation(s)
- Abraham Zavala
- Department of Plastic and Reconstructive Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima 15038, Peru
| | - María I Vargas
- Department of Plastic and Reconstructive Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima 15038, Peru
| | - Walter Ayala
- Department of Plastic and Reconstructive Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima 15038, Peru
| | - Antonio Muñoz
- Department of Breast and Soft Tissue Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima 15038, Peru
| | - Miguel A Chávez
- Department of Plastic and Reconstructive Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima 15038, Peru
| | - Jesús López
- Department of Plastic and Reconstructive Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima 15038, Peru
| | - Ricardo Delgado
- Department of Plastic and Reconstructive Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima 15038, Peru
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Martínez-Alarcón L, Flores-Medina J, Ramis G, Gómez-Laguna J, Moll X, Falceto V, San Román-Ascaso F, San Román-Llorens F, Quereda JJ, Herrero JM, Mendonça L, Martin-Barrasa JL, Fernández OM, Muñoz A, Ramírez P, Gutiérrez P, López-Chicheri I, López-Navas A, Ríos A. Organ xenotransplantation acceptance in veterinary students: A multicentric opinion study in Spain. Xenotransplantation 2023; 30:e12823. [PMID: 37695105 DOI: 10.1111/xen.12823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 07/27/2023] [Accepted: 08/29/2023] [Indexed: 09/12/2023]
Abstract
BACKGROUND The shortage of available transplant organs has made it necessary to search for alternatives, one of which is xenotransplantation. However, the use of animal organs could face rejection from society and the personnel involved in its implementation. OBJECTIVES (a) to analyze the attitudes of Veterinary Degree students in six Spanish Universities towards xenotransplantation; and (b) to determine the factors that affect its acceptance. METHODS Of the 2815 students surveyed in the degree program, 2683 valid surveys were obtained. Attitudes towards organ xenotransplantation were evaluated using a validated questionnaire of organ donation. RESULTS If xenotransplantation was confirmed as a clinical reality, 93% (n = 2493) of those surveyed would accept a xenotransplanted organ, whilst 7% would not. If the results of xenotransplantation were worse than those obtained with human donors and it entailed more risk, 12% (n = 318) would be in favor. 56% (n = 1497) of the students would accept a xenotransplantation provisionally pending the arrival of a human organ. Attitudes towards xenotransplantation were affected by the academic year in which a student was studying, with more favorable attitudes among students in the last year (88% in first year vs. 95% in fifth year; p < .001). More favorable attitudes are also observed depending on the attitude they have towards organ transplantation, with those students being more in favor of donating their organs when they die (94% vs. 88%; p < .001). CONCLUSION Veterinary students would have a very favorable attitude toward xenotransplantation if these animal organs functioned as well as human organs. Therefore, these students could play an important role in the future promotion of this technique.
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Affiliation(s)
- Laura Martínez-Alarcón
- International Collaborative Donor Project, Murcia, Spain
- Surgery Service, Transplant Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
| | - Juan Flores-Medina
- Department of Psychology, Faculty of Medicine, Catholic University of Murcia (UCAM), Murcia, Spain
| | - Guillermo Ramis
- International Collaborative Donor Project, Murcia, Spain
- Surgery Service, Transplant Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain
- Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - Jaime Gómez-Laguna
- Department of Anatomy and Comparative Pathology and Toxicology, University of Córdoba, Córdoba, Spain
| | - Xavier Moll
- Faculty of Veterinary Medicine, Autonomous University of Barcelona, Barcelona, Spain
| | - Victoria Falceto
- Department of Animal Pathology, Faculty of Veterinary Medicine, University of Zaragoza, Zaragoza, Spain
| | - Fidel San Román-Ascaso
- Department of Animal Medicine and Surgery, Faculty of Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Fidel San Román-Llorens
- Department of Animal Pathology, Faculty of Veterinary, University of Zaragoza, Zaragoza, Spain
| | - Juan José Quereda
- Department of Animal Production and Health, Veterinary Public Health and Food Science and Technology, Faculty of Veterinary, University Cardenal Herrera-CEU, Valencia, Spain
| | - Juan Manuel Herrero
- Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - Livia Mendonça
- Faculty of Veterinary, Universidade Federal de Goiás, Goiania, Brazil
| | - José Luis Martin-Barrasa
- Experimental Animal Facility, Research Unit, Hospital Universitario de Gran Canaria, Dr. Negrín, Las Palmas de Gran Canaria, Arucas, Spain
- Animal Infectious Diseases and Ictiopatology, University Institute of Animal Health (IUSA), University of Las Palmas de Gran Canaria, Arucas, Spain
| | - Olga María Fernández
- Animalario libre de Patógenos Arrixaca-Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
| | - Antonio Muñoz
- Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - Pablo Ramírez
- International Collaborative Donor Project, Murcia, Spain
- Surgery Service, Transplant Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain
- Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - Pedro Gutiérrez
- Urology Service, Complejo Hospitalario Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, Spain
- Departmen of Surgery, University of La Laguna, San Cristóbal de la Laguna, Tenerife, Spain
| | - Isabel López-Chicheri
- Department of Psychology, Faculty of Medicine, Catholic University of Murcia (UCAM), Murcia, Spain
| | - Ana López-Navas
- International Collaborative Donor Project, Murcia, Spain
- Department of Psychology, Faculty of Medicine, Catholic University of Murcia (UCAM), Murcia, Spain
| | - Antonio Ríos
- International Collaborative Donor Project, Murcia, Spain
- Surgery Service, Transplant Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain
- Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
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6
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Tong X, McNamara RP, Avendaño MJ, Serrano EF, García-Salum T, Pardo-Roa C, Bertera HL, Chicz TM, Levican J, Poblete E, Salinas E, Muñoz A, Riquelme A, Alter G, Medina RA. Waning and boosting of antibody Fc-effector functions upon SARS-CoV-2 vaccination. Nat Commun 2023; 14:4174. [PMID: 37443074 PMCID: PMC10345146 DOI: 10.1038/s41467-023-39189-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 06/01/2023] [Indexed: 07/15/2023] Open
Abstract
Since the emergence of SARS-CoV-2, vaccines targeting COVID-19 have been developed with unprecedented speed and efficiency. CoronaVac, utilising an inactivated form of the COVID-19 virus and the mRNA26 based Pfizer/BNT162b2 vaccines are widely distributed. Beyond the ability of vaccines to induce production of neutralizing antibodies, they might lead to the generation of antibodies attenuating the disease by recruiting cytotoxic and opsonophagocytic functions. However, the Fc-effector functions of vaccine induced antibodies are much less studied than virus neutralization. Here, using systems serology, we follow the longitudinal Fc-effector profiles induced by CoronaVac and BNT162b2 up until five months following the two-dose vaccine regimen. Compared to BNT162b2, CoronaVac responses wane more slowly, albeit the levels remain lower than that of BNT162b2 recipients throughout the entire observation period. However, mRNA vaccine boosting of CoronaVac responses, including response to the Omicron variant, induce significantly higher peak of antibody functional responses with increased humoral breadth. In summary, we show that vaccine platform-induced humoral responses are not limited to virus neutralization but rather utilise antibody dependent effector functions. We demonstrate that this functionality wanes with different kinetics and can be rescued and expanded via boosting with subsequent homologous and heterologous vaccination.
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Affiliation(s)
- X Tong
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA
| | - R P McNamara
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA
| | - M J Avendaño
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
| | - E F Serrano
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
| | - T García-Salum
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, 30322, USA
| | - C Pardo-Roa
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
| | - H L Bertera
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA
| | - T M Chicz
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA
| | - J Levican
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
| | - E Poblete
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
| | - E Salinas
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
| | - A Muñoz
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
| | - A Riquelme
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile
- Department of Gastroenterology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, 8331150, Chile
| | - G Alter
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA.
| | - R A Medina
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile.
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, 8331150, Chile.
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, 30322, USA.
- Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
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Colmenares R, Carrión-Marchante R, Martín ME, Salinas Muñoz L, García-Bermejo ML, Oller JC, Muñoz A, Blanco F, Rosado J, Lozano AI, Álvarez S, García-Vicente F, García G. Dependence of Induced Biological Damage on the Energy Distribution and Intensity of Clinical Intra-Operative Radiotherapy Electron Beams. Int J Mol Sci 2023; 24:10816. [PMID: 37445992 DOI: 10.3390/ijms241310816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 06/21/2023] [Accepted: 06/23/2023] [Indexed: 07/15/2023] Open
Abstract
The survival fraction of epithelial HaCaT cells was analysed to assess the biological damage caused by intraoperative radiotherapy electron beams with varying energy spectra and intensities. These conditions were achieved by irradiating the cells at different depths in water using nominal 6 MeV electron beams while consistently delivering a dose of 5 Gy to the cell layer. Furthermore, a Monte Carlo simulation of the entire irradiation procedure was performed to evaluate the molecular damage in terms of molecular dissociations induced by the radiation. A significant agreement was found between the molecular damage predicted by the simulation and the damage derived from the analysis of the survival fraction. In both cases, a linear relationship was evident, indicating a clear tendency for increased damage as the averaged incident electron energy and intensity decreased for a constant absorbed dose, lowering the dose rate. This trend suggests that the radiation may have a more pronounced impact on surrounding healthy tissues than initially anticipated. However, it is crucial to conduct additional experiments with different target geometries to confirm this tendency and quantify the extent of this effect.
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Affiliation(s)
- Rafael Colmenares
- Servicio de Radiofísica, IRYCIS-Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo km 9100, 28034 Madrid, Spain
| | - Rebeca Carrión-Marchante
- Grupo de Aptámeros, Departamento de Bioquímica-Investigación, IRYCIS-Hospital Universitario Ramón y Carretera de Colmenar Viejo km 9100, 28034 Madrid, Spain
| | - M Elena Martín
- Grupo de Aptámeros, Departamento de Bioquímica-Investigación, IRYCIS-Hospital Universitario Ramón y Carretera de Colmenar Viejo km 9100, 28034 Madrid, Spain
| | - Laura Salinas Muñoz
- Biomarkers and Therapeutic Targets Group, IRYCIS, RedinREN, Hospital Universitario Ramón y Cajal, Carretera de Colmenar km 9100, 28034 Madrid, Spain
| | - María Laura García-Bermejo
- Biomarkers and Therapeutic Targets Group, IRYCIS, RedinREN, Hospital Universitario Ramón y Cajal, Carretera de Colmenar km 9100, 28034 Madrid, Spain
| | - Juan C Oller
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas-CIEMAT, 28040 Madrid, Spain
| | - Antonio Muñoz
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas-CIEMAT, 28040 Madrid, Spain
| | - Francisco Blanco
- Departamento de Estructura de la Materia, Física Térmica y Electrónica e IPARCOS, Universidad Complutense de Madrid, 28040 Madrid, Spain
| | - Jaime Rosado
- Departamento de Estructura de la Materia, Física Térmica y Electrónica e IPARCOS, Universidad Complutense de Madrid, 28040 Madrid, Spain
| | - Ana I Lozano
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas, 28006 Madrid, Spain
| | - Sofía Álvarez
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas, 28006 Madrid, Spain
| | - Feliciano García-Vicente
- Servicio de Radiofísica, IRYCIS-Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo km 9100, 28034 Madrid, Spain
| | - Gustavo García
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas, 28006 Madrid, Spain
- Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW 2522, Australia
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8
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Tirado-Conte G, Rodés-Cabau J, Oteo JF, Pan M, Muñoz E, Witberg G, Cheema AN, Alpieri A, Lopez D, Amat-Santos IJ, Akodad M, Ojeda S, Serra V, Garcia-Blas S, Alfonso F, de Backer O, Asmarats L, Muñoz A, Hamdan A, Toggweiler S, Del Valle R, Salido L, Cruz-González I, Estevez-Loureiro R, Martin Alfaro LE, Gheorge L, Dabrowski M, Berenguer A, Arzamendi D, Saia F, Webb JG, Sondergaard L, Nombela-Franco L. Transcatheter aortic valve implantation in patients with extra-small aortic annuli. EUROINTERVENTION 2023:EIJ-D-23-00011. [PMID: 37334654 DOI: 10.4244/eij-d-23-00011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/20/2023]
Abstract
BACKGROUND A small aortic annulus (SAA) is a risk factor for prosthesis-patient mismatch (PPM) in patients undergoing surgical or transcatheter aortic valve implantation (TAVI). Data regarding TAVI in patients with extra-SAA is scarce. AIMS The aim of this study was to analyse the safety and efficacy of TAVI in patients with extra-SAA. METHODS A multicentre registry study including patients with extra-SAA (defined as an aortic annulus area <280 mm2 and/or perimeter <60 mm) undergoing TAVI was established. Primary efficacy and safety endpoints were defined as device success and early safety at 30 days, respectively, using the Valve Academic Research Consortium-3 criteria, and were analysed according to valve type: self-expanding (SEV) versus balloon-expandable (BEV). RESULTS A total of 150 patients were included, of which 139 (92.7%) were women, and 110 (73.3%) received an SEV. Intraprocedural technical success was 91.3%, with a higher rate in patients receiving an SEV (96.4% vs 77.5% with BEV; p=0.001). Overall, 30-day device success was 81.3%, (85.5% with SEV vs 70.0% with BEV; p=0.032). The primary safety endpoint occurred in 72.0% of patients (with no difference between groups; p=0.118). Severe PPM occurred in 12% (9.0% with SEV and 24.0% with BEV; p=0.039), with no impact on all-cause mortality, cardiovascular mortality, or heart failure readmission at 2-year follow-up. CONCLUSIONS TAVI is a safe and feasible treatment in patients with extra-SAA with a high rate of technical success. The use of SEV was associated with a lower rate of intraprocedural complications, higher device success at 30 days and better haemodynamic outcomes compared to BEV.
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Affiliation(s)
| | - Josep Rodés-Cabau
- Quebec Heart and Lung Institute, Laval University, Quebec, QC, Canada
| | - Juan F Oteo
- Department of Cardiology, Hospital Universitario Puerta de Hierro, Majadahonda, Spain
| | - Manuel Pan
- Hospital Universitario Reina Sofia, Córdoba, Spain and Universidad de Cordoba (IMIBIC), Córdoba, Spain
| | - Erika Muñoz
- CIBERCV Cardiology Department, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - Guy Witberg
- Cardiology Department, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel and The Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Asim N Cheema
- St Michael's Hospital, Toronto, ON, Canada
- Division of Cardiology, Southlake Regional Health Centre, Newmarket, ON, Canada
| | - Alberto Alpieri
- Quebec Heart and Lung Institute, Laval University, Quebec, QC, Canada
| | - Diego Lopez
- Hospital Clínico Universitario de Santiago, CIBERCV, Santiago, Spain
| | - Ignacio J Amat-Santos
- CIBERCV, Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario de Valladolid, Valladolid, Spain
| | | | - Soledad Ojeda
- Hospital Universitario Reina Sofia, Córdoba, Spain and Universidad de Cordoba (IMIBIC), Córdoba, Spain
| | | | - Sergio Garcia-Blas
- Cardiology Department, Hospital Clínico Universitario de Valencia, Universitat de Valencia, INCLIVA, CIBERCV, Valencia, Spain
| | - Fernando Alfonso
- Department of Cardiology, Hospital Universitario La Princesa, IIS-IP, CIBERCV, Madrid, Spain
| | - Ole de Backer
- Department of Cardiology, Copenhagen University Hospital, Copenhagen, Denmark
| | | | - Antonio Muñoz
- CIBERCV Cardiology Department, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - Ashraf Hamdan
- Cardiology Department, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel and The Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | | | - Luisa Salido
- Cardiology Department, Hospital Ramón y Cajal, Madrid, Spain
| | - Ignacio Cruz-González
- Department of Cardiology, Complejo Asistencial Universitario Salamanca, CIBERCV, IBSAL, Salamanca, Spain
| | | | | | | | - Maciec Dabrowski
- Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
| | - Alberto Berenguer
- Cardiology Department, Hospital General Universitario de Valencia, Valencia, Spain
| | - Dabit Arzamendi
- Department of Cardiology, Hospital Universitario La Princesa, IIS-IP, CIBERCV, Madrid, Spain
| | - Francesco Saia
- Cardiology Unit, Cardio-Thoracic-Vascular Department, University Hospital of Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy
| | - John G Webb
- CIBERCV, Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario de Valladolid, Valladolid, Spain
| | - Lars Sondergaard
- Department of Cardiology, Copenhagen University Hospital, Copenhagen, Denmark
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Bernardi D, Ibarra A, Arbeiter F, Arranz F, Cappelli M, Cara P, Castellanos J, Dzitko H, García A, Gutiérrez J, Królas W, Martin-Fuertes F, Micciché G, Muñoz A, Nitti FS, Pinna T, Podadera I, Pons J, Qiu Y, Román R. The IFMIF-DONES Project: Design Status and Main Achievements Within the EUROfusion FP8 Work Programme. J Fusion Energ 2022. [PMCID: PMC9596351 DOI: 10.1007/s10894-022-00337-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
International Fusion Materials Irradiation Facility-DEMO-Oriented NEutron Source (IFMIF-DONES) is a high-intensity neutron irradiation facility for qualification of fusion reactor materials, which is being designed as part of the European roadmap to fusion-generated electricity. Its main purpose is to study the behavior of materials properties under irradiation in a neutron flux able to simulate the same effects in terms of relevant nuclear responses as those expected in the first wall of the DEMO reactor which is envisaged to follow ITER. It is thus a key facility to support the design, licensing and safe operation of DEMO as well as of the fusion power plants that will be developed afterwards. The start of its construction is foreseen in the next few years. In this contribution, an overview of the IFMIF-DONES neutron source is presented together with a snapshot of the current engineering design status and of the relevant key results achieved within the EUROfusion Work Package Early Neutron Source (WPENS) as part of the 2014–2020 EURATOM Research and Training Programme, complementary to the EU Horizon 2020 Framework Programme (FP8). Moreover, some information on the future developments of the project are given.
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10
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Molina I, Muñoz A, Linde X. Treatment of ACL injury in a professional soccer player during COVID-19 lockdown. Apunts Sports Medicine 2022. [PMCID: PMC9293858 DOI: 10.1016/j.apunsm.2022.100392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Anterior Cruciate Ligament (ACL) injuries stand out as the most severe in sports such as soccer. This study presents the rehabilitation process of a professional soccer player who suffered a total ACL tear. It details the treatment performed after the surgical intervention and all the adaptations that had to be applied in the rehabilitation process due to the lockdown period established at the beginning of the COVID-19 pandemic. During the period comprised between weeks 9 and 21 post-surgery, the rehabilitation treatment was carried out virtually, adapting the actions, work environment and equipment used. Despite the limitations it entailed, the virtual format and the adaptations in the treatment allowed the rehabilitation process to continue, fulfilling all the pre-established objectives and deadlines with a consequent satisfactory and safe return to competitive sport. After carrying out a bibliographic research, no clinical cases have been found regarding the adaptation of the rehabilitation process of an ACL reconstruction in a professional soccer player during the COVID-19 lockdown.
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11
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Suciu G, Farao A, Bernardinetti G, Palamà I, Sachian MA, Vulpe A, Vochin MC, Muresan P, Bampatsikos M, Muñoz A, Xenakis C. SAMGRID: Security Authorization and Monitoring Module Based on SealedGRID Platform. Sensors (Basel) 2022; 22:6527. [PMID: 36080986 PMCID: PMC9460260 DOI: 10.3390/s22176527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 08/19/2022] [Accepted: 08/23/2022] [Indexed: 06/15/2023]
Abstract
IoT devices present an ever-growing domain with multiple applicability. This technology has favored and still favors many areas by creating critical infrastructures that are as profitable as possible. This paper presents a hierarchical architecture composed of different licensing entities that manage access to different resources within a network infrastructure. They are conducted on the basis of well-drawn policy rules. At the same time, the security side of these resources is also placed through a context awareness module. Together with this technology, IoT is used and Blockchain is enabled (for network consolidation, as well as the transparency with which to monitor the platform). The ultimate goal is to implement a secure and scalable security platform for the Smart Grid. The paper presents the work undertaken in the SealedGRID project and the steps taken for implementing security policies specifically tailored to the Smart Grid, based on advanced concepts such as Opinion Dynamics and Smart Grid-related Attribute-based Access Control.
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Affiliation(s)
- George Suciu
- R&D Department, Beia Consult International, 41386 Bucharest, Romania
| | - Aristeidis Farao
- Department of Digital Systems, University of Piraeus, 18534 Piraeus, Greece
| | - Giorgio Bernardinetti
- Dipartimento di Ingegneria Elettronica, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Ivan Palamà
- Dipartimento di Ingegneria Elettronica, University of Rome Tor Vergata, 00133 Rome, Italy
| | | | - Alexandru Vulpe
- R&D Department, Beia Consult International, 41386 Bucharest, Romania
| | | | - Pavel Muresan
- R&D Department, Beia Consult International, 41386 Bucharest, Romania
| | | | - Antonio Muñoz
- Department of Computer Science, University of Malaga, 29016 Malaga, Spain
| | - Christos Xenakis
- Department of Digital Systems, University of Piraeus, 18534 Piraeus, Greece
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12
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Tong X, McNamara R, Avendaño M, Serrano E, García-Salum T, Pardo-Roa C, Levican J, Poblete E, Salina E, Muñoz A, Riquelme A, Alter G, Medina R. Waning and boosting of functional humoral immunity to SARS-CoV-2. bioRxiv 2022:2022.07.22.501163. [PMID: 35923313 PMCID: PMC9347272 DOI: 10.1101/2022.07.22.501163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Since the emergence of the SARS-CoV-2 virus, we have witnessed a revolution in vaccine development with the rapid emergence and deployment of both traditional and novel vaccine platforms. The inactivated CoronaVac vaccine and the mRNA-based Pfizer/BNT162b2 vaccine are among the most widely distributed vaccines, both demonstrating high, albeit variable, vaccine effectiveness against severe COVID-19 over time. Beyond the ability of the vaccines to generate neutralizing antibodies, antibodies can attenuate disease via their ability to recruit the cytotoxic and opsinophagocytic functions of the immune response. However, whether Fc-effector functions are induced differentially, wane with different kinetics, and are boostable, remains unknown. Here, using systems serology, we profiled the Fc-effector profiles induced by the CoronaVac and BNT162b2 vaccines, over time. Despite the significantly higher antibody functional responses induced by the BNT162b2 vaccine, CoronaVac responses waned more slowly, albeit still found at levels below those present in the systemic circulation of BNT162b2 immunized individuals. However, mRNA boosting of the CoronaVac vaccine responses resulted in the induction of significantly higher peak antibody functional responses with increased humoral breadth, including to Omicron. Collectively, the data presented here point to striking differences in vaccine platform-induced functional humoral immune responses, that wane with different kinetics, and can be functionally rescued and expanded with boosting.
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Affiliation(s)
- X. Tong
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA
| | - R.P. McNamara
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA
| | - M.J. Avendaño
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
| | - E.F. Serrano
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
| | - T. García-Salum
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA 30322, USA
| | - C. Pardo-Roa
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
| | - J. Levican
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
| | - E. Poblete
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
| | - E. Salina
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
| | - A. Muñoz
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
| | - A. Riquelme
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
- Department of Gastroenterology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago 8331010, Chile
| | - G. Alter
- Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, 02139, USA
| | - R.A. Medina
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
- Advanced Interdisciplinary Rehabilitation Register (AIRR) - COVID-19 Working Group, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331010, Chile
- Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
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13
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Muñoz A, Theusch E, Kuang YL, Nalula G, Peaslee C, Dorlhiac G, Landry MP, Streets A, Krauss RM, Iribarren C, Mattis AN, Medina MW. Undifferentiated Induced Pluripotent Stem Cells as a Genetic Model for Nonalcoholic Fatty Liver Disease. Cell Mol Gastroenterol Hepatol 2022; 14:1174-1176.e6. [PMID: 35863744 PMCID: PMC9608362 DOI: 10.1016/j.jcmgh.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 07/11/2022] [Accepted: 07/12/2022] [Indexed: 01/31/2023]
Affiliation(s)
- Antonio Muñoz
- Department of Pediatrics, University of California San Francisco, San Francisco, California
| | - Elizabeth Theusch
- Department of Pediatrics, University of California San Francisco, San Francisco, California
| | - Yu-Lin Kuang
- Department of Pediatrics, University of California San Francisco, San Francisco, California
| | - Gilbert Nalula
- Department of Pediatrics, University of California San Francisco, San Francisco, California
| | - Caitlin Peaslee
- Department of Pathology, University of California San Francisco, San Francisco, California
| | - Gabriel Dorlhiac
- Biophysics Graduate Group, University of California Berkeley, Berkeley, California
| | - Markita P Landry
- Department of Chemical and Biomolecular Engineering, University of California Berkeley, Berkeley, California; Chan Zuckerberg Biohub, San Francisco, California
| | - Aaron Streets
- Biophysics Graduate Group, University of California Berkeley, Berkeley, California; Chan Zuckerberg Biohub, San Francisco, California; Department of Bioengineering, University of California Berkeley, Berkeley, California
| | - Ronald M Krauss
- Department of Pediatrics, University of California San Francisco, San Francisco, California; Department of Medicine, University of California San Francisco, San Francisco, California
| | | | - Aras N Mattis
- Department of Pathology, University of California San Francisco, San Francisco, California; Liver Center, University of California San Francisco, San Francisco, California.
| | - Marisa W Medina
- Department of Pediatrics, University of California San Francisco, San Francisco, California.
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Sánchez-Úbeda E, Portela J, Muñoz A, Chueca Montuenga E, Hallack M. Impact of COVID-19 on electricity demand of Latin America and the Caribbean countries. Sustainable Energy, Grids and Networks 2022. [PMCID: PMC8772073 DOI: 10.1016/j.segan.2022.100610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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15
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Rodriguez-Lopez A, Savoini B, Monge M, Muñoz A. Characterization and evaluation of CuCrFeV(Ti, Ta, W) system for High Heat Flux applications. Nuclear Materials and Energy 2022. [DOI: 10.1016/j.nme.2022.101187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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16
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Medrano M, Serrano M, Hernández R, Plaza D, Muñoz A, Rincón E, Cabrera S, Soleto A, Pereira A, Alén C. Mechanical characterization of the stainless steel welds for the JT-60SA Cryostat Vessel Body Cylindrical Section. Nuclear Materials and Energy 2022. [DOI: 10.1016/j.nme.2022.101114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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17
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Garg AB, Liang A, Errandonea D, Rodríguez-Hernández P, Muñoz A. Monoclinic-triclinic phase transition induced by pressure in fergusonite-type YbNbO 4. J Phys Condens Matter 2022; 34:174007. [PMID: 35120342 DOI: 10.1088/1361-648x/ac5202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Accepted: 02/04/2022] [Indexed: 06/14/2023]
Abstract
We have carried out a high-pressure study on monoclinic fergusonite-type YbNbO4. Synchrotron powder x-ray diffraction experiments and density-functional theory simulations have been performed. We found a gradual increase of symmetry under compression, with calculations predicting a second-order monoclinic-tetragonal transition at 15 GPa. However, experiments provided evidence of a transition at 11.6 GPa to a triclinic structure, described by space groupP1¯. The appearance of the triclinic phase, which according to calculations is dynamically unstable under hydrostatic conditions, seems to be related to the presence of non-hydrostatic stresses. The triclinic high-pressure phase remains stable up to 31.9 GPa and the phase transition is not reversible. We have determined the pressure dependence of unit-cell parameters of both phases and calculated their room-temperature equation of state. For the fergusonite-phase we have also obtained the isothermal compressibility tensor. In addition to the high-pressure studies, we report ambient-pressure Raman and infrared spectroscopy measurements which have been compared with density-functional theory calculations.
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Affiliation(s)
- A B Garg
- High Pressure and Synchrotron Radiation Physics Division, Bhabha Atomic Research Centre, Mumbai 400085, India
- Homi Bhabha National Institute, Anushaktinagar, Mumbai 400094, India
| | - A Liang
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - D Errandonea
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - P Rodríguez-Hernández
- Departamento de Física, Instituto de Materiales y Nanotecnología, Universidad de La Laguna, La Laguna 38205, Tenerife, Spain
| | - A Muñoz
- Departamento de Física, Instituto de Materiales y Nanotecnología, Universidad de La Laguna, La Laguna 38205, Tenerife, Spain
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Ortega Y, Monge M, Savoini B, Muñoz A, Pérez P. Production and characterization of the CR35FE35V16.5MO6TI7.5 high entropy alloy. Nuclear Materials and Energy 2022. [DOI: 10.1016/j.nme.2022.101148] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Muñoz A, Savoini B, Monge M, Ortega Y, Dura O. Fabrication and characterization of Cu reinforced with Y-enriched particles following a novel powder metallurgy route. Nuclear Materials and Energy 2021. [DOI: 10.1016/j.nme.2021.101075] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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21
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Marqueño T, Pellicer-Porres J, Errandonea D, Santamaria-Perez D, Martinez-Garcia D, Rodríguez-Hernández P, Muñoz A, Nieves-Pérez I, Achary SN, Bettinelli M. Lattice dynamics of zircon-type NdVO 4and scheelite-type PrVO 4under high-pressure. J Phys Condens Matter 2021; 34:025404. [PMID: 34644692 DOI: 10.1088/1361-648x/ac2f6e] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 10/13/2021] [Indexed: 06/13/2023]
Abstract
Zircon-type NdVO4and scheelite-type PrVO4have been studied by means of Raman spectroscopy up to approximately 20 GPa. In the first compound, zircon-scheelite and scheelite-fergusonite phase transitions are reported at 6.4(3) and 19.6(4) GPa, respectively. In the case of scheelite-type PrVO4, a reversible phase transition to a PbWO4-III structure is observed at 16.8(5) GPa. In both cases, a scheelite-type structure is recovered in a metastable state at low pressures. The pressure evolution of the Raman modes is also reported. Our experimental findings are supported byab initiocalculations, which allowed us to discuss the role of mechanic and dynamical instabilities in the phase transition mechanisms.
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Affiliation(s)
- T Marqueño
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - J Pellicer-Porres
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - D Errandonea
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - D Santamaria-Perez
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - D Martinez-Garcia
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - P Rodríguez-Hernández
- Departamento de Física, Instituto de Materiales y Nanotecnología, Universidad de La Laguna, La Laguna 38200, Tenerife, Spain
| | - A Muñoz
- Departamento de Física, Instituto de Materiales y Nanotecnología, Universidad de La Laguna, La Laguna 38200, Tenerife, Spain
| | - I Nieves-Pérez
- Grupo de Computación de Altas Prestaciones, Departamento de Ingeniería Informática y de Sistemas, Universidad de La Laguna, La Laguna 38200, Tenerife, Spain
| | - S N Achary
- Chemistry Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085, India
| | - M Bettinelli
- Laboratorio Materiali Luminescenti, Dipartimento di Biotecnologie, Università di Verona, and INSTM, UdR Verona, Strada Le Grazie 15, 37134 Verona, Italy
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22
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Palomino W, Rivas MP, Argandoña F, Devoto L, Fuenets A, Muñoz A, Gabler F, Savaris R, Lessey B, Johnson C. P–289 Progesterone receptor is not downregulated in endometrial epithelial compartment during embryo receptivity phase in assisted reproductive cycles. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
Is progesterone receptor (PGR) downregulation disrupted within endometrial epithelial compartment, during embryo receptivity phase in assisted reproductive technology (ART) cycles?
Summary answer
PGR is not downregulated in endometrial epithelial cells from ART cycles during embryo receptivity phase.
What is known already
Progesterone (P4) promotes the downregulation of its own progesterone receptor (PGR). During the mid-luteal phase, PGR is downregulated in endometrial epithelial cells (EEC), a critical process for embryo implantation. Embryos are unable to attach to the maternal surface when PGR expression is sustained in EEC. Non-physiologic ovarian steroid produced or employed in ART cycles may alter endometrial development compromising its receptivity. Scarce information is available whether PGR is downregulated in EEC from ARTs including ovarian stimulation for in vitro fertilization (IVF) cycles or hormonal endometrial preparation for frozen thawed embryo transfer (HEP-FET).
Study design, size, duration
Cross sectional study including endometrial samples from fertile women during natural cycle (FNC, n = 23), from infertile women submitted to IVF (n = 19) and from infertile women who underwent mock HEP-FET (n = 35). Samples were obtained between 2018–2019. Sample size was calculated considering a power of 90%, alpha error=0.05, an expected PGR expression of 2 and 0.5 in ART and FNC groups, respectively, having a standard deviation=0.9. At least 9 patients would be necessary in each group.
Participants/materials, setting, methods
Endometrial samples were obtained during mid-luteal phase scheduled 7 days after ovulation in FNC, 5 days after oocyte retrieval in IVF without embryo transfer or 5 days after P4 supplementation in HEP-FET. Immunohistochemistry was employed to quantify PGR using histologic score (Hscore). PGR mRNA levels were determined by qRT-PCR from EEC dissected by laser capture microdissection. Anova test was used for comparing means of Hscore and mRNA among groups. Statistical significance was established as P < 0.05.
Main results and the role of chance
No statistical differences were found in demographic characteristics including age, body mass index or endometrial thickness. The PGR expression was reduced in FNC compared to IVF and HP-FET endometria (0.6 ± 0.1, 1.9 ± 0.9 and 2.2 ± 0.9 respectively; P < 0.0001). The PGR mRNA levels from ECC dissected by laser capture microdissection were higher in IVF and HP-ET cycles compared to FNC (10.6 ± 3.1, 13.6 ± 2.3 and 0.8 ± 0.1 respectively; P < 0.0001) corroborating the elevated PGR Hscore in EEC from ART cycles.
Limitations, reasons for caution
This is a descriptive study reporting failure of PGR downregulation in endometria from ART cycles with vaginal P4 supplementation during the luteal-phase. Whether interference or resistance to P4 signal is the mechanism involved in the failure of PGR down regulation in ART cycles needs to be determined
Wider implications of the findings: PGR downregulation within EEC was shown in FNC. The retained PGR expression detected in most ART cycles may interfere with embryo implantation and might explain the restricted pregnancy success. Future studies might reveal whether PGR evaluation in EEC can predict embryo implantation.
Trial registration number
Not Aplicable
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Affiliation(s)
- W Palomino
- University of Chile, Institute for Maternal and Child Research, Santiago- RM, Chile
| | - M P Rivas
- University of Chile, Institute for Maternal and Child Research, Santiago- RM, Chile
| | - F Argandoña
- University of Chile, Institute for Maternal and Child Research, Santiago- RM, Chile
| | - L Devoto
- University of Chile, Institute for Maternal and Child Research, Santiago- RM, Chile
| | - A Fuenets
- University of Chile, Institute for Maternal and Child Research, Santiago- RM, Chile
| | - A Muñoz
- University of Chile, Institute for Maternal and Child Research, Santiago- RM, Chile
| | - F Gabler
- University of Chile, Anatomical Pathology San Borja Arriarán Clinical Hospital, Santiago, Chile
| | - R Savaris
- University of Rio Grande Do Soul, Obstetrics and Gynecology, Rio Grande Do Soul, Brazil
| | - B Lessey
- Wake Forest Baptist Health, Obstetrics and Gynecology Reproductive endocrinology division, Winston Salem NC, USA
| | - C Johnson
- University of Chile, Institute for Maternal and Child Research, Santiago- RM, Chile
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23
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Contreras-Aguilar MD, Cerón JJ, Muñoz A, Ayala I. Changes in saliva biomarkers during a standardized increasing intensity field exercise test in endurance horses. Animal 2021; 15:100236. [PMID: 34030029 DOI: 10.1016/j.animal.2021.100236] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 03/16/2021] [Accepted: 03/18/2021] [Indexed: 11/19/2022] Open
Abstract
Salivary biomarkers could be useful to evaluate stress, fitness level, and skeletal muscle damage associated to exercise in horses in an easy and non-painful way. Therefore, this study aims to evaluate if cortisol in saliva (sCor), salivary alpha-amylase (sAMY) and butyrylcholinesterase (sBChE) and lactate (sLA) and creatine kinase (sCK) in saliva of horses can show changes during a standardized exercise test, and if they are related to heart rate variability (HRV) parameters related to sympathetic and parasympathetic tone, fitness level or skeletal muscle damage. For this purpose, ten endurance horses were submitted to a standardized exercise test in field conditions. Saliva and blood were obtained at basal time (TB), after the seven bouts of velocity (T + 01 to T + 07), and 5, 15, 30, and 45 min later (T + 5, T + 15, T + 30, and T + 45). Five endurance horses in resting condition (control group) were also enrolled. HRV and fitness level parameters, and plasma CK as a marker of muscle damage were also evaluated. Salivaryalpha-amylase increased at T + 30 (P = 0.03), sBChE at T + 5 (P = 008), and sCK at T + 07 (P = 0.009) after the exercise test, with significant differences between the exercise and control groups' results. The sCor did not show significant changes during the exercise test in the exercise group but higher concentration compared to the control horses (P < 0.001) were observed. sCor, sAMY, sBChE, and sCK showed a positive correlation (r values between 0.47 and 0.64) with the sympathetic tone and a negative correlation (r values between -0.37 and -0.56) with the parasympathetic tone. In conclusion, sAMY, sBChE, and sCK showed significant increases in ten endurance horses after an increasing intensity velocity exercise. Values of sCor, sAMY, sBChE, and sCK were associated with HRV, which is used to evaluate stress, and therefore, they could be potentially used to assess the exercise-related stress after a physical effort.
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Affiliation(s)
- M D Contreras-Aguilar
- Interdisciplinary Laboratory of Clinical Analysis of the University of Murcia (Interlab-UMU), Veterinary School, Regional Campus of International Excellence 'Campus Mare Nostrum', University of Murcia, Campus de Espinardo, 30100 Espinardo, Murcia, Spain
| | - J J Cerón
- Interdisciplinary Laboratory of Clinical Analysis of the University of Murcia (Interlab-UMU), Veterinary School, Regional Campus of International Excellence 'Campus Mare Nostrum', University of Murcia, Campus de Espinardo, 30100 Espinardo, Murcia, Spain
| | - A Muñoz
- Department of Animal Medicine & Surgery, Veterinary School, Campus Univ Rabanales, University of Córdoba, E-14004 Córdoba, Spain
| | - I Ayala
- Department of Animal Medicine & Surgery, Veterinary School, Regional Campus of International Excellence 'Campus Mare Nostrum', University of Murcia, Campus de Espinardo, 30100 Espinardo, Murcia, Spain.
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24
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Garg AB, Errandonea D, Rodríguez-Hernández P, Muñoz A. High-pressure monoclinic-monoclinic transition in fergusonite-type HoNbO 4. J Phys Condens Matter 2021; 33:195401. [PMID: 33561835 DOI: 10.1088/1361-648x/abe478] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Accepted: 02/09/2021] [Indexed: 06/12/2023]
Abstract
In this paper we perform a high-pressure (HP) study of fergusonite-type HoNbO4. Powder x-ray diffraction experiments andab initiodensity-functional theory (DFT) simulations provide evidence of a phase transition at 18.9(1.1) GPa from the monoclinic fergusonite-type structure (space group I2/a) to another monoclinic polymorph described by space group P21/c. The phase transition is reversible and the HP structural behavior is different than the one previously observed in related niobates. The HP phase remains stable up to 29 GPa. The observed transition involves a change in the Nb coordination number from 4 to 6, and it is driven by mechanical instabilities. We have determined the pressure dependence of unit-cell parameters of both phases and calculated their room-temperature equation of state. For the fergusonite-phase we have also obtained the isothermal compressibility tensor. In addition to the HP studies, we report ambient-pressure Raman and infrared (IR) spectroscopy measurements. We have been able to identify all the active modes of fergusonite-type HoNbO4, which have been assigned based upon DFT calculations. These simulations also provide the elastic constants of the different structures and the pressure dependence of the Raman and IR modes of the two phases of HoNbO4. According toab initiocalculations, the reported phase transition is related to a mechanical instability and a phonon softening.
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Affiliation(s)
- A B Garg
- High Pressure and Synchrotron Radiation Physics Division, Bhabha Atomic Research Centre, Mumbai 400085, India
- Homi Bhabha National Institute, Anushaktinagar, Mumbai 400094, India
| | - D Errandonea
- Departamento de Física Aplicada-ICMUV, Universidad de Valencia, Dr. Moliner 50, Burjassot, 46100 Valencia, Spain
| | - P Rodríguez-Hernández
- Departamento de Física, Instituto de Materiales y Nanotecnología, Universidad de La Laguna, La Laguna 38205, Tenerife, Spain
| | - A Muñoz
- Departamento de Física, Instituto de Materiales y Nanotecnología, Universidad de La Laguna, La Laguna 38205, Tenerife, Spain
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25
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Muñoz A, Ay C, Grilz E, López S, Font C, Pachón V, Castellón V, Martínez-Marín V, Salgado M, Martínez E, Calzas J, Rupérez A, Salas E, Pabinger I, Soria J. OC-13 A clinical-genetic risk score to predict cancer-associated venous thromboembolism: a development and validation study in two independent prospective cohorts. Thromb Res 2021. [DOI: 10.1016/s0049-3848(21)00155-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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26
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Gallego-Parra S, Vilaplana R, Gomis O, Lora da Silva E, Otero-de-la-Roza A, Rodríguez-Hernández P, Muñoz A, González J, Sans JA, Cuenca-Gotor VP, Ibáñez J, Popescu C, Manjón FJ. Structural, vibrational and electronic properties of α'-Ga 2S 3 under compression. Phys Chem Chem Phys 2021; 23:6841-6862. [PMID: 33725033 DOI: 10.1039/d0cp06417c] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
We report a joint experimental and theoretical study of the low-pressure phase of α'-Ga2S3 under compression. Theoretical ab initio calculations have been compared to X-ray diffraction and Raman scattering measurements under high pressure carried out up to 17.5 and 16.1 GPa, respectively. In addition, we report Raman scattering measurements of α'-Ga2S3 at high temperature that have allowed us to study its anharmonic properties. To understand better the compression of this compound, we have evaluated the topological properties of the electron density, the electron localization function, and the electronic properties as a function of pressure. As a result, we shed light on the role of the Ga-S bonds, the van der Waals interactions inside the channels of the crystalline structure, and the single and double lone electron pairs of the sulphur atoms in the anisotropic compression of α'-Ga2S3. We found that the structural channels are responsible for the anisotropic properties of α'-Ga2S3 and the A'(6) phonon, known as the breathing mode and associated with these channels, exhibits the highest anharmonic behaviour. Finally, we report calculations of the electronic band structure of α'-Ga2S3 at different pressures and find a nonlinear pressure behaviour of the direct band gap and a pressure-induced direct-to-indirect band gap crossover that is similar to the behaviour previously reported in other ordered-vacancy compounds, including β-Ga2Se3. The importance of the single and, more specially, the double lone electron pairs of sulphur in the pressure dependence of the topmost valence band of α'-Ga2S3 is stressed.
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Affiliation(s)
- S Gallego-Parra
- Instituto de Diseño para la Fabricación y Producción Automatizada, MALTA Consolider Team, Universitat Politècnica de València, 46022 València, Spain.
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27
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Muñoz A, Flores JL, Parra-Escamilla G, Morales LA, Ordones S, Servin M. Least-squares gamma estimation in fringe projection profilometry. Appl Opt 2021; 60:1137-1142. [PMID: 33690562 DOI: 10.1364/ao.415056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 01/13/2021] [Indexed: 06/12/2023]
Abstract
This paper introduces a novel, to the best of our knowledge, method to estimate and compensate the nonlinear gamma factor introduced by the optical system in fringe projection profilometry. We propose to determine this factor indirectly by adjusting the least-squares plane to the estimated phase coming from the reference plane. We only require a minimal set of three fringe sinusoidal images to estimate the gamma factor. This value can be used to rectify computational legacy data and also to generate and project the new set of fringe patterns for which we perform the inverse gamma compensation. Experimental results demonstrate the feasibility of the proposed method to estimate and correct the gamma distortion.
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28
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Mínguez Clemente P, Pascual-Carrasco M, Mata Hernández C, Malo de Molina R, Arvelo LA, Cadavid B, López F, Sánchez-Madariaga R, Sam A, Trisan Alonso A, Valle Falcones M, Aguilar Pérez M, Muñoz A, Pérez de la Cámara S, Burgos A, López Viña A, Ussetti Gil P. Follow-up with Telemedicine in Early Discharge for COPD Exacerbations: Randomized Clinical Trial (TELEMEDCOPD-Trial). COPD 2020; 18:62-69. [PMID: 33307857 DOI: 10.1080/15412555.2020.1857717] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The results reported by different studies on telemonitoring in patients with chronic obstructive pulmonary disease (COPD) have been contradictory, without showing clear benefits to date. The objective of this study was to ascertain whether an early discharge and home hospitalization telehealth program for patients with COPD exacerbation is as effective as and more efficient than a traditional early discharge and home hospitalization program. A prospective experimental non-inferiority study, randomized into two groups (telemedicine/control) was conducted. The telemedicine group underwent monitoring and was required to transmit data on vital constants and ECGs twice per day, with a subsequent telephone call and 2 home visits by healthcare staff (intermediate and at discharge). The control group received daily visits. The main variable was time until first exacerbation. The secondary variables were: number of exacerbations; use of healthcare resources; satisfaction; quality of life; anxiety-depression; and therapeutic adherence, measured at one and 6 months of hospital discharge. A total of 116 patients were randomized (58 to each group) without significant differences in baseline characteristics or time until first exacerbation, i.e. median 48 days (pp. 25-75:23-120) in the control group, and 47 days (pp. 25-75:19-102) in the intervention group; p = 0.52). A significant decrease in the number of visits was observed in the intervention versus the control group, 3.8 ± 1 vs 5.1 ± 2(p = 0.001), without significant differences in the number of exacerbations. In conclusion follow-up via a telemedicine program in early discharge after hospitalization is as effective as conventional home follow up, being the cost of either strategy not significantly different.
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Affiliation(s)
- P Mínguez Clemente
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - M Pascual-Carrasco
- Telemedicine and e-Health Research Unit, Carlos III Institute of Health, Madrid, Spain
| | - C Mata Hernández
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - R Malo de Molina
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - L A Arvelo
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - B Cadavid
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - F López
- Telemedicine and e-Health Research Unit, Carlos III Institute of Health, Madrid, Spain
| | - R Sánchez-Madariaga
- Telemedicine and e-Health Research Unit, Carlos III Institute of Health, Madrid, Spain
| | - A Sam
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - A Trisan Alonso
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - M Valle Falcones
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - M Aguilar Pérez
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - A Muñoz
- Telemedicine and e-Health Research Unit, Carlos III Institute of Health, Madrid, Spain
| | - S Pérez de la Cámara
- Telemedicine and e-Health Research Unit, Carlos III Institute of Health, Madrid, Spain
| | - A Burgos
- Telemedicine and e-Health Research Unit, Carlos III Institute of Health, Madrid, Spain
| | - A López Viña
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
| | - P Ussetti Gil
- Pneumology Department, Puerta de Hierro University Teaching Hospital, Majadahonda, Spain
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29
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Montes-Andrés H, Leo P, Muñoz A, Rodríguez-Diéguez A, Orcajo G, Choquesillo-Lazarte D, Martos C, Martínez F, Botas JA, Calleja G. Two Isostructural URJC-4 Materials: From Hydrogen Physisorption to Heterogeneous Reductive Amination through Hydrogen Molecule Activation at Low Pressure. Inorg Chem 2020; 59:15733-15740. [PMID: 33035421 DOI: 10.1021/acs.inorgchem.0c02127] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Herein, two novel isostructural metal-organic frameworks (MOFs) M-URJC-4 (M = Co, Ni; URJC = "Universidad Rey Juan Carlos") with open metal sites, permanent microposity, and large surface areas and pore volumes have been developed. These novel MOFs, with polyhedral morphology, crystallize in the monoclinic P21/c space group, exhibiting a three-dimensional structure with microporous channels along the c axis. Initially, they were fully characterized and tested in hydrogen (H2) adsorption at different conditions of temperature and pressure. The physisorption capacities of both materials surpassed the gravimetric H2 uptake shown by most MOF materials under the same conditions. On the basis of the outstanding adsorption properties, the Ni-URJC-4 material was used as a catalyst in a one-pot reductive amination reaction using various carbonyl compounds and primary amines. A possible chemical pathway to obtain secondary amines was proposed via imine formation, and remarkable performances were accomplished. This work evidences the dual ability of M-URJC-4 materials to be used as a H2 adsorbent and a catalyst in reductive amination reactions, activating molecular H2 at low pressures for the reduction of C═N double bonds and providing reference structural features for the design of new versatile heterogeneous materials for industrial application.
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Affiliation(s)
- Helena Montes-Andrés
- Department of Chemical, Energy and Mechanical Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
| | - Pedro Leo
- Department of Chemical and Environmental Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
| | - Antonio Muñoz
- Department of Chemical and Environmental Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
| | | | - Gisela Orcajo
- Department of Chemical, Energy and Mechanical Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
| | - Duane Choquesillo-Lazarte
- Laboratorio de Estudios Cristalográficos, IACT, CSIC, Universidad de Granada, Avenida de las Palmeras 4, 18100 Armilla, Granada, Spain
| | - Carmen Martos
- Department of Chemical, Energy and Mechanical Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
| | - Fernando Martínez
- Department of Chemical and Environmental Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
| | - Juan A Botas
- Department of Chemical, Energy and Mechanical Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
| | - Guillermo Calleja
- Department of Chemical, Energy and Mechanical Technology, Rey Juan Carlos University, C/Tulipán s/n, 28933 Mostoles, Spain
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30
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Gangoso L, Aragonés D, Martínez-de la Puente J, Lucientes J, Delacour-Estrella S, Estrada Peña R, Montalvo T, Bueno-Marí R, Bravo-Barriga D, Frontera E, Marqués E, Ruiz-Arrondo I, Muñoz A, Oteo JA, Miranda MA, Barceló C, Arias Vázquez MS, Silva-Torres MI, Ferraguti M, Magallanes S, Muriel J, Marzal A, Aranda C, Ruiz S, González MA, Morchón R, Gómez-Barroso D, Figuerola J. Determinants of the current and future distribution of the West Nile virus mosquito vector Culex pipiens in Spain. Environ Res 2020; 188:109837. [PMID: 32798954 DOI: 10.1016/j.envres.2020.109837] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 06/03/2020] [Accepted: 06/15/2020] [Indexed: 06/11/2023]
Abstract
Changes in environmental conditions, whether related or not to human activities, are continuously modifying the geographic distribution of vectors, which in turn affects the dynamics and distribution of vector-borne infectious diseases. Determining the main ecological drivers of vector distribution and how predicted changes in these drivers may alter their future distributions is therefore of major importance. However, the drivers of vector populations are largely specific to each vector species and region. Here, we identify the most important human-activity-related and bioclimatic predictors affecting the current distribution and habitat suitability of the mosquito Culex pipiens and potential future changes in its distribution in Spain. We determined the niche of occurrence (NOO) of the species, which considers only those areas lying within the range of suitable environmental conditions using presence data. Although almost ubiquitous, the distribution of Cx. pipiens is mostly explained by elevation and the degree of urbanization but also, to a lesser extent, by mean temperatures during the wettest season and temperature seasonality. The combination of these predictors highlights the existence of a heterogeneous pattern of habitat suitability, with most suitable areas located in the southern and northeastern coastal areas of Spain, and unsuitable areas located at higher altitude and in colder regions. Future climatic predictions indicate a net decrease in distribution of up to 29.55%, probably due to warming and greater temperature oscillations. Despite these predicted changes in vector distribution, their effects on the incidence of infectious diseases are, however, difficult to forecast since different processes such as local adaptation to temperature, vector-pathogen interactions, and human-derived changes in landscape may play important roles in shaping the future dynamics of pathogen transmission.
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Affiliation(s)
- L Gangoso
- Department of Wetland Ecology, Estación Biológica de Doñana, EBD-CSIC, C/ Américo Vespucio 26, 41092, Seville, Spain.
| | - D Aragonés
- Remote Sensing and Geographic Information Systems Laboratory (LAST-EBD), Estación Biológica de Doñana, EBD-CSIC, C/ Américo Vespucio 26, 41092, Seville, Spain
| | - J Martínez-de la Puente
- Department of Wetland Ecology, Estación Biológica de Doñana, EBD-CSIC, C/ Américo Vespucio 26, 41092, Seville, Spain; CIBER of Epidemiology and Public Health (CIBERESP), C/ Monforte de Lemos 3-5, Pabellón 11, 28029, Madrid, Spain
| | - J Lucientes
- Animal Health Department, The AgriFood Institute of Aragon (IA2), Faculty of Veterinary Medicine, C/ Miguel Servet 177, 50013, Zaragoza, Spain
| | - S Delacour-Estrella
- Animal Health Department, The AgriFood Institute of Aragon (IA2), Faculty of Veterinary Medicine, C/ Miguel Servet 177, 50013, Zaragoza, Spain
| | - R Estrada Peña
- Animal Health Department, The AgriFood Institute of Aragon (IA2), Faculty of Veterinary Medicine, C/ Miguel Servet 177, 50013, Zaragoza, Spain
| | - T Montalvo
- Agència de Salut Pública de Barcelona, Consorci Sanitari de Barcelona, Plaça Lesseps 8, 08023, Barcelona, Spain; CIBER of Epidemiology and Public Health (CIBERESP), C/ Monforte de Lemos 3-5, Pabellón 11, 28029, Madrid, Spain
| | - R Bueno-Marí
- Departamento de Investigación y Desarrollo (I+D), Laboratorios Lokímica, Polígono Industrial El Bony, C/42, n°4, 46470, Catarroja, Valencia, Spain
| | - D Bravo-Barriga
- Department of Animal Health, Veterinary Faculty, University of Extremadura, Av. de la Universidad s/n, 10003, Cáceres, Spain
| | - E Frontera
- Department of Animal Health, Veterinary Faculty, University of Extremadura, Av. de la Universidad s/n, 10003, Cáceres, Spain
| | - E Marqués
- Service of Mosquito Control (Badia de Roses i del Baix Ter), Plaça del Bruel 1, Castelló d'Empúries, 17486, Empuriabrava, Girona, Spain
| | - I Ruiz-Arrondo
- Center of Rickettsiosis and Arthropod-Borne Diseases, Hospital Universitario San Pedro-CIBIR, C/ Piqueras 98, 26006, Logroño, La Rioja, Spain
| | - A Muñoz
- Quimera Biological Systems S.L., Pol. Malpica-Alfindén, C/ Olivo 14, Nave 6, 50171, La Puebla de Alfindén, Zaragoza, Spain
| | - J A Oteo
- Center of Rickettsiosis and Arthropod-Borne Diseases, Hospital Universitario San Pedro-CIBIR, C/ Piqueras 98, 26006, Logroño, La Rioja, Spain
| | - M A Miranda
- Applied Zoology and Animal Conservation group, Department of Biology, University of the Balearic Islands (UIB), Ctra. de Valldemossa, km 7.5, 07122, Palma, Illes Balears, Spain
| | - C Barceló
- Applied Zoology and Animal Conservation group, Department of Biology, University of the Balearic Islands (UIB), Ctra. de Valldemossa, km 7.5, 07122, Palma, Illes Balears, Spain
| | - M S Arias Vázquez
- Zoonoses and Public Health. COPAR Research Group, Faculty of Veterinary, University of Santiago de Compostela, Av. Carvallo Calero, 27002, Lugo, Spain
| | - M I Silva-Torres
- Zoonoses and Public Health. COPAR Research Group, Faculty of Veterinary, University of Santiago de Compostela, Av. Carvallo Calero, 27002, Lugo, Spain
| | - M Ferraguti
- Department of Anatomy, Cellular Biology and Zoology, University of Extremadura, Av. de Elvas s/n, 06006, Badajoz, Spain
| | - S Magallanes
- Department of Anatomy, Cellular Biology and Zoology, University of Extremadura, Av. de Elvas s/n, 06006, Badajoz, Spain
| | - J Muriel
- Department of Anatomy, Cellular Biology and Zoology, University of Extremadura, Av. de Elvas s/n, 06006, Badajoz, Spain; Instituto Pirenaico de Ecología, IPE (CSIC), Av. Nuestra Señora de la Victoria 16, 22700, Jaca, Spain
| | - A Marzal
- Department of Anatomy, Cellular Biology and Zoology, University of Extremadura, Av. de Elvas s/n, 06006, Badajoz, Spain
| | - C Aranda
- Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain; Servei de Control de Mosquits, Consell Comarcal del Baix Llobregat, N-340, 08980, Sant Feliu de Llobregat, Barcelona, Spain
| | - S Ruiz
- Service of Mosquito Control de la Diputación Provincial de Huelva, Ctra. Hospital Infanta Elena s/n, 21007, Huelva, Spain
| | - M A González
- Department of Animal Health, NEIKER-Basque Institute for Agricultural Research and Development Basque Research and Technology Alliance (BRTA), Berreaga 1, 48160, Derio, Bizkaia, Spain
| | - R Morchón
- Group of Animal and Human dirofilariosis. University of Salamanca, Faculty of Pharmacy, Campus Miguel Unamuno, C/ Lic. Méndez Nieto, s/n, 37007, Salamanca, Spain
| | - D Gómez-Barroso
- Centro Nacional de Epidemiologia. Instituto de Salud Carlos III, C/ Monforte de Lemos 5, 28029, Madrid. Spain; CIBER of Epidemiology and Public Health (CIBERESP), C/ Monforte de Lemos 3-5, Pabellón 11, 28029, Madrid, Spain
| | - J Figuerola
- Department of Wetland Ecology, Estación Biológica de Doñana, EBD-CSIC, C/ Américo Vespucio 26, 41092, Seville, Spain; CIBER of Epidemiology and Public Health (CIBERESP), C/ Monforte de Lemos 3-5, Pabellón 11, 28029, Madrid, Spain
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Muñoz A, Savoini B, Monge M, Eddahbi M, Dura O. Microstructure and mechanical properties of hot rolled ODS copper. Nuclear Materials and Energy 2020. [DOI: 10.1016/j.nme.2020.100754] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ordones S, Servin M, Padilla M, Choque I, Muñoz A, Flores JL. Tukey's robust M-estimator for phase demodulation of interferograms with nonuniform shifts. Appl Opt 2020; 59:6224-6230. [PMID: 32672771 DOI: 10.1364/ao.393153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Accepted: 06/12/2020] [Indexed: 06/11/2023]
Abstract
In this paper, we introduce an iterative scheme for phase demodulation of interferograms with nonuniformly spaced phase shifts. Our proposal consists of two stages: first, the phase map is obtained through a least squares fitting; second, the phase steps are retrieved using a statistical robust estimator. In particular, we use Tukey's biweighted M-estimator because it can cope with both noisy data and outliers in comparison with the ordinary least squares estimator. Furthermore, we provide the frequency description of the algorithm and the phase demodulation allowing us to analyze the procedure and estimation according to the frequency transfer function (FTF) formalism for phase-shifting algorithms. Results show that our method can accurately retrieve the phase map and phase shifts, and it converges by the 10th iteration.
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Luque L, Rodrigo T, García-García JM, Casals M, Millet JP, Caylà J, Orcau A, Agüero R, Alcázar J, Altet N, Altube L, Álvarez F, Anibarro L, Barrón M, Bermúdez P, Bikuña E, Blanquer R, Borderías L, Bustamante A, Calpe J, Caminero J, Cañas F, Casas F, Casas X, Cases E, Castejón N, Castrodeza R, Cebrián J, Cervera A, Ciruelos J, Delgado A, De Souza M, Díaz D, Domínguez M, Fernández B, Gallardo J, Gallego M, Clemente MG, García C, García F, Garros F, Gort A, Guerediaga A, Gullón J, Hidalgo C, Iglesias M, Jiménez G, Jiménez M, Kindelan J, Laparra J, López I, Lera R, Lloret T, Marín M, Lacasa XM, Martínez E, Martínez A, Medina J, Melero C, Milà C, Millet J, Mir I, Molina F, Morales C, Morales M, Moreno A, Moreno V, Muñoz A, Muñoz C, Muñoz J, Muñoz L, Oribe M, Parra I, Penas A, Pérez J, Rivas P, Rodríguez J, Ruiz-Manzano J, Sala J, Sandel D, Sánchez M, Sánchez M, Sánchez P, Santamaría I, Sanz F, Serrano A, Somoza M, Tabernero E, Trujillo E, Valencia E, Valiño P, Vargas A, Vidal I, Vidal R, Villanueva M, Villar A, Vizcaya M, Zabaleta M, Zubillaga G. Factors Associated With Extrapulmonary Tuberculosis in Spain and Its Distribution in Immigrant Population. Open Respiratory Archives 2020. [DOI: 10.1016/j.opresp.2020.04.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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Carrillo-Alarcón JC, Morales-Rosales LA, Rodríguez-Rángel H, Lobato-Báez M, Muñoz A, Algredo-Badillo I. A Metaheuristic Optimization Approach for Parameter Estimation in Arrhythmia Classification from Unbalanced Data. Sensors (Basel) 2020; 20:s20113139. [PMID: 32498271 PMCID: PMC7308921 DOI: 10.3390/s20113139] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/22/2020] [Accepted: 05/29/2020] [Indexed: 06/11/2023]
Abstract
The electrocardiogram records the heart's electrical activity and generates a significant amount of data. The analysis of these data helps us to detect diseases and disorders via heart bio-signal abnormality classification. In unbalanced-data contexts, where the classes are not equally represented, the optimization and configuration of the classification models are highly complex, reflecting on the use of computational resources. Moreover, the performance of electrocardiogram classification depends on the approach and parameter estimation to generate the model with high accuracy, sensitivity, and precision. Previous works have proposed hybrid approaches and only a few implemented parameter optimization. Instead, they generally applied an empirical tuning of parameters at a data level or an algorithm level. Hence, a scheme, including metrics of sensitivity in a higher precision and accuracy scale, deserves special attention. In this article, a metaheuristic optimization approach for parameter estimations in arrhythmia classification from unbalanced data is presented. We selected an unbalanced subset of those databases to classify eight types of arrhythmia. It is important to highlight that we combined undersampling based on the clustering method (data level) and feature selection method (algorithmic level) to tackle the unbalanced class problem. To explore parameter estimation and improve the classification for our model, we compared two metaheuristic approaches based on differential evolution and particle swarm optimization. The final results showed an accuracy of 99.95%, a F1 score of 99.88%, a sensitivity of 99.87%, a precision of 99.89%, and a specificity of 99.99%, which are high, even in the presence of unbalanced data.
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Affiliation(s)
- Juan Carlos Carrillo-Alarcón
- Department of Computer Science, Instituto Nacional de Astrofísica, Óptica y Electrónica (INAOE), Tonantzintla, Puebla 72840, Mexico;
| | - Luis Alberto Morales-Rosales
- Faculty of Civil Engineering, Conacyt-Universidad Michoacana de San Nicolás de Hidalgo, Morelia 58030, Michoacán, Mexico;
| | | | | | - Antonio Muñoz
- Engineering Department, University of Guadalajara, Av. Independencia Nacional 151, Autlán, Jalisco 48900, Mexico;
| | - Ignacio Algredo-Badillo
- Department of Computer Science, Conacyt-Instituto Nacional de Astrofísica, Óptica y Electrónica (INAOE), Tonantzintla, Puebla 72840, Mexico
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Silva A, Muñoz A, Flores JL, Villa J. Exhaustive dithering algorithm for 3D shape reconstruction by fringe projection profilometry. Appl Opt 2020; 59:D31-D38. [PMID: 32400620 DOI: 10.1364/ao.381924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Accepted: 12/23/2019] [Indexed: 06/11/2023]
Abstract
Three-dimensional (3D) shape reconstruction by projection of defocused binary patterns overcomes the nonlinearity introduced by the projector. Current patch-based procedures that generate dithered patterns are time consuming and are affected by the harmonics introduced through the tiling process. To overcome this problem, we propose a novel idea, to the best of our knowledge, to generate dithering patterns using the composition of two-dimensional patches as a stack of one-dimensional arrays obtained through an efficient deterministic approach. This procedure is a one-dimension optimization problem in the intensity domain, employing only a quarter of the fringe pitch. Furthermore, the unwanted distorting harmonics are eliminated using a Hilbert transform method. Both numerical simulations and experimental results verify the effectiveness of the proposal.
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Carro G, Muñoz A, Savoini B, Monge M. Fabrication and characterization of dispersion strengthened Cu-0.8%Y. Fusion Engineering and Design 2020. [DOI: 10.1016/j.fusengdes.2020.111548] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Martínez-Alarcón L, Ríos A, Ramis G, Gómez-Laguna J, Moll X, Falceto V, San Román-Acaso F, San Román-Llorens F, Quereda JJ, Herrero Medrano JM, Mendonça L, Martin-Barrasa JL, Fernández OM, Muñoz A, Ramírez P, Parrilla P. Veterinary Spanish Students' Attitude Toward Presumed Consent in Organ Donation. Transplant Proc 2020; 51:3004-3007. [PMID: 31711582 DOI: 10.1016/j.transproceed.2019.08.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Veterinarians often are involved in transplantation research projects. They are a fundamental social group who can influence public opinion about organ donation and transplantation (ODT). OBJECTIVE The objective was to determine the knowledge of Spanish veterinary students about the concept of brain death and the law of presumed consent. METHODS A sociologic, multicenter, and observational study was carried out in the veterinary students enrolled in Spain (n = 9000) in a complete academic year. A sample of 2815 students was stratified by geographic area and academic year. The students' attitudes on the psychosocial aspects of ODT were evaluated using a psychosocial validated questionnaire (PCID-DTO Rios). It was self-administered and completed anonymously. Veterinary schools were randomly selected. The questionnaire was applied to each academic year at compulsory sessions. STATISTICAL ANALYSIS Student t test, χ2 test, and logistic regression analysis were used. RESULTS The completion rate was 91% (n = 2558). Of students, 66% (n = 1664) understood the concept of brain death, 30% had doubts, whereas 5% believed that a person with brain death can recover and lead a normal life. Concerning legislation, 63% (n = 1615) were against the law of presumed consent, and 37% were in favor. An analysis of variables determining more favorable acceptance of the law showed that year of study (P = .000), knowing a donor (P = .020), and attitude toward ODT (P = .000) did have an effect on acceptance. Most students, 71% (n = 1875), were interested in attending a talk about ODT. CONCLUSION Only 37% of Spanish veterinary students would accept the law of presumed consent. Most students were interested in attending an informative talk about ODT.
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Affiliation(s)
- Laura Martínez-Alarcón
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia-España; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia-España; "International Collaborative Donor Project," Murcia-España
| | - Antonio Ríos
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia-España; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia-España; "International Collaborative Donor Project," Murcia-España.
| | - Guillermo Ramis
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia-España; "International Collaborative Donor Project," Murcia-España; Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia-España, Murcia, Spain
| | - Jaime Gómez-Laguna
- Departament of Anatomy and Comparative Pathology, University of Córdoba, Spain
| | - Xavier Moll
- Departamento de Medicina y Cirugía Animal, Facultad Veterinaria, Universitat Autonoma Barcelona (UAB) España, Barcelona, Spain
| | | | | | | | - Juan José Quereda
- Grupo Fisiopatología de la Reproducción, Departamento Producción y Sanidad Animal, Salud Pública Veterinaria y Ciencia y Tecnología de los Alimentos, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities Valencia, Spain
| | | | - Livia Mendonça
- Escola de Veterinária e Zootecnia, Universidade Federal de Goiás, Goiania, Brazil
| | - José Luis Martin-Barrasa
- Experimental Animal Facility, Research Unit, Hospital Universitario de Gran Canaria, Dr Negrín, Las Palmas de Gran Canaria, Spain; Animal Infectious Diseases and Ictiopatology, University Institute of Animal Health (IUSA), University of Las Palmas de Gran Canaria, Arucas, Spain
| | - Olga María Fernández
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia-España; Animalario libre de Patógenos Arrixaca- IMIB, Murcia-España
| | - Antonio Muñoz
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia-España, Murcia, Spain
| | - Pablo Ramírez
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia-España; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia-España; "International Collaborative Donor Project," Murcia-España
| | - Pascual Parrilla
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia-España; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia-España
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Álvarez L, Costa F, Lozano AI, Oller JC, Muñoz A, Blanco F, Limão-Vieira P, White RD, Brunger MJ, García G. Electron scattering cross sections from nitrobenzene in the energy range 0.4-1000 eV: the role of dipole interactions in measurements and calculations. Phys Chem Chem Phys 2020; 22:13505-13515. [PMID: 32530024 DOI: 10.1039/d0cp02039g] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Absolute total electron scattering cross sections (TCS) for nitrobenzene molecules with impact energies from 0.4 to 1000 eV have been measured by means of two different electron-transmission experimental arrangements. For the lower energies (0.4-250 eV) a magnetically confined electron beam system has been used, while for energies above 100 eV a linear beam transmission technique with high angular resolution allowed accurate measurements up to 1000 eV impact energy. In both cases random uncertainties were maintained below 5-8%. Systematic errors arising from the angular and energy resolution limits of each apparatus are analysed in detail and quantified with the help of our theoretical calculations. Differential elastic and integral elastic, excitation and ionisation as well as momentum transfer cross sections have been calculated, for the whole energy range considered here, by using an independent atom model in combination with the screening corrected additivity rule method including interference effects (IAM-SCARI). Due to the significant permanent dipole moment of nitrobenzene, additional differential and integral rotational excitation cross sections have been calculated in the framework of the Born approximation. If we ignore the rotational excitations, our calculated total cross section agrees well with our experimental results for impact energies above 15 eV. Additionally, they overlap at 10 eV with the low energy Schwinger Multichannel method with Pseudo Potentials (SMCPP) calculation available in the literature (L. S. Maioli and M. H. F. Bettega, J. Chem. Phys., 2017, 147, 164305). We find a broad feature in the experimental TCS at around 1.0 eV, which has been related to the formation of the NO2- anion and assigned to the π*(b1) resonance, according to previous mass spectra available in the literature. Other local maxima in the TCSs are found at 4.0 ± 0.2 and 5.0 ± 0.2 eV and are assigned to core excited resonances leading to the formation of the NO2- and O2- anions, respectively. Finally, for energies below 10 eV, differences found between the present measurements, the SMCPP calculation and our previous data for non-polar benzene have revealed the importance of accurately calculating the rotational excitation contribution to the TCS before comparing theoretical and experimental data. This comparison suggests that our dipole-Born calculation for nitrobenzene overestimates the magnitude of the rotational excitation cross sections below 10 eV.
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Affiliation(s)
- L Álvarez
- Instituto de Fisica Fundamental, CSIC, Serrano 113-Bis, E-28006 Madrid, Spain.
| | - F Costa
- Instituto de Fisica Fundamental, CSIC, Serrano 113-Bis, E-28006 Madrid, Spain.
| | - A I Lozano
- Instituto de Fisica Fundamental, CSIC, Serrano 113-Bis, E-28006 Madrid, Spain. and Atomic and Molecular Collisions Laboratory, CEFITEC, Department of Physics, Universidade NOVA de Lisboa, 2829-516 Caparica, Portugal
| | - J C Oller
- Centro de Investigaciones Energéticas Medioambientales y Tecnológicas (CIEMAT), Avenida Complutense 22, 28040 Madrid, Spain
| | - A Muñoz
- Centro de Investigaciones Energéticas Medioambientales y Tecnológicas (CIEMAT), Avenida Complutense 22, 28040 Madrid, Spain
| | - F Blanco
- Departamento de Estructura de la Materia Física Térmica y Electrónica e IPARCOS, Universidad Complutense de Madrid, Plaza de Ciencias 1, 28040 Madrid, Spain
| | - P Limão-Vieira
- Atomic and Molecular Collisions Laboratory, CEFITEC, Department of Physics, Universidade NOVA de Lisboa, 2829-516 Caparica, Portugal
| | - R D White
- College of Science and Engineering, James Cook University, Townsville, Australia
| | - M J Brunger
- College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia and Department of Actuarial Science and Applied Statistics, Faculty of Business and Information Science UCSI, Kuala Lumpur 56000, Malaysia
| | - G García
- Instituto de Fisica Fundamental, CSIC, Serrano 113-Bis, E-28006 Madrid, Spain. and Centre for Medical Radiation Physics, University of Wollongong, NSW, Australia
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Satué K, Gardon JC, Muñoz A. Clinical and laboratorial description of the differential diagnoses of hemostatic disorders in the horse. Iran J Vet Res 2020; 21:1-8. [PMID: 32368218 PMCID: PMC7183377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 06/18/2019] [Indexed: 06/11/2023]
Abstract
The process of fibrin clot formation is a series of complex and well-regulated reactions involving blood vessels, platelets, procoagulant plasma proteins, natural inhibitors, and fibrinolytic enzymes. Vasculitis can be caused by a variety of different agents as bacteria, viruses, protozoal, rickettsial organisms, toxic, drugs, medications, and neoplasms. The most common cause of vasculitis is the purpura hemorrhagica, which is associated with exposure to Streptococcus equi ssp. equi or less commonly, equine influenza. Deficiencies or defects of the hemostatic components may result in bleeding and/or thrombosis. Inherited alterations of primary hemostasis (von Willebrand disease: vWD and Glanzmann's thrombasthenia: GT) and of secondary hemostasis (hemophilia A and prekallikrein: PK deficiency) are scarcely reported in equine clinic. On the contrary, acquired alterations of primary and secondary hemostasis are commonly found. They include thrombocytopenia, platelet dysfunction due to the administration of some drugs and targeted antiplatelet agents, decreased factor synthesis (liver disease or deficiency of vitamin K), release of inactive factors, inhibition of factor activity, or excessive consumption and depletion of factors (platelets, coagulation factors, and anticoagulants factors as antithrombin (AT) and protein C). Disseminated intravascular coagulation (DIC) is the most common and complex hemostatic disorder in horses and appears to be associated with sepsis, inflammatory and ischemic gastrointestinal tract disorders and other systemic severe diseases. These alterations are commonly found in patients in intensive care units.
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Affiliation(s)
- K. Satué
- Department of Animal Medicine and Surgery, Faculty of Veterinary, CEU-Cardenal Herrera University, Valencia, Spain
| | - J. C. Gardon
- Department of Experimental Sciences and Mathematics, Catholic University of Valencia “San Vicente Mártir”, Valencia, Spain
| | - A. Muñoz
- Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, University of Córdoba, Córdoba, Spain
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Zsákai A, Muñoz A, Diez A, Román R, Marco E, García A, García A, Ibarra A. IFMIF-DONES systems engineering approach. Fusion Engineering and Design 2019. [DOI: 10.1016/j.fusengdes.2019.111326] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Salado-Leza D, Traore A, Porcel E, Dragoe D, Muñoz A, Remita H, García G, Lacombe S. Radio-Enhancing Properties of Bimetallic Au:Pt Nanoparticles: Experimental and Theoretical Evidence. Int J Mol Sci 2019; 20:ijms20225648. [PMID: 31718091 PMCID: PMC6888691 DOI: 10.3390/ijms20225648] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 10/28/2019] [Accepted: 11/06/2019] [Indexed: 12/17/2022] Open
Abstract
The use of nanoparticles, in combination with ionizing radiation, is considered a promising method to improve the performance of radiation therapies. In this work, we engineered mono- and bimetallic core-shell gold–platinum nanoparticles (NPs) grafted with poly (ethylene glycol) (PEG). Their radio-enhancing properties were investigated using plasmids as bio-nanomolecular probes and gamma radiation. We found that the presence of bimetallic Au:Pt-PEG NPs increased by 90% the induction of double-strand breaks, the signature of nanosize biodamage, and the most difficult cell lesion to repair. The radio-enhancement of Au:Pt-PEG NPs were found three times higher than that of Au-PEG NPs. This effect was scavenged by 80% in the presence of dimethyl sulfoxide, demonstrating the major role of hydroxyl radicals in the damage induction. Geant4-DNA Monte Carlo simulations were used to elucidate the physical processes involved in the radio-enhancement. We predicted enhancement factors of 40% and 45% for the induction of nanosize damage, respectively, for mono- and bimetallic nanoparticles, which is attributed to secondary electron impact processes. This work contributed to a better understanding of the interplay between energy deposition and the induction of nanosize biomolecular damage, being Monte Carlo simulations a simple method to guide the synthesis of new radio-enhancing agents.
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Affiliation(s)
- Daniela Salado-Leza
- Institut des Sciences Moléculaires d’Orsay (UMR 8214) CNRS, Université Paris-Saclay, Université Paris Sud, 91405 Orsay, France; (D.S.-L.); (E.P.)
- Cátedras CONACyT, Universidad Autónoma de San Luis Potosí, Facultad de Ciencias Químicas, Av. Dr. Manuel Nava 6, Zona Universitaria, San Luis Potosí 78210, S.L.P., Mexico
| | - Ali Traore
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas (CSIC), Serrano 113-bis, 28006 Madrid, Spain; (A.T.); (G.G.)
| | - Erika Porcel
- Institut des Sciences Moléculaires d’Orsay (UMR 8214) CNRS, Université Paris-Saclay, Université Paris Sud, 91405 Orsay, France; (D.S.-L.); (E.P.)
| | - Diana Dragoe
- Institut de Chimie Moléculaire et des Matériaux d’Orsay (UMR 8182) CNRS, Université Paris Saclay, Université Paris Sud, 91405 Orsay, France;
| | - Antonio Muñoz
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Avda. Complutense 22, 28040 Madrid, Spain;
| | - Hynd Remita
- Laboratoire de Chimie Physique (UMR 8000) CNRS, Université Paris Saclay, Université Paris Sud, 91405 Orsay, France;
| | - Gustavo García
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas (CSIC), Serrano 113-bis, 28006 Madrid, Spain; (A.T.); (G.G.)
| | - Sandrine Lacombe
- Institut des Sciences Moléculaires d’Orsay (UMR 8214) CNRS, Université Paris-Saclay, Université Paris Sud, 91405 Orsay, France; (D.S.-L.); (E.P.)
- Correspondence: ; Tel.: +33-(1)-6915-8263
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Ocampo A, Domingo P, Fernández P, Diz J, Barberá JR, Sepúlveda MA, Salgado X, Rodriguez M, Santos J, Yzusqui M, Mayorga MI, Lorenzo JF, Bahamonde A, Bachiller P, Martínez E, Rozas N, Torres C, Muñoz A, Casado A, Podzamczer D. Lipid changes and tolerability in a cohort of adult HIV-infected patients who switched to rilpivirine/emtricitabine/tenofovir due to intolerance to previous combination ART: the PRO-STR study. J Antimicrob Chemother 2019; 73:2171-2176. [PMID: 29788066 DOI: 10.1093/jac/dky175] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Accepted: 04/16/2018] [Indexed: 01/15/2023] Open
Abstract
Objectives To analyse lipid changes and tolerability in a cohort of HIV-infected patients who switched their antiretroviral regimens to rilpivirine/emtricitabine/tenofovir (RPV/FTC/TDF) in a real-world setting. Methods PRO-STR is a 48 week prospective observational post-authorization study in 25 hospitals. Patients with a viral load <1000 copies/mL, receiving at least 12 months of combination ART (cART), with constant posology for at least the prior 3 months, were categorized according to previous treatment [NNRTI or ritonavir-boosted PI (PI/r)]. Analytical tests were performed at the baseline visit, between week 16 and week 32, and at week 48. Results A total of 303 patients were included (mean age 46.6 years; male 74.0%; previous treatment 74.7% NNRTI and 25.3% PI/r). Both groups exhibited significantly reduced lipid profiles, except for HDL cholesterol, for which a non-significant increase was observed. [NNRTI patients: total cholesterol (baseline: 195.5 ± 38.4 mg/dL; week 48: 171.0 ± 35.5 mg/dL), total cholesterol/HDL ratio (baseline: 4.2 ± 1.2; week 48: 4.0 ± 1.2), HDL (baseline: 49.1 ± 12.0 mg/dL; week 48: 49.2 ± 45.8 mg/dL), LDL (baseline: 119.2 ± 30.2 mg/dL; week 48: 114.2 ± 110.7 mg/dL), and triglycerides (baseline: 136.6 ± 86.8 mg/dL; week 48: 113.4 ± 67.8 mg/dL); PI/r patients: total cholesterol (baseline: 203.2 ± 48.8 mg/dL; week 48: 173.4 ± 36.9 mg/dL), total cholesterol/HDL ratio (baseline: 4.7 ± 1.6; week 48: 4.0 ± 1.2), HDL (baseline: 46.4 ± 12.5 mg/dL; week 48: 52.1 ± 54.4 mg/dL), LDL (baseline: 127.0 ± 36.3 mg/dL; week 48: 111.4 ± 35.8 mg/dL), and triglycerides (baseline: 167.6 ± 107.7 mg/dL; week 48: 122.7 ± 72.1 mg/dL)]. The most common intolerances were neuropsychiatric in the NNRTI patients and gastrointestinal and metabolic in the PI/r patients, and these intolerances were significantly reduced in both groups at week 48 [NNRTI: neuropsychiatric (baseline: 81.3%; week 48: 0.0%); PI/r: gastrointestinal (baseline: 48.7%; week 48: 0.0%) and metabolic (baseline: 42.1%; week 48: 0.0%)]. Conclusions RPV/FTC/TDF improved the lipid profiles and reduced the intolerances after switching from NNRTI or PI-based regimens, in a cohort of HIV-infected patients.
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Affiliation(s)
- A Ocampo
- Xeral de Vigo Hospital, Pontevedra, Spain
| | - P Domingo
- de la Santa Creu y Sant Pau Hospital, Barcelona, Spain
| | | | - J Diz
- de Montecelo Hospital, A Coruña, Spain
| | - J R Barberá
- La Mancha Centro Hospital, Ciudad Real, Spain
| | | | - X Salgado
- University de Girona Dr Josep Trueta Hospital, Girona, Spain
| | | | - J Santos
- Virgen de la Victoria Hospital, Málaga, Spain
| | - M Yzusqui
- Nuestra Señora del Prado Hospital, Toledo, Spain
| | | | | | | | - P Bachiller
- University del Río Hortega Hospital, Valladolid, Spain
| | - E Martínez
- University de Albacete Hospital, Albacete, Spain
| | - N Rozas
- University de Bellvitge, Barcelona Hospital, Barcelona, Spain
| | - C Torres
- Pharmacoeconomics & Outcomes Research Iberia, Madrid, Spain
| | - A Muñoz
- Pharmacoeconomics & Outcomes Research Iberia, Madrid, Spain
| | - A Casado
- Pharmacoeconomics & Outcomes Research Iberia, Madrid, Spain
| | - D Podzamczer
- University de Bellvitge, Barcelona Hospital, Barcelona, Spain
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Byrne AQ, Vredenburg VT, Martel A, Pasmans F, Bell RC, Blackburn DC, Bletz MC, Bosch J, Briggs CJ, Brown RM, Catenazzi A, Familiar López M, Figueroa-Valenzuela R, Ghose SL, Jaeger JR, Jani AJ, Jirku M, Knapp RA, Muñoz A, Portik DM, Richards-Zawacki CL, Rockney H, Rovito SM, Stark T, Sulaeman H, Tao NT, Voyles J, Waddle AW, Yuan Z, Rosenblum EB. Cryptic diversity of a widespread global pathogen reveals expanded threats to amphibian conservation. Proc Natl Acad Sci U S A 2019; 116:20382-20387. [PMID: 31548391 PMCID: PMC6789904 DOI: 10.1073/pnas.1908289116] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Biodiversity loss is one major outcome of human-mediated ecosystem disturbance. One way that humans have triggered wildlife declines is by transporting disease-causing agents to remote areas of the world. Amphibians have been hit particularly hard by disease due in part to a globally distributed pathogenic chytrid fungus (Batrachochytrium dendrobatidis [Bd]). Prior research has revealed important insights into the biology and distribution of Bd; however, there are still many outstanding questions in this system. Although we know that there are multiple divergent lineages of Bd that differ in pathogenicity, we know little about how these lineages are distributed around the world and where lineages may be coming into contact. Here, we implement a custom genotyping method for a global set of Bd samples. This method is optimized to amplify and sequence degraded DNA from noninvasive skin swab samples. We describe a divergent lineage of Bd, which we call BdASIA3, that appears to be widespread in Southeast Asia. This lineage co-occurs with the global panzootic lineage (BdGPL) in multiple localities. Additionally, we shed light on the global distribution of BdGPL and highlight the expanded range of another lineage, BdCAPE. Finally, we argue that more monitoring needs to take place where Bd lineages are coming into contact and where we know little about Bd lineage diversity. Monitoring need not use expensive or difficult field techniques but can use archived swab samples to further explore the history-and predict the future impacts-of this devastating pathogen.
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Affiliation(s)
- Allison Q Byrne
- Department of Environmental Science, Policy, and Management, University of California, Berkeley, CA 94720
- Museum of Vertebrate Zoology, University of California, Berkeley, CA 94720
| | - Vance T Vredenburg
- Department of Biology, San Francisco State University, San Francisco, CA 94132
| | - An Martel
- Department of Pathology, Bacteriology and Avian Diseases, Ghent University, 9820 Merelbeke, Belgium
| | - Frank Pasmans
- Department of Pathology, Bacteriology and Avian Diseases, Ghent University, 9820 Merelbeke, Belgium
| | - Rayna C Bell
- Department of Vertebrate Zoology, National Museum of Natural History, Smithsonian Institution, Washington DC 20560
- Department of Herpetology, California Academy of Sciences, San Francisco, CA 94118
| | - David C Blackburn
- Florida Museum of Natural History, University of Florida, Gainesville, FL 32601
| | - Molly C Bletz
- Department of Biology, University of Massachusetts Boston, Boston, MA 02125
| | - Jaime Bosch
- Museo Nacional de Ciencias Naturales, Consejo Superior de Investigaciones Cientificas (CSIC), 28006 Madrid, Spain
- Research Unit of Biodiversity, CSIC-Universidad de Oviedo-Gobierno del Principado de Asturias, E-33600 Mieres, Spain
| | - Cheryl J Briggs
- Department of Ecology, Evolution, and Marine Biology, University of California, Santa Barbara, CA 93106
| | - Rafe M Brown
- University of Kansas Biodiversity Institute, University of Kansas, Lawrence, KS 66045
- Department of Ecology and Evolution, University of Kansas, Lawrence, KS 66045
| | - Alessandro Catenazzi
- Department of Biological Sciences, Florida International University, Miami, FL 33199
| | - Mariel Familiar López
- School of Environment and Sciences, Griffith University, Gold Coast, QLD 4215, Australia
| | | | - Sonia L Ghose
- Department of Evolution and Ecology, University of California, Davis, CA 95616
| | - Jef R Jaeger
- School of Life Sciences, University of Nevada, Las Vegas, NV 89154
| | - Andrea J Jani
- Department of Oceanography, University of Hawai'i at Manoa, Honolulu, HI 96822
| | - Miloslav Jirku
- Institute of Parasitology, Czech Academy of Sciences, 370 05 Ceske Budejovice, Czech Republic
| | - Roland A Knapp
- Sierra Nevada Aquatic Research Laboratory, University of California, Mammoth Lakes, CA 93546
| | - Antonio Muñoz
- Department of Biodiversity Conservation, El Colegio de la Frontera Sur, San Cristobal de las Casas, Chiapas 29290, México
| | - Daniel M Portik
- Department of Ecology and Evolution, University of Arizona, Tucson, AZ 85721
| | | | - Heidi Rockney
- Environmental Sciences Graduate Program, Oregon State University, Corvallis, OR 97331
| | - Sean M Rovito
- Unidad de Genómica Avanzada (Langebio), Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, Irapuato, Guanajuato CP36824, México
| | - Tariq Stark
- Reptile, Amphibian and Fish Conservation, 6525 ED Nijmegen, The Netherlands
| | - Hasan Sulaeman
- Department of Biology, San Francisco State University, San Francisco, CA 94132
| | - Nguyen Thien Tao
- Vietnam National Museum of Nature, Vietnam Academy of Science and Technology, Hanoi, Vietnam
| | - Jamie Voyles
- Department of Biology, University of Nevada, Reno, NV 89557
| | - Anthony W Waddle
- School of Life Sciences, University of Nevada, Las Vegas, NV 89154
- One Health Research Group, The University of Melbourne, Werribee, VIC 3030, Australia
| | - Zhiyong Yuan
- College of Forestry, Southwest Forestry University, Kunming 650224, Yunnan, China
| | - Erica Bree Rosenblum
- Department of Environmental Science, Policy, and Management, University of California, Berkeley, CA 94720;
- Museum of Vertebrate Zoology, University of California, Berkeley, CA 94720
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Arias M, Díaz A, Muñoz A, Valenzuela N, Nasabun Flores V. PCV13 EFECTIVIDAD DEL CATETER VENOSO DE INSERCION CENTRAL VS EL CATETER VENOSO CENTRAL DE INSERCION PERIFERICA EN EL TRATAMIENTO DE PACIENTES EN LA UNIDAD DE CUIDADOS INTENSIVOS. Value Health Reg Issues 2019. [DOI: 10.1016/j.vhri.2019.08.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Podzamczer D, Rozas N, Domingo P, Miralles C, den Eynde EV, Romero A, Deig E, Knobel H, Pasquau J, Antela A, Clotet B, Geijo P, de Castro ER, Casado MA, Muñoz A, Casado A, For The Pro-Str Study Group. Real World Patient-reported Outcomes in HIV-infected Adults Switching to EVIPLERA®, Because of a Previous Intolerance to cART. PRO-STR Study. Curr HIV Res 2019; 16:425-435. [PMID: 30760189 PMCID: PMC6700757 DOI: 10.2174/1570162x17666190212163518] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 02/07/2019] [Accepted: 02/11/2019] [Indexed: 12/29/2022]
Abstract
Background: To investigate the impact of switching from stable Combined Antiretroviral Therapy (cART) to single-tablet regimen (RPV/FTC/TDF=EVIPLERA®/COMPLERA®) on patient-reported outcomes in HIV-infected adults who cannot tolerate previous cART, in a real-world setting. Methods: PRO-STR is a 48-week observational, prospective, multicenter study. Presence and magnitude of symptoms (main endpoint), health-related quality-of-life (HRQoL), adherence, satisfaction with treatment and patient preferences were assessed. Results: Three hundred patients with 48-week follow-up, who switched to EVIPLERA® (mean age: 46.6 years; male: 74.0%; 74.7% switched from a non-nucleoside reverse-transcriptase-inhibitor, 25.3% from a protease inhibitor + ritonavir) were included. There was no statistical difference in median CD4+ cell count (baseline: 678.5 cells/mm3; 48-week: 683.0 cells/mm3) neither in virological suppression (≤50 copies/mL) (baseline: 98.3%; 48-week: 95.3%). The most frequent reasons for switching were neuropsychiatric (62.3%), gastrointestinal (19.3%) and biochemical/metabolic (19.3%) events. Only 7.7% of patients permanently discontinued therapy. At 48-week, all outcomes showed an improvement compared to baseline. Overall, there was a significant decrease (p-value≤0.05) in number and magnitude of symptoms, while HRQoL, satisfaction and adherence improved significantly. Most patients prefered EVIPLERA® than previous cART. According to the type of intolerance, HRQoL was improved, but only significantly in patients with neuropsychiatric and gastrointestinal symptoms. Adherence improved significantly in patients with metabolic disturbances and satisfaction with EVIPLERA® was higher in the three groups. Conclusion: Switching to EVIPLERA® from non-nucleoside reverse-transcriptase-inhibitor or protease inhibitor-based regimens due to toxicity, improved the presence/magnitude of symptoms, HRQoL, and preference with treatment. EVIPLERA® maintained a virological response, CD4+ cell count and maintained or improved adherence.
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Affiliation(s)
- D Podzamczer
- Hospital Universitari de Bellvitge, Barcelona, Spain
| | - N Rozas
- Hospital Universitari de Bellvitge, Barcelona, Spain
| | - P Domingo
- Hospital de la Santa Creu y Sant Pau, Barcelona, Spain
| | - C Miralles
- Hospital Xeral de Vigo, Pontevedra, Spain
| | | | - A Romero
- Hospital de Especialidades de Puerto Real, Cadiz, Spain
| | - E Deig
- Hospital General de Granollers, Barcelona, Spain
| | - H Knobel
- Hospital del Mar, Barcelona, Spain
| | - J Pasquau
- Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - A Antela
- Complejo Hospitalario Universitario de Santiago, A Coruna, Spain
| | - B Clotet
- Hospital Universitari Germans Trias i Pujol, Barcelona, Spain
| | - P Geijo
- Hospital Virgen de la Luz, Cuenca, Spain
| | | | - M A Casado
- Pharmacoeconomics & Outcomes Research Iberia, Madrid, Spain
| | - A Muñoz
- Pharmacoeconomics & Outcomes Research Iberia, Madrid, Spain
| | - A Casado
- Pharmacoeconomics & Outcomes Research Iberia, Madrid, Spain
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Bernardi D, Arbeiter F, Cappelli M, Fischer U, García A, Heidinger R, Krolas W, Martín-Fuertes F, Miccichè G, Muñoz A, Nitti F, Pérez M, Pinna T, Tian K, Ibarra A. Towards the EU fusion-oriented neutron source: The preliminary engineering design of IFMIF-DONES. Fusion Engineering and Design 2019. [DOI: 10.1016/j.fusengdes.2018.12.042] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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47
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Eddahbi M, Muñoz A, Savoini B, Monge M. Mechanical properties and microstructure of W/CuY and W/CuCrZr composites produced by hot isostatic pressing. Fusion Engineering and Design 2019. [DOI: 10.1016/j.fusengdes.2019.03.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Costa F, Álvarez L, Lozano AI, Blanco F, Oller JC, Muñoz A, Barbosa AS, Bettega MHF, Ferreira da Silva F, Limão-Vieira P, White RD, Brunger MJ, García G. Experimental and theoretical analysis for total electron scattering cross sections of benzene. J Chem Phys 2019; 151:084310. [PMID: 31470731 DOI: 10.1063/1.5116076] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Measurements of the total electron scattering cross sections (TCSs) from benzene, in the impact energy range of 1-1000 eV, are presented here by combining two different experimental systems. The first utilizes a magnetically confined electron transmission beam for the lower energies (1-300 eV), while the second utilizes a linear transmission beam apparatus for the higher energies (100-1000 eV). These cross sections have also been calculated by means of two different theoretical methods, the Schwinger Multichannel with Pseudo Potential (SMCPP) procedure, employing two different approaches to account for the polarization of the target for impact energies between 0.1 and 15 eV, and the Independent Atom Model with the Screening Corrected Additivity Rule including Interference effect (IAM-SCAR+I) paradigm to cover the 10-10 000 eV impact energy range. The present results are compared with available theoretical and experimental data, with the level of accord being good in some cases and less satisfactory in others, and some predicted resonances have been identified. In particular, we found a π* shape resonance at 1.4 eV and another feature in the energy region 4.6-4.9 eV interpreted as a π* resonance (2B2g symmetry), which is a mixture of shape and a core excited resonance, as well as a Feshbach resonance at 5.87 eV associated with the 3s (a1g) Rydberg state. A Born-type formula to extrapolate TCS values for energies above 10 000 eV is also given. This study provides a complete set of TCS data, with uncertainty limits within 10%, ready to be used for modeling electron transport applications.
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Affiliation(s)
- F Costa
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas, Serrano 113-bis, 28006 Madrid, Spain
| | - L Álvarez
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas, Serrano 113-bis, 28006 Madrid, Spain
| | - A I Lozano
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas, Serrano 113-bis, 28006 Madrid, Spain
| | - F Blanco
- Departamento de Estructura de la Materia Física Térmica y Electrónica, Universidad Complutense de Madrid, Plaza de Ciencias 1, 28040 Madrid, Spain
| | - J C Oller
- Departamento de Tecnología, Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Avenida Complutense 22, 28040 Madrid, Spain
| | - A Muñoz
- Departamento de Tecnología, Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Avenida Complutense 22, 28040 Madrid, Spain
| | - A Souza Barbosa
- Departamento de Física, Universidade Federal do Paraná, CP 19044, 81531-990 Curitiba, Paraná, Brazil
| | - M H F Bettega
- Departamento de Física, Universidade Federal do Paraná, CP 19044, 81531-990 Curitiba, Paraná, Brazil
| | - F Ferreira da Silva
- Laboratório de Colisões Atómicas e Moleculares, CEFITEC, Departamento de Física, Universidade NOVA de Lisboa, 2829-516 Caparica, Portugal
| | - P Limão-Vieira
- Laboratório de Colisões Atómicas e Moleculares, CEFITEC, Departamento de Física, Universidade NOVA de Lisboa, 2829-516 Caparica, Portugal
| | - R D White
- College of Science and Engineering, James Cook University, Townsville, Australia
| | - M J Brunger
- College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia
| | - G García
- Instituto de Física Fundamental, Consejo Superior de Investigaciones Científicas, Serrano 113-bis, 28006 Madrid, Spain
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49
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Santamaría-Pérez D, Daisenberger D, Ruiz-Fuertes J, Marqueño T, Chulia-Jordan R, Muehle C, Jansen M, Rodriguez-Hernandez P, Muñoz A, Johnson ER, Otero-de-la-Roza A. Gold(i) sulfide: unusual bonding and an unexpected computational challenge in a simple solid. Chem Sci 2019; 10:6467-6475. [PMID: 31341598 PMCID: PMC6610519 DOI: 10.1039/c9sc00371a] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 05/19/2019] [Indexed: 11/23/2022] Open
Abstract
We report the experimental high-pressure crystal structure and equation of state of gold(i) sulfide (Au2S) determined using diamond-anvil cell synchrotron X-ray diffraction. Our data shows that Au2S has a simple cubic structure with six atoms in the unit cell (four Au in linear, and two S in tetrahedral, coordination), no internal degrees of freedom, and relatively low bulk modulus. Despite its structural simplicity, Au2S displays very unusual chemical bonding. The very similar and relatively high electronegativities of Au and S rule out any significant metallic or ionic character. Using a simple valence bond (Lewis) model, we argue that the Au2S crystal possesses two different types of covalent bonds: dative and shared. These bonds are distributed in such a way that each Au atom engages in one bond of each kind. The multiple arrangements in space of dative and shared bonds are degenerate, and the multiplicity of configurations imparts the system with multireference character, which is highly unusual for an extended solid. The other striking feature of this system is that common computational (DFT) methods fail quite spectacularly to describe it, with 20% and 400% errors in the equilibrium volume and bulk modulus, respectively. We explain this by the poor treatment of static correlation in common density-functional approximations. The fact that the solid is structurally very simple, yet presents unique chemical bonding and is unmodelable using current DFT methods, makes it an interesting case study and a computational challenge.
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Affiliation(s)
- D Santamaría-Pérez
- Departamento de Física Aplicada-ICMUV , Universidad de Valencia , MALTA Consolider Team , Edificio de Investigación, C/Dr Moliner 50, E-46100 Burjassot , Valencia , Spain .
| | | | - J Ruiz-Fuertes
- DCITIMAC , Universidad de Cantabria , Avenida de Los Castros 48 , 39005 Santander , Spain
| | - T Marqueño
- Departamento de Física Aplicada-ICMUV , Universidad de Valencia , MALTA Consolider Team , Edificio de Investigación, C/Dr Moliner 50, E-46100 Burjassot , Valencia , Spain .
| | - R Chulia-Jordan
- Departamento de Física Aplicada-ICMUV , Universidad de Valencia , MALTA Consolider Team , Edificio de Investigación, C/Dr Moliner 50, E-46100 Burjassot , Valencia , Spain .
| | - C Muehle
- Max Planck Institute for Solid State Research , Heisenbergstrasse 1 , 70569 Stuttgart , Germany
| | - M Jansen
- Max Planck Institute for Solid State Research , Heisenbergstrasse 1 , 70569 Stuttgart , Germany
| | - P Rodriguez-Hernandez
- Departamento de Física , Instituto de Materiales y Nanotecnología , Universidad de La Laguna , MALTA Consolider Team , E-38206 La Laguna , Tenerife , Spain
| | - A Muñoz
- Departamento de Física , Instituto de Materiales y Nanotecnología , Universidad de La Laguna , MALTA Consolider Team , E-38206 La Laguna , Tenerife , Spain
| | - Erin R Johnson
- Department of Chemistry , Dalhousie University , 6274 Coburg Road , Halifax , Nova Scotia , Canada B3H 4R2
| | - A Otero-de-la-Roza
- Departamento de Química Física y Analítica , Facultad de Química , Universidad de Oviedo , 33006 Oviedo , Spain .
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Vives M, Hernandez A, Parramon F, Estanyol N, Pardina B, Muñoz A, Alvarez P, Hernandez C. Acute kidney injury after cardiac surgery: prevalence, impact and management challenges. Int J Nephrol Renovasc Dis 2019; 12:153-166. [PMID: 31303781 PMCID: PMC6612286 DOI: 10.2147/ijnrd.s167477] [Citation(s) in RCA: 73] [Impact Index Per Article: 14.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Accepted: 05/29/2019] [Indexed: 12/14/2022] Open
Abstract
Acute kidney injury (AKI) is a major medical problem that is of particular concern after cardiac surgery. Perioperative AKI is independently associated with an increase in short-term morbidity, costs of treatment, and long-term mortality. In this review, we explore the definition of cardiac surgery-associated acute kidney injury (CSA-AKI) and identify diverse mechanisms and risk factors contributing to the renal insult. Current theories of the pathophysiology of CSA-AKI and description of its clinical course will be addressed in this review. Data on the most promising renal protective strategies in cardiac surgery, from well-designed studies, will be scrutinized. Furthermore, diagnostic tools such as novel biomarkers of AKI and their potential utility will be discussed.
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Affiliation(s)
- M Vives
- Department of Anesthesiology & Critical Care, Clinical Research Lead, Hospital Universitari Dr Josep Trueta, Universitat de Girona, Institut d´Investigació Biomédica de Girona (IDIBGI), Girona, Spain
| | - A Hernandez
- Department of Anesthesia & Critical Care, Grupo Policlinica, Ibiza, Spain
| | - F Parramon
- Department of Anesthesiology & Critical Care Chief, Hospital Universitari Dr Josep Trueta, Universitat de Girona, Girona, Spain
| | - N Estanyol
- Department of Anesthesiology & Critical Care Chief, Hospital Universitari Dr Josep Trueta, Universitat de Girona, Girona, Spain
| | - B Pardina
- Department of Anesthesiology & Critical Care Chief, Hospital Universitari Dr Josep Trueta, Universitat de Girona, Girona, Spain
| | - A Muñoz
- Department of Anesthesiology & Critical Care Chief, Hospital Universitari Dr Josep Trueta, Universitat de Girona, Girona, Spain
| | - P Alvarez
- Department of Cardiac Surgery, Hospital Universitari Dr Josep Trueta, Universitat de Girona, Girona, Spain
| | - C Hernandez
- Department of Anesthesiology & Critical Care Chief, Hospital Universitari Dr Josep Trueta, Universitat de Girona, Girona, Spain
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