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Machlab S, Francia E, Mascort J, García-Iglesias P, Mendive JM, Riba F, Guarner-Argente C, Solanes M, Ortiz J, Calvet X. Risks, indications and technical aspects of colonoscopy in elderly or frail patients. Position paper of the Societat Catalana de Digestologia, the Societat Catalana de Geriatria i Gerontologia and the Societat Catalana de Medicina de Familia i Comunitaria. Gastroenterol Hepatol 2024; 47:107-117. [PMID: 37209916 DOI: 10.1016/j.gastrohep.2023.05.004] [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: 02/05/2023] [Revised: 05/01/2023] [Accepted: 05/08/2023] [Indexed: 05/22/2023]
Abstract
Colonoscopy (CS) is an invasive diagnostic and therapeutic technique, allowing the study of the colon. It is a safe and well tolerated procedure. However, CS is associated with an increased risk of adverse events, insufficient preparation and incomplete examinations in the elderly or frail patient (PEA/F). The objective of this position paper was to develop a set of recommendations on risk assessment, indications and special care required for CS in the PEA/F. It was drafted by a group of experts appointed by the SCD, SCGiG and CAMFiC that agreed on eight statements and recommendations, between them to recommend against performing CS in patients with advanced frailty, to indicate CS only if the benefits clearly outweigh the risks in moderate frailty and to avoid repeating CS in patients with a previous normal procedure. We also recommended against performing screening CS in patients with moderate or advanced frailty.
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Affiliation(s)
- Salvador Machlab
- Servei d'Aparell Digestiu, Parc Taulí, Hospital Universitari, Institut de Recerca Parc Taulí, Sabadell, España; Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, España
| | - Esther Francia
- Servei de Medicina Interna, Unitat de Geriatria, Hospital de Sant Pau, Barcelona, España
| | - Juanjo Mascort
- CAP Florida Sud, Institut Català de La Salut, Hospitalet de Llobregat, España; Departament de Ciències Clíniques, Facultat de Medicina, Universitat de Barcelona, Barcelona, España
| | - Pilar García-Iglesias
- Servei d'Aparell Digestiu, Parc Taulí, Hospital Universitari, Institut de Recerca Parc Taulí, Sabadell, España
| | | | - Francesc Riba
- Servei de Geriatria i Cures Pal·liatives, Hospital de la Santa Creu Jesús, Tortosa, España
| | - Carles Guarner-Argente
- Servei Aparell Digestiu, Hospital de Sant Pau, Barcelona, España; CIBEREHD, Instituto de Salud Carlos III, Madrid, España
| | - Mònica Solanes
- CAP Onze de Setembre, Institut Català de la Salut, Lleida, España
| | - Jordi Ortiz
- Servei d'Aparell Digestiu, Consorci Sanitari de Terrassa, Terrassa, España
| | - Xavier Calvet
- Servei d'Aparell Digestiu, Parc Taulí, Hospital Universitari, Institut de Recerca Parc Taulí, Sabadell, España; Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, España; CIBEREHD, Instituto de Salud Carlos III, Madrid, España.
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Hamdon S, Fernandez-Gonzalez P, Omar MY, González-Sepúlveda M, Ortiz J, Gil C. CHIR99021 causes inactivation of Tyrosine Hydroxylase and depletion of dopamine in rat brain striatum. Neuropharmacology 2024; 242:109759. [PMID: 37844866 DOI: 10.1016/j.neuropharm.2023.109759] [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: 07/03/2023] [Revised: 10/06/2023] [Accepted: 10/09/2023] [Indexed: 10/18/2023]
Abstract
CHIR99021, also known as laduviglusib or CT99021, is a Glycogen-synthase kinase 3β (GSK3β) inhibitor, which has been reported as a promising drug for cardiomyocyte regeneration or treatment of sensorial hearing loss. Since the activation of dopamine (DA) receptors regulates dopamine synthesis and they can signal through the β-arrestin pathway and GSK3β, we decided to check the effect of GSK3β inhibitors (CHIR99021, SB216763 and lithium ion) on the control of DA synthesis. Using ex vivo experiments with minces from rat brain striatum, we observed that CHIR99021, but not SB216763 or lithium, causes complete abrogation of both DA synthesis and accumulation, pointing to off-target effects of CHIR99021. This decrease can be attributed to tyrosine hydroxylase (TH) inhibition since the accumulation of l-DOPA in the presence of a DOPA decarboxylase inhibitor was similarly decreased. On the other hand, CHIR99021 caused a dramatic increase in the DOPAC/DA ratio, an indicator of DA metabolization, and hindered DA incorporation into striatum tissue. Tetrabenazine, an inhibitor of DA vesicular transport, also caused DA depletion and DOPAC/DA ratio increase to the same extent as CHIR99021. In addition, both CHIR99021 or SB216763, but not lithium, decreased TH phosphorylation in Ser19, but not in Ser31 or Ser40. These results demonstrate that CHIR99021 can lead to TH inactivation and DA depletion in brain striatum, opening the possibility of its use in DA-related disorders, and shows effects to be considered in future clinical trials. More work is needed to find the mechanism exerted by CHIR99021 on DA accumulation.
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Affiliation(s)
- Sally Hamdon
- Department of Biochemistry and Molecular Biology, Universitat Autònoma de Barcelona, Spain; Institut de Neurociències, Universitat Autònoma de Barcelona, Spain
| | - Pol Fernandez-Gonzalez
- Department of Biochemistry and Molecular Biology, Universitat Autònoma de Barcelona, Spain
| | - Muhammad Yusof Omar
- Department of Biochemistry and Molecular Biology, Universitat Autònoma de Barcelona, Spain; Institut de Neurociències, Universitat Autònoma de Barcelona, Spain
| | - Marta González-Sepúlveda
- Neurodegenerative Diseases Research Group, Vall d'Hebron Research Institute (VHIR) - Center for Networked Biomedical Research on Neurodegenerative Diseases (CIBERNED), 08035, Barcelona, Spain; Aligning Science Across Parkinson's (ASAP) Collaborative Research Network, Chevy Chase, MD, 20815, USA
| | - Jordi Ortiz
- Department of Biochemistry and Molecular Biology, Universitat Autònoma de Barcelona, Spain; Institut de Neurociències, Universitat Autònoma de Barcelona, Spain; Centro Investigación Biomédica en Red de Salud Mental, CIBERSAM, and Translational Neuroscience Unit, Parc Taulí University Hospital and Universitat Autònoma de Barcelona, Spain
| | - Carles Gil
- Department of Biochemistry and Molecular Biology, Universitat Autònoma de Barcelona, Spain; Institut de Neurociències, Universitat Autònoma de Barcelona, Spain.
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Ortiz J, Jover F, Ortiz de la Tabla V, Delgado E. Pulmonary nocardiosis after covid-19 infection: case report and literature review. Rev Esp Quimioter 2023; 36:421-424. [PMID: 37101409 PMCID: PMC10336311 DOI: 10.37201/req/132.2022] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 01/29/2023] [Accepted: 02/06/2023] [Indexed: 04/28/2023]
Affiliation(s)
| | - F Jover
- Francisco Jover, University Miguel Hernández of Alicante. Spain. Infectious Diseases Unit. Hospital Clínico San Juan de Alicante. Spain.
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Ortiz AC, Petrossian G, Koizumi N, Yu Y, Plews R, Conti D, Ortiz J. Belatacept-based immunosuppression in practice: A single center experience. Transpl Immunol 2023; 78:101834. [PMID: 37060963 DOI: 10.1016/j.trim.2023.101834] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/05/2023] [Accepted: 04/05/2023] [Indexed: 04/17/2023]
Affiliation(s)
- A Chiodo Ortiz
- Albany Medical Center, Albany, NY, United States of America.
| | - G Petrossian
- Albany Medical Center, Albany, NY, United States of America
| | - N Koizumi
- George Mason University, Fairfax, VA, United States of America
| | - Y Yu
- George Mason University, Fairfax, VA, United States of America
| | - R Plews
- University of Cincinnati Medical Center, Cincinnati, OH, United States of America
| | - D Conti
- Albany Medical Center, Albany, NY, United States of America
| | - J Ortiz
- Erie County Medical Center, Buffalo, NY, United States of America
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Chiodo Ortiz A, Petrossian G, Addonizio K, Hsiao A, Koizumi N, Yu Y, Plews R, Conti D, Ortiz J. Short-term decreased post transplant lymphoproliferative disorder risk after kidney transplantation using two novel regimens. Transpl Immunol 2023; 76:101774. [PMID: 36528248 DOI: 10.1016/j.trim.2022.101774] [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: 08/12/2022] [Revised: 12/06/2022] [Accepted: 12/11/2022] [Indexed: 12/23/2022]
Abstract
BACKGROUND Belatacept is employed alongside calcineurin inhibitor (CNI) therapy to prevent graft rejection in kidney transplant patients who are Epstein-Barr virus (EBV) seropositive. Preliminary data suggested that rates of post-transplant lymphoproliferative disorder (PTLD) were higher in individuals treated with belatacept compared to CNI therapy alone. METHODS The records of 354 adults who underwent kidney only transplantation from January 2015 through September 2021 at one medical center were evaluated. Patients underwent treatment with either low-doses of mycophenolate, tacrolimus and sirolimus (B0, n = 235) or low-doses of mycophenolate, tacrolimus and belatacept (B1, n = 119). All recipients underwent induction with antithymocyte globulin and a rapid glucocorticosteroid taper. Relevant donor and recipient information were analyzed and endpoints of PTLD were assessed. RESULTS There were no cases of PTLD in either cohort within the study period. Recipients in the belatacept cohort experienced lower estimated glomerular filtration rates at 12 months (B0: 67.48 vs. B1: 59.10, p = 0.0014). Graft failure at 12 (B0: 1.28% vs. B1: 0.84%, p = 1.0) and 24 months (B0:2.55% vs. B1: 0.84%, p = 0.431) were similar. There was no difference in rejection rates at 12 (B0: 1.27% vs. B1: 2.52%, p = 0.408) or 24 months (B0: 2.12% vs. B1: 2.52%, p = 1.000). Both groups had similar rates of malignancy, mortality and CMV/BK viremia. CONCLUSION Non-belatacept (MMF, tacrolimus and sirolimus) and belatacept-based (MMF, tacrolimus and belatacept) regimens do not appear to pose any increased risk of early onset PTLD. Both cohorts benefited from low rates of rejection, malignancy, mortality and graft failure. Recipients will continue to be monitored as PTLD can manifest as a long-term complication.
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Affiliation(s)
- A Chiodo Ortiz
- Albany Medical Center, Albany, NY, United States of America.
| | - G Petrossian
- Albany Medical Center, Albany, NY, United States of America
| | - K Addonizio
- Albany Medical Center, Albany, NY, United States of America
| | - A Hsiao
- Albany Medical Center, Albany, NY, United States of America
| | - N Koizumi
- George Mason University, Fairfax, VA, United States of America
| | - Y Yu
- George Mason University, Fairfax, VA, United States of America
| | - R Plews
- Division of Renal and Pancreatic Transplant Services, Albany Medical Center, Albany, NY, United States of America
| | - D Conti
- Division of Renal and Pancreatic Transplant Services, Albany Medical Center, Albany, NY, United States of America
| | - J Ortiz
- Division of Renal and Pancreatic Transplant Services, Albany Medical Center, Albany, NY, United States of America
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Cisterna A, González-Vidal A, Ruiz D, Ortiz J, Gómez-Pascual A, Chen Z, Nalls M, Faghri F, Hardy J, Díez I, Maietta P, Álvarez S, Ryten M, Botía JA. PhenoExam: gene set analyses through integration of different phenotype databases. BMC Bioinformatics 2022; 23:567. [PMID: 36587217 PMCID: PMC9805686 DOI: 10.1186/s12859-022-05122-x] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 12/22/2022] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Gene set enrichment analysis (detecting phenotypic terms that emerge as significant in a set of genes) plays an important role in bioinformatics focused on diseases of genetic basis. To facilitate phenotype-oriented gene set analysis, we developed PhenoExam, a freely available R package for tool developers and a web interface for users, which performs: (1) phenotype and disease enrichment analysis on a gene set; (2) measures statistically significant phenotype similarities between gene sets and (3) detects significant differential phenotypes or disease terms across different databases. RESULTS PhenoExam generates sensitive and accurate phenotype enrichment analyses. It is also effective in segregating gene sets or Mendelian diseases with very similar phenotypes. We tested the tool with two similar diseases (Parkinson and dystonia), to show phenotype-level similarities but also potentially interesting differences. Moreover, we used PhenoExam to validate computationally predicted new genes potentially associated with epilepsy. CONCLUSIONS We developed PhenoExam, a freely available R package and Web application, which performs phenotype enrichment and disease enrichment analysis on gene set G, measures statistically significant phenotype similarities between pairs of gene sets G and G' and detects statistically significant exclusive phenotypes or disease terms, across different databases. We proved with simulations and real cases that it is useful to distinguish between gene sets or diseases with very similar phenotypes. Github R package URL is https://github.com/alexcis95/PhenoExam . Shiny App URL is https://alejandrocisterna.shinyapps.io/phenoexamweb/ .
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Affiliation(s)
- Alejandro Cisterna
- Departamento de Ingeniería de la Información y las Comunicaciones, Universidad de Murcia, Murcia, Spain
| | - Aurora González-Vidal
- Departamento de Ingeniería de la Información y las Comunicaciones, Universidad de Murcia, Murcia, Spain
| | - Daniel Ruiz
- Departamento de Ingeniería de la Información y las Comunicaciones, Universidad de Murcia, Murcia, Spain
| | - Jordi Ortiz
- Departamento de Ingeniería de la Información y las Comunicaciones, Universidad de Murcia, Murcia, Spain
| | - Alicia Gómez-Pascual
- Departamento de Ingeniería de la Información y las Comunicaciones, Universidad de Murcia, Murcia, Spain
| | - Zhongbo Chen
- Department of Neurodegenerative Disease, UCL, Institute of Neurology, London, UK
| | - Mike Nalls
- Data Tecnica International LLC, Glen Echo, MD, USA
- Laboratory of Neurogenetics, NIA/NIH, Bethesda, MD, USA
- Center for Alzheimer's and Related Dememtias, NIH, Bethesda, MD, USA
| | - Faraz Faghri
- Data Tecnica International LLC, Glen Echo, MD, USA
- Laboratory of Neurogenetics, NIA/NIH, Bethesda, MD, USA
- Center for Alzheimer's and Related Dememtias, NIH, Bethesda, MD, USA
| | - John Hardy
- Department of Neurodegenerative Disease, UCL, Institute of Neurology, London, UK
- Reta Lila Weston Institute, UCL Queen Square Institute of Neurology, London, UK
- UCL Movement Disorders Centre, University College London, London, UK
- Institute for Advanced Study, The Hong Kong University of Science and Technology, Hong Kong, China
| | - Irene Díez
- NIMGenetics Genómica y Medicina S.L, Madrid, Spain
| | | | - Sara Álvarez
- NIMGenetics Genómica y Medicina S.L, Madrid, Spain
| | - Mina Ryten
- Department of Neurodegenerative Disease, UCL, Institute of Neurology, London, UK
- NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK
- Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, WC1E 6BT, UK
| | - Juan A Botía
- Departamento de Ingeniería de la Información y las Comunicaciones, Universidad de Murcia, Murcia, Spain.
- Department of Neurodegenerative Disease, UCL, Institute of Neurology, London, UK.
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Boronat Ò, Sintes P, Celis F, Díez M, Ortiz J, Aguiló-Aguayo I, Martin-Gómez H. Development of added-value culinary ingredients from fish waste: Fish bones and fish scales. Int J Gastron Food Sci 2022. [DOI: 10.1016/j.ijgfs.2022.100657] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Cascales L, Herrero L, Aparicio M, Ortiz J, Llácer J, Ten J, Bernabeu R. No laser use in “flicking” embryo biopsy does not reduce the mosaicism rate. Reprod Biomed Online 2022. [DOI: 10.1016/j.rbmo.2022.08.040] [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: 10/07/2022]
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9
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Ortiz A, Cárdenas P, Peralta M, Rodríguez H, Ortiz J, Vazquez E. Central retinal artery occlusion as an ophthalmic complication after snakebite. Arch Soc Esp Oftalmol (Engl Ed) 2022; 97:587-592. [PMID: 36088246 DOI: 10.1016/j.oftale.2022.05.007] [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: 04/14/2022] [Accepted: 05/24/2022] [Indexed: 06/15/2023]
Abstract
Snakebite causes 421.000-1.200.000 poisonings per year due to and hematotoxicity, neurotoxicity y vasculotoxicity. Ophthalmological manifestations secondary to snake bites are rare. If the snake belongs to the Viperidae family, the most frequent ophthalmologic manifestations are macular infarction, chronic open-angle glaucoma, and retinal or vitreous hemorrhage. Central retinal artery occlusion is an extremely rare ocular complication. We report the case of a 30-year-old patient, who consulted due to poor vision in her left eye weeks after suffering a snake bite (Bothrops atrox) in her left lower limb. The diagnosis was a central retinal artery occlusion in the left eye with abnormal findings in the ophthalmological physical examination and in complementary retinal and neuro-ophthalmological tests.
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Affiliation(s)
- A Ortiz
- Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia; Clínica Oftalmológica Aljaorza, Machala, Ecuador.
| | - P Cárdenas
- Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia
| | - M Peralta
- Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia; Clínica Oftalmológica Aljaorza, Machala, Ecuador
| | - H Rodríguez
- Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia
| | - J Ortiz
- Clínica Oftalmológica Aljaorza, Machala, Ecuador
| | - E Vazquez
- Clínica Oftalmológica Aljaorza, Machala, Ecuador
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Herreros M, Martí L, Díaz N, Tió MC, Rodriguez-Arnedo A, Guerrero J, Ortiz J, Ten J, Bernabeu R. O-063 Impact of group embryo culture vs individual embryo culture strategies on blastocyst rate and quality. Hum Reprod 2022. [DOI: 10.1093/humrep/deac104.077] [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: 11/14/2022] Open
Abstract
Abstract
Study question
Does group embryo culture improve blastocyst formation compared to individual culture?
Summary answer
Individual culture provides an increased blastocyst formation rate.
What is known already
Embryo culture is one of the most important steps of an IVF treatment. Several studies pointed out that group embryo culture could help embryos with lower potential, through paracrine signaling, to achieve development and improve blastocyst formation rate. On the other hand, this issue continues to be controversial and other studies did not find differences in embryo development when using either method.
Study design, size, duration
A prospective randomized study was performed between January 2020 and December 2021. The data were obtained from 830 embryos that came from 103 egg donation treatments. We defined two groups: individual vs group culture. The number of embryos analyzed in the study was calculated to test a difference of 10% in the rate of blastocyst formation between the two groups.
Participants/materials, setting, methods
A total of 103 ICSI-egg donation cycles with normozoospermic males (fresh samples) were included. After fertilization assessment, zygotes were randomized into two groups; Group 1: individual culture (399 embryos), and Group 2: culture of 2-5 embryos per drop (431 embryos). The embryos were cultured in 35 µl drops of Global Total medium until day 5 when they were classified morphologically according to Gardner criteria (1998). The statistical analysis was performed using SPSS (version 20.0).
Main results and the role of chance
The rate of high-quality embryos on day 3 were similar in Group 1 compared to Group 2 (79.2% vs 81.4%, p = 0.432). However, we observed an increase in the blastocyst formation rate on day 5 (62.9% vs 56.1%, p = 0.048) and a trend for higher embryo quality (A/B blastocysts) (55.9% vs 52%, p = 0.266) in Group 1; compared to Group 2, respectively.
Our data suggest that individual culture increases blastocyst formation rate and may benefit embryo quality on day 5. Our results challenge previous reports suggesting that culture in groups can improve embryo development. As hypothesis, we argue that some of the components that the embryos release to the culture environment during their division may affect the quality of the cohort potentially compromising further development up to the blastocyst stage.
Limitations, reasons for caution
The study is focused on laboratory outcomes until the blastocyst stage. Clinical outcomes were not analyzed.
Wider implications of the findings
Finding the most appropriate embryo culture conditions is essential to improve ART results. Time-lapse systems should be adapted to the use of both individual and group culture dishes. Larger randomized studies are needed in order to reach robust conclusions on the subject.
Trial registration number
NA
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Affiliation(s)
- M Herreros
- Instituto Bernabeu, Reproductive Embriology , Alicante, Spain
| | - L Martí
- Instituto Bernabeu, Reproductive Embriology , Alicante, Spain
| | - N Díaz
- Instituto Bernabeu, Reproductive Embriology , Alicante, Spain
| | - M C Tió
- Instituto Bernabeu, Reproductive Embriology , Alicante, Spain
| | | | - J Guerrero
- Instituto Bernabeu, Reproductive Embriology , Alicante, Spain
| | - J Ortiz
- Instituto Bernabeu Biotech, Molecular Laboratory , Alicante, Spain
| | - J Ten
- Instituto Bernabeu, Reproductive Embriology , Alicante, Spain
| | - R Bernabeu
- Instituto Bernabeu, Reproductive Medicine , Alicante, Spain
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Saar M, Fizazi K, Shore N, Smith M, Damber JE, Semenov A, Ribal Caparrós M, Birtle A, Rigaud J, Ortiz J, Schmall A, Srinivasan S, Verholen F. Effects of prior local therapy by radical prostatectomy or radiotherapy on the efficacy and safety of darolutamide in patients with nonmetastatic castration-resistant prostate cancer from aramis. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01045-4] [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: 11/04/2022]
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Valente F, Gavara J, Calvo M, Rello P, Maymi M, Barrabes J, Sao-Aviles A, Burcet G, Cuellar H, Otaegui I, Garcia-Blanco B, Ferreira I, Ortiz J, Bodi V, Rodriguez-Palomares JF. Prognostic value of baseline versus 6-month follow infarct size in patients with reperfused STEMI. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0217] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Acute infarct size is a predictor of clinical outcomes in acute ST segment elevation myocardial infarction (STEMI) patients, although its prognostic value has differed between studies. In acute STEMI, infarct size is often overestimated due to the presence of extensive myocardial oedema, a confounder that is no longer present at a 6-month follow-up study. It was our purpose to assess whether infarct size in the acute phase or at 6-months follow-up provided superior prognostic information in STEMI patients.
Methods
STEMI patients who underwent successful primary percutaneous revascularization were included and a cardiac magnetic resonance (CMR) was performed between 5–7 days after STEMI and at 6 months to study infarct size (as a % of myocardial mass). The primary endpoint was a composite of cardiovascular mortality, hospitalization for heart failure and ventricular arrhythmia.
Results
A total of 796 patients were included (mean age 58.3±11.5 years, 82.4% male, 52.3% anterior infarction). During a mean follow-up of 59 months, 59 patients (7.4%) presented with the primary end-point (cardiovascular death n=7, hospitalization for heart failure n=52, ventricular arrhythmia n=1). ROC curve analysis (figure 1) showed a non-significant difference between baseline and 6-month infarct size for the prediction of the primary endpoint (baseline AUC 0.685 95% CI 0.610–0.760, 6-month AUC 0.713 95% CI 0.643–0.782, p=0.60). Optimal cut-off values for baseline and 6-months follow-up infarct size for prediction of outcomes, respectively 22% and 17.5%, were used for Kaplan-Meier curve analysis (figure 2).
Conclusion
Infarct size estimated during the first week after STEMI and at 6-months follow-up showed similar predictive value and with similar cut-off values. Therefore, the prognostic information provided by infarct size can be obtained during initial STEMI admission and does not require a waiting period for infarct size stabilization.
Funding Acknowledgement
Type of funding sources: None. ROC curve analysisKaplan-Meier analysis
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Affiliation(s)
- F Valente
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - J Gavara
- Research Foundation Hospital of Valencia (INCLIVA), Valencia, Spain
| | - M Calvo
- Barcelona Hospital Clinic, Cardiology, Barcelona, Spain
| | - P Rello
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - M Maymi
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - J Barrabes
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - A Sao-Aviles
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - G Burcet
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - H Cuellar
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - I Otaegui
- University Hospital Vall d'Hebron, Barcelona, Spain
| | | | - I Ferreira
- University Hospital Vall d'Hebron, Barcelona, Spain
| | - J Ortiz
- Barcelona Hospital Clinic, Cardiology, Barcelona, Spain
| | - V Bodi
- Research Foundation Hospital of Valencia (INCLIVA), Valencia, Spain
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Muñoz C, Pérez-Cutillas P, Berriatua E, Ortiz J. On how trap positioning affects phlebotomine sand fly density estimations. Med Vet Entomol 2021; 35:490-494. [PMID: 33320358 DOI: 10.1111/mve.12501] [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: 06/30/2020] [Revised: 11/24/2020] [Accepted: 11/25/2020] [Indexed: 06/12/2023]
Abstract
There is a need for standardizing sand fly sampling methodology and guidance on trap positioning for quantitative sand fly studies. We investigated differences in sand fly density with 'sticky' interception and CO2 -light attraction traps, in relation to trap distance to the ground and the presence or absence of a continuous or discontinuous (wire mesh) vertical surface adjacent to the trap. The study, conducted in a dog kennel in southeast Spain, lasted 48 days and collected 692 Phlebotomus papatasi, P. perniciosus, P. ariasi and Sergentomyia minuta specimens. There were no significant differences between species with respect to trap position. Overall, density in sticky traps was highest closest to the ground and next to the continuous vertical surface, followed sequentially by traps similarly placed adjacent to the wire mesh and those hanging from a rope across the kennel yard. In contrast, density in CO2 -light traps was highest in traps hanging from the rope near the ground, followed by those next to the continuous vertical surface. The overall negative relationship between sand fly density and ground distance was not significant for CO2 -light traps next to the continuous vertical surface. Modelling also suggested that sand flies do not use the wire mesh to move vertically.
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Affiliation(s)
- C Muñoz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | | | - E Berriatua
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - J Ortiz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
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Magalhães L, Silveira H, Prestes S, Costa Magalhães LK, Santana RA, Ramasawmy R, Oliveira J, Roque CCR, Silva Junior RCA, Fé N, Duarte R, Maciel M, Ortiz J, Morais R, Monteiro WM, Guerra JA, Barbosa Guerra MGV. Bioecological aspects of triatomines and marsupials as wild Trypanosoma cruzi reservoirs in urban, peri-urban and rural areas in the Western Brazilian Amazon. Med Vet Entomol 2021; 35:389-399. [PMID: 33394514 DOI: 10.1111/mve.12507] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 08/04/2020] [Revised: 12/14/2020] [Accepted: 12/15/2020] [Indexed: 06/12/2023]
Abstract
In the Amazon region, Trypanosoma cruzi transmission cycles involve a great diversity of Triatominae vectors and mammal reservoirs. Some Rhodnius spp. mainly inhabit palm trees that act as microhabitats for hosts and vectors. The current study aimed to describe aspects of the bio-ecology of the vectors and reservoirs of T. cruzi in relation to human populations resident near areas with large quantities of palm trees, in rural, peri-urban and urban collection environments, located in the Western Brazilian Amazon. Rhodnius pictipes and Didelphis marsupialis were respectively the most predominant vector and reservoir, with rates of 71% for R. pictipes and 96.5% for D. marsupialis. The vast majority of T. cruzi isolates clustered with TcI. The most prevalent haplotype was TcI COII1 (69.7%). Mauritia flexuosa and Attalea phalerata were the main ecological indicators of infestation by triatomines. Birds were the most common food source (27,71%). T. cruzi isolated from R. robustus has the haplotype HUM-13, previously detected in a chronic Chagas patient living in the same area. Our results demonstrate the relevance of this study, with the occurrence of elevated infection rates in animals, and suggest the importance of the Amazon zones where there is a risk of infection in humans.
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Affiliation(s)
- L Magalhães
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - H Silveira
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
- Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Lisboa, Portugal
| | - S Prestes
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - L K Costa Magalhães
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - R A Santana
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - R Ramasawmy
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - J Oliveira
- Fundação de Medicina Tropical - Heitor Vieira Dourado, Amazonas, Brasil
| | - C C R Roque
- Fundação de Medicina Tropical - Heitor Vieira Dourado, Amazonas, Brasil
| | | | - N Fé
- Fundação de Medicina Tropical - Heitor Vieira Dourado, Amazonas, Brasil
| | - R Duarte
- Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública (ENSP), Rio de Janeiro, Brasil
| | - M Maciel
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - J Ortiz
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - R Morais
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
| | - W M Monteiro
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
- Fundação de Medicina Tropical - Heitor Vieira Dourado, Amazonas, Brasil
| | - J A Guerra
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
- Fundação de Medicina Tropical - Heitor Vieira Dourado, Amazonas, Brasil
| | - M G V Barbosa Guerra
- Programa de Pós-graduação em Medicina Tropical, Unversidade do Estado do Amazonas, Amazonas, Brasil
- Fundação de Medicina Tropical - Heitor Vieira Dourado, Amazonas, Brasil
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Gratzke C, Fizazi K, Shore N, Smith M, Feyerabend S, Grabbert M, Carles J, Lebret T, Vjaters E, Werbrouck P, Miskic M, Ortiz J, Schmall A, Le Berre M, Verholen F. 630P Time course profile of adverse events of interest and serious adverse events with darolutamide in the ARAMIS trial. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1143] [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: 10/20/2022] Open
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Díaz N, Llácer J, Álvarez E, Serrano E, Ortiz J, Bernabeu A, Ten J, Bernabeu R. P–781 Birthweight is not affected by freezing process. Results from a quasi-experimental study using the Oocyte Donation Model. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.780] [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 the freezing process responsible to increase the birthweight or the incidence of Large for Gestational Age (LGA) in Frozen Embryo Transfers (FET)?
Summary answer
Neither the birthweight nor the LGA incidence were different in embryos that underwent the freezing-thawing process.
What is known already
Freezing-thawing constitutes one of the processes with a potential impact on the health of the newborn. Data coming from register-based studies and metaanalisis have found an increase in birthweight with a higher incidence of LGA in newborns coming from FET. This is a matter of concern since epigenetic alterations have been suggested to explain this finding casting doubts on future health during childhood and adulthood. Clarifying the safety of cryotechniques should be a priority taken into account that at present frozen embryo transfers outnumber fresh embryo transfers in IVF clinics.
Study design, size, duration
This retrospective cohort study evaluated 670 women oocyte recipients who underwent fresh (367 cycles) or frozen embryo transfer (303 cycles) at Instituto Bernabeu between July 2017 and March 2019. All recipients were prepared with substitutive cycle and received single blastocyst embryo transfers on day five. All of them at the same culture medium, resulting in a singleton live birth.
Participants/materials, setting, methods
1637 patients were assessed for eligibility but 967 were excluded. The sample size has been calculated accepting an alpha risk of 5% and a beta risk of 20%. A sample size of 266 patients (133 per group) is required to detect a minimum mean difference of 275 grams with a standard deviation of 800 grams. Pearsońs Chi-square test (univariate) and binary logistic regression (multivariate for confounding factors) were used to analyze association between variables.
Main results and the role of chance
Maternal age (42.21 ± 4.45; 42.79 ± 3.83 p = 0.519), BMI (23.34 ± 3.69; 24.99 ± 15.52; p = 0.060), maternal parity (Nulliparous 81.5%; 85.5%; Multiparous 18.5%; 14.5% p = 0.177), gestational diabetes (4.9%; 4.3% p = 0.854), preeclampsia (2.7%; 5.6% p = 0.074), hypertensive disorders (3.3%; 2.3% p = 0.494), maternal smoking (10.8%; 13.0% p = 0.475), gestational age (38.96 ± 1.97; 38.77 ± 2.15; p = 0.207) and liveborn gender (Female 44.5%; 48.8%; Male 55.5%; 51.2%p=0.276) do not present statistically significant differences between fresh or frozen groups, respectively.
However endometrial thickness was statistically signiticantly different in both groups (8.83mm ± 1.73 fresh; 8.57mm ± 1.59 frozen p = 0.035)
The mean birthweight did not present statistically significant differences (3239.21 ± 550.43 fresh; 3224.56 ± 570.83 frozen p = 0.211). There were also no differences regarding macrosomy (7.1% fresh; 6.3% frozen p = 0.317), LGA (6.0% fresh; 6.7% frozen p = 0.866), pre-term birth (10.9% fresh; 9.0% frozen p = 0.988), very pre-term birth (0.8% fresh; 1.3% frozen p = 0.999), and extremely pre-term birth (0% fresh; 1.0% frozen p = 0.998).
There were statistically significant differences regarding underweight (10.0% fresh; 7.0% frozen p = 0.020), but there were no differences in very low weight (0.6 fresh; 1.1% frozen p = 0.972) and SGA (1.9% fresh; 0.7% frozen p = 0.432).
Limitations, reasons for caution
Despite a quasi-experimental design, the synchronization in fresh embryo transfer drove to a longer preparation with a thicker endometrium. It’s not possible to rule-out the influence in the results of this parameter.
Wider implications of the findings: As a hypothesis, the increase in birthweight and/or an abnormal placentation in FET could be explained by the endometrial preparation more than the freezing process. Studies must be planned in the future to explore the possibility of changes in the birthweight between embryos transferred in natural vs artificial endometrial preparations.
Trial registration number
Not applicable
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Affiliation(s)
- N Díaz
- Instituto Bernabeu, Reproductive Embriology, Alicante, Spain
| | - J Llácer
- Instituto Bernabeu, Reproductive Medicine, Alicante, Spain
| | - E Álvarez
- Instituto Bernabeu, Reproductive Embriology, Mallorca, Spain
| | - E Serrano
- Instituto Bernabeu, Reproductive Embriology, Mallorca, Spain
| | - J Ortiz
- Instituto Bernabeu, Molecular Biology, Alicante, Spain
| | - A Bernabeu
- Instituto Bernabeu, Reproductive Medicine, Alicante, Spain
| | - J Ten
- Instituto Bernabeu, Reproductive Embriology, Alicante, Spain
| | - R Bernabeu
- Instituto Bernabeu, Reproductive Medicine, Alicante, Spain
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Chiodo Ortiz A, Choubey AP, Pai K, Khan S, Mishra A, Bullock B, Sureddi S, James R, Siddique AB, Koizumi N, Ortiz J. Kidney transplant surgical director training: Urologists represent a functional alternative to general surgeons. Clin Transplant 2021; 35:e14385. [PMID: 34132442 DOI: 10.1111/ctr.14385] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 05/18/2021] [Accepted: 06/02/2021] [Indexed: 12/12/2022]
Abstract
INTRODUCTION Kidney transplant (KT) directors are general surgeons or urologists. All KT centers must meet established performance standards. However, it has not been established if general surgery and urology led programs have disparate outcomes. METHODS Transplant outcomes and donor-recipient characteristics by director training were investigated. Organ Procurement and Transplantation Network (OPTN) directory, program websites were analyzed for surgical director demographics. Scientific Registry of Transplant Recipients (SRTR) 1-year kidney survival and deceased donor (DD) wait-time rankings were evaluated. A retrospective analysis of 142 157 KT recipients from 2010 to 2019 was performed using the United Network for Organ Sharing (UNOS) database. RESULTS One hunderd and seventy three (90.6%) KT programs were led by general surgeons. There were no significant differences in gender, ethnicity, region, credentials, or fellowship completion. Recipients undergoing KT with urology led programs were older (P = .002) and had longer wait-times (P < .001). These centers used higher KDPI (.47 vs. .45, P < .001) and higher HLA mismatch (3.92 vs. 3.89, P = .02) kidneys. Urology led centers utilized living donors less frequently (32.1% vs. 35.8%, P < .001) and had longer CIT (15.44 vs. 12.21, P < .001). Both had similar SRTR ranking of 1-year survival and DD wait-time. CONCLUSION Most directors were general surgeon. Patient outcomes did not differ by transplant director training. Urologists represent a viable option for KT leadership and recruitment should be encouraged.
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Affiliation(s)
- A Chiodo Ortiz
- Department of Surgery, Albany Medical Center, Albany, New York, USA
| | - Ankur P Choubey
- Department of Surgery, Rutgers Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA
| | - K Pai
- Department of Surgery, University of Toledo Medical Center, Toledo, Ohio, USA
| | - S Khan
- Department of Surgery, University of Toledo Medical Center, Toledo, Ohio, USA
| | - A Mishra
- Department of Surgery, University of Toledo Medical Center, Toledo, Ohio, USA
| | - B Bullock
- Department of Surgery, University of Toledo Medical Center, Toledo, Ohio, USA
| | - S Sureddi
- Department of Surgery, University of Toledo Medical Center, Toledo, Ohio, USA
| | - R James
- Schar School of Policy and Government, George Mason University, Fairfax, Virginia, USA
| | - A B Siddique
- Schar School of Policy and Government, George Mason University, Fairfax, Virginia, USA
| | - N Koizumi
- Schar School of Policy and Government, George Mason University, Fairfax, Virginia, USA
| | - J Ortiz
- Department of Surgery, Albany Medical Center, Albany, New York, USA
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18
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Feyerabend S, Shore N, Smith M, Kopyltsov E, Antonyan I, Damber J, Gasparro D, Yildirim A, Hellstrom M, Vjaters E, Ortiz J, Srinivasan S, Sarapohja T, Fizazi K. Clinical benefit and safety profile of darolutamide in patients who crossed over to darolutamide from placebo during the open-label period of the phase 3 ARAMIS study. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01598-0] [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: 11/26/2022]
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19
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Karge A, Beckert L, Moog P, Haller B, Ortiz J, Abel K, Lobmaier S, Kuschel B, Graupner O. Bedeutung der sFlt-1/PIGF-Ratio und des uterinen Dopplers für die Prädiktion des perinatalen und maternalen Outcome bei Schwangeren mit chronischer Nierenerkrankung. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717936] [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] [Indexed: 10/23/2022] Open
Affiliation(s)
- A Karge
- Technische Universität München, Klinik für Gynäkologie und Geburtshilfe
| | - L Beckert
- Technische Universität München, Klinik für Gynäkologie und Geburtshilfe
| | - P Moog
- Technische Universität München, Klinik für Nephrologie
| | - B Haller
- Technische Universität München, Institut für medizinische Statistik und Epidemiologie
| | - J Ortiz
- Technische Universität München, Klinik für Gynäkologie und Geburtshilfe
| | - K Abel
- Technische Universität München, Klinik für Gynäkologie und Geburtshilfe
| | - S Lobmaier
- Technische Universität München, Klinik für Gynäkologie und Geburtshilfe
| | - B Kuschel
- Technische Universität München, Klinik für Gynäkologie und Geburtshilfe
| | - O Graupner
- Technische Universität München, Klinik für Gynäkologie und Geburtshilfe
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Gonzalvez M, Ruiz De Ybáñez R, Ortiz J, Lopez-Albors O, Latorre R. Plastinated macroparasites, an alternative resource for use in practical lessons. REV SCI TECH OIE 2020; 38:909-917. [PMID: 32286559 DOI: 10.20506/rst.38.3.3034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The plastination technique is a recently developed option to preserve biological tissues widely used in human and veterinary anatomy. This process allows one to obtain real, safe, clean, dry, resistant and permanently stable material without any additional treatment or maintenance. All these advantages are associated with the rapid expansion of plastination during recent decades in a high number of educational institutions. However, the studies of parasite conservation through plastination are scarce, although the material obtained has a high quality, as prior references have shown. In this study, 141 students of veterinary medicine and pharmacy university degrees used, in a blind study, plastinated specimens (experimental group) or wet specimens (control group) during three consecutive practical sessions. Afterwards all the students completed anonymous questionnaires on both knowledge and satisfaction. The results demonstrated that plastinated parasites are a valid and satisfactory alternative to be used as a teaching/learning tool during practical lessons. Moreover, with regard to the knowledge of morphological structures, the results from the questionnaire of assimilated knowledge showed no differences between the use of plastinated and formaldehyde-preserved parasites.
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21
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Ordóñez J, Martorell S, Gallardo S, Ortiz J. Monte Carlo model of a BEGe detector to support γ-spectrometry in an emergency response. Radiat Phys Chem Oxf Engl 1993 2020. [DOI: 10.1016/j.radphyschem.2020.108837] [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: 11/16/2022]
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22
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Pérez-Cutillas P, Muñoz C, Martínez-De La Puente J, Figuerola J, Navarro R, Ortuño M, Bernal LJ, Ortiz J, Soriguer RC, Berriatua E. A spatial ecology study in a high-diversity host community to understand blood-feeding behaviour in Phlebotomus sandfly vectors of Leishmania. Med Vet Entomol 2020; 34:164-174. [PMID: 31930740 DOI: 10.1111/mve.12427] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 09/03/2019] [Revised: 11/02/2019] [Accepted: 12/09/2019] [Indexed: 06/10/2023]
Abstract
Molecular studies indicate that Phlebotomine sandflies (Diptera: Psychodidae) blood feed on many vertebrate species, of which only a few are proven parasite reservoirs. Investigating sandfly vector feeding preferences is therefore important and requires taking into account the availability and accessibility of host species. In terms of the latter, it is necessary to consider the metabolic cost to the insect of reaching the host and moving on to a suitable breeding site. The present study used statistical modelling to compare the feeding patterns of Phlebotomus perniciosus (n = 150), Phlebotomus papatasi (n = 35) and Phlebotomus ariasi (n = 7) on each of an average of 30 host species in a wildlife park in Murcia, Spain. Sandfly feeding movement costs were estimated as a function of the distance and altitude gradients saved by the insect, assuming that they displayed 'site fidelity'. Most (87%) engorged females were caught <100 m from the host on which they had fed. Although the percentage of bloodmeals was highest on fallow deer (Dama dama) (30%) and red deer (Cervus elaphus) (26%), the predicted feeding probability after considering movement cost was highest for red deer and common eland (Taurotragus oryx), and positively associated with host census. These results suggest that, under similar circumstances, sandflies prefer to feed on some host species more than on others.
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Affiliation(s)
- P Pérez-Cutillas
- Grupo de Erosión y Conservación de Suelos, Centro de Edafología y Biología Aplicada del Segura, Consejo Superior de Investigaciones Científicas (CEBAS-CSIC), Murcia, Spain
- Departamento de Geografía, Universidad de Murcia, Murcia, Spain
| | - C Muñoz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - J Martínez-De La Puente
- Departamentode Etología y Conservación de la Biodiversidad, Estación Biológica de Doñana, Consejo Superior de Investigaciones Científicas (EBD-CSIC), C/ Américo Vespucio, Seville, Spain
- Ciber de Epidemiología y Salud Pública (CIBERESP), Seville, Spain
| | - J Figuerola
- Departamentode Etología y Conservación de la Biodiversidad, Estación Biológica de Doñana, Consejo Superior de Investigaciones Científicas (EBD-CSIC), C/ Américo Vespucio, Seville, Spain
- Ciber de Epidemiología y Salud Pública (CIBERESP), Seville, Spain
| | - R Navarro
- Sección Veterinaria, Parque Zoológico Terra Natura Murcia, C/ Regidor Cayetano Gago, s/n, Murcia, Spain
| | - M Ortuño
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - L J Bernal
- Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - J Ortiz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - R C Soriguer
- Departamentode Etología y Conservación de la Biodiversidad, Estación Biológica de Doñana, Consejo Superior de Investigaciones Científicas (EBD-CSIC), C/ Américo Vespucio, Seville, Spain
- Ciber de Epidemiología y Salud Pública (CIBERESP), Seville, Spain
| | - E Berriatua
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
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Miquel M, Pardo A, Forné M, Martínez-Alpin G, Rodríguez-Castellano A, Casas M, Rosinach M, Roget M, Dalmau B, Temiño R, Quer JC, Sanchez-Delgado J, Ortiz J, Vergara M. Current trends in access to treatment for hepatitis B in immigrants vs non-immigrants. Gastroenterol Rep (Oxf) 2020; 8:362-366. [PMID: 33163191 PMCID: PMC7603864 DOI: 10.1093/gastro/goaa010] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Revised: 09/27/2019] [Accepted: 10/20/2019] [Indexed: 12/20/2022] Open
Abstract
Background Universal vaccination for hepatitis B virus (HBV) and migratory movements have changed the demographic characteristics of this disease in Spain and in Europe. Therefore, we evaluated the characteristics of the disease and the possible differences according to origin (immigrants vs non-immigrants) and access to treatment. Methods This is a multicenter cross-sectional study (June 2014 to May 2015) in which outpatients with a positive HBsAg were seen and followed in four Hepatology units. Demographic and clinical data and indication and access to treatment were collected in two different regions of Catalonia (Spain) where there are no barriers to treatment due to a comprehensive coverage under the National Health System. Results A total of 951 patients were evaluated (48.1% men). Of these, 46.6% were immigrants (58.7% of them were born in Africa) and were significantly younger compared to non-immigrants. The proportions of patients with alcohol consumption, being overweight, and other indicators of metabolic co-morbidities were significantly higher in non-immigrants. Among the 937 patients receiving HBeAg examination, 91.7% were HBeAg-negative. Chronic HBeAg-positive infection was significantly higher in immigrants (3.9% vs 0.6%, P = 0.001) and chronic HBeAg-negative hepatitis was higher non-immigrants (31.7% vs 21.4%, P < 0.001). Not only was the proportion of patients who met treatment criteria significantly higher among non-immigrants (38.4% vs 29.2%, P = 0.003), but also the proportion of those with indication of effectively receiving therapy at the time of data collection (83.2% vs 57.8 %, P < 0.001). Conclusions The immigrant population with HBV is younger and has a lower prevalence of metabolic co-morbidities and a higher frequency of chronic HBeAg infection. Despite having access to care and an indication for treatment, some do not get adequately treated due to several factors including local adaptation that precludes access to treatment.
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Affiliation(s)
- Mireia Miquel
- Liver Unit, Gastroenterology Department, Parc Taulí University Hospital, Institut d'Investigacio i Innovació Parc Taulí I3PT, Autonomous University of Barcelona, Sabadell, Spain
| | - Albert Pardo
- Gastroenterology Department, University Hospital Joan XXIII, Tarragona, Spain
| | - Montse Forné
- Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Madrid, Spain
| | - Gemma Martínez-Alpin
- Liver Unit, Gastroenterology Department, Consorci Sanitari de Terrassa, Terrassa, Spain
| | | | - Meritxell Casas
- Liver Unit, Gastroenterology Department, Parc Taulí University Hospital, Institut d'Investigacio i Innovació Parc Taulí I3PT, Autonomous University of Barcelona, Sabadell, Spain
| | - Mercè Rosinach
- Liver Unit, Gastroenterology Department, University Hospital Mútua Terrassa, Barcelona, Spain
| | - Mercè Roget
- Liver Unit, Gastroenterology Department, Consorci Sanitari de Terrassa, Terrassa, Spain
| | - Blai Dalmau
- Liver Unit, Gastroenterology Department, Parc Taulí University Hospital, Institut d'Investigacio i Innovació Parc Taulí I3PT, Autonomous University of Barcelona, Sabadell, Spain
| | - Rocío Temiño
- Liver Unit, Gastroenterology Department, University Hospital Mútua Terrassa, Barcelona, Spain
| | - Joan Carlos Quer
- Gastroenterology Department, University Hospital Joan XXIII, Tarragona, Spain
| | - Jordi Sanchez-Delgado
- Liver Unit, Gastroenterology Department, Parc Taulí University Hospital, Institut d'Investigacio i Innovació Parc Taulí I3PT, Autonomous University of Barcelona, Sabadell, Spain
| | - Jordi Ortiz
- Liver Unit, Gastroenterology Department, Consorci Sanitari de Terrassa, Terrassa, Spain
| | - Mercedes Vergara
- Liver Unit, Gastroenterology Department, Parc Taulí University Hospital, Institut d'Investigacio i Innovació Parc Taulí I3PT, Autonomous University of Barcelona, Sabadell, Spain
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Bevan EM, Wibbels T, Shaver D, Walker JS, Illescas F, Montano J, Ortiz J, Peña JJ, Sarti L, Najera BMZ, Burchfield P. Comparison of beach temperatures in the nesting range of Kemp’s ridley sea turtles in the Gulf of Mexico, Mexico and USA. ENDANGER SPECIES RES 2019. [DOI: 10.3354/esr00977] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Riedel M, Ortiz J, Lobmaier S, Abel K, Kuschel B. Case Report: Symphysen-Sprengung sub partu bei Spontanpartus in der 40+2 SSW. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1693877] [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] [Indexed: 10/26/2022] Open
Affiliation(s)
- M Riedel
- Frauenklinik der Technischen Universität München, Klinikum rechts der Isar, München
| | - J Ortiz
- Frauenklinik der Technischen Universität München, Klinikum rechts der Isar, München
| | - S Lobmaier
- Frauenklinik der Technischen Universität München, Klinikum rechts der Isar, München
| | - K Abel
- Frauenklinik der Technischen Universität München, Klinikum rechts der Isar, München
| | - B Kuschel
- Frauenklinik der Technischen Universität München, Klinikum rechts der Isar, München
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Llaó I, Gómez-Hospital JA, Aboal J, Garcia C, Montero S, Sambola A, Ortiz J, Tomás C, Bonet G, Viñas D, Oliveras T, Sans-Roselló J, Cantalapiedra J, Andrea R, Hernández I, Pérez-Rodriguez M, Gual M, Cequier A, Ariza-Solé A. Risk-adjusted early invasive strategy in patients with non-ST-segment elevation acute coronary syndrome in Intensive Cardiac Care Units. Med Intensiva 2019; 44:475-484. [PMID: 31362838 DOI: 10.1016/j.medin.2019.06.006] [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: 03/26/2019] [Revised: 05/27/2019] [Accepted: 06/01/2019] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Current guidelines recommend a risk-adjusted early invasive strategy (EIS) in patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). The present study assesses the application if this strategy, the conditioning factors and prognostic impact upon patients with NSTEACS admitted to Intensive Cardiac Care Units (ICCU). DESIGN A prospective cohort study was carried out. SETTING The ICCUs of 8 hospitals in Catalonia (Spain). PATIENTS Consecutive patients with NSTEACS between October 2017 and March 2018. The risk profile was defined by the European Society of Cardiology criteria. INTERVENTIONS EIS was defined as the performance of coronary angiography within the first 6hours in patients at very high-risk or within 24hours in high-risk patients. OUTCOME VARIABLES Mortality or readmission at 6 months. RESULTS A total of 629 patients were included (mean age 66.6 years), of whom 225 (35.9%) were at very high risk, and 392 (62.6%) at high risk. Most patients (96.2%) underwent an invasive strategy. EIS was performed in 284 patients (45.6%), especially younger patients with fewer comorbidities. These patients had a shorter ICCU and hospital stay, as well as a lesser incidence of ACS, revascularization and death or readmission at 6 months. After adjusting for confounders, the association between EIS and death or readmission at 6 months remained significant (hazard ratio: .66, 95% confidence interval .45-.97; P=.035). CONCLUSIONS The EIS was performed in a minority of NSTEACS admitted to ICCU, being associated with better outcomes.
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Affiliation(s)
- I Llaó
- Unidad de Cuidados Intensivos Cardiológicos, Servicio de Cardiología, Hospital Universitari de Bellvitge, IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - J A Gómez-Hospital
- Unidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitari de Bellvitge, IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - J Aboal
- Unidad de Cuidados Intensivos Cardiolígicos, Servicio de Cardiología, Hospital Universitari Josep Trueta, Girona, España
| | - C Garcia
- Unidad de Cuidados Intensivos Cardiolígicos, Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
| | - S Montero
- Unidad de Cuidados Intensivos Cardiológicos, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Instituto de Investigación Biomédica IIB Sant Pau, Universitat Autònoma de Barcelona (UAB), Barcelona, España
| | - A Sambola
- Unidad de Cuidados Intensivos cardiológicos. Hospital Universitari de la Vall d'Hebron, Barcelona, España
| | - J Ortiz
- Unidad de Cuidados Intensivos cardiológicos. Hospital Clínic i Provincial, Barcelona, España
| | - C Tomás
- Unidad de Cuidados Intensivos cardiológicos. Hospital Arnau de Vilanova, Lleida, España
| | - G Bonet
- Unidad de Cuidados Intensivos cardiológicos. Hospital Joan XXIII, Tarragona, España
| | - D Viñas
- Unidad de Cuidados Intensivos Cardiolígicos, Servicio de Cardiología, Hospital Universitari Josep Trueta, Girona, España
| | - T Oliveras
- Unidad de Cuidados Intensivos Cardiolígicos, Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
| | - J Sans-Roselló
- Unidad de Cuidados Intensivos Cardiológicos, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Instituto de Investigación Biomédica IIB Sant Pau, Universitat Autònoma de Barcelona (UAB), Barcelona, España
| | - J Cantalapiedra
- Unidad de Cuidados Intensivos Cardiolígicos, Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
| | - R Andrea
- Unidad de Cuidados Intensivos cardiológicos. Hospital Arnau de Vilanova, Lleida, España
| | - I Hernández
- Unidad de Cuidados Intensivos cardiológicos. Hospital Arnau de Vilanova, Lleida, España
| | - M Pérez-Rodriguez
- Unidad de Cuidados Intensivos cardiológicos. Hospital Joan XXIII, Tarragona, España
| | - M Gual
- Unidad de Cuidados Intensivos Cardiológicos, Servicio de Cardiología, Hospital Universitari de Bellvitge, IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - A Cequier
- Servicio de Cardiología. Hospital Universitari de Bellvitge, IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - A Ariza-Solé
- Unidad de Cuidados Intensivos Cardiológicos, Servicio de Cardiología, Hospital Universitari de Bellvitge, IDIBELL, L'Hospitalet de Llobregat, Barcelona, España.
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Bastos-Oreiro M, Ortiz J, Pradillo V, Martinez-Laperche C, Salas E, Buño Borde I, Díez-Martín J, Soria J, Pascual C. A VALIDATION, WITH NEW CLINICAL APPLICABILITY, OF A CLINICAL-GENETIC RISK MODEL THAT PREDICTS THROMBOSIS WITH HIGH SENSITIVITY IN PATIENTS WITH LYMPHOMA. Hematol Oncol 2019. [DOI: 10.1002/hon.219_2631] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- M. Bastos-Oreiro
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - J. Ortiz
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - V. Pradillo
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | | | - E. Salas
- Hematology; Hospital Universitario de la Santa Creu i Sant Pau; Barcelona Spain
| | - I. Buño Borde
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - J. Díez-Martín
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - J. Soria
- Hematology; Hospital Universitario de la Santa Creu i Sant Pau; Barcelona Spain
| | - C. Pascual
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
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Barajas A, Pelaez T, González O, Usall J, Iniesta R, Arteaga M, Jackson C, Baños I, Sánchez B, Dolz M, Obiols JE, Haro JM, Ochoa S, Arranz B, Arteaga M, Asensio R, Autonell J, Baños I, Bañuelos M, Barajas A, Barceló M, Blanc M, Borrás M, Busquets E, Carlson J, Carral V, Castro M, Corbacho C, Coromina M, Dachs I, De Miquel L, Dolz M, Domenech MD, Elias M, Espezel I, Falo E, Fargas A, Foix A, Fusté M, Godrid M, Gómez D, González O, Granell L, Gumà L, Haro JM, Herrera S, Huerta E, Lacasa F, Mas N, Martí L, Martínez R, Matalí J, Miñambres A, Muñoz D, Muñoz V, Nogueroles R, Ochoa S, Ortiz J, Pardo M, Planella M, Pelaez T, Peruzzi S, Rivero S, Rodriguez MJ, Rubio E, Sammut S, Sánchez M, Sánchez B, Serrano E, Solís C, Stephanotto C, Tabuenca P, Teba S, Torres A, Urbano D, Usall J, Vilaplana M, Villalta V. Predictive capacity of prodromal symptoms in first-episode psychosis of recent onset. Early Interv Psychiatry 2019; 13:414-424. [PMID: 29116670 DOI: 10.1111/eip.12498] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2017] [Revised: 07/16/2017] [Accepted: 08/20/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Both the nature and number of a wide range of prodromal symptoms have been related to the severity and type of psychopathology in the psychotic phase. However, at present there is an incomplete picture focused mainly on the positive pre-psychotic dimension. AIM To characterize the prodromal phase retrospectively, examining the number and nature of prodromal symptoms as well as their relationship with psychopathology at the onset of first-episode psychosis. METHODS Retrospective study of 79 patients experiencing a first-episode psychosis of less than 1 year from the onset of full-blown psychosis. All patients were evaluated with a comprehensive battery of instruments including socio-demographic and clinical questionnaire, IRAOS interview, PANSS, stressful life events scale (PERI) and WAIS/WISC (vocabulary subtest). Bivariate associations and multiple regression analysis were performed. RESULTS Regression models revealed that several prodromal dimensions of IRAOS (delusions, affect, language, behaviour and non-hallucinatory disturbances of perception) predicted the onset of psychosis, with positive (22.4% of the variance) and disorganized (25.6% of the variance) dimensions being the most widely explained. CONCLUSION In addition to attenuated positive symptoms, other symptoms such as affective, behavioural and language disturbances should also be considered in the definitions criteria of at-high-risk people.
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Affiliation(s)
- Ana Barajas
- Department of Research, Centre d'Higiene Mental Les Corts, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.,Hospital Sant Joan de Déu de Barcelona, Centro de Investigación Biomédica en Red de Salud Mental, Esplugues de Llobregat, Barcelona, Spain.,Fundació Sant Joan de Déu de Barcelona, Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain.,Department of Clinical and Psychology, School of Psychology, Autonomous University of Barcelona, Cerdanyola del Vallès, Spain
| | - Trinidad Pelaez
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Olga González
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Judith Usall
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Raquel Iniesta
- Fundació Sant Joan de Déu de Barcelona, Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
| | - Maria Arteaga
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Chris Jackson
- Birmingham Early Intervention Service, Birmingham and Solihull Mental Health Foundation Trust, Birmingham, UK
| | - Iris Baños
- Fundació Sant Joan de Déu de Barcelona, Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
| | - Bernardo Sánchez
- Hospital Sant Joan de Déu de Barcelona, Centro de Investigación Biomédica en Red de Salud Mental, Esplugues de Llobregat, Barcelona, Spain
| | - Montserrat Dolz
- Hospital Sant Joan de Déu de Barcelona, Centro de Investigación Biomédica en Red de Salud Mental, Esplugues de Llobregat, Barcelona, Spain
| | - Jordi E Obiols
- Department of Clinical and Psychology, School of Psychology, Autonomous University of Barcelona, Cerdanyola del Vallès, Spain
| | - Josep M Haro
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | | | - Susana Ochoa
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
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Ordóñez J, Gallardo S, Ortiz J, Sáez-Muñoz M, Martorell S. Intercomparison of full energy peak efficiency curves for an HPGe detector using MCNP6 and GEANT4. Radiat Phys Chem Oxf Engl 1993 2019. [DOI: 10.1016/j.radphyschem.2018.06.049] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zarca AM, Garcia-Carrillo D, Bernabe JB, Ortiz J, Marin-Perez R, Skarmeta A. Enabling Virtual AAA Management in SDN-Based IoT Networks †. Sensors (Basel) 2019; 19:s19020295. [PMID: 30642089 PMCID: PMC6359622 DOI: 10.3390/s19020295] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 01/04/2019] [Accepted: 01/09/2019] [Indexed: 11/16/2022]
Abstract
The increase of Software Defined Networks (SDN) and Network Function Virtualization (NFV) technologies is bringing many security management benefits that can be exploited at the edge of Internet of Things (IoT) networks to deal with cyber-threats. In this sense, this paper presents and evaluates a novel policy-based and cyber-situational awareness security framework for continuous and dynamic management of Authentication, Authorization, Accounting (AAA) as well as Channel Protection virtual security functions in IoT networks enabled with SDN/NFV. The virtual AAA, including network authenticators, are deployed as VNF (Virtual Network Function) dynamically at the edge, in order to enable scalable device's bootstrapping and managing the access control of IoT devices to the network. In addition, our solution allows distributing dynamically the necessary crypto-keys for IoT Machine to Machine (M2M) communications and deploy virtual Channel-protection proxys as VNFs, with the aim of establishing secure tunnels among IoT devices and services, according to the contextual decisions inferred by the cognitive framework. The solution has been implemented and evaluated, demonstrating its feasibility to manage dynamically AAA and channel protection in SDN/NFV-enabled IoT scenarios.
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Affiliation(s)
- Alejandro Molina Zarca
- Department of Information and Communications Engineering, University of Murcia, 30100 Murcia, Spain.
| | | | - Jorge Bernal Bernabe
- Department of Information and Communications Engineering, University of Murcia, 30100 Murcia, Spain.
| | - Jordi Ortiz
- Department of Information and Communications Engineering, University of Murcia, 30100 Murcia, Spain.
| | - Rafael Marin-Perez
- Department of Research and Innovation, Odin Solutions, 30820 Murcia, Spain.
| | - Antonio Skarmeta
- Department of Information and Communications Engineering, University of Murcia, 30100 Murcia, Spain.
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31
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Marco A, Roget M, Cervantes M, Forné M, Planella R, Miquel M, Ortiz J, Navarro M, Gallego C, Vergara M. Comparison of effectiveness and discontinuation of interferon-free therapy for hepatitis C in prison inmates and noninmates. J Viral Hepat 2018; 25:1280-1286. [PMID: 29851225 DOI: 10.1111/jvh.12940] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Accepted: 05/17/2018] [Indexed: 12/15/2022]
Abstract
Chronic hepatitis C treatment with direct acting antiviral (DAA) therapy during incarceration is an attractive option, due to its short duration and to the possibility of directly observed treatment or supervision. The aim of this study is to compare the effectiveness and rates of discontinuation of DAA treatment in prisoners and nonprisoners. We studied all patients treated in the 10 prisons of Catalonia and at 3 public hospitals in the Barcelona area between 1 January 2015 and 30 April 2016. We analysed sustained viral response (SVR) and rates of discontinuation through intention-to-treat and modified-intention-to-treat analyses, the latter excluding discontinuations due to release from prison. One hundred and eighty-eight inmates and 862 noninmates were included. Prisoners were significantly younger than nonprisoners, with higher proportions of men, drug users, HIV infection, genotypes 1a and 3 and more treatment with psychiatric drugs. Overall, 98.4% of patients completed treatment. The discontinuation rate was low, but higher in inmates (3.7% vs 1.2% noninmates; P = .003) and in community patients >65 years old (2.8% vs 1.2% in under 65 seconds; P = .008). Among the inmates, 7 (42.8%) discontinuations were due to release. SVR was 93.1% in inmates vs 96.5% in noninmates (P = .08) by intention-to-treat and 95.1% vs 96.5% (P = .37) by modified intention-to-treat. Virologic failure rates were similar (3.8% vs 3% in noninmates; P = .60). SVR, virologic failure and discontinuation rates were similar in inmates and noninmates. Currently, prisons are considered a priority for the implementation of DAA. Improved coordination between penitentiary and community health systems would help to ensure therapeutic continuity in released prisoners.
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Affiliation(s)
- A Marco
- Prison Health Program, Catalan Institute of Health, Barcelona, Spain.,CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - M Roget
- Hepatology Unit, Consorci Sanitari, Terrassa, Spain
| | - M Cervantes
- Infectious Disease Unit, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
| | - M Forné
- Instituto Carlos III, CIBERehd, Madrid, Spain.,Digestive Disease, Department Hospital Universitari Mútua Terrassa, Universitat Central de Barcelona, Madrid, Spain
| | - R Planella
- Health Services of Ponent Penitentiary Centre, Madrid, Spain
| | - M Miquel
- Instituto Carlos III, CIBERehd, Madrid, Spain.,Hepatology Unit, Digestive Disease Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
| | - J Ortiz
- Hepatology Unit, Consorci Sanitari, Terrassa, Spain
| | - M Navarro
- Infectious Disease Unit, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
| | - C Gallego
- Health Services of Quatre Camins Penitentiary Centre, Barcelona, Spain
| | - M Vergara
- Instituto Carlos III, CIBERehd, Madrid, Spain.,Hepatology Unit, Digestive Disease Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
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Morales R, Lledo B, Ortiz J, Garcia-Hernandez E, Rodriguez-Arnedo A, Llacer J, Bernabeu R. Mosaic segmental aneuploidy in trophoectoderm does not affect pregnancy rates in IVF cycles. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.1177] [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: 11/25/2022]
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Alonso L, Genou N, Almada G, Salazar E, Ortiz J, Ilari S, Burokas S, Staneloni M. Implementation of multiple strategies for the reduction of contaminated blood culture. Int J Infect Dis 2018. [DOI: 10.1016/j.ijid.2018.04.4018] [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: 11/26/2022] Open
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Muñoz C, Risueño J, Yilmaz A, Pérez-Cutillas P, Goyena E, Ortuño M, Bernal LJ, Ortiz J, Alten B, Berriatua E. Investigations of Phlebotomus perniciosus sand flies in rural Spain reveal strongly aggregated and gender-specific spatial distributions and advocate use of light-attraction traps. Med Vet Entomol 2018; 32:186-196. [PMID: 29111588 DOI: 10.1111/mve.12275] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 06/16/2017] [Revised: 09/05/2017] [Accepted: 09/17/2017] [Indexed: 06/07/2023]
Abstract
The spatial and temporal distribution of Phlebotomus perniciosus (Diptera: Psychodidae) (Newstead, 1911), the sand fly vector of pathogens of public and animal health importance, was investigated in a high sand fly density rural area in Spain using light-attraction and sticky-interception traps. Traps were placed inside animal buildings and outside at increasing distance from animals. A total of 8506 sand flies were collected, 87% with light traps. Species frequency differed between trap types. The abundance of P. perniciosus decreased exponentially with increasing distance to animals and, while females were most common in the animal enclosure, males predominated in adjoining storage places. Increasing CO2 concentration had an additional positive effect on female abundance only. Both male and female density increased with rising temperature, and there was some indication that females were more active than males at higher relative humidity. The study confirms that P. perniciosus aggregates around animal premises, although male and female distributions differ and should be analysed separately to account for biological and behavioural differences. This provides further evidence that light traps offer an accurate estimation of the relative spatial and temporal abundance of P. perniciosus, conferring an added value for the study of this species and the risk of pathogen transmission.
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Affiliation(s)
- C Muñoz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - J Risueño
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - A Yilmaz
- Ecology Section, Department of Biology, Faculty of Science, Hacettepe University HU-ESRL-VERG Laboratories, Ankara, Turkey
| | - P Pérez-Cutillas
- Centro de Edafología y Biología Aplicada del Segura, Consejo Superior de Investigaciones Científicas (CEBAS-CSIC), Murcia, Spain
- Departamento de Geografía, Universidad de Murcia, Murcia, Spain
| | - E Goyena
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - M Ortuño
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - L J Bernal
- Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - J Ortiz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - B Alten
- Ecology Section, Department of Biology, Faculty of Science, Hacettepe University HU-ESRL-VERG Laboratories, Ankara, Turkey
| | - E Berriatua
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
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35
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Risueño J, Ortuño M, Pérez-Cutillas P, Goyena E, Maia C, Cortes S, Campino L, Bernal LJ, Muñoz C, Arcenillas I, Martínez-Rondán FJ, Gonzálvez M, Collantes F, Ortiz J, Martínez-Carrasco C, Berriatua E. Epidemiological and genetic studies suggest a common Leishmania infantum transmission cycle in wildlife, dogs and humans associated to vector abundance in Southeast Spain. Vet Parasitol 2018; 259:61-67. [PMID: 30056986 DOI: 10.1016/j.vetpar.2018.05.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [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: 04/27/2018] [Revised: 05/22/2018] [Accepted: 05/22/2018] [Indexed: 10/16/2022]
Abstract
Leishmania infantum infection was investigated in 202 wild carnivores, rodents and lagomorphs in Southeast Spain using a real-time PCR (rtPCR) in skin and organ samples, mostly spleen. Lesions compatible with leishmaniosis were not observed in any of the animals. Prevalence defined as the percentage of rtPCR-positive animals was 32% overall, and 45% in foxes (n = 69), 30% in rabbits (n = 80) and stone martens (n = 10), 19% in wood mice (n = 16), 0% in black rats (n = 10) and ranged between 0% and 100% in other minoritarian species including badgers, wild cats, wolves, raccoons, genets and hares. Most infected rabbits were rtPCR-positive in skin and not in spleen samples and the opposite was the case for foxes (p < 0.05). L. infantum prevalence was lowest in spring following months of non-exposure to phlebotomine sand fly vectors, and spatially matched recently estimated Phlebotomus perniciosus vector abundance and the prevalence of subclinical infection in dogs and humans. Prevalence increased with altitude and was greater in drier and less windy South and West compared to the coastal Southeast of the study area (p < 0.05). Genetic diversity of L. infantum from foxes, investigated by PCR-restriction fragment length polymorphisms of kinetoplast DNA, revealed B genotype in all animals, which is frequent in people and dogs in the Iberian Peninsula and Morocco. The study provides further evidence that subclinical L. infantum infection is widespread in wildlife with prevalence depending on environmental factors and that parasite tissue tropism may vary according to host species. Moreover, it suggests that sylvatic and domestic transmission cycles are closely interconnected.
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Affiliation(s)
- J Risueño
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - M Ortuño
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - P Pérez-Cutillas
- Centro de Edafología y Biología Aplicada del Segura, Consejo Superior de Investigaciones Científicas (CEBAS-CSIC), 30100, Murcia, Spain; Departamento de Geografía, Universidad de Murcia, 30001, Murcia, Spain
| | - E Goyena
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - C Maia
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa (UNL), 1349-008, Lisboa, Portugal
| | - S Cortes
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa (UNL), 1349-008, Lisboa, Portugal
| | - L Campino
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa (UNL), 1349-008, Lisboa, Portugal
| | - L J Bernal
- Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - C Muñoz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - I Arcenillas
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - F J Martínez-Rondán
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - M Gonzálvez
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - F Collantes
- Departamento de Zoología y Antropología Física, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - J Ortiz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - C Martínez-Carrasco
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain
| | - E Berriatua
- Departamento de Sanidad Animal, Facultad de Veterinaria, Regional Campus of International Excellence "Campus Mare Nostrum", Universidad de Murcia, 30100, Murcia, Spain.
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Vicent L, Ariza-Solé A, González-Juanatey JR, Uribarri A, Ortiz J, López de Sá E, Sans-Roselló J, Querol CT, Codina P, Sousa-Casasnovas I, Martínez-Sellés M. Exercise-related severe cardiac events. Scand J Med Sci Sports 2018; 28:1404-1411. [DOI: 10.1111/sms.13037] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2017] [Indexed: 11/27/2022]
Affiliation(s)
- L. Vicent
- Cardiology Department; Hospital Universitario Gregorio Marañón; Madrid Spain
| | - A. Ariza-Solé
- Cardiology Department; Hospital Universitario de Bellvitge; Barcelona Spain
| | | | - A. Uribarri
- Cardiology Department; Hospital Universitario; Salamanca Spain
| | - J. Ortiz
- Cardiology Department; Hospital Universitario Clinic; Barcelona Spain
| | - E. López de Sá
- Cardiology Department; Hospital Universitario La Paz; Madrid Spain
| | - J. Sans-Roselló
- Cardiology Department; Hospital Universitario Sant Pau; Barcelona Spain
| | - C. T. Querol
- Cardiology Department; Hospital Universitario; Lleida Spain
| | - P. Codina
- Cardiology Department; Hospital Universitario de Bellvitge; Barcelona Spain
| | - I. Sousa-Casasnovas
- Cardiology Department; Hospital Universitario Gregorio Marañón; Madrid Spain
| | - M. Martínez-Sellés
- Cardiology Department; Hospital Universitario Gregorio Marañón; Madrid Spain
- Universidad Complutense; Universidad Europea; Madrid Spain
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Aldars-García L, Berman M, Ortiz J, Ramos AJ, Marín S. Probability models for growth and aflatoxin B 1 production as affected by intraspecies variability in Aspergillus flavus. Food Microbiol 2017; 72:166-175. [PMID: 29407394 DOI: 10.1016/j.fm.2017.11.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [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: 05/25/2017] [Revised: 11/24/2017] [Accepted: 11/27/2017] [Indexed: 10/18/2022]
Abstract
The probability of growth and aflatoxin B1 (AFB1) production of 20 isolates of Aspergillus flavus were studied using a full factorial design with eight water activity levels (0.84-0.98 aw) and six temperature levels (15-40 °C). Binary data obtained from growth studies were modelled using linear logistic regression analysis as a function of temperature, water activity and time for each isolate. In parallel, AFB1 was extracted at different times from newly formed colonies (up to 20 mm in diameter). Although a total of 950 AFB1 values over time for all conditions studied were recorded, they were not considered to be enough to build probability models over time, and therefore, only models at 30 days were built. The confidence intervals of the regression coefficients of the probability of growth models showed some differences among the 20 growth models. Further, to assess the growth/no growth and AFB1/no- AFB1 production boundaries, 0.05 and 0.5 probabilities were plotted at 30 days for all of the isolates. The boundaries for growth and AFB1 showed that, in general, the conditions for growth were wider than those for AFB1 production. The probability of growth and AFB1 production seemed to be less variable among isolates than AFB1 accumulation. Apart from the AFB1 production probability models, using growth probability models for AFB1 probability predictions could be, although conservative, a suitable alternative. Predictive mycology should include a number of isolates to generate data to build predictive models and take into account the genetic diversity of the species and thus make predictions as similar as possible to real fungal food contamination.
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Affiliation(s)
- Laila Aldars-García
- Food Technology Dept., XaRTA-UTPV, Agrotecnio Center, University of Lleida, Spain.
| | - María Berman
- Food Technology Dept., XaRTA-UTPV, Agrotecnio Center, University of Lleida, Spain.
| | - Jordi Ortiz
- Food Technology Dept., XaRTA-UTPV, Agrotecnio Center, University of Lleida, Spain.
| | - Antonio J Ramos
- Food Technology Dept., XaRTA-UTPV, Agrotecnio Center, University of Lleida, Spain.
| | - Sonia Marín
- Food Technology Dept., XaRTA-UTPV, Agrotecnio Center, University of Lleida, Spain.
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Martinez J, Juste B, Ortiz J, Martorell S, Verdu G. Air radon equilibrium factor measurement in a Waste Water Pre-Treatment Plant. Radiat Phys Chem Oxf Engl 1993 2017. [DOI: 10.1016/j.radphyschem.2017.03.011] [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: 10/19/2022]
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Di Marco A, Anguera I, Rodriguez M, Ariza A, Sanchez-Salado J, Bayes-Genis A, Sionis A, Ortiz J, Dallaglio P, Cequier A. P4658New ECG criteria for the diagnosis of acute myocardial infarction in the presence of left bundle branch block: a multicenter study among patients referred for primary PCI. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4658] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Vicent L, Ariza-Sole A, Gonzalez-Juanatey J, Uribarri A, Ortiz J, Lopez De Sa E, Sans-Rossello J, Querol C, Codina P, Fernandez-Aviles F, Martinez-Selles M. P2522Exercise-related severe cardiac events. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p2522] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Rodakowski J, Rocco P, Ortiz J, Folb B, Schulz R, Morton S, Leathers S, James E. THE ROLE OF CAREGIVERS IN IMPROVING OUTCOMES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2658] [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] [Indexed: 11/13/2022] Open
Affiliation(s)
- J. Rodakowski
- School of Health and Rehabilitation Sciences, University of Pittsburgh, PIttsburgh, Pennsylvania,
| | - P. Rocco
- Department of Political Science, Marquette University, Milwaukee, Wisconsin,
| | - J. Ortiz
- Health Policy Institute, University of Pittsburgh, Pittsburgh, Pennsylvania,
| | - B. Folb
- Health Sciences Library System, University of Pittsburgh, Pittsburgh, Pennsylvania,
| | - R. Schulz
- University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, Pennsylvania,
| | - S. Morton
- College of Science, Virginia Polytechnic Institute and State University, Blacksburg, Virginia
| | - S. Leathers
- Health Policy Institute, University of Pittsburgh, Pittsburgh, Pennsylvania,
| | - E. James
- Health Policy Institute, University of Pittsburgh, Pittsburgh, Pennsylvania,
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Bastos-Oreiro M, Rodriguez-Macias G, Pradillo V, Martinez S, O'Hara K, Champ D, Font P, Vidan M, Ortiz J, Menarguez J, Serra J, Diéz-Martín J. A PROSPECTIVE STUDY TO EVALUATE THE UTILITY OF GERIATRIC ASSESSMENT AND INTERVENTION IN PATIENTS WITH LYMPHOPROLIFERATIVE DISORDERS IN A TERTIARY HOSPITAL. Hematol Oncol 2017. [DOI: 10.1002/hon.2439_201] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- M. Bastos-Oreiro
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | | | - V. Pradillo
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - S. Martinez
- Geriatry; Hospital General Universitario Gregorio Marañón, Madrid; Spain
| | - K. O'Hara
- Geriatry; Hospital General Universitario Gregorio Marañón, Madrid; Spain
| | - D. Champ
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - P. Font
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - M. Vidan
- Geriatry; Hospital General Universitario Gregorio Marañón, Madrid; Spain
| | - J. Ortiz
- Geriatry; Hospital General Universitario Gregorio Marañón, Madrid; Spain
| | - J. Menarguez
- Pathology; Hospital General Universitario Gregorio Marañón; Madrid Spain
| | - J. Serra
- Geriatry; Hospital General Universitario Gregorio Marañón, Madrid; Spain
| | - J. Diéz-Martín
- Hematology; Hospital General Universitario Gregorio Marañón; Madrid Spain
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Acosta Martinez J, Fernandez-Armenta J, Borras R, Anguera I, Bisbal F, Tolosana JM, Penela D, Linhart M, Cabrera M, De Caralt TM, Perea RJ, Ortiz J, Bosch X, Mont L, Berruezo A. 654Scar characterization to predict life-threateninG Arrhythmic events and sudden cardiac death in cardiac resynchronization therapy patients. The GAUDI-CRT study. Europace 2017. [DOI: 10.1093/ehjci/eux145.005] [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: 11/14/2022] Open
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Araya BM, Díaz M, Paredes D, Ortiz J. Association between preterm birth and its subtypes and maternal sociodemographic characteristics during the post-transitional phase in a developing country with a very high human development index. Public Health 2017; 147:39-46. [PMID: 28404494 DOI: 10.1016/j.puhe.2017.01.027] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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: 10/04/2016] [Revised: 11/28/2016] [Accepted: 01/27/2017] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Chile is a post-transitional country evolving towards a stationary population pyramid, which may be associated with increasing preterm birth (PTB) rates. This study aimed to compare maternal sociodemographic characteristics between the start of the post-transition phase (1994) and an established stage (2013) and to evaluate associations between these characteristics and PTB. STUDY DESIGN An observational analytic design was conducted using national birth records (n = 4,956,311). METHODS Variables analysed in the 20 birth cohorts from 1994 to 2013 were: length of gestation (preterm <37 weeks) subdivided by gestational age (extreme, moderate/severe and late); maternal age (≤19, 20-35 and >35 years); education level (<8, 8-12 and >12 years of education); employment; marital status; area of residence; and type of birth (singleton, twins, and triplets or higher order). The prevalence of PTB was expressed as a percentage, and associations between PTB and predictor variables were analysed using logistic regression models. RESULTS Education level, age >35 years, maternal employment, unmarried status, twin delivery and urban residency rates increased between 1994 and 2013. According to the adjusted models, age >35 years and delivery of more than two foetuses were risk factors for all PTB subtypes. Maternal employment was a risk factor for moderate/severe, late and total PTB, and a low level of education was a risk factor for late and total PTB. On the other hand, age ≤19 years was protective against all PTB subtypes. CONCLUSIONS All maternal characteristics changed between 1994 and 2013. Furthermore, the prevalence of PTB increased for all predictor variables studied over this period.
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Affiliation(s)
- B M Araya
- Department of Women and Newborn Health Promotion, Faculty of Medicine, University of Chile, Santiago, Chile.
| | - M Díaz
- Department of Women and Newborn Health Promotion, Faculty of Medicine, University of Chile, Santiago, Chile
| | - D Paredes
- Department of Women and Newborn Health Promotion, Faculty of Medicine, University of Chile, Santiago, Chile
| | - J Ortiz
- Department of Women and Newborn Health Promotion, Faculty of Medicine, University of Chile, Santiago, Chile
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Chang S, Ortiz J, Beltran B. Analyse blood loss in controlled hypotension for open repair fronto-orbital advancement. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.851] [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: 11/16/2022]
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Lozano A, Marruecos J, Farre N, Giralt J, Morera R, Planas I, Lanzuela M, Escribano A, Glaria L, Mesia R, Rubio J, Lopez-Pousa A, Baste N, Castelo B, Cirauqui B, Martinez-Trufero J, Ortiz J, Grima P, Valenti V, Tarrago C, Bosser R. PO-127: Melatonin oral gel for prevention oral mucositis head and neck cancer undergoing chemo/bio radiation (MUCOMEL). Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30261-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Chang S, Beltran B, Ortiz J. Bioabsorbable osteofixation devices in craniosynostosis — clinical experience of 14 cases over three years. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.850] [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: 10/19/2022]
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48
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Isasi S, Jalil C, Giordano G, Ortiz J, Cosiansi J, Muiño J. Immunity and Sex Concerns on Behaviour. JPRI 2017. [DOI: 10.9734/jpri/2017/35335] [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: 11/09/2022]
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Ortiz J. United States and Canadian Academy of Pathology (USCAP) - 106th Annual Meeting. San Antonio, Texas, USA - March 4-10 2017. DRUG FUTURE 2017. [DOI: 10.1358/dof.2017.042.03.2622173] [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: 10/19/2022]
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Gutiérrez-Sacristán A, Bravo À, Portero-Tresserra M, Valverde O, Armario A, Blanco-Gandía M, Farré A, Fernández-Ibarrondo L, Fonseca F, Giraldo J, Leis A, Mané A, Mayer M, Montagud-Romero S, Nadal R, Ortiz J, Pavon FJ, Perez EJ, Rodríguez-Arias M, Serrano A, Torrens M, Warnault V, Sanz F, Furlong LI. Text mining and expert curation to develop a database on psychiatric diseases and their genes. Database (Oxford) 2017; 2017:3891487. [PMID: 29220439 PMCID: PMC5502359 DOI: 10.1093/database/bax043] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2016] [Revised: 04/27/2017] [Accepted: 05/01/2017] [Indexed: 01/15/2023]
Abstract
Database URL http://www.psygenet.org. PsyGeNET corpus http://www.psygenet.org/ds/PsyGeNET/results/psygenetCorpus.tar.
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Affiliation(s)
- Alba Gutiérrez-Sacristán
- Research Group on Integrative Biomedical Informatics (GRIB), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), C/Dr. Aiguader 88, Barcelona 08003, Spain
| | - Àlex Bravo
- Research Group on Integrative Biomedical Informatics (GRIB), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), C/Dr. Aiguader 88, Barcelona 08003, Spain
| | - Marta Portero-Tresserra
- Neurobiology of Behaviour Research Group (GReNeC), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Olga Valverde
- Neurobiology of Behaviour Research Group (GReNeC), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Antonio Armario
- Institut de Neurociències and Animal Physiology Unit, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
- Network Biomedical Research Center on Mental Health (CIBERSAM)
| | - M.C. Blanco-Gandía
- Department of Psychobiology, Facultad de Psicología, Universitat de València, València, Spain
| | - Adriana Farré
- Institute of Neuropsychiatry and Addiction, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Parc de Salut Mar, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Lierni Fernández-Ibarrondo
- Programa de Cáncer (IMIM), Investigación Traslacional en Neoplasias Colorrectales, C/Dr. Aiguader 88, Barcelona, Spain
| | - Francina Fonseca
- Institute of Neuropsychiatry and Addiction, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Parc de Salut Mar, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Jesús Giraldo
- Network Biomedical Research Center on Mental Health (CIBERSAM)
- Institut de Neurociències and Unitat de Bioestadística, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Angela Leis
- Research Group on Integrative Biomedical Informatics (GRIB), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), C/Dr. Aiguader 88, Barcelona 08003, Spain
| | - Anna Mané
- Network Biomedical Research Center on Mental Health (CIBERSAM)
- Institute of Neuropsychiatry and Addiction, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Parc de Salut Mar, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - M.A. Mayer
- Research Group on Integrative Biomedical Informatics (GRIB), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), C/Dr. Aiguader 88, Barcelona 08003, Spain
| | - Sandra Montagud-Romero
- Department of Psychobiology, Facultad de Psicología, Universitat de València, València, Spain
| | - Roser Nadal
- Network Biomedical Research Center on Mental Health (CIBERSAM)
- Institut de Neurociències and Psychobiology Area, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Jordi Ortiz
- Network Biomedical Research Center on Mental Health (CIBERSAM)
- Neuroscience Institute and Department of Biochemistry and Molecular Biology, School of Medicine, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Francisco Javier Pavon
- Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, Spain
| | - Ezequiel Jesús Perez
- Institute of Neuropsychiatry and Addiction, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Parc de Salut Mar, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Marta Rodríguez-Arias
- Department of Psychobiology, Facultad de Psicología, Universitat de València, València, Spain
| | - Antonia Serrano
- Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Málaga, Spain
| | - Marta Torrens
- Institute of Neuropsychiatry and Addiction, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Parc de Salut Mar, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain
| | - Vincent Warnault
- Neurobiology of Behaviour Research Group (GReNeC), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Ferran Sanz
- Research Group on Integrative Biomedical Informatics (GRIB), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), C/Dr. Aiguader 88, Barcelona 08003, Spain
| | - Laura I. Furlong
- Research Group on Integrative Biomedical Informatics (GRIB), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), DCEXS, Universitat Pompeu Fabra (UPF), C/Dr. Aiguader 88, Barcelona 08003, Spain
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