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Immunomodulatory therapy for the management of critically ill patients with COVID-19:A narrative review

World Journal of Critical Care Medicine 2022年第4期11卷 269-297页

作者： David Andaluz-Ojeda Pablo Vidal-Cortes Álvaro Aparisi Sanz borja suberviola Lorena Del Río Carbajo Leonor Nogales Martín Estefanía Prol Silva Jorge Nieto del Olmo JoséBarberán Ivan Cusacovich Department of Critical Care Hospital Universitario HM SanchinarroHospitales MadridMadrid 28050Spain Department of Intensive Care Complejo Hospitalario Universitario de OurenseOurense 32005Spain Department of Cardiology Hospital del MarBarcelona 08003Spain Department of Intensive Care Hospital Universitario Marqués de ValdecillaSantander 39008Spain Department of Intensive Care Hospital Clínico Universitario de ValladolidValladolid 47005Spain Department of Internal Medicine Hospital Universitario HM MontepríncipeHospitales MadridBoadilla del Monte 28860MadridSpain Department of Internal Medicine Hospital Clínico Universitario de ValladolidValladolid 47005Spain

BACKGROUND Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)is the causative agent of the ongoing coronavirus disease 2019(COVID-19)*** the physiological and immunological processes underlying the clinical manifestations of COVID-19 is vital for the identification and rational design of effective *** To describe the interaction of SARS-CoV-2 with the immune system and the subsequent contribution of hyperinflammation and abnormal immune responses to disease progression together with a complete narrative review of the different immunoadjuvant treatments used so far in COVID-19 and their indication in severe and life-threatening *** A comprehensive literature search was *** reviewed the selected manuscripts following the PRISMA recommendations for systematic review and meta-analysis documents and selected the most ***,a recommendation of the use of each treatment was established based on the level of evidence of the articles and documents *** recommendation was made based on the consensus of all the *** A brief rationale on the SARS-CoV-2 pathogenesis,immune response,and inflammation was *** usefulness of 10 different families of treatments related to inflammation and immunopathogenesis of COVID-19 was reviewed and ***,based on the level of scientific evidence,a recommendation was established for each of *** Although several promising therapies exist,only the use of corticosteroids and tocilizumab(or sarilumab in absence of this)have demonstrated evidence enough to recommend its use in critically ill patients with *** including both,clinical and biological characteristics can constitute specific targets for better select certain therapies based on an individualized approach to treatment.

关键词： COVID-19 Critically ill patients Treatment Immunomodulary drugs Phenotype Immunosupression

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A Probabilistic Trust Model and Control Algorithm to Protect 6G Networks against Malicious Data Injection Attacks in Edge Computing Environments

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Computer Modeling in Engineering & Sciences 2024年第10期141卷 631-654页

作者： borja Bordel Sánchez Ramón Alcarria Tomás Robles Department of Computer Systems Universidad Politécnica de MadridMadrid28031Spain Department of Geospatial Engineering Universidad Politécnica de MadridMadrid28031Spain

Future 6G communications are envisioned to enable a large catalogue of pioneering *** will range from networked Cyber-Physical Systems to edge computing devices,establishing real-time feedback control loops critical for managing Industry 5.0 deployments,digital agriculture systems,and essential *** provision of extensive machine-type communications through 6G will render many of these innovative systems autonomous and *** full automation will enhance industrial efficiency significantly,it concurrently introduces new cyber risks and *** particular,unattended systems are highly susceptible to trust issues:malicious nodes and false information can be easily introduced into control ***,Denialof-Service attacks can be executed by inundating the network with valueless *** anomaly detection schemes require the entire transformation of the control software to integrate new steps and can only mitigate anomalies that conform to predefined mathematical *** based on an exhaustive data collection to detect anomalies are precise but extremely *** models,with their limited understanding of mobile networks,can achieve precision rates no higher than 75%.Therefore,more general and transversal protection mechanisms are needed to detect malicious behaviors *** paper introduces a probabilistic trust model and control algorithm designed to address this *** model determines the probability of any node to be *** channels are pruned for those nodes whose probability is below a given *** trust control algorithmcomprises three primary phases,which feed themodel with three different probabilities,which are weighted and ***,anomalous nodes are identified using Gaussian mixture models and clustering ***,traffic patterns are studied using digital Bessel functions and the functional scalar ***,the in

关键词： 6G networks noise injection attacks Gaussian mixture model Bessel function traffic filter Volterra filter

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A New Citizen Service for a New Age: Actions Taken by the Spanish Tax Administration

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Belt and Road Initiative Tax Journal 2024年第1期 9-14页

作者： José borja Tomé Departamento de Informática Tributaria Agencia Estatal de Administracion Tributaria Spain

Tax Administrations make big efforts to provide citizens the information and assistance they need and have increased remote services through digital ***,customer service has deteriorated in many cases especially after the pandemic,due to lack of resources and sometimes impacted by the consequences of the extension of remote *** Spanish Tax Administration has developed a new service strategy,which aims to deliver homogeneously any service as needed so that citizens can choose whatever service that is more convenient to them,remote or *** the perspective of its staff,any staff will be enabled to provide any service through any channel.

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Leisure-time physical activity and all-cause mortality and cardiovascular disease in adults with type 2 diabetes:Cross-country comparison of cohort studies

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Journal of Sport and Health Science 2024年第2期13卷 212-221页

作者： Jakob Tarp Mengyun Luo Miguel Adriano Sanchez-Lastra Knut Eirik Dalene borja del Pozo Cruz Mathias Ried-Larsen Reimar Wernich Thomsen Ulf Ekelund Ding Ding Department of Clinical Epidemiology Aarhus University&Aarhus University HospitalAarhus 8200Denmark Prevention Research Collaboration Sydney School of Public HealthThe University of SydneyCamperdownNSW 2006Australia Charles Perkins Centre the University of SydneyCamperdownNSW 2050Australia Department of Sports Medicine Norwegian School of Sports SciencesOslo 0806Norway Department of Special Didactics Faculty of Education and Sports SciencesUniversity of VigoPontevedra 36005Spain Well-Move Research Group Galicia Sur Health Research Institute(IIS Galicia Sur)SERGAS-UVIGOVigo 36213Spain Department of Chronic Diseases Norwegian Institute of Public HealthOslo 0473Norway Centre for Active and Healthy Ageing Department of Sports Science and Clinical BiomechanicsUniversity of Southern DenmarkOdense 5230Denmark Faculty of Education University of CadizCadiz 11519Spain Biomedical Research and Innovation Institute of Cadiz(INiBICA)Research Unit Puerta del Mar University HospitalUniversity of CadizCadiz 11009Spain The Centre of Inflammation and Metabolism&the Centre for Physical Activity Research RigshospitaletUniversity of CopenhagenCopenhagen 2100Denmark Department of Sports Science and Clinical Biomechanics University of Southern DenmarkOdense 5230Denmark

Purpose:This study aimed to quantify the dose-response association and the minimal effective dose of leisure-time physical activity(PA)to prevent mortality and cardiovascular disease in adults with type 2 ***:Cross-country comparison of 2 prospective cohort studies including 14,913 and 17,457 population-based adults with type 2 diabetes from the UK and *** leisure-time PA was self-reported and categorized by metabolic equivalent hours per week(MET-h/week)according to World Health Organization recommendations:none,below recommendation(>0-7.49 MET-h/week);at recommended level(7.5-14.9 MET-h/week);above recommendation(>15 MET-h/week).Mortality and cardiovascular disease data were obtained from national ***:During a median follow-up of 12.4 and 9.7 years,in the UK and China cohorts,repectively,higher levels of leisure-time PA were inversely associated with all-cause(1571 and 2351 events)and cardiovascular mortality(392 and 1060 events),mostly consistent with a linear dose-response *** below,at,and above recommendations,compared with no activity,yielded all-cause mortality hazard ratios of0.94(95%confidence interval(95%CI):0.79-1.12),0.90(95%CI:0.74-1.10),and 0.85(95%CI:0.70-1.02)in British adults and 0.87(95%CI:0.68-1.10),0.88(95%CI:0.74-1.03),and 0.77(95%CI:0.70-0.85)in Chinese *** with cardiovascular mortality were more pronounced in British adults(0.80(95%CI:0.58-1.11),0.75(95%CI:0.52-1.09),and 0.69(95%CI:0.48-0.97))but less pronounced in Chinese adults(1.06(95%CI:0.76-1.47),1.01(95%CI:0.80-1.28),and 0.79(95%CI:0.69-0.92)).PA at recommended levels was not associated with lower rates of major adverse cardiovascular events(2345 and 4458 events).Conclusion:Leisure-time PA at the recommended levels was not convincingly associated with lower mortality and had no association with risk of major adverse cardiovascular events in British or Chinese adults with type 2 ***-time PA above current recom

关键词： Complications Epidemiology Exercise Prevention

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Bloom-forming cyanobacteria and dinoflagellates in five Argentinian reservoirs:Multi-year sampling

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Water Biology and Security 2024年第1期3卷 28-36页

作者： Florencia Soledad Alvarez Dalinger borja Claudia Nidia Veronica Laura Lozano Liliana Beatriz Morana María Monica Salusso Facultad de Ciencias Naturales Universidad Nacional de SaltaAvenida Bolivia 5150Salta4400Argentina Consejo Nacional de Investigaciones Científicas y T'ecnicas(CONICET) Godoy Cruz 2290Ciudad Autonoma de Buenos AiresArgentina

Harmful algal blooms are important threats to reservoir *** a 15-year period,we sampled five Argentinian reservoirs to identify the responsible species for harmful algal blooms and determine the water quality factors driving their *** reservoirs exhibit diverse morphological and hydrological characteristics and are distributed across varying climatic *** blooms included an array of species,including toxin producers such as Raphidiopsis raciborskii,Aphanizomenon gracile,and Microcystis *** contrast,dinoflagellate blooms were predominantly characterized by *** cyanobacterial blooms primarily occurred in the shallower reservoirs located in warmer regions,whereas dinoflagellate blooms occurred where temperatures were *** most intense blooms occurred during the summer,and although cyanobacterial and chlorophyte blooms co-occurred,they never coexisted with dinoflagellate *** identified cyanotoxins in the reservoirs over the past three years,a phenomenon previously unreported in the *** that these reservoirs are drinking water sources for human populations,ongoing and systematic monitoring is needed to protect public *** the proliferation of algae and cyanobacteria in reservoirs requires resource management at the watershed level,and in the case of the Itiyuro and El Limon,requires binational management with Bolivia.

关键词： HABs Freshwater South America Toxins

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Occupational physical activity, all-cause, cardiovascular disease, and cancer mortality in 349,248 adults: Prospective and longitudinal analyses of the MJ Cohort

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Journal of Sport and Health Science 2024年第4期13卷 579-589页

作者： Emmanuel Stamatakis Matthew N.Ahmadi Tiana-Lee Elphick Bo-Huei Huang Susan Paudel Armando Teixeira-Pinto Li-Jung Chen borja del Pozo Cruz Yun-Ju Lai Andreas Holtermann Po-Wen Ku Sydney School of Health Sciences Faculty of Medicine and HealthCharles Perkins CentreUniversity of SydneySydneyNSW 2006Australia Sydney School of Public Health Faculty of Medicine and HealthUniversity of SydneySydneyNSW 2006Australia Department of Exercise Health Science “National”Taiwan University of SportTaichung 40404China Department of Sports Science and Clinical Biomechanics University of Southern DenmarkOdense 5230Denmark Division of Endocrinology and Metabolism Department of Internal MedicinePuli Branch of Taichung Veterans General HospitalNantou 54552China National Research Centre for the Working Environment Copenhagen 2100Denmark Graduate Institute of Sports and Health Management “National”Chung Hsing UniversityTaichung 40227China

Background:Evidence on the health benefits of occupational physical activity(OPA)is *** examined the associations of baseline OPA and OPA changes with all-cause,cardiovascular disease(CVD),and cancer mortality and survival ***:This study included prospective and longitudinal data from the MJ Cohort,comprising adults over 18 years recruited in 1998-2016,349,248 adults(177,314 women)with baseline OPA,of whom 105,715(52,503 women)had 2 OPA measures at 6.3±4.2 years(mean±SD)*** were baseline OPA,OPA changes,and baseline leisure-time physical ***:Over a mean mortality follow-up of 16.2±5.5 years for men and 16.4±5.4 years for women,11,696 deaths(2033 of CVD and 4631 of cancer causes)in men and 8980 deaths(1475 of CVD and 3689 of cancer causes)in women *** moderately heavy/heavy baseline OPA was beneficially associated with all-cause mortality in men(multivariable-adjusted hazard ratio(HR)=0.93,95%confidence interval(95%CI):0.89-0.98 compared to light OPA)and women(HR=0.86,95%CI:0.79-0.93).Over a mean mortality follow-up of 12.5±4.6 years for men and 12.6±4.6 years for women,OPA decreases in men were detrimentally associated(HR=1.16,95%CI:1.01-1.33)with all-cause mortality,while OPA increases in women were beneficially(HR=0.83,95%CI:0.70-0.97)associated with the same *** or changes in OPA showed no associations with CVD or cancer ***:Higher baseline OPA was beneficially associated with all-cause mortality risk in both men and *** longitudinal OPA analyses partly confirmed the prospective findings,with some discordance between sex groups.

关键词： Cancer Cardiovascular disease Epidemiology Mortality

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Short-term effects of post-fire mulching with straw or wood chips on soil properties of semi-arid forests

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林业研究:英文版 2023年第6期34卷 1777-1790页

作者： Manuel Esteban Lucas borja Demetrio Antonio Zema Department of Agroforestry Technology Science and GeneticsSchool of Advanced Agricultural and Forestry EngineeringCampus Universitario s/nCastilla La Mancha UniversityE-02071 Castilla La ManchaAlbaceteSpain Department AGRARIA “Mediterranea”University of Reggio CalabriaLocalitàFeo di VitoI-89122 Reggio CalabriaItaly

Few studies have compared the variability of soil properties using different types of mulches in semi-arid *** study evaluated the changes in physico-chemical soil properties in a semi-arid forest of Central Eastern Spain,where straw and pine wood chips were distributed as mulch three months after a *** were sampled under burned and unmulched and burned and mulched plots three and nine months after the *** data was processed using Principal Component Analysis(PCA)and Analytical Hierarchical Cluster Analysis(AHCA).Mulching with straw or wood chips did not have any significant effects on the texture and chemical properties of burned sites few months after the *** contrast,significant changes are expected over time in organic matter,nutrients and many *** were no significant differences in soil properties between the two *** low changes were confirmed by PCA coupled with AHCA,which did not show a clear distinction among the three soil ***,a noticeable and significant variability of many of these properties over time was *** study shows that mulching does not degrade of soil properties in the short-term after a wildfire and after post-fire treatments,and thus helps protect semi-arid forest ecosystems against the negative impacts of high-severity fires.

关键词： Post-fire management High-severity fire Aridisols Erosion Vegetal residues incorporation Soil degradation

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Measuring Natural Hazard-Related Disasters through Self-Reports

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International Journal of Disaster Risk Science 2021年第4期12卷 540-552页

作者： Ben Edwards Matthew Gray Judith B.borja Centre for Social Research and Methods Australian National UniversityCanberra2601Australia University of San Carlos–Office of Population Studies Foundation Inc.(USC-OPS)6000Cebu CityPhilippines

Exposure to multiple natural hazard-related disasters will become more common due to climate *** article reports on the development and validation of a cumulative measure of exposure to natural hazard-related disasters(2013–2017)at the area level,and an individual-level measure of disaster impact using data from the Longitudinal Cohort Study on the Filipino Child and linked data from the International Disaster Database(EM-DAT).Caregiver reports of cumulative exposure to disasters had statistically significant associations with disasters reported by neighborhood officials and with disasters in *** ecometric techniques we generated a reliable community average measure of exposure to natural hazard-related *** on neighbor but not individual self-reports this exogenous measure of disaster exposure in the local area was more strongly related to EM-DAT and official neighborhood reports than individual *** capture household variation we developed an individual-level measure of disaster *** impact was associated with measures of exposure(individual and community average),community ratings by officials,and EM-DAT but only moderately associated with the community average *** the community average and disaster impacts measures were associated with household income and the adequacy of income in households.

关键词： Disaster exposure Measuring disasters Philippines Socioeconomic impacts Social surveys Subjective indicators

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The floristic relationship between the upland and lowland Carboniferous wetlands of Variscan Euramerica——Evidence from some medullosalean pteridosperm fronds

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Journal of Palaeogeography 2019年第2期8卷 130-141页

作者： Christopher J.Cleal borja Cascales-Mi?ana Department of Natural Sciences National Museum Wales CNRS University of Lille

Alethopteris grandinii represents remains of fronds of a medullosalean pteridosperm(probably a small tree) that rapidly migrated across the lowland wetland habitats of Variscan Euramerica in middle Asturian(late Moscovian)*** was probably caused by changing drainage patterns within the lowland coal swamps,in response to climate and landscape ***,these medullosaleans had first appeared rather earlier,in early Bolsovian(early Moscovian) times,in upland wetland *** upland habitats may have pre-adapted these plants to the changed condition in the lowland coal swamps.

关键词： Carboniferous Coal swamps Medullosales Upland Migration

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Combination strategies for pharmacologic treatment of nonalcoholic steatohepatitis

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World Journal of Gastroenterology 2022年第35期28卷 5129-5140页

作者： Jaspreet Suri Sebastian borja Joseph K Lim Department of Gastroenterology Norwalk HospitalNorwalkCT 06856United States Department of Internal Medicine Norwalk HospitalNorwalkCT 06850United States Section of Digestive Diseases Yale University School of MedicineNew HavenCT 06520United States

Non-alcoholic steatohepatitis (NASH) is defined as hepatic steatosis, inflammation,and hepatocyte injury with or without fibrosis. It has emerged as thesecond leading indication for liver transplantation with a rising death rate in thenon-transplantable population. While there are many drugs in evaluation,currently no approved therapies are on the market for this condition. Given thisimportance, the Food and Drug Administration has provided formal guidanceregarding drug development for stopping or reversing NASH or NASH associatedfibrosis. The complex pathogenesis of NASH and its bidirectional relationshipwith metabolic syndrome has highlighted multiple drugs of interest thataddress metabolic, inflammatory, and fibrotic factors. A few promising liverspecific targets include farnesoid X receptor agonists and peroxisome proliferatoractivatedreceptor agonists. Previously studied drug classes such as glucagon-likepeptide-1 analogs or sodium/glucose transport protein 2 inhibitors have alsodemonstrated ability to improve hepatic steatosis. Here we discuss currentrationale, scientific work, and preliminary data in combining multiple drugs forthe purposes of a multimodal attack on the pathogenesis of NASH. We highlightmultiple Phase 2 and Phase 3 studies that demonstrate the potential to achieve aresponse rate higher than previously assessed monotherapies for this ***, one of these combination strategies may rise above in its safety andefficacy to become a part of a standardized approach to NASH.

关键词： Non-alcoholic steatohepatitis Fatty liver Combination treatment Drug therapy Pharmacologic treatment Clinical trials

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