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Tenofovir vs lamivudine plus adefovir in chronic hepatitis B:TENOSIMP-B study

World Journal of Gastroenterology 2017年第41期23卷 7459-7469页

作者： Manuel Rodríguez Juan Manuel Pascasio Enrique Fraga Javier Fuentes martín Prieto Gloria Sánchez-Antolín Jose Luis Calleja Esther Molina mar.a Luisa García-Buey mar.a Angeles Blanco Javier Salmerón mar.a lucía bonet Jose Antonio Pons Jose Manuel González Miguel Angel Casado Francisco Jorquera 无 Division of Gastroenterology and Hepatology.Hospital Universitario Central de Asturias Unit for the Clinical Management of Digestive Diseases IBISHospital Universitario Virgen del Rocío Liver Transplantation and Hepatology Unit Gastroenterology ServiceHospital Universitario Reina Sofía Digestive Medicine Service Hospital Universitario Miguel Servet Hepatology Unit Digestive Medicine ServiceHospital Universitari i Politècnic La Fe Hepatology Unit Hospital Universitario Rio Hortega Liver Unit Hospital Universitario Puerta de Hierro de MajadahondaUniversidad Autónoma de Madrid Digestive Medicine Service Hospital Clínico de Santiago de Compostela Liver Unit Hospital Universitario de La Princesa Digestive Medicine Service Hospital General Universitario Gregorio Maranon Digestive Medicine Unit Complejo Hospitalario de Granada Digestive Medicine Service Hospital Universitario Son Espases Hepatology Unit IMIB Hospital Universitario Virgen de la Arrixaca Digestive Medicine Service Hospital Clínico Universitario de Valladolid Pharmacoeconomics and Outcomes Research Iberia Division of Gastroenterology and Hepatology Complejo Asistencial Universitario de León the TENOSIMP-B Research Group

AIM To demonstrate the non-inferiority(15% non-inferiority limit) of monotherapy with tenofovir disoproxil fumarate(TDF) vs the combination of lamivudine(LAM) plus adefovir dipivoxil(ADV) in the maintenance of virologic response in patients with chronic hepatitis B(CHB) and prior failure with *** This study was a Phase IV prospective, randomized, open, controlled study with 2 parallel groups(TDF and LAM+ADV) of adult patients with hepatitis B e antigen(HBe Ag)-negative CHB, prior failure with LAM, on treatment with LAM+ADV for at least 6 mo, without prior resistance to ADV and with an undetectable viral load at the start of the study, in 14 Spanish hospitals. The follow-up time for each patient was 48 wk after randomization, with quarterly visits in which the viral load, biochemical and serological parameters, adverse effects, adherence to treatment and consumption of hospital resources were *** Forty-six patients were evaluated [median age: 55.4 years(30.2-75.2); 84.8% male], including 22 patients with TDF and 24 with LAM+ADV. During study development, hepatitis B virus DNA(HBV-DNA) remained undetectable, all patients remained HBe Ag negative, and hepatitis B surface antigen(HBs Ag) positive. Alanine aminotransferase(ALT) values at the end of the study were similar in the 2 groups(25.1± 7.65, TDF vs 24.22 ± 8.38, LAM+ADV, P = 0.646). No significant changes were observed in creatinine or serum phosphorus values in either group. No significant differences between the 2 groups were noted in the identification of adverse effects(AEs)(53.8%, TDF vs 37.5%, LAM+ADV, P = 0.170), and none of the AEs which occurred were serious. Treatment adherence was 95.5% and 83.3% in the TDF and the LAM+ADV groups, respectively(P = 0.488). The costs associated with hospital resource consumption were significantly lower with the TDF treatment than the LAM+ADV treatment(€4943 ± 1059 vs €5811 ± 1538, respectively, P < 0.001).CONCLUSION TDF monotherapy proved to be safe

关键词： Tenofovir Lamivudine+Adefovir Efficacy Safety Adherence Costs Hepatitis B

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Yield models for predicting aboveground ectomycorrhizal fungal productivity in Pinus sylvestris and Pinus pinaster stands of northern Spain

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Forest Ecosystems 2019年第4期6卷 414-426页

作者： mariola Sánchez-González Sergio de-Miguel Pablo martin-Pinto Fernando martínez-Pe?a mar.a Pasalodos-Tato Juan Andrés Oria-de-Rueda Juan martínez de Aragón Isabel Ca?ellas José Antonio bonet Spanish National Institute for Agricultural and Food Research and Technology (INIA)

Background: Predictive models shed light on aboveground fungal yield dynamics and can assist decision-making in forestry by integrating this valuable non-wood forest product into forest management planning. However, the currently existing models are based on rather local data and, thus, there is a lack of predictive tools to monitor mushroom yields on larger ***: This work presents the first empirical models for predicting the annual yields of ectomycorrhizal mushrooms and related ecosystem services in Pinus sylvestris and Pinus pinaster stands in northern Spain, using a long-term dataset suitable to account for the combined effect of meteorological conditions and stand *** were fitted for the following groups of fungi separately: all ectomycorrhizal mushrooms, edible mushrooms and marketed mushrooms. Our results show the influence of the weather variables(mainly precipitation) on mushroom yields as well as the relevance of the basal area of the forest stand that follows a right-skewed unimodal curve with maximum predicted yields at stand basal areas of 30–40 m2·***: These models are the first empirical models for predicting the annual yields of ectomycorrhizal mushrooms in Pinus sylvestris and Pinus pinaster stands in northern Spain, being of the highest resolution developed to date and enable predictions of mushrooms productivity by taking into account weather conditions and forests’ location, composition and structure.

关键词： Mushrooms Fungi Non-wood forest products Mixed models Hurdle models

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Influence of the Type of Circulatory/Ventricular Assistance in the Primary Graft Failure and Heart Transplantation Mortality

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World Journal of Cardiovascular Diseases 2019年第8期9卷 545-552页

作者： Raquel López-Vilella Ignacio J.Sánchez-Lázaro mar.a Paz Fuset Cabanes Azucena Pajares Moncho lucía Donate Bertolín Ricardo Gimeno Costa Ignacio Moreno Puigdollers Luis martínez Dolz Iratxe Zarragoikoetxea Jauregui Salvador Torregrosa Puerta Luis Almenar bonet Heart Failure and Transplant Unit Hospital Universitario y Politécnico La FeValenciaSpain Intensive Care Department Hospital Universitario y Politécnico La FeValenciaSpain Anesthesiology Department Hospital Universitario y Politécnico La FeValenciaSpain Cardiovascular Surgery Department Hospital Universitario y Politécnico La FeValenciaSpain

OBJECTIVES: In recent years, the percentage of heart transplantation (HT) with short/medium-term assistance devices has increased. This study aims at analyzing primary graft failure and in-hospital mortality according to the type of care. MATERIAL AND METHODS: From January 2013 to December?2017 all patients undergoing urgent HT with circulatory/ventricular assistance?were retrospectively and consecutively recruited. Combined transplants, retransplantations and pediatric transplants were excluded. The sample was divided in 10 groups according to the type of shot/medium term assistance devices. RESULTS: A total of 53 patients were recruited, 79% men, average age 49 ± 13 years. 26 patients (51%) had mechanical ventilation at the time of the HT. Primary graft failure occurred in 20 patients (38.5%), whilst it was more frequent in patients assisted with ECMO (8 patients in group 1 (45%) and 7 in group 2 (54%), p 0.5). 14 deaths (27%) were registered, whereas a higher mortality was observed in the group assisted with ECMO (6 patients in group 1 (34%) and 4 in group 2 (31%), p 0.6). Mortality was 17% in the group of non-urgent Levitronix. CONCLUSIONS: Despite not showing statistical significance due to the low number of patients in some subgroups, hospital?mortality was high in HT patients with circulatory assistance. A trend towards a higher incidence of primary graft failure and mortality in patients assisted with ECMO was observed. The direct implantation of a centrifugal pump as a bridge to urgent transplantation could identify a subgroup with a better prognosis.

关键词： Urgent Heart Transplantation Short-Medium Term Circulatory/Ventricular Assistance Primary Graft Failure

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Anemia in patients with high-risk acute coronary syndromes admitted to Intensive Cardiac Care Units

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Journal of Geriatric Cardiology 2020年第1期17卷 35-42页

作者： Victoria Lorente Jaime Aboal Cosme Garcia Jordi Sans-Rosello Antonia Sambola Rut Andrea Carlos Tomas Gil bonet David Vinas Nabil el Ouaddi Santiago Montero Javier Cantalapiedra mar.arida Pujol Isabel Hernandez mar.a Perez-Rodriguez Isaac Llao Jose C Sanchez-Salado Miquel Gual Albert Ariza-Sole 无 Hospital Universitari de Bellvitge L’Hospitalet de LlobregatBarcelonaSpain Hospital Unversitari Josep Trueta GironaSpain Hospital Universitari Germans Trias i Pujol Badalona BarcelonaSpain Hospital de la Santa Creu i Sant Pau Instituto de Investigación Biomedica IIB Sant PauUniversitat Autonoma de Barcelona(UAB)BarcelonaSpain Hospital Universitari de la Vall d’Hebron BarcelonaSpain Hospital Clinic i Provicial BarcelonaSpain Hospital Arnau de Vilanova LleidaSpain Hospital Joan XXIII TarragonaSpain the Grup de Treball de Cures Agudes Cardiologiques de la Societat Catalana de Cardiologia

Background Little information exists about the role of anemia in patients with acute coronary syndromes(ACS)admitted to Intensive Cardiac Care Units(ICCU).The aim of this study was to assess the prevalence of anemia and its impact on management and outcomes in this clinical *** All consecutive patients admitted to eight different ICCUs with diagnosis of non-ST segment elevation ACS(NSTEACS)were prospectively *** was defined as hemoglobin<130 g/L in men and<120 g/L in *** association between anemia and mortality or readmission at six months was assessed by the Cox regression *** A total of 629 patients were *** age was 66.6 years.A total of 197 patients(31.3%)had *** angiography was performed in most patients(96.2%).Patients with anemia were significantly older,with a higher prevalence of comorbidities,poorer left ventricle ejection fraction and higher GRACE score *** with anemia underwent less often coronary angiography,but underwent more often intraaortic counterpulsation,non-invasive mechanical ventilation and renal replacement *** ICCU and hospital stay were significantly longer in patients with *** the incidence of mortality(HR=3.36,95%CI:1.43–7.85,P=0.001)and the incidence of mortality/readmission were significantly higher in patients with anemia(HR=2.80,95%CI:2.03–3.86,P=0.001).After adjusting for confounders,the association between anemia and mortality/readmission remained significant(P=0.031).Conclusions Almost one of three NSTEACS patients admitted to ICCU had *** patients underwent coronary *** was independently associated to poorer outcomes at 6 months.

关键词： Acute coronary syndromes Anemia Intensive cardiac care units Prognosis

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Sudden Death in Sports: Case Report and Review of an Ongoing Problem

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Health 2019年第1期11卷 67-80页

作者： mar.a Elena Caparrós-Hernández Mónica García-Fernández Carla Miró-Vicedo mar.a del mar Ponce-Abellán Andrea Ruso-Ruso mar.a Dolores Jover-Ríos Juan Méndez-Mora Francisco Caparrós-Hernández Carmen Seguí-Pérez marc Seguí-Pérez Pedro Esteve-Atiénzar Jorge Peris-García David bonet-Tur Pablo Roig-Rico Asunción Pérez-Fullana José Miguel Seguí-Ripoll School of Medicine Miguel Hernández University Elche (Alicante) Spain Department of Internal Medicine Hospital La Vega Baja of Orihuela (Alicante) Spain Secondary School Marist Brothers High School Alicante Spain Department of Internal Medicine University Hospital of San Juan Alicante Spain Department of Clinical Medicine Miguel Hernández University Elche (Alicante) Spain

Background: Both competitive and recreational sports are considered a positive practice that is good for human health and quality of life, so it is difficult to understand how young, energetic and apparently healthy people can die while playing their usual sports. When these events occur in elite athletes during monitored events, they normally receive considerable media attention. Objective: To describe the case of sudden death in a young professional athlete who was successfully aided and resuscitated outside our hospital, and to review the literature about sudden death in sports. Materials and Method: We searched for Sudden Death (according to the International Classification of Diseases (ICD-9 and ICD-10)) in our hospital but found no other relevant cases. We performed a literature search on the state of the art in sudden death (Google Scholar, PubMed, LILACS, Scielo and the Revista Española de Cardiología). Results: Although we observed that the prevalence of sudden death is not very high, it still represents a potentially avoidable event. An adequate medical examination prior to regular sporting practice can decrease the incidence of sudden death in athletes under the age of 35. Data available in the literature support medical check-ups that include history-taking, physical examination and electrocardiogram. The findings of this evaluation may also prompt further assessment (electrocardiograph, ergometry). Conclusions: We could not identify standard, obligatory guidelines for screening possible heart diseases causing cardiorespiratory failure and sudden death. As a measure for primary prevention, we propose a protocol for reducing the risk of sudden death in athletes.

关键词： Sudden Death Sports Athletes Cardiopulmonary Resuscitation Implantable Automatic Defibrillator

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Male genitourinary schistosomiasis-related symptoms among long-term Western African migrants in Spain:a prospective population-based screening study

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Infectious Diseases of Poverty 2024年第2期13卷 29-38页

作者： Sílvia Roure Xavier Vallès Olga Pérez-Quílez Israel López-Muñoz Anna Chamorro Elena Abad Lluís Valerio Laura Soldevila Sergio España Alaa H.A.Hegazy Gema Fernández-Rivas Ester Gorriz Dolores Herena Mário Oliveira mar.a Carme Miralles Carmen Conde Juan José Montero-Alia Elia Fernández-Pedregal Jose Miranda-Sánchez Josep M.Llibre mar Isnard Josep mar.a bonet Oriol Estrada Núria Prat Bonaventura Clotet The Schisto-Stop study group International Health Program(PROSICS) Barcelona North Metropolitan Territorial Directorate for Infectious DiseasesCatalan Institute for HealthCAP La SalutPassatge dels Encants S/N08916 BadalonaSpain FundacióLluita contra les Infeccions c/Can Ruti s/n08916 BadalonaSpain Infectious Diseases Department Hospital Universitari Germans Trias i Pujolc/Can Ruti s/n08916 BadalonaSpain Germans Trias i Pujol Research Institute c/Can Ruti s/n08916 BadalonaSpain Microbiology Department Germans Trias i Pujol University Hospitalc/Can Ruti s/n08916 BadalonaSpain Department of Genetics and Microbiology Universitat Autònoma de Barcelonac/Can Ruti s/n08916 BadalonaSpain Faculty of Medicine University of AsyutEl FatehAssiut Governorate 71515Egypt Department of Urology Germans Trias i Pujol University Hospitalc/Can Ruti s/n08916 BadalonaSpain Canovelles Primary Health Care Unit Barcelona North Metropolitan Health DirectorateCatalan Institute for HealthC/Indústria 2308420 CanovellesSpain Primary Health Care Unit Mataró-3(Rocafonda-Palau) Barcelona North MetropolitanHealth DirectorateCatalan Institute for HealthCamíRal el Ravalet 208Mataró08302 BarcelonaSpain Barcelona North Metropolitan Primary Care Directorate Catalan Institute for HealthCtra.de Barcelona 473Sabadell08204 BarcelonaSpain Directorate for Innovation and Interdisciplinary Cooperation Barcelona North Metropolitan Health DirectorateCatalan Institute for HealthC/Can Ruti S/N08916 BadalonaSpain IrsiCaixa-AIDS Research Institute Hospital Universitari Germans Trias i Pujol University Hospitalc/Can Ruti s/n08916 BadalonaSpain Infectious Diseases Directorate Barcelona North Metropolitan Health DirectorateCatalan Institute for HealthC/Can Ruti S/N08916 BadalonaSpain 不详

Background Schistosomiasis is highly endemic in sub-Saharan Africa and frequently imported to *** urogenital manifestations are often *** aimed to ascertain the prevalence of genitourinary clinical signs and symptoms among long-term African migrants in a non-endemic European country using a serology *** We carried out a prospective,community-based cross-sectional study of adult male migrants from sub-Saharan Africa living in *** serology tests and microscopic urine examinations were carried out,and clinical data were obtained from an electronic medical record search and a structured *** We included 388 adult males,mean age 43.5 years[Standard Deviation(SD)=12.0,range:18-76].The median time since migration to the European Union was 17[Interquartile range(IQR):11-21]*** most frequent country of origin was Senegal(N=179,46.1%).Of the 338,147(37.6%)tested positive for *** eggs were present in the urine of only 1.3%.Nine genitourinary clinical items were significantly associated with positive Schistosoma serology results:pelvic pain(45.2%;OR=1.57,95%CI:1.0-2.4),pain on ejaculation(14.5%;OR=1.85,95%CI:1.0-3.5),dyspareunia(12.4%;OR=2.45,95%CI:1.2-5.2),erectile dysfunction(9.5%;OR=3.10,95%CI:1.3-7.6),self-reported episodes of infertility(32.1%;OR=1.69,95%CI:1.0-2.8),haematuria(55.2%;OR=2.37,95%CI:1.5-3.6),dysuria(52.1%;OR=2.01,95%CI:1.3-3.1),undiagnosed syndromic STIs(5.4%),and orchitis(20.7%;OR=1.81,95%CI:1.0-3.1).Clinical signs tended to *** Urogenital clinical signs and symptoms are prevalent among male African long-term migrants with a positive Schistosoma serology *** involvement can be frequent even among those with long periods of non-residence in their sub-Saharan African countries of *** research is needed to develop diagnostic tools and validate therapeutic approaches to chronic schistosomiasis.

关键词： Schistosomiasis Chronic schistosomiasis Urogenital schistosomiasis Male genital schistosomiasis Longterm migrant

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