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Background Coronavirus disease 2019 (COVID-19)-related short-term mortality is high in dialysis patients, but longer-term outcomes are largely unknown. We therefore assessed patient recovery in a large cohort of dialysis patients 3 months after their COVID-19 diagnosis. Methods We analyzed data on dialysis patients diagnosed with COVID-19 from 1 February 2020 to 31 March 2021 from the European Renal Association COVID-19 Database (ERACODA). The outcomes studied were patient survival, residence and functional and mental health status (estimated by their treating physician) 3 months after COVID-19 diagnosis. Complete follow-up data were available for 854 surviving patients. Patient characteristics associated with recovery were analyzed using logistic regression. Results In 2449 hemodialysis patients (mean ± SD age 67.5 ± 14.4 years, 62% male), survival probabilities at 3 months after COVID-19 diagnosis were 90% for nonhospitalized patients (n = 1087), 73% for patients admitted to the hospital but not to an intensive care unit (ICU) (n = 1165) and 40% for those admitted to an ICU (n = 197). Patient survival hardly decreased between 28 days and 3 months after COVID-19 diagnosis. At 3 months, 87% functioned at their pre-existent functional and 94% at their pre-existent mental level. Only few of the surviving patients were still admitted to the hospital (0.8–6.3%) or a nursing home (∼5%). A higher age and frailty score at presentation and ICU admission were associated with worse functional outcome. Conclusions Mortality between 28 days and 3 months after COVID-19 diagnosis was low and the majority of patients who survived COVID-19 recovered to their pre-existent functional and mental health level at 3 months after diagnosis.

Background Antiviral prophylaxis is recommended in cytomegalovirus (CMV)-seropositive kidney transplant (KT) recipients receiving antithymocyte globulin (ATG) as induction. An alternative strategy of premature discontinuation of prophylaxis after CMV-specific cell-mediated immunity (CMV-CMI) recovery (immunoguided prevention) has not been studied. Our aim was to determine whether it is effective and safe to discontinue prophylaxis when CMV-CMI is detected and to continue with preemptive therapy. Methods In this open-label, noninferiority clinical trial, patients were randomized 1:1 to follow an immunoguided strategy, receiving prophylaxis until CMV-CMI recovery or to receive fixed-duration prophylaxis until day 90. After prophylaxis, preemptive therapy (valganciclovir 900 mg twice daily) was indicated in both arms until month 6. The primary and secondary outcomes were incidence of CMV disease and replication, respectively, within the first 12 months. Desirability of outcome ranking (DOOR) assessed 2 deleterious events (CMV disease/replication and neutropenia). Results A total of 150 CMV-seropositive KT recipients were randomly assigned. There was no difference in the incidence of CMV disease (0% vs 2.7%; P = .149) and replication (17.1% vs 13.5%; log-rank test, P = .422) between both arms. Incidence of neutropenia was lower in the immunoguided arm (9.2% vs 37.8%; odds ratio, 6.0; P < .001). A total of 66.1% of patients in the immunoguided arm showed a better DOOR, indicating a greater likelihood of a better outcome. Conclusions Prophylaxis can be prematurely discontinued in CMV-seropositive KT patients receiving ATG when CMV-CMI is recovered since no significant increase in the incidence of CMV replication or disease is observed. In cytomegalovirus (CMV)-seropositive kidney transplant recipients receiving ATG induction, immunoguided prevention is not inferior to prophylaxis to prevent CMV complications. Prophylaxis can be prematurely discontinued after CMV-cell-mediated immunity recovery with no significant increase in the incidence of CMV replication or disease.

INTRODUCTION: SARS CoV2 infection has had a major impact on renal transplant patients with a high mortality in the first months of the pandemic. Intentional reduction of immunosuppressive therapy has been postulated as one of the cornerstone in the management of the infection in the absence of targeted antiviral treatment. This has been modified according to the patient`s clinical situation and its effect on renal function or anti-HLA antibodies in the medium term has not been evaluated. OBJECTIVES: Evaluate the management of immunosuppressive therapy made during SARS-CoV2 infection, as well as renal function and anti-HLA antibodies in kidney transplant patients 6 months after COVID19 diagnosis. MATERIAL AND METHODS: Retrospective, national multicentre, retrospective study (30 centres) of kidney transplant recipients with COVID19 from 01/02/20 to 31/12/20. Clinical variables were collected from medical records and included in an anonymised database. SPSS statistical software was used for data analysis. RESULTS: 615 renal transplant recipients with COVID19 were included (62.6% male), with a mean age of 57.5 years.The predominant immunosuppressive treatment prior to COVID19 was triple therapy with prednisone, tacrolimus and mycophenolic acid (54.6%) followed by m-TOR inhibitor regimens (18.6%). After diagnosis of infection, mycophenolic acid was discontinued in 73.8% of patients, m-TOR inhibitor in 41.4%, tacrolimus in 10.5% and cyclosporin A in 10%. In turn, 26.9% received dexamethasone and 50.9% were started on or had their baseline prednisone dose increased.Mean creatinine before diagnosis of COVID19, at diagnosis and at 6 months was: 1.7±0.8, 2.1±1.2 and 1.8±1 mg/dl respectively (p

Background Patients on kidney replacement therapy (KRT) are at very high risk of coronavirus disease 2019 (COVID-19). The triage pathway for KRT patients presenting to hospitals with varying severity of COVID-19 illness remains ill-defined. We studied the clinical characteristics of patients at initial and subsequent hospital presentations and the impact on patient outcomes. Methods The European Renal Association COVID-19 Database (ERACODA) was analysed for clinical and laboratory features of 1423 KRT patients with COVID-19 either hospitalized or non-hospitalized at initial triage and those re-presenting a second time. Predictors of outcomes (hospitalization, 28-day mortality) were then determined for all those not hospitalized at initial triage. Results Among 1423 KRT patients with COVID-19 [haemodialysis (HD), n = 1017; transplant, n = 406), 25% (n = 355) were not hospitalized at first presentation due to mild illness (30% HD, 13% transplant). Of the non-hospitalized patients, only 10% (n = 36) re-presented a second time, with a 5-day median interval between the two presentations (interquartile range 2–7 days). Patients who re-presented had worsening respiratory symptoms, a decrease in oxygen saturation (97% versus 90%) and an increase in C-reactive protein (26 versus 73 mg/L) and were older (72 vs 63 years) compared with those who did not return a second time. The 28-day mortality between early admission (at first presentation) and deferred admission (at second presentation) was not significantly different (29% versus 25%; P = 0.6). Older age, prior smoking history, higher clinical frailty score and self-reported shortness of breath at first presentation were identified as risk predictors of mortality when re-presenting after discharge at initial triage. Conclusions This study provides evidence that KRT patients with COVID-19 and mild illness can be managed effectively with supported outpatient care and with vigilance of respiratory symptoms, especially in those with risk factors for poor outcomes. Our findings support a risk-stratified clinical approach to admissions and discharges of KRT patients presenting with COVID-19 to aid clinical triage and optimize resource utilization during the ongoing pandemic.

In this work, photocatalytic reduction of methyl viologen is achieved using zinc tetra(4-N-methylpyridyl)porphine (ZnP) functionalized mesoporous titania thin films (MTTF). Metalloporphyrins are the core of natural systems that harvest energy from the sun. Thus, a bioinspired approach is used, taking advantage of ZnP sensitizing capabilities and MTTF organized structure.

This study addresses the yet unresolved CO2 methanation mechanism on a Ru/CeO2 catalyst by means of near-ambient-pressure X-ray photoelectron spectroscopy (NAP–XPS) and diffuse reflectance infrared Fourier transform spectroscopy (DRIFTS) complemented with periodic density functional theory (DFT) calculations. NAP–XPS results show that the switch from H2 to CO2 + H2 mixture oxidizes both the Ru and CeO2 phases at low temperatures, which is explained by the CO2 adsorption modes assessed by means of DFT on each representative surface. CO2 adsorption on Ru is dissociative and moderately endergonic, leading to polybonded Ru-carbonyl groups whose hydrogenation is the rate-determining step in the overall process. Unlike on Ru metal, CO2 can be strongly adsorbed as carbonates on ceria surface oxygen sites or on the reduced ceria at oxygen vacancies as carboxylates (CO2–δ), resulting in the reoxidation of ceria. Carboxylates can then evolve as CO, which is released either via direct splitting at relatively low temperatures or through stable formate species at higher temperatures. DRIFTS confirm the great stability of formates, whose depletion relates with CO2 conversion in the reaction cell, while carbonates remain on the surface up to higher temperatures. CO generation on ceria serves as an additional reservoir of Ru-carbonyls, cooperating to the overall CO2 methanation process. Altogether, this study highlights the noninnocent role of the ceria support in the performance of Ru/CeO2 toward CO2 methanation.

Despite the increasing economic incentives and environmental advantages associated to their substitution, carbon-rich fossil fuels are expected to remain as the dominant worldwide source of energy through at least the next two decades and perhaps later. Therefore, both the control and reduction of CO2 emissions have become environmental issues of major concern and big challenges for the international scientific community. Among the proposed strategies to achieve these goals, conversion of CO2 by its reduction into high added value products, such as methane or syngas, has been widely agreed to be the most attractive from the environmental and economic points of view. In the present work, thermocatalytic reduction of CO2 with H2 was studied over a nanostructured ceria-supported nickel catalyst. Ceria nanocubes were employed as support, while the nickel phase was supported by means a surfactant-free controlled chemical precipitation method. The resulting nanocatalyst was characterized in terms of its physicochemical properties, with special attention paid to both surface basicity and reducibility. The nanocatalyst was studied during CO2 reduction by means of Near Ambient Pressure X-ray Photoelectron Spectroscopy (NAP-XPS). Two different catalytic behaviors were observed depending on the reaction temperature. At low temperature, with both Ce and Ni in an oxidized state, CH4 formation was observed, whereas at high temperature above 500 °C, the reverse water gas shift reaction became dominant, with CO and H2O being the main products. NAP-XPS was revealed as a powerful tool to study the behavior of this nanostructured catalyst under reaction conditions., Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas

Background and objectives There is concern about potential deleterious effects of angiotensin-converting enzyme inhibitors (ACEis) and angiotensin II receptor blockers (ARBs) in patients with coronavirus disease 2019 (COVID-19). Patients with kidney failure, who often use ACEis/ARBs, are at higher risk of more severe COVID-19. However, there are no data available on the association of ACEi/ARB use with COVID-19 severity in this population. Design, setting, participants, & measurements From the European Renal Association COVID-19 database (ERACODA), we retrieved data on kidney transplant recipients and patients on dialysis who were affected by COVID-19, between February 1 and October 1, 2020, and had information on 28-day mortality. We used Cox proportional-hazards regression to calculate hazard ratios for the association between ACEi/ ARB use and 28-day mortality risk. Additionally, we studied the association of discontinuation of these agents with 28-day mortality. Results We evaluated 1511 patients: 459 kidney transplant recipients and 1052 patients on dialysis. At diagnosis of COVID-19, 189 (41%) of the transplant recipients and 288 (27%) of the patients on dialysis were on ACEis/ ARBs. A total of 88 (19%) transplant recipients and 244 (23%) patients on dialysis died within 28 days of initial presentation. In both groups of patients, there was no association between ACEi/ ARB use and 28-day mortality in both crude and adjusted models (in transplant recipients, adjusted hazard ratio, 1.12; 95% confidence interval [95% CI], 0.69 to 1.83; in patients on dialysis, adjusted hazard ratio, 1.04; 95% CI, 0.73 to 1.47). Among transplant recipients, ACEi/ARB discontinuation was associated with a higher mortality risk after adjustment for demographics and comorbidities, but the association was no longer statistically significant after adjustment for severity of COVID-19 (adjusted hazard ratio, 1.36; 95% CI, 0.40 to 4.58). Among patients on dialysis, ACEi/ARB discontinuation was not associated with mortality in any model. We obtained similar results across subgroups when ACEis and ARBs were studied separately, and when other outcomes for severity of COVID-19 were studied, e.g., hospital admission, admission to the intensive care unit, or need for ventilator support. Conclusions Among kidney transplant recipients and patients on dialysis with COVID-19, there was no significant association of ACEi/ ARB use or discontinuation with mortality.

This study addresses the yet unresolved CO2 methanation mechanism on a Ru/CeO2 catalyst by means of near-ambient-pressure X-ray photoelectron spectroscopy (NAP–XPS) and diffuse reflectance infrared Fourier transform spectroscopy (DRIFTS) complemented with periodic density functional theory (DFT) calculations. NAP–XPS results show that the switch from H2 to CO2 + H2 mixture oxidizes both the Ru and CeO2 phases at low temperatures, which is explained by the CO2 adsorption modes assessed by means of DFT on each representative surface. CO2 adsorption on Ru is dissociative and moderately endergonic, leading to polybonded Ru-carbonyl groups whose hydrogenation is the rate-determining step in the overall process. Unlike on Ru metal, CO2 can be strongly adsorbed as carbonates on ceria surface oxygen sites or on the reduced ceria at oxygen vacancies as carboxylates (CO2–δ), resulting in the reoxidation of ceria. Carboxylates can then evolve as CO, which is released either via direct splitting at relatively low temperatures or through stable formate species at higher temperatures. DRIFTS confirm the great stability of formates, whose depletion relates with CO2 conversion in the reaction cell, while carbonates remain on the surface up to higher temperatures. CO generation on ceria serves as an additional reservoir of Ru-carbonyls, cooperating to the overall CO2 methanation process. Altogether, this study highlights the noninnocent role of the ceria support in the performance of Ru/CeO2 toward CO2 methanation. The authors thank the financial support of the Spanish Ministry of Economy and Competitiveness (Project CTQ2015-67597-C2-2-R and grant FJCI-2015-23769), the Spanish Ministry of Science and Innovation (PID2019-105960RB-C22), Generalitat Valenciana (Project PROMETEO/2018/076), and the EU (FEDER funding). A.D.-Q. and M.G.-M. acknowledge the financial support from the European Union’s Horizon 2020 research and innovation program under the Marie Skłodowska-Curie grant agreement no. 713567 and Science Foundation Ireland Research Centre award 12/RC/2278_P2. F.C.H. acknowledges the Argentinian National Research Council (CONICET) for the financial support. C.E. acknowledges funding from the MICINN/FEDER RTI2018-093996-B-32 project. The computational results of this research have been achieved using the DECI resource Salomon based in the Czech Republic at the IT4Innovations National Supercomputing Center with support from the PRACE aisbl. The DJEI/DES/SFI/HEA Irish Centre for High-End Computing (ICHEC) is also acknowledged for the provision of computational facilities.

The preferential CO oxidation (CO-PROX) reaction is paramount for the purification of reformate H2-rich streams, where CuO/CeO2 catalysts show promising opportunities. This work sheds light on the lattice oxygen recovery mechanism on CuO/CeO2 catalysts during CO-PROX reaction, which is critical to guarantee both good activity and selectivity, but that is yet to be well understood. Particularly, in situ Raman spectroscopy reveals that oxygen vacancies in the ceria lattice do not form in significant amounts until advanced reaction degrees, whereas pulse O2 isotopic tests confirm the involvement of catalyst oxygen in the CO and H2 oxidation processes occurring at all stages of the CO-PROX reaction (Mars–van Krevelen). Further mechanistic insights are provided by operando near-ambient pressure X-ray photoelectron spectroscopy (NAP–XPS) and near edge X-ray absorption fine structure (NEXAFS) experiments, which prove the gradual CuO reduction and steady oxidized state of Ce ions until the very surface reduction of CeO2 at the point of selectivity loss. Experiments are complemented by density functional theory (DFT) calculations, which reveal a more facile oxygen refill according to the trend CuO > CeO2 > Cu2O. Overall, this work concludes that the oxygen recovery mechanism in CO-PROX switches from a direct mechanism, wherein oxygen restores vacancy sites in the partially reduced CuO particles, to a synergistic mechanism with the participation of ceria once CuxO particles reach a critical reduction state. This mechanistic switch ultimately results in a decrease in CO conversion in favor of the undesired H2 oxidation, which opens-up future research on potential strategies to improve oxygen recovery. The authors thank the financial support of the Spanish Ministry of Economy and Competitiveness (Project CTQ2015-67597-C2-2-R and grant FJCI-2015-23769), the Spanish Ministry of Education, Culture and Sports (grant FPU14/01178), the Generalitat Valenciana (Project PROMETEO/2018/076) and the EU (FEDER funding). F.C.H. acknowledges the Argentinian National Research Council (CONICET) for financial support.

Compositional changes taking place during the synthesis of alloyed CdSeZnS nanocrystals (NCs) allow shifting of the optical features to higher energy as the NCs grow. Under certain synthetic conditions, the effect of those changes on the surface/interface chemistry competes with and dominates over the conventional quantum confinement effect in growing NCs. These changes, identified by means of complementary advanced spectroscopic techniques such as XPS (X-ray photoelectron spectroscopy) and XAS (X-ray absorption spectroscopy), are understood in the frame of an ion migration and exchange mechanism taking place during the synthesis. Control over the synthetic routes during NC growth represents an alternative tool to tune the optical properties of colloidal quantum dots, broadening the versatility of the wet chemical methods., This work has been partially supported through the following projects: S2013/MIT-2740 from Comunidad de Madrid and FIS2015-67367-C2-1-P and MAT2016-80394-R from the Spanish Ministry of Economy and Competitiveness. F.C.H., M.M., and F.G.R. acknowledge CONICET and ANPCYT (Project PICT 2015-2285). XAFS experiments were partially supported by Projects XAFS2-20170359 and SXS-20160690 (LNLS, Campinas, Brazil).

Fil: Lafit, Facundo C. E.. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

Con Hobbes parece asistirse al nacimiento de la filosofía política moderna: en su obra la pregunta por el orden de la comunidad se emancipa definitivamente de toda trascendencia para estructurarse de forma inmanente. Sin embargo, el hombre-individuo que se pone como fundamento revela una problemática ilimitación en sus deseos. Derecho, Ley, Soberanía y Estado serían formas de una necesaria limitación de este sustrato inestable. Pero tal límite deberá encontrar su génesis en ese mismo terreno de lo ilimitado: de ahí la insistencia hobbesiana en el temor a la muerte como experiencia del límite inmanente al propio deseo ilimitado del individuo. Discutiendo las tesis de Strauss señalamos que esa insistencia no resulta tanto del reconocimiento de un fundamento moral irreductible que vendría a ser ocultado por el racionalismo hobbesiano, sino que constituye el recurso a una ultima ratio para un límite que, estando fundado exclusivamente en los intercambios de actos de palabra y voluntades (pactos), se entrampa en la inevitable indeterminación de las palabras mismas, que acecha a la modernidad política pensado, con Jacques Rancière, como era democrática. Aún más, la insistencia en el método geométrico-racionalista derivaría de esta misma dificultad: no sería sino un intento de fijar en un saber objetivo el sentido de esas palabras humanas que deben fundar, ahora, el orden político

Fil: Hernández, Facundo C. Universidad Nacional del Comahue; Argentina. Fil: Jaca, Rossana C. Universidad Nacional del Comahue; Argentina. Fil: Natalini, Mario Bruno. Universidad Nacional del Nordeste. Facultad de Ingeniería; Argentina. Fil: Godoy, Luis A. Universidad Nacional de Córdoba. Facultad de Ciencias Exactas, Físicas y Naturales; Argentina. Este trabajo analiza, en forma numérica y experimental, la estabilidad de un tanque cilíndrico de acero de pared delgada sin techo (en etapa de construcción) no anclado, frente a cargas de viento. El tanque estudiado se encuentra en la zona Norte de la Patagonia y colapsó por viento a una velocidad de 50Km/h. Las normas que permiten diseñar los tanques de almacenamiento se concentran en su comportamiento finalizada la construcción, descuidando la etapa constructiva. El presente estudio se desarrolla en dos etapas. En una primera etapa se realiza un análisis fluido-dinámico midiendo presiones sobre modelos de tanques en túnel de viento. En la segunda etapa se analiza la respuesta estructural evaluando numéricamente las cargas que producen pandeo. Para el estudio numérico se simula la estructura por elementos finitos con un código de propósitos múltiples (ABAQUS), mediante análisis de bifurcación lineal y análisis no lineal geométrico con imperfecciones. Los resultados experimentales muestran que las presiones a barlovento en las paredes del tanque se incrementan un 40% debido a las presiones internas y, además, las presiones actuando en la base tienden a levantarla. Los resultados numéricos permiten vincular la carga de colapso en el tanque con las velocidades registradas en el lugar.

La Teoría general del derecho y marxismo de Pashukanis, publicada en 1924, constituye uno de los más fecundos intentos de teoría marxista del derecho que plantea su naturaleza de forma social, destinada a extinguirse en la sociedad comunista. Se mostrará cómo ésta surge de los efectos en el pensamiento de la Revolución de 1917: al mismo tiempo de su impugnación del marxismo de la II Internacional como de las tareas político-prácticas de construcción del socialismo, y se reconstruirán algunos elementos del contexto político intelectual de debate en que ésta se inserta, así como las contradicciones internas de la teoría de la forma jurídica, para intentar elucidar las razones que llevarán a su denuncia como contrarrevolucionaria por el poder estalinista.

Optical printing holds great potential to enable the use of the vast variety of colloidal nanoparticles (NPs) in nano- and microdevices and circuits. By means of optical forces, it enables the direct assembly of NPs, one by one, onto specific positions of solid surfaces with great flexibility of pattern design and no need of previous surface patterning. However, for unclear causes it was not possible to print identical NPs closer to each other than 300 nm. Here, we show that the repulsion restricting the optical printing of close by NPs arises from light absorption by the printed NPs and subsequent local heating. By optimizing heat dissipation, it is possible to reduce the minimum separation between NPs. Using a reduced graphene oxide layer on a sapphire substrate, we demonstrate for the first time the optical printing of Au-Au NP dimers. Modeling the experiments considering optical, thermophoretic, and thermo-osmotic forces we obtain a detailed understanding and a clear pathway for the optical printing fabrication of complex nano structures and circuits based on connected colloidal NPs., Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas

The dielectric nature of organic ligands capping semiconductor colloidal nanocrystals (NCs) makes them incompatible with optoelectronic applications. For this reason, these ligands are regularly substituted through ligand-exchange processes by shorter (even atomic) or inorganic ones. In this work, an alternative path is proposed to obtain inorganically coated NCs. Differently to regular ligand exchange processes, the method reported here produces core–shell NCs and the removal of the original organic shell in a single step. This procedure leads to the formation of connected NCs resembling 1D worm-like networks with improved optical properties and polar solubility, in comparison with the initial CdSe NCs. The nature of the inorganic shell has been elucidated by X-ray Absorption Near Edge Structure (XANES), Extended X-ray Absorption Fine Structure (EXAFS) and X-ray Photoelectron Spectroscopy (XPS). The 1D morphology along with the lack of long insulating organic ligands and the higher solubility in polar media turns these structures very attractive for their further integration into optoelectronic devices., Facultad de Ciencias Exactas, Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas