277 results on '"Luis Alcalá"'
Search Results
2. A mutation responsible for impaired detection by the Xpert SARS-CoV-2 assay independently emerged in different lineages during the SARS-CoV-2 pandemic
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Daniel Peñas-Utrilla, Amadeo Sanz, Pilar Catalán, Cristina Veintimilla, Luis Alcalá, Roberto Alonso, Patricia Muñoz, Laura Pérez-Lago, Darío García de Viedma, and on behalf of the Gregorio Marañón Microbiology-ID COVID 19 Study Group
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COVID-19 ,Cepheid Xpert ,C29200T ,Detection impairment ,N gene ,Microbiology ,QR1-502 - Abstract
Abstract Background COVID-19 diagnosis lies on the detection of SARS-CoV-2 on nasopharyngeal specimens by RT-PCR. The Xpert-Xpress SARS-CoV-2 assay provides results in less than one hour from specimen reception, which makes it suitable for clinical/epidemiological circumstances that require faster responses. The analysis of a COVID-19 outbreak suspected in the neonatology ward from our institution showed that the Ct values obtained for the targeted genes in the Xpert assay were markedly different within each specimen (N Ct value > 20 cycles above the E Ct value). Results We identified the mutation C29200T in the N gene as responsible for an impairment in the N gene amplification by performing whole genome sequencing of the specimens involved in the outbreak (Omicron variant). Subsequently, a retrospective analysis of all specimens sequenced in our institution allowed us to identify the same SNP as responsible for similar impairments in another 12 cases (42% of the total cases reported in the literature). Finally, we found that the same SNP emerged in five different lineages independently, throughout almost all the COVID-19 pandemic. Conclusions We demonstrated for the first time the impact of this SNP on the Xpert assay, when harbored by new Omicron variants. We extend our observation period throughout almost all the COVID-19 pandemic, offering the most updated observations of this phenomenon, including sequences from the seventh pandemic wave, until now absent in the reports related to this issue. Continuous monitoring of emerging SNPs that could affect the performance of the most commonly used diagnostic tests, is required to redesign the tests to restore their correct performance.
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- 2023
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3. Early SARS-CoV-2 Reinfections Involving the Same or Different Genomic Lineages, Spain
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Cristina Rodríguez-Grande, Agustín Estévez, Rosalía Palomino-Cabrera, Andrea Molero-Salinas, Daniel Peñas-Utrilla, Marta Herranz, Amadeo Sanz-Pérez, Luis Alcalá, Cristina Veintimilla, Pilar Catalán, Carolina Martínez-Laperche, Roberto Alonso, Patricia Muñoz, Laura Pérez-Lago, and Darío García de Viedma
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COVID-19 ,SARS-CoV-2 ,respiratory infections ,severe acute respiratory syndrome coronavirus 2 ,SARS ,coronavirus disease ,Medicine ,Infectious and parasitic diseases ,RC109-216 - Abstract
Centers for Disease Control and Prevention guidelines consider SARS-CoV-2 reinfection when sequential COVID-19 episodes occur >90 days apart. However, genomic diversity acquired over recent COVID-19 waves could mean previous infection provides insufficient cross-protection. We used genomic analysis to assess the percentage of early reinfections in a sample of 26 patients with 2 COVID-19 episodes separated by 20–45 days. Among sampled patients, 11 (42%) had reinfections involving different SARS-CoV-2 variants or subvariants. Another 4 cases were probable reinfections; 3 involved different strains from the same lineage or sublineage. Host genomic analysis confirmed the 2 sequential specimens belonged to the same patient. Among all reinfections, 36.4% involved non-Omicron, then Omicron lineages. Early reinfections showed no specific clinical patterns; 45% were among unvaccinated or incompletely vaccinated persons, 27% were among persons
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- 2023
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4. Microbiome profile and calprotectin levels as markers of risk of recurrent Clostridioides difficile infection
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Silvia Vázquez-Cuesta, Nuria Lozano García, Ana I. Fernández, María Olmedo, Martha Kestler, Luis Alcalá, Mercedes Marín, Javier Bermejo, Francisco Fernández-Avilés Díaz, Patricia Muñoz, Emilio Bouza, and Elena Reigadas
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calprotectin ,biomarkers ,C. difficile ,microbiome ,R-CDI ,16S rRNA ,Microbiology ,QR1-502 - Abstract
IntroductionClostridioides difficile infection (CDI) is the main cause of nosocomial diarrhoea in developed countries. Recurrent CDI (R-CDI), which affects 20%-30% of patients and significantly increases hospital stay and associated costs, is a key challenge. The main objective of this study was to explore the role of the microbiome and calprotectin levels as predictive biomarkers of R-CDI.MethodsWe prospectively (2019-2021) included patients with a primary episode of CDI. Clinical data and faecal samples were collected. The microbiome was analysed by sequencing the hypervariable V4 region of the 16S rRNA gene on an Illumina Miseq platform.ResultsWe enrolled 200 patients with primary CDI, of whom 54 developed R-CDI and 146 did not. We analysed 200 primary samples and found that Fusobacterium increased in abundance, while Collinsella, Senegalimassilia, Prevotella and Ruminococcus decreased in patients with recurrent versus non-recurrent disease. Elevated calprotectin levels correlated significantly with R-CDI (p=0.01). We built a risk index for R-CDI, including as prognostic factors age, sex, immunosuppression, toxin B amplification cycle, creatinine levels and faecal calprotectin levels (overall accuracy of 79%).DiscussionCalprotectin levels and abundance of microbial genera such as Fusobacterium and Prevotella in primary episodes could be useful as early markers of R-CDI. We propose a readily available model for prediction of R-CDI that can be applied at the initial CDI episode. The use of this tool could help to better tailor treatments according to the risk of R-CDI.
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- 2023
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5. Characterization of the gut microbiome of patients with Clostridioides difficile infection, patients with non–C. difficile diarrhea, and C. difficile–colonized patients
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Silvia Vázquez-Cuesta, Laura Villar, Nuria Lozano García, Ana I. Fernández, María Olmedo, Luis Alcalá, Mercedes Marín, Patricia Muñoz, Emilio Bouza, and Elena Reigadas
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CDI ,C. difficile ,microbiome ,R-CDI ,16S rRNA ,Microbiology ,QR1-502 - Abstract
IntroductionClostridioides difficile infection (CDI) is the main cause of nosocomial diarrhea in developed countries. A key challenge in CDI is the lack of objective methods to ensure more accurate diagnosis, especially when differentiating between true infection and colonization/diarrhea of other causes. The main objective of this study was to explore the role of the microbiome as a predictive biomarker of CDI.MethodsBetween 2018 and 2021, we prospectively included patients with CDI, recurrent CDI (R-CDI), non-CDI diarrhea (NO-CDI), colonization by C. difficile, and healthy individuals. Clinical data and fecal samples were collected. The microbiome was analyzed by sequencing the hypervariable V4 region of the 16S rRNA gene on an Illumina Miseq platform. The mothur bioinformatic pipeline was followed for pre-processing of raw data, and mothur and R were used for data analysis.ResultsDuring the study period, 753 samples from 657 patients were analyzed. Of these, 247 were from patients with CDI, 43 were from patients colonized with C. difficile, 63 were from healthy individuals, 324 were from NOCDI, and 76 were from R-CDI. We found significant differences across the groups in alpha and beta diversity and in taxonomic abundance. We identified various genera as the most significant biomarkers for CDI (Bacteroides, Proteus, Paraprevotella, Robinsoniella), R-CDI (Veillonella, Fusobacterium, Lactobacillus, Clostridium sensu stricto I), and colonization by C. difficile (Parabacteroides, Faecalicoccus, Flavonifractor, Clostridium XVIII).DiscussionWe observed differences in microbiome patterns between healthy individuals, colonized patients, CDI, R-CDI, and NOCDI diarrhea. We identified possible microbiome biomarkers that could prove useful in the diagnosis of true CDI infections. Further studies are warranted.
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- 2023
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6. Systematic Genomic and Clinical Analysis of Severe Acute Respiratory Syndrome Coronavirus 2 Reinfections and Recurrences Involving the Same Strain
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Cristina Rodríguez-Grande, Luis Alcalá, Agustín Estévez, Pedro J. Sola-Campoy, Sergio Buenestado-Serrano, Carolina Martínez-Laperche, Víctor Manuel de la Cueva, Roberto Alonso, Cristina Andrés-Zayas, Javier Adán-Jiménez, Carmen Losada, Carla Rico-Luna, Iñaki Comas, Fernando González-Candelas, Pilar Catalán, Patricia Muñoz, Laura Pérez-Lago, and Darío García de Viedma
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COVID-19 ,coronavirus disease ,SARS-CoV-2 ,severe acute respiratory syndrome coronavirus 2 ,viruses ,respiratory infections ,Medicine ,Infectious and parasitic diseases ,RC109-216 - Abstract
Estimates of the burden of severe acute respiratory syndrome coronavirus 2 reinfections are limited by the scarcity of population-level studies incorporating genomic support. We conducted a systematic study of reinfections in Madrid, Spain, supported by genomic viral analysis and host genetic analysis, to cleanse laboratory errors and to discriminate between reinfections and recurrences involving the same strain. Among the 41,195 cases diagnosed (March 2020–March 2021), 93 (0.23%) had 2 positive reverse transcription PCR tests (55–346 days apart). After eliminating cases with specimens not stored, of suboptimal sequence quality, or belonging to different persons, we obtained valid data from 22 cases. Of those, 4 (0.01%) cases were recurrences involving the same strain; case-patients were 39–93 years of age, and 3 were immunosuppressed. Eighteen (0.04%) cases were reinfections; patients were 19–84 years of age, and most had no relevant clinical history. The second episode was more severe in 8 cases.
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- 2022
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7. Dinosaur Tracksites from the Maestrazgo UNESCO Global Geopark (Teruel, Spain)
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Luis Alcalá and Alberto Cobos
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iberian range ,dinosaurs ,ichnites ,jurassic-cretaceous ,geotourism ,geoconservation ,aragón ,General. Including nature conservation, geographical distribution ,QH1-199.5 - Abstract
Numerous Upper Jurassic–Lower Cretaceous tracksites are found in the Maestrazgo UNESCO Global Geopark; sauropod and ornithopod tracks are abundant and there are some rare stegosaurians and theropods. The Lower Cretaceous ichnite sites are dominated by ornithopod tracks, while only one Upper Cretaceous site, containing theropod tracks, has been documented. Seven of these sites are classified as Assets of Cultural Interest, the highest level of protection established in Spanish legislation, and three of them are open to visitors to promote education and geotourism.
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- 2021
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8. Dinosaur Bones from the Maestrazgo UNESCO Global Geopark (Teruel, Spain)
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Luis Alcalá and Rafael Royo-Torres
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iberian range ,jurassic ,cretaceous ,geotourism ,geoconservation ,aragón ,General. Including nature conservation, geographical distribution ,QH1-199.5 - Abstract
The current territory of the Maestrazgo UNESCO Global Geopark has provided fossils that pioneered dinosaur research in Spain. The first Spanish dinosaur, Aragosaurus ischiaticus (published in 1987), five other new genera of dinosaurs and six species were described from fossils found at Geopark sites. These are the sauropod Galveosaurus herreroi (Galvesaurus herreroi) in 2005, the iguanodontians Delapparentia turolensis in 2011 and Iguanodon galvensis in 2015, the basal ornithopod Gideonmantellia amosanjuanae in 2012, and the theropod Camarillasaurus cirugedae in 2014. This makes it one of the most relevant areas in Spain for dinosaur research and has given rise to numerous scientific publications on paleontology and the stratigraphy of the area. It has also led to the construction of several facilities to promote education and geotourism.
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- 2021
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9. IgG anti-RBD levels during 8-month follow-up post-vaccination with BNT162b2 and mRNA-1273 vaccines in healthcare workers: A one-center study
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Sergio Gil-Manso, Roberto Alonso, Pilar Catalán, Ignacio Sánchez-Arcilla, Marco Marzola, Rafael Correa-Rocha, Marjorie Pion, Patricia Muñoz, Gregorio Marañón Microbiology-ID COVID-19 Study Group, Luis Alcalá, Teresa Aldámiz, Beatriz Álvarez, Ana Álvarez-Uría, Alexi Arias, Elena Bermúdez, Emilio Bouza, Sergio Buenesta do-Serrano, Almudena Burillo, Raquel Carrillo, Emilia Cercenado, Alejandro Cobos, Cristina Díez, Pilar Escribano, Agustín Estévez, Chiara Fanciulli, Alicia Galar, Mª Dolores García, Darío García de Viedma, Paloma Gijón, Adolfo González, Helmuth Guillén, Jesús Guinea, Marta Herranz, Álvaro Irigoyen, Laura Vanessa Haces, Martha Kestler, Juan Carlos López, Carmen Narcisa Losada, Marina Machado, Mercedes Marín, Pablo Martín-Rabadán, Andrea Molero-Salinas, Pedro Montilla, Patricia Muñoz, María Olmedo, Belén Padilla, Rosalía Palomino-Cabrera, María Palomo, María Jesús Pérez-Granda, Daniel Peñas-Utrilla, Laura Pérez-Lago, Leire Pérez, Elena Reigadas, Cristina Rincón, Belén Rodríguez, Sara Rodríguez, Cristina Rodríguez-Grande, Adriana Rojas, María Jesús Ruiz-Serrano, Carlos Sánchez, Mar Sánchez, Amadeo Sanz-Pérez, Julia Serrano, Francisco Tejerina, Maricela Valerio, Mª Cristina Veintimilla, Lara Vesperinas, Teresa Vicente, and Sofíade la Villa
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COVID-19 ,mRNA vaccines ,antibodies ,humoral response ,IgG Anti-S ,Microbiology ,QR1-502 - Abstract
IntroductionSince the COVID-19 outbreak, specific mRNA-based anti-SARS-CoV-2 vaccines have been developed and distributed worldwide. Because this is the first time that mRNA vaccines have been used, there are several questions regarding their capacity to confer immunity and the durability of the specific anti-SARS-CoV-2 response. Therefore, the objective of this study was to recruit a large cohort of healthcare workers from the Gregorio Marañón Hospital vaccinated with the mRNA-1273 or BNT126b2 vaccines and to follow-up on IgG anti-RBD levels at 8 months post-vaccination.MethodsWe recruited 4,970 volunteers and measured IgG anti-RBD antibodies on days 30 and 240 post-vaccination.ResultsWe observed that both vaccines induced high levels of antibodies on day 30, while a drastic wane was observed on day 240, where mRNA-1273 vaccinated induced higher levels than BNT162b2. Stratifying by vaccine type, age, gender, and comorbidities, we identified that older mRNA-1273-vaccinated volunteers had higher antibody levels than the younger volunteers, contrary to what was observed in the BNT162b2-vaccinated volunteers.DiscussionIn conclusion, we observed that mRNA-1273 has a higher capacity to induce a humoral response than BNT162b2 and that age is a factor in the specific response.
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- 2022
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10. The Gastrointestinal Tract Is Pinpointed as a Reservoir of Candida albicans, Candida parapsilosis, and Candida tropicalis Genotypes Found in Blood and Intra-Abdominal Samples
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Aina Mesquida, Marina Machado, Lorena Dávila-Cherres, Teresa Vicente, Carlos Sánchez-Carrillo, Luis Alcalá, Elena Reigadas, Patricia Muñoz, Jesús Guinea, and Pilar Escribano
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genotyping ,Candida ,candidaemia ,gastro-intestinal tract ,Biology (General) ,QH301-705.5 - Abstract
Background: Candida spp., as part of the microbiota, can colonise the gastrointestinal tract. We hypothesised that genotyping Candida spp. isolates from the gastrointestinal tract could help spot genotypes able to cause invasive infections. Materials/methods: A total of 816 isolates of C. albicans (n = 595), C. parapsilosis (n = 118), and C. tropicalis (n = 103) from rectal swabs (n = 754 patients) were studied. Genotyping was conducted using species-specific microsatellite markers. Rectal swab genotypes were compared with previously studied blood (n = 814) and intra-abdominal (n = 202) genotypes. Results: A total of 36/754 patients had the same Candida spp. isolated from blood cultures, intra-abdominal samples, or both; these patients had candidemia (n = 18), intra-abdominal candidiasis (n = 11), both clinical forms (n = 1), and non-significant isolation (n = 6). Genotypes matching the rectal swab and their blood cultures (84.2%) or their intra-abdominal samples (92.3%) were found in most of the significant patients. We detected 656 genotypes from rectal swabs, 88.4% of which were singletons and 11.6% were clusters. Of these 656 rectal swab genotypes, 94 (14.3%) were also detected in blood cultures and 34 (5.2%) in intra-abdominal samples. Of the rectal swab clusters, 62.7% were previously defined as a widespread genotype. Conclusions: Our study pinpoints the gastrointestinal tract as a potential reservoir of potentially invasive Candida spp. genotypes.
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- 2023
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11. Clostridioides difficile infection epidemiology and clinical characteristics in COVID-19 pandemic
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Silvia Vázquez-Cuesta, María Olmedo, Elena Reigadas, Luis Alcalá, Mercedes Marín, Patricia Muñoz, and Emilio Bouza
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CDI ,COVID-19 ,SARS-CoV-2 ,C. difficile ,nosocomial infection ,hospital-acquired ,Medicine (General) ,R5-920 - Abstract
Information on Clostridioides difficile infection (CDI) in patients with COVID-19 is scarce and points to an overall decrease of episodes during the pandemic. This situation results paradoxical, as COVID-19 patients had long periods of hospital stay and high use of antibiotics. We conducted a retrospective study from January 1st 2019 to December 31st 2020 comparing the incidence of hospital-acquired episodes of CDI (HA-CDI) among patients with and without COVID-19 admitted to our institution. During the study period, there were 47,048 patient admissions in 2019, 35,662 admissions of patients without COVID-19 in 2020 and 6,763 of COVID-19 patients. There were 68 episodes of HA-CDI in COVID-19 patients (14.75/10,000 days), 159 in 2020-non-COVID-19 patients (5.54/10,000 days) and 238 in 2019 (6.80/10,000 days). Comparison of HA-CDI in COVID-19 and non-COVID-19 patients indicates it occurs more frequently, in terms of CDI disease severity, COVID-19 does not seem to have a negative impact.
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- 2022
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12. Una aproximación a Santiago y su urbanismo a través del colegio mayor La Estila y el Instituto de Investigaciones Agrobiológicas
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Luis Alcalá-Galiano Pareja
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Miguel Fisac ,arquitectura ,modernidade ,Santiago de Compostela ,modernidad ,History of Spain ,DP1-402 - Abstract
Este artículo propone revisar la obra temprana del arquitecto Miguel Fisac (1913-2006) y entender el impacto que tuvo en el desarrollo cultural y urbano de Santiago de Compostela. Tanto Miguel Fisac como Santiago de Compostela son figuras históricas fundamentales que requieren mayor atención crítica en la literatura para entender el papel que jugaron en el desarrollo político, ideológico y cultural del Franquismo. Miguel Fisac es uno de los arquitectos que, teórica y prácticamente, favoreció la introducción de la modernidad en la arquitectura española tras la Guerra Civil. Desde un punto de vista práctico, dos de los edificios que trazó en sus primeros años como arquitecto fueron determinantes en el crecimiento de Santiago de Compostela, tanto por el momento como por la relevancia en el ámbito urbanístico, científico y universitario. Se trata del colegio mayor La Estila (1947/1948), residencia para estudiantes universitarios que supondrá un impulso en el tejido urbano de la zona norte de la ciudad; y del Instituto de Investigaciones Agrobiológicas (1952), una tipología edilicia dedicada a la investigación en el marco de un campus universitario. [gl] Este artigo propón revisar a obra temperá do arquitecto Miguel Fisac (1913-2006) e entender o impacto que tivo no desenvolvemento cultural e urbano de Santiago de Compostela. Tanto Miguel Fisac como Santiago de Compostela son figuras históricas fundamentais que requiren maior atención crítica na literatura para entender o papel que xogaron no desenvolvemento político, ideolóxico e cultural do Franquismo. Miguel Fisac é un dos arquitectos que, teórica e practicamente, favoreceron a introdución da modernidade na arquitectura española trala Guerra Civil. Desde un punto de vista práctico, dous dos edificios que trazou nos seus primeiros anos como arquitecto foron determinantes no crecemento de Santiago de Compostela, tanto polo momento como pola relevancia no ámbito urbanístico, científico e universitario. Trátase do colexio maior La Estila (1947/1948), unha residencia para estudantes universitarios que suporá un pulo no tecido urbano da zona norte da cidade; e do Instituto de Agrobiológicas (1952), unha tipoloxía edilicia dedicada á investigación no marco dun campus universitario.
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- 2022
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13. Fast track SSTI management program based on a rapid molecular test (GeneXpert® MRSA/SA SSTI) and antimicrobial stewardship
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Emilio Bouza, Raffaella Onori, María Auxiliadora Semiglia-Chong, Ana Álvarez-Uría, Luis Alcalá, and Almudena Burillo
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Microbiology ,QR1-502 - Abstract
Purpose: This study examines the impacts of a skin and soft tissue infection (SSTI) management program involving a rapid diagnostic algorithm (Gram stain plus real-time PCR, GeneXpert® MRSA/SA SSTI) performed directly on clinical samples plus antimicrobial stewardship (AMS) counseling of the responsible physician. Methods: Participants were 155 consecutive adult inpatients with SSTI and good quality clinical samples submitted to the microbiology laboratory from April 2016 to January 2017. Results of the rapid test and AMS recommendations were phoned through to the responsible physician. The comparison group was a historical cohort. Results: Most SSTI were surgical wound infections (41.3% vs 38.1% for the intervention and comparison groups respectively) followed by diabetic foot (14.2% and 18.1%), abscesses (13.5% both) and cellulitis (12.9% both). Isolated microorganisms were mostly Gram-negative bacilli (two-thirds), followed by Staphylococcus aureus (SA). The ratio methicillin-susceptible SA (MSSA) to methicillin-resistant SA (MRSA) was 4:1. Improvements in the intervention cohort were: DOT (22.0 vs. 24.3 days, p = 0.007), treatment duration per SSTI episode (14.1 vs. 15.0 days, p = 0.072), treatment cost (433.1 vs. 533.3 €, p = 0.039), length of stay (18.6 vs 20.7 days, p = 0.031), related mortality (1 vs. 4 patients, p = 0.022) and Clostridium difficile infection (CDI) (4 vs. 8 patients, p = 0.050). In 48 cases (31.4%) in the intervention group, advice was given to improve empiric antibiotic treatment. Conclusion: This type of program could help adjust antibiotic treatment when inappropriate, reducing antibiotic use and costs, length of stay, CDI and related mortality. Keywords: Antimicrobial stewardship, GeneXpert® MRSA/SA SSTI, Microbiological techniques, Rapid diagnosis, Soft tissue infections
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- 2020
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14. Correction: Díaz-García et al. Candida Genotyping of Blood Culture Isolates from Patients Admitted to 16 Hospitals in Madrid: Genotype Spreading during the COVID-19 Pandemic Driven by Fluconazole-Resistant C. parapsilosis. J. Fungi 2022, 8, 1228
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Judith Díaz-García, Ana Gómez, Marina Machado, Luis Alcalá, Elena Reigadas, Carlos Sánchez-Carrillo, Ana Pérez-Ayala, Elia Gómez-García de la Pedrosa, Fernando González-Romo, María Soledad Cuétara, Coral García-Esteban, Inmaculada Quiles-Melero, Nelly Daniela Zurita, María Muñoz Algarra, María Teresa Durán-Valle, Aída Sánchez-García, Patricia Muñoz, Pilar Escribano, Jesús Guinea, and on behalf of the CANDIMAD Study
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n/a ,Biology (General) ,QH301-705.5 - Abstract
In the original publication [...]
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- 2023
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15. Monterroso Montero, Juan Manuel, María del Carmen Folgar de la Calle, y Enrique Fernández Castiñeiras. Madera y oro. Los retablos de Santiago de Compostela (Catedral, san Martiño Pinario y san Paio de Antealtares)
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Luis Alcalá-Galiano Pareja
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Fine Arts ,History of the arts ,NX440-632 - Published
- 2021
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16. SARS-CoV-2 B.1.1.7 Decline Is Not Driven by the Introduction of a More Successful Variant
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Cristina Rodríguez-Grande, Sergio Buenestado-Serrano, Luis Alcalá, Pedro J. Sola-Campoy, Andrea Molero-Salinas, Álvaro Otero-Sobrino, Jorge Rodríguez-Grande, Víctor Manuel de la Cueva García, Javier Adán-Jiménez, Carla Rico-Luna, Carmen Losada, Pilar Catalán, Patricia Muñoz, Laura Pérez-Lago, and Darío García de Viedma
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COVID-19 ,variants of concern ,Spain ,SARS-CoV-2 ,Microbiology ,QR1-502 - Abstract
ABSTRACT The SARS-CoV-2 variant of concern (VOC) Delta (B.617.2 lineage) displaced the predominant VOC Alpha (B.1.1.7 lineage) in the United Kingdom. In Madrid, recent start of the decline of predominant VOC Alpha suggested an equivalent phenomenon. However, 11 different variants, none overrepresented in frequency, occupied progressively over a period of 7 weeks the niche previously dominated by VOC Alpha. Only after these 7 weeks, VOC Delta started to emerge. Viral competition due to the entry of VOC Delta is not the major force driving the start of VOC Alpha decline in Madrid. IMPORTANCE Our data indicate that the dynamics of SARS-CoV-2 VOCs turnover in our setting differ from those proposed for other countries. A systematic genomic analysis, updated on a weekly basis, of representative randomly selected samples of SARS-CoV-2 circulating variants allowed us to define a lapse of 7 weeks between the start of VOC Alpha decline and the final emergence of VOC Delta. During this period, VOC Alpha showed a sustained decline, while 11 VOCs, variants of interest (VOIs), and other identified variants, none overrepresented, occupied the niche left by VOC Alpha. Only after these 7 weeks, emergence of VOC Delta occurred, indicating that viral competition involving VOC Delta was not the exclusive direct driving force behind the starting of VOC Alpha decline.
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- 2021
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17. Dinosaur bonebed amber from an original swamp forest soil
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Sergio Álvarez-Parra, Ricardo Pérez-de la Fuente, Enrique Peñalver, Eduardo Barrón, Luis Alcalá, Jordi Pérez-Cano, Carles Martín-Closas, Khaled Trabelsi, Nieves Meléndez, Rafael López Del Valle, Rafael P Lozano, David Peris, Ana Rodrigo, Víctor Sarto i Monteys, Carlos A Bueno-Cebollada, César Menor-Salván, Marc Philippe, Alba Sánchez-García, Constanza Peña-Kairath, Antonio Arillo, Eduardo Espílez, Luis Mampel, and Xavier Delclòs
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ecology ,palaeobiology ,resin production ,autochthony ,insects ,Cretaceous ,Medicine ,Science ,Biology (General) ,QH301-705.5 - Abstract
Dinosaur bonebeds with amber content, yet scarce, offer a superior wealth and quality of data on ancient terrestrial ecosystems. However, the preserved palaeodiversity and/or taphonomic characteristics of these exceptional localities had hitherto limited their palaeobiological potential. Here, we describe the amber from the Lower Cretaceous dinosaur bonebed of Ariño (Teruel, Spain) using a multidisciplinary approach. Amber is found in both a root layer with amber strictly in situ and a litter layer mainly composed of aerial pieces unusually rich in bioinclusions, encompassing 11 insect orders, arachnids, and a few plant and vertebrate remains, including a feather. Additional palaeontological data—charophytes, palynomorphs, ostracods— are provided. Ariño arguably represents the most prolific and palaeobiologically diverse locality in which fossiliferous amber and a dinosaur bonebed have been found in association, and the only one known where the vast majority of the palaeontological assemblage suffered no or low-grade pre-burial transport. This has unlocked unprecedentedly complete and reliable palaeoecological data out of two complementary windows of preservation—the bonebed and the amber—from the same site.
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- 2021
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18. Candida Genotyping of Blood Culture Isolates from Patients Admitted to 16 Hospitals in Madrid: Genotype Spreading during the COVID-19 Pandemic Driven by Fluconazole-Resistant C. parapsilosis
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Judith Díaz-García, Ana Gómez, Marina Machado, Luis Alcalá, Elena Reigadas, Carlos Sánchez-Carrillo, Ana Pérez-Ayala, Elia Gómez-García de la Pedrosa, Fernando González-Romo, María Soledad Cuétara, Coral García-Esteban, Inmaculada Quiles-Melero, Nelly Daniela Zurita, María Muñoz Algarra, María Teresa Durán-Valle, Aída Sánchez-García, Patricia Muñoz, Pilar Escribano, Jesús Guinea, and on behalf of the CANDIMAD Study Group
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Candida ,microsatellite genotyping ,blood culture ,intra-abdominal samples ,COVID-19 ,candidaemia ,Biology (General) ,QH301-705.5 - Abstract
Background: Candidaemia and invasive candidiasis are typically hospital-acquired. Genotyping isolates from patients admitted to different hospitals may be helpful in tracking clones spreading across hospitals, especially those showing antifungal resistance. Methods: We characterized Candida clusters by studying Candida isolates (C. albicans, n = 1041; C. parapsilosis, n = 354, and C. tropicalis, n = 125) from blood cultures (53.8%) and intra-abdominal samples (46.2%) collected as part of the CANDIMAD (Candida in Madrid) study in Madrid (2019–2021). Species-specific microsatellite markers were used to define the genotypes of Candida spp. found in a single patient (singleton) or several patients (cluster) from a single hospital (intra-hospital cluster) or different hospitals (widespread cluster). Results: We found 83 clusters, of which 20 were intra-hospital, 49 were widespread, and 14 were intra-hospital and widespread. Some intra-hospital clusters were first detected before the onset of the COVID-19 pandemic, but the number of clusters increased during the pandemic, especially for C. parapsilosis. The proportion of widespread clusters was significantly higher for genotypes found in both compartments than those exclusively found in either the blood cultures or intra-abdominal samples. Most C. albicans- and C. tropicalis-resistant genotypes were singleton and presented exclusively in either blood cultures or intra-abdominal samples. Fluconazole-resistant C. parapsilosis isolates belonged to intra-hospital clusters harboring either the Y132F or G458S ERG11p substitutions; the dominant genotype was also widespread. Conclusions: the number of clusters—and patients involved—increased during the COVID-19 pandemic mainly due to the emergence of fluconazole-resistant C. parapsilosis genotypes.
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- 2022
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19. Máscaras y espejos
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Luis Alcalá-Galiano Pareja
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retrato ,máscara ,espejo ,Social sciences (General) ,H1-99 ,Sociology (General) ,HM401-1281 - Abstract
El ser humano es portador de un sinfín de emociones y razonamientos; y al mismo tiempo es capaz de inimaginables actos por medio de la voluntad. Emociones, razonamientos y acciones que son expresados a través del cuerpo. Máscara y espejo son dos elementos que configuran aspectos identitarios del ser humano. El objetivo de este trabajo es reflexionar acerca de la capacidad que tienen la máscara y el espejo como elementos expresivos dentro del género pictórico del retrato. A través de la máscara la persona puede ocultar su identidad, mientras que el espejo no hace sino mostrar a un sujeto que es emisor y receptor de la mirada.
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- 2021
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20. Dinópolis, Halfway between Amusement Park and Science Museum: How to Develop Geotourism in A Region Undergoing Depopulation
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Luis Alcalá
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Environmental sciences ,GE1-350 ,Geography (General) ,G1-922 - Abstract
Abstract:: Dinópolis, in the province of Teruel (Spain), offers a network of facilities which attract many palaeontology and dinosaur enthusiasts. It promotes a symbiosis between a palaeontological museum, a territorial network of interpretation centres and a set of attractions whose main protagonists are dinosaurs. All that is complemented by the implementation of public programs that shape the intangible heritage of the project. Dinópolis brings together two institutions: a Foundation, granted as a monographic museum of Palaeontology and a Managing Society, in charge of managing the spaces open to the public. The aim of the Foundation is to preserve and popularize the palaeontological resources after their research. The Managing Society promotes Dinópolis and all the complementary tourist services as well as the leisure facilities. In order to fulfil its objectives, Dinópolis has a large palaeontological park in the city of Teruel and seven smaller museums that foster visits around the province. These “satellites” show a selection of local fossils as well as the palaeontological techniques followed by its researchers. The headquarters house fossil collections, palaeontology laboratories, research areas and two modern buildings with up-to-date fossil exhibitions. It also offers dark-rides, theatre shows and open-air activities. The purpose of these facilities and public programs is to boost geotourism in rural areas. This would contribute to mitigate depopulation, a dramatic process that has been continuously affecting the province for more than a century. With Dinópolis, the palaeontological resources are applied to a regional development project based on scientific leisure. The need to improve the quality of life for the inhabitants of Teruel and revitalize their economy, was precisely the trigger that motivated the creation of this model of development. Its greatest merit is to be a model of growth which puts together research and leisure facilities, and has generated more than 2.7 million visits since its opening in 2001. Keywords:: palaeontological facilities, rural development, scientific heritage, geotourism, depopulation
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- 2018
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21. Identifying Anaerobic Bacteria Using MALDI-TOF Mass Spectrometry: A Four-Year Experience
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Luis Alcalá, Mercedes Marín, Adrián Ruiz, Lidia Quiroga, Maribel Zamora-Cintas, María Antonia Fernández-Chico, Patricia Muñoz, and Belén Rodríguez-Sánchez
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MALDI-TOF ,mass spectrometry ,protein spectrum ,anaerobic bacteria ,routine identification ,Microbiology ,QR1-502 - Abstract
Because of the special culture requirements of anaerobic bacteria, their low growth-rate and the difficulties to isolate them, MALDI-TOF MS has become a reliable identification tool for these microorganisms due to the little amount of bacteria required and the accuracy of MALDI-TOF MS identifications. In this study, the performance of MALDI-TOF MS for the identification of anaerobic isolates during a 4-year period is described. Biomass from colonies grown on Brucella agar was directly smeared onto the MALDI-TOF target plate and submitted to on-plate protein extraction with 1μl of 100% formic acid. Sequencing analysis of the 16S rRNA gene was used as a reference method for the identification of isolates unreliably or not identified by MALDI-TOF MS. Overall, 95.7% of the isolates were identified to the species level using the updated V6 database vs 93.8% with previous databases lacking some anaerobic species; 68.5% of the total were reliably identified with high-confidence score values (≥2.0) and 95.0% with low-confidence values (score value ≥1.7). Besides, no differences between Gram-positive and Gram-negative isolates were detected beyond a slight decrease of correct species assignment for gram positive cocci (94.1% vs 95.7% globally). MALDI-TOF MS has demonstrated its usefulness for the identification of anaerobes, with high correlation with phenotypic and conventional methods. Over the study period, only 2.1% of the isolates could not be reliably identified and required molecular methods for a final identification. Therefore, MALDI-TOF MS provided reliable identification of anaerobic isolates, allowing clinicians to streamline the most appropriate antibiotic therapy and manage patients accordingly.
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- 2021
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22. A new goniopholidid crocodyliform, Hulkepholis rori sp. nov. from the Camarillas Formation (early Barremian) in Galve, Spain)
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Ignacio Arribas, Angela D. Buscalioni, Rafael Royo Torres, Eduardo Espílez, Luis Mampel, and Luis Alcalá
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Crocodyliform ,Goniopholididae ,Systematics ,Palatogenesis ,Postrostral module ,Cretaceous ,Medicine ,Biology (General) ,QH301-705.5 - Abstract
Background The neosuchian crocodyliform genus Hulkepholis constitutes the longirostral lineage of the European Goniopholididae. It comprises two species ranging from the Valanginian of southern England to the lower Albian of the northern Teruel (Spain). A new species of Hulkepholis is described based on a partially complete skull from the lower Barremian Camarillas Formation. We investigate its phylogenetic position and the palatal patterns among members of Goniopholididae and the closely related Thalattosuchia and Tethysuchia. Methods Phylogenetic relationships were investigated with two matrices using a previously published dataset as the basis: the first differed only by the addition of the new species, the second had newly discovered states for 11 characters, the new species plus several additional specimens of Hulkepholis and Anteophthalmosuchus. Both matrices were processed using TNT v. 1.1, in a heuristic analysis of maximum parsimony, with tree bisection and reconnection 1,000 random addition replicates and saving the 10 most parsimonious trees per replicate, and up to 10 suboptimal trees to calculate Bremer supports. The skull geometry of nine species from Thalattosuchia, Tethysuchia and Goniopholididae was explored to test shape variation between the rostral and postrostral modules, and to visualize the differences on the secondary palate. A set of 18 landmarks was used to delimit significant anatomical features, and the skulls were isotropically scaled using Adobe Illustrator, with the longest skull (Sarcosuchus imperator) as the baseline for comparison. Results The European lineages of goniopholidids are two clades (Nannosuchus + Goniopholis) plus (Hulkepholis + Anteophthalmosuchus). The new species, Hulkepholis rori sp. nov, shares with the latter clade the following apormorphies: a long anterolateral postorbital process, postorbital process almost reaching the anterior jugal ramus, and basioccipital tubera with lateral edges turned posteriorly. Anteophthalmosuchus was found to be monophyletic, and Hulkepholis paraphyletic due to the poor preservation of H. willetti. Hulkepholis rori is distinguished by having vascular fossae and a mid-protuberance on the ventral surface of the basioccipital, and wide internal fossae in the quadrate. Among Goniopholididae differences on the secondary palate are the presence of a palatal cleft, the narrowness of the secondary choana, and a wide foramen of the median pharyngeal tube. Conclusions The new species is the earliest Hulkepholis from the Iberian Peninsula. New characters have been recognized in the organization of the palate and in the occipital region raising unexpected questions on the evolution of Goniopholididae. The set of palatal characters is discussed as part of a singular palatogenesis in Goniopholididae. The protruding occipital areas suggest that the longirostral Hulkepholis would have had an aquatic lifestyle with particular neck and skull movements.
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- 2019
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23. Hints of the early Jehol Biota: important dinosaur footprint assemblages from the Jurassic-Cretaceous boundary Tuchengzi Formation in Beijing, China.
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Lida Xing, Jianping Zhang, Martin G Lockley, Richard T McCrea, Hendrik Klein, Luis Alcalá, Lisa G Buckley, Michael E Burns, Susanna B Kümmell, and Qing He
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Medicine ,Science - Abstract
New reports of dinosaur tracksites in the Tuchengzi Formation in the newly established Yanqing Global Geopark, Beijing, China, support previous inferences that the track assemblages from this formation are saurischian-dominated. More specifically, the assemblages appear theropod-dominated, with the majority of well-preserved tracks conforming to the Grallator type (sensus lato), thus representing relatively small trackmakers. Such ichnofaunas supplement the skeletal record from this unit that lacks theropods thus far, proving a larger diversity of dinosaur faunas in that region. Sauropods are represented by medium to large sized and narrow and wide-gauge groups, respectively. The latter correspond with earlier discoveries of titanosauriform skeletons in the same unit. Previous records of ornithischian tracks cannot be positively confirmed. Purported occurrences are re-evaluated here, the trackways and imprints, except of a single possible specimen, re-assigned to theropods. Palecologically the Tuchengzi ichnofauna is characteristic of semi-arid fluvio-lacustrine inland basins with Upper Jurassic-Lower Cretaceous deposits in northern China that all show assemblages with abundant theropod and sauropod tracks and minor components of ornithopod, pterosaur and bird tracks.
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- 2015
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24. The basal nodosaurid ankylosaur Europelta carbonensis n. gen., n. sp. from the Lower Cretaceous (lower Albian) Escucha Formation of northeastern Spain.
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James I Kirkland, Luis Alcalá, Mark A Loewen, Eduardo Espílez, Luis Mampel, and Jelle P Wiersma
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Medicine ,Science - Abstract
Nodosaurids are poorly known from the Lower Cretaceous of Europe. Two associated ankylosaur skeletons excavated from the lower Albian carbonaceous member of the Escucha Formation near Ariño in northeastern Teruel, Spain reveal nearly all the diagnostic recognized character that define nodosaurid ankylosaurs. These new specimens comprise a new genus and species of nodosaurid ankylosaur and represent the single most complete taxon of ankylosaur from the Cretaceous of Europe. These two specimens were examined and compared to all other known ankylosaurs. Comparisons of these specimens document that Europelta carbonensis n. gen., n. sp. is a nodosaur and is the sister taxon to the Late Cretaceous nodosaurids Anoplosaurus, Hungarosaurus, and Struthiosaurus, defining a monophyletic clade of European nodosaurids- the Struthiosaurinae.
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- 2013
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25. Ritual, tecnología y poder en una sociedad en transformación: la experiencia del pueblo e’ñepa de Venezuela
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Luis Alcalá Baillie
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Anthropology - Abstract
El presente artículo aborda los procesos de transformación evidenciados en los escenarios de la festividad o de la organización política, atendiendo a los actores y las tecnologías implicadas. Basado en un investigación con comunidades e’ñepa de Venezuela, el análisis pretende contribuir a la comprensión del impacto de la colonización y el desarrollismo en las sociedades indígenas, y en particular de la introducción del alcohol industrial. No obstante, estos fenómenos de aculturación no se ajustan a moldes obvios, sino que presentan ambigüedades, paradojas y singularidades, que nos conducen a reflexionar sobre la etnicidad y el método etnográfico.
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- 2023
26. Colitis pseudomembranosa.
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Soriano, Sara Quevedo, primary, Hernández, Luis Alcalá, additional, and Martínez, Brezo Martínez-Amores, additional
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- 2019
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27. APRENDER PASÁNDOLO DE PELÍCULA.
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Fernández, Cristina María Ruiz-Alberdi, primary, Rico, Cristina Micaela Palomera, additional, and Recuero, Jesús Luis Alcalá, additional
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- 2019
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28. TiO2 anatase's bulk and (001) surface, structural and electronic properties: A DFT study on the importance of Hubbard and van der Waals contributions
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Araujo-Lopez, Eduard, Varilla, Luis Alcala, Seriani, Nicola, and Montoya, Javier A.
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- 2016
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29. Symbiosis between Cretaceous dinosaurs and feather-feeding beetles
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Enrique Peñalver, David Peris, Sergio Álvarez-Parra, David A. Grimaldi, Antonio Arillo, Luis Chiappe, Xavier Delclòs, Luis Alcalá, José Luis Sanz, Mónica M. Solórzano-Kraemer, Ricardo Pérez-de la Fuente, Agencia Estatal de Investigación (España), Ministerio de Ciencia, Innovación y Universidades (España), Ministerio de Economía, Industria y Competitividad (España), Gobierno de Cantabria, and Generalitat de Catalunya
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Multidisciplinary ,Arthropod-dinosaur interaction ,Paleoecology ,Symbiosis ,Cretaceous ,Amber - Abstract
Extant terrestrial vertebrates, including birds, have a panoply of symbiotic relationships with many insects and arachnids, such as parasitism or mutualism. Yet, identifying arthropod¿vertebrate symbioses in the fossil record has been based largely on indirect evidence; findings of direct association between arthropod guests and dinosaur host remains are exceedingly scarce. Here, we present direct and indirect evidence demonstrating that beetle larvae fed on feathers from an undetermined theropod host (avian or nonavian) 105 million y ago. An exceptional amber assemblage is reported of larval molts (exuviae) intimately associated with plumulaceous feather and other remains, as well as three additional amber pieces preserving isolated conspecific exuviae. Samples were found in the roughly coeval Spanish amber deposits of El Soplao, San Just, and Peñacerrada I. Integration of the morphological, systematic, and taphonomic data shows that the beetle larval exuviae, belonging to three developmental stages, are most consistent with skin/hide beetles (family Dermestidae), an ecologically important group with extant keratophagous species that commonly inhabit bird and mammal nests. These findings show that a symbiotic relationship involving keratophagy comparable to that of beetles and birds in current ecosystems existed between their Early Cretaceous relatives., This work was supported by the project CRE, funded by the Spanish Agencia Estatal de Investigación (AEI)/European Regional Development Fund (FEDER)/European Union (EU) Grant CGL2017-84419, the project PGC2018-094034-B-C22 (Ministerio de Ciencia, Innovación y Universidades/AEI/FEDER, UE), the project CGL2014-52163, funded by the Spanish Ministry of Economy, Industry, and Competitiveness, and by the Consejería de Industria, Turismo, Innovación, Transporte y Comercio of the Gobierno de Cantabria through the public enterprise EL SOPLAO S.L. (research contract REF VAPC 20225428 to Centro Nacional Instituto Geológico y Minero de España-Consejo Superior de Investigaciones Científicas and research agreement #20963 with University of Barcelona, both for the period 2022 to 2025). S.Á.-P. is funded by a grant from the Secretary of Universities and Research of the Government of Catalonia and European Social Fund (2021FI_B2 00003), Results Amber Samples Studied Description of the Larval Exuviae Discussion Affinities of the Larvae Taphonomy Keratophagy Concluding Remarks Materials and Methods Amber Pieces Imaging Data, Materials, and Software Availability Acknowledgments Supporting Information References
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- 2023
30. Osteocalcin levels in a healthy population of western Mexico and comparison with populations from around the world
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Jesús, Nieto-Flores, José Rafael, Villafán-Bernal, Edgar Alfonso, Rivera-León, Iris Monserrat, Llamas-Covarrubias, Mercedes Elvira, González-Hita, Juan Luis, Alcalá-Zermeno, and Sergio, Sánchez-Enríquez
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Male ,Reference Values ,Osteocalcin ,Humans ,Female ,General Medicine ,Middle Aged ,Global Health - Abstract
Osteocalcin has been shown to have an inverse relationship with blood glucose, insulin resistance and adiposity.To determine osteocalcin normal serum concentration in Mexican healthy adults and compare it with values reported in other populations.Carboxylated and undercarboxylated osteocalcin serum concentrations were determined in 100 healthy adults by means of enzyme immunoassay; osteocalcin total concentration was calculated. A descriptive comparison was made with other populations' values reported in the literature.Carboxylated and undercarboxylated osteocalcin median concentrations were 3.22 ng/mL and 1.61 ng/mL, respectively. Mean total osteocalcin was 7.40 ± 5.11 ng/mL. There was no significant difference between the osteocalcin values in our population and those of populations where similar quantification methods to ours were used.Osteocalcin total serum concentration mean in the analyzed population was 7.40 ng/mL. There are subtle variations between populations that are attributable to genetic and population factors; however, the quantification method was the only variable that was shown to significantly influence on osteocalcin levels in healthy populations.Se ha demostrado que la osteocalcina tiene una relación inversa con la glucemia, resistencia a la insulina y adiposidad.Determinar la concentración sérica normal de osteocalcina en adultos sanos mexicanos y compararlos con los reportados en otras poblaciones.Se determinó la concentración sérica de osteocalcina carboxilada y pobremente carboxilada en 100 adultos sanos mediante inmunoensayo enzimático; se calculó la concentración de osteocalcina total. Se hizo una comparación descriptiva con valores de otras poblaciones reportadas en la literatura.Las medianas de las concentraciones de osteocalcina carboxilada y pobremente carboxilada fueron 3.22 ng/mL y 1.61 ng/mL, respectivamente; la media de osteocalcina total fue 7.40 ± 5.11 ng/mL. No hubo diferencia significativa entre los valores de osteocalcina total en nuestra población y los de poblaciones en las que se utilizaron métodos de cuantificación similares al nuestro.La concentración sérica promedio de osteocalcina total en la población analizada fue de 7.40 ng/mL. Las variaciones sutiles entre poblaciones son atribuibles a factores genéticos y poblacionales, sin embargo, el método de cuantificación fue el único que se comprobó influye significativamente en los niveles de osteocalcina en poblaciones sanas.
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- 2023
31. First importations of SARS-CoV-2 P.1 and P.2 variants from Brazil to Spain and early community transmission
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Pilar Catalán, Cristina Rodríguez-Grande, Darío García de Viedma, Carla Rico-Luna, Patricia Muñoz, Laura Pérez-Lago, Cristina Andrés-Zayas, Sergio Buenestado-Serrano, Carmen Losada, Luis Alcalá, and Pedro J Sola Campoy
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0301 basic medicine ,Microbiology (medical) ,viajeros ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,030106 microbiology ,Population ,Distribution (economics) ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Humans ,030212 general & internal medicine ,education ,Whole genome sequencing ,education.field_of_study ,SARS-CoV-2 ,business.industry ,Amazon rainforest ,importation ,COVID-19 ,importación ,P2 ,P1 ,Transmission (mechanics) ,Geography ,Spain ,travellers ,business ,Brazil ,Demography - Abstract
SARS-CoV-2variants of concern (VOC) have been described in the UK (B.1.1.7), South Africa (B.1.351) and Brazil (P.1). Among them, the most scarce information has been obtained from the P.1 variant and more data on its global presence and about its spreading dynamics are needed.Whole genome sequencing was performed prospectively on travellers arriving from Brazil and on a random selection of SARS-CoV-2 positive cases from our population.In this study we report the first SARS-CoV-2 P.1 and P.2 variants exported from Brazil to Spain. The case infected with the P.1 variant, who had only stayed in Rio de Janeiro, required hospitalisation. The two P.2 cases remained asymptomatic. A wider distribution for P.1 variant beyond the Brazilian Amazonia should be considered. The exportation of the P.2 variant, carrying the E484K mutation, deserves attention. One month after the first description of P.1 and P.2 importations from Brazil to Madrid, these variants were identified circulating in the community, in cases without a travel history, and involved in household transmissions.Whole genome sequencing of SARS-CoV-2 positive travellers arriving from Brazil allowed us to identify the first importations of P.1 and P.2 variants to Spain and their early community transmission.Se han descrito «variantes de preocupación» (VOC) de SARS-CoV-2 en el Reino Unido (B.1.1.7), Sudáfrica (B.1.351) y Brasil (P.1). Entre ellas, se dispone de información más escasa para la variante P.1 y se necesitan más datos sobre su presencia global y sobre su dinámica de expansión.Se realizó secuenciación del genoma completo de forma prospectiva de SARS-CoV-2 en viajeros procedentes de Brasil y en una selección aleatoria de casos positivos de SARS-CoV-2 de nuestra población.En este estudio reportamos las primeras variantes de SARS-CoV-2 P.1 y P.2 exportadas desde Brasil a España. El caso infectado por la variante P.1, que solo había permanecido en Río de Janeiro, requirió hospitalización. Los 2 casos de la variante P.2 permanecieron asintomáticos. Se debe considerar una distribución más amplia para la variante P.1 más allá de la Amazonía brasileña. La exportación de la variante P.2, que porta la mutación E484K, merece asimismo atención adicional. Un mes después de la primera descripción de las importaciones de P.1 y P.2 de Brasil a Madrid, se identificaron estas variantes circulando en la comunidad, en casos sin antecedentes de viaje, e implicadas en transmisiones domiciliarias.La secuenciación de genoma completo de viajeros positivos para SARS-CoV-2 procedentes de Brasil nos permitió identificar las primeras importaciones de variantes P.1 y P.2 a España y su transmisión comunitaria precoz.
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- 2022
32. The role of biofilm production in Cutibacterium acnes strains isolated from breast implants
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J.M. Lasso, Luis Alcalá, María C. Latorre, Michele Castellano, Rosa Pérez-Cano, Emilio Bouza, María Guembe, and Patricia Muñoz
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medicine.medical_specialty ,Cutibacterium acnes ,business.industry ,Breast Implants ,Biofilm ,Capsular contracture ,Surgery ,Microbiology ,Pathogenesis ,Biofilms ,medicine ,Humans ,Propionibacterium acnes ,skin and connective tissue diseases ,business ,Metabolic activity ,Breast Implantation - Abstract
SUMMARY The role of C. acnes biofilm production in the pathogenesis of breast implants infections has not been deeply assessed. We analyze biofilm production (in terms of biomass and metabolic activity) between 40 Cutibacterium acnes strains isolated from breast implants and 32 from other sites. C. acnes strains isolated from breast implants showed higher metabolic activity than those isolated from other-locations and, especially, those from patients with capsular contracture.
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- 2022
33. PROBLEMAS Y DIFICULTADES A LOS QUE SE ENFRENTA LA MICROEMPRESA
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Villarreal, José Luis Alcalá, primary
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- 2017
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34. Real-world Use of Bezlotoxumab and Fecal Microbiota Transplantation for the Treatment of Clostridioides difficile Infection
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Sofía de la Villa, Sergio Herrero, Patricia Muñoz, Carmen Rodríguez, Maricela Valerio, Elena Reigadas, Ana Álvarez-Uría, Luis Alcalá, Mercedes Marín, María Olmedo, Martha Kestler, Esther Chamorro, and Emilio Bouza
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Infectious Diseases ,Oncology - Abstract
Background We aimed to describe the frequency of use and effectiveness of bezlotoxumab (BZX) and fecal microbiota transplantation (FMT) in patients with Clostridioides difficile infection (CDI) in real-world practice. Methods This was a retrospective study conducted in a university hospital in which adult patients treated with BZX or FMT from January 2018 to April 2021 were included. The primary objective was to evaluate the effectiveness of BZX and FMT in preventing early (within 8 weeks) and late (within 1 year) CDI recurrences (rCDI). A multivariate analysis of risk factors for early recurrence was performed. Results Of 1377 consecutive CDI episodes, 117 (8.5%) received BZX or FMT, with full information available for 100 of the episodes: 51 received BZX, and 49 received FMT. BZX was used mostly in immunosuppressed patients (66.7%) and in first episodes or first recurrences in 70.6% of the cases. FMT was prescribed only in CDI recurrences. Despite the different conditions of the patients, there were no significant differences between BZX and FMT in preventing early rCDI (19.6% vs 24.5%; P = .55) or late rCDI (9.8% vs 18.4%; P = .31). In the multivariate analysis, risk factors for recurrence were presence of ≥2 previous rCDI episodes (odds ratio [OR], 2.90; 95% CI, 1.03–8.63) and use of non-CDI antibiotics (OR, 3.45; 95% CI, 1.24–9.57). Conclusions BZX and FMT were infrequently used in real-world practice. Both treatments had similar effectiveness in preventing CDI recurrence despite their application to different populations.
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- 2023
35. SARS‐CoV‐2 superinfection and reinfection with three different strains
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Pilar Catalán, Luis Alcalá, Rubén Francisco Flores-García, Cristina Rodríguez-Grande, Darío García de Viedma, Sergio Buenestado-Serrano, Laura Pérez-Lago, Martha Kestler, Pedro J Sola-Campoy, Patricia Muñoz, Marta Herranz, Julia Suárez-González, and Carolina Martínez-Laperche
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2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Short Communication ,viruses ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Virus diseases ,medicine.disease_cause ,SARS‐CoV‐2 ,Disease Outbreaks ,COVID‐19 ,genomics ,medicine ,Animals ,Nosocomial outbreak ,General Veterinary ,General Immunology and Microbiology ,SARS-CoV-2 ,business.industry ,COVID-19 ,virus diseases ,General Medicine ,After discharge ,Virology ,Reinfection ,Superinfection ,business - Abstract
We report a corona virus disease (COVID‐19) case with unprecedented viral complexity. In the first severe episode, two different severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) strains (superinfection) were identified within a week. Three months after discharge, the patient was readmitted and was infected in a nosocomial outbreak with a different strain, suffering a second milder COVID‐19 episode.
- Published
- 2021
36. Evidence of Fluconazole-Resistant Candida parapsilosis Genotypes Spreading across Hospitals Located in Madrid, Spain and Harboring the Y132F ERG11p Substitution
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Judith Díaz-García, Ana Gómez, Luis Alcalá, Elena Reigadas, Carlos Sánchez-Carrillo, Ana Pérez-Ayala, Elia Gómez-García de la Pedrosa, Fernando González-Romo, Paloma Merino-Amador, María Soledad Cuétara, Coral García-Esteban, Inmaculada Quiles-Melero, Nelly Daniela Zurita, María Muñoz-Algarra, Isabel Sánchez-Romero, María Teresa Durán-Valle, Aída Sánchez-García, Eva Alcoceba, Patricia Muñoz, Pilar Escribano, and Jesús Guinea
- Subjects
Pharmacology ,Infectious Diseases ,Antifungal Agents ,Candida parapsilosis ,Genotype ,Susceptibility ,Drug Resistance, Fungal ,Spain ,Humans ,Pharmacology (medical) ,Microbial Sensitivity Tests ,Fluconazole ,Hospitals - Abstract
We have been monitoring the antifungal resistance in Candida parapsilosis isolates collected from inpatients at Madrid metropolitan area hospitals for the last 3 years. The study aimed to elucidate the presence of fluconazole-resistant C. parapsilosis genotypes in Madrid. From January 2019 to December 2021, a total of 354 C. parapsilosis isolates (n = 346 patients) from blood (76.6%) or intraabdominal samples were collected and genotyped using species-specific microsatellite markers. Antifungal susceptibilities to amphotericin B, the triazoles, micafungin, anidulafungin, and ibrexafungerp were performed according to EUCAST E.Def 7.3.2; the ERG11 gene was sequenced in fluconazole-resistant isolates. A total of 13.6% (n = 48/354) isolates (one per patient) were found to be resistant to fluconazole and non-wild-type to voriconazole but fully susceptible to ibrexafungerp. Resistant isolates were mostly sourced from blood (n = 45/48, 93.8%) and were detected in five hospitals. Two hospitals accounted for a high proportion of resistant isolates (n = 41/48). Resistant isolates harbored either the Y132F ERG11p amino acid substitution (n = 43) or the G458S substitution (n = 5). Isolates harboring the Y132F substitution clustered into a clonal complex involving three genotypes (one genotype accounted for n = 39/43 isolates) that were found in four hospitals. Isolates harboring the G458S substitution clustered into another genotype found in a fifth hospital. C. parapsilosis genotypes demonstrating resistance to fluconazole have been spreading across hospitals in Madrid, Spain. Over the last 3 years, the frequency of isolation of such isolates and the number of hospitals affected is on the rise.
- Published
- 2022
37. Different dynamics of mean SARS‐CoV‐2 RT‐PCR Ct values between the first and second COVID‐19 waves in the Madrid population
- Author
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Cristina Rodríguez-Grande, Sergio Buenestado-Serrano, Luis Alcalá, Javier Adán-Jiménez, Sandra Rodríguez-Maus, Fermín Acosta, Patricia Muñoz, Laura Pérez-Lago, Jon Sicilia, Darío García de Viedma, Marta Herranz, and Pilar Catalán
- Subjects
medicine.medical_specialty ,2019-20 coronavirus outbreak ,RT‐PCR ,Coronavirus disease 2019 (COVID-19) ,040301 veterinary sciences ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Population ,Gastroenterology ,SARS‐CoV‐2 ,0403 veterinary science ,03 medical and health sciences ,COVID‐19 ,Internal medicine ,medicine ,Animals ,Serologic Tests ,education ,first wave ,030304 developmental biology ,0303 health sciences ,education.field_of_study ,Cycle threshold ,General Veterinary ,General Immunology and Microbiology ,Reverse Transcriptase Polymerase Chain Reaction ,SARS-CoV-2 ,business.industry ,COVID-19 ,dynamics ,04 agricultural and veterinary sciences ,General Medicine ,Viral Load ,second wave ,Real-time polymerase chain reaction ,Rapid Communications ,business ,Cts ,Viral load ,Rapid Communication - Abstract
SARS‐CoV‐2 RT‐PCR cycle threshold values from 18,803 cases (2 March–4 October) in Madrid define three stages: (i) initial ten weeks with sustained reduction in viral load (Ct: 23.4–32.3), (ii) stability with low viral loads (Ct: 31.9–35.5) in the next nine weeks and (iii) sudden increase with progressive higher viral loads until reaching stability at high levels in the next twelve weeks, coinciding with an increased percentage of positive cases and reduced median age. These data indicate differential virological/epidemiological patterns between the first and second COVID‐19 waves in Madrid.
- Published
- 2021
38. Diversity of large ornithopod dinosaurs in the upper Hauterivian-lower Barremian (Lower Cretaceous) of Teruel (Spain): a morphometric approach
- Author
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Luis Alcalá, Francisco Javier Verdú, Alberto Cobos, and Rafael Royo-Torres
- Subjects
Dorsum ,Paleontology ,biology ,Range (biology) ,Iguanodon ,Structural basin ,biology.organism_classification ,QE701-760 ,Cretaceous ,Geology ,Ornithopod - Abstract
We report some large ornithopod vertebrae from two upper Hauterivian-lower Barremian (Lower Cretaceous) localities in El Castellar (Maestrazgo Basin, Teruel,Spain).These fossils have been studied systematically as well as morphometrically using a multivariate analysis in order to analyse the diversity of the sample. In fact, principal component analysis has been demonstrated as a useful tool for establishing affinities in isolated iguanodontian vertebrae, at least when size effect is not removed from the analysed dataset. As result of this study, twolarge indeterminate styracosternans are distinguished in the sample: a large one with platycoelus anterior caudal vertebrae related to the genera Magnamanus and Iguanodon , and a middle-sized one with longer-than-high dorsal vertebrae and amphicoelus anterior caudal vertebrae related to Morelladon . Such diversity of large ornithopods observed in the upper Hauterivian-lower Barremian of the Maestrazgo Basin is similar to that previously observed in Western Cameros Basin and it demonstrates the presence of at least two different forms of styracosternan in this stratigraphic range of the Iberian Peninsula.
- Published
- 2021
39. Blood and intra-abdominal Candida spp. from a multicentre study conducted in Madrid using EUCAST: emergence of fluconazole resistance in Candida parapsilosis, low echinocandin resistance and absence of Candida auris
- Author
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Judith, Díaz-García, Ana, Gómez, Marina, Machado, Luis, Alcalá, Elena, Reigadas, Carlos, Sánchez-Carrillo, Ana, Pérez-Ayala, Elia, Gómez-García De La Pedrosa, Fernando, González-Romo, María Soledad, Cuétara, Coral, García-Esteban, Inmaculada, Quiles-Melero, Nelly Daniela, Zurita, María, Muñoz-Algarra, María Teresa, Durán-Valle, Aída, Sánchez-García, Patricia, Muñoz, Pilar, Escribano, Jesús, Guinea, and Arturo Manuel Fraile, Torres
- Subjects
Pharmacology ,Microbiology (medical) ,Echinocandins ,Infectious Diseases ,Candida parapsilosis ,Antifungal Agents ,Drug Resistance, Fungal ,Humans ,Pharmacology (medical) ,Microbial Sensitivity Tests ,Candida auris ,Fluconazole ,Candida - Abstract
Objectives We prospectively monitored the epidemiology and antifungal susceptibility of Candida spp. from blood cultures and intra-abdominal samples in patients admitted to hospitals in the Madrid area. Methods Between 2019 and 2021, we prospectively collected incident isolates [one per species, patient and compartment (blood cultures versus intra-abdominal samples)] from patients admitted to any of 16 hospitals located in Madrid. We studied the antifungal susceptibilities to amphotericin B, triazoles, micafungin, anidulafungin and ibrexafungerp following the EUCAST E.Def 7.3.2 procedure. Results A total of 2107 Candida spp. isolates (1895 patients) from blood cultures (51.7%) and intra-abdominal samples were collected. Candida albicans, the Candida glabrata complex, the Candida parapsilosis complex, Candida tropicalis and Candida krusei accounted for 96.9% of the isolates; in contrast, Candida auris was undetected. Fluconazole resistance in Candida spp. was higher in blood cultures than in intra-abdominal samples (9.1% versus 8.2%; P > 0.05), especially for the C. parapsilosis complex (16.6% versus 3.6%, P 0.05). Resistance rates have risen, particularly for fluconazole in blood culture isolates, which increased sharply in 2021. Ibrexafungerp showed in vitro activity against most isolates. Species distributions and resistance rates varied among hospitals. Conclusions Whereas no C. auris isolates were detected, fluconazole-resistant C. parapsilosis isolates have been spreading across the region and this has pulled up the rate of fluconazole resistance. In contrast, the rate of echinocandin resistance continues to be low.
- Published
- 2022
40. High incidence of COVID-19 at nursing homes in Madrid, Spain, despite preventive measures
- Author
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Pilar Escribano, María Jesús Pérez-Granda, Roberto Alonso, Pilar Catalán, Luis Alcalá, José Antonio Serra-Rexarch, Laura Osuna, Alejandro Fernández, Aurora Conti, Alberto Castellanos, Jesús Guinea, Patricia Muñoz, and Emilio Bouza
- Subjects
Microbiology (medical) ,Pharmacology ,SARS-CoV-2 ,Spain ,Immunoglobulin G ,Incidence ,Communicable Disease Control ,COVID-19 ,Humans ,General Medicine ,Nursing Homes - Abstract
Objective. To assess the impact of COVID-19 at nine nursing homes in Madrid, Spain, during the first wave of COVID-19 infection and lockdown period when preventive measures were taken to avoid transmission among residents. Methods. Nine hundred forty-two residents and 846 staff members from nine nursing homes participated in the study (April 18 to June 20, 2020). All participants were tested for SARS-CoV-2 in the nasopharynx by PCR and for IgG antibodies detection. Microbiological status at sampling was defined as active infection (positive PCR ± presence of antibodies), past infection (negative PCR + presence of antibodies), or naïve participants (negative PCR + absence of antibodies). Results. Laboratory results helped classify the residents as having active infection (n=224; 23.8%), past infection (n=462; 49.1%), or being naïve (n=256; 27.1%); staff members were actively infected (n=127; 15.1%), had had a past infection (n=290; 34.2%), or were naïve (n=429; 50.7%). Overall, the percentage of participants with COVID-19 was significantly higher in residents than in staff members (72.8% vs 49.2%; P=0.001). The clinical situation of residents vs staff at sampling was as follows: acute manifestations compatible with COVID-19 (7.3% vs 3.9%; P
- Published
- 2022
41. Cretaceous amniote integuments recorded through a taphonomic process unique to resins
- Author
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Xavier Delclòs, Luis Alcalá, Sergio Álvarez-Parra, Enrique Peñalver, and Mónica M. Solórzano-Kraemer
- Subjects
0301 basic medicine ,010506 paleontology ,Scale (anatomy) ,Cretaci ,Taphonomy ,Arthropoda ,lcsh:Medicine ,01 natural sciences ,Article ,03 medical and health sciences ,Paleontology ,biology.animal ,Ambre ,Espanya ,lcsh:Science ,Process (anatomy) ,0105 earth and related environmental sciences ,Multidisciplinary ,Cretaceous Period ,biology ,Ecology ,Artròpodes ,lcsh:R ,Vertebrate ,biology.organism_classification ,Cretaceous ,Amber ,The integument ,Environmental sciences ,030104 developmental biology ,Spain ,Amniote ,lcsh:Q ,Geology - Abstract
Fossil records of vertebrate integuments are relatively common in both rocks, as compressions, and amber, as inclusions. The integument remains, mainly the Mesozoic ones, are of great interest due to the panoply of palaeobiological information they can provide. We describe two Spanish Cretaceous amber pieces that are of taphonomic importance, one bearing avian dinosaur feather remains and the other, mammalian hair. The preserved feather remains originated from an avian dinosaur resting in contact with a stalactite-shaped resin emission for the time it took for the fresh resin to harden. The second piece shows three hair strands recorded on a surface of desiccation, with the characteristic scale pattern exceptionally well preserved and the strands aligned together, which can be considered the record of a tuft. These assemblages were recorded through a rare biostratinomic process we call “pull off vestiture” that is different from the typical resin entrapment and embedding of organisms and biological remains, and unique to resins. The peculiarity of this process is supported by actualistic observations using sticky traps in Madagascar. Lastly, we reinterpret some exceptional records from the literature in the light of that process, thus bringing new insight to the taphonomic and palaeoecological understanding of the circumstances of their origins.
- Published
- 2020
42. Detection of SARS-CoV-2 antibodies is insufficient for the diagnosis of active or cured COVID-19
- Author
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Pilar Catalán, Ana Álvarez-Uría, Jesús Guinea, Roberto Alonso, Patricia Muñoz, Luis Alcalá, and Pilar Escribano
- Subjects
Male ,0301 basic medicine ,medicine.medical_specialty ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,lcsh:Medicine ,Sensitivity and Specificity ,Asymptomatic ,Gastroenterology ,Article ,COVID-19 Serological Testing ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Humans ,Medicine ,COVID-19 ,Infectious-disease diagnostics ,Diagnostic markers ,030212 general & internal medicine ,lcsh:Science ,Aged ,Multidisciplinary ,biology ,business.industry ,lcsh:R ,Emergency department ,Middle Aged ,030104 developmental biology ,Cohort ,biology.protein ,Female ,lcsh:Q ,Reagent Kits, Diagnostic ,medicine.symptom ,Antibody ,business - Abstract
We assessed the performance of Abbott's SARS-CoV-2 IgG assay and the PanbioTM COVID-19 IgG/IgM rapid test device for the diagnosis of either active or cured COVID-19. Three cohorts of patients were chosen. Cohort 1, patients (n = 65) who attended the emergency department on March 30, 2020 with clinical suspicion of active COVID-19 (n = 56 with proven/probable COVID-19). Cohort 2, hospital workers (n = 92) who had either been (n = 40) or not (n = 52) diagnosed with proven/probable COVID-19 and were asymptomatic at the time of the sampling. Cohort 3, patients (n = 38) cared at the hospital before the start of the COVID-19 pandemic. Detection of serum antibodies was done using Abbott´s SARS-CoV-2 IgG assay and the PanbioTM COVID-19 IgG/IgM device. Both methods showed 98% agreement for IgG detection. No antibodies were detected in the 38 samples from hospitalized pre-COVID subjects. The diagnostic performance of IgGs detected by Abbott´s SARS-CoV-2 assay in Cohorts 1/2 was: sensitivity (60.7%/75%) and specificity (100%/84.6%). The diagnostic performance of IgM by PanbioTM COVID-19 in Cohorts 1/2 was: sensitivity (16%/17.5%) and specificity (100%/98.1%). We show that IgG detection alone is insufficient for the diagnosis of active or cured COVID-19. IgM detection has a limited diagnostic value.
- Published
- 2020
43. Origin and evolution of turiasaur dinosaurs set by means of a new ‘rosetta’ specimen from Spain
- Author
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Luis Alcalá, Alberto Cobos, Pedro Mocho, and Rafael Royo-Torres
- Subjects
0106 biological sciences ,Set (abstract data type) ,010506 paleontology ,Paleontology ,Animal Science and Zoology ,Biology ,010603 evolutionary biology ,01 natural sciences ,Ecology, Evolution, Behavior and Systematics ,0105 earth and related environmental sciences - Abstract
Turiasauria is a non-neosauropod eusauropod clade of dinosaurs known since 2006, when the description of Turiasaurus was published. This group, including Losillasaurus, was originally thought to have been restricted to the Late Jurassic of Spain. However, over the last decade, our knowledge of this group has improved with the discovery of new taxa such as Zby from the Portuguese Late Jurassic, Tendaguria from the Tanzanian Late Jurassic and Mierasaurus and Moabosaurus from the Early Cretaceous of the USA. Here, we describe a new specimen of Losillasaurus from Spain, which allows us to better understand the character variation in the cranial and postcranial skeleton. The review of some sauropod fauna of Madagascar, and inclusion of some specimens of Turiasauria, suggest that this clade might have arisen in the Middle Jurassic. According to our phylogenetic results, a specimen found in the early 19th century in Madagascar is shown to be the oldest and only member of Turiasauria represented in the Middle Jurassic thus far. This is named Narindasaurus thevenini gen. & sp. nov.. Turiasauria is thus known from the Middle Jurassic in Pangaea, diversified in the Late Jurassic in Gondwana and Laurasia, and dispersed during the Early Cretaceous to North America.
- Published
- 2020
44. European Goniopholididae from the Early Albian Escucha Formation in Ariño (Teruel, Aragón, Spain)
- Author
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Eduardo Espílez, Angela D. Buscalioni, Luis Alcalá, and Luis Mampel
- Subjects
Frontal crest ,biology ,neosuchia, goniopholididae, lower albian, oliete sub-basin, maestrazgo basin, iberian peninsula, palaeobiogeography ,Anteophthalmosuchus ,Goniopholididae ,Paleontology ,biology.organism_classification ,Archaeology ,QE701-760 ,Cretaceous ,Geography ,medicine.anatomical_structure ,Taxon ,Barrier island ,Sympatric speciation ,medicine ,Goniopholis - Abstract
Although goniopholidids constitute the most abundant remains of the Lower Cretaceous record of the Iberian Peninsula crocodilians, few specimens have been found complete enough to provide precise taxonomic determinations. The palaeontological site of Mina Santa Maria in Arino (Teruel, Early Albian Escucha Formation) has yielded several neosuchian monotaxic concentrations. The skulls discovered at the Arino Mine show a character combination linking them to the latter European species. The Arino skulls share apomorphies with Anteophthalmosuchus hooleyi, Goniopholis willetti (e.g., loss of the transverse frontal crest and of the prefrontal-lachrymal crest, supratemporal fossa larger than the orbit and supratemporal fenestra subequal, among other derived characters). The new taxa, Hulkepholis plotos gen. n., sp. n. and Anteophthalmosuchus escuchae sp. n., are herein erected, and they constitute the most recent record of their clade in Europe. These sympatric species lived in a coastal marsh system with barrier islands and lagoon
- Published
- 2020
45. On small quadrupedal ornithopod tracks in Jurassic-Cretaceous transition intertidal deposits (El Castellar, Teruel, Spain)
- Author
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Luis Mampel, Luis Alcalá, Rafael Royo-Torres, and Alberto Cobos
- Subjects
biology ,Ankylopollexia ,Manus ,Intertidal zone ,Paleontology ,biology.organism_classification ,Archaeology ,QE701-760 ,Cretaceous ,Geography ,Quadrupedalism ,ornithopod, tracksite, villar del arzobispo formation, tithonian-berriasian, iberian range ,Ornithopod - Abstract
The study of an undescribed part of the El Pozo tracksite in El Castellar (Teruel, Spain) has revealed two new trackways made by small ornithopods showing new evidences of basal ornithopods pes and manus track morphologies in the Jurassic-Cretaceous transition. The site lies within the Villar del Arzobispo Formation, which was deposited during the Tithonian-Berriasian in an environment under the influence of tides. The pes tracks are small tridactyl tracks, the digits are similar in size, and the heel is open and rounded. The presence of oval manus tracks in front of the tridactyl tracks is one of the trackways confirms that the dinosaur is a representative of the dryosaurid or the basal Ankylopollexia clades. These tracks are smaller than those described for the Las Cerradicas site, also located in Teruel and in the same formation; consequently, these tracks from El Pozo site constitute some of the smallest ornithopods trackways with quadrupedal locomotion ever described in the world. In addition, in the same tracksite bed, there are some poorly preserved tracks attributed to big quadrupedal dinosaur
- Published
- 2020
46. Late Jurassic-Early Cretaceous freshwater bivalves from Turiasaurus riodevensis bearing strata of Teruel (Spain)
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Rafael Royo-Torres, Graciela Delvene, Alberto Cobos, Martin Munt, and Luis Alcalá
- Subjects
Freshwater bivalve ,biology ,Range (biology) ,margaritiferidae, tithonian-berriasian, riodeva (teruel), europe ,Paleontology ,Turiasaurus ,biology.organism_classification ,Archaeology ,QE701-760 ,Cretaceous ,Taxon ,Margaritiferidae ,Margaritifera ,Geology - Abstract
Three freshwater bivalve taxa are described from the Villar del Arzobispo Formation (Late Jurassic-Early Cretaceous) of Riodeva, Teruel, Spain. The stratigraphic range of the large and geographically widely distributed bivalve Margaritifera, previously recorded from the Early Cretaceous of Spain and southern England, is recognised to extend back probably into the Late Jurassic. This new record extends the palaeogeographic and temporal distribution of the family Margaritiferidae in Europe
- Published
- 2020
47. Fast track SSTI management program based on a rapid molecular test (GeneXpert® MRSA/SA SSTI) and antimicrobial stewardship
- Author
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Luis Alcalá, María Auxiliadora Semiglia-Chong, Almudena Burillo, Ana Álvarez-Uría, Raffaella Onori, and Emilio Bouza
- Subjects
Male ,Microbiological Techniques ,0301 basic medicine ,Antibiotics ,lcsh:QR1-502 ,lcsh:Microbiology ,law.invention ,Cohort Studies ,Antimicrobial Stewardship ,0302 clinical medicine ,law ,Immunology and Allergy ,Antimicrobial stewardship ,Prospective Studies ,030212 general & internal medicine ,Skin ,Aged, 80 and over ,GeneXpert MTB/RIF ,General Medicine ,Middle Aged ,Staphylococcal Infections ,Clostridium difficile ,Abscess ,Diabetic Foot ,Hospitals ,Anti-Bacterial Agents ,Infectious Diseases ,Gram staining ,Molecular Diagnostic Techniques ,Cellulitis ,Cohort ,Female ,Algorithms ,Methicillin-Resistant Staphylococcus aureus ,Microbiology (medical) ,Staphylococcus aureus ,medicine.medical_specialty ,medicine.drug_class ,030106 microbiology ,03 medical and health sciences ,Internal medicine ,medicine ,Humans ,Aged ,General Immunology and Microbiology ,business.industry ,Soft Tissue Infections ,medicine.disease ,Diabetic foot ,business - Abstract
Purpose: This study examines the impacts of a skin and soft tissue infection (SSTI) management program involving a rapid diagnostic algorithm (Gram stain plus real-time PCR, GeneXpert® MRSA/SA SSTI) performed directly on clinical samples plus antimicrobial stewardship (AMS) counseling of the responsible physician. Methods: Participants were 155 consecutive adult inpatients with SSTI and good quality clinical samples submitted to the microbiology laboratory from April 2016 to January 2017. Results of the rapid test and AMS recommendations were phoned through to the responsible physician. The comparison group was a historical cohort. Results: Most SSTI were surgical wound infections (41.3% vs 38.1% for the intervention and comparison groups respectively) followed by diabetic foot (14.2% and 18.1%), abscesses (13.5% both) and cellulitis (12.9% both). Isolated microorganisms were mostly Gram-negative bacilli (two-thirds), followed by Staphylococcus aureus (SA). The ratio methicillin-susceptible SA (MSSA) to methicillin-resistant SA (MRSA) was 4:1. Improvements in the intervention cohort were: DOT (22.0 vs. 24.3 days, p = 0.007), treatment duration per SSTI episode (14.1 vs. 15.0 days, p = 0.072), treatment cost (433.1 vs. 533.3 €, p = 0.039), length of stay (18.6 vs 20.7 days, p = 0.031), related mortality (1 vs. 4 patients, p = 0.022) and Clostridium difficile infection (CDI) (4 vs. 8 patients, p = 0.050). In 48 cases (31.4%) in the intervention group, advice was given to improve empiric antibiotic treatment. Conclusion: This type of program could help adjust antibiotic treatment when inappropriate, reducing antibiotic use and costs, length of stay, CDI and related mortality. Keywords: Antimicrobial stewardship, GeneXpert® MRSA/SA SSTI, Microbiological techniques, Rapid diagnosis, Soft tissue infections
- Published
- 2020
48. Severity of gastrointestinal bleeding is similar between patients receiving direct oral anticoagulants or vitamin K antagonists
- Author
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Luis Alcalá-González, César Jiménez, Vicente Cortina, Alba Jiménez, María Cerdá, Erik Johansson, Pável Olivera, Amparo Santamaría, and Carmen Alonso-Cotoner
- Subjects
Vitamin K ,Fibrinolytic Agents ,Acute Disease ,Gastroenterology ,Administration, Oral ,Anticoagulants ,Humans ,Hospital Mortality ,General Medicine ,Gastrointestinal Hemorrhage - Abstract
Gastrointestinal bleeding (GIB) is a common adverse event related to anticoagulation therapy. However, evidence comparing the severity, etiology and outcome of GIB in patients taking direct oral anticoagulants (DOAC) vs. vitamin K antagonists (VKA) is scarce.To evaluate the severity, etiology and outcomes of GIB in patients under DOACs compared to VKA.Patients under oral anticoagulant therapy admitted to the emergency department with acute GIB were prospectively recruited from July 2016 to January 2018 at a tertiary referral hospital. Demographic and clinical outcome were obtained from medical records. Severity of the GIB event was classified as mild, major or severe according to clinical presentation and the type of support needed. Etiology and location of bleeding, number of packed red blood cells transfused (PRBC) and length of hospital stay were recorded until discharge or in-hospital death.A total of 208 patients with acute GIB under oral anticoagulant treatment were recruited: 119 patients were on VKA and 89 patients on DOAC with similar characteristics. Thirty-one patients had severe GIB; 134 major and 43 mild, with no differences in severity, number of PRBC and length of hospital stay between the groups. Peptic disease was the most frequent etiology of GIB in patients on VKA (20.2 % vs. 13.6%, p=0.20). Diverticular bleeding was the most frequent adverse event in patients on DOAC (14.3% vs. 24.8%, p= 0.056).Severity and clinical outcomes of GIB are similar between patients on DOAC and patients on VKA, regardless of etiology of GIB.
- Published
- 2022
49. Pliocene Archaeology at Lomekwi 3? New Evidence Fuels More Skepticism
- Author
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Manuel Domínguez-Rodrigo and Luis Alcalá
- Subjects
Cultural Studies ,Archeology ,History ,Lomekwi ,Visual Arts and Performing Arts ,Anthropology ,media_common.quotation_subject ,African studies ,Skepticism ,media_common - Published
- 2019
50. SARS-CoV-2 B.1.1.7 Decline Is Not Driven by the Introduction of a More Successful Variant
- Author
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Pilar Catalán, Luis Alcalá, Darío García de Viedma, Sergio Buenestado-Serrano, Víctor Manuel de la Cueva García, Carmen Losada, Cristina Rodríguez-Grande, Pedro J Sola-Campoy, Javier Adán-Jiménez, Patricia Muñoz, Laura Pérez-Lago, Álvaro Otero-Sobrino, Andrea Molero-Salinas, Carla Rico-Luna, and Jorge Rodríguez-Grande
- Subjects
Microbiology (medical) ,Delta ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Physiology ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Zoology ,Alpha (ethology) ,Observation ,Biology ,variants of concern ,Microbiology ,Genetics ,Humans ,Phylogeny ,Whole Genome Sequencing ,General Immunology and Microbiology ,Ecology ,SARS-CoV-2 ,COVID-19 ,Genomics ,Cell Biology ,QR1-502 ,Infectious Diseases ,Spain ,Mutation - Abstract
The SARS-CoV-2 variant of concern (VOC) Delta (B.617.2 lineage) displaced the predominant VOC Alpha (B.1.1.7 lineage) in the United Kingdom. In Madrid, recent start of the decline of predominant VOC Alpha suggested an equivalent phenomenon. However, 11 different variants, none overrepresented in frequency, occupied progressively over a period of 7 weeks the niche previously dominated by VOC Alpha. Only after these 7 weeks, VOC Delta started to emerge. Viral competition due to the entry of VOC Delta is not the major force driving the start of VOC Alpha decline in Madrid. IMPORTANCE Our data indicate that the dynamics of SARS-CoV-2 VOCs turnover in our setting differ from those proposed for other countries. A systematic genomic analysis, updated on a weekly basis, of representative randomly selected samples of SARS-CoV-2 circulating variants allowed us to define a lapse of 7 weeks between the start of VOC Alpha decline and the final emergence of VOC Delta. During this period, VOC Alpha showed a sustained decline, while 11 VOCs, variants of interest (VOIs), and other identified variants, none overrepresented, occupied the niche left by VOC Alpha. Only after these 7 weeks, emergence of VOC Delta occurred, indicating that viral competition involving VOC Delta was not the exclusive direct driving force behind the starting of VOC Alpha decline.
- Published
- 2021
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