156 results on '"Requena, S"'
Search Results
2. Optimization of a sustainable biocatalytic process for the synthesis of ethylhexyl fatty acids esters
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Murcia, M.D., Serrano-Arnaldos, M., Ortega-Requena, S., Máximo, F., Bastida, J., and Montiel, M.C.
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- 2020
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3. Reaction strategies for the enzymatic synthesis of neopentyl glycol diheptanoate
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Serrano-Arnaldos, M., García-Martínez, J.J., Ortega-Requena, S., Bastida, J., Máximo, F., and Montiel, M.C.
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- 2020
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4. Drug-Induced Lung Injury in a Liver Transplant Patient Treated With Sofosbuvir
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Benítez-Gutiérrez, L., de Mendoza, C., Baños, I., Duca, A., Arias, A., Treviño, A., Requena, S., Citores, M.J., and Cuervas-Mons, V.
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- 2016
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5. Electrical Stimulation Increases Axonal Growth from Dorsal Root Ganglia Co-Cultured with Schwann Cells in Highly Aligned PLA-PPy-Au Microfiber Substrates
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Gisbert Roca F, Serrano Requena S, Monleón Pradas M, and Martínez-Ramos C
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Nerve regeneration is a slow process that needs to be guided for distances greater than 5 mm. For this reason, different strategies are being studied to guide axonal growth and accelerate the axonal growth rate. In this study, we employ an electroconductive fibrillar substrate that is able to topographically guide axonal growth while accelerating the axonal growth rate when subjected to an exogenous electric field. Dorsal root ganglia were seeded in co-culture with Schwann cells on a substrate of polylactic acid microfibers coated with the electroconductive polymer polypyrrole, adding gold microfibers to increase its electrical conductivity. The substrate is capable of guiding axonal growth in a highly aligned manner and, when subjected to an electrical stimulation, an improvement in axonal growth is observed. As a result, an increase in the maximum length of the axons of 19.2% and an increase in the area occupied by the axons of 40% were obtained. In addition, an upregulation of the genes related to axon guidance, axogenesis, Schwann cells, proliferation and neurotrophins was observed for the electrically stimulated group. Therefore, our device is a good candidate for nerve regeneration therapies.
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- 2023
6. Synthesis of cetyl ricinoleate catalyzed by immobilized Lipozyme® CalB lipase in a solvent-free system
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Montiel, M.C., Serrano, M., Máximo, M.F., Gómez, M., Ortega-Requena, S., and Bastida, J.
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- 2015
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7. Optimized enzymatic synthesis of the food additive polyglycerol polyricinoleate (PGPR) using Novozym® 435 in a solvent free system
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Ortega-Requena, S., Bódalo-Santoyo, A., Bastida-Rodríguez, J., Máximo-Martín, M.F., Montiel-Morte, M.C., and Gómez-Gómez, M.
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- 2014
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8. Detección fenotípica y genotípica de la producción de carbapenemasas tipo NDM-1 y KPC en enterobacterias aisladas en un laboratorio clínico en Maracay, Venezuela
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María Chabin J, Dayana Requena S, Juruany Cedeño P, Joselyn Dos Santos P, Eglhis Delgado R, Alexander Gil T, Ysvette Vásquez C, and Dorielys Díaz C
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biology ,Enterobacter cloacae complex ,Klebsiella pneumoniae ,Public Health, Environmental and Occupational Health ,enterobacterias ,biology.organism_classification ,medicine.disease_cause ,NDM-1, KPC ,Enterobacteriaceae ,carbapenemasas ,Microbiology ,Multiple drug resistance ,Infectious Diseases ,Genotype ,medicine ,resistencia bacteriana ,Escherichia coli - Abstract
Resumen Introducción: La producción de β-lactamasas capaces de hidrolizar a los carbapenémicos es uno de los mecanismos de resistencia más preocupantes porque eliminan la última opción terapéutica frente a los microorganismos multi-resistentes. Objetivo: Determinar la producción de carbapenemasas tipo KPC y NDM-1, empleando métodos fenotípicos y genotípicos, en enterobacterias aisladas en un laboratorio clínico de la ciudad de Maracay, Venezuela. Métodos: Se determinó la producción de carbapenemasas mediante métodos fenotípicos (según algoritmo de Malbrán) y genotípicos (amplificación de los genes blaNDM-1 y blaKPC por RPC) en enterobacterias aisladas en un laboratorio clínico durante el período marzo-agosto 2018. Resultados: Se identificaron 605 enterobacterias de diferentes especies, siendo Escherichia coli la cepa con mayor porcentaje de aislamiento (61,3%), seguida por Klebsiella pneumoniae (14,9%). Diez y seis enterobacterias (2,64%) fueron positivas para la producción de carbapenemasas: 13 cepas de K. pneumoniae y tres del complejo Enterobacter cloacae. La RPC demostró que 14 cepas (87,5%) contienen el gen blaNDM-1 y dos (12,5%) el gen blaKPC; se observó 100% de concordancia entre la determinación fenotípica y la RPC para ambos grupos de enzimas. Conclusiones: Los resultados mostraron mayor incidencia de la metalo-β-lactamasa tipo NDM-1, reconocida como una alarma epidemiológica debido a que su rápida diseminación dificulta su control, por lo que la identificación del tipo de enzima permitiría establecer estrategias de manejo y control más certeras con la finalidad de erradicar a dichos patógenos.
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- 2021
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9. Au Lα x-rays induced by photons from 241Am: Comparison of experimental results and the predictions of PENELOPE
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Gonzales, D., Requena, S., and Williams, S.
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- 2012
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10. A diffusion-reaction kinetic model for the removal of aqueous 4-chlorophenol with immobilized peroxidase
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Gómez Carrasco, J.L., Gomez Gomez, E., Máximo, M.F., Gomez Gomez, M., Murcia, M.D., and Ortega Requena, S.
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- 2011
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11. Angular distribution of K-shell X-rays produced by 29 keV electrons incident on Ag
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Gonzales, D., Requena, S., Davis, S., and Williams, S.
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- 2011
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12. [Phenotypic and genotypic detection of the production of carbapenemases type NDM-1 and KPC in isolated Enterobacteriaceae in a clinical laboratory in Maracay, Venezuela]
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Dayana, Requena S, Ysvette, Vásquez C, Alexander, Gil T, Juruany, Cedeño P, María, Chabin J, Eglhis, Delgado R, Dorielys, Díaz C, and Joselyn Dos, Santos P
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Klebsiella pneumoniae ,Bacterial Proteins ,Enterobacteriaceae ,Enterobacteriaceae Infections ,Humans ,Microbial Sensitivity Tests ,Laboratories ,Venezuela ,beta-Lactamases ,Anti-Bacterial Agents - Abstract
The production of carbapenem-hydrolyzing β-lactamases is one of the most concerning resistance mechanisms since it eliminates the last therapeutic option against multidrug resistant microorganisms.To determine the production of KPC and NDM-1 type carbapenemases, using phenotypic and genotypic methods, in isolated enterobacteria in a clinical laboratory in the city of Maracay, Venezuela.The production of carbapenemases was determined by phenotypic (according to the Malbrán algorithm) and genotypic methods (amplification of the blaNDM-1 and blaKPC genes by PCR) in clinical isolates of Enterobacteriaceae during the period March-August 2018.605 Enterobacteriaceae of different species were identified, being Escherichia coli the strain with the highest percentage of isolation (61.3%), followed by Klebsiella pneumoniae (14.9%). Sixteen strains (2.64%) were positive for carbapenemases production: 13 strains of K. pneumoniae and three of the Enterobacter cloacae complex. PCR showed that 14 strains (87.5%) carry the blaNDM-1 gene and two strains (12.5%) the blaKPC gene; 100% agreement was observed between phenotypic determination and PCR for both groups of enzymes.The results of this study showed a higher incidence of metallo-β-lactamase type NDM-1, which rapid dissemination and consequently difficult control has been cause of epidemiological alert. The identification of the type of enzyme would allow establishing more accurate management and control strategies in order to eradicate these pathogens.
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- 2020
13. Clinical experience with integrase inhibitors in HIV-2-infected individuals in Spain
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Requena, S., Lozano, AB., Caballero, E., García, F., Nieto, MC., Téllez, R., Fernández, JM., Trigo, M., Rodríguez-Avial, I., Martín-Carbonero, L., Miralles, P., Soriano, V., de, Mendoza, C., HIV-2 Spanish Study Group, Rodríguez, C., Vera, M., Del, Romero, J., Marcaida, G., Ocete, MD., Aguilera, A., BENITO, R., de, Lejarazu, RO., Rojo, S., Eirós, JM., Ramos, C., García, J., Paz, I., Diz, J., García-Campello, M., Rodríguez-Iglesias, M., Hernández-Betancor, A., Martín, AM., Ramos, JM., Gimeno, A., Sánchez, V., Gómez-Hernando, C., Cilla, G., Pérez-Trallero, E., Fernández-Pereira, L., Niubó, J., Hernández, M., López-Lirola, AM., Gómez-Sirvent, JL., Force, L., Cabrera, J., Pérez, S., Morano, L., Raya, C., González-Praetorius, A., Cifuentes, C., Peñaranda, M., Montejo, JM., Roc, L., Viciana, I., Fernández-Fuertes, E., García-Bermejo, I., Gaspar, G., Górgolas, M., Pérez, L., Valeiro, M., Aldamiz, T., Margall, N., Suárez, A., Benítez-Gutiérrez, L., Cuervas-Mons, V., and Barreiro, P.
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virus diseases - Abstract
Background: HIV-2 is a neglected virus despite estimates of 1–2 million people being infected worldwide. The virus is naturally resistant to some antiretrovirals used to treat HIV-1 and therapeutic options are limited for patients with HIV-2. Methods: In this retrospective observational study, we analysed all HIV-2-infected individuals treated with inte- grase strand transfer inhibitors (INSTIs) recorded in the Spanish HIV-2 cohort. Demographics, treatment modal- ities, laboratory values, quantitative HIV-2 RNA and CD4 counts as well as drug resistance were analysed. Results: From a total of 354 HIV-2-infected patients recruited by the Spanish HIV-2 cohort as of December 2017, INSTIs had been given to 44, in 18 as first-line therapy and in 26 after failing other antiretroviral regimens. After a median follow-up of 13 months of INSTI-based therapy, undetectable viraemia for HIV-2 was achieved in 89% of treatment-naive and in 65.4% of treatment-experienced patients. In parallel, CD4 gains were 82 and 126cells/mm3, respectively. Treatment failure occurred in 15 patients, 2 being treatment-naive and 13 treatment-experienced. INSTI resistance changes were recognized in 12 patients: N155H (5), Q148H/R (3), Y143C/G (3) and R263K (1). Conclusions: Combinations based on INSTIs are effective and safe treatment options for HIV-2-infected individ- uals. However, resistance mutations to INSTIs are selected frequently in failing patients, reducing the already limited treatment options.
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- 2020
14. Development and use of mobile messaging for individuals with musculoskeletal pain conditions: a scoping review protocol
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Scotti Requena, S, Sterling, M, Elphinston, RA, Ritchie, C, Robins, S, Armfield, NR, Scotti Requena, S, Sterling, M, Elphinston, RA, Ritchie, C, Robins, S, and Armfield, NR
- Abstract
INTRODUCTION: Previous reviews of mobile messaging for individuals with musculoskeletal pain have shown positive effects on pain and disability. However, the configuration of digital content, method of presentation and interaction, dose and frequency needed for optimal results remain unclear. Patient preferences concerning such systems are also unclear. Addressing these knowledge gaps, incorporating evidence from both experimental and observational studies, may be useful to understand the extent of the relevant literature, and to influence the design and outcomes of future messaging systems. We aim to map information that could be influential in the design of future mobile messaging systems for individuals with musculoskeletal pain conditions, and to summarise the findings of efficacy, effectiveness, and economics derived from both experimental and observational studies. METHODS AND ANALYSIS: We will include studies describing the development and/or use of mobile messaging to support adults (≥18 years) with acute or chronic musculoskeletal pain. We will exclude digital health studies that lack a mobile messaging component, or those targeted at other health conditions unrelated to the bones, muscles and connective tissues, or involving surgical or patients with cancer, or studies involving solely healthy individuals. Our sources of information will be online databases and reference lists of relevant papers. We will include papers published in English in the last 10 years. Two pairs of independent reviewers will screen, select and extract the data, with any disagreements mediated by a third reviewer. We will report the results according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews checklist. We will synthesise the findings in a tabular format and provide a descriptive summary. ETHICS AND DISSEMINATION: Formal ethical approval is not required. We will disseminate the findings through publication in a peer-revie
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- 2021
15. Detección fenotípica y genotípica de la producción de carbapenemasas tipo NDM-1 y KPC en enterobacterias aisladas en un laboratorio clínico en Maracay, Venezuela
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Requena S., Dayana, primary, Vásquez C., Ysvette, additional, Gil T., Alexander, additional, Cedeño P., Juruany, additional, Chabin J., María, additional, Delgado R., Eglhis, additional, Díaz C., Dorielys, additional, and Santos P., Joselyn Dos, additional
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- 2021
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16. Marine hotspots of activity inform protection of a threatened community of pelagic species in a large oceanic jurisdiction
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Requena, S., primary, Oppel, S., additional, Bond, A. L., additional, Hall, J., additional, Cleeland, J., additional, Crawford, R. J. M., additional, Davies, D., additional, Dilley, B. J., additional, Glass, T., additional, Makhado, A., additional, Ratcliffe, N., additional, Reid, T. A., additional, Ronconi, R. A., additional, Schofield, A., additional, Steinfurth, A., additional, Wege, M., additional, Bester, M., additional, and Ryan, P. G., additional
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- 2020
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17. Rapid subacute myelopathy following kidney transplantation from HTLV-1 donors: role of immunosuppresors and failure of antiretrovirals
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Roc, L., de Mendoza, C., Fernandez-Alonso, M., Reina, G., Soriano, V., Rodriguez, C., Vera, M., del Romero, J., Marcaida, G., Ocete, M.D., Caballero, E., Molina, I., Aguilera, A., Rodriguez-Calvino, J.J., Navarro, D., Rivero, C., Vilarino, M.D., Benito, R., Algarate, S., Gil, J., de Lejarazu, R.O., Rojo, S., Eiros, J.M., San Miguel, A., Manzardo, C., Miro, J.M., Garcia, J., Paz, I., Poveda, E., Calderon, E., Escudero, D., Trigo, M., Diz, J., Garcia-Campello, M., Rodriguez-Iglesias, M., Hernandez-Betancor, A., Martin, A.M., Ramos, J.M., Gimeno, A., Gutierrez, F., Rodriguez, J.C., Sanchez, V., Gomez-Hernando, C., Cilla, G., Perez-Trallero, E., Lopez-Aldeguer, J., Fernandez-Pereira, L., Niubo, J., Hernandez, M., Lopez-Lirola, A.M., Gomez-Sirvent, J.L., Force, L., Cifuentes, C., Perez, S., Morano, L., Raya, C., Gonzalez-Praetorius, A., Perez, J.L., Penaranda, M., Hernaez-Crespo, S., Montejo, J.M., Martinez-Sapina, A., Viciana, I., Cabezas, T., Lozano, A., Fernandez, J.M., Garcia-Bermejo, I., Gaspar, G., Garcia, R., Gorgolas, M., Vegas, C., Blas, J., Miralles, P., Valeiro, M., Aldamiz, T., Margall, N., Guardia, C., do Pico, E., Polo, I., Aguinaga, A., Ezpeleta, C., Sauleda, S., Piron, M., Gonzalez, R., Barea, L., Jimenez, A., Blanco, L., Suarez, A., Rodriguez-Avial, I., Perez-Rivilla, A., Parra, P., Fernandez, M., Trevino, A., Requena, S., Benitez-Gutierrez, L., Cuervas-Mons, V., Barreiro, P., Corral, O., and Gomez-Gallego, F.
- Abstract
Two kidney transplant recipients from a single donor became infected with HTLV-1 (human T-lymphotropic virus type 1) in Spain. One developed myelopathy 8 months following surgery despite early prescription of antiretroviral therapy. The allograft was removed from the second recipient at month 8 due to rejection and immunosuppressors discontinued. To date, 3 years later, this patient remains infected but asymptomatic. HTLV-1 infection was recognized retrospectively in the donor, a native Spaniard who had sex partners from endemic regions. Our findings call for a reappraisal of screening policies on donor-recipient organ transplantation. Based on the high risk of disease development and the large flux of persons from HTLV-1 endemic regions, pre-transplant HTLV-1 testing should be mandatory in Spain.
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- 2019
18. HTLV-1 infection in solid organ transplant donors and recipients in Spain
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de Mendoza, Carmen, Roc, Lourdes, Benito, Rafael, Reina, Gabriel, Manuel Ramos, Jose, Gomez, Cesar, Aguilera, Antonio, Rodriguez-Iglesias, Manuel, Garcia-Costa, Juan, Fernandez-Alonso, Miriam, Soriano, Vicente, Rodriguez, C., Vera, M., del Romero, J., Marcaida, G., Ocete, M. D., Caballero, E., Molina, I., Rodriguez-Calvino, J. J., Navarro, D., Rivero, C., Vilarino, M. D., Algarate, S., Gil, J., Ortiz de Lejarazu, R., Rojo, S., Eiros, J. M., San Miguel, A., Manzardo, C., Miro, J. M., Garcia, J., Paz, I., Poveda, E., Calderon, E., Escudero, D., Trigo, M., Diz, J., Garcia-Campello, M., Hernandez-Betancor, A., Martin, A. M., Gimeno, A., Gutierrez, F., Rodriguez, J. C., Sanchez, V., Gomez-Hernando, C., Cilla, G., Perez-Trallero, E., Lopez-Aldeguer, J., Fernandez-Pereira, L., Niubo, J., Hernandez, M., Lopez-Lirola, A. M., Gomez-Sirvent, J. L., Force, L., Cifuentes, C., Perez, S., Morano, L., Raya, C., Gonzalez-Praetorius, A., Perez, J. L., Penaranda, M., Hernaez-Crespo, S., Montejo, J. M., Martinez-Sapina, A., Viciana, I., Cabezas, T., Lozano, A., Fernandez, J. M., Garcia-Bermejo, I., Gaspar, G., Garcia, R., Gorgolas, M., Vegas, C., Blas, J., Miralles, P., Valeiro, M., Aldamiz, T., Margall, N., Guardia, C., do Pico, E., Polo, I., Aguinaga, A., Ezpeleta, C., Sauleda, S., Piron, M., Gonzalez, R., Barea, L., Jimenez, A., Blanco, L., Suarez, A., Rodriguez-Avial, I., Perez-Rivilla, A., Parra, P., Fernandez, M., Trevino, A., Requena, S., Benitez-Gu-tierrez, L., Cuervas-Mons, V., Barreiro, P., Soriano, V., Corral, O., Gomez-Gallego, F., Spanish HTLV Network, Bioquímica y Biología Molecular, Microbiología, Medicina Preventiva, Salud Pública, Soriano, Vicente [0000-0002-4624-5199], Soriano, Vicente, [Mendoza C] Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain. Universidad CEU-San Pablo, Madrid, Spain. [Roc L] Hospital Miguel Servet, Zaragoza, Spain. [Benito R] Hospital Lozano Blesa, Zaragoza, Spain. [Reina G] Clínica Universitaria de Navarra, Pamplona, Spain. [Ramos JM] Hospital General Universitario, Alicante, Spain. [Gómez C] Complejo Hospitalario, Toledo, Spain, and Vall d'Hebron Barcelona Hospital Campus
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0301 basic medicine ,2420 Virología ,medicine.medical_treatment ,humanos ,Myelopathy ,Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics::Epidemiologic Studies::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics::Epidemiologic Studies::Cohort Studies::Retrospective Studies [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT] ,0302 clinical medicine ,Medical microbiology ,Tropical spastic paraparesis ,Infeccions per retrovirus ,030212 general & internal medicine ,Trasplantació d'òrgans, teixits, etc - Espanya ,mediana edad ,anciano ,Leukemia ,Leucèmia ,Immunosuppression ,adulto ,Middle Aged ,Tissue Donors ,Geographic Locations::Europe::Spain [GEOGRAPHICALS] ,Infectious Diseases ,trasplante de órganos ,virosis::infecciones por virus ARN::infecciones por Retroviridae::infecciones por Deltaretrovirus::infecciones por HTLV-I [ENFERMEDADES] ,Cèl·lules T ,Screening ,Paraparesia espástica tropical ,Raonament basat en casos ,Ubicaciones Geográficas::Europa (Continente)::España [DENOMINACIONES GEOGRÁFICAS] ,Female ,medicine.symptom ,Research Article ,Adult ,medicine.medical_specialty ,Virus Diseases::RNA Virus Infections::Retroviridae Infections::Deltaretrovirus Infections::HTLV-I Infections [DISEASES] ,030106 microbiology ,técnicas de investigación::métodos epidemiológicos::características de los estudios epidemiológicos::estudios epidemiológicos::técnicas de investigación::métodos epidemiológicos::características de los estudios epidemiológicos::estudios epidemiológicos::estudios de cohortes::estudios retrospectivos [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS] ,T cells ,Asymptomatic ,Health Surveillance of Health Services::Delivery of Health Care::Patient Care::Therapeutics::Diagnostic Techniques and Procedures::Clinical Laboratory Techniques::Tissue and Organ Harvesting::Organ Transplantation [HEALTH SURVEILLANCE] ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,Leucemia de células T adultas ,Internal medicine ,medicine ,VIH (Virus) ,Humans ,Adult T-cell leukaemia ,lcsh:RC109-216 ,Dialysis ,Aged ,Retrospective Studies ,Transplantation ,business.industry ,HIV (Viruses) ,estudios retrospectivos ,donantes de tejidos ,Organ Transplantation ,medicine.disease ,HTLV-I Infections ,Spain ,HTLV-1 ,vigilancia sanitaria de los servicios de salud::prestación sanitaria::asistencia al paciente::terapéutica::técnicas y procedimientos diagnósticos::técnicas de laboratorio clínico::extracción de tejidos y órganos::trasplante de órganos [VIGILANCIA SANITARIA] ,Trasplante ,HTLV-1 Infection ,infecciones por HTLV-I ,business - Abstract
Consortia on behalf of the Spanish HTLV Network: C. Rodríguez, M. Vera, J. del Romero, G. Marcaida, M. D. Ocete, E. Caballero, I. Molina, A. Aguilera, J. J. Rodríguez-Calviño, D. Navarro, C. Rivero, M. D. Vilariño, R. Benito, S. Algarate, J. Gil, R. Ortiz de Lejarazu, S. Rojo, J. M. Eirós, A. San Miguel, C. Manzardo, J. M. Miró, J. García, I. Paz, E. Poveda, E. Calderón, D. Escudero, M. Trigo, J. Diz, M. García-Campello, M. Rodríguez Iglesias, A. Hernández Betancor, A. M. Martín, J. M. Ramos, A. Gimeno, F. Gutiérrez, J. C. Rodríguez, V. Sánchez, C. Gómez Hernando, G. Cilla, E. Pérez Trallero, J. López Aldeguer, L. Fernández Pereira, J. Niubó, M. Hernández, A. M. López Lirola, J. L. Gómez Sirvent, L. Force, C. Cifuentes, S. Pérez, L. Morano, C. Raya, A. González Praetorius, J. L. Pérez, M. Peñaranda, S. Hernáez Crespo, J. M. Montejo, L. Roc, A. Martínez Sapiña, I. Viciana, T. Cabezas, A. Lozano, J. M. Fernández, I. García-Bermejo, G. Gaspar, R. García, M. Górgolas, C. Vegas, J. Blas, P. Miralles, M. Valeiro, T. Aldamiz, N. Margall, C. Guardia, E. do Pico, I. Polo, A. Aguinaga, C. Ezpeleta, S. Sauleda, M. Pirón, R. González, L. Barea, A. Jiménez, L. Blanco, A. Suárez, I. Rodríguez Avial, A. Pérez Rivilla, P. Parra, M. Fernández, M. Fernández Alonso, A. Treviño, S. Requena, L. Benítez Gutiérrez, V. Cuervas Mons, C. de Mendoza, P. Barreiro, V. Soriano, O. Corral & F. Gómez-Gallego, [Background]: HTLV-1 infection is a neglected disease, despite infecting 10–15 million people worldwide and severe illnesses develop in 10% of carriers lifelong. Acknowledging a greater risk for developing HTLV-1 associated illnesses due to immunosuppression, screening is being widely considered in the transplantation setting. Herein, we report the experience with universal HTLV testing of donors and recipients of solid organ transplants in a survey conducted in Spain., [Methods]: All hospitals belonging to the Spanish HTLV network were invited to participate in the study. Briefly, HTLV antibody screening was performed retrospectively in all specimens collected from solid organ donors and recipients attended since the year 2008., [Results]: A total of 5751 individuals were tested for HTLV antibodies at 8 sites. Donors represented 2312 (42.2%), of whom 17 (0.3%) were living kidney donors. The remaining 3439 (59.8%) were recipients. Spaniards represented nearly 80%. Overall, 9 individuals (0.16%) were initially reactive for HTLV antibodies. Six were donors and 3 were recipients. Using confirmatory tests, HTLV-1 could be confirmed in only two donors, one Spaniard and another from Colombia. Both kidneys of the Spaniard were inadvertently transplanted. Subacute myelopathy developed within 1 year in one recipient. The second recipient seroconverted for HTLV-1 but the kidney had to be removed soon due to rejection. Immunosuppression was stopped and 3 years later the patient remains in dialysis but otherwise asymptomatic., [Conclusion]: The rate of HTLV-1 is low but not negligible in donors/recipients of solid organ transplants in Spain. Universal HTLV screening should be recommended in all donor and recipients of solid organ transplantation in Spain. Evidence is overwhelming for very high virus transmission and increased risk along with the rapid development of subacute myelopathy.
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- 2019
19. Rapid subacute myelopathy following kidney transplantation from HTLV-1 donors: role of immunosuppresors and failure of antiretrovirals
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Roc, Lourdes, de Mendoza, Carmen, Fernandez-Alonso, Miriam, Reina, Gabriel, Soriano, Vicente, Rodriguez, C., Vera, M., del Romero, J., Marcaida, G., Ocete, M. D., Caballero, E., Molina, I, Aguilera, A., Rodriguez-Calvino, J. J., Navarro, D., Rivero, C., Vilarino, M. D., Benito, R., Algarate, S., Gil, J., Ortiz de Lejarazu, R., Rojo, S., Eiros, J. M., San Miguel, A., Manzardo, C., Miro, J. M., Garcia, J., Paz, I, Poveda, E., Calderon, E., Escudero, D., Trigo, M., Diz, J., Garcia-Campello, M., Rodriguez-Iglesias, M., Hernandez-Betancor, A., Martin, A. M., Ramos, J. M., Gimeno, A., Gutierrez, F., Rodriguez, J. C., Sanchez, V, Gomez-Hernando, C., Cilla, G., Perez-Trallero, E., Lopez-Aldeguer, J., Fernandez-Pereira, L., Niubo, J., Hernandez, M., Lopez-Lirola, A. M., Gomez-Sirvent, J. L., Force, L., Cifuentes, C., Perez, S., Morano, L., Raya, C., Gonzalez-Praetorius, A., Perez, J. L., Penaranda, M., Hernaez-Crespo, S., Montejo, J. M., Martinez-Sapina, A., Viciana, I, Cabezas, T., Lozano, A., Fernandez, J. M., Garcia-Bermejo, I, Gaspar, G., Garcia, R., Gorgolas, M., Vegas, C., Blas, J., Miralles, P., Valeiro, M., Aldamiz, T., Margall, N., Guardia, C., do Pico, E., Polo, I, Aguinaga, A., Ezpeleta, C., Sauleda, S., Piron, M., Gonzalez, R., Barea, L., Jimenez, A., Blanco, L., Suarez, A., Rodriguez-Avial, I, Perez-Rivilla, A., Parra, P., Fernandez, M., Trevino, A., Requena, S., Benitez-Gutierrez, L., Cuervas-Mons, V, Barreiro, P., Corral, O., Gomez-Gallego, F., and Spanish HTLV Network
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0301 basic medicine ,medicine.medical_specialty ,030106 microbiology ,Case Report ,Infectious and parasitic diseases ,RC109-216 ,030230 surgery ,Gastroenterology ,03 medical and health sciences ,Myelopathy ,0302 clinical medicine ,Two kidney ,myelopathy ,Internal medicine ,medicine ,Pharmacology (medical) ,antiretroviral drugs ,Kidney transplantation ,business.industry ,screening ,medicine.disease ,Transplantation ,Infectious Diseases ,Virus type ,HTLV-1 ,business ,transplantation - Abstract
Two kidney transplant recipients from a single donor became infected with HTLV-1 (human T-lymphotropic virus type 1) in Spain. One developed myelopathy 8 months following surgery despite early prescription of antiretroviral therapy. The allograft was removed from the second recipient at month 8 due to rejection and immunosuppressors discontinued. To date, 3 years later, this patient remains infected but asymptomatic. HTLV-1 infection was recognized retrospectively in the donor, a native Spaniard who had sex partners from endemic regions. Our findings call for a reappraisal of screening policies on donor–recipient organ transplantation. Based on the high risk of disease development and the large flux of persons from HTLV-1 endemic regions, pre-transplant HTLV-1 testing should be mandatory in Spain.
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- 2019
20. Marine hotspots of activity inform protection of a threatened community of pelagic species in a large oceanic jurisdiction
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Requena, S., Oppel, S., Bond, A. L., Hall, J., Cleeland, J., Crawford, R. J. M., Davies, D., Dilley, B. J., Glass, T., Makhado, A., Ratcliffe, N., Reid, T. A., Ronconi, R. A., Schofield, A., Steinfurth, A., Wege, M., Bester, M., Ryan, P. G., Requena, S., Oppel, S., Bond, A. L., Hall, J., Cleeland, J., Crawford, R. J. M., Davies, D., Dilley, B. J., Glass, T., Makhado, A., Ratcliffe, N., Reid, T. A., Ronconi, R. A., Schofield, A., Steinfurth, A., Wege, M., Bester, M., and Ryan, P. G.
- Abstract
Remote oceanic islands harbour unique biodiversity, especially of species that rely on the marine trophic resources around their breeding islands. Identifying marine areas used by such species is essential to manage and limit processes that threaten these species. The Tristan da Cunha territory in the South Atlantic Ocean hosts several endemic and globally threatened seabirds, and pinnipeds; how they use the waters surrounding the islands must be considered when planning commercial activities. To inform marine management in the Tristan da Cunha Exclusive Economic Zone (EEZ), we identified statistically significant areas of concentrated activity by collating animal tracking data from nine seabirds and one marine mammal. We first calculated the time that breeding adults of the tracked species spent in 10 × 10 km cells within the EEZ, for each of four seasons to account for temporal variability in space use. By applying a spatial aggregation statistic over these grids for each season, we detected areas that are used more than expected by chance. Most of the activity hotspots were either within 100 km of breeding colonies or were associated with seamounts, being spatially constant across several seasons. Our simple and effective approach highlights important areas for pelagic biodiversity that will benefit conservation planning and marine management strategies.
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- 2020
21. Marine hotspots of activity inform protection of a threatened community of pelagic species in a large oceanic jurisdiction
- Author
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Requena, S, Oppel, S, Bond, AL, Hall, J, Cleeland, J, Crawford, RJM, Davies, D, Dilley, BJ, Glass, T, Makhado, A, Ratcliffe, N, Reid, TA, Ronconi, RA, Schofield, A, Steinfurth, A, Wege, M, Bester, M, Ryan, PG, Requena, S, Oppel, S, Bond, AL, Hall, J, Cleeland, J, Crawford, RJM, Davies, D, Dilley, BJ, Glass, T, Makhado, A, Ratcliffe, N, Reid, TA, Ronconi, RA, Schofield, A, Steinfurth, A, Wege, M, Bester, M, and Ryan, PG
- Abstract
Remote oceanic islands harbour unique biodiversity, especially of species that rely on the marine trophic resources around their breeding islands. Identifying marine areas used by such species is essential to manage and limit processes that threaten these species. The Tristan da Cunha territory in the South Atlantic Ocean hosts several endemic and globally threatened seabirds, and pinnipeds; how they use the waters surrounding the islands must be considered when planning commercial activities. To inform marine management in the Tristan da Cunha Exclusive Economic Zone (EEZ), we identified statistically significant areas of concentrated activity by collating animal tracking data from nine seabirds and one marine mammal. We first calculated the time that breeding adults of the tracked species spent in 10 × 10 km cells within the EEZ, for each of four seasons to account for temporal variability in space use. By applying a spatial aggregation statistic over these grids for each season, we detected areas that are used more than expected by chance. Most of the activity hotspots were either within 100 km of breeding colonies or were associated with seamounts, being spatially constant across several seasons. Our simple and effective approach highlights important areas for pelagic biodiversity that will benefit conservation planning and marine management strategies.
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- 2020
22. Clinical Presentation of Individuals With Human T-Cell Leukemia Virus Type-1 Infection in Spain
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de Mendoza, C, Piron, M, Gonzalez, R, Jimenez, A, Caballero, E, Roc, L, Benito, R, Ramos, JM, Soriano, V, Rodriguez, C, Vera, M, del Romero, J, Marcaida, G, Ocete, MD, Molina, I, Aguilera, A, Rodriguez-Calvino, JJ, Navarro, D, Rivero, C, Vilarino, MD, Algarate, S, Gil, J, de Lejarazu, RO, Rojo, S, Eiros, JM, San Miguel, A, Manzardo, C, Miro, JM, Garcia, J, Paz, I, Poveda, E, Calderon, E, Escudero, D, Trigo, M, Diz, J, Garcia-Campello, M, Rodriguez-Iglesias, M, Hernandez-Betancor, A, Martin, AM, Gimeno, A, Gutierrez, F, Rodriguez, JC, Sanchez, V, Gomez-Hernando, C, Cilla, G, Perez-Trallero, E, Lopez-Aldeguer, J, Fernandez-Pereira, L, Niubo, J, Hernandez, M, Lopez-Lirola, AM, Gomez-Sirvent, JL, Force, L, Cifuentes, C, Perez, S, Morano, L, Raya, C, Gonzalez-Praetorius, A, Perez, JL, Penaranda, M, Hernaez-Crespo, S, Montejo, JM, Martinez-Sapina, A, Viciana, I, Cabezas, T, Lozano, A, Fernandez, JM, Garcia-Bermejo, I, Gaspar, G, Garcia, R, Gorgolas, M, Vegas, C, Blas, J, Miralles, P, Valeiro, M, Aldamiz, T, Margall, N, Guardia, C, do Pico, E, Polo, I, Aguinaga, A, Ezpeleta, C, Sauleda, S, Torres, P, Blanco, L, Suarez, A, Rodriguez-Avial, I, Perez-Rivilla, A, Parra, P, Fernandez, M, Fernandez-Alonso, M, Trevino, A, Requena, S, Benitez-Gutierrez, L, Cuervas-Mons, V, Barreiro, P, Corral, O, and Gomez-Gallego, F
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myelopathy ,adult T-cell leukemia ,HTLV-1 ,screening ,epidemiology - Abstract
Background. Although only 8%-10% of persons infected with human T-cell leukemia virus type 1 (HTLV-1) may develop virus-associated diseases lifelong, misdiagnosis of asymptomatic infected carriers frequently leads to late diagnoses. Methods. A nationwide HTLV-1 register was created in Spain in 1989. A total of 351 infected persons had been reported by the end of 2017. We examined all new HTLV-1 diagnoses during the last decade and compared their clinical presentation. Results. A total of 247 individuals with HTLV-1 infection had been reported in Spain since year 2008. The incidence has remained stable with 20-25 new diagnoses yearly. Women represented 62%. Only 12% were native Spaniards, most of whom were foreigners from Latin America (72.5%). Up to 57 (23%) individuals presented clinically with HTLV-1-associated conditions, including subacute myelopathy (n = 24; 42.1%), T-cell lymphoma (n = 19; 33.3%), or Strongyloides stercoralis infestation (n = 8; 14%). Human T-cell leukemia virus type 1 diagnosis had been made either at blood banks (n = 109; 44%) or at clinics (n = 138; 56%). It is interesting to note that Spaniards and especially Africans were overrepresented among patients presenting with HTLV-1-associated illnesses, suggesting that misdiagnosis and late presentation are more frequent in these populations compared to Latin Americans. Conclusions. Given that 23% of new HTLV-1 diagnoses in Spain are symptomatic, underdiagnosis must be common. Although screening in blood banks mostly identifies asymptomatic Latin American carriers, a disproportionately high number of Spaniards and Africans are unveiled too late, that is, they already suffer from classic HTLV-1 illnesses.
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- 2019
23. HIV co-infection in HTLV-1 carriers in Spain
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de Mendoza, C, Caballero, E, Aguilera, A, Benito, R, Macia, D, Garcia-Costa, J, Soriano, V, Rodriguez, C, Vera, M, del Romero, J, Marcaida, G, Ocete, MD, Molina, I, Rodriguez-Calvino, JJ, Navarro, D, Rivero, C, Vilarino, MD, Algarate, S, Gil, J, de Lejarazu, RO, Rojo, S, Eiros, JM, San Miguel, A, Manzardo, C, Mira, JM, Garcia, J, Paz, I, Poveda, E, Calderon, E, Escudero, D, Trigo, M, Diz, J, Garcia-Campello, M, Rodriguez-Iglesias, M, Hernandez-Betancor, A, Martin, AM, Ramos, JM, Gimeno, A, Gutierrez, F, Rodriguez, JC, Sanchez, V, Gomez-Hernando, C, Cilla, G, Perez-Trallero, E, Lopez-Aldeguer, J, Fernandez-Pereira, L, Niubo, J, Hernandez, M, Lopez-Lirola, AM, Gomez-Sirvent, JL, Force, L, Cifuentes, C, Raya, C, Gonzalez-Praetorius, A, Perez, JL, Penaranda, M, Hernaez-Crespo, S, Montejo, JM, Roc, L, Martinez-Sapina, A, Viciana, I, Cabezas, T, Lozano, A, Fernandez, JM, Garcia-Bermejo, I, Gaspar, G, Garcia, R, Gorgolas, M, Vegas, C, Blas, J, Miralles, P, Valeiro, M, Aldamiz, T, Margall, N, Guardia, C, do Pico, E, Polo, I, Aguinaga, A, Ezpeleta, C, Sauleda, S, Piron, M, Gonzalez, R, Barea, L, Jimenez, A, Blanco, L, Suarez, A, Rodriguez-Avial, I, Perez-Rivilla, A, Parra, P, Fernandez, M, Fernandez-Alonso, M, Reina, G, Trevino, A, Requena, S, Benitez-Gutierrez, L, Cuervas-Mons, V, Barreiro, P, Corral, O, Gomez-Gallego, F, Perez, S, Morano, L, and Spanish HTLV Network
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AIDS ,Epidemiology ,Tropical spastic paraparesis ,Adult T-cell leukemia ,virus diseases ,HIV ,HTLV ,Co-infection ,Antiretroviral therapy ,Late diagnosis - Abstract
Background: Human retroviruses HIV and HTLV share transmission routes. HIV widely spread in Spain during the 80 s through injection drug use and sex, and nowadays HIV rates in Spain account for one of the largest in Europe. In contrast, HTLV-1 is not endemic in Spain, despite hosting huge numbers of migrants from highly endemic regions. Herein, we report the rate and main features of the HIV-HTLV co-infected population in Spain. Methods: A national registry exists in Spain for HTLV since year 1989. Data from standardized case report forms and one centralized lab repository were reviewed, especially for the subset with HTLV-HIV co-infection. Results: Up to December 2018, a total of 369 individuals with HTLV-1 had been diagnosed in Spain. 64% of the population were females, and Latin American individuals accounted for 64.5%. Classical HTLV-associated illnesses were found in 12.7% (myelopathy) and 7.6% (leukemia). HIV coinfection was found in 12 (3.2%). Of those, 3 patients (25%) were female and 39 (75%) were of non Spanish origin. All but two harbored HIV-1 subtype B, being non-B variants found in the two West Africans. Exposure had been sexual in most cases, being 4 homosexual men. Seven HTLV-HIV co-infected patients had developed AIDS and two had developed myelopathy. There was no evidence for increased HTLV-1 clinical pathogenicity due to HIV coinfection. Conclusion: HIV coinfection is infrequent (< 5%) among HTLV-1 carriers in Spain. More than half of co-infected patients come from Latin America. Sexual contact is the most frequent risk behavior, being MSM one third of cases. Late diagnosis explains the high rate (9/12) of clinical manifestations in our HIV-HTLV co-infected population.
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- 2019
24. HTLV testing of solid organ transplant donors
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de Mendoza, C, Roc, L, Fernandez-Alonso, M, Soriano, V, Rodriguez, C, Vera, M, del Romero, J, Marcaida, G, Ocete, MD, Caballero, E, Aguilera, A, Rodriguez-Calvino, JJ, Rivero, C, Vilarino, MD, Benito, R, Algarate, S, de Lejarazu, RO, Rojo, S, Eiros, JM, Ramos, C, Manzardo, C, Miro, JM, Garcia-Costa, J, Calderon, E, Escudero, D, Trigo, M, Diz, J, Garcia-Campello, M, Rodriguez-Iglesias, M, Hernandez-Betancor, A, Martin, AM, Ramos, JM, Gimeno, A, Sanchez, V, Guzman, M, Gomez-Hernando, C, Echeverria, MJ, Cilla, G, Fernandez-Pereira, L, Hernandez, M, Lopez-Lirola, AM, Gomez-Sirvent, JL, Force, L, Cifuentes, C, Perez, S, Morano, L, Raya, C, Gonzalez-Praetorius, A, Penaranda, M, Nieto, MC, Montejo, JM, Viciana, I, Cabezas, T, Lozano, A, Perez-Camacho, I, Fernandez, JM, Garcia-Bermejo, I, Gaspar, G, Tellez, R, Gorgolas, M, Perez, L, Monsalvo, S, Valeiro, M, Aldamiz, T, Margall, N, Guardia, C, do Pico, E, Sauleda, S, Piron, M, Gonzalez, R, Richart, A, Barea, L, Jimenez, A, Blanco, L, Suarez, A, Rodriguez-Avial, I, Parra, P, Fernandez, M, Reina, G, Trevino, A, Requena, S, Benitez-Gutierrez, L, Cuervas-Mons, V, Barreiro, P, Corral, O, and Gomez-Gallego, F
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- 2019
25. Treatment outcome in dually HIV-1 and HIV-2 coinfected patients living in Spain
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Requena S, Caballero E, Lozano A, Rios-Villegas M, Benito R, Rojo S, Cabezas T, Macia M, Nieto M, Soriano V, de Mendoza C, Rodriguez C, Vera M, del Romero J, Ocete M, Aguilera A, Amengual M, Cervantes M, Algarate S, de Lejarazu R, Eiros J, Ramos C, Garcia-Costa J, Calderon E, Trigo M, Diz J, Garcia-Campello M, Rodriguez-Iglesias M, Hernandez-Betancor A, Ramos J, Gimeno A, Sanchez V, Gomez-Hernando C, Echeverria M, Cilla G, Perez-Trallero E, Fernandez-Pereira L, Niubo J, Margall N, Hernandez M, Lopez-Lirola A, Gomez-Sirvent J, Force L, Sauca M, Perez S, Morano L, Raya C, Praetorius A, Cifuentes C, Penaranda M, Montejo J, Roc L, Martinez-Sapina A, Viciana I, Perez-Camacho I, Fernandez-Fuertes E, Fernandez J, Bermejo I, Gaspar G, Gorgolas M, Vegas C, Blas J, Tellez R, Perez L, Valeiro M, Aldamiz T, Garcia F, Suarez A, Rodriguez-Avial I, Barreiro P, Gomez-Gallego F, Corral O, Benitez-Gutierrez L, and Cuervas-Mons V
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HIV-2 ,HIV-1 ,virus diseases ,antiretrovirals - Abstract
Background: Whereas HIV-1 has spread globally, HIV-2 is mainly found in West Africa where dual HIV-1/HIV-2 coinfection is nowadays uncommon. Herein, we report the rate, main characteristics, and treatment outcomes of all dually infected patients living in Spain. Methods: We identified retrospectively all persons coinfected with HIV-1 recorded at the Spanish HIV-2 registry. Dual infection had been confirmed using PCR in plasma and/or cells, and/or using discriminatory serological tests. Results: From a total of 373 individuals with HIV-2 recorded at the Spanish registry, 34 (9.1%) were coinfected with HIV-1. Compared with HIV-2 monoinfected persons, dually infected patients were more often male (67.6%), presented with lower median CD4(+) cell counts (204 cells/mu l), and had developed more frequently AIDS events (26.5%). Although 61.7% came from West Africa, 6 (17.6%) were native Spaniards. HIV-1 non-B subtypes were recognized in 75% of coinfected patients, being the most prevalent CRF02_AG. At baseline, 45% of dually infected patients had undetectable plasma HIV-2 RNA. After a median follow-up of 32 (13-48) months on antiretroviral therapy, dually infected patients achieved undetectable viremia in 85% for HIV-1, in 80% for HIV-2; and in 70% for both viruses. Median CD4(+) cell counts reached up to 418 cells/mu l. Conclusion: Roughly 9% of individuals with HIV-2 infection living in Spain are coinfected with HIV-1. Overall, 70% of dually infected patients achieved viral suppression for both viruses under antiretroviral therapy. Given the relatively large population of West Africans living in Spain and the continuous migration flow from HIV-2 endemic areas, HIV-1/HIV-2 coinfection should always be excluded at first diagnosis in all HIV-seroreactive persons. Copyright (C) 2019 Wolters Kluwer Health, Inc. All rights reserved.
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- 2019
26. Clinical experience with integrase inhibitors in HIV-2-infected individuals in Spain
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Requena, S, Lozano, A B, Caballero, E, García, F, Nieto, M C, Téllez, R, Fernández, J M, Trigo, M, Rodríguez-Avial, I, Martín-Carbonero, L, Miralles, P, Soriano, V, de Mendoza, C, and HIV-2 Spanish Study Group
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0301 basic medicine ,Microbiology (medical) ,Adult ,Male ,medicine.medical_specialty ,Adolescent ,030106 microbiology ,Integrase inhibitor ,Viremia ,HIV Infections ,Drug resistance ,Microbial Sensitivity Tests ,Virus ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Drug Resistance, Viral ,medicine ,Humans ,Pharmacology (medical) ,030212 general & internal medicine ,HIV Integrase Inhibitors ,Treatment Failure ,Retrospective Studies ,Pharmacology ,biology ,business.industry ,virus diseases ,Retrospective cohort study ,Middle Aged ,medicine.disease ,3. Good health ,Integrase ,CD4 Lymphocyte Count ,Infectious Diseases ,Spain ,Cohort ,HIV-2 ,Mutation ,biology.protein ,RNA, Viral ,Observational study ,Female ,business - Abstract
Background HIV-2 is a neglected virus despite estimates of 1-2 million people being infected worldwide. The virus is naturally resistant to some antiretrovirals used to treat HIV-1 and therapeutic options are limited for patients with HIV-2. Methods In this retrospective observational study, we analysed all HIV-2-infected individuals treated with integrase strand transfer inhibitors (INSTIs) recorded in the Spanish HIV-2 cohort. Demographics, treatment modalities, laboratory values, quantitative HIV-2 RNA and CD4 counts as well as drug resistance were analysed. Results From a total of 354 HIV-2-infected patients recruited by the Spanish HIV-2 cohort as of December 2017, INSTIs had been given to 44, in 18 as first-line therapy and in 26 after failing other antiretroviral regimens. After a median follow-up of 13 months of INSTI-based therapy, undetectable viraemia for HIV-2 was achieved in 89% of treatment-naive and in 65.4% of treatment-experienced patients. In parallel, CD4 gains were 82 and 126 cells/mm3, respectively. Treatment failure occurred in 15 patients, 2 being treatment-naive and 13 treatment-experienced. INSTI resistance changes were recognized in 12 patients: N155H (5), Q148H/R (3), Y143C/G (3) and R263K (1). Conclusions Combinations based on INSTIs are effective and safe treatment options for HIV-2-infected individuals. However, resistance mutations to INSTIs are selected frequently in failing patients, reducing the already limited treatment options.
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- 2019
27. Clinical experience with integrase inhibitors in HIV-2-infected individuals in Spain
- Author
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Garcia F, Martin-Carbonero L, Rodriguez C, Vera M, del Romero J, Marcaida G, Ocete M, Caballero E, Aguilera A, Benito R, de Lejarazu R, Rojo S, Eiros J, Ramos C, Garcia J, Paz I, Trigo M, Diz J, Garcia-Campello M, Rodriguez-Iglesias M, Hernandez-Betancor A, Martin A, Ramos J, Gimeno A, Sanchez V, Gomez-Hernando C, Cilla G, Perez-Trallero E, Fernandez-Pereira L, Niubo J, Hernandez M, Lopez-Lirola A, Gomez-Sirvent J, Force L, Cabrera J, Perez S, Morano L, Raya C, Gonzalez-Praetorius A, Cifuentes C, Penaranda M, Nieto M, Montejo J, Roc L, Viciana I, Lozano A, Fernandez-Fuertes E, Fernandez J, Garcia-Bermejo I, Gaspar G, Tellez R, Gorgolas M, Diaz J, Miralles P, Perez L, Valeiro M, Aldamiz T, Margall N, Suarez A, Rodriguez-Avial I, Requena S, Benitez-Gutierrez L, Cuervas-Mons V, de Mendoza C, Barreiro P, and Soriano V
- Abstract
Background: HIV-2 is a neglected virus despite estimates of 1-2 million people being infected worldwide. The virus is naturally resistant to some antiretrovirals used to treat HIV-1 and therapeutic options are limited for patients with HIV-2. Methods: In this retrospective observational study, we analysed all HIV-2-infected individuals treated with integrase strand transfer inhibitors (INSTIs) recorded in the Spanish HIV-2 cohort. Demographics, treatment modalities, laboratory values, quantitative HIV-2 RNA and CD4 counts as well as drug resistance were analysed. Results: From a total of 354 HIV-2-infected patients recruited by the Spanish HIV-2 cohort as of December 2017, INSTIs had been given to 44, in 18 as first-line therapy and in 26 after failing other antiretroviral regimens. After a median follow-up of 13 months of INSTI-based therapy, undetectable viraemia for HIV-2 was achieved in 89% of treatment-naive and in 65.4% of treatment-experienced patients. In parallel, CD4 gains were 82 and 126 cells/mm(3), respectively. Treatment failure occurred in 15 patients, 2 being treatment-naive and 13 treatment-experienced. INSTI resistance changes were recognized in 12 patients: N155H (5), Q148H/R (3), Y143C/G (3) and R263K (1). Conclusions: Combinations based on INSTIs are effective and safe treatment options for HIV-2-infected individuals. However, resistance mutations to INSTIs are selected frequently in failing patients, reducing the already limited treatment options.
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- 2019
28. Preliminary economic assessment: a valuable tool to establish biocatalytic process feasibility with an in-lab immobilized lipase
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Serrano-Arnaldos M, Ortega-Requena S, Montiel MC, Maximo M, Bastida J, Murcia MD, and Departamento de Ingeniería Química
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lipases ,green chemistry ,process technology ,bioprocesses ,6 - Ciencias aplicadas::66 - Ingeniería, tecnología e industria química. Metalurgia [CDU] ,biotechnology ,sustainable processing - Abstract
BACKGROUND: Despite the interest that commercial lipases arouse, the number of 20 industrial applications is still very limited. Only high added value products such as 21 cosmetic ingredients that can simultaneously benefit of “green chemistry” and “natural” 22 labels of using biocatalysts can justify the final cost. In any case, process feasibility 23 economic assesment in the first project stages must be done to take decisions about its 24 industrial applicability. RESULTS: This work presents an economic study of cetyl esters 1 mixture production 2 process similar to natural spermaceti catalyzed by different in-lab immobilized lipase 3 derivatives to determine if they can compete, not only in catalytic properties (activity 4 and stability) but also in price, with the commercial ones. Among results highlight that 5 CALB lipase immobilized in Amberlite™ XAD™ 1180 whose direct total cost (1.20 6 €/g) is comparable to commercial lipases, is also effective in spermaceti biocatalytic 7 synthesis achieving, under optimal conditions, a 98 % of conversion in less than one.CONCLUSION: High conversion values and it reusability (at least 15 times) ,provides a product with a price (58 €/kg) similar to the obtained with the well known Novozym® 9 10 435 (56.5 €/kg). The future scale-up will allows to better study the process and gives a 11 more realistic product final price.
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- 2018
29. Biocatalytic Synthesis of Polymeric Esters Used as Emulsifiers
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Ortega-Requena, S., primary, Serrano-Arnaldos, M., additional, Montiel, M. C., additional, Máximo, M. F., additional, Bastida, J., additional, and Murcia Almagro, M. D., additional
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- 2019
- Full Text
- View/download PDF
30. Big data and extreme-scale computing
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Asch, M, primary, Moore, T, additional, Badia, R, additional, Beck, M, additional, Beckman, P, additional, Bidot, T, additional, Bodin, F, additional, Cappello, F, additional, Choudhary, A, additional, de Supinski, B, additional, Deelman, E, additional, Dongarra, J, additional, Dubey, A, additional, Fox, G, additional, Fu, H, additional, Girona, S, additional, Gropp, W, additional, Heroux, M, additional, Ishikawa, Y, additional, Keahey, K, additional, Keyes, D, additional, Kramer, W, additional, Lavignon, J-F, additional, Lu, Y, additional, Matsuoka, S, additional, Mohr, B, additional, Reed, D, additional, Requena, S, additional, Saltz, J, additional, Schulthess, T, additional, Stevens, R, additional, Swany, M, additional, Szalay, A, additional, Tang, W, additional, Varoquaux, G, additional, Vilotte, J-P, additional, Wisniewski, R, additional, Xu, Z, additional, and Zacharov, I, additional
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- 2018
- Full Text
- View/download PDF
31. HTLV infection in HCV-antibody positive patients in Spain
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Treviño A, Aguilera A, Rodríguez-Iglesias MA, Hernandez A, Benito R, Roc L, Ramos JM, Ortíz de Lejarazu R, Poveda E, Rodríguez C, Del Romero J, Calderon E, García J, Requena S, Soriano V, and de Mendoza C
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immune system diseases ,hemic and lymphatic diseases ,viruses ,virus diseases - Abstract
Since hepatitis C virus (HCV) and human T-lymphotropic virus (HTLV) share transmission routes, dual infection could be frequent. In Spain, HTLV underdiagnosis is highlighted by the high proportion of patients presenting either with tropical spastic paraparesis (TSP) or adult T-cell leukemia (ATL) at first diagnosis. We examined whether the renewed efforts for expanding HCV testing may provide a sentinel population that might selectively be targeted to unveil asymptomatic HTLV carriers. The presence of anti-HTLV antibodies was examined in 3,838 consecutive individuals with reactive HCV serology attended during the last three years at 13 hospitals distributed across the Spanish geography. Overall 71% were male and the median age was 41-years old. Foreigners represented 9% of the study population. A total of 50 individuals (1.3%) were seroreactive for HTLV, being 30 confirmed as HTLV-2 and two as HTLV-1 (0.12%). The remaining 18 had indeterminate Western blot patterns. Most individuals with HTLV-2 and HTLV indeterminate serology were HIV-positive, former injection drug users and native Spaniards. In contrast, the two HTLV-1 infections were found in men coming from Brazil and the Dominican Republic, respectively. In summary, the overall prevalence of HTLV infection in individuals living in Spain seropositive for HCV is 1.3%, more than 10-fold greater than in general outclinics in Spain. However, immigrants from HTLV-1 endemic regions and former injection drug users with HTLV-2 infection are by far the major contributory groups in HCV patients. Therefore, testing for HTLV in newly diagnosed HCV individuals would not contribute much to improve late HTLV diagnosis in Spain.
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- 2017
32. HIV type 2 epidemic in Spain: challenges and missing opportunities
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de Mendoza C, Cabezas T, Caballero E, Requena S, Amengual MJ, Peñaranda M, Sáez A, Tellez R, Lozano AB, Treviño A, Ramos JM, Pérez JL, Barreiro P, Soriano V, and Spanish HIV-2 Network
- Subjects
virus diseases - Abstract
HIV type 2 (HIV-2) is a neglected virus despite estimates of 1-2 million people infected worldwide. HIV-2 is less efficiently transmitted than HIV-1 by sex and from mother to child. Although AIDS may develop in HIV-2 carriers, it takes longer than in HIV-1-infected patients. In contrast with HIV-1 infection, there is no global pandemic caused by HIV-2, as the virus is largely confined to West Africa. In a less extent and due to socioeconomic ties and wars, HIV-2 is prevalent in Portugal and its former colonies in Brazil, India, Mozambique and Angola. Globally, HIV-2 infections are steadily declining over time. A total of 338 cases of HIV-2 infection had been reported at the Spanish HIV-2 registry until December 2016, of whom 63% were men. Overall 72% were sub-Saharan Africans, whereas 16% were native Spaniards. Dual HIV-1 and HIV-2 coinfection was found in 9% of patients. Heterosexual contact was the most likely route of HIV-2 acquisition in more than 90% of cases. Roughly one-third presented with CD4 cell counts less than 200 cells/µl and/or AIDS clinical events. Plasma HIV-2 RNA was undetectable at baseline in 40% of patients. To date, one-third of HIV-2 carriers have received antiretroviral therapy, using integrase inhibitors 32 individuals. New diagnoses of HIV-2 in Spain have remained stable since 2010 with an average of 15 cases yearly. Illegal immigration from Northwestern African borders accounts for over 75% of new HIV-2 diagnoses. Given the relatively large community of West Africans already living in Spain and the continuous flux of immigration from endemic regions, HIV-2 infection either alone or as coinfection with HIV-1 should be excluded once in all HIV-seroreactive persons, especially when showing atypical HIV serological profiles, immunovirological disconnect (CD4 cell count loss despite undetectable HIV-1 viremia) and/or high epidemiological risks (birth in or sex partners from endemic regions).
- Published
- 2017
33. Human T-lymphotropic virus type 1 infection and disease in Spain
- Author
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de Mendoza C, Caballero E, Aguilera A, Requena S, de Lejarazu RO, Pirón M, González R, Jiménez A, Roc L, Treviño A, Benito R, Fernández-Alonso M, Aguinaga A, Rodríguez C, García-Costa J, Blanco L, Ramos JM, Calderón E, Eirós JM, Sauleda S, Barreiro P, Soriano V, and Spanish HTLV Network
- Subjects
immune system diseases ,hemic and lymphatic diseases ,viruses ,virus diseases - Abstract
Human T-lymphotropic virus type 1 (HTLV-1) infection is a neglected disease despite roughly 15 million people are chronically infected worldwide. Lifelong less than 10% of carriers develop life-threatening diseases, mostly a subacute myelopathy known as tropical spastic paraparesis (TSP) and a lymphoproliferative disorder named adult T-cell leukemia (ATL). HTLV-1 is efficiently transmitted perinatally (breastfeeding), sexually (more from men to women) and parenterally (transfusions, injection drug user (IDU), and transplants). To date there is neither prophylactic vaccine nor effective antiviral therapy. A total of 327 cases of HTLV-1 infection had been reported at the HTLV-1 Spanish registry until December 2016, of whom 34 had been diagnosed with TSP and 25 with ATL. Overall 62% were Latin American immigrants and 13% were persons of African origin. The incidence of HTLV-1 in Spain has remained stable for nearly a decade with 20-25 new cases yearly. Of the 21 newly diagnosed HTLV-1 cases during year 2016, one was a native Spaniard pregnant woman, and four presented with symptomatic disease, including three with ATL and one with TSP. Underdiagnosis of HTLV-1 in Spain must be high (iceberg model), which may account for the disproportionate high rate of symptomatic cases (almost 20%) and the late recognition of preventable HTLV-1 transmissions in special populations, such as newborns and transplant recipients. Our current estimate is of 10 000 persons living with HTLV-1 infection in Spain. Given the large flux of immigrants and visitors from HTLV-1 endemic regions to Spain, the expansion of HTLV-1 screening policies is warranted. At this time, it seems worth recommending HTLV testing to all donor/recipient organ transplants and pregnant women regardless place of birth. Although current leukoreduction procedures largely prevent HTLV-1 transmission by blood transfusions, HTLV testing of all first-time donors should be cost-effective contributing to unveil asymptomatic unaware HTLV-1 carriers.
- Published
- 2017
34. No Difference in Myosin Kinetics and Spatial Distribution of the Lever Arm in the Left and Right Ventricles of Human Hearts
- Author
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Duggal, Divya, primary, Requena, S., additional, Nagwekar, Janhavi, additional, Raut, Sangram, additional, Rich, Ryan, additional, Das, Hriday, additional, Patel, Vipul, additional, Gryczynski, Ignacy, additional, Fudala, Rafal, additional, Gryczynski, Zygmunt, additional, Blair, Cheavar, additional, Campbell, Kenneth S., additional, and Borejdo, Julian, additional
- Published
- 2017
- Full Text
- View/download PDF
35. The Burden of Neglected HIV-2 and HTLV-1 Infections in Spain
- Author
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Treviño A, Caballero E, de Mendoza C, Aguilera A, Pirón M, Soriano V, Rodríguez M, del Romero J, Marcaida G, Ocete MD, Molina I, Rodríguez-Calviño JJ, Navarro D, Regueiro B, Benito R, Algarate S, Gil J, Ortiz de Lejarazu R, Rojo S, Eirós JM, Manzardo C, Miró JM, García J, Paz I, Poveda E, Calderón E, Mateos M, Dronda F, Escudero D, Trigo M, Diz J, García-Campello M, Rodríguez-Iglesias M, Hernández-Betancor A, Martín AM, Ramos JM, Gimeno A, Gutiérrez F, Rodríguez JC, Sanchez V, Gómez-Hernando C, Cilla G, Pérez-Trallero E, López-Aldeguer J, Fernández-Pereira L, Niubó J, Hernández M, López-Lirola AM, Gómez-Sirvent JL, Force L, Cifuentes C, Pérez S, Morano L, Raya C, González-Praetorius A, Pérez JL, Peñaranda M, Hernáez-Crespo S, Montejo JM, Roc L, Martínez-Sapiña A, Viciana I, Cabezas T, Lozano A, Fernández JM, García-Bermejo I, Gaspar G, García R, Górgolas M, Vegas MC, Vegas C, Blas J, Miralles P, Aldamiz T, Margall N, Guardia C, Do Pico E, Polo I, Aguinaga A, Ezpeleta C, Sauleda S, Torres P, Jiménez A, Blanco L, González R, Suárez A, Requena S, Benítez-Gutiérrez L, Cuervas-Mons V, and Barreiro P
- Subjects
virus diseases - Abstract
HIV-2 and HTLV-1 infections are globally less frequent than those produced by HIV-1, the classical AIDS agent. In Spain and up to the end of 2014, a total of 310 cases of HIV-2, 274 of HTLV-1, and 776 of HTLV-2 infections had been reported. No cases of HTLV-3 or HTLV-4 infections have been identified so far in Spain. Most persons infected with HIV-2 or HTLV-1 acknowledge epidemiological risk factors for contagion, such as originating from or living in endemic regions and/or having had sexual partners from those areas. However, risk factors could not be recognized in up to 20-25% of carriers in Spain. Thus, it seems worth keeping a high level of clinical suspicion in order to identify earlier these neglected human retroviral infections, since diagnostic procedures and antiviral treatment are specific for each of these agents. In this article we summarize the major contributions reported at the meeting of the Spanish Group for HIV-2/HTLV held in Madrid in December 2014
- Published
- 2015
36. Synthesis of cetyl ricinoleate catalyzed by immobilized Lipozyme® CalB lipase in a solvent-free system
- Author
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Montiel MC, Serrano-Arnaldos M, Máximo MF, Gómez M, Ortega-Requena S, Bastida J, and Departamento de Ingeniería Química
- Subjects
Candida antarctica lipase B, Enzymatic synthesis, Solvent-free, Cetyl ricinoleate, Cosmetic ,6 - Ciencias aplicadas [CDU] ,equipment and supplies ,6 - Ciencias aplicadas::66 - Ingeniería, tecnología e industria química. Metalurgia [CDU] - Abstract
green process has been performed for the synthesis of the emollient ester cetyl ricinoleate with a new immobilized derivative of Candida antarctica lipase B, which has been prepared by physical adsorption of Lipozyme® CalB L on a macroporous anionic exchange resin (Lewatit® MonoPlus MP 64). An immobilized CalB lipase with protein content over 30 mg/g has been obtained and it has been successfully used as biocatalyst to produce cetyl ricinoleate from esterification of ricinoleic acid with cetyl alcohol. Influence of amount of biocatalyst and temperature was studied in the open-air reactor, and optimal values could be fixed in 2 mg and 70ºC respectively. Biocatalyst storage stability study was developed in this reactor and it was showed the high storage stability of the immobilized derivative, because it keeps 100% of its enzymatic activity after eight months. Studies of recovery and reuse of the immobilized derivative were performed in the vacuum reactor, and it was proved the posibility of using the same biocatalyst in three consecutive reaction cycles without apparent loss of activity. Finally, the characterization of the cetyl ricinoleate obtained in the vacuum reactor demonstrated that the product obtained after only 3 or 4 hours of reaction meets manufacturers’ specifications.
- Published
- 2015
37. Retraction: Bigger data open innovation: potential applications of value-added products from milk and sustainable valorization of by-products from the dairy industry
- Author
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Ortega-Requena, S., primary and Rebouillat, S., additional
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- 2017
- Full Text
- View/download PDF
38. The presence of two or more baseline NS5A resistance associated substitutions jeopardizes DAA treatment success in HCV patients
- Author
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Garcia, I.C., primary, Arias, A., additional, Benítez-Gutiérrez, L., additional, Lledó, G., additional, Garcia, R., additional, Requena, S., additional, Cuesta, M., additional, Otero, L., additional, Cuervas-Mons, V., additional, and de Mendoza, C., additional
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- 2017
- Full Text
- View/download PDF
39. Linear dichroism and optical anisotropy of silver nanoprisms in polymer films
- Author
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Requena, S, primary, Doan, H, additional, Raut, S, additional, D’Achille, A, additional, Gryczynski, Z, additional, Gryczynski, I, additional, and Strzhemechny, Y M, additional
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- 2016
- Full Text
- View/download PDF
40. Study of different reaction schemes for the enzymatic synthesis of polyglycerol polyricinoleate
- Author
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Ortega-Requena, S., Gómez, J.L., Máximo, F., Montiel, M.C., and Murcia, M.D.
- Abstract
BACKGROUND Different strategies for the solvent-free enzymatic production of polyglycerol polyricinoleate (PGPR) were explored in an attempt to simplify and improve the process. Besides the conventional procedure (obtaining polyricinoleic acid, followed by its esterification with polyglycerol), two alternative methods are proposed: (1) reversing the synthesis order, i.e. esterification of polyglycerol with ricinoleic acid and then the condensation of ricinoleic acid with the previously obtained polyglycerol ester; and (2) the enzymatic synthesis of PGPR in a single-step process. RESULTS The reaction sequences were carried out in an open-air reactor with free and immobilised lipases (triacylglycerol acylhydrolases, E.C. 3.1.1.3): Candida rugosa lipase to obtain polyricinoleic acid and Rhizopus oryzae lipase for the esterification of polyglycerol with the carboxyl group of ricinoleic or polyricinoleic acid. A co-immobilised derivative containing both lipases was used to catalyse the single-stage scheme. The three processes were carried out in a vacuum reactor, obtaining in every case PGPR that complied with the legal specifications of the European Community and recommendations provided in the Food Chemical Codex. CONCLUSION The results demonstrate that all three protocols are viable for the enzymatic synthesis of PGPR and require similar reaction times. The single-stage scheme is easier to carry out. © 2014 Society of Chemical Industry
- Published
- 2014
41. ChemInform Abstract: Bigger Data Open Innovation: Potential Applications of Value-Added Products from Milk and Sustainable Valorization of By-Products from the Dairy Industry
- Author
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Ortega-Requena, S., primary and Rebouillat, S., additional
- Published
- 2016
- Full Text
- View/download PDF
42. Study of the angular distribution of photon-induced Au-target L X-rays
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Requena, S. and Williams, S.
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- 2011
- Full Text
- View/download PDF
43. Retracted Article: Bigger data open innovation: potential applications of value-added products from milk and sustainable valorization of by-products from the dairy industry
- Author
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Ortega-Requena, S., primary and Rebouillat, S., additional
- Published
- 2015
- Full Text
- View/download PDF
44. A comparison of the bremsstrahlung yields from 53 keV electrons on gold targets produced by PENELOPE and experiment
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Requena, S., Williams, S., and Quarles, C.A.
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- 2010
- Full Text
- View/download PDF
45. FRI-230 - The presence of two or more baseline NS5A resistance associated substitutions jeopardizes DAA treatment success in HCV patients
- Author
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Garcia, I.C., Arias, A., Benítez-Gutiérrez, L., Lledó, G., Garcia, R., Requena, S., Cuesta, M., Otero, L., Cuervas-Mons, V., and de Mendoza, C.
- Published
- 2017
- Full Text
- View/download PDF
46. Bathymetrical distribution and size structure of cold-water coral populations in the Cap de Creus and Lacaze-Duthiers canyons (northwestern Mediterranean)
- Author
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Gori, A., Orejas, C., Madurell, T., Bramanti, L., Martins, M., Quintanilla, E., Marti-Puig, P., Lo Iacono, C., Puig, P., Requena, S., Greenacre, M., Gili, J.M., Gori, A., Orejas, C., Madurell, T., Bramanti, L., Martins, M., Quintanilla, E., Marti-Puig, P., Lo Iacono, C., Puig, P., Requena, S., Greenacre, M., and Gili, J.M.
- Abstract
Submarine canyons are known as one of the seafloor morphological features where living cold-water coral (CWC) communities develop in the Mediterranean Sea. We investigated the CWC community of the two westernmost submarine canyons of the Gulf of Lions canyon system: the Cap de Creus Canyon (CCC) and Lacaze-Duthiers Canyon (LDC). Coral associations have been studied through video material recorded by means of a manned submersible and a remotely operated vehicle. Video transects have been conducted and analyzed in order to obtain information on (1) coral bathymetric distribution and density patterns, (2) size structure of coral populations, and (3) coral colony position with respect to the substrate. Madrepora oculata was the most abundant CWC in both canyons, while Lophelia pertusa and Dendrophyllia cornigera mostly occurred as isolated colonies or in small patches. An important exception was detected in a vertical cliff in LDC where a large L. pertusa framework was documented. This is the first record of such an extended L. pertusa framework in the Mediterranean Sea. In both canyons coral populations were dominated by medium and large colonies, but the frequent presence of small-sized colonies also indicate active recruitment. The predominant coral orientation (90◦ and 135◦) is probably driven by the current regime as well as by the sediment load transported by the current flows. In general, no clear differences were observed in the abundance and in the size structure of the CWC populations between CCC and LDC, despite large differences in particulate matter between canyons.
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- 2013
47. Habitats of the Cap de Creus continental shelf and Cap de Creus Canyon, Northwestern Mediterranean
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Harris, Peter T., Baker, Elaine K., Lo Iacono, C., Orejas, C., Gori, A., Gili, J.-M., Requena, S., Puig, P., Ribo, M., Harris, Peter T., Baker, Elaine K., Lo Iacono, C., Orejas, C., Gori, A., Gili, J.-M., Requena, S., Puig, P., and Ribo, M.
- Abstract
The Cap de Creus continental shelf and Cap de Creus canyon are located in the southern most sector of the Gulf of Lions, in the northwestern Mediterranean. The Cap de Creus continental shelf contains sandy and muddy sediments and an abrupt morpho logy, with rocky outcrops, relict bioherms, erosive features, and planar bedforms. The Cap de Creus canyon breaches the shelf at a depth of 110 m and denotes a marked dif ference in the morphology between the northern and the southern flank, reflecting a different depositional regime. The most common substrates correspond to coarse and medium sands (28%) and silty sediments (40%). The most common megabenthic assemblages of the shelf correspond to the communities of "offshore detritic" (31.95%) and "coastal terrigenous muds" (36.99%), mostly dominated by sea pens, alcyonaceans, and ceriantharians. The northern flank of the Cap de Creus canyon is predominantly depositional, whereas the southern flank is erosional. Rocky outcrops provide the sub stratum for coldwater coral (CWC) communities' development, in which the white coral Madrepora oculata is the most abundant species.
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- 2012
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48. Bathymetrical distribution and size structure of cold-water coral populations in the Cap de Creus and Lacaze-Duthiers canyons (northwestern Mediterranean)
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Gori, A., primary, Orejas, C., additional, Madurell, T., additional, Bramanti, L., additional, Martins, M., additional, Quintanilla, E., additional, Marti-Puig, P., additional, Lo Iacono, C., additional, Puig, P., additional, Requena, S., additional, Greenacre, M., additional, and Gili, J. M., additional
- Published
- 2013
- Full Text
- View/download PDF
49. Bathymetrical distribution and size structure of cold-water coral populations in the Cap de Creus and Lacaze-Duthiers canyons (northwestern Mediterranean)
- Author
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Gori, A., primary, Orejas, C., additional, Madurell, T., additional, Bramanti, L., additional, Martins, M., additional, Quintanilla, E., additional, Marti-Puig, P., additional, Lo Iacono, C., additional, Puig, P., additional, Requena, S., additional, Greenacre, M., additional, and Gili, J., additional
- Published
- 2012
- Full Text
- View/download PDF
50. Angular distribution of K-shell X-rays produced by 29keV electrons incident on Ag
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Gonzales, D., primary, Requena, S., additional, Davis, S., additional, and Williams, S., additional
- Published
- 2011
- Full Text
- View/download PDF
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