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Jiménez M, Bobillo S, Pons V, Sánchez C, Pérez A, Molero A, Miranda N, Sánchez Á, Tabares E, Bosch F, Valcárcel D. Real-world data with the use of caplacizumab in the treatment of acquired thrombotic thrombocytopenic purpura: A single-center with homogeneous treatment experience. Transfusion 2022; 62:2363-2369. [PMID: 36151933 DOI: 10.1111/trf.17111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 06/29/2022] [Accepted: 07/22/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Recently, real-world data confirmed the effectiveness of caplacizumab in the treatment of acquired thrombotic thrombocytopenic purpura (aTTP); however, limitations as different treatment protocols from multicenter experiences and the front-line use of rituximab could overshadow the real impact of the addition of caplacizumab. STUDY DESIGN AND METHODS We report the clinical characteristics and response to treatment of 30 consecutive cases of aTTP treated under a homogeneous therapeutic protocol with the only exception of the addition of caplacizumab in the last 10 cases (caplacizumab group), whose primary outcome we compare with the previous 20 cases (control group). RESULTS Caplacizumab was started at a median of 2.5 days after diagnosis (interquartile range [IQR] 1-4) and maintained for a median of 37.5 days (IQR 32-39). Safety was in line with previous reports with 30% of patients showing mild adverse events, the most common bleeding. The caplacizumab group achieved platelet count normalization after a median of 3 (IQR 2-5) versus 4 (IQR 2-8.5) days in the control group (p = .067). The caplacizumab group required a lower median number of plasma exchanges, 10 (IQR 9-11) versus 16.5 (IQR 11-20) in the control group (p = .0053) and a shorter length of hospitalization, 12 (IQR 12-14) vs. 22 (IQR 15-27) days (p = .0025). There were no refractory cases and no deaths in the caplacizumab group compared to five refractory cases and three aTTP-related death (15%) in the control group. DISCUSSION Our experience confirms improvement in the outcomes with a decrease in refractoriness and mortality since the introduction of caplacizumab.
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Affiliation(s)
- Moraima Jiménez
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.,Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Sabela Bobillo
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.,Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Verónica Pons
- Banc de Sang y Teixits, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Carla Sánchez
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Ana Pérez
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.,Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Antonieta Molero
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.,Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Nayibe Miranda
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Ángela Sánchez
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Elizabeth Tabares
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Francesc Bosch
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.,Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - David Valcárcel
- Servei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.,Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
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Rodriguez-Muñoz D, Sánchez Á, Pérez-Benavente S, Contreras-Jurado C, Montero-Pedrazuela A, Toledo-Castillo M, Gutiérrez-Hernández M, Rodrigues-Díez R, Folgueira C, Briones AM, Sabio G, Monedero-Cobeta I, Chávez-Coira I, Castejón D, Fernández-Valle E, Regadera J, Bautista JM, Aranda A, Alemany S. Hypothyroidism confers tolerance to cerebral malaria. Sci Adv 2022; 8:eabj7110. [PMID: 35385300 PMCID: PMC8985923 DOI: 10.1126/sciadv.abj7110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
The modulation of the host's metabolism to protect tissue from damage induces tolerance to infections increasing survival. Here, we examined the role of the thyroid hormones, key metabolic regulators, in the outcome of malaria. Hypothyroidism confers protection to experimental cerebral malaria by a disease tolerance mechanism. Hypothyroid mice display increased survival after infection with Plasmodium berghei ANKA, diminishing intracranial pressure and brain damage, without altering pathogen burden, blood-brain barrier disruption, or immune cell infiltration. This protection is reversed by treatment with a Sirtuin 1 inhibitor, while treatment of euthyroid mice with a Sirtuin 1 activator induces tolerance and reduces intracranial pressure and lethality. This indicates that thyroid hormones and Sirtuin 1 are previously unknown targets for cerebral malaria treatment, a major killer of children in endemic malaria areas.
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Affiliation(s)
- Diego Rodriguez-Muñoz
- Departament of Metabolism and Cell Signaling, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
| | - Ángela Sánchez
- Departament of Metabolism and Cell Signaling, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
| | - Susana Pérez-Benavente
- Department of Biochemistry and Molecular Biology, Research Institute Hospital 12 de Octubre (Imas12), Universidad Complutense de Madrid, Madrid, Spain
| | - Constanza Contreras-Jurado
- Department of Endocrine and Nervous System Pathophysiology, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
- Departamento de Bioquímica, Facultad de Medicina, Universidad Alfonso X El Sabio, Villanueva de la Cañada, Madrid, Spain
| | - Ana Montero-Pedrazuela
- Department of Endocrine and Nervous System Pathophysiology, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
| | - Marta Toledo-Castillo
- Departament of Metabolism and Cell Signaling, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
| | - María Gutiérrez-Hernández
- Departament of Metabolism and Cell Signaling, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
| | - Raquel Rodrigues-Díez
- Departament of Pharmacology, Instituto de Investigación Hospital La Paz, Universidad Autónoma de Madrid, 28029 Madrid, Spain
- CIBER de Enfermedades Cardiovasculares, ISCIII, Madrid, Spain
| | - Cintia Folgueira
- Departament of Myocardial Pathophysiology, Centro Nacional de Investigaciones Cardiovasculares, ISCIII, 28029 Madrid, Spain
| | - Ana M. Briones
- Departament of Pharmacology, Instituto de Investigación Hospital La Paz, Universidad Autónoma de Madrid, 28029 Madrid, Spain
- CIBER de Enfermedades Cardiovasculares, ISCIII, Madrid, Spain
| | - Guadalupe Sabio
- Departament of Myocardial Pathophysiology, Centro Nacional de Investigaciones Cardiovasculares, ISCIII, 28029 Madrid, Spain
| | | | - Irene Chávez-Coira
- Department of Anatomy, Histology and Neuroscience, Universidad Autónoma de Madrid, Madrid, Spain
| | - David Castejón
- MNR Unit (CAI de Bioimagen), Universidad Complutense de Madrid, Madrid, Spain
| | | | - Javier Regadera
- Department of Anatomy, Histology and Neuroscience, Universidad Autónoma de Madrid, Madrid, Spain
| | - José M. Bautista
- Department of Biochemistry and Molecular Biology, Research Institute Hospital 12 de Octubre (Imas12), Universidad Complutense de Madrid, Madrid, Spain
| | - Ana Aranda
- Department of Endocrine and Nervous System Pathophysiology, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
- Biomedicine Unit (Unidad Asociada al CSIC), Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain
- Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), ISCIII, Madrid, Spain
- Corresponding author. (A.A.); (S.A.)
| | - Susana Alemany
- Departament of Metabolism and Cell Signaling, Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain
- Biomedicine Unit (Unidad Asociada al CSIC), Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain
- Corresponding author. (A.A.); (S.A.)
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Leal-Julià M, Vilches JJ, Onieva A, Verdés S, Sánchez Á, Chillón M, Navarro X, Bosch A. Proteomic quantitative study of dorsal root ganglia and sciatic nerve in type 2 diabetic mice. Mol Metab 2022; 55:101408. [PMID: 34856394 PMCID: PMC8717603 DOI: 10.1016/j.molmet.2021.101408] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 10/27/2021] [Accepted: 11/26/2021] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE Peripheral neuropathy is the most common and debilitating complication of type 2 diabetes, leading to sensory loss, dysautonomia, hyperalgesia, and spontaneous noxious sensations. Despite the clinical and economic burden of diabetic neuropathy, no effective treatment is available. More preclinical research must be conducted in order to gain further understanding of the aetiology of the disease and elucidate new therapeutic targets. METHODS The proteome of lumbar dorsal root ganglia and sciatic nerve of BKS-db/db mice, which contain a mutation of the leptin receptor and are an established type 2 diabetes model, was characterized for the first time by tandem mass tag labelling and mass spectrometry analysis. RESULTS Proteomic analysis showed differentially expressed proteins grouped into functional clusters in db/db peripheral nerves compared to control mice, underlining reduced glycolytic and TCA cycle metabolism, higher lipid catabolism, upregulation of muscle-like proteins in DRG and downregulation in SCN, increased cytoskeleton-related proteins, a mild dysregulation of folding chaperones, activation of acute-phase and inflammatory response, and alterations in glutathione metabolism and oxidative stress related proteins. CONCLUSIONS Our data validate previous transcriptomic and metabolomic results and uncover new pathways altered in diabetic neuropathy. Our results point out that energetic deficiency could represent the main mechanism of neurodegeneration observed in diabetic neuropathy. These findings may provide important information to select appropriate targets to develop new therapeutic strategies.
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Affiliation(s)
- Marc Leal-Julià
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Biochemistry and Molecular Biology, Univ. Autònoma de Barcelona, Spain; Unitat Mixta UAB-VHIR, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain
| | - Jorge J Vilches
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Cell Biology, Physiology and Immunology, Univ. Autònoma de Barcelona, Spain
| | - Andrea Onieva
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Biochemistry and Molecular Biology, Univ. Autònoma de Barcelona, Spain; Unitat Mixta UAB-VHIR, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain
| | - Sergi Verdés
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Biochemistry and Molecular Biology, Univ. Autònoma de Barcelona, Spain; Unitat Mixta UAB-VHIR, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain
| | - Ángela Sánchez
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Biochemistry and Molecular Biology, Univ. Autònoma de Barcelona, Spain; Unitat Mixta UAB-VHIR, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain
| | - Miguel Chillón
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Biochemistry and Molecular Biology, Univ. Autònoma de Barcelona, Spain; Institut Català de Recerca i Estudis Avançats (ICREA), Barcelona, Spain; Unitat Mixta UAB-VHIR, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain
| | - Xavier Navarro
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Cell Biology, Physiology and Immunology, Univ. Autònoma de Barcelona, Spain; Centro de Investigación Biomédica en Red Enfermedades Neurodegenerativas (CIBERNED), Spain
| | - Assumpció Bosch
- Institute of Neurosciences, Univ. Autònoma de Barcelona, Spain; Department of Biochemistry and Molecular Biology, Univ. Autònoma de Barcelona, Spain; Centro de Investigación Biomédica en Red Enfermedades Neurodegenerativas (CIBERNED), Spain; Unitat Mixta UAB-VHIR, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain.
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Hevia V, Lorca J, Hevia M, Domínguez A, López-Plaza J, Artiles A, Álvarez S, Sánchez Á, Fraile A, López-Fando L, Sanz E, Ruiz M, Alcaraz E, Burgos FJ. [COVID-19 Pandemic: Impact and rapid reaction of Urology]. Actas Urol Esp 2020; 44:450-457. [PMID: 38620218 PMCID: PMC7181986 DOI: 10.1016/j.acuro.2020.04.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 04/21/2020] [Indexed: 01/08/2023]
Abstract
The COVID-19 pandemic caused by the SARS-CoV-2 virus has caused tens of thousands of deaths in Spain and has managed to breakdown the healthcare system hospitals in the Community of Madrid, largely due to its tendency to cause severe pneumonia, requiring ventilatory support. This fact has caused our center to collapse, with 130% of its beds occupied by COVID-19 patients, thus causing the absolute cessation of activity of the urology service, the practical disappearance of resident training programs, and the incorporation of a good part of the urology staff into the group of medical personnel attending these patients. In order to recover from this extraordinary level of suspended activity, we will be obliged to prioritize pathologies based on purely clinical criteria, for which tables including the relevance of each pathology within each area of urology are being proposed. Technology tools such as online training courses or surgical simulators may be convenient for the necessary reestablishment of resident education.
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Affiliation(s)
- V Hevia
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - J Lorca
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - M Hevia
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - A Domínguez
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - J López-Plaza
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - A Artiles
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - S Álvarez
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - Á Sánchez
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - A Fraile
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - L López-Fando
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - E Sanz
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - M Ruiz
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
| | - E Alcaraz
- Área de Diagnóstico Urológico y Pruebas Instrumentales de Urología, Servicio de Urología, Hospital Universitario Ramón y Cajal, Madrid, España
| | - F J Burgos
- Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
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Ríos A, López-Navas A, Gutiérrez PR, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Fernández A, De Jesús MT, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Carrillo J, Sánchez Á, Alarcón LM, Parrilla P, Ramírez P. What Reasons Lead Spanish Medical Students Not to Be in Favor of Organ Donation? Transplant Proc 2020; 52:443-445. [PMID: 32057503 DOI: 10.1016/j.transproceed.2019.11.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/06/2019] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Despite sensitization of medical students toward the donation of organs, a non-negligible percentage of students are not in favor of donation. OBJECTIVE To analyze the reasons of Spanish medical students who do not have a favorable attitude toward the donation of their own organs after death. METHOD The population under study is medical students in Spanish universities, using the database of the International Donor Collaborative Project, stratified by geographic area and academic year. The questionnaire completion was anonymous and self-administered. The study group is medical students with an unfavorable attitude toward organ donation. The assessment instrument used is a validated questionnaire of attitude toward the donation of organs for transplant, "PCID-DTO-Ríos." The reasons against the donation are valued in the questionnaire through a question. RESULTS Of the participants included in the PCID, students who are not in favor of organ donation were selected (n = 1899). Of them, 8.1% (n = 154) are against and 91.1% (n = 1745) are doubtful. The main reasons indicated are the fear of apparent death in 11.4% of respondents, fear of possible mutilation after donation in 11.1%, and religious reasons in 2.6%. Of those, 6.9% indicate other reasons but do not clearly specify the reasons, using words such as "fear" (2.5%) or "doubts about the process" (4.1%); 66.2% (n = 1257) indicated an "assertive refusal" ("I don't want to express my reasons"). CONCLUSION Twenty percent of Spanish medical students are not in favor of donating their organs and are not in favor of showing their reasons.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain.
| | - A López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Urology Service (University Hospital Complex of the Canary Islands, CHUC) and Department of Surgery (University of La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- University of Granada, Granada, Spain
| | - J Iriarte
- University of Navarra, Navarra, Spain
| | - R Herruzo
- Autonomous University of Madrid, Madrid, Spain
| | - G Blanco
- BPH Surgery and Liver Transplant Service, Badajoz University Hospital Complex, Infanta Cristina Hospital, Badajoz, Spain
| | - F J Llorca
- University of Cantabria, Santander, Spain
| | - A Asunsolo
- Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, Universidad de Alcalá Scientific-Technological Campus, Alcalá de Henares, Madrid, Spain
| | - P Sánchez
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - A Fernández
- Department of Basic Biomedical Sciences, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Madrid, Spain
| | | | - A Lana
- Faculty of Medicine and Health Sciences, Area of Preventive Medicine and Public Health, University of Oviedo, Oviedo, Spain
| | - L Fuentes
- Department of Pharmacology and Physiology School of Health and Sports Sciences, University of Zaragoza, Huesca, Spain
| | - J R Hernández
- University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Virseda
- University of Castilla La Mancha, Albacete, Spain
| | - J Yelamos
- Endocrinology and Nutrition Service, Virgen de la Arrixaca University Clinical Hospital, El Palmar, Murcia Health Service, Murcia, Spain
| | - J A Bondía
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - L Martínez Alarcón
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Parrilla
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain
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Ríos A, López-Navas AI, Carrillo J, Sánchez Á, Martínez-Alarcón L, Ayala-García MA, Parrilla P, Ramírez P. Factors Related to the Attitude Toward Living Kidney Donation of the Population of Havana. Transplant Proc 2020; 52:487-490. [PMID: 32057501 DOI: 10.1016/j.transproceed.2019.12.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 12/20/2019] [Accepted: 12/26/2019] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Living kidney donation (LKD) is one of the most used alternatives in the field of organ transplantation. OBJECTIVE Analyze the attitude toward LKD among the population of Havana, Cuba. METHODS Population under study. Population resident in Havana, Cuba. INCLUSION CRITERIA Sample of population over 15 years stratified by age and sex. INSTRUMENT Validated questionnaire of attitude toward donation and transplant "PCID-DVR-Ríos," self-administered and anonymously filled out. STATISTICS χ2, Student t test, and a logistic regression analysis. RESULTS A total of 920 respondents have been included in the study. A total of 85.5% (n = 787) are in favor of the related LKD. In our study, 26.5% (n = 244) would remain in favor of unrelated LKD. Regarding the related LKD, the following variables remain independent in the multivariate analysis: 1. having studies (odds ratio [OR] = 3.649; P = .018); 2. attitude toward cadaveric organ donation (OR = 8.547; P < .001); 3. religion (OR = 4.385; P = .001); 4. opinion of the couple (OR = 4.672; P = .028); and 5. risk with living donation (OR = 10.989; P = .003). CONCLUSIONS The population of Havana has a very favorable attitude toward related LKD. Only a quarter of respondents are in favor of unrelated LKD.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
| | - A I López-Navas
- Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - L Martínez-Alarcón
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - M A Ayala-García
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; School of Medicine of the University of Quetzalcoatl in Irapuato, Guanajuato, Mexico
| | - P Parrilla
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain
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Ríos A, López-Navas A, Gutiérrez PR, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Fernández A, De Jesús MT, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Carrillo J, Sánchez Á, Alarcón LM, Parrilla P, Ramírez P. Are Medical Students of Non-Spanish Nationality Studying in Spain as Sensitized to Transplantation as Those of Spanish Nationality? Transplant Proc 2020; 52:435-438. [PMID: 32057498 DOI: 10.1016/j.transproceed.2019.11.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/06/2019] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Awareness of organ donation among Spanish doctors and medical students is very positive. However, the emerging group of professionals of non-Spanish nationality studying in Spain has not been analyzed. OBJECTIVE To analyze the differences in the attitudes toward the different types of donation among medical students, according to their nationality. METHODS The population under study is medical students in Spanish universities using the database of the International Collaborative Donor Project, stratified by geographic area and academic year. Groups under study include students of non-Spanish nationality as group 1 (n = 1570) and students of Spanish nationality as Group 2 (n = 7705). Instruments are validated questionnaires of attitude toward donation "PCID-DTO-Ríos," "PCID-DVR-Ríos," "PCID-DVH-Ríos," and "PCID-XenoTx-Ríos." RESULTS The attitude toward the donation of own organs after death is similar in both groups (P = .703). Non-Spaniards are 79.2% in favor compared to 79.6% of Spaniards. Living kidney donation, both unrelated (33.3% vs 29.3% in favor; P = .001) and related (91.2% vs 89, 6% in favor; P = .047), is more favorable among non-Spanish students. There are no differences regarding non-related living liver donation (29.7% vs 29.3% in favor; P = .063), but there are differences in the results for related living liver donation (94.1% vs 88%; P < .001). The attitude toward xenotransplantation of organs is similar (80.8% vs 80.8%; P = .999). CONCLUSIONS Awareness of the donation of organs among Spanish medical students is similar to non-Spanish students studying in Spain, except the attitude toward living donation.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain.
| | - A López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Urology Service (University Hospital Complex of the Canary Islands, CHUC) and Department of Surgery (University of La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- University of Granada, Granada, Spain
| | - J Iriarte
- University of Navarra, Navarra, Spain
| | - R Herruzo
- Autonomous University of Madrid, Madrid, Spain
| | - G Blanco
- BPH Surgery and Liver Transplant Service. Badajoz University Hospital Complex, Infanta Cristina Hospital, Badajoz, Spain
| | - F J Llorca
- University of Cantabria, Santander, Spain
| | - A Asunsolo
- Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, Universidad de Alcalá Scientific-Technological Campus, Alcalá de Henares, Madrid, Spain
| | - P Sánchez
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - A Fernández
- Department of Basic Biomedical Sciences, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Madrid, Spain
| | | | - A Lana
- Faculty of Medicine and Health Sciences, Area of Preventive Medicine and Public Health, University of Oviedo, Oviedo, Spain
| | - L Fuentes
- Department of Pharmacology and Physiology School of Health and Sports Sciences, University of Zaragoza, Huesca, Spain
| | - J R Hernández
- University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Virseda
- University of Castilla La Mancha, Albacete, Spain
| | - J Yelamos
- Endocrinology and Nutrition Service. Virgen de la Arrixaca University Clinical Hospital, El Palmar, Murcia Health Service, Murcia, Spain
| | - J A Bondía
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - L Martínez Alarcón
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Parrilla
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain
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Ríos A, López-Navas A, Gutiérrez PR, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Fernández A, De Jesús MT, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Carrillo J, Sánchez Á, Alarcón LM, Parrilla P, Ramírez P. Information About Donation and Organ Transplantation Among Spanish Medical Students. Transplant Proc 2020; 52:446-448. [PMID: 32057497 DOI: 10.1016/j.transproceed.2019.11.041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/06/2019] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Health professionals are asked to promote health, especially organ transplantation; however, they do not always have specific training. OBJECTIVE To analyze information about donation and organ transplantation among Spanish medical students. METHOD The population under study is medical students in Spanish universities using the database of the International Donor Collaborative Project, stratified by geographic area and academic year (n = 9275). The instrument used is the attitude questionnaire for organ donation for "PCID-DTO-Ríos" transplantation, validated with an explained variance of 63.203% and α = 0.834. The Student t test was applied together with the χ2 test, complemented by an analysis of the remainders, and Fisher's exact test was applied. RESULTS Of the students, 74% indicate that they have received information from university professors about organ transplant. Concerning specific issues with the donation, it is notable that only 66.7% (n = 6190) know and accept the concept of brain death as the death of a person. However, only 22% consider themselves as having good information, and 35.3% indicate that their information is scarce or void. Students indicate having received information about transplant from other extra-university sources, such as television and Internet (80.9%), books and magazines (73.2%), and the press (66.9%). From the information obtained in the sociofamilial field, 60.7% have obtained information from the family and 58.1% from friends. Of this information, 9% has been negative from friends, 7.5% from family, 6% from the Internet and television, and 4% from university professors. CONCLUSION Spanish medical students believe they have little information about organ transplantation and have received negative information.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain.
| | - A López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Urology Service (University Hospital Complex of the Canary Islands, CHUC) and Department of Surgery (University of La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- University of Granada, Granada, Spain
| | - J Iriarte
- University of Navarra, Navarra, Spain
| | - R Herruzo
- Autonomous University of Madrid, Madrid, Spain
| | - G Blanco
- BPH Surgery and Liver Transplant Service, Badajoz University Hospital Complex, Infanta Cristina Hospital, Badajoz, Spain
| | - F J Llorca
- University of Cantabria, Santander, Spain
| | - A Asunsolo
- Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, Universidad de Alcala Scientific-Technological Campus, Alcala de Henares, Madrid, Spain
| | - P Sánchez
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - A Fernández
- Department of Basic Biomedical Sciences, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Madrid, Spain
| | | | - A Lana
- Faculty of Medicine and Health Sciences, Area of Preventive Medicine and Public Health, University of Oviedo, Oviedo, Spain
| | - L Fuentes
- Department of Pharmacology and Physiology School of Health and Sports Sciences, University of Zaragoza, Huesca, Spain
| | - J R Hernández
- University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Virseda
- University of Castilla La Mancha, Albacete, Spain
| | - J Yelamos
- Endocrinology and Nutrition Service. Virgen de la Arrixaca University Clinical Hospital, El Palmar, Murcia Health Service, Murcia, Spain
| | - J A Bondía
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - L Martínez Alarcón
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Parrilla
- Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain
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Sánchez Á, Contreras-Jurado C, Rodríguez D, Regadera J, Alemany S, Aranda A. Hematopoiesis in aged female mice devoid of thyroid hormone receptors. J Endocrinol 2020; 244:83-94. [PMID: 31585438 DOI: 10.1530/joe-19-0339] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 10/04/2019] [Indexed: 11/08/2022]
Abstract
Hypothyroidism is often associated with anemia and immunological disorders. Similar defects are found in patients and in mice with a mutated dominant-negative thyroid hormone receptor α (TRα) and in knockout mice devoid of this receptor, suggesting that this isoform is responsible for the effects of the thyroid hormones in hematopoiesis. However, the hematological phenotype of mice lacking also TRβ has not yet been examined. We show here that TRα1/TRβ-knockout female mice, lacking all known thyroid hormone receptors with capacity to bind thyroid hormones, do not have overt anemia and in contrast with hypothyroid mice do not present reduced Gata1 or Hif1 gene expression. Similar to that found in hypothyroidism or TRα deficiency during the juvenile period, the B-cell population is reduced in the spleen and bone marrow of ageing TRα1/TRβ-knockout mice, suggesting that TRβ does not play a major role in B-cell development. However, splenic hypotrophy is more marked in hypothyroid mice than in TRα1/TRβ-knockout mice and the splenic population of T-lymphocytes is not significantly impaired in these mice in contrast with the reduction found in hypothyroidism. Our results show that the overall hematopoietic phenotype of the TRα1/TRβ-knockout mice is milder than that found in the absence of hormone. Although other mechanism/s cannot be ruled out, our results suggest that the unoccupied TRs could have a negative effect on hematopoiesis, likely secondary to repression of hematopoietic gene expression.
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Affiliation(s)
- Ángela Sánchez
- Instituto de Investigaciones Biomédicas 'Alberto Sols', Consejo Superior de Investigaciones Científicas and Universidad Autónoma de Madrid, Madrid, Spain
| | - Constanza Contreras-Jurado
- Instituto de Investigaciones Biomédicas 'Alberto Sols', Consejo Superior de Investigaciones Científicas and Universidad Autónoma de Madrid, Madrid, Spain
- Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain
| | - Diego Rodríguez
- Instituto de Investigaciones Biomédicas 'Alberto Sols', Consejo Superior de Investigaciones Científicas and Universidad Autónoma de Madrid, Madrid, Spain
| | - Javier Regadera
- Department of Anatomy, Histology and Neuroscience, Universidad Autónoma de Madrid, Madrid, Spain
| | - Susana Alemany
- Instituto de Investigaciones Biomédicas 'Alberto Sols', Consejo Superior de Investigaciones Científicas and Universidad Autónoma de Madrid, Madrid, Spain
| | - Ana Aranda
- Instituto de Investigaciones Biomédicas 'Alberto Sols', Consejo Superior de Investigaciones Científicas and Universidad Autónoma de Madrid, Madrid, Spain
- Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain
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Ríos A, López-Navas A, Gutiérrez PR, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Fernández A, de Jesús MT, Martínez Alarcón L, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández AM, Ayala MA, Flores-Medina J, Carrillo J, Sánchez Á, Ramírez P, Parrilla P. Sensitization Toward Organ Donation Among Medical Students in Spanish Regions With More Than 50 Donors Per Million Population. Transplant Proc 2019; 51:261-264. [PMID: 30879516 DOI: 10.1016/j.transproceed.2018.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Accepted: 10/23/2018] [Indexed: 12/24/2022]
Abstract
The awareness of organ donation among health professionals is important at the time of transplant promotion. In this sense, the training and awareness of the professionals in training is fundamental. OBJECTIVE To analyze the differences in the attitude toward organ donation and the factors that condition it among medical students of regions with donation rates >50 donors per million population (pmp) with respect to those with rates <40 donor pmp. METHOD Population under study: medical students in Spanish universities. Database of the Collaborative International Donor Project, stratified by geographic area and academic course. The completion was anonymous and self-administered. Groups under study: Group 1 (n = 1136): students in universities of regions with >50 donors pmp. Group 2 (n = 2018): university students in regions with <40 donors pmp. Assessment instrument: attitude questionnaire for organ donation for transplant PCID-DTO-Ríos. RESULTS The attitude toward organ donation for transplantation is similar among students from the autonomous communities with >50 donors pmp and with <40 donors pmp. In group 1, 79% (n = 897) of students are in favor compared with 81% (n = 1625) of group 2 (P=.29). The psychosocial profile toward donation is similar in both groups relating to the following variables (P < .05): sex, having discussed transplantation with family and as a couple, considering the possibility of needing a transplant, involvement in prosocial activities, attitude toward the manipulation of corpses, knowledge of the brain death concept, and religion. CONCLUSIONS The awareness of organ donation in Spanish medical students is quite homogeneous and is not related to the local donation rates of each region.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
| | - A López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Servicio de Urología (Complejo Hospitalario Universitario de Canarias, CHUC) y Departamento de Cirugía (Universidad de La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- Universidad de Granada, Granada, Spain
| | - J Iriarte
- Universidad de Navarra, Navarra, Spain
| | - R Herruzo
- Universidad Autónoma de Madrid, Madrid, Spain
| | - G Blanco
- Servicio de Cirugía HBP y Trasplante Hepático, Complejo Hospitalario Universitario de Badajoz, Hospital Infanta Cristina, Badajoz, Spain
| | - F J Llorca
- Universidad de Cantabria, Santander, Spain
| | - A Asunsolo
- Departamento de Cirugía, Ciencias Médicas y Sociales, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá Campus Científico-Tecnológico, Alcala de Henares, Madrid, Spain
| | - P Sánchez
- Facultad de Medicina, Universidad de Málaga, Málaga, Spain
| | - A Fernández
- Servicio de Urología (Complejo Hospitalario Universitario de Canarias, CHUC) y Departamento de Cirugía (Universidad de La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - M T de Jesús
- Departamento de Ciencias Biomédicas Básicas, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, Spain
| | - L Martínez Alarcón
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Lana
- Universidad Rey Juan Carlos, Madrid, Spain
| | - L Fuentes
- Facultad de Medicina y Ciencias de la Salud, Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, Oviedo, Spain
| | - J R Hernández
- Departamento de Farmacología y Fisiología Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Huesca, Spain
| | - J Virseda
- Universidad de las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Yelamos
- Universidad de Castilla La Mancha, Albacete, Spain
| | - J A Bondía
- Department of Immunology, Hospital del Mar, Barcelona, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Servicio Murciano de Salud, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital Regional no. 58 del IMSS, Delegación Guanajuato, México; Escuela de Medicina de la Universidad de Quetzalcoatl en Irapuato, Irapuato, México
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, y Gynaecology, University of Murcia, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain
| | - P Parrilla
- Department of Surgery, Paediatrics, Obstetrics, y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas A, Ayala-García M, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Knowledge of Brain Death Among the Nigerian Residents in Spain. Transplant Proc 2019; 51:277-279. [DOI: 10.1016/j.transproceed.2018.10.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/28/2022]
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Ríos A, Carrillo J, López-Navas A, Ayala-García M, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Multivariate Analysis of Factors That Condition the Attitude Toward Organ Donation Among the Population of Mali Residents in Spain. Transplant Proc 2019; 51:269-272. [DOI: 10.1016/j.transproceed.2018.10.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/24/2022]
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Ríos A, López-Navas A, Gutiérrez P, Gómez F, Iriarte J, Herruzo R, Blanco G, Llorca F, Asunsolo A, Sánchez P, Fernández A, de Jesús M, Martínez Alarcón L, Lana A, Fuentes L, Hernández J, Virseda J, Yelamos J, Bondía J, Hernández A, Ayala M, Flores-Medina J, Carrillo J, Sánchez Á, Ramírez P, Parrilla P. Do Religious Factors Influence the Attitude Toward Organ Donation Among Medical Students? A Spanish Multicenter Study. Transplant Proc 2019; 51:250-252. [DOI: 10.1016/j.transproceed.2018.11.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 11/24/2018] [Accepted: 11/26/2018] [Indexed: 11/30/2022]
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Ríos A, Carrillo J, López-Navas AI, Ayala-García MA, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. What Is the Attitude Toward Cadaveric Organ Donation of the Ghanian Residents in Spain? Transplant Proc 2018; 51:273-276. [PMID: 30879519 DOI: 10.1016/j.transproceed.2018.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The Ghanaian population is migrating toward the European economic community, especially toward the southern countries. OBJECTIVE To analyze the attitude toward organ donation among the population born in Ghana but currently residing in Spain. METHOD The study included the population born in Ghana who are ≥ 15 years of age and residents of Spain, stratified by age and sex. The assessment instrument used is the donation and transplant attitude questionnaire of Proyecto Colaborativo Internacional Donante (PCID-DTO Ríos), which was self-administered and anonymously completed with verbal consent. The statistics used were descriptive, χ2, Student t test, and a logistic regression analysis. RESULTS The questionnaire was completed by 237 Ghanaians. Forty-three percent (n = 102) are in favor of cadaveric organ donation, 35% (n = 83) are against donating their own organs, and 20% (n = 48) are undecided. In the multivariate analysis, the association was maintained at the level of the primary studies (P < .001, OR = 25), not being afraid of possible mutilation after donating (P < .001, OR = 76.923), religion (P < .001; OR = 27.777), performing prosocial activities (P = .016, OR = 12.048), and having previously commented on the issue of organ donation and transplantation in the family setting (P = .012, OR = 4.878). CONCLUSIONS The Ghanaian immigrant population in Spain has an unfavorable attitude toward the donation of their own organs at death, which is conditioned by multiple psychosocial factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Department of Psychology, Universidad Católica San Antonio, UCAM, Murcia, Spain
| | - M A Ayala-García
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico; Regional General Hospital No. 58 of the IMSS, Delegación Guanajuato, México; Escuela de Medicina de la Universidad de Quetzalcoatl en Irapuato, Irapuato, México
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, De-Francisco C, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. Validation of the Attitude Toward Living Liver Donation Questionnaire (PCID-DVH-Ríos) in Spanish-Speaking Populations: Characteristics and Psychometric Properties. Transplant Proc 2018; 50:2287-2290. [PMID: 30316343 DOI: 10.1016/j.transproceed.2018.02.172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Accepted: 02/26/2018] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Given the lack of a sufficient number of livers available for transplantation, living liver donation (LLD) is being developed in the Spanish-speaking world. Knowing the population's attitude toward this donation will help in designing more effective campaigns to increase the number of such donations. However, there are few validated questionnaires. OBJECTIVE To analyze the psychometric characteristics of questionnaire PCID-DVH-Ríos [questionnaire of the International Collaborative Donor Project about Living Liver Donation ("Proyecto Colaborativo Internacional Donante sobre Donación de Vivo Hepático" in Spanish) developed by Dr. Ríos, in order to validate the questionnaire for the Spanish-speaking population. METHODS The study population comprised native Spanish citizens. A sample of the population was obtained randomly and stratified by age and sex (N = 600) according to the following: 1. being older than 18 years; 2. being Spanish; and 3. living in Spain. Attitude was assessed using a validated questionnaire of attitude toward liver donation (PCID-DVH-Ríos). This questionnaire included items distributed into subscales or factors, an initial description of the data, an exploratory factor analysis, and an internal consistency analysis. RESULTS The questionnaire consists of a total of 11 items, distributed into 3 subscales: 1. factor 1 (6 items); 2. factor 2 (3 items); and 3. factor 3 (2 items), presenting a total explained variance of 63.995%. The factors have an explained variance of F1: 38.461%; F2: 14.228%; and F3: 11.306%, respectively. The analysis of items and internal consistency supported the 3 factors' composition. The internal consistency of each factor is as follows: α1 = 0.80; α2 = 0.70; and α3 = 0.55, respectively. CONCLUSIONS The dimensions analyzed in the PCID-DVH-Ríos questionnaire on attitudes toward living liver donation show a good fit in relation to their factorial validity and internal consistency values.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - C De-Francisco
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas A, Sánchez Á, Flores-Medina J, Ayala M, Hernández A, Ramírez P, Parrilla P. Attitude Toward Living Kidney Donation in the Emigrant Algerine Population in Spain. Transplant Proc 2018; 50:2276-2279. [DOI: 10.1016/j.transproceed.2018.03.099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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Ríos A, López-Navas A, Flores-Medina J, Ayala M, Garrido G, José Sebastián M, Sánchez Á, Martínez L, Ramis G, Hernández A, Ramírez P, Parrilla P. Level of Acceptance of Solid Organ and Tissue Xenotransplantation Among the Bolivian Population Residing in Spain. Transplant Proc 2018; 50:2300-2302. [DOI: 10.1016/j.transproceed.2018.03.103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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Ríos A, López-Navas AI, Sánchez Á, Martínez-Alarcón L, Ayala MA, Garrido G, Sebastián MJ, Ramis G, Hernández AM, Ramírez P, Parrilla P. Emigration From Puerto Rico to Florida: Multivariate Analysis of Factors That Condition Attitudes of the Puerto Rican Population Toward Organ Donation for Transplant. Transplant Proc 2018; 50:312-315. [PMID: 29579791 DOI: 10.1016/j.transproceed.2017.11.042] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 12/28/2022]
Abstract
BACKGROUND The Puerto Rican population represents one of the largest immigration groups in Florida, and this has an impact on the organ transplant donation process. Our aim was to analyze attitudes toward organ donation among Puerto Ricans who currently reside in the state of Florida (USA). METHODS The population screened consisted of individuals >15 years old, who were born in Puerto Rico, living in Florida, and awaiting organs for transplant. All participants completed the "PCID-DTO Rios" questionnaire. Random selection was done according to stratification. Support from immigration associations in Spain was needed for advice on the locations of potential respondents. Study participation was anonymized and self-administered. RESULTS There were 259 respondents, 37% (n = 95) were in favor of donation, 36% (n = 93) were against donation, and 27% (n = 71) were undecided. The variables associated with these attitudes were: age (P = .017); civil status (P = .021); level of education (P < .001); previous experience with donation and transplant (P < .001); attitude toward organ donation of a relative (P < .001); carrying out pro-social activities (P < .001); discussing the issue of transplant with the family (P < .001) or couple (P < .001); attitude toward incineration (P < .001), burial (P < .001), and autopsy (P < .001); fear of mutilation after donation (P < .001); and religious beliefs (P < .001). In the multivariate study, it remained an independent variable to have discussed the issue at the family level (odds ratio = 11.627; P = .009). CONCLUSION The Puerto Rican study population residing in Florida has an unfavorable attitude toward organ donation.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Ayala MA, Garrido G, Sebastián MJ, Martínez-Alarcó L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Factors That Affect the Attitudes of the Bolivian Population in Spain With Regard to Organ Donation for Transplant. Transplant Proc 2018; 50:319-322. [PMID: 29579793 DOI: 10.1016/j.transproceed.2017.11.044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 10/17/2022]
Abstract
BACKGROUND The Bolivian population is an emerging Latin American immigrant group in Spain, several of whom have been transplanted or are awaiting transplant. We aimed to assess attitudes toward organ donation among Bolivians currently residing in Spain. METHOD The population screened was born in Bolivia but living in Spain, stratified by gender and age. The appraisal tool used was a questionnaire that assesses attitudes toward organ donation for transplant ("PCID-DTO Ríos"). Support from immigration associations in Spain was needed for advice on locations of potential respondents. Survey participation was anonymized and the questionnaire was self-administered. Verbal consent was obtained before participation. RESULTS There were 206 respondents: 49% (n = 101) in favor of donating their organs after death; 21% (n = 44) against donation; and 30% (n = 61) undecided. Their attitudes were found to be associated with level of education (P = .008), previous experience with donation and transplant (P = .011), concern regarding mutilation after donation (P = .002), knowing the attitude of their religion toward transplant (P = .001), the opinion of their partner (P < .001), and the possibility of needing a future transplant (P = .050). In the multivariate study, the main factor was having a partner in favor of organ donation (odds ratio = 16.129; P = .003). CONCLUSION Attitudes toward organ donation among Bolivians residing in Spain are far more negative compared with rest of the Spanish population, due to various factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Madrid, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - L Martínez-Alarcó
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Ayala MA, Garrido G, Sebastián MJ, Flores-Medina J, Martinez-Alarcon L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Multivariate Analysis of Factors That Influence the Attitude of the Ecuadorian Population Resident in Spain Toward Living-Related Kidney Donation. Transplant Proc 2018; 50:366-369. [PMID: 29579805 DOI: 10.1016/j.transproceed.2017.11.067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND The Ecuadorian population is the largest Latin-American immigrant group in Spain. Currently, several Ecuadorians have received transplants or are awaiting transplants in Spain. The aim of this work was to analyze the attitude toward living kidney donation among the Ecuadorian population residing in Spain. METHODS The population screened were born in Ecuador, residing in Spain, and >15 years old, stratified by gender and age, and appraised with the use of the questionnaire on attitude toward organ donation for transplantation "PCID-DVR-Ríos." Support from immigration associations in Spain was used to advise on the location of potential respondents. The completion was anonymous and self-administered. Verbal consent was obtained. Statistics included Student t test, χ2, Fisher exact test, and logistic regression analysis. RESULTS A total of 461 respondents were included: 80% (n = 367) were in favor of living-related kidney donation (for a relative or close friend). This attitude was associated with psychosocial variables that persisted in the multivariate study: 1) female gender (odds ratio [OR], 3.086; P = .001); 2) considering oneself a potential kidney receptor in the future (OR, 16.949; P = .002); 3) economic incentive in the donation (OR, 100; P = .004); and 4) knowing the attitude of their religion toward transplantation (OR, 32.258; P < .001). CONCLUSIONS Living-related donation is accepted among the Ecuadorian population residing in Spain and is associated with sociopersonal and religious factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Madrid, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - L Martinez-Alarcon
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, De-Francisco C, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. Attitude Toward Organ and Tissue Xenotransplantation Questionnaire (PCID-XENOTx-Ríos): Characteristics and Psychometric Properties of the Validation in Spanish-Speaking Populations. Transplant Proc 2018; 50:2303-2307. [PMID: 30316347 DOI: 10.1016/j.transproceed.2018.02.173] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Accepted: 02/26/2018] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Making xenotransplantation socially acceptable is the first step in working toward the promotion of this potential therapy option for providing transplant organs. However, most of the questionnaires used for this task are not validated. OBJECTIVE To analyze the psychometric characteristics of the questionnaire of attitud toward xenotransplantation PCID-XENOTx-Ríos (Questionnaire of Proyecto Colaborativo Internacional Donante about Xenotransplantation developed by Dr. Ríos) to validate the questionnaire in the Spanish speaking population. METHODS The study population was the native Spanish population living in southeast Spain. A sample of the population was obtained randomly and stratified by age and sex (N = 600), using the following inclusion criteria: 1. being older than 18 years; 2. being Spanish; and 3. living in Spain. Instrument valuation. Attitude was assessed using the validated PCID-XENOTx-Ríos questionnaire to gauge attitudes toward organ and tissue xenotransplantation. The statistical analysis included an initial description of the data, an exploratory factor analysis, an items analysis, and an internal consistency analysis. RESULTS The questionnaire consists of a total of 30 items, distributed in 4 subscales: 1. Factor 1: consequences (11 items); 2. Factor 2: associated risks (7 items); 3. Factor 3: transmission of infections (6 items); and 4. Factor 4: origins of transplantation (6 items). This structure presents a total explained variance of 61.18%. The internal consistency of each factor was as follows: α1 = 0.91; α2 = 0.92; α3 = 0.89; and α4 = 0.72. The analysis of items and internal consistency supported the 4 factors' composition. CONCLUSIONS Dimensions analyzed in the PCID-XENOTx-Ríos questionnaire of attitudes toward organ and tissue xenotransplantation show a good fit in relation to their factorial validity and internal consistency values.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - C De-Francisco
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Flores-Medina J, Sánchez Á, Ayala MA, Garrido G, Martínez-Alarcón L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Attitude of the Citizens of Havana, Cuba, Toward Organ Donation: A Multivariate Analysis of the Psychosocial Factors Affecting Attitude. Transplant Proc 2018; 50:2260-2263. [PMID: 30316336 DOI: 10.1016/j.transproceed.2018.03.069] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 03/02/2018] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Because personal decisions affect the availability of organs for transplants, awareness about organ donations among the general population is fundamental. OBJECTIVE To analyze attitudes toward organ donation among the citizens of Havana, Cuba. METHODS The sample population was the residents of the city of Havana, Cuba. The inclusion criterion was being older than 15 years; the sample was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects of organ donation and transplant (PCID-DTO-Ríos). A random selection of people to be surveyed was carried out. RESULTS A sample of 920 respondents was included in the study. Attitude toward cadaveric donation was favorable in 68% of respondents, while 14% were against and 18% were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables continue to feature as independent variables (P < .05): 1. level of studies; 2. knowledge of the concept of brain death; 3. attitude toward organ donation of a relative; 4. having discussed the issue of organ donation and transplantation with one's family; 5. the attitude of the couple toward organ donation and transplantation; 6. the religion of the respondent; 7. knowing the opinion of one's religion toward organ transplantation; 8. fear of manipulation of the body after death; and 9. acceptance of burial as a treatment of the body after the death. CONCLUSIONS The attitude toward cadaveric organ donation among the residents of Havana is favorable and similar to that of the citizens of Spain. Improving the organ procurement system will increase donation rates given the population's awareness of the issue.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - M A Ayala
- International Collaborative Donor Project, Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - G Garrido
- National Transplant Organization, Spain
| | - L Martínez-Alarcón
- International Collaborative Donor Project, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- International Collaborative Donor Project, Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas A, Sánchez Á, Martinez-Alarcon L, Ayala M, Garrido G, Sebastián M, Ramis G, Abdo-Cuza A, Hernández A, Ramírez P, Parrilla P. Knowledge of the Brain Death Concept Among the Population of Havana, Cuba. Transplant Proc 2018; 50:323-325. [DOI: 10.1016/j.transproceed.2017.11.043] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 12/20/2022]
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Ríos A, López-Gómez S, López-Navas AI, Belmonte J, Sánchez Á, Martínez-Alarcón L, Hernández AM, Ramírez P, Parrilla P. Approach of Social Groups With Little Sensitization to Organ Donation: Pilot Study in the Gypsy Population to Assess the Best Approach to Determine the Attitude Toward Organ Donation for Transplantation. Transplant Proc 2018; 50:338-340. [PMID: 29579798 DOI: 10.1016/j.transproceed.2017.12.051] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Revised: 11/19/2017] [Accepted: 12/05/2017] [Indexed: 11/27/2022]
Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - S López-Gómez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - J Belmonte
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Servicio de Anestesia y Reanimación, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas A, De-Francisco C, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Psychometric Characteristics of the Attitude Questionnaire Toward the Donation of Organs for Transplant (PCID-DTO-RIOS). Transplant Proc 2018; 50:345-349. [DOI: 10.1016/j.transproceed.2017.11.063] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 01/01/2023]
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Sánchez Á, Mengíbar M, Rivera-Rodríguez G, Moerchbacher B, Acosta N, Heras A. The effect of preparation processes on the physicochemical characteristics and antibacterial activity of chitooligosaccharides. Carbohydr Polym 2017; 157:251-257. [DOI: 10.1016/j.carbpol.2016.09.055] [Citation(s) in RCA: 62] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Revised: 09/09/2016] [Accepted: 09/15/2016] [Indexed: 10/21/2022]
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Sanz-Garcia C, Sánchez Á, Contreras-Jurado C, Cales C, Barranquero C, Muñoz M, Merino R, Escudero P, Sanz MJ, Osada J, Aranda A, Alemany S. Map3k8 Modulates Monocyte State and Atherogenesis in ApoE-/- Mice. Arterioscler Thromb Vasc Biol 2016; 37:237-246. [PMID: 27856455 DOI: 10.1161/atvbaha.116.308528] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Accepted: 11/07/2016] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Map3k8 (Cot/Tpl2) activates the MKK1/2-ERK1/2, MAPK pathway downstream from interleukin-1R, tumor necrosis factor-αR, NOD-2R (nucleotide-binding oligomerization domain-like 2R), adiponectinR, and Toll-like receptors. Map3k8 plays a key role in innate and adaptive immunity and influences inflammatory processes by modulating the functions of different cell types. However, its role in atherogenesis remains unknown. In this study, we analyzed the role of this kinase in this pathology. APPROACH AND RESULTS We show here that Map3k8 deficiency results in smaller numbers of Ly6ChighCD11clow and Ly6ClowCD11chigh monocytes in ApoE-/- mice fed a high-fat diet (HFD). Map3k8-/-ApoE-/- monocytes displayed high rates of apoptosis and reduced amounts of Nr4a1, a transcription factor known to modulate apoptosis in Ly6ClowCD11chigh monocytes. Map3k8-/-ApoE-/- splenocytes and macrophages showed irregular patterns of cytokine and chemokine expression. Map3k8 deficiency altered cell adhesion and migration in vivo and decreased CCR2 expression, a determinant chemokine receptor for monocyte mobilization, on circulating Ly6ChighCD11clow monocytes. Map3k8-/-ApoE-/- mice fed an HFD showed decreased cellular infiltration in the atherosclerotic plaque, with low lipid content. Lesions had similar size after Map3k8+/+ApoE-/- bone marrow transplant into Map3k8-/-ApoE-/- and Map3k8+/+ApoE-/- mice fed an HFD, whereas smaller plaques were observed after the transplantation of bone marrow lacking both ApoE and Map3k8. CONCLUSIONS Map3k8 decreases apoptosis of monocytes and enhances CCR2 expression on Ly6ChighCD11clow monocytes of ApoE-/- mice fed an HFD. These findings explain the smaller aortic lesions in ApoE-/- mice with Map3k8-/-ApoE-/- bone marrow cells fed an HFD, supporting further studies of Map3k8 as an antiatherosclerotic target.
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Affiliation(s)
- Carlos Sanz-Garcia
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Ángela Sánchez
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Constanza Contreras-Jurado
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Carmela Cales
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Cristina Barranquero
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Marta Muñoz
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Ramón Merino
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Paula Escudero
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Maria-Jesús Sanz
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Jesús Osada
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Ana Aranda
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.)
| | - Susana Alemany
- From the Instituto de Investigaciones Biomédicas "Alberto Sols" Madrid, Consejo Superior de Investigaciones Científicas (CSIC-UAM) y Unidad de Biomedicina (UA, CSIC), University of Las Palmas de Gran Canaria, España (C.S.-G., Á.S., C.C.-J., C.C., A.A., S.A.); Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, IISA, University of Zaragoza, España (C.B., J.O.); Instituto de Biomedicina y Biotecnología de Cantabria (CSIC-UC), Santander, España (M.M., R.M.); and Departmento de Farmacologia, Facultad de Medicina, University of Valencia, INCLIVA, España (P.E., M.-J.S.).
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Fernández-de Castro L, Mengíbar M, Sánchez Á, Arroyo L, Villarán MC, Díaz de Apodaca E, Heras Á. Films of chitosan and chitosan-oligosaccharide neutralized and thermally treated: Effects on its antibacterial and other activities. Lebensm Wiss Technol 2016. [DOI: 10.1016/j.lwt.2016.06.038] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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