Resultados totales (Incluyendo duplicados): 42452
Encontrada(s) 4246 página(s)
Encontrada(s) 4246 página(s)
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/189543
Sonido (Sound). 2019
APLICABILIDAD DEL CÓDIGO ASCE 7-16 PARA EL DISEÑO DE EDIFICACIONES CON AISLAMIENTO SÍSMICO EN COLOMBIA
- Piscal Arévalo, Carlos Mario
- López Almansa, Francisco
El aislamiento de base es una técnica de protección sismorresistente para edificaciones, con amplio y exitoso uso a nivel mundial. En Colombia actualmente existen algunos edificios que incorporan esta técnica, los cuales fueron diseñados bajo los requisitos de la normativa americana vigentes en la época, como ASCE 7-10. Dicho documento ha sido recientemente actualizado a su versión 2016, con importantes cambios técnicos respecto a su predecesor. ASCE 7-16 incorpora resultados de las investigaciones más recientes en cuanto a aislamiento sísmico se refiere; en consecuencia, las futuras edificaciones que empleen esta técnica y que sean diseñadas y construidas en el país deberían seguir dicha regulación. Por todo lo anterior, en el presente trabajo se evidencia la necesidad de hacer un análisis de esta nueva estrategia de diseño (para edificaciones con aislamiento de base) y discutir su aplicabilidad en el país., Base isolation is a successful and worldwide used seismic protection technique for buildings. In Colombia there are some buildings that incorporate this technology; were designed by following the current American regulations, namely ASCE 7-10. This document has been recently updated to its 2016 version, with important changes. ASCE 7-16 incorporates the results of the most recent research; thus, apparently, future isolated buildings should follow this document. These considerations highlight the necessity of analyzing the prescriptions of ASCE 7-16 (regarding base isolation of buildings) and discussing its applicability to Colombia., Peer Reviewed, Postprint (published version)
Proyecto: //
DOI: https://hdl.handle.net/2117/189543
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/189543
HANDLE: https://hdl.handle.net/2117/189543
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/189543
PMID: https://hdl.handle.net/2117/189543
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/189543
Ver en: https://hdl.handle.net/2117/189543
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/189543
Memoria Digital Vasca = Euskal Memoria Digitala
oai:www.memoriadigitalvasca.eus:10357/69928
Sonido (Sound). 2024
EL PODCAST DE SANCHO EL SABIO. 1. KAPITULUA: SÍMBOLOS VASCOS
En este primer episodio, Santiago de Pablo y Virginia López de Maturana hablan sobre símbolos vascos. Descubriremos cuáles son los más importantes, su historia y la importancia que tienen para nuestra cultura. Además, conoceremos el origen del lauburu con Isabel Mellén y los fondos que atesora la Fundación Sancho el Sabio sobre el rock radical vasco con Ander Gondra. Gracias a Jabi Soto nos adentraremos en el fascinante mundo de los orígenes de la fotografía. ¡Descubre estos temas y mucho más en este primer episodio de El Podcast de Sancho el Sabio!
Proyecto: //
DOI: http://hdl.handle.net/10357/69928
Memoria Digital Vasca = Euskal Memoria Digitala
oai:www.memoriadigitalvasca.eus:10357/69928
HANDLE: http://hdl.handle.net/10357/69928
Memoria Digital Vasca = Euskal Memoria Digitala
oai:www.memoriadigitalvasca.eus:10357/69928
PMID: http://hdl.handle.net/10357/69928
Memoria Digital Vasca = Euskal Memoria Digitala
oai:www.memoriadigitalvasca.eus:10357/69928
Ver en: http://hdl.handle.net/10357/69928
Memoria Digital Vasca = Euskal Memoria Digitala
oai:www.memoriadigitalvasca.eus:10357/69928
RIUMA. Repositorio Institucional de la Universidad de Málaga
oai:riuma.uma.es:10630/39576
Sonido (Sound). 2025
RELACIONES PÚBLICAS Y DESINFORMACIÓN
- VV.AA.
Cómo citar: Oliveira, Andrea; Zeler, Ileana & Ruiz-Mora,Isabel (Coord.). (2025, junio 02). Relaciones Públicas y Desinformación (No3) [Episodio de Audio Podcast.] En Relaciones Públicas al Descubierto., Descubre, con María-Isabel Míguez-González (Profesora Titular en el departamento de Comunicación Audiovisual y Publicidad en la Universidade de Vigo y grupo de investigación en comunicación para el servicio público (SEPCOM), María Laura García (Presidenta del Comité Empresarial del World Innovation and Change Management Institute ) y Leticia Rodríguez Fernández (Profesora Titular en el Departamento de Marketing y Comunicación y directora general de Comunicación Estratégica en la Universidad de Cádiz), cómo las Relaciones Públicas pueden ayudar a la sociedad a afrontar el reto de la desinformación con una visión crítica y prospectiva, Asociación de Investigadores en Relaciones Públicas (AIRP)
Proyecto: //
DOI: https://open.spotify.com/episode/1SOKWsSFdb91jfQTwO8YdZ, https://hdl.handle.net/10630/39576
RIUMA. Repositorio Institucional de la Universidad de Málaga
oai:riuma.uma.es:10630/39576
HANDLE: https://open.spotify.com/episode/1SOKWsSFdb91jfQTwO8YdZ, https://hdl.handle.net/10630/39576
RIUMA. Repositorio Institucional de la Universidad de Málaga
oai:riuma.uma.es:10630/39576
PMID: https://open.spotify.com/episode/1SOKWsSFdb91jfQTwO8YdZ, https://hdl.handle.net/10630/39576
RIUMA. Repositorio Institucional de la Universidad de Málaga
oai:riuma.uma.es:10630/39576
Ver en: https://open.spotify.com/episode/1SOKWsSFdb91jfQTwO8YdZ, https://hdl.handle.net/10630/39576
RIUMA. Repositorio Institucional de la Universidad de Málaga
oai:riuma.uma.es:10630/39576
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/28472
Otros (Other). 2024
PROCESO RESPIRATORIO: AGUDIZACIÓN DE LA EPOC_0
- Lopez-Lopez C
- Luque-Hernandez MJ
- Gomez Parra S
AGUDIZACIÓN DE LA EPOC (AEPOC), La Agudización de la Enfermedad Pulmonar Obstructiva Crónica (AEPOC) se define según la GesEPOC 2021 como un “episodio de inestabilidad clínica en un paciente EPOC como consecuencia del agravamiento de la limitación espiratoria al flujo aéreo o del proceso inflamatorio subyacente y se caracteriza por un empeoramiento agudo de los síntomas respiratorios respecto de la situación basal del individuo”., Yes
Proyecto: //
DOI: https://hdl.handle.net/10668/28472
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/28472
HANDLE: https://hdl.handle.net/10668/28472
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/28472
PMID: https://hdl.handle.net/10668/28472
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/28472
Ver en: https://hdl.handle.net/10668/28472
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/28472
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/103444
Set de datos (Dataset). 2016
GEOSTANDARDS OF THE VALENTÍ MASACHS GEOLOGY MUSEUM
GEOSTANDARDS DU MUSÉE DE GÉOLOGIE VALENTÍ MASACHS
- Parcerisa Duocastella, David
- Fàbrega Alsina, Carles
- Gurenko, Andrey
- Franke, Christine
Anàlisis geoquímiques i fotos de visu i microscòpia de les mostres que integren la col·lecció de geostandards del Museu de Geologia Valentí Masachs (UPC Manresa).
Análisis geoquímicas y fotos de visu y microscopio de las muestras que integran la colección de geostandares del Museo de Geología Valentí Masachs (UPC Manresa).
Geochemical analyses and hand and microscopy pictures of the samples belonging to the geostandards collection of the Valenti Masachs Geology Museum (UPC Manresa).
Analyses géochimiques et photographies au microscope et visu des échantillons qui forment la collection de geostandards du Musée de Géologie Valentí Masachs (UPC Manresa)., 1
Proyecto: //
DOI: http://hdl.handle.net/2117/103444, http://hdl.handle.net/2117/103444
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/103444
HANDLE: http://hdl.handle.net/2117/103444, http://hdl.handle.net/2117/103444
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/103444
PMID: http://hdl.handle.net/2117/103444, http://hdl.handle.net/2117/103444
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/103444
Ver en: http://hdl.handle.net/2117/103444, http://hdl.handle.net/2117/103444
Recercat. Dipósit de la Recerca de Catalunya
oai:recercat.cat:2117/103444
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26962
. 2021
METABOLOMICS OF THE TRYPTOPHAN-KYNURENINE DEGRADATION PATHWAY AND RISK OF ATRIAL FIBRILLATION AND HEART FAILURE: POTENTIAL MODIFICATION EFFECT OF MEDITERRANEAN DIET.
- Razquin, Cristina
- Ruiz-Canela, Miguel
- Toledo, Estefania
- Hernández-Alonso, Pablo
- Clish, Clary B
- Guasch-Ferré, Marta
- Li, Jun
- Wittenbecher, Clemens
- Dennis, Courtney
- Alonso-Gómez, Angel
- Fitó, Montse
- Liang, Liming
- Corella, Dolores
- Gómez-Gracia, Enrique
- Estruch, Ramon
- Fiol, Miquel
- Lapetra, Jose
- Serra-Majem, Lluis
- Ros, Emilio
- Aros, Fernando
- Salas-Salvadó, Jordi
- Hu, Frank B
- Martínez-González, Miguel A
The tryptophan-kynurenine pathway is linked to inflammation. We hypothesize that metabolites implicated in this pathway may be associated with the risk of heart failure (HF) or atrial fibrillation (AF) in a population at high risk of cardiovascular disease. We aimed to prospectively analyze the associations of kynurenine-related metabolites with the risk of HF and AF and to analyze a potential effect modification by the randomized interventions of the PREDIMED (Prevención con Dieta Mediterránea) trial with Mediterranean diet (MedDiet). Two case-control studies nested within the PREDIMED trial were designed. We selected 324 incident HF cases and 502 incident AF cases individually matched with ≤3 controls. Conditional logistic regression models were fitted. Interactions with the intervention were tested for each of the baseline plasma metabolites measured by LC-tandem MS. Higher baseline kynurenine:tryptophan ratio (OR for 1 SD: 1.20; 95% CI: 1.01, 1.43) and higher levels of kynurenic acid (OR: 1.19; 95% CI: 1.01, 1.40) were associated with HF. Quinolinic acid was associated with AF (OR: 1.15; 95% CI: 1.01, 1.32) and HF (OR: 1.25; 95% CI: 1.04, 1.49). The MedDiet intervention modified the positive associations of kynurenine (Pinteraction = 0.006), kynurenic acid (Pinteraction = 0.008), and quinolinic acid (Pinteraction = 0.033) with HF and the association between kynurenic acid and AF (Pinteraction = 0.02). We found that tryptophan-kynurenine pathway metabolites were prospectively associated with higher HF risk and to a lesser extent with AF risk. Moreover, an effect modification by MedDiet was observed for the association between plasma baseline kynurenine-related metabolites and the risk of HF, showing that the positive association of increased levels of these metabolites and HF was restricted to the control group., Sí
Proyecto: //
DOI: https://hdl.handle.net/10668/26962, https://doi.org/10.1093/ajcn/nqab238, https://pmc.ncbi.nlm.nih.gov/articles/PMC8764340/pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26962
HANDLE: https://hdl.handle.net/10668/26962, https://doi.org/10.1093/ajcn/nqab238, https://pmc.ncbi.nlm.nih.gov/articles/PMC8764340/pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26962
PMID: https://hdl.handle.net/10668/26962, https://doi.org/10.1093/ajcn/nqab238, https://pmc.ncbi.nlm.nih.gov/articles/PMC8764340/pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26962
Ver en: https://hdl.handle.net/10668/26962, https://doi.org/10.1093/ajcn/nqab238, https://pmc.ncbi.nlm.nih.gov/articles/PMC8764340/pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26962
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26965
. 2021
A LIFESTYLE INTERVENTION WITH AN ENERGY-RESTRICTED MEDITERRANEAN DIET AND PHYSICAL ACTIVITY ENHANCES HDL FUNCTION: A SUBSTUDY OF THE PREDIMED-PLUS RANDOMIZED CONTROLLED TRIAL
- Sanllorente, Albert
- Soria-Florido, Maria Trinidad
- Castaner, Olga
- Lassale, Camille
- Salas-Salvado, Jordi
- Martinez-Gonzalez, Miguel Angel
- Subirana, Isaac
- Ros, Emilio
- Corella, Dolores
- Estruch, Ramon
- Tinahones, Francisco J.
- Hernaez, Alvaro
- Fito, Montserrat
Background: Consumption of a Mediterranean diet, adequate levels of physical activity, and energy-restricted lifestyle interventions have been individually associated with improvements in HDL functions. Evidence of intensive interventions with calorie restriction and physical activity is, however, scarce.
Objectives: To determine whether an intensive lifestyle intervention with an energy-restricted Mediterranean diet plus physical activity enhanced HDL function compared to a non-hypocaloric Mediterranean eating pattern without physical activity.
Methods: In 391 older adults with metabolic syndrome (mean age, 65 years; mean BMI, 33.3 kg/m2) from 1 of the Prevención con Dieta Mediterránea-Plus trial centers, we evaluated the impact of a 6-month intervention with an energy-restricted Mediterranean diet plus physical activity (intensive lifestyle; n = 190) relative to a nonrestrictive Mediterranean diet without physical activity (control; n = 201) on a set of HDL functional traits. These included cholesterol efflux capacity, HDL oxidative/inflammatory index, HDL oxidation, and levels of complement component 3, serum amyloid A, sphingosine-1-phosphate, triglycerides, and apolipoproteins A-I, A-IV, C-III, and E in apoB-depleted plasma.
Results: The intensive-lifestyle intervention participants displayed greater 6-month weight reductions (-3.83 kg; 95% CI: -4.57 to -3.09 kg) but no changes in HDL cholesterol compared with control-diet participants. Regarding HDL functional traits, the intensive lifestyle decreased triglyceride levels (-0.15 mg/g protein; 95% CI: -0.29 to -0.014 mg/g protein) and apoC-III (-0.11 mg/g protein; 95% CI: -0.18 to -0.026 mg/g protein) compared to the control diet, with weight loss being the essential mediator (proportions of mediation were 77.4% and 72.1% for triglycerides and apoC-III levels in HDL, respectively).
Conclusions: In older adults with metabolic syndrome, an energy-restricted Mediterranean diet plus physical activity improved the HDL triglyceride metabolism compared with a nonrestrictive Mediterranean diet without physical activity. This trial is registered at isrctn.com as ISRCTN89898870., This work was supported by the Instituto de Salud Carlos III (grant numbers: CB06/03/0028, CD17/00122, IFI16/00012, PI15/00047, PI18/00020, and P19/00017), Fundació La Marató de TV3 (grant number: 201512.31), Agència de Gestió d’Ajuts Universitaris i de Recerca (grant number: 2017 BP 00021, 2017 SGR 222, SLT002/16/00088), and the European Regional Development Fund., Sí
Proyecto: //
DOI: https://hdl.handle.net/10668/26965, https://academic.oup.com/ajcn/article-pdf/114/5/1666/41105370/nqab246.pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26965
HANDLE: https://hdl.handle.net/10668/26965, https://academic.oup.com/ajcn/article-pdf/114/5/1666/41105370/nqab246.pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26965
PMID: https://hdl.handle.net/10668/26965, https://academic.oup.com/ajcn/article-pdf/114/5/1666/41105370/nqab246.pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26965
Ver en: https://hdl.handle.net/10668/26965, https://academic.oup.com/ajcn/article-pdf/114/5/1666/41105370/nqab246.pdf
RISalud-ANDALUCIA. Repositorio Institucional de Salud de Andalucía
oai:repositoriosalud.es:10668/26965
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/736380
Otros (Other). 2025
USE OF MELUDIA TO EVALUATE THE EFFECT OF MUSIC TRAINING IN COCHLEAR IMPLANT USERS: STUDY PROTOCOL OF A RANDOMISED CONTROLLED STUDY
- Calvino, Miryam
- Gavilán Bouzas, Javier
- Lassaletta Atienza, Luis María
Trial registration number NCT06540677, Introduction Although most cochlear implant (CI) users achieve good speech understanding in quiet without visual cues, they may have limited speech understanding in noise and often have poor music perception. The present study was designed to investigate the degree to which the use of Meludia training can improve music perception, music enjoyment and speech understanding in paediatric and postlingually deafened adult CI users. The study also aims to assess the participants’ changes in cognitive skills (attention and memory) and quality of life.
Methods and analysis This randomised controlled trial will randomise new CI users and experienced CI users older than 6 years who meet the inclusion criteria in a 1:1 ratio to either a musical training (MT) group or a non-MT (NMT) group. The NMT group will receive standard care that does not include MT. Participants in the MT group will practise with Meludia software for 4 weeks and later for 12 additional weeks. Outcomes will include scores in: ‘Listening Up’ exercises, the -Music-Related Quality of Life questionnaire, the Music Questionnaire for Paediatric Population, Disyllables in silence, Matrix test, Mini Mental State Examination, Performance IQ and the Wechsler intelligence scale for children and the Assessment of Quality of Life—8 Dimensions questionnaire. The NMT group will receive standard care that does not include MT
Proyecto: //
DOI: https://hdl.handle.net/10486/736380
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/736380
HANDLE: https://hdl.handle.net/10486/736380
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/736380
PMID: https://hdl.handle.net/10486/736380
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/736380
Ver en: https://hdl.handle.net/10486/736380
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/736380
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/724320
Otros (Other). 2024
SUBCLINICAL ATHEROSCLEROSIS AND BRAIN HEALTH IN MIDLIFE: RATIONALE AND DESIGN OF THE PESA-BRAIN STUDY
- Tristão-Pereira, Catarina
- Fuster de Carulla, Valentín
- Lopez-Jimenez, Alejandro
- Fernández-Pena, Alberto
- Semerano, Aurora
- Fernandez-Nueda, Irene
- Garcia-Lunar, Inés
- Ayuso, Carmen
- Sanchez-Gonzalez, Javier
- Ibanez, Borja
- Domingo Gispert, Juan
- Cortes-Canteli, Marta
Rationale
Cognitive decline and dementia have been reportedly linked to atherosclerosis, the main cause of cardiovascular disease. Cohort studies identifying early brain alterations associated with subclinical atherosclerosis are warranted to understand the potential of prevention strategies before cerebral damage becomes symptomatic and irreversible.
Methods & design
The Progression of Early Subclinical Atherosclerosis (PESA) study is a longitudinal observational cohort study that recruited 4,184 asymptomatic middle-aged individuals (40-54 years) in 2010 in Madrid (Spain) to thoroughly characterize subclinical atherosclerosis development over time. In this framework, the PESA-Brain study has been designed to identify early structural, functional and vascular brain changes associated with midlife atherosclerosis and cardiovascular risk factors. The PESA-Brain study targets 1,000 participants at the 10-year follow-up PESA visit and consists of thorough neuropsychological testing, advanced multimodal neuroimaging, and quantification of blood-based neuropathological biomarkers.
Primary hypothesis
We hypothesize that, in middle-age, the presence of cardiovascular risk factors and a high burden of subclinical atherosclerosis will be associated with structural, functional and vascular brain alterations, greater amyloid burden and subtle cognitive impairment. We further hypothesize that the link between subclinical atherosclerosis and poor brain health in midlife will be mediated by cerebrovascular pathology and intracranial atherosclerosis.
Enrollment dates
The PESA-Brain study started in October 2020 and is estimated to be completed by December 2024.
Conclusion
This study is in a unique position to unveil novel relationships between cardiovascular and brain alterations in the health-to-disease transition, which may have important implications for interventional and therapeutic approaches., The PESA study is funded by CNIC and Santander Bank, Madrid, Spain and also receives funding from the European Regional Development Fund (ERDF–A Way to Build Europe), and the European Social Fund (ESF–Investing in Your Future). CNIC is a Severo Ochoa Center of Ex- cellence (CEX2020-001041-S) and is supported by the ISCIII, the Spanish Ministry for Science and Innovation and the Pro-CNIC Foundation
Proyecto: //
DOI: https://hdl.handle.net/10486/724320
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/724320
HANDLE: https://hdl.handle.net/10486/724320
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/724320
PMID: https://hdl.handle.net/10486/724320
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/724320
Ver en: https://hdl.handle.net/10486/724320
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/724320
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/743840
Otros (Other). 2018
EFFECTS OF IMMUNONUTRITION IN ADVANCED HUMAN IMMUNODEFICIENCY VIRUS DISEASE: A RANDOMIZED PLACEBO-CONTROLLED CLINICAL TRIAL (PROMALTIA STUDY)
- Serrano Villar, Sergio
- Lagarde, María de
- Vázquez Castellanos, Jorge
- Vallejo, Alejandro
- Bernardino, José I.
- Madrid, Nadia
- Matarranz, Mariano
- Díaz Santiago, Alberto
- Gutiérrez Junquera, Carolina
- Cabello Úbeda, Alfonso
- Villar García, Judit
- Blanco, José Ramón
- Bisbal, Otilia
- Sainz Costa, Talía
- Moya, Andrés
- Moreno, Santiago
- Gosalbes, María José
- Estrada, Vicente
Background
While nutritional interventions with prebiotics and probiotics seem to exert immunological effects, their clinical implications in human immunodeficiency virus (HIV)–infected subjects initiating antiretroviral therapy (ART) at advanced HIV disease remain unclear.
Methods
This was a pilot multicenter randomized, placebo-controlled, double-blind study in which 78 HIV-infected, ART-naive subjects with <350 CD4 T cells/μL or AIDS were randomized to either daily PMT25341 (a mixture of synbiotics, omega-3/6 fatty acids and amino acids) or placebo for 48 weeks, each in combination with first-line ART. Primary endpoints were changes in CD4 T-cell counts and CD4/CD8 ratio from baseline to week 48 and safety. Secondary endpoints were changes in markers of T-cell activation, bacterial translocation, inflammation, and α and β microbiota diversity.
Results
Fifty-nine participants completed the follow-up with a mean CD4+ T-cell count of 221 ± 108 cells/μL and mean CD4/CD8 ratio of 0.26 ± 0.19. PMT25341 was well tolerated, without grade 3–4 adverse effects attributable to the intervention. While most of the assessed biomarkers improved during the follow-up in both arms, PMT25341-treated subjects did not experience any significant change, compared to placebo-treated subjects, in mean CD4+ T-cell count change (278 vs 250 cells/μL, P = .474) or CD4/CD8 ratio change (0.30 vs 0.32, P = .854). Similarly, we did not detect differences between treatment arms in secondary endpoints.
Conclusions
In HIV-infected patients initiating ART at advanced disease, the clear immunological benefits of ART were not enhanced by this nutritional intervention targeting the gut-associated lymphoid tissue and microbiota, This work was supported by the Instituto de Salud Carlos III (Plan Estatal de I+D+i 2013–2016, projects PI13/00438, AC15/00022, and PI15/00345, and the Spanish AIDS Research Network RD16/0025/0001project), the Spanish Ministry of Science and Competitiveness (project SAF2015-65878-R), and co-financed by the European Development Regional Fund “A Way to Achieve Europe.” The present investigation was also funded by the Instituto de Salud Carlos III and the Fundación Asociación Española contra el Cáncer within the ERA (European Research Area)-NET aligning national/regional translational cancer research programmes and activities (TRANSCAN)-2 program (grant number AC17/00022). S. S.-V. was supported by a grant from the Spanish Ministry of Science and Competitiveness (Contratos Juan Rodés, ECC/1051/2013)
Proyecto: //
DOI: https://hdl.handle.net/10486/743840
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/743840
HANDLE: https://hdl.handle.net/10486/743840
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/743840
PMID: https://hdl.handle.net/10486/743840
Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/743840
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Biblos-e Archivo. Repositorio Institucional de la UAM
oai:repositorio.uam.es:10486/743840
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