Outcomes from studies of Antineutrophil Cytoplasm Antibody Associated Vasculitis: a systematic review by the European League Against Rheumatism systemic vasculitis task force.

Objectives: We undertook a systematic literature review as a background to the European League Against Rheumatism (EULAR) recommendations for conducting clinical trials in anti-neutrophil cytoplasm antibody associated vasculitis (AAV), and to assess the quality of evidence for outcome measures in AAV. Methods: Using a systematic Medline search, we categorised the identified studies according to diagnoses. Factors affecting remission, relapse, renal function and overall survival were identified. Results: A total of 44 papers were reviewed from 502 identified by our search criteria. There was considerable inconsistency in definitions of end points. Remission rates varied from 30% to 93% in Wegener granulomatosis (WG), 75% to 89% in microscopic polyangiitis (MPA) and 81% to 91% in Churg¿Strauss syndrome (CSS). The 5-year survival for WG, MPA and CSS was 74¿91%, 45¿76% and 60¿97%. Relapse (variably defined) was common in the first 2 years but the frequency varied: 18% to 60% in WG, 8% in MPA, and 35% in CSS. The rate of renal survival in WG varied from 23% at 15 months to 23% at 120 months. Methods used to assess morbidity varied between studies. Ignoring the variations in definitions of the stage of disease, factors influencing remission, relapse, renal and overall survival included immunosuppressive therapy used, type of organ involvement, presence of ANCA, older age and male ender. Conclusions: Factors influencing remission, relapse, renal and overall survival include the type of immunosuppressive therapy used, pattern of organ involvement, presence of ANCA, older age and male gender. Methodological variations between studies highlight the need for a consensus on terminology and definitions for future conduct of clinical studies in AAV.

Les pintures murals de la basílica de "Es Cap des Port" (Fornells, Menorca): materials i tècniques

El present treball ofereix una revisió de les pintures murals de la basílica de «Es Cap des Port» (Fornells, Menorca), així com un estudi de caracterització arqueometrica deIs materials i tecniques per microscopia optica, tant amb lupa binocular com amb micro scopi petrografic mitjanliant ¡¡lmina prima, difracció de raigs X i microscopia electronica de rastreig. Els resultats han permes identificar els pigments emprats, així com la seva tecnica d'aplicació. Igua!ment, han permes caracteritzar els morters i han desvelat l' existencia de dos tipus diferents de suporto Malgrat aquestes diferencies en els morters, els pigments són sempre els mateixos per a tots els conjunts pictorics caracteritzats.

Identification of haptoglobin as an angiogenic factor in sera from patients with systemic vasculitis.

Angiogenesis is an important process in chronic inflammatory diseases. We observed that sera from patients with systemic vasculitis stimulated angiogenesis in an in vitro model using human umbilical vein endothelial cells cultured on a basement membrane (Matrigel) substrate. After 40% ammonium sulfate precipitation, angiogenic activity remained in the low molecular weight fraction and could be inactivated by heat. SDS-page of serum FPLC fractions exhibiting maximal angiogenic activity demonstrated two prominent species of 45 and 16-20 kD in patients' sera. These bands were much less apparent in sera obtained from control subjects. Amino-terminal sequencing of the 45-kD protein demonstrated that it was haptoglobin. Purified haptoglobin stimulated angiogenesis in a dose-dependent manner. The angiogenic activity of vasculitis patients' sera was partially inhibited by an antihaptoglobin antibody. Furthermore, serum haptoglobin levels in vasculitis patients correlated both with disease and angiogenic activity. Haptoglobin angiogenic activity was confirmed in two in vivo models using an implanted disc and a subcutaneous injection of basement membrane. Stimulation of angiogenesis is a newly recognized biological function of haptoglobin. The increased levels of haptoglobin found in chronic inflammatory conditions may play an important role in tissue repair. In systemic vasculitis, haptoglobin might also compensate for ischemia by promoting development of collateral vessels.

Geoport Estadistic: aplicación web para el desarrollo de herramientas de análisis y consulta de la información estadística del Port de Barcelona, incluyendo la componente temporal

El següent projecte mostra la creació d’una aplicació web-map per a la realització de consultes sobre l’informació estadística relacionada amb el port de Barcelona. Aquesta aplicació integra les eines d'anàlisi estadística de Google Fusion Tables, i les llibreries per realitzar un visor geogràfic-temporal que són Timemap i Google Earth

Cocoa flavonoid-enriched diet modulates systemic and intestinal immunoglobulin synthesis in adult Lewis rats

Previous studies have reported that a diet containing 10% cocoa, a rich source of flavonoids, has immunomodulatory effects on rats and, among others effects, is able to attenuate the immunoglobulin (Ig) synthesis in both systemic and intestinal compartments. The purpose of the present study was focused on investigating whether these effects were attributed exclusively to the flavonoid content or to other compounds present in cocoa. To this end, eight-week-old Lewis rats were fed, for two weeks, either a standard diet or three isoenergetic diets containing increasing proportions of cocoa flavonoids from different sources: one with 0.2% polyphenols from conventional defatted cocoa, and two others with 0.4% and 0.8% polyphenols, respectively, from non-fermented cocoa. Diet intake and body weight were monitored and fecal samples were obtained throughout the study to determine fecal pH, IgA, bacteria proportions, and IgA-coated bacteria. Moreover, IgG and IgM concentrations in serum samples collected during the study were quantified. At the end of the dietary intervention no clear changes of serum IgG or IgM concentrations were quantified, showing few effects of cocoa polyphenol diets at the systemic level. However, in the intestine, all cocoa polyphenol-enriched diets attenuated the age-related increase of both fecal IgA and IgA-coated bacteria, as well as the proportion of bacteria in feces. As these effects were not dependent on the dose of polyphenol present in the diets, other compounds and/or the precise polyphenol composition present in cocoa raw material used for the diets could be key factors in this effect.

Nou edifici de la Policia Portuària, Arxiu i Departament de Conservació al Port de Barcelona

Award-winning

Port-Royal i la visibilitat de la història de la lingüística

L"article presenta l"entorn històric de les gramàtiques universals del segle xvii. Descriu el moviment cultural de l"abadia de Port-Royal, en els vessants religiós, polític, pedagògic i científic. Analitza els principis de la Grammaire générales et raisonne d"Antonie Arnauld i Claude Lancelot. Considera la relació de la gramàtica amb la Logique d"A. Aranuld i Pierre. Nicole. I examina la recepció que ha tingut la gramàtica de Port-Royal a la història de la Lingüística, en especial a partir de la tesi de Noam Chomsky sobre la lingüística cartesiana. La controvertida postura de Chomsky, rebutjada per la crítica, instrueix sobre els processos de construcció de la historiografia

Projecte constructiu d'infraestructures de la nova dàrsena interior esportiva del Port de Vilanova i la Geltrú

Award-winning

Seguretat Invisible: Port aventura

A Port Aventura la nostra prioritat per damunt de tot és la seguretat: - Seguretat a les atraccions. - Seguretat alimentària. - Seguretat patrimonial/física.

Port de Barcelona

La protecció portuària actua sobre: L'aprovació de las avaluacions i plans de protecció de les Instal·lacions portuàries; les auditories a les empreses sotmeses al codi ISPS i catalogades per IC; la identificació dels oficials de protecció i personal de seguretat; l'elaboració i manteniment de l’Avaluació i Pla de Protecció del Port; la programació i desenvolupament dels simulacres i pràctiques de protecció de les instal·lacions.