La Ragione violenta di Ramiro Ledesma Ramos. Fascismo e pensiero conservatore in Spagna

Aunque esta tesis puede leerse desde diferentes perspectivas, tiene una voluntad fundamental: explicar, desde la metodología propia de la historia conceptual, la racionalidad específica del llamado fascismo español. Centra su interés en la figura de Ramiro Ledesma Ramos (1905-1936), fundador del primer movimiento fascista español. Ledesma ideó un proyecto de modernización de España que sólo podía pasar por la organización de un Estado total. Trató de crear un movimiento de masas de corte fascista con capacidad para fundar un Estado total capaz de ser una alternativa viable al liberalismo republicano y al socialismo. El fascismo español emergerá como una experiencia temporal propia de la modernidad. Buscará revitalizar y acelerar un proceso, el moderno, que a la luz de los jóvenes exaltados de principios de siglo se percibía como agotado y decadente. El planteamiento de Ledesma brotaba de la necesidad de combatir aquellas presuntas fuerzas degenerativas (liberalismo, comunismo, conservadurismo, etc.) de la historia contemporánea española para erigir una nueva modernidad basada en el renacimiento de la nación. Al mismo tiempo, se pretende poner en relieve la eficacia de la acción histórica planteada por el pensamiento reaccionario español. Bajo sus coordenadas, la nación jamás desarrollaría los rasgos sublimados de la política moderna europea. Jamás abandonó los pretendidos órdenes del derecho natural del clasicismo católico que, en última instancia, limitaban la potencia absoluta de cualquier soberano político. Esta particularidad histórica, arrastrada desde la primera modernidad, impedirá con obstinación cualquier oleada revolucionaria que supusiera la autonomización de la esfera política y por tanto, la instauración de un poder totalitario. De hecho, cuando se instauré la dictadura del Franco, a lo más que se llegaría, sería a un Estado mínimo, que bajo los presupuestos del tradicionalismo, dejaba a su suerte las dinámicas económicas.

Influenza del sistema immunogenetico KIR nell'alloreattività Natural Killer nel trapianto di rene

Kidney transplantation is the best treatment option for the restoration of excretory and endocrine kidney function in patients with end-stage renal disease. The success of the transplant is linked to the genetic compatibility between donor and recipient, and upon progress in surgery and immunosuppressive therapy. Numerous studies have established the importance of innate immunity in transplantation tolerance, in particular natural killer (NK) cells represent a population of cells involved in defense against infectious agents and tumor cells. NK cells express on their surface the Killer-cell Immunoglobulin-like Receptors (KIR) which, by recognizing and binding to MHC class I antigens, prevent the killing of autologous cells. In solid organ transplantation context, and in particular the kidney, recent studies show some correlation between the incompatibility KIR / HLA and outcome of transplantation so as to represent an interesting perspective, especially as regards setting of immunosuppressive therapy. The purpose of this study was therefore to assess whether the incompatibility between recipient KIR receptors and HLA class I ligands of the donor could be a useful predictor in order to improve the survival of the transplanted kidney and also to select patients who might benefit of a reduced regimen. One hundred and thirteen renal transplant patients from 1999 to 2005 were enrolled. Genomic DNA was extracted for each of them and their donors and genotyping of HLA A, B, C and 14 KIR genes was carried out. Data analysis was conducted on two case-control studies: one aimed at assessing the outcome of acute rejection and the other to assess the long term transplant outcome. The results showed that two genes, KIR2DS1 and KIR3DS1, are associated with the development of acute rejection (p = 0.02 and p = 0.05, respectively). The presence of the KIR2DS3 gene is associated with a better performance of serum creatinine and glomerular filtration rate (MDRD) over time (4 and 5 years after transplantation, p <0.05), while in the presence of ligand, the serum creatinine and MDRD trend seems to get worse in the long term. The analysis performed on the population, according to whether there was deterioration of renal function or not in the long term, showed that the absence of the KIR2DL1 gene is strongly associated with an increase of 20% of the creatinine value at 5 years, with a relative risk to having a greater creatinine level than the median 5-year equal to 2.7 95% (95% CI: 1.7788 - 2.6631). Finally, the presence of a kidney resulting negative for HLA-A3 / A11, compared to a positive result, in patients with KIR3DL2, showed a relative risk of having a serum creatinine above the median at 5 years after transplantation of 0.6609 (95% CI: 0.4529 -0.9643), suggesting a protective effect given to the absence of this ligand.