Publications by authors named "Climent C"

Article Synopsis
  • This study investigates the causes of infections in patients with febrile neutropenia (FN) and evaluates different microbiological testing methods used for diagnosis in a hospital setting.
  • Conducted at the Hospital Clinic of Barcelona over two years, it analyzed 4520 tests from 462 FN episodes, revealing a 10% positivity rate and showing that bacterial and viral infections are significant contributors.
  • The findings highlight a high rate of documented infections at FN onset, with bacterial infections being common but also emphasize the need for improved management strategies for viral infections, alongside a call for better diagnostic approaches to enhance cost-effectiveness.
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Molecular photoswitches undergo a structural transformation upon photoexcitation to interconvert between two or more stable forms. In some cases, the structural rearrangement involves the transition between ring-open and ring-closed forms. In this work, we develop simple guidelines for the design of organic molecules able to undergo photochemical electrocyclization, using electronic structure calculations on dithienylethene (DTE)-based compounds.

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Equatorial Guinea (EG) is located on the African west coast, with only 0.4 trained physicians per 1,000 resident population. The country has one medical school and there is no specialist training program.

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Article Synopsis
  • Several clinical trials indicate that nirsevimab, an antibody for respiratory syncytial virus (RSV), significantly reduces the need for hospitalization due to RSV bronchiolitis in infants.
  • A study conducted during the 2023-2024 epidemic season in Catalonia and Andorra assessed nirsevimab's effectiveness in preventing RSV-related hospital admissions by comparing immunized and non-immunized infants.
  • Results showed a notable effectiveness rate of 81% in preventing RSV bronchiolitis hospitalization and 85% in preventing severe cases needing advanced respiratory support, without increasing the risk of viral coinfections among immunized patients.
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Optical nanocavities have revolutionized the manipulation of radiative properties of molecular and semiconductor emitters. Here, we investigate the amplified photoluminescence arising from exciting a dark transition of β-carotene molecules embedded within plasmonic nanocavities. Integrating a molecular monolayer into nanoparticle-on-mirror nanostructures unveils enhancements surpassing 4 orders of magnitude in the initially light-forbidden excitation.

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Despite the desirability of polymers for use in many products due to their flexibility, light weight, and durability, their status as thermal insulators has precluded their use in applications where thermal conductors are required. However, recent results suggest that the thermal conductance of polymers can be enhanced and that their heat transport behaviors may be highly sensitive to nanoscale control. Here we use non-equilibrium molecular dynamics simulations to study the effect of mechanical twist on the steady-state thermal conductance across multi-stranded polyethylene wires.

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Objective: To assess the changes in lung aeration and respiratory effort generated by two different spontaneous breathing trial (SBT): T-piece (T-T) vs pressure support ventilation (PSV).

Design: Prospective, interventionist and randomized study.

Setting: Intensive Care Unit (ICU) of Hospital del Mar.

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We discuss the possibility of using circularly polarized luminescence (CPL) as a tool to probe individual triplet spin sublevels that are populated nonadiabatically following photoexcitation. This study is motivated by a mechanism proposed for chirality-induced spin selectivity in which coupled electronic-nuclear dynamics may lead to a non-statistical population of the three triplet sublevels in chiral systems. We find that low-temperature CPL should aid in quantifying the exact spin state/s populated through coupled electronic-nuclear motion in chiral molecules.

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We compare several established approaches for propagating wave functions and calculating hopping probabilities within the fewest switches surface hopping (FSSH) algorithm for difficult cases with many electronic states and many trivial crossings. If only a single time step (Δ) is employed, we find that no published approach can accurately capture the dynamics correctly unless Δ → 0 (which is not computationally feasible). If multiple time steps are employed, for a fixed classical time step (Δ), a robust scheme can be found for dynamically choosing quantum time steps ( and ) and calculating hopping probabilities so that one can systematically reduce all errors and achieve maximally efficient accuracy; scattering calculations confirm that one can choose a fairly large classical time step.

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While spin-orbit coupling (SOC) is typically the dominant interaction that couples singlet and triplet states within individual chromophores, hyperfine coupling (HFC) becomes important in multichromophoric systems, particularly in relation to the radical pair mechanism. Here, we use TD-DFT to calculate the spin-orbit coupling and hyperfine coupling between the first singlet and triplet charge transfer states of the radical pair Pyrene and ,-dimethylaniline. We show that, as the intermolecular donor-acceptor distance grows, SOC decays to zero (as one would expect) because singlet and triplet states are characterized by identical orbitals in space, while the HFC remains comparatively constant.

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The category of non-clear cell renal cell carcinoma (nccRCC) includes several clinically, histologically, and molecularly diverse entities. Traditionally, they comprise type 1 and type 2 papillary, chromophobe, unclassified, and other histologies (medullary, collecting duct carcinoma, and translocation-associated). Molecular knowledge has allowed the identification of some other specific subtypes, such as fumarate hydratase-deficient renal cell carcinoma (RCC) or succinate dehydrogenase-associated RCC.

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Since the beginning of the COVID-19 pandemic, the use of telehealth was rapidly implemented without previous evidence. The ONCOTELEMD study aimed to evaluate the opinion of patients attended via telemedicine during this period and to study factors that condition patient preferences on its use. Included patients had a confirmed cancer diagnosis and were contacted by telephone between 13 March and 30 April 2020, in the Medical Oncology Service of Hospital Parc Taulí, Sabadell.

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Polaritons are unique hybrid light-matter states that offer an alternative way to manipulate chemical processes. In this work, we show that singlet fission dynamics can be accelerated under strong light-matter coupling. For superexchange-mediated singlet fission, state mixing speeds up the dynamics in cavities when the lower polariton is close in energy to the multiexcitonic state.

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Both the SARS-CoV-2 pandemic and emergence of variants of concern have highlighted the need for functional antibody assays to monitor the humoral response over time. Antibodies directed against the spike (S) protein of SARS-CoV-2 are an important component of the neutralizing antibody response. In this work, we report that in a subset of patients-despite a decline in total S-specific antibodies-neutralizing antibody titers remain at a similar level for an average of 98 days in longitudinal sampling of a cohort of 59 Hispanic/Latino patients exposed to SARS-CoV-2.

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Thermally activated delayed fluorescence (TADF) and room temperature phosphorescence (RTP) are two photophysical phenomena which utilize triplet excitons. In this work, we demonstrate how variation of the anion in organic salts with carbazole and phenothiazine-5,5-dioxide donors and pyridinium and quinolinium acceptors may be used to switch between TADF and RTP. These compounds adopt similar molecular structures and packing modes with different anions and exhibit different types of photophysical behavior due to the electronic effects of the anions.

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Sulfur oxidation state is used to tune organic room temperature phosphorescence (RTP) of symmetric sulfur-bridged carbazole dimers. The sulfide-bridged compound exhibits a factor of 3 enhancement of the phosphorescence efficiency, compared to the sulfoxide and sulfone-bridged analogs, despite sulfone bridges being commonly used in RTP materials. In order to investigate the origin of this enhancement, temperature dependent spectroscopy measurements and theoretical calculations are used.

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Both the SARS-CoV-2 pandemic and emergence of variants of concern have highlighted the need for functional antibody assays to monitor the humoral response over time. Antibodies directed against the spike (S) protein of SARS-CoV-2 are an important component of the neutralizing antibody response. In this work, we report that in a subset of patients-despite a decline in total S-specific antibodies-neutralizing antibody titers remain at a similar level for an average of 98 days in longitudinal sampling of a cohort of 59 Hispanic/Latino patients exposed to SARS-CoV-2.

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By means of quantum tensor network calculations, we investigate the large Purcell effect experienced by an organic molecule placed in the vicinity of a plasmonic nanostructure. In particular, we consider a donor-π bridge-acceptor dye at the gap of two Ag nanospheres. Our theoretical approach allows for a realistic description of the continua of both molecular vibrations and optical nanocavity modes.

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Recent experiments have reported modified chemical reactivity under vibrational strong coupling (VSC) in microfluidic Fabry-Pérot cavities. In particular, the reaction rate of nucleophilic substitution reactions at silicon centers (S2@Si) has been altered when a vibrational mode of the reactant was coupled to a confined light mode in the strong coupling regime. In this situation, hybrid light-matter states known as polaritons are formed and seem to be responsible for the modified chemical kinetics.

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The objective of the present study was to investigate whether the polygenic liability for attention-deficit/hyperactivity disorder (ADHD) and the psychosocial environment impact the risk of ADHD in interaction or independently of each other. We conducted a register- and biobank-based cohort study of 13,725 individuals with ADHD and 20,147 randomly drawn population-based controls. These 33,872 cohort members were genotyped on the Infinium PsychChip v1.

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Background: When patients with a tracheostomy tube reach a stage in their care at which decannulation appears to be possible, it is common practice to cap the tracheostomy tube for 24 hours to see whether they can breathe on their own. Whether this approach to establishing patient readiness for decannulation leads to better outcomes than one based on the frequency of airway suctioning is unclear.

Methods: In five intensive care units (ICUs), we enrolled conscious, critically ill adults who had a tracheostomy tube; patients were eligible after weaning from mechanical ventilation.

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