Publications by authors named "Eva Bernal"

Article Synopsis
  • The research investigates whether combining cyclosporine A (CsA) and voriconazole (VRZ) in nanocarriers enhances their antifungal effect compared to using them separately.
  • The study prepared and characterized various polymer-based nanoparticles, concluding that VRZ-loaded PLGA nanoparticles did not significantly enhance antifungal activity compared to free VRZ, but the combined VRZ and CsA in PLGA NPs exhibited a fourfold increase in synergistic action.
  • Additionally, while high concentrations of blank PLGA nanoparticles inhibited C. albicans biofilm formation, lower concentrations showed little effect, suggesting that encapsulation of CsA and VRZ leads to more effective biofilm inhibition than when the drugs are free.
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The HIV attacks the immune system provoking an infection that is considered a global health challenge. Despite antiretroviral treatments being effective in reducing the plasma viral load in the blood to undetectable levels in people living with HIV (PLWH), the disease is not cured and has become chronic. This happens because of the existence of anatomical and cellular viral reservoirs, mainly located in the lymph nodes and gastrointestinal tract, which are composed of infected CD4+ T cells with a resting memory phenotype and inaccessible to antiretroviral therapy.

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Background: Aortic stenosis is the most common valvulopathy in Western countries. The treatment of choice had been surgery aortic valve replacement (SAVR), but the improvement in endovascular approaches as transcatheter aortic valve implantation (TAVI), initially reserved for patients with very high surgical risk, has been extended to high and intermediate, and recently also to low-risk patients. Stroke and vascular cognitive impairment are the most important complications.

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  • Research on flavonoids, dating back to 1937, shows they can help treat various diseases like cancer and AIDS due to their effectiveness against free radicals, but their medical use is limited by poor absorption and solubility.
  • * Recent studies focus on using nanocarriers, specifically carbon nanotubes (CNTs), to enhance the oral absorption and stability of 7-hydroxyflavone (7-HF) by protecting it from degradation and facilitating its transport in the body.
  • * The interactions between 7-HF and different types of CNTs were examined, including their release profiles at varying pH levels to understand how they might behave in the human body.*
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  • The study focused on creating calixarene-based liposomes and characterizing them using various techniques, employing four different amphiphilic calixarenes with varying hydrophobic chain lengths and polar groups.
  • The liposomes were formed using one calixarene and DOPE phospholipid, followed by cytotoxicity assessments across different cell lines.
  • The least toxic calixarene (TEAC) was successfully utilized to deliver nucleic acids and the cancer drug doxorubicin, showing improved transfection efficiency with extra DOPE and demonstrating high encapsulation and controlled release of the drug.
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The interaction (adsorption process) of commercial ionic surfactants with non-functionalized and functionalized carbon nanotubes (CNTs) has been studied by potentiometric measurements based on the use of ion-selective electrodes. The goal of this work was to investigate the role of the CNTs' charge and structure in the CNT/surfactant interactions. Non-functionalized single- (SWCNT) and multi-walled carbon nanotubes (MWCNT), and amine functionalized SWCNT were used.

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Background The clinical significance of conduction disturbances after transcatheter aortic valve implantation has been described; however, little is known about the influence of baseline ECGs in the prognosis of these patients. Our aim was to study the influence of baseline ECG parameters, including interatrial block (IAB), in the prognosis of patients treated with transcatheter aortic valve implantation. Methods and Results The BIT (Baseline Interatrial Block and Transcatheter Aortic Valve Implantation) registry included 2527 patients with aortic stenosis treated with transcatheter aortic valve implantation.

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Article Synopsis
  • A study was conducted to evaluate the FRAIL scale's effectiveness in predicting long-term outcomes, specifically mortality and readmission, in older patients (≥80 years) who experienced acute coronary syndromes (ACS).
  • The LONGEVO-SCA registry included 498 patients, revealing that 33.1% were prefrail and 27.1% were frail, with frailty linked to higher mortality and readmission rates over 24 months compared to robust patients.
  • The FRAIL scale demonstrated a strong predictive capability for negative outcomes, with a high area under the curve (0.86), suggesting it is a useful tool for assessing risks in geriatric patients with ACS.
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Background: Aortic stenosis (AS) is currently the most frequent heart valve disease. Symptomatic severe AS has a poor prognosis and transcatheter aortic valve implantation (TAVI) is becoming the therapy of choice in these patients. Changes in the conduction tissue after the procedure constitute one of the main limitations of TAVI, with a frequent need for a definitive pacemaker.

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In this work, poly(lactic--glycolic acid) (PLGA) and chitosan (CS) nanoparticles were synthesized with the purpose of encapsulating levofloxacin (LEV). A thorough study has been carried out in order to optimize the preparation of LEV-loaded polymeric nanoparticles (NPs) suitable for parenteral administration. Changes in the preparation method, in the organic solvent nature, in the pH of the aqueous phase, or in the temperature were investigated.

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Introduction And Objectives: Current therapeutic options for severe aortic stenosis (AS) include transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR). Our aim was to describe the prognosis of patients with severe AS after the decision to perform an intervention, to study the variables influencing their prognosis, and to describe the determinants of waiting time > 2 months.

Methods: Subanalysis of the IDEAS (Influence of the Severe Aortic Stenosis Diagnosis) registry in patients indicated for TAVI or SAVR.

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Background: The number of nonagenarian patients with aortic stenosis will likely increase due to the ageing population. We assessed the clinical characteristics, management, and outcomes of nonagenarian patients with severe aortic stenosis.

Methods: A total of 177 (117 females and 60 males) consecutive nonagenarian patients from two large contemporary registries were included in this study.

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Background: Despite current recommendations, a high percentage of patients with severe symptomatic aortic stenosis are managed conservatively. The aim of this study was to study symptomatic patients undergoing conservative management from the IDEAS registry, describing their baseline clinical characteristics, mortality, and the causes according to the reason for conservative management.

Methods: Consecutive patients with severe aortic stenosis diagnosed at 48 centers during January 2014 were included.

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Several cationic dimeric surfactants have shown high affinity towards DNA. Bis-quaternary ammonium salts (m-s-m) have been the most common type of dimeric surfactants investigated and it is generally admitted that those that posses a short spacer (s≤3) show better efficiency to bind or compact DNA. However, experimental results in this work show that 12-s-12 surfactants with long spacers make the surfactant/ctDNA complexation more favorable than those with short spacers.

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The IFFANIAM study (Impact of frailty and functional status in elderly patients with ST segment elevation myocardial infarction undergoing primary angioplasty) is an observational multicenter registry to assess the impact of frailty and functional status on outcomes of elderly patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty. STEMI patients age 75 years or older undergoing primary angioplasty will be extensively studied during admission in 4 tertiary care Hospitals in Spain, assessing their baseline functional status (Barthel index, Lawton-Brody index), frailty (Fried criteria, FRAIL scale [fatigue, resistance, ambulation, illnesses, and loss of weight]), comorbidities (Charlson index), nutritional status (Mini Nutritional Assessment-Short Form), and quality of life (Seattle Angina Questionnaire). Participants will be managed according current recommendations.

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The catalytic effect of micelles, polymers (such as DNA, polypeptides) and nanoparticles, saturable receptors (cyclodextrins and calixarenes) and more complex systems (mixing some of the above mentioned catalysts) have been reviewed. In these microheterogeneous systems the observed changes in the rate constants have been rationalized using the Pseudophase Model. This model produces equations that can be derived from the Brönsted equation, which is the basis for a more general formulation of catalytic effects, including electrocatalysis.

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