Susana Chamorro

This research presents a significant contribution to the methodologies and protocols for studying diatom communities in cryoconite holes on glaciers. Cryoconite holes are unique microenvironments found on glacial surfaces that support intricate microbial ecosystems, with diatoms playing a pivotal role in these communities. The refined methodologies developed in this study include optimizing sampling techniques to ensure that collections are both representative and diverse, which is crucial for accurate ecological assessments. Additionally, advanced digestion processes have been implemented to effectively isolate and purify diatom samples while minimizing contaminants, thereby improving sample integrity. Improved microscopic mounting techniques enhance visual clarity, facilitating more precise identifications of diatoms under the microscope. Furthermore, integrating DNA-based taxonomy broadens the taxonomic scope, providing valuable molecular insights into the diversity and evolutionary relationships of diatoms. Collectively, these protocols aim to enhance the reliability, depth, and multidimensional understanding of diatom ecology in cryoconite holes and broader glacial ecosystems, ultimately contributing to the field of glaciology and microbial ecology.

Background Secondary haemophagocytic lymphohistiocytosis (sHLH) is characterised by a hyper activation of immune system that leads to multiorgan failure. It is suggested that excessive immune response in patients with COVID-19 could mimic this syndrome. Some COVID-19 autopsy studies have revealed the presence of haemophagocytosis images in bone marrow, raising the possibility, along with HScore parameters, of sHLH. Aim Our objective is to ascertain the existence of sHLH in some patients with severe COVID-19. Methods We report the autopsy histological findings of 16 patients with COVID-19, focusing on the presence of haemophagocytosis in bone marrow, obtained from rib squeeze and integrating these findings with HScore parameters. CD68 immunohistochemical stains were used to highlight histiocytes and haemophagocytic cells. Clinical evolution and laboratory parameters of patients were collected from electronic clinical records. Results Eleven patients (68.7%) displayed moderate histiocytic hyperplasia with haemophagocytosis (HHH) in bone marrow, three patients (18.7%) displayed severe HHH and the remainder were mild. All HScore parameters were collected in 10 patients (62.5%). Among the patients in which all parameters were evaluable, eight patients (80%) had an HScore >169. sHLH was not clinically suspected in any case. Conclusions Our results support the recommendation of some authors to use the HScore in patients with severe COVID-19 in order to identify those who could benefit from immunosuppressive therapies. The presence of haemophagocytosis in bone marrow tissue, despite not being a specific finding, has proved to be a very useful tool in our study to identify these patients.