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1.
Nat Commun ; 14(1): 1542, 2023 03 28.
Artigo em Inglês | MEDLINE | ID: mdl-36977697

RESUMO

The Anthropocene is tightly associated with a drastic loss of species worldwide and the disappearance of their key ecosystem functions. The orders Testudines (turtles and tortoises) and Crocodilia (crocodiles, alligators, and gharials) contain numerous threatened, long-lived species for which the functional diversity and potential erosion by anthropogenic impacts remains unknown. Here, we examine 259 (69%) of the existing 375 species of Testudines and Crocodilia, quantifying their life history strategies (i.e., trade-offs in survival, development, and reproduction) from open-access data on demography, ancestry, and threats. We find that the loss of functional diversity in simulated extinction scenarios of threatened species is greater than expected by chance. Moreover, the effects of unsustainable local consumption, diseases, and pollution are associated with life history strategies. In contrast, climate change, habitat disturbance, and global trade affect species independent of their life history strategy. Importantly, the loss of functional diversity for threatened species by habitat degradation is twice that for all other threats. Our findings highlight the importance of conservation programmes focused on preserving the functional diversity of life history strategies jointly with the phylogenetic representativity of these highly threatened groups.


Assuntos
Jacarés e Crocodilos , Tartarugas , Animais , Espécies em Perigo de Extinção , Ecossistema , Filogenia , Efeitos Antropogênicos , Conservação dos Recursos Naturais , Biodiversidade , Extinção Biológica
2.
Insect Mol Biol ; 30(1): 30-41, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33009687

RESUMO

Mosquitoes constitute the major living beings causing human deaths in the world. They are vectors of malaria, yellow fever, dengue, zika, filariases, chikungunya, among other diseases. New strategies to control/eradicate mosquito populations are based on newly developed genetic manipulation techniques. However, genetic transformation of mosquitoes is a major technical bottleneck due to low efficiency, the need of sophisticated equipment, and highly trained personnel. The present report shows the transgenerational genetic transformation of Aedes aegypti, using the particle inflow gun (PIG), by integrating the ecfp gene in the AAEL000582 mosquito gene with the CRISPR-Cas9 technique, achieving a mean efficiency of 44.5% of bombarded individuals (G0) that showed ECFP expression in their tissues, and a mean of 28.5% transformation efficiency measured on G1 individuals. The same transformation technique was used to integrate the egfp/scorpine genes cloned in the Minos transposon pMinHygeGFP into the Anopheles albimanus genome, achieving a mean efficiency of 43.25% of bombarded individuals (G0) that showed EGFP expression in their tissues. Once the technique was standardized, transformation of Ae. aegypti neonate larvae and An. albimanus eggs was achieved when exposed to gold microparticle bombardment. Integration of genes and heterologous protein expression were confirmed by PCR, sequencing, fluorescent microscopy, mass spectrometry, Western blot and dot blot analyses. Transgenerational inheritance of the transgenes was observed only on Ae. aegypti, as all transformed An. albimanus individuals died at the pupal stage of the G0 generation.


Assuntos
Biolística , Controle de Mosquitos/métodos , Mosquitos Vetores/genética , Transformação Genética , Aedes/genética , Animais , Anopheles/genética
3.
Mol Cell Pediatr ; 7(1): 4, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32476096

RESUMO

BACKGROUND: To ascertain interactions of caffeine ingestion, food, medications, and environmental exposures during preterm human gestation, under informed consent, we studied a cohort of Mexican women with further preterm offspring born at ≤ 34 completed weeks. At birth, blood samples were taken from mothers and umbilical cords to determine caffeine and metabolites concentrations and CYP1A2 (rs762551) and CYP2E1 (rs2031920, rs3813867) polymorphisms involved in caffeine metabolism. RESULTS: In 90 pregnant women who gave birth to 98 preterm neonates, self-informed caffeine ingestion rate was 97%, laboratory confirmed rate was 93 %. Theobromine was the predominant metabolite found. Consumption of acetaminophen correlated significantly with changes in caffeine metabolism (acetaminophen R2 = 0.637, p = 0.01) due to activation of CYP2E1 alternate pathways. The main caffeine source was cola soft drinks. CONCLUSION: Environmental exposures, especially acetaminophen ingestion during human preterm pregnancy, can modulate CYP2E1 metabolic activity.

4.
J Healthc Qual Res ; 33(2): 82-87, 2018.
Artigo em Espanhol | MEDLINE | ID: mdl-29530605

RESUMO

BACKGROUND: Patient absenteeism in outpatient clinics represents a significant obstacle to the cost-effectiveness of healthcare. The aim of this study was to assess the frequency of absence of patients and its associated factors in scheduled visits to a Preventive Medicine department. PATIENTS AND METHODS: The cross-sectional study was carried out in the Service of Preventive Medicine of the Lozano Blesa University Clinical Hospital of Zaragoza. It included all the visits scheduled from 3 January to 31 March 2017. For each visit, the date and time were registered, together with the type (first or consecutive appointments), age, gender, town of residence, country of birth, and underlying disease. The Chi-squared test was used to determine the association between the variables and making the visit, with a multiple logistic regression analysis being performed on the variables in which a significant association was found. RESULTS: Of the total of 582 appointments studied, the absenteeism rate was 12.5% (73 out of 582; 13.7% for first appointments and 11.7% for consecutive appointments). Variables that revealed a significant association with patients not attending were: time (9.00-11:15 a. m.; OR=1.84; 95%CI: 1.10-3.08), day of the week (Mondays-Thursdays; OR=3.19; 95%CI: 1.12-9.07), country of birth (outside of Spain; OR=2.09; 95%CI:1.09-3.99), vaccination group (chronic kidney disease during pre-dialysis or dialysis; OR=3.59; 95%CI: 1.57-8.18), and age group (under 52 years old; OR=1.85; 95%CI: 1.08-3.19). CONCLUSIONS: The rate of absenteeism is at an intermediate position compared to the outpatient visits for other departments. The detection of associated factors makes it possible to plan specific measures for improvements that may reduce absences.


Assuntos
Assistência Ambulatorial/estatística & dados numéricos , Agendamento de Consultas , Pacientes não Comparecentes/estatística & dados numéricos , Medicina Preventiva/estatística & dados numéricos , Absenteísmo , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Distribuição de Qui-Quadrado , Criança , Pré-Escolar , Estudos Transversais , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , Humanos , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Diálise Renal/estatística & dados numéricos , Fatores Sexuais , Fatores de Tempo , Vacinação , Adulto Jovem
5.
Transbound Emerg Dis ; 65(4): 993-1008, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29504285

RESUMO

Porcine reproductive and respiratory syndrome (PRRS) is caused by a genetically diverse RNA virus and is an economically significant disease in the swine industry. In this study, a total of 8,126 serum samples were obtained from 275 technified and semi-technified farms belonging to 30 of the 32 states of Mexico and representative of the eight regions of the country. Anti-PRRSv antibodies against the PRRS vaccine and an isolated wild Mexican virus were tested by ELISA. Antibodies were found in 15%-49% of the tested sera, with 2.4%-9.8% against the vaccine and 7.7%-26% against the wild virus. The PRRSv virus was detected by RT-PCR in 77 of the 1,630 pooled samples tested, representing seven of the eight geographic regions into which the Mexican Republic is divided. The complete sequences of open reading frames 5 and 7 from 20 PRRSv-positive samples were determined. The analysis of the sequences together with the previously published sequences of historic strains revealed that all the strains belonged to the one, five and eight lineages of the PRRSV2. Striking differences, particularly in ORF5 and ORF7, were found between sequences of the strains and the reference virus, due to insertions and substitutions in positions that play key roles in the recognition, structure and function of the virus. Overall, these results established the magnitude of PRRS virus genetic diversity, and the most frequent virus strain that predominates in Mexico. The PRRSV2 is presented in the porcine population of Mexico; the circulating strains have important changes in ORF5 and ORF7, which probably explain the results obtained in the serological analysis of the wild virus and vaccine strains.


Assuntos
Variação Genética , Síndrome Respiratória e Reprodutiva Suína/epidemiologia , Síndrome Respiratória e Reprodutiva Suína/virologia , Vírus da Síndrome Respiratória e Reprodutiva Suína/classificação , Vírus da Síndrome Respiratória e Reprodutiva Suína/genética , Proteínas do Envelope Viral/genética , Proteínas Virais/análise , Sequência de Aminoácidos , Criação de Animais Domésticos/métodos , Animais , Ensaio de Imunoadsorção Enzimática/veterinária , México/epidemiologia , Dados de Sequência Molecular , Filogenia , Síndrome Respiratória e Reprodutiva Suína/prevenção & controle , Vírus da Síndrome Respiratória e Reprodutiva Suína/isolamento & purificação , RNA Viral/genética , Reação em Cadeia da Polimerase em Tempo Real/veterinária , Estudos Soroepidemiológicos , Suínos , Proteínas Virais/classificação , Proteínas Virais/genética
6.
Ginecol Obstet Mex ; 84(1): 27-36, 2016 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-27290844

RESUMO

BACKGROUND: Today, advances in technology provide the best success rates in the reproductive medicine field. One of the biggest concerns about it, is the high risk of achieving multiple pregnancies, which may carry greater health risks for both; the mother and fetuses. Besides that, multiple pregnancies are considered a complication or an adverse effect of assisted reproduction treatments. OBJECTIVES: To compare the factors associated with multiple pregnancy in patients who underwent complex assisted reproduction techniques. MATERIAL AND METHODS: A retrospective and transversal case control study was rolled to compare the factors associated with multiple pregnancy rates, these results were correlated using a logistic regression model. RESULTS: a total of 1063 cases were reviewed, we obtained a pregnancy rate of 35.9%, and a multiple pregnancy rate of 31.5%. We found positive statistical association between patient age, total number of oocytes obtained, total embryos transferred, total vitrified embryos per cycle, total serum cuantitative B-GCH level, endometrial thickness in milimeters, and the Honest of a multiple pregnancy. In the logistic regression model, we found statistical association between the number of embryos transferred, number of embryos obtained, embryo quality, total vitrified embryos and the risk for multiple pregnancies. CONCLUSIONS: The total number of embryos transferred in a cycle of a complex assisted reproduction, is the most important factor for the onset of multiple pregnancies. The age of patients, the number of oocytes, total number of embryos obtained, the number of embryos transferred, the quality of embryos transferred and the number of frozen embryos per cycle, correlate significantly with more risk for multiple pregnancies.


Assuntos
Fertilização in vitro/métodos , Taxa de Gravidez , Gravidez Múltipla/estatística & dados numéricos , Técnicas de Reprodução Assistida , Adulto , Fatores Etários , Estudos de Casos e Controles , Estudos Transversais , Transferência Embrionária/estatística & dados numéricos , Feminino , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Oócitos/metabolismo , Gravidez , Estudos Retrospectivos , Adulto Jovem
7.
J Air Waste Manag Assoc ; 66(7): 643-54, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26962673

RESUMO

UNLABELLED: A series of porous γ-Al2O3 materials was prepared by solution-combustion and ball-milling processes. The as-prepared powders were physicochemically characterized by x-ray diffraction (XRD), scanning electron microscopy (SEM), and N2 physisorption measurements and their performances in CO2 adsorption at different pressures (0.5 to 1.5 MPa) and temperatures (40 to 60ºC) were investigated. It was found that γ-Al2O3 synthesized by the solution-combustion process and ball milled at 10 hr exhibited the best CO2 adsorption performance at 60ºC and 1.5 MPa, achieving a maximum of 1.94 mmol/g compared to the four studied materials, as a result of their interesting microstructure and surface properties (i.e., nanocrystallinity, specific surface area, narrow pore size distribution, and large total pore volume). Our study shows that the γ-Al2O3 prepared by solution combustion followed by ball milling presents a fairly good potential adsorbent for efficient CO2 capture. IMPLICATIONS: In this work, γ-Al2O3 materials were successfully obtained by solution combustion and modified via ball milling. These improved materials were systematically investigated as solid adsorbents of accessible surface areas, large pore volumes, and narrow pore size distribution for the CO2 capture. These studied solid adsorbents can provide an additional contribution and effort to develop an efficient CO2 capture method as means of alleviating the serious global warning problem.


Assuntos
Poluentes Atmosféricos/química , Óxido de Alumínio/química , Dióxido de Carbono/química , Sequestro de Carbono , Adsorção , Aquecimento Global/prevenção & controle , Microscopia Eletrônica de Varredura , Porosidade , Pós , Propriedades de Superfície , Temperatura , Difração de Raios X
8.
Virus Genes ; 52(1): 81-90, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26728078

RESUMO

Since the report of the initial outbreak of Porcine rubulavirus (PorPV) infection in pigs, only one full-length genome from 1984 (PorPV-LPMV/1984) has been characterised. To investigate the overall genetic variation, full-length gene nucleotide sequences of current PorPV isolates were obtained from different clinical cases of infected swine. Genome organisation and sequence analysis of the encoded proteins (NP, P, F, M, HN and L) revealed high sequence conservation of the NP protein and the expression of the P and V proteins in all PorPV isolates. The V protein of one isolate displayed a mutation that has been implicated to antagonise the antiviral immune responses of the host. The M protein indicated a variation in a short region that could affect the electrostatic charge and the interaction with the membrane. One PorPV isolate recovered from the lungs showed a mutation at the cleavage site (HRKKR) of the F protein that could represent an important factor to determine the tissue tropism and pathogenicity of this virus. The HN protein showed high sequence identity through the years (up to 2013). Additionally, a number of sequence motifs of very high amino acid conservation among the PorPV isolates important for polymerase activity of the L protein have been identified. In summary, genetic comparisons and phylogenetic analyses indicated that three different genetic variants of PorPV are currently spreading within the swine population, and a new generation of circulating virus with different characteristics has begun to emerge.


Assuntos
Infecções por Rubulavirus/veterinária , Rubulavirus/genética , Doenças dos Suínos/virologia , Animais , DNA Complementar , Surtos de Doenças/veterinária , Genes Virais , Variação Genética , México/epidemiologia , Filogenia , RNA Viral , Rubulavirus/classificação , Infecções por Rubulavirus/epidemiologia , Infecções por Rubulavirus/virologia , Análise de Sequência de RNA , Suínos , Doenças dos Suínos/epidemiologia , Proteínas Virais/genética
9.
Rev. colomb. gastroenterol ; 30(1): 92-99, ene.-mar. 2015. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-747651

RESUMO

La colestasis es una alteración en el flujo biliar que se presenta por la disminución o el cese de excreción biliar. En la actualidad, son pocos los estudios en Colombia sobre esta patología. Se presentan 21 casos de colestasis neonatal en un hospital infantil de la ciudad de Cartagena (Colombia) entre 2010 y 2013, con el objetivo de caracterizar la etiología y clínica de la enfermedad. Se seleccionaron los pacientes entre 0 y 3 meses de edad con bilirrubina directa >2 mg/dL. En este estudio se encontró que según el género, el 52,4% fueron de sexo masculino y el 47,6%, de sexo femenino. La edad gestacional predominante fue a término en el 76,2% y sin antecedentes perinatales en el 57,1%. Los hallazgos clínicos se presentaron en los primeros 30 días de nacido en un 71% y 4 pacientes fueron remitidos a trasplante hepático. La etiología más frecuente fue de tipo infeccioso en 13 de los pacientes estudiados y 4 pacientes se relacionaron con atresias. La causa más frecuente de colestasis neonatal en este estudio resultó estar asociada con etiologías infecciosas. Sin embargo, las alteraciones obstructivas, como la atresia de vías biliares, siguen ocupando un renglón importante y requieren un estudio y manejo prioritario, dado su mejor pronóstico relacionado con la intervención temprana.


Cholestasis is an alteration in the flow of bile resulting from decreases or cessation of biliary excretion. To date, there have been only a few studies on this topic in Colombia. This article presents twenty-one cases of neonatal cholestasis from a Children’s Hospital in Cartagena, Colombia that occurred between 2010 and 2013. The aim of this study is to characterize the etiology and clinical characteristics of the disease. Patients between birth and 3 months old with direct bilirubin levels over 2 mg/dl were selected. By gender, 52.4% of the patients were male, and 47.6% were female. 76.2% of the patients were full term, and 57.1% had no perinatal antecedents. Clinical symptoms presented in the first 30 days after birth in 71% of the patients, and 4 patients were referred for liver transplantation. The most common etiology was infectious (13 patients), and 4 patients had atresia. The most common cause of neonatal cholestasis in this study was infection, but obstructive disorders such as biliary atresia still account for an important proportion of the patients. They require priority study and handling because early intervention results in better prognoses.


Assuntos
Humanos , Recém-Nascido , Lactente , Atresia Biliar , Bilirrubina , Colestase , Icterícia Neonatal , Sepse Neonatal
12.
Vet Microbiol ; 174(3-4): 296-301, 2014 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-25448444

RESUMO

Porcine circovirus type 2 (PCV2) is a ubiquitous virus that mainly affects nursery and fattening pigs causing systemic disease (PCV2-SD) or subclinical infection. A characteristic sign in both presentations is reduction of average daily weight gain (ADWG). The present study aimed to assess the relationship between PCV2 load in serum and ADWG from 3 (weaning) to 21 weeks of age (slaughter) (ADWG 3-21). Thus, three different boar lines were used to inseminate sows from two PCV2-SD affected farms. One or two pigs per sow were selected (60, 61 and 51 piglets from Pietrain, Pietrain×Large White and Duroc×Large White boar lines, respectively). Pigs were bled at 3, 9, 15 and 21 weeks of age and weighted at 3 and 21 weeks. Area under the curve of the viral load at all sampling times (AUCqPCR 3-21) was calculated for each animal according to standard and real time quantitative PCR results; this variable was categorized as "negative or low" (<10(4.3) PCV2 genome copies/ml of serum), "medium" (≥10(4.3) to ≤10(5.3)) and "high" (>10(5.3)). Data regarding sex, PCV2 antibody titre at weaning and sow parity was also collected. A generalized linear model was performed, obtaining that paternal genetic line and AUCqPCR 3-21 were related to ADWG 3-21. ADWG 3-21 (mean±typical error) for "negative or low", "medium" and "high" AUCqPCR 3-21 was 672±9, 650±12 and 603±16 g/day, respectively, showing significant differences among them. This study describes different ADWG performances in 3 pig populations that suffered from different degrees of PCV2 viraemia.


Assuntos
Anticorpos Antivirais/sangue , Infecções por Circoviridae/veterinária , Circovirus/fisiologia , Doenças dos Suínos/virologia , Animais , Infecções Assintomáticas , Infecções por Circoviridae/virologia , Feminino , Modelos Lineares , Gravidez , Suínos , Carga Viral , Viremia/veterinária , Desmame , Aumento de Peso
13.
Mar Pollut Bull ; 80(1-2): 222-33, 2014 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-24495930

RESUMO

Reverse osmosis membranes at many desalination plants are disinfected by periodic shock treatments with sodium metabisulphite, which have potentially toxic effects to the environment for marine life, although no empirical and experimental evidence for this is yet available. The aim of this study was to characterise for the first time, the physico-chemical modification of the marine environment and its biological effects, caused by hypersaline plumes during these membrane cleaning treatments. The case study was the Maspalomas II desalination plant, located in the south of Gran Canaria (Canary Islands, Spain). Toxicity bioassays were performed on marine species characteristic for the infralittoral soft bottoms influenced by the brine plume (Synodus synodus and Cymodocea nodosa), and revealed a high sensitivity to short-term exposure to low sodium metabisulphite concentrations. The corrective measure of incorporating a diffusion system with Venturi Eductors reduced nearly all the areas of influence, virtually eliminating the impact of the disinfectant.


Assuntos
Alismatales/fisiologia , Ecossistema , Sais/toxicidade , Sulfitos/toxicidade , Poluentes Químicos da Água/toxicidade , Monitoramento Ambiental , Salinidade , Sais/análise , Água do Mar/química , Espanha , Sulfitos/análise , Poluentes Químicos da Água/análise , Purificação da Água/métodos
14.
Zoonoses Public Health ; 61(2): 131-7, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23734711

RESUMO

We conducted an immunological assay of blood samples taken from 85 swine-specialist veterinarians attending the Congress of the Mexican Association of Swine Specialist Veterinarians in Mexico in 2011. Serum samples were assayed for Porcine rubulavirus (PorPV), Encephalomyocarditis virus (EMCV) and Leptospira spp. antibodies. Using a hemagglutination inhibition test, we registered 2.3% and 27% seropositivity for PorPV and EMCV, respectively. Using viral neutralization tests, we registered 5.8% and 47% seropositivity for PorPV and EMCV, respectively. For Leptospira spp., we registered a seropositivity of 38.8%. The variables (sex, age, years of exposure, number of visited farms, biosecurity level and region) showed no significant effect (P > 0.05) on the seropositivity for EMCV, PorPV and Leptospira spp. except for number of visited farms on HI seropositivity for EMCV (P < 0.05; odds ratio: 1.38). The data obtained provide information on the epidemiology of emerging diseases with zoonotic potential in occupational risk groups.


Assuntos
Infecções por Cardiovirus/epidemiologia , Leptospirose/epidemiologia , Exposição Ocupacional , Infecções por Rubulavirus/epidemiologia , Doenças dos Suínos/epidemiologia , Adolescente , Adulto , Idoso , Animais , Anticorpos Antibacterianos/sangue , Anticorpos Antivirais/sangue , Infecções por Cardiovirus/microbiologia , Vírus da Encefalomiocardite/genética , Vírus da Encefalomiocardite/imunologia , Vírus da Encefalomiocardite/isolamento & purificação , Feminino , Humanos , Leptospira/genética , Leptospira/imunologia , Leptospira/isolamento & purificação , Leptospirose/microbiologia , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Rubulavirus/genética , Rubulavirus/imunologia , Rubulavirus/isolamento & purificação , Infecções por Rubulavirus/microbiologia , Estudos Soroepidemiológicos , Suínos , Doenças dos Suínos/microbiologia , Médicos Veterinários , Adulto Jovem , Zoonoses
15.
Microbes Infect ; 16(3): 261-7, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24291714

RESUMO

Immune priming is a new paradigm in innate immunity. However, most studies have focused on the benefits of priming (enhanced survival and parasite clearance after a second challenge), while little attention has been paid to the costs. In this study, both factors were investigated in Anopheles albimanus primed against Plasmodium berghei. As previously observed in other invertebrates, compared to un-primed mosquitoes, those primed better controlled a challenge from the same parasite, and had a higher survival rate. Although there was no difference in the number of oviposited eggs between primed and control females, hatching rate was lower in primed than in control mosquitoes and it was more likely for control females to produce eggs than for primed females. Furthermore, a trade-off between parasite elimination and egg production was observed among primed mosquitoes, as primed females that successfully fought the infection were unable to produce eggs, but primed females that produced eggs were similarly infected as control un-primed ones. These results concord with recent mathematical models suggesting that reproduction affects immune priming outcomes, and may explain why in some species and under some conditions it seems that immune priming is not occurring.


Assuntos
Anopheles/imunologia , Anopheles/parasitologia , Imunidade Inata/imunologia , Óvulo/imunologia , Óvulo/parasitologia , Plasmodium berghei/imunologia , Animais , Tamanho da Ninhada , Feminino , Modelos Lineares
16.
Infectio ; 17(3): 122-135, jul.-set. 2013. ilus, tab
Artigo em Espanhol | LILACS, COLNAL | ID: lil-702965

RESUMO

Introducción: La infección no complicada del tracto urinario bajo y la bacteriuria asintomática son causas frecuentes de consulta médica ambulatoria y en el servicio de urgencias en Colombia y el mundo. La falta de pautas y consenso para el manejo, así como la emergencia de resistencia a las múltiples opciones terapéuticas disponibles en los uropatógenos provenientes de la comunidad, hacen necesario elaborar unas recomendaciones que orienten al clínico sobre el abordaje óptimo de estas entidades. Objetivo: Definir un consenso sobre el manejo empírico de la bacteriuria asintomática y la infección del tracto urinario (ITU) bajo en adultos y mujeres embarazadas en Colombia. Metodología: Se lleva a cabo una metodología de consenso con expertos en urología, infectología, medicina interna, ginecología y microbiología basada en la revisión de las referencias bibliográficas disponibles en los términos de búsqueda relacionados, haciendo énfasis en estudios locales. Resultados: Se elaboró un algoritmo de manejo para el tratamiento empírico de la ITU baja no complicada en adultos con antisépticos urinarios como nitrofurantoína y fosfomicina trometamol como primera línea, con recomendaciones terapéuticas específicas para el tratamiento de la bacteriuria asintomática en mujeres embarazadas. Adicionalmente, se formuló un algoritmo de decisión para el procesamiento de cultivos de orina. La recurrencia o recaída frecuente justifica remisión a urología e infectología. Conclusiones: Se generan recomendaciones prácticas de fácil implementación en el diagnóstico y manejo de la ITU bajo en adultos y embarazadas, y de los casos donde es necesario tratar la bacteriuria asintomática, con opciones terapéuticas efectivas y de espectro reducido.


Background: Uncomplicated infection of the lower urinary tract and asymptomatic bacteriuria are frequent causes of visits to outpatient clinics and emergency departments in Colombia and worldwide. The lack of guidelines and a consensus for their management, and the emergence of resistance of community-based uropathogens to the available therapeutic options, make it necessary to develop recommendations to guide clinicians on the optimal approach to these entities. Objective: Define a consensus for the empiric management of asymptomatic bacteriuria and Urinary Tract Infection (UTI) in adults and pregnant women in Colombia. Methods: We carried out a consensus methodology with experts in urology, infectious diseases, internal medicine, gynecology and clinical microbiology; based on reviewing the available literature on the related terms, and emphasizing local studies. Results: We developed a management algorithm for the empirical treatment of uncomplicated lower UTI in adults with urinary antiseptics such as nitrofurantoin and fosfomycin trometamol as first line, with specific therapeutic recommendations for the treatment of asymptomatic bacteriuria in pregnant women. Additionally, we created a decision algorithm for processing urine cultures. Frequent recurrence or relapse justifies referral to urology and infectious disease professionals. Conclusions: We generated straightforward and easy-to-implement recommendations for the diagnosis and management of UTI in adults and pregnant women, and in cases where it is necessary to treat asymptomatic bacteriuria, with effective therapeutic and narrow spectrum options.


Assuntos
Humanos , Feminino , Gravidez , Infecções Urinárias , Cistite , Infecções do Sistema Genital , Bacteriúria , Infecções Urinárias/tratamento farmacológico , Doenças Urológicas/virologia , Serviço Hospitalar de Emergência
17.
Bull Entomol Res ; 103(2): 127-39, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22929006

RESUMO

The field of ecological immunology currently relies on using a number of immune effectors or markers. These markers are usually used to infer ecological trade-offs (via conflicts in resource allocation), though physiological nature of these markers remains elusive. Here, we review markers frequently used in insect evolutionary ecology research: cuticle darkening, haemocyte density, nodule/capsule formation, phagocytosis and encapsulation/melanization via use of nylon filaments and beads, phenoloxidase activity, nitric oxide production, lysozyme and antimicrobial peptide production. We also provide physiologically based information that may shed light on the probable trade-offs inferred when these markers are used. In addition, we provide a number of methodological suggestions to improve immune marker assessment.


Assuntos
Biomarcadores , Insetos/imunologia , Animais , Evolução Biológica , Ecologia/métodos , Entomologia/métodos
18.
Transbound Emerg Dis ; 59(6): 532-8, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22335816

RESUMO

In this study, the humoral response against porcine reproductive and respiratory syndrome virus (PRRSV) and porcine circovirus type 2 (PCV2), the presence of the virus in semen and serum and the genetic characteristics of the virus detected in 15 boars from a commercial farm were analysed. The results showed that 53% of the boars presented anti-PRRSV antibodies and 100% presented anti-PCV2 antibodies. Porcine reproductive and respiratory syndrome virus was detected in 43% of the boars and 73% were positive to PCV2. The complete ORF5 gene of PRRSV of 14 samples and a fragment of the ORF2 gene of PCV2 of 22 samples were sequenced. Porcine reproductive and respiratory syndrome virus analysis revealed <92% identity in viruses from semen and serum of two boars, whereas in the rest of the boars the identity was >97.5%. As for PCV2, two boars presented an identity <95% in serum and semen and the rest had an identity >96%. The results showed that PRRSV- and PCV2-naturally infected boars can be found, and at least two different strains of viruses from semen and serum can be detected.


Assuntos
Infecções por Circoviridae/veterinária , Síndrome Respiratória e Reprodutiva Suína/epidemiologia , Doenças dos Suínos/epidemiologia , Animais , Anticorpos Antivirais/sangue , Infecções por Circoviridae/epidemiologia , Infecções por Circoviridae/virologia , Circovirus/genética , Circovirus/imunologia , Circovirus/isolamento & purificação , Coinfecção/epidemiologia , Coinfecção/veterinária , DNA Viral/análise , Masculino , Vírus da Síndrome Respiratória e Reprodutiva Suína/genética , Vírus da Síndrome Respiratória e Reprodutiva Suína/imunologia , Vírus da Síndrome Respiratória e Reprodutiva Suína/isolamento & purificação , Prevalência , RNA Viral/análise , Sêmen/virologia , Suínos
19.
Transbound Emerg Dis ; 59(5): 416-20, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22171991

RESUMO

We sampled sera from 1013 non-vaccinated swine from four states in Mexico, Guanajuato, Jalisco, Michoacán and the Estado de Mexico, to analyse anti-porcine rubulavirus antibody titres against three different porcine rubulavirus isolates (PAC-4/1993, PAC-6/2001, and PAC-9/2003) using a hemagglutination inhibition assay. The results revealed that there were antigenic differences among the isolates assessed. In particular, the estimated correlation between the PAC-4/1993 and PAC-6/2001 (0.50) isolates and between the PAC-4/1993 and PAC-9/2003 isolates (0.56) displayed a moderate positive correlation. In contrast, there was a strong positive correlation between the PAC-6/2001 and PAC-9/2003 isolates (0.73). We also found that in the state of Guanajuato, PAC-4/1993 was the isolate that was most frequently identified; in Jalisco, the isolate was PAC-6/2001; and in Michoacán, the isolate was PAC-9/2003. By contrast, in the Estado de Mexico, all three isolates appeared to circulate with a low seroprevalence. In general, the analysed sera from the four states displayed a porcine rubulavirus serological prevalence ranging from 9% to 23.7%. These data indicate that there is not complete antibody cross-antigenicity among the three isolates, and the antigenic variations in the antibody response found in this study implies that the use of a monovalent vaccine would not generate complete protection against the different antigenic subtypes.


Assuntos
Antígenos Virais/genética , Infecções por Rubulavirus/veterinária , Rubulavirus/genética , Doenças dos Suínos/virologia , Animais , Anticorpos Antivirais/sangue , Antígenos Virais/sangue , Variação Genética , México/epidemiologia , Rubulavirus/imunologia , Infecções por Rubulavirus/epidemiologia , Infecções por Rubulavirus/imunologia , Infecções por Rubulavirus/virologia , Estudos Soroepidemiológicos , Suínos , Doenças dos Suínos/epidemiologia , Doenças dos Suínos/imunologia
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