RESUMEN
BACKGROUND: The aetiology of idiopathic nephrotic syndrome (INS) remains partially unknown. Viral infections have been associated with INS onset. Since we observed fewer first onset INS cases during the Covid-19 pandemic, we hypothesised that lower INS incidence was the result of lockdown measures. Therefore, the aim of this study was to evaluate the incidence of childhood INS before and during the COVID-19 pandemic in two independent European INS cohorts. METHODS: Children with new INS in the Netherlands (2018-2021) and Paris area (2018-2021) were included. We estimated incidences using census data for each region. Incidences were compared using two proportion Z-tests. RESULTS: A total of 128 and 324 cases of first onset INS were reported in the Netherlands and Paris area, respectively, corresponding to an annual incidence of 1.21 and 2.58 per 100,000 children/year. Boys and young children (< 7 years) were more frequently affected. Incidence before and during the pandemic did not differ. When schools were closed, incidence was lower in both regions: 0.53 vs. 1.31 (p = 0.017) in the Netherlands and 0.94 vs. 2.63 (p = 0.049) in the Paris area. During peaks of hospital admissions for Covid-19, no cases were reported in the Netherlands or Paris area. CONCLUSIONS: Incidence of INS before and during the Covid-19 pandemic was not different, but when schools were closed during lockdown, incidence was significantly lower. Interestingly, incidences of other respiratory viral infections were also reduced as was air pollution. Together, these results argue for a link between INS onset and viral infections and/or environmental factors. A higher resolution version of the Graphical abstract is available as Supplementary information.
Asunto(s)
COVID-19 , Nefrosis Lipoidea , Síndrome Nefrótico , Niño , Masculino , Humanos , Preescolar , Síndrome Nefrótico/epidemiología , Síndrome Nefrótico/complicaciones , COVID-19/epidemiología , COVID-19/complicaciones , Incidencia , Paris/epidemiología , Países Bajos/epidemiología , Control de Enfermedades Transmisibles , Nefrosis Lipoidea/complicaciones , FranciaRESUMEN
This paper reports on the absorption of molecular oxygen in the region of the A-band near 760 nm under atmospheric conditions relevant for satellite retrieval studies. We use pulsed laser cavity ring-down spectroscopy with a narrow bandwidth laser and use pressure scans to increase the accuracy of the measured oxygen extinction coefficients. Absolute binary absorption coefficients in minima between absorption lines of the A-band spectrum have been measured and tabulated. We use the so-called adjustable branch coupling model including line mixing to calculate the magnetic dipole absorption in order to determine the contribution of collision induced absorption. The line mixing model has been optimized such that the collision induced absorption spectrum is smooth.
RESUMEN
In asthma, reactive oxygen species induce damage to biomolecules like proteins. This oxidative stress can promote inflammation, but its contribution to asthma pathology is controversial, not in the least because antioxidant interventions have proven rather unsuccessful. Recent studies indicate that the oxidative stress at baseline can be predictive of the fall in FEV1 upon an allergen challenge and of sensitization to an allergen. Interestingly, this baseline oxidative stress correlated with the capacity of antioxidant and cytoprotective responses to deal with reactive oxygen species, but not with inflammatory parameters. These findings have led to several considerations in relation to antioxidant trials that are discussed. Trials should be complemented by in-depth analyses of the failing antioxidant and cytoprotective responses and their consequences for cellular function in asthma.