A thermostable tetanus/diphtheria (Td) vaccine in the StablevaX™ pre-filled delivery system.

A syringe for the long-term, room-temperature storage and injection of vaccines is described. Stabilisation was achieved by drying from a trehalose-containing buffer which formed an inert soluble glass distributed in the internal interconnected voids in an absorbent, compliant, reticulated, medical-grade, porous sponge. The sponge is stored inside the barrel of a syringe and the vaccines are re-solubilised by the aspiration of water. The syringe contains the sponge throughout the filling and drying processes in manufacture, and in transport, stockpiling and finally injection. The active vaccine is delivered to the patient in the normal injection process by depressing the plunger, which compresses the sponge to completely expel the dose. Full recovery of vaccine potency, after 7-10 months @ 45 °C, was shown by complete protection against supra-lethal doses of active toxins in immunised Guinea pigs.

Soy Gly m 8 sIgE Has Limited Value in the Diagnosis of Soy Allergy in Peanut Ara h 2-Sensitized Adults.

INTRODUCTION: Recently, specific IgE (sIgE) sensitization against Gly m 8 (soy 2S albumin) has been described as a good diagnostic marker for soy allergy (SA). The aim of this study was to evaluate the diagnostic value of Gly m 8 by determining the sensitization profiles based on the homologues soy allergens Bet v 1, Ara h 1, Ara h 2, and Ara h 3. METHODS: Thirty soy-allergic adults were included; sIgE to total soy extract, Gly m 8, Gly m 4, Gly m 5, Gly m 6, Bet v 1, Ara h 1, Ara h 2, and Ara h 3 were determined. Sensitization patterns were analyzed and determined. The clinical relevance of sIgE of Gly m 8 sensitization was measured by assessing its capacity to degranulate basophils in Gly m8-sensitized patients by an indirect basophil activation test (iBAT). RESULTS: Based on the sIgE patterns of sensitization, two groups of SA patients were identified: (i) peanut-associated SA group (all patients were sensitized to one or more of the peanut compounds) and (ii) non-peanut/PR-10-associated SA group (22 patients were sensitized to Gly m 4 and Bet v 1 but not to any of the peanut compounds). A high and significant correlation between total soy extract and Gly m 6 (R2 = 0.97), Gly m 5 (R2 = 0.85), and Gly m 8 (R2 = 0.78) was observed. A nonsignificant correlation was observed between the levels of sIgE of Gly m 8 versus Ara h2. The iBAT results showed that Gly m 8 did not induce basophil degranulation in any of the peanut-associated patients, indicating that the Gly m8 sensitizations were not clinically relevant. CONCLUSIONS: Gly m 8 was not a major allergen in the selected soy-allergic population. The iBAT results indicated that Gly m 8 was not able to induce basophil degranulation in sIgE Gly m 8-sensitized soy-allergic patients. Thus, Gly m 8 would have no added value in the diagnosis of SA in the present study population.

Efectividad de esquemas de terapia respiratoria respecto a oxigenoterapia y estancia en lactantes con bronquiolitis / Effectiveness of respiratory therapy schemes with respect to oxygen therapy and stay in infants with bronchiolitis

RESUMEN Introducción: La bronquiolitis está entre las principales causas de morbilidad en menores de 24 meses. Objetivo: Determinar la efectividad de los esquemas de terapia respiratoria respecto al tiempo de estancia hospitalaria y requerimiento de oxígeno en menores de 2 años, ingresados con bronquiolitis en el Hospital Metropolitano desde enero del 2014 a diciembre del 2019. Método: Estudio analítico retrospectivo, 546 pacientes con bronquiolitis y oxigenoterapia. El análisis univariado de variables cuantitativas se describió con media, el de variables cualitativas con frecuencias. Análisis inferencial realizado con ANOVA y prueba post-hoc de Bonferroni. Se consideró estadísticamente significativo p menor a 0,05. Resultados: 58,4% fueron de sexo masculino, la edad más frecuente fue de 29 días a 11 meses 29 días (70%), el período con mayor número de hospitalizaciones fue entre diciembre y mayo. El tiempo promedio de oxigenoterapia fue 1.03 días, la estancia hospitalaria 1.37 días, el principal agente etiológico fue el virus sincitial respiratorio (VSR) mediante inmunocro-matografía (63,8%) y PCR (51%). El VSR prolonga la estancia hospitalaria y oxigenoterapia (p=0,001 y p=0,031). Los esquemas de terapia respiratoria: a) solución hipertónica, b) salbutamol más bromuro de ipratropio y c) salbutamol alternado con bromuro de ipratropio más salbutamol, se asociaron con menor estancia hospitalaria (1 a 3 días) (p=0.016). 28.8% de pacientes recibieron antibioticoterapia, evidenciándose prolongación del tiempo de estancia hospitalaria (p=0.000); los corticoides prolongaron la oxigenoterapia (p=0,004). Conclusión: emplear los tres esquemas descritos previamente, disminuye la estancia hospitalaria

ABSTRACT Introduction: Bronchiolitis is one of the main causes of morbidity in children under 24 months. Objective: Determine the effectiveness of respiratory therapy schemes regarding the length of hospital stay and oxygen requirement in children under 2 years old, admitted with bronchiolitis at the Metropolitan Hospital from January 2014 to December 2019. Method: Retrospective analytical study, 546 patients with bronchiolitis and oxygen therapy. Univariate analysis of quan-titative variables was described with mean and qualitative variables with frequencies. ANOVA and post-hoc Bonferroni test were used for the inferential study. P value less than 0.05 was considered statistically significant. Results: 58.4% were male, the most frequent age was from 29 days to 11 months, 29 days (70%), and the period with highest number of hospitalizations was between December and May. The average oxygen therapy time was 1.03 days, hospital stay was 1.37 days, the main etiologic agent was respiratory syncytial virus (RSV) by immunochromatography (63.8%) and PCR (51%). The RSV prolongs the hospital stay and oxygen therapy (p=0.001 and p=0.031). Respiratory therapy schemes: a) hypertonic solution, b) salbutamol plus ipratropium bromide and c) salbutamol alternated with ipratropium bromide plus salbutamol, were associated with a shorter hospital stay (1 to 3 days) (p=0.016). 28.8% patients received antibiotics, which was related with a longer hospital stay (p=0.000). While corticosteroids prolonged oxygen therapy (p=0.004). Conclusions: The use of the mentioned respiratory therapies, reduces the hospital stay.

Temperatura y emergencia diaria de siete géneros de Ephemeroptera(Insecta) en un río de la Selva Nublada de los Andes Tropicales / Temperature and daily emergence of seven genera of Ephemeroptera (Insecta) in a cloud forest stream of tropical Andes

ResumenLa emergencia diaria de los efemerópteros de ríos neotropicales y sus causas, han sido poco estudiadas. En zonas templadas, este proceso es mejor conocido y atribuido a diversos factores. En este trabajo, estudiamos la emergencia diaria de subimagos de varios géneros de Ephemeroptera en un río en una selva nublada andina venezolana, y sus posibles relaciones con cambios diarios de la temperatura ambiente. Cuatro trampas de emergencia fueron colocadas en un tramo de 50m del río, y cada una se examinó cada dos horas durante 24 horas para recolectar los subimagos recién emergidos. Este procedimiento fue repetido en ocho fechas, entre noviembre-2007 y febrero-2008, para un total de 32 observaciones en cada hora de muestreo. Los subimagos fueron criados hasta adultos e identificados hasta género. Para cada género y hora de muestreo calculamos la densidad relativa de emergencia por trampa. La temperatura del agua y del aire fueron medidas cada hora del ciclo diario de observación y, para cada hora calculamos la temperatura promedio y los gradoshoras promedio del aire y del agua, de las ocho fechas estudiadas. Se identificaron siete géneros: Leptohyphes Eaton, 1882 y Haplohyphes Allen, 1966 (Leptohyphidae); Prebaetodes Lugo-Ortiz y McCafferty, 1996, Andesiops Lugo-Ortiz y McCafferty, 1999, Baetodes Needham y Murphy, 1924 y Americabaetis Kluge, 1992 (Baetidae); y Thraulodes Ulmer, 1920 (Leptophlebiidae); siendo más abundantes Leptohyphes (38.4 %) y Thraulodes (20.5 %). La emergencia ocurrió entre las 11:00 am y 23:00 pm, y mostró lo siguiente: a) una emergencia iniciada en horas diurnas, por organismos de Leptohyphes, Prebaetodes y Haplohyphes; b) una emergencia nocturna, realizada por Thraulodes, Andesiops, Baetodes y Americabaetis; y c) dos máximos, uno diurno producido por Leptohyphes, y otro nocturno con predominancia de Thraulodes. Estos resultados son los primeros registros sobre la emergencia diaria diurna en Andesiops, Prebaetodes, Americabaetis, Haplohyphes y Leptohyphes; así como, de la emergencia nocturna en Thraulodes. Se evidenció que Leptohyphes, con ninfas pequeñas (ancho cefálico promedio = 1.05 mm), necesitó acumular menos grados-horas para iniciar la emergencia que los requeridos por Thraulodes, cuyas ninfas son más grandes (ancho cefálico promedio = 2.01 mm). Esta disparidad en los requerimientos energéticos para la emergencia, debe ser consecuencia de diferencias entre los tamaños de las ninfas maduras de ambos géneros; hechos que se apoyan sobre la constancia de tamaños que muestran ambos taxa en un gradiente térmico-altitudinal, y en la poca variabilidad diaria y estacional de la temperatura del agua en el río La Picón. En el lapso diario de emergencia, las temperaturas promedios del aire y del agua fueron superiores a aquellas registradas dentro del lapso de no-emergencia; en consecuencia, se propone que durante el lapso diario en el que ocurre este proceso, el ambiente es térmicamente favorable para la emergencia de los subimagos y su supervivencia fuera del agua.

AbstractDaily emergence of mayflies in Neotropical rivers and their causes have been poorly studied. In temperate zones, this process is better known and attributed to several factors. In this work, we studied the daily emergence of subimagines of several Ephemeroptera genera in La Picón River of a Venezuelan Andean cloud forest and its relation with changes of environmental temperature. Four emergence traps were placed along a reach of 50 m of the stream, each one was examined each two hours in a 24 hr cycle to capture the newly emerged subimagos. This procedure was repeated for eight dates between November-2007 and February-2008 for a total of 32 observations in each sampling hour. The subimagos were reared to adults and identified to genus. The relative density of emergence per trap was calculated for each genus and sampling hour. Water and air temperature were measured each hour during the daily cycle of observation, and the averages of temperature and hour-degrees of air and water were calculated for each hour from the eight dates studied. Seven genera were identified: Leptohyphes Eaton, 1882 and Haplohyphes Allen 1966 (Leptohyphidae); Prebaetodes Lugo-Ortiz and McCafferty, 1996, Andesiops Lugo-Ortiz and McCafferty, 1999, Baetodes Needham and Murphy, 1924 and Americabaetis Kluge, 1992 (Baetidae); and Thraulodes Ulmer, 1920 (Leptophlebiidae); being the more abundant Leptohyphes (38.4 %) and Thraulodes (20.5 %). The emergence occurred between 11:00 am and 23:00 pm showing the following: a) an emergence initiated during daylight hours by organisms of Leptohyphes, Prebaetodes and Haplohyphes; b) a nocturnal emergence, in Thraulodes, Andesiops, Baetodes and Americabaetis; and c) two peaks: one diurnal produced by Leptohyphes and other nocturnal with predominance of Thraulodes. These results are the first records on the diurnal daily emergence in Andesiops,Prebaetodes,Americabaetis, Haplohyphes, and Leptohyphes, as well as the nocturnal emergence in Thraulodes. It was evidenced that Leptohyphes, with small nymphs (average head width = 1.05 mm) needed to accumulate less hourdegrees to initiate the emergence than those required by Thraulodes whose nymphs are larger (average head width = 2.01 mm). This disparity in the emergence energy requirements must be consequence of differences between the sizes of mature nymphs of both genera; facts which rely on the constancy of sizes shown by these taxa along an altitudinal-thermal gradient and the little daily and seasonal variability of water temperature in La Picón River. In the daily lapse when the emergence occurred, the air and water average temperatures were higher than those registered in the no-emergence lapse; therefore; it is suggested that during the daily lapse, when this process occurs, the environment is thermally favorable for the emergence of subimagos and their survival out of water. Rev. Biol. Trop. 64 (1): 117-130. Epub 2016 March 01.

[Temperature and daily emergence of seven genera of Ephemeroptera (Insecta) in a cloud forest stream of tropical Andes]. / Temperatura y emergencia diaria de siete géneros de Ephemeroptera (Insecta) en un río de la Selva Nublada de los Andes Tropicales.

Daily emergence of mayflies in Neotropical rivers and their causes have been poorly studied. In temperate zones, this process is better known and attributed to several factors. In this work, we studied the daily emergence of subimagines of several Ephemeroptera genera in La Picón River of a Venezuelan Andean cloud forest and its relation with changes of environmental temperature. Four emergence traps were placed along a reach of 50 m of the stream, each one was examined each two hours in a 24 hr cycle to capture the newly emerged subimagos. This procedure was repeated for eight dates between November-2007 and February-2008 for a total of 32 observations in each sampling hour. The subimagos were reared to adults and identified to genus. The relative density of emergence per trap was calculated for each genus and sampling hour. Water and air temperature were measured each hour during the daily cycle of observation, and the averages of temperature and hour-degrees of air and water were calculated for each hour from the eight dates studied. Seven genera were identified: Leptohyphes Eaton, 1882 and Haplohyphes Allen 1966 (Leptophlebiidae); Prebaetodes Lugo-Ortiz and McCafferty, 1996, Andesiops Lugo-Ortiz and McCafferty, 1999, Baetodes Needham and Murphy, 1924 and Americabaetis Kluge, 1992 (Baetidae); and Thraulodes Ulmer, 1920 (Leptophlebiidae); being the more abundant Leptohyphes (38.4 %) and Thraulodes (20.5 %). The emergence occurred between 11:00 am and 23:00 pm showing the following: a) an emergence initiated during daylight hours by organisms of Leptohyphes, Prebaetodes and Haplohyphes; b) a nocturnal emergence, in Thraulodes, Andesiops, Baetodes and Americabaetis; and c) two peaks: one diurnal produced by Leptohyphes and other nocturnal with predominance of Thraulodes. These results are the first records on the diurnal daily emergence in Andesiops, Prebaetodes, Americabaetis, Haplohyphes, and Leptohyphes, as well as the nocturnal emergence in Thraulodes. It was evidenced that Leptohyphes, with small nymphs (average head width = 1.05 mm) needed to accumulate less hour-degrees to initiate the emergence than those required by Thraulodes whose nymphs are larger (average head width = 2.01 mm). This disparity in the emergence energy requirements must be consequence of differences between the sizes of mature nymphs of both genera; facts which rely on the constancy of sizes shown by these taxa along an altitudinal-thermal gradient and the little daily and seasonal variability of water temperature in La Picón River. In the daily lapse when the emergence occurred, the air and water average temperatures were higher than those registered in the no-emergence lapse; therefore; it is suggested that during the daily lapse, when this process occurs, the environment is thermally favorable for the emergence of subimagos and their survival out of water.

Maternal and Fetal Determinants of Neonatal Body Composition.

BACKGROUND: Body composition in early life influences the development of obesity during childhood and beyond. It is, therefore, important to adequately determine neonatal body composition. Fetal growth and maternal factors might influence neonatal fat mass percentage (FM%), independent of birth weight. METHODS: In 194 healthy neonates, we investigated neonatal body composition, measured by air-displacement plethysmography (PEAPOD), and its associations with estimated fetal weight (EFW), neonatal anthropometric data, maternal preconceptional body mass index (BMI) and maternal weight gain during pregnancy. RESULTS: There was a large variation in neonatal FM%, even in case of a similar birth weight, corrected for gender and gestational age. Neonatal FM% was associated with EFW at 30 and 36 weeks of gestation and with catch-up in weight between 30 and 36 weeks of gestation, but not with EFW at 20 weeks (p < 0.01, p < 0.01 and p = 0.64, respectively). Neonatal FM% was also associated with preconceptional BMI of the mother (p < 0.01). There was no correlation with maternal weight gain. CONCLUSION: Our study shows that term neonates have a large variation in FM%. Neonatal FM% is associated with EFW at 30 and 36 weeks, catch-up in weight between 30 and 36 weeks of gestation and preconceptional BMI of the mother.