Comorbidity profile and outcomes in patients with chronic heart failure in a Latin American country: Insights from the Colombian heart failure registry (RECOLFACA).

BACKGROUND: Heart failure (HF) is usually accompanied by cardiovascular and non-cardiovascular comorbidities, which may significantly impact its prognosis. In this study we aimed to characterize the comorbidity profile and its impact in mortality in patients with HF diagnosis from the Colombian Heart Failure Registry (RECOLFACA). METHODS: RECOLFACA enrolled adult patients with HF diagnosis from 60 centers in Colombia during the period 2017-2019. The primary outcome was all-cause mortality. A Cox proportional hazards regression model was used to assess the impact of the comorbidities in mortality. A p-value of <0.05 was considered significant. RESULTS: From the total 2528 patients included in the registry, 2514 patients (58% males, mean age 68 years) had information regarding comorbidity diagnoses. 2321 patients (92.3%) reported at least one comorbidity. Arterial hypertension was the most frequent individual diagnosis (72%; n = 1811), followed by anemia (30.1%, n = 726). The most frequently observed coexisting comorbidities were coronary disease (CHD) with dyslipidemia, and chronic kidney disease (CKD) with type 2 Diabetes Mellitus (T2DM). Different patterns of comorbidity coexistence were observed when comparing HF patients by sex and left-ventricular ejection fraction (LVEF) classification. The only comorbidities that were significantly associated with mortality after multivariate adjustment were T2DM (HR 1.45. 95% CI 1.01-2.12), anemia (HR 1.48. 95% CI 1.02-2.16), and CHD (HR 1.59. 95% CI 1.09-2.33). CONCLUSION: Multiple comorbidities were frequently observed in the patients from the RECOLFACA. T2DM, anemia and CHD were significantly associated with a higher risk of mortality, highlighting the importance of promoting an optimal follow-up and control of these conditions.

Worsening heart failure in Colombia: Analysis from RECOLFACA registry.

We aimed to describe and compare characteristics and outcomes of patients with a worsening heart failure episode included in the RECOLFACA registry during 2017-2019 vs population from VICTORIA trial. 2528 patients were included, 1890 (74.8%) had an ejection fraction <45% and a worsening episode. VICTORIA population was similar to RECOLFACA patients in mean age (67.3 vs 66.9 years), ejection fraction (28.9% vs 28.4%), the prevalence of COPD (17.1% vs 15.7%), and the median eGFR (61.5 vs 61.4 mL/min/1.73m2). RECOLFACA patients were mostly women, with a lower prevalence of atrial fibrillation, diabetes mellitus, and coronary artery disease. The 1-year heart failure hospitalization rate was 29.6% in the placebo group of VICTORIA, compared to 26.9% in RECOLFACA. Patients enrolled in the RECOLFACA that met the VICTORIA definition had more similar characteristics and outcomes compared to the VICTORIA population. There is an opportunity to improve this unmet need with the use of vericiguat.

Antibiosis of Trichoderma spp strains native to northeastern Mexico against the pathogenic fungus Macrophomina phaseolina.

Sampling of agricultural soils from the Mexican northeastern region was performed to detect Trichoderma spp., genetically characterize it, and assess its potential use as a biologic control agent against Macrophomina phaseolina. M. phaseolina is a phytopathogen that attacks over 500 species of cultivated plants and causes heavy losses in the regional sorghum crop. Sampling was performed immediately after sorghum or corn harvest in an area that was approximately 170 km from the Mexico-USA border. Sixteen isolates were obtained in total. Using colony morphology and sequencing the internal transcribed spacers (ITS) 1 and 4 of 18S rDNA, 14 strains were identified as Trichoderma harzianum, T. koningiopsis and T. virens. Subsequently, their antagonistic activity against M. phaseolina was evaluated in vitro, and 11 isolates showed antagonism by competition and stopped M. phaseolina growth. In 4 of these isolates, the antibiosis phenomenon was observed through the formation of an intermediate band without growth between colonies. One strain, HTE808, was identified as Trichoderma koningiopsis and grew rapidly; when it came into contact with the M. phaseolina colony, it continued to grow and sporulated until it covered the entire petri dish. Microscopic examination confirmed that it has a high level of hyperparasitism and is thus considered to have high potential for use in the control of this phytopathogen.

Antibiosis of Trichoderma spp strains native to northeastern Mexico against the pathogenic fungus Macrophomina phaseolina

Abstract Sampling of agricultural soils from the Mexican northeastern region was performed to detect Trichoderma spp., genetically characterize it, and assess its potential use as a biologic control agent against Macrophomina phaseolina. M. phaseolina is a phytopathogen that attacks over 500 species of cultivated plants and causes heavy losses in the regional sorghum crop. Sampling was performed immediately after sorghum or corn harvest in an area that was approximately 170 km from the Mexico-USA border. Sixteen isolates were obtained in total. Using colony morphology and sequencing the internal transcribed spacers (ITS) 1 and 4 of 18S rDNA, 14 strains were identified as Trichoderma harzianum, T. koningiopsis and T. virens. Subsequently, their antagonistic activity against M. phaseolina was evaluated in vitro, and 11 isolates showed antagonism by competition and stopped M. phaseolina growth. In 4 of these isolates, the antibiosis phenomenon was observed through the formation of an intermediate band without growth between colonies. One strain, HTE808, was identified as Trichoderma koningiopsis and grew rapidly; when it came into contact with the M. phaseolina colony, it continued to grow and sporulated until it covered the entire petri dish. Microscopic examination confirmed that it has a high level of hyperparasitism and is thus considered to have high potential for use in the control of this phytopathogen.

Caracterización molecular y agronómica de aislados de Trichoderma spp nativos del noreste de México / Molecular and agronomic characterization of Trichoderma spp natives of northeastern Mexico

Trichoderma sp es un hongo frecuentemente usado en actividades agrícolas, pues actúa como antagonista de diversas especies de hongos fitopatógenos. En este estudio se realizó el aislamiento de cuatro cepas de Trichoderma sp nativas del noreste de México, las cuales fueron identificadas a nivel molecular mediante la secuenciación del ITS 1. Además se evaluó su capacidad antagonista en contra los hongos fitopatógenos Macrophomina phaseolina y Fusarium oxysporum, que afectan severamente cultivos de sorgo, maíz y fríjol en el noreste de México. La identificación se realizó de acuerdo al grado de concordancia con secuencias reportadas y corresponden a las especies T. hammatum (HK701); T. koningiopsis (HK702); T. asperellum (HK703) y Trichoderma sp (HK704). Por otra parte, las pruebas de antagonismo muestran que los aislados HK701, HK703 y HK704 inhiben por competencia el crecimiento de M. phaseolina y F. oxysporum, mientras que HK702 tiene la capacidad para hiperparasitar dichos fitopatógenos. Finalmente, se evaluó la promoción de crecimiento de T. asperellum HK703, en maíz (Pionner 30P49®), usando para ello concentraciones de tratamiento de 1x10e2 hasta 1x10e6 esp/mL. En estos ensayos se midió la producción de biomasa. Los resultados muestran que en concentraciones intermedias se tiene el mayor incremento en altura de plantas y mayor producción de peso seco en follaje y raíz. Entre los parámetros antes mencionados existen diferencias significativas.

Trichoderma sp is a fungus often used in agricultural activities, because it acts as an antagonist of several species of plant pathogenic fungi. In this study four strains of Trichoderma sp was isolated from the northeastern Mexico, which were identified by sequencing the ITS 1. We also evaluated its ability antagonistic against phytopathogenic fungi Macrophomina phaseolina and Fusarium oxysporum this fungi are reported affecting severely maize, sorghum and beans crops in northeastern Mexico. The identification was made according to the degree of consistency with reported sequences and the data show that the isolates belong to the species T. hammatum (HK701), T. koningiopsis (HK702), T. asperellum (HK703) and Trichoderma sp (HK704). Antagonism tests showed that the isolated, HK701, HK703 and HK704 inhibited the growth by competition to M phaseolina and F. oxysporum, while the HK702 has the ability to hyperparasites these pathogens. Finally was evaluated in maize (Pioneer 30P49®) We measured the dry weight and biomass production. The results show that at intermediate concentrations have the greatest increase in plant height and dry height of root and foliage.

Efecto de diferentes concentraciones de ácido antranílico en el crecimiento del maíz / The effect of different anthranilic acid concentrations on maize growth

La rizobacteria Azospirillum brasilense basa su capacidad promotora del crecimiento vegetal en la producciónde auxinas y otras hormonas, entre ellas el ácido antranílico (AA). En este trabajo se determinó el efectodel AA (0, 500, 1000, 3000 y 5000 ppm) en el crecimiento y la acumulación de biomasa del híbrido de maíz83G66 en condiciones de invernadero. El AA de 500 a 3000 ppm promovió un mayor crecimiento (área foliary altura de planta), y el AA de 1000 y 3000 ppm incrementó significativamente la biomasa seca en maíz encomparación con el testigo. El 90% de la asimilación del AA en las plantas ocurrió durante los primeros 10días después del tratamiento.

The plant growth-promoting ability of rhizo-bacterium Azospirillum brasilense is based on production of auxins and other hormones, among them outstanding antranilic acid (AA). In this work we determined the antranilic acid (0, 500, 1000, 3000, and 5000 ppm) effects on maize growth and dry biomass accumulation under greenhouse conditions using the hybrid 83G66. From 500 to 3000 ppm of AA significantly increased plant growth (leaf area and plant height) while 1000 and 3000 ppm of AA significantly increased dry biomass accumulation in maize compared with control (0 ppm). The 90 % of AA in maize plants was assimilated during the early 10 days after treatment.

Conferencia internacional: seguridad del paciente, buenas prácticas y calidad 2010 / International Conference: patient safety, best practices and quality 2010

En la presente publicación, se describen las importantes ponencias trabajadas y expuestas por los especialistas, así como los discurso pronunciados por las distintas autoridades del Pder Judicial, la Comisión de Salud, Población, Familia y Personas con Discapacidad del Congreso de la República, el discurso de presentación de la Conferencia Internacional por el Presidente Ejecutivo de EsSalud y las palabras de clausura del evento por el Ministro de Salud. De igual modo, se incluyen los resúmenes de los cuatro paneles y de la mesa redonda final de clausura del evento

Quiste de inclusión epidérmica intraóseo de falange distal. Presentación de dos casos / Intraosseous epidermal cyst of the distal phalanx. Two cases report

Introducción: Los quistes de inclusión epidérmica intraóseos son lesiones benignas poco frecuentes que no suelen diagnosticarse antes de la intervención quirúrgica por tratarse de lesiones poco conocidas. Material, métodos y conclusión: Describimos dos casos de quiste de inclusión epidérmica intraóseo de falange distal, realizando una descripción clínico-radiológica y discutiéndose los diagnósticos diferenciales de esta infrecuente lesión

Introduction: Intraosseous epidermoid inclusion cysts are rare benign lesions. A correct diagnosis is rarely made before operation by radiologists or surgeons primarily because of failure to recognize this entity. Patients and methods: Two cases of intraosseous epidermal cyst in distal phalanx are described. Conclusions: Clinicoradiologic aspects and differential list of diagnoses of this uncommon lesion are reviewed

Expression of transcription factors in endometrium during natural cycles.

PURPOSE: The sex steroid control of the endometrial cycle is mediated by transcription factors, four of which are the estrogen and progesterone receptors, c-jun and c-fos, all expressed by the endometrium. The aim of this study was to analyze the distribution of the transcription factors in the different endometrial compartments during natural cycles. METHODS: We studied 53 reproductively-normal women, of whom 26 were in the proliferative phase and 27 in the secretory phase. An endometrial biopsy was performed and serum values of LH, FSH, estradiol, and progesterone were determined. We studied the expression of transcription factors using monoclonal antibodies. RESULTS: A correlation between estrogen receptor and c-jun and c-fos expression was observed in stroma and epithelia, and progesterone receptor expression correlated with c-jun expression in epithelia. C-jun and c-fos presented greater expression in the proliferative phase than in the secretory phase, in the stroma and in both epithelia. No relation was found between estradiol serum levels and any transcription factor, but progesterone serum levels correlated significantly with most such factors. CONCLUSION: The two proto-oncogenes could play a decisive role in regulating the endometrial cycle; they could mediate the effects induced by sex steroid, and could be related to other transcription factors.

Carga de nutrientes de criaderos de peces y el ambiente biológico en el Río Chimehuín

Dada la importancia de la carga de nutrientes de los criaderos de peces en las aguas del Río Chimehuín, se examinaron en marzo de 1993 dichas cargas y la de la ciudad de Junín de los Andes, siendo menor la del drenaje de la ciudad. Se consideró que la descarga de nutrientes en la zona no tendría una grave influencia en la parte inferior del Río ya que nunca ha sido afectado por una destrucción artificial y ha mantenido su condición natural

Neoplasia intraepitelial cervical (NIC) correlación citología colposcopia y biopsia / Correlate cytological and colposcopy and biopsia, for intraepitelial cervical neoplasia (CIN)

Se evalúan la citología y colposcopia como métodos diagnósticos en la Neoplasia Intraepitelial Cervical (NIC). Un total de 80 pacientes diagnósticados con NIC, realizándose un total de 670 procedimientos citológicos y colposcópicos, siendo la prueba índice la Biopsia del cuello uterino. Los resultados obtenidos fueron los siguientes: Citología-Coloscopia: La sensibilidad 48,66 por ciento y 96,32 por ciento; la especificidad: 88,1 por ciento y 63,9 por ciento. Valor Predictivo Positivo: 83,15 por ciento y 66,84 por ciento. Valor predictivo Negativo: 55,66 por ciento y 85,83 por ciento; la eficacia: 88,74 por ciento, Error Diagnóstico: 35,83 por ciento y 22,15 por ciento repectivamente. Chi cuadrado de 100, lo cual es estadísticamente significativo p<0,001

Indicadores de salud. Perspectiva actual

Los inicadores son instrumentos de análisis de situaciones, que por su propia complejidad, necesitan de una estrategia eficaz. Desde tiempos remotos han sido utilizados, y en el campo de la salud y actualmente cobran un especial interés, en cuanto el diseño de estrategias concretas, con metas mensurables y comparables. El presente trabajo da una panorámica de estos útiles instrumentos