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1.
Sci Rep ; 13(1): 15446, 2023 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-37723267

RESUMO

Cyber-attacks are a major problem for users, businesses, and institutions. Classical anomaly detection techniques can detect malicious traffic generated in a cyber-attack by analyzing individual network packets. However, routers that manage large traffic loads can only examine some packets. These devices often use lightweight flow-based protocols to collect network statistics. Analyzing flow data also allows for detecting malicious network traffic. But even gathering flow data has a high computational cost, so routers usually apply a sampling rate to generate flows. This sampling reduces the computational load on routers, but much information is lost. This work aims to demonstrate that malicious traffic can be detected even on flow data collected with a sampling rate of 1 out of 1,000 packets. To do so, we evaluate anomaly-detection-based models using synthetic sampled flow data and actual sampled flow data from RedCAYLE, the Castilla y León regional subnet of the Spanish academic and research network. The results presented show that detection of malicious traffic on sampled flow data is possible using novelty-detection-based models with a high accuracy score and a low false alarm rate.

2.
Rev. esp. med. prev. salud pública ; 28(4): 15-22, 2023. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-230298

RESUMO

Objetivo: La Enfermedad Meningocócica Invasiva es una causa frecuente de morbimortalidad mundial. El objetivo de este estudioes describir la epidemiología de la enfermedad meningocócica en República Dominicana desde 2012 a 2022 y proponer las basespara su prevención.Método: En el análisis se calcularon incidencias, tasas de hospitalización por cada 100.000 habitantes, tasas de letalidad y se hizouna comparación entre grupos de edad de los 325 casos de meningococcemia reportados en el Sistema Nacional de VigilanciaEpidemiológica Dominicano durante estos 10 años.Resultados principales: El 33% de los casos (103) tenía menos de 5 años. Este grupo de edad fue el que tuvo la tasa de hospitalizaciónmás alta, la mayor tasa de mortalidad en edad pediátrica la mayor letalidad.Conclusiones: Si la República Dominicana vacunara a su población, debería comenzar con los menores de 5 años, y así se reduciríanlas hospitalizaciones, muertes, complicaciones y secuelas producidas por el meningococo. (AU)


Objective: Invasive meningococcal disease is a frequent cause of morbidity and mortality worldwide. The aim of this study is todescribe the epidemiology of meningococcal disease in the Dominican Republic from 2012 to 2022 and to propose the basis for itsprevention.Methods: Incidences, hospitalization rates per 100,000 population, case fatality rates and a comparison between age groups ofthe 325 cases of meningococcemia reported in the Dominican National Epidemiological Surveillance System during these 10 yearswere calculated in the analysis.Main results: 33% of the cases (103) were less than 5 years old. This age group had the highest hospitalization rate, the highestmortality rate in pediatric age and the highest case fatality rate.Conclusions: If the Dominican Republic were to vaccinate its population, it should start with those under 5 years of age, and thiswould reduce hospitalizations, deaths, complications and sequelae caused by meningococcus. (AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Meningite Meningocócica/diagnóstico , Meningite Meningocócica/epidemiologia , Meningite Meningocócica/mortalidade , Meningite Meningocócica/terapia , Meningite/epidemiologia , Infecções Meningocócicas/mortalidade , Infecções Meningocócicas/epidemiologia , Programas de Imunização , República Dominicana/epidemiologia
3.
Sci Rep ; 12(1): 14530, 2022 08 25.
Artigo em Inglês | MEDLINE | ID: mdl-36008528

RESUMO

The use of people recognition techniques has become critical in some areas. For instance, social or assistive robots carry out collaborative tasks in the robotics field. A robot must know who to work with to deal with such tasks. Using biometric patterns may replace identification cards or codes on access control to critical infrastructures. The usage of Red Green Blue Depth (RGBD) cameras is ubiquitous to solve people recognition. However, this sensor has some constraints, such as they demand high computational capabilities, require the users to face the sensor, or do not regard users' privacy. Furthermore, in the COVID-19 pandemic, masks hide a significant portion of the face. In this work, we present BRITTANY, a biometric recognition tool through gait analysis using Laser Imaging Detection and Ranging (LIDAR) data and a Convolutional Neural Network (CNN). A Proof of Concept (PoC) has been carried out in an indoor environment with five users to evaluate BRITTANY. A new CNN architecture is presented, allowing the classification of aggregated occupancy maps that represent the people's gait. This new architecture has been compared with LeNet-5 and AlexNet through the same datasets. The final system reports an accuracy of 88%.


Assuntos
COVID-19 , Análise da Marcha , Biometria/métodos , COVID-19/epidemiologia , Marcha , Humanos , Redes Neurais de Computação , Pandemias
4.
Diabetes ; 70(11): 2518-2531, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34526367

RESUMO

Type 2 diabetes (T2D) impairs hypoxia-inducible factor (HIF)1α activation, a master transcription factor that drives cellular adaptation to hypoxia. Reduced activation of HIF1α contributes to the impaired post-ischemic remodeling observed following myocardial infarction in T2D. Molidustat is an HIF stabilizer currently undergoing clinical trials for the treatment of renal anemia associated with chronic kidney disease; however, it may provide a route to pharmacologically activate HIF1α in the T2D heart. In human cardiomyocytes, molidustat stabilized HIF1α and downstream HIF target genes, promoting anaerobic glucose metabolism. In hypoxia, insulin resistance blunted HIF1α activation and downstream signaling, but this was reversed by molidustat. In T2D rats, oral treatment with molidustat rescued the cardiac metabolic dysfunction caused by T2D, promoting glucose metabolism and mitochondrial function, while suppressing fatty acid oxidation and lipid accumulation. This resulted in beneficial effects on post-ischemic cardiac function, with the impaired contractile recovery in T2D heart reversed by molidustat treatment. In conclusion, pharmacological HIF1α stabilization can overcome the blunted hypoxic response induced by insulin resistance. In vivo this corrected the abnormal metabolic phenotype and impaired post-ischemic recovery of the diabetic heart. Therefore, molidustat may be an effective compound to further explore the clinical translatability of HIF1α activation in the diabetic heart.


Assuntos
Cardiomiopatias Diabéticas/metabolismo , Subunidade alfa do Fator 1 Induzível por Hipóxia/metabolismo , Pirazóis/farmacologia , Triazóis/farmacologia , Adaptação Fisiológica , Anemia Falciforme , Animais , Linhagem Celular , Diabetes Mellitus Experimental , Diabetes Mellitus Tipo 2 , Metabolismo Energético , Regulação da Expressão Gênica/efeitos dos fármacos , Regulação da Expressão Gênica/fisiologia , Humanos , Subunidade alfa do Fator 1 Induzível por Hipóxia/genética , Resistência à Insulina , Miócitos Cardíacos/efeitos dos fármacos , Miócitos Cardíacos/fisiologia , Oxigênio/metabolismo , Oxigênio/farmacologia , Células-Tronco Pluripotentes/efeitos dos fármacos , Células-Tronco Pluripotentes/metabolismo , Ratos
5.
JCI Insight ; 5(17)2020 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-32879143

RESUMO

Cardiac energetic dysfunction has been reported in patients with type 2 diabetes (T2D) and is an independent predictor of mortality. Identification of the mechanisms driving mitochondrial dysfunction, and therapeutic strategies to rescue these modifications, will improve myocardial energetics in T2D. We demonstrate using 31P-magnetic resonance spectroscopy (31P-MRS) that decreased cardiac ATP and phosphocreatine (PCr) concentrations occurred before contractile dysfunction or a reduction in PCr/ATP ratio in T2D. Real-time mitochondrial ATP synthesis rates and state 3 respiration rates were similarly depressed in T2D, implicating dysfunctional mitochondrial energy production. Driving this energetic dysfunction in T2D was an increase in mitochondrial protein acetylation, and increased ex vivo acetylation was shown to proportionally decrease mitochondrial respiration rates. Treating T2D rats in vivo with the mitochondrial deacetylase SIRT3 activator honokiol reversed the hyperacetylation of mitochondrial proteins and restored mitochondrial respiration rates to control levels. Using 13C-hyperpolarized MRS, respiration with different substrates, and enzyme assays, we localized this improvement to increased glutamate dehydrogenase activity. Finally, honokiol treatment increased ATP and PCr concentrations and increased total ATP synthesis flux in the T2D heart. In conclusion, hyperacetylation drives energetic dysfunction in T2D, and reversing acetylation with the SIRT3 activator honokiol rescued myocardial and mitochondrial energetics in T2D.


Assuntos
Compostos de Bifenilo/farmacologia , Diabetes Mellitus Experimental/complicações , Diabetes Mellitus Tipo 2/complicações , Metabolismo Energético , Cardiopatias/tratamento farmacológico , Lignanas/farmacologia , Mitocôndrias Cardíacas/efeitos dos fármacos , Miocárdio/patologia , Acetilação , Trifosfato de Adenosina/metabolismo , Animais , Antiarrítmicos/farmacologia , Diabetes Mellitus Experimental/metabolismo , Diabetes Mellitus Experimental/patologia , Diabetes Mellitus Tipo 2/metabolismo , Diabetes Mellitus Tipo 2/patologia , Dieta Hiperlipídica/efeitos adversos , Cardiopatias/etiologia , Cardiopatias/metabolismo , Cardiopatias/patologia , Masculino , Mitocôndrias Cardíacas/metabolismo , Mitocôndrias Cardíacas/patologia , Fosfocreatina/metabolismo , Ratos , Ratos Wistar
6.
Acta Biomater ; 115: 104-115, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-32795646

RESUMO

Two-dimensional (2D) materials remain highly interesting for assembling three-dimensional (3D) structures, amongst others, in the form of macroscopic hydrogels. Herein, we present a novel approach for inducing chemical inter-sheet crosslinks via an ethylenediamine mediated reaction between Ti3C2Tx and graphene oxide in order to obtain a reduced graphene oxide-MXene (rGO-MXene) hydrogel. The composite hydrogels are hydrophilic with a stiffness of ~20 kPa. They also possess a unique inter-connected porous architecture, which led to a hitherto unprecedented ability of human cells across three different types, epithelial adenocarcinoma, neuroblastoma and fibroblasts, to form inter-connected three-dimensional networks. The attachments of the cells to the rGO-MXene hydrogels were superior to those of the sole rGO-control gels. This phenomenon stems from the strong affinity of cellular protrusions (neurites, lamellipodia and filopodia) to grow and connect along architectural network paths within the rGO-MXene hydrogel, which could lead to advanced control over macroscopic formations of cellular networks for technologically relevant bioengineering applications, including tissue engineering and personalized diagnostic networks-on-chip. STATEMENT OF SIGNIFICANCE: Conventional hydrogels are made of interconnected polymeric fibres. Unlike conventional case, we used hydrothermal and chemical approach to form interconnected porous hydrogels made of two-dimensional flakes from graphene oxide and metal carbide from a new family of MXenes (Ti3C2Tx). This way, we formed three-dimensional porous hydrogels with unique porous architecture of well-suited chemical surfaces and stiffness. Cells from three different types cultured on these scaffolds formed extended three-dimensional networks - a feature of extended cellular proliferation and pre-requisite for formation of organoids. Considering the studied 2D materials typically constitute materials exhibiting enhanced supercapacitor performances, our study points towards better understanding of design of tissue engineering materials for the future bioengineering fields including personalized diagnostic networks-on-chip, such as artificial heart actuators.


Assuntos
Grafite , Hidrogéis , Humanos , Engenharia Tecidual , Titânio
7.
J Lipid Atheroscler ; 9(1): 92-109, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32821724

RESUMO

In type 2 diabetes (T2D), the leading cause of death is cardiovascular complications. One mechanism contributing to cardiac pathogenesis is alterations in metabolism, with the diabetic heart exhibiting increased fatty acid oxidation and reduced glucose utilisation. The processes classically thought to underlie this metabolic shift include the Randle cycle and changes to gene expression. More recently, alternative mechanisms have been proposed, most notably, changes in post-translational modification of mitochondrial proteins in the heart. This increased understanding of how metabolism is altered in the diabetic heart has highlighted new therapeutic targets, with an aim to improve cardiac function in T2D. This review focuses on metabolism in the healthy heart and how this is modified in T2D, providing evidence for the mechanisms underlying this shift. There will be emphasis on the current treatments for the heart in diabetes, alongside efforts for metabocentric pharmacological therapies.

8.
Chem Asian J ; 15(17): 2637-2641, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32644284

RESUMO

Polymeric one-dimensional (1D) triazole-based FeII spin crossover nanoparticles have been entrapped in pluronic P123 matrix, forming nanorods in which the interaction between host (P123) and guest (FeII complex) promoted high reproducibility of the spin crossover process, significant shifts of the transition temperatures (T↑=370 K, T↓=338 K for the P123 entrapped material vs the literature values of T↑=358 K, T↓=341 K for the neat/polymer free system) and larger magnetic hysteresis width.

9.
Colloids Surf B Biointerfaces ; 181: 102-111, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31125918

RESUMO

A category of naked maghemite nanoparticles (γ-Fe2O3), named surface active maghemite nanoparticles (SAMNs), is characterized by biological safety, high water colloidal stability and a surface chemistry permitting the binding of ligands. In the present study, the interaction between SAMNs and an antibiotic displaying chelating properties (oxytetracycline, OxyTC) was extensively structurally and magnetically characterized. OxyTC emerged as an ideal probe for providing insights into the colloidal properties of SAMNs. At the same time, SAMNs turned out as an elective tool for water remediation from OxyTC. Therefore, a dilute colloidal suspension of SAMNs was used for the removal of OxyTC in large volume tanks where, to simulate a real in situ application, a population of zebrafish (Danio rerio) was introduced. Interestingly, SAMNs led to the complete removal of the drug without any sign of toxicity for the animal model. Moreover, OxyTC immobilized on SAMNs surface resulted safe for sensitive Escherichia coli bacteria strain. Thus, SAMNs were able to recover the drug and to suppress its antibiotic activity envisaging their feasibility as competitive option for water remediation from OxyTC in more nature related scenarios. The present contribution stimulates the use of novel smart colloidal materials to cope with complex environmental issues.


Assuntos
Antibacterianos/farmacologia , Escherichia coli/efeitos dos fármacos , Nanopartículas de Magnetita/química , Oxitetraciclina/farmacologia , Suspensões/química , Animais , Antibacterianos/química , Coloides/química , Testes de Sensibilidade Microbiana , Oxitetraciclina/química , Tamanho da Partícula , Propriedades de Superfície , Peixe-Zebra
10.
Biomacromolecules ; 20(3): 1375-1384, 2019 03 11.
Artigo em Inglês | MEDLINE | ID: mdl-30694655

RESUMO

The ability of peculiar iron oxide nanoparticles (IONPs) to evade the immune system was investigated in vivo. The nanomaterial was provided directly into the farming water of zebrafish ( Danio rerio) and the distribution of IONPs and the delivery of oxytetracycline (OTC) was studied evidencing the successful overcoming of the intestinal barrier and the specific and prolonged (28 days) organotropic delivery of OTC to the fish ovary. Noteworthy, no sign of adverse effects was observed. In fish blood, IONPs were able to specifically bind apolipoprotein A1 (Apo A1) and molecular modeling showed the structural analogy between the IONP@Apo A1 nanoconjugate and high-density lipoprotein (HDL). Thus, the preservation of the biological identity of the protein suggests a plausible explanation of the observed overcoming of the intestinal barrier, of the great biocompatibity of the nanomaterial, and of the prolonged drug delivery (benefiting of the lipoprotein transport route). The present study promises novel and unexpected stealth materials in nanomedicine.


Assuntos
Sistemas de Liberação de Medicamentos , Compostos Férricos/química , Nanopartículas Metálicas/química , Animais , Barreira Hematoencefálica , Cromatografia Líquida de Alta Pressão , Peixes , Espectrometria de Massas , Ligação Proteica
11.
JACC Basic Transl Sci ; 3(4): 485-498, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30175272

RESUMO

Hypoxia-inducible factor (HIF)-1α is essential following a myocardial infarction (MI), and diabetic patients have poorer prognosis post-MI. Could HIF-1α activation be abnormal in the diabetic heart, and could metabolism be causing this? Diabetic hearts had decreased HIF-1α protein following ischemia, and insulin-resistant cardiomyocytes had decreased HIF-1α-mediated signaling and adaptation to hypoxia. This was due to elevated fatty acid (FA) metabolism preventing HIF-1α protein stabilization. FAs exerted their effect by decreasing succinate concentrations, a HIF-1α activator that inhibits the regulatory HIF hydroxylase enzymes. In vivo and in vitro pharmacological HIF hydroxylase inhibition restored HIF-1α accumulation and improved post-ischemic functional recovery in diabetes.

12.
Front Neurorobot ; 12: 85, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30670960

RESUMO

Tracking people has many applications, such as security or safe use of robots. Many onboard systems are based on Laser Imaging Detection and Ranging (LIDAR) sensors. Tracking peoples' legs using only information from a 2D LIDAR scanner in a mobile robot is a challenging problem because many legs can be present in an indoor environment, there are frequent occlusions and self-occlusions, many items in the environment such as table legs or columns could resemble legs as a result of the limited information provided by two-dimensional LIDAR usually mounted at knee height in mobile robots, etc. On the other hand, LIDAR sensors are affordable in terms of the acquisition price and processing requirements. In this article, we describe a tool named PeTra based on an off-line trained full Convolutional Neural Network capable of tracking pairs of legs in a cluttered environment. We describe the characteristics of the system proposed and evaluate its accuracy using a dataset from a public repository. Results show that PeTra provides better accuracy than Leg Detector (LD), the standard solution for Robot Operating System (ROS)-based robots.

13.
Chemistry ; 23(67): 17078-17088, 2017 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-28846165

RESUMO

The pseudopeptide L, derived from a nitrilotriacetic acid scaffold and functionalized with three histidine moieties, is reminiscent of the amino acid side chains encountered in the Alzheimer's peptide (Aß). Its synthesis and coordination properties for CuΙ and CuΙΙ are described. L efficiently complex CuΙΙ in a square-planar geometry involving three imidazole nitrogen atoms and an amidate-Cu bond. By contrast, CuΙ is coordinated in a tetrahedral environment. The redox behavior is irreversible and follows an ECEC mechanism in accordance with the very different environments of the two redox states of the Cu center. This is in line with the observed resistance of the CuΙ complex to oxidation by oxygen and the CuΙΙ complex reduction by ascorbate. The affinities of L for CuΙΙ and CuΙ at physiological pH are larger than that reported for the Aß peptide. Therefore, due to its peculiar Cu coordination properties, the ligand L is able to target both redox states of Cu, redox silence them and prevent reactive oxygen species production by the CuAß complex. Because reactive oxygen species contribute to the oxidative stress, a key issue in Alzheimer's disease, this ligand thus represents a new strategy in the long route of finding molecular concepts for fighting Alzheimer's disease.


Assuntos
Peptídeos beta-Amiloides/química , Cobre/química , Histidina/química , Oligopeptídeos/química , Espécies Reativas de Oxigênio/química , Sequência de Aminoácidos , Ácido Ascórbico/química , Sítios de Ligação , Humanos , Cinética , Ligantes , Oxirredução , Estresse Oxidativo , Oxigênio/química , Ligação Proteica , Conformação Proteica , Multimerização Proteica , Termodinâmica
14.
ACS Appl Mater Interfaces ; 9(3): 2815-2824, 2017 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-28035800

RESUMO

Core-shell nanocatalysts are a distinctive class of nanomaterials with varied potential applications in view of their unique structure, composition-dependent physicochemical properties, and promising synergism among the individual components. A one-pot microwave (MW)-assisted approach is described to prepare the reduced graphene oxide (rGO)-supported Pd-Pt core-shell nanoparticles, (Pd@Pt/rGO); spherical core-shell nanomaterials (∼95 nm) with Pd core (∼80 nm) and 15 nm Pt shell were nicely distributed on the rGO matrix in view of the choice of reductant and reaction conditions. The well-characterized composite nanomaterials, endowed with synergism among its components and rGO support, served as catalysts in aromatic dehalogenation reactions and for the reduction of olefins with high yield (>98%), excellent selectivity (>98%) and recyclability (up to 5 times); both Pt/rGO and Pd/rGO and even their physical mixtures showed considerably lower conversions (20 and 57%) in dehalogenation of 3-bromoaniline. Similarly, in the reduction of styrene to ethylbenzene, Pd@Pt core-shell nanoparticles (without rGO support) possess considerably lower conversion (60%) compared to Pd@Pt/rGO. The mechanism of dehalogenation reactions with Pd@Pt/rGO catalyst is discussed with the explicit premise that rGO matrix facilitates the adsorption of the reducing agent, thus enhancing its local concentration and expediting the hydrazine decomposition rate. The versatility of the catalyst has been validated via diverse substrate scope for both reduction and dehalogenation reactions.

16.
Chemistry ; 20(37): 11913-20, 2014 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-25079005

RESUMO

Curcumin possesses wide-ranging anti-inflammatory and anti-cancer properties and its biological activity can be linked to its potent antioxidant capacity. Superparamagnetic maghemite (γ-Fe2 O3 ), called surface-active maghemite nanoparticles (SAMNs) were surface-modified with curcumin molecules, due to the presence of under-coordinated Fe(III) atoms on the nanoparticle surface. The so-obtained curcumin-modified SAMNs (SAMN@curcumin) had a mean size of 13±4 nm. SAMN@curcumin was characterized by transmission and scanning electron microscopy, UV/Vis, FTIR, and Mössbauer spectroscopy, X-ray powder diffraction, bulk susceptibility (SQUID), and relaxometry measurements (MRI imaging). The high negative contrast proclivity of SAMN@curcumin to act as potential contrast agent in MRI screenings was also tested. Moreover, the redox properties of bound curcumin were probed by electrochemistry. SAMN@curcumin was studied in the presence of different electroactive molecules, namely hydroquinone, NADH and ferrocyanide, to assess its redox behavior. Finally, SAMN@curcumin was electrochemically probed in the presence of hydrogen peroxide, demonstrating the stability and reactivity of bound curcumin.


Assuntos
Antioxidantes/química , Curcumina/química , Imageamento por Ressonância Magnética/métodos , Nanopartículas/química , Animais , Humanos , Camundongos , Células NIH 3T3
17.
MEDICC Rev ; 16(2): 39-48, 2014 04.
Artigo em Inglês | MEDLINE | ID: mdl-24878648

RESUMO

INTRODUCTION: Chronic kidney disease is a serious health problem in El Salvador. Since the 1990s, there has been an increase in cases unassociated with traditional risk factors. It is the second leading cause of death in men aged >18 years. In 2009, it was the first cause of in-hospital death for men and the fifth for women. The disease has not been thoroughly studied. OBJECTIVE: Characterize clinical manifestations (including extrarenal) and pathophysiology of chronic kidney disease of nontraditional causes in Salvadoran farming communities. METHODS: A descriptive clinical study was carried out in 46 participants (36 men, 10 women), identified through chronic kidney disease population screening of 5018 persons. Inclusion criteria were age 18-59 years; chronic kidney disease at stages 2, 3a and 3b, or at 3a and 3b with diabetes or hypertension and without proteinuria; normal fundoscopic exam; no structural abnormalities on renal ultrasound; and HIV-negative. Examinations included social determinants; psychological assessment; clinical exam of organs and systems; hematological and biochemical parameters in blood and urine; urine sediment analysis; markers of renal damage; glomerular and tubular function; and liver, pancreas and lung functions. Renal, prostate and gynecological ultrasound; and Doppler echocardiography and peripheral vascular and renal Doppler ultrasound were performed. RESULTS: Patient distribution by chronic kidney disease stages: 2 (32.6%), 3a (23.9%), 3b (43.5%). Poverty was the leading social determinant observed. Risk factor prevalence: agrochemical exposure (95.7%), agricultural work (78.3%), male sex (78.3%), profuse sweating during work (76.3%), malaria (43.5%), NSAID use (41.3%), hypertension (36.9%), diabetes (4.3%). General symptoms: arthralgia (54.3%), asthenia (52.2%), cramps (45.7%), fainting (30.4). Renal symptoms: nycturia (65.2%), dysuria (39.1%), foamy urine (63%). Markers of renal damage: macroalbuminuria (80.4%), ß2 microglobulin (78.2%), NGAL (26.1%). Renal function: hypermagnesuria (100%), hyperphosphaturia (50%), hypernatriuria (45.7%), hyperkaluria (23.9%), hypercalciuria (17.4%), electrolyte polyuria (43.5%), metabolic alkalosis (45.7%), hyponatremia (47.8%), hypocalcemia (39.1%), hypokalemia (30.4%), hypomagnesemia (19.6%). Imaging: Ultrasound showed fatty liver (93.5%) and vascular Doppler showed tibial artery damage (66.7%). Neurological symptoms: abnormal tendon reflexes (45.6%), Babinski sign and myoclonus (6.5%), sensorineural hearing loss (56.5%). CONCLUSIONS: This chronic kidney disease studied behaves clinically like chronic tubulointerstitial nephropathy, but with systemic manifestations not attributable to kidney disease. While male agricultural workers predominated, women and adolescents were also affected. Findings support a hypothesis of multifactorial etiology with a key role played by nephrotoxic environmental agents.


Assuntos
Agroquímicos/intoxicação , Insuficiência Renal Crônica/epidemiologia , Determinantes Sociais da Saúde , Adolescente , Adulto , Distribuição por Idade , Agricultura , Biomarcadores/sangue , Biomarcadores/urina , Índice de Massa Corporal , El Salvador/epidemiologia , Exposição Ambiental/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polímeros/análise , Pobreza , Prevalência , Insuficiência Renal Crônica/diagnóstico por imagem , Insuficiência Renal Crônica/fisiopatologia , Fatores de Risco , Distribuição por Sexo , Ultrassonografia , Adulto Jovem
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