Ischemic Stroke During Dengue Infection: A Report of 2 Cases.

BACKGROUND Involvement of the central nervous system during infection with dengue virus (DENV) is recognized. However, ischemic stroke is rarely reported. Herein are described 2 cases of patients with ischemic stroke in which DENV infection was demonstrated. CASE REPORT The first patient was a 51-year-old woman that presented altered consciousness, monoparesis, facial palsy, dysarthria, Babinski sign, and syncope 7 days from the onset of fever. She had a history of carotid artery atherothrombosis and previous stroke. Magnetic resonance imaging (MRI) showed an acute infarction of the right middle cerebral artery. DENV was confirmed by the presence of NS1 and IgM in serum. The patient was treated with intravenous fluids and recovered well, with only right facial paresis still present at discharge. The second patient was a 50-year-old man who presented with headache, altered consciousness, and mutism after a febrile episode 1 week prior. This patient had a previous history of stroke, glioblastoma resection, epilepsy, hypothyroidism, and diabetes. MRI demonstrated a subacute ischemic event. The diagnosis of dengue was confirmed by serum NS1 and IgM and by RT-PCR in serum and cerebrospinal fluid. DENV-1 serotype was observed in serum and cerebrospinal fluid. The patient was treated with intravenous fluids and was discharged in good condition. In both patients, thrombocytopenia and leukopenia was demonstrated, and hemoconcentration was demonstrated in the second patient. CONCLUSIONS In tropical and subtropical countries, DENV infection can represent a potential cause of ischemic stroke in patients with a history of comorbidities, including stroke.

Paz ambiental y gobernanza: retos para disminuir el cambio climático y la afectación del páramo "la cortadera", Boyacá, Colombia / Environmental Peace and Governance: Challenges to Reduce Climate Change and the Affectation of the "la Cortadera" Paramo in Boyacá, Colombia

Resumen: La paz ambiental y la gobernanza para el cuidado del páramo la Cortadera en Boyacá para la disminución de riesgos que aceleran el cambio climático es esen cial en tanto podría ser una ruta que supere la evidente falta de articulación entre las instituciones gubernamentales y la comunidad para hacer frente a si tuaciones de riesgo como la ampliación de la frontera agrícola y la afectación paramuna debido a la falta de interés estatal ante la propuesta de una conver sión productiva y económica que dé paso a la transición de prácticas agrícolas tradicionales a unas más ecosostenibles.

Abstract: Environmental peace and governance for the care of the Cortadera Paramo in Boyacá for the reduction of risks that accelerate climate change is essential as it could be a route to overcome the evident lack of coordination between gover nment institutions and the community in order to address risk situations, such as the expansion of the agricultural frontier and the highland affectation due to the lack of state interest in the proposal of a productive and economic conver sion that would lead to the transition from traditional agricultural practices to more eco-sustainable ones.

Mercury and selenium in oysters Saccostrea palmula and Crassostrea corteziensis from coastal lagoons of the southeastern Gulf of California: molar ratio and risk assessment on human health.

Total mercury (Hg) and selenium (Se) contents were determined in oysters Saccostrea palmula and Crassostrea corteziensis soft tissues from four coastal lagoons of the southeastern Gulf of California. The annual Hg mean concentrations for S. palmula (0.09 ± 0.04 µg g- 1, wet weight) and C. corteziensis (0.08 ± 0.04 µg g- 1) were similar (p ˃ 0.05) among the lagoons and did not exceed the limit established by the Norma Oficial Mexicana and World Health Organization (< 1.0 µg g- 1 Hg). On the other hand, the annual mean concentrations of Se for S. palmula (3.34 ± 0.96 µg g- 1) and C. corteziensis (2.79 ± 0.89 µg g- 1) were higher (p < 0.05) in El Colorado lagoon. The Se/Hg molar ratios were above 1; the positive selenium health benefit value index suggested that Se load in oysters could reduce the Hg potential toxic effect. The hazard quotient for Hg in both species was below 1. Therefore, the consumption of oysters does not represent a risk due to Hg ingestion.

Performance of Anticorrosive Paint Systems for Carbon Steel in the Antarctic Marine Environment.

This study evaluated the behavior of three paint systems exposed to the Antarctic marine environment for 45 months compared to a control of uncoated carbon steel with a determined corrosion rate. At the study site, all environmental conditions, solar radiation, and the concentration of environmental pollutants (Cl- and SO2) were evaluated. The paint systems differed in terms of the primer and top coat. Coated samples were studied before and after exposure. They were evaluated visually and using SEM to determine adhesion, abrasion, and contact angle; using the Evans X-Cut Tape Test; using ATR-FTIR spectroscopy to analyze the state of aging of the top layer; and using electrochemical impedance spectroscopy (EIS) for coat protection characterization. The corrosion rate obtained for steel was 85.64 µm year-1, which aligned with a C5 environmental corrosivity category. In general, the evaluation in the period studied showed the paint systems had good adhesion and resistance to delamination, without the presence of surface rust, and exhibited some loss of brightness, an increase in the abrasion index, and a decrease in the percentage of reflectance due to aging. EIS showed good protection capability of the three coating schemes. In general, this type of paint system has not previously been evaluated in an extreme environment after 45 months of exposure to the environment. The results showed that the best behavior was found for the system whose top layer was acrylic-aliphatic polyurethane.

Internet of medical things. Measurement of respiratory dynamics using wearable sensors in post-COVID-19 patients.

Nowadays, the measurement of respiratory dynamics is underrated at clinical setting and in the daily life of a subject and it still represents a challenge from a technical and medical point of view. In this article we propose a concept to measure some of its parameters, such as the respiratory rate (RR), using four inertial sensors. Two different experiments were performed to validate the concept. We analyzed the most suitable placement of each sensor to assess those features and we studied the reliability of the system to measure abnormal parameters of respiration (tachypnea, bradypnea and breath holding). Finally, we measured post-COVID-19 patients, some of them with breath alterations after more than a year of the diagnosis. Experimental results showed that the proposed system could be potentially used to measure the respiratory dynamics at clinical setting. Moreover, while RR can be easily calculated by any sensor, other parameters need to be measured with a sensor in a particular position.

Hoy en día, la medición de la dinámica respiratoria está infravalorada en el ámbito clínico y en la vida diaria de un sujeto y sigue representando un reto desde el punto de vista técnico y médico. En este artículo proponemos un concepto para medir algunos de sus parámetros, como la frecuencia respiratoria (FR), utilizando cuatro sensores inerciales. Se realizaron dos experimentos diferentes para validar el concepto. Analizamos la colocación más adecuada de cada sensor para evaluar esas características y estudiamos la fiabilidad del sistema para medir parámetros anormales de la respiración (taquipnea, bradipnea y retención de la respiración). Por último, realizamos mediciones en pacientes post-COVID-19, algunos de ellos con alteraciones respiratorias después de más de un año del diagnóstico. Los resultados experimentales mostraron que el sistema propuesto podría utilizarse potencialmente para medir la dinámica respiratoria en el ámbito clínico. Además, mientras que la FR puede calcularse fácilmente con cualquier sensor, otros parámetros deben medirse con un sensor en una posición determinada.

Atmospheric corrosion and impact toughness of steels: Case study in steels with and without galvanizing, exposed for 3 years in Rapa Nui Island.

We studied atmospheric corrosion on Rapa Nui Island, using galvanized and non-galvanized SAE 1020 steel samples exposed on racks. We also added Charpy samples of both materials to directly determine the effect of corrosion rate on these materials' impact toughness. The results indicated a correlation between corrosion rate and toughness loss in the studied materials. In the corrosion study, we could also demonstrate the effect from increased insular population growth on contaminants which aid atmospheric corrosivity. Results showed that atmospheric SO2 has tripled compared with similar corrosion studies done 20 years ago (Mapa Iberoamericano de Corrosión, MICAT), increasing corrosion rates. Our results show how human factors can influence changes in environmental variables that strengthen corrosion.

Histopathological alterations in the gonads of wild white clams Dosinia ponderosa inhabiting a former copper mine locality in the Gulf of California.

OBJECTIVE: Prolonged exposure to heavy metals, such as Pb, Hg, or Cu, has multiple adverse effects on marine organisms at the cellular, physiological, and population levels. Bivalves' histopathology provides a sensitive biomarker of pollutant-induced stress and environmental health. Gonad tissue deterioration is of particular concern, as it affects the reproductive success of a species. This study aimed to examine the histopathological alterations caused by metal exposure in the gonad of the white clam Dosinia ponderosa. METHODS: Organisms were sampled from three locations in the Gulf of California: Santa Rosalia (SR), a former Cu mining town; San Lucas beach (SL), a nearby site influenced by pollution; and Escondida beach (EB), which served as a control site. Histological and histochemical stains were used, and the prevalence and intensity level of each alteration were calculated. RESULT: The prevalence of alterations was higher in the ovaries of SR clams (92% compared to 60% in SL clams and 32.7% in EB clams), during spawning (91.4% compared to 20% in SL clams and 4.7% in EB clams), and in winter (93.5% compared to 30% in SL clams and 17.4% in EB clams). CONCLUSION: These findings suggest a significant deterioration in the gonads of white clams from SR, probably linked to the chronic exposure to high concentrations of Cu and possibly other heavy metals; hence, the reproductive health of the clams is likely compromised.

Functional Relevance of the Long Intergenic Non-Coding RNA Regulator of Reprogramming (Linc-ROR) in Cancer Proliferation, Metastasis, and Drug Resistance.

Cancer is responsible for more than 10 million deaths every year. Metastasis and drug resistance lead to a poor survival rate and are a major therapeutic challenge. Substantial evidence demonstrates that an increasing number of long non-coding RNAs are dysregulated in cancer, including the long intergenic non-coding RNA, regulator of reprogramming (linc-ROR), which mostly exerts its role as an onco-lncRNA acting as a competing endogenous RNA that sequesters micro RNAs. Although the properties of linc-ROR in relation to some cancers have been reviewed in the past, active research appends evidence constantly to a better comprehension of the role of linc-ROR in different stages of cancer. Moreover, the molecular details and some recent papers have been omitted or partially reported, thus the importance of this review aimed to contribute to the up-to-date understanding of linc-ROR and its implication in cancer tumorigenesis, progression, metastasis, and chemoresistance. As the involvement of linc-ROR in cancer is elucidated, an improvement in diagnostic and prognostic tools could promote and advance in targeted and specific therapies in precision oncology.

Biomonitoring of potentially toxic elements through oysters (Saccostrea palmula and Crassostrea corteziensis) from coastal lagoons of Southeast Gulf of California, Mexico: health risk assessment.

The coastal lagoons of the Gulf of California support important traditional fisheries and mollusc cultures (generally oysters) and receive important volumes of agricultural, industrial and urban effluents, consumption of the oysters could pose risk to human health. The concentrations of arsenic (As), cadmium (Cd), copper (Cu), iron (Fe), lead (Pb), and zinc (Zn) in the oysters Saccostrea palmula and Crassostrea corteziensis, from four coastal lagoons (Altata, AL; Macapule, ML; Navachiste, NL; El Colorado, ECL) in the Southeast Gulf of California, were seasonally evaluated (summer 2019-spring 2020). The order of magnitude of potentially toxic elements concentrations in the soft tissue in both oyster species and at all sites was Zn > Fe > Cu > As > Cd > Pb. Cadmium, Cu, Pb, and Zn exceeded the maximum permissible limits in more than one sampling site. The highest concentrations (mg kg-1, wet weight) of As (4.2 ± 1.1, spring) and Cd (3.3 ± 0.7, autumn) were registered in S. palmula et al. and NL sampling sites, respectively. Crassostrea corteziensis presented higher levels of Cu (40.5 ± 6.7, spring), Pb (2.0 ± 0.4, spring), and Zn (96.9 ± 20.4, spring) in ECL and Fe (62.2 ± 25.4, autumn) in ML. The hazard quotient (HQ) values exceeded the safe level of 1 for Cd in S. palmula and C. corteziensis in NL for children (~ 16 kg weight). In addition, in children, the hazard index (HI) values in both species of oysters ranged from 0.7 to 2.1 and 0.6 to 1.9, respectively. On the other hand, the intake of the studied elements through the consumption of oysters would not induce adverse effects to human health (men and women weighing 70 and 60 kg, respectively); HQ and HI values were < 1.

Emerging role of lncRNAs in drug resistance mechanisms in head and neck squamous cell carcinoma.

Head and neck squamous cell carcinoma (HNSCC) originates in the squamous cell lining the mucosal surfaces of the head and neck region, including the oral cavity, nasopharynx, tonsils, oropharynx, larynx, and hypopharynx. The heterogeneity, anatomical, and functional characteristics of the patient make the HNSCC a complex and difficult-to-treat disease, leading to a poor survival rate and a decreased quality of life due to the loss of important physiologic functions and aggressive surgical injury. Alteration of driver-oncogenic and tumor-suppressing lncRNAs has recently been recently in HNSCC to obtain possible biomarkers for diagnostic, prognostic, and therapeutic approaches. This review provides current knowledge about the implication of lncRNAs in drug resistance mechanisms in HNSCC. Chemotherapy resistance is a major therapeutic challenge in HNSCC in which lncRNAs are implicated. Lately, it has been shown that lncRNAs involved in autophagy induced by chemotherapy and epithelial-mesenchymal transition (EMT) can act as mechanisms of resistance to anticancer drugs. Conversely, lncRNAs involved in mesenchymal-epithelial transition (MET) are related to chemosensitivity and inhibition of invasiveness of drug-resistant cells. In this regard, long non-coding RNAs (lncRNAs) play a pivotal role in both processes and are important for cancer detection, progression, diagnosis, therapy response, and prognostic values. As the involvement of more lncRNAs is elucidated in chemoresistance mechanisms, an improvement in diagnostic and prognostic tools could promote an advance in targeted and specific therapies in precision oncology.

Hybrid Materials Based on Nanoparticles Functionalized with Alkylsilanes Covalently Anchored to Epoxy Matrices.

In this work, the surface modification of zinc oxide nanoparticles (ZnO-NPs) with 3-glycidyloxy-propyl-trimethoxysilane (GPTMS) was investigated. The ZnO-NPs were synthesized using the physical method of continuous arc discharge in controlled atmosphere (DARC-AC). The surface modification was carried out using a chemical method with constant agitation for 24 h at room temperature. This surface functionalization of zinc oxide nanoparticles (ZnO-NPs-GPTMS) was experimentally confirmed by infrared spectroscopy (FT-IR), TGA, and XRD, and its morphological characterization was performed with SEM. The increase in mechanical bending properties in the two final hybrid materials compared to the base polymers was verified. An average increase of 67% was achieved with a moderate decrease in ductility. In the case of compressive strength, they showed mixed results, maintaining the properties. With respect to thermal properties, it was observed that inorganic reinforcement conferred resistance to degradation on the base material, giving a greater resistance to high temperatures.

La integración sensorial y su importancia en el aprendizaje de los niños con trastorno de espectro autista / Sensory integration and its importance in learning for children with autism spectrum disorder

Resumen La integración sensorial se apoya en múltiples antecedentes teóricos que justifican su importancia para poder integrar la información que procede de los diferentes sentidos y desarrollar una respuesta adaptada al entorno. Así también, la literatura científica ha demostrado que existe una estrecha relación entre la integración sensorial y el aprendizaje. El objetivo de este artículo es abordar el concepto de integración sensorial y su influencia en el aprendizaje, en especial, de los niños con Trastorno de Espectro Autista. La metodología utilizada ha sido mediante una revisión bibliográfica de tipo narrativa, orientada por el objetivo de la investigación. Las bases de datos consultadas han sido: Web of Science, SCOPUS, Dialnet y RedaLyC. Y los principales descriptores han sido Integración Sensorial, Aprendizaje y Trastorno de Espectro Autista (TEA). Los resultados obtenidos apoyan la idea de que los niños con TEA suelen presentar dificultades en este proceso de integración sensorial, siendo ésta la causa explicativa de algunos de los problemas de aprendizaje y conducta que presentan. Se espera que a partir de este trabajo se potencie una toma de conciencia de la necesidad de considerar este aspecto durante el diagnóstico y/o la intervención para así favorecer una auténtica inclusión de los niños con TEA en la sociedad.

Abstract Sensory integration is supported by multiple theoretical backgrounds that justify its importance in order to integrate the information coming from the different senses and to develop an adapted response to the environment. Scientific literature has also shown that there is a close relationship between sensory integration and learning. The aim of this article is to address the concept of sensory integration and its influence on learning, especially in children with Autism Spectrum Disorder (ASD). The methodology used was a narrative literature review, guided by the aim of the research. The databases consulted were: Web of Science, SCOPUS, Dialnet and RedaLyC. The main descriptors used were Sensory Integration, Learning and ASD. The results obtained support the idea that children with ASD often present difficulties in this sensory integration process, and that this is the explanatory cause of some of the learning and behavioural problems they present. It is hoped that this work will raise awareness of the need to consider this aspect during diagnosis and/or intervention in order to favour the genuine inclusion of children with ASD in society.

Biopsia de próstata, acceso transperineal bajo anestesia local / Prostate Biopsy, Transperineal Access under Local Anesthesia

Objetivo La biopsia de próstata es una ayuda esencial en el diagnóstico de cáncer, siendo el método más utilizado la biopsia transrectal guiada por ultrasonido (TRUS), con una tasa diagnóstica entre el 37% y el 45%, aunque no exenta de complicaciones como infecciones, dolor o sangrado. El enfoque alternativo y seguro a las biopsias TRUS se encuentra en la biopsia transperineal (BTP), realizada comúnmente bajo anestesia regional o general. El objetivo de este estudio fue determinar la efectividad de la BTP bajo anestesia local y guía ultrasonográfica transrectal, con el impacto sobre la sensibilidad del estudio y la tasa de readmisión hospitalaria por infección. Métodos Estudio de cohorte retrospectiva en el que se evaluaron 83 pacientes sometidos a BTP con anestesia local y guía ultrasonográfica transrectal de enero de 2017 a agosto de 2018 en una ciudad intermedia de Colombia. La muestea incluyó todos los hombres mayores de 18 años con datos de historia clínica disponibles para su análisis, así como los reportes histopatológicos de las biopsias. Se excluyeron casos de rebiopsia o con datos insuficientes. El análisis de datos nominales se realizó mediante la prueba de chi cuadrado, y el de los datos numéricos, con las prubas t de Student o de Mann-Whitney. Resultados Un total de 83 pacientes, con media de edad de 65 ± 7.9 años fueron sometidos al análisis del estudio histopatológico. Se excluyeron nueve pacientes que no tenían información disponible en el registro clínico sistematizado, ni en historia clínica de formato físico. Se encontró una proporción de positividad y diagnóstico de cáncer de prostata en el 39.7% (33) de los pacientes, distribuidos así: grado de grupo 1 (69.7%; 23); grado de grupo 2 )15.2%; 5); grados de grupos 3 y 4 (3% cada uno de ellos; 2); y grado de grupo 5 (9%; 3). En total, 60% (50) fueron negativos para malignidad y, de estos el 54% (27) tuvo hiperplasia. El antibiótico profiláctico indicado en el 96.7% (80) de los casos fue una cefalosporina de primera generación, administrada en el 15% (12) por vía parenteral preoperatoria. En esta serie de casos, no se documentaron ingresos hospitalarios asociados a infección después del procedimiento. Conclusiones La biopsia de próstata por vía transperineal es una técnica con rendimiento diagnostico similar al del abordaje transrectal: es segura, rápida, de fácil acceso, con bajo costo y, sobre todo, con un riesgo insignificante de infección y sepsis. Sus beneficios son altamente representativos en un sistema de salud como el de nuestro país, y la BTP facilita el acceso de la población vulnerable del área rural y de ciudades intermedias, en las que no se dispone de un urólogo experto.

Objective Prostate biopsy is an essencial aid in cancer diagnosis, and the the most widely-used method is known as transrectal ultrasound-guided (TRUS) biopsy, with a diagnostic rate ranging from 37% to 45%; however, it is not free of complications such as infections, pain, or bleeding. The alternative and safe approach lies in the transpineal biopsy (TPB), commonly performed under regional or general anesthesia. The objetive of the present study was to determine the effectiveness of TPBunder local anesthesia and transrectal ultrasound guidance, with the impact of the sensitiviy of the study and the rate of hospital readmission due to infection. Methods Retrospective cohort study in which 83 patients underwent TPB with local anesthesia and transrectal ultrasound guidance from january 2017 and august 2018 in an intermediate city in Colombia. The sample included all male subjects older than 18 years of age with medical history data available for analysis, as well as the histopathological reports of the biopsies. Cases of rebiopsy or with insufficient data were excluded. The analysis of the nominal data was performed using the chi-squared test, and that of the numerical data, with the Student t or the Mann-Whitney test. Results A total of 83 patientswith an average age was of 65 ± + 7.9 years, had their histopathological studies analyzed. We excluded nine patients who did not have information available in the systematized clinical registry nor in the medical history in physical format. Positivity and a diagnosis of prostate cancer was found in 39.7% (33) of the patients, who were distributed like this: grade group 1 (69.7%; 23); grade group 2 (15.2%; 5); grade groups 3 and 4 (each with 3%; 2); and grade group 5 (9%; 3). In total, 60% (50) were negative for malignancy, and, of these, 54% (27) had glandulostromal hyperplasia. The indicated prophylactic antibiotic in 96.7% (80) of the cases was a first generation cephalosporin and, in 15% (12) of the cases it was administered through a preoperative parenteral route. Hospital admissions after the procedure associated with infection were not documented in the present series of cases. Conclusions Transperineal prostate biopsy is a technique with diagnostic performance similar to that of the transrectal approach: it is safe, fast, easy to access, has a low cost and, above all, presents a minimum risk of infection and sepsis. Its benefits are highly representative in a health system like that of our country, and TPB facilitates the access of the vulnerable population of the rural area and of intermediate cities in which there is no availability of an expert urologist.

Functional Pyrazolo[1,5-a]pyrimidines: Current Approaches in Synthetic Transformations and Uses As an Antitumor Scaffold.

Pyrazolo[1,5-a]pyrimidine (PP) derivatives are an enormous family of N-heterocyclic compounds that possess a high impact in medicinal chemistry and have attracted a great deal of attention in material science recently due to their significant photophysical properties. Consequently, various researchers have developed different synthesis pathways for the preparation and post-functionalization of this functional scaffold. These transformations improve the structural diversity and allow a synergic effect between new synthetic routes and the possible applications of these compounds. This contribution focuses on an overview of the current advances (2015-2021) in the synthesis and functionalization of diverse pyrazolo[1,5-a]pyrimidines. Moreover, the discussion highlights their anticancer potential and enzymatic inhibitory activity, which hopefully could lead to new rational and efficient designs of drugs bearing the pyrazolo[1,5-a]pyrimidine core.

Meningoencefalitis por Listeria monocytogenes / Meningoencephalitis due to Listeria monocytogenes

RESUMEN La neurolisteriosis se presenta principalmente como meningitis o meningoencefalitis, en menor frecuencia romboencefalitis o absceso cerebral. Es la principal causa de muerte entre todas las meningitis bacterianas y se asocia con una alta tasa de discapacidad neurológica. Para su diagnóstico se deben tener en cuenta la edad y los factores de riesgo, principalmente individuos mayores de 50 años y con condiciones de inmunosupresión. Las ayudas diagnósticas son clave para lograr el aislamiento de Lm, donde el cultivo de LCR tiene la mejor sensibilidad. Aunque faltan estudios que demuestren la superioridad de los estudios moleculares, el FilmArray-MEP parece ser prometedor en el aislamiento rápido y preciso de los principales microorganismos involucrados en la meningitis piógena, entre estos Lm. La IRM cerebral es el estudio de elección para el diagnóstico de romboencefalitis. La piedra angular del tratamiento sigue siendo ampicilina, cuya asociación con aminoglucósido podría disminuir la mortalidad.

SUMMARY Neurolisteriosis presents mainly as meningitis or meningoencephalitis, to a lesser extent rhombencephalitis or brain abscess frequency. It is the leading cause of death among all Bacterial meningitis and is associated with a high rate of neurological disability. For your diagnosis must take into account age and risk factors, mainly over 50 years and with immunosuppression conditions. Diagnostic aids are key to achieving the isolation of Lm, where CSF culture has the best sensitivity. Although studies are lacking demonstrating the superiority of molecular studies, the Film Array-MEP appears to be promising in fast and accurate isolation of the main microorganisms involved in pyogenic meningitis, among these Lm. Brain MRI is the study of choice for the diagnosis of rhombencephalitis. The cornerstone of treatment remains ampicillin, and its association with aminoglycoside could decrease mortality.

Comparison of different prognostic scores for patients with cirrhosis hospitalized with SARS-CoV-2 infection.

INTRODUCTION AND OBJECTIVES: Viral infections have been described to increase the risk of decompensation in patients with cirrhosis. We aimed to determine the effect of SARS-CoV-2 infection on outcome of hospitalized patients with cirrhosis and to compare the performance of different prognostic models for predicting mortality. PATIENTS: We performed a prospective cohort study including 2211 hospitalized patients with confirmed SARS-CoV-2 infection from April 15, 2020 through October 1, 2020 in 38 Hospitals from 11 Latin American countries. We registered clinical and laboratory parameters of patients with and without cirrhosis. All patients were followed until discharge or death. We evaluated the prognostic performance of different scoring systems to predict mortality in patients with cirrhosis using ROC curves. RESULTS: Overall, 4.6% (CI 3.7-5.6) subjects had cirrhosis (n = 96). Baseline Child-Turcotte-Pugh (CTP) class was assessed: CTP-A (23%), CTP-B (45%) and CTP-C (32%); median MELD-Na score was 19 (IQR 14-25). Mortality was 47% in patients with cirrhosis and 16% in patients without cirrhosis (P < .0001). Cirrhosis was independently associated with death [OR 3.1 (CI 1.9-4.8); P < .0001], adjusted by age, gender, and body mass index >30. The areas under the ROC curves for performance evaluation in predicting 28-days mortality for Chronic Liver Failure Consortium (CLIF-C), North American Consortium for the Study of End-Stage Liver Disease (NACSELD), CTP score and MELD-Na were 0.85, 0.75, 0.69, 0.67; respectively (P < .0001). CONCLUSIONS: SARS-CoV-2 infection is associated with elevated mortality in patients with cirrhosis. CLIF-C had better performance in predicting mortality than NACSELD, CTP and MELD-Na in patients with cirrhosis and SARS-CoV-2 infection. Clinicaltrials.gov:NCT04358380.

Perinaphthenone and derivatives as control agents of phytopathogenic fungi: fungitoxicity and metabolism.

Metabolism and in vitro fungitoxicity of perinaphthenone against three economically important fungi of the citrus, Botryodiplodia spp., Botrytis spp. and Fusarium spp. were investigated. Perinaphthenone exhibited significant antifungal activity at 62.5 µM and above. Even, the inhibitory effect against Fusarium spp. was significantly enhanced by exposure to direct light. In addition, the metabolism of perinaphthenone by the three fungi was studied. Results show that perinaphthenone was transformed almost completely during the first 24 h; two major products, whose concentration increased progressively during the twelve days of the test, were isolated and identified as 2,3-dihydro-1H-phenalen-1-ol and 2,3-dihydro-phenalen-1-one. Although both metabolic products displayed a considerable fungistatic effect, their slightly lower activities in comparison to perinaphthenone indicate that the transformation was a detoxification process. Studies on the relationship between the effect of some substituents in the perinaphthenone core and the mycelial growth inhibition of Botryodiplodia spp. were also carried out. Results show that the α, ß-unsaturated carbonyl system is an important structural requirement but not the only to be necessary for the strong antifungal activity of perinaphthenone. In general, the antifungal properties of perinaphthenone may be modulated through the incorporation of substituents in the naphthalene core or in the α, ß-unsaturated carbonyl system. It is concluded that perinaphthenone could be used as an antifungal agent or as a structural template for the development of new fungicide compounds.

Esplenectomía laparoscópica en esplenomegalia masiva. A propósito de un caso / Laparoscopics plenectomy in massives plenomegaly. About a case / Esplenectomia laparoscópica na esplenomegalia maciça. Sobre um caso

RESUMEN Introducción: el bazo constituye el órgano reticuloendotelial mayor del cuerpo. Este puede ser afectado por una serie de desórdenes primarios y secundarios indicativos de esplenectomía. Las primeras esplenectomías por técnicas de mínimo acceso fueron reportadas entre los años 1991 y 1992, encontrando entre sus ventajas una más pronta recuperación, mejores resultados estéticos, y menor sangrado intraoperatorio. Presentación del caso: paciente de 43 años de edad que es intervenida por esplenomegalia masiva secundaria a púrpura trombocitopénica inmunológica, realizándosele esplenectomía laparoscópica satisfactoria. Discusión: las esplenomegalias masivas son aquellas cuando el bazo supera los 20 cm de longitud entre sus polos superior e inferior, siendo este criterio contraindicación relativa para esplenectomía laparoscópica. Conclusiones: la extirpación exitosa del bazo por cirugía laparoscópica en aquellos pacientes con esplenomegalia masiva puede ser factible siempre que se cumplan una serie de condiciones elementales.

ABSTRACT Introduction: the spleen is the largest reticuloendothelial organ in the body. This can be affected by a series of primary and secondary disorders indicative of splenectomy. The first splenectomies using minimal access techniques were reported between 1991 and 1992, finding among their advantages a faster recovery, better aesthetic results, and less intraoperative bleeding. Case presentation: 43-year-old patient who underwent surgery for massive splenomegaly secondary to immunological thrombocytopenic purpura, undergoing satisfactory laparoscopic splenectomy. Discussion: massive splenomegalies are those when the spleen exceeds 20 cm in length between its upper and lower poles, this criterion being a relative contraindication for laparoscopic splenectomy. Conclusions: the successful removal of the spleen by laparoscopic surgery in those patients with massive splenomegaly may be feasible provided that a series of elementary conditions are met.

RESUMO Introduction: the spleen is the largest reticuloendothelial organ in the body. This can be affected by a series of primary and secondary disorders indicative of splenectomy. The first splenectomies using minimal access techniques were reported between 1991 and 1992, finding among their advantages a faster recovery, better aesthetic results, and less intraoperative bleeding. Case presentation: 43-year-old patient who underwent surgery for massive splenomegaly secondary to immunological thrombocytopenic purpura, undergoing satisfactory laparoscopic splenectomy. Discussion: massive splenomegalies are those when the spleen exceeds 20 cm in length between its upper and lower poles, this criterion being a relative contraindication for laparoscopic splenectomy. Conclusions: the successful removal of the spleen by laparoscopic surgery in those patients with massive splenomegaly may be feasible provided that a series of elementary conditions are met.

Viruses in Extreme Environments, Current Overview, and Biotechnological Potential.

Virus research has advanced significantly since the discovery of the tobacco mosaic virus (TMV), the characterization of its infection mechanisms and the factors that determine their pathogenicity. However, most viral research has focused on pathogenic viruses to humans, animals and plants, which represent only a small fraction in the virosphere. As a result, the role of most viral genes, and the mechanisms of coevolution between mutualistic viruses, their host and their environment, beyond pathogenicity, remain poorly understood. This review focuses on general aspects of viruses that interact with extremophile organisms, characteristics and examples of mechanisms of adaptation. Finally, this review provides an overview on how knowledge of extremophile viruses sheds light on the application of new tools of relevant use in modern molecular biology, discussing their value in a biotechnological context.

Antibacterial and cytotoxic evaluation of copper and zinc oxide nanoparticles as a potential disinfectant material of connections in implant provisional abutments: An in-vitro study.

OBJECTIVE: This study evaluates the antibacterial activity against mono and multispecies bacterial models and the cytotoxic effects of zinc oxide and copper nanoparticles(ZnO-NPs/Cu-NPs) in cell cultures of human gingival fibroblasts(HGFs). DESIGN: The antibacterial activities of ZnO-NPs and Cu-NPs against 4 bacteria species were tested according to their minimum inhibitory concentrations(MICs) and against mature multispecies anaerobic model by spectral confocal laser scanning microscopy. The viabilities and cytotoxic effects of ZnO-NPs and Cu-NPs to HGFs cell cultures were tested by MTT, LDH assays, production of ROS, and the activation of caspase-3. The results were analyzed using one-way ANOVA followed by Tukey tests, considering p < 0.05 as statistically significant. RESULTS: For all strains, MICs of ZnO-NPs and Cu-NPs were in the range of 78.3 µg/mL-3906 µg/mL and 125 µg/mL-625 ug/mL, respectively. In a multispecies model, a significant decrease in the total biomass volume(µ3) was observed in response to exposure to 125 µg/mL of each NPs for which there was bactericidal activity. Significant differences were found between the volumes of viable and nonviable biomass exposed to nanostructures with Cu-NPs compared to ZnO-NPs. Both NPs induced mitochondrial dose-dependent cytotoxicity, ZnO-NPs increases LDH release and intracellular ROS generation. Cu-NPs at a concentration of 50 µg/mL induced production of cleaved caspase-3, activating the apoptotic pathway early and at low doses. CONCLUSIONS: After 24 h, ZnO-NPs are biocompatible between 78-100 µg/mL and Cu-NPs below 50 µg/mL. Antibacterial activity in a monospecies model is strain dependent, and in a multispecies model was a lower doses after 10 min of exposure.