Early High-Titer Plasma Therapy to Prevent Severe Covid-19 in Older Adults.

BACKGROUND: Therapies to interrupt the progression of early coronavirus disease 2019 (Covid-19) remain elusive. Among them, convalescent plasma administered to hospitalized patients has been unsuccessful, perhaps because antibodies should be administered earlier in the course of illness. METHODS: We conducted a randomized, double-blind, placebo-controlled trial of convalescent plasma with high IgG titers against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in older adult patients within 72 hours after the onset of mild Covid-19 symptoms. The primary end point was severe respiratory disease, defined as a respiratory rate of 30 breaths per minute or more, an oxygen saturation of less than 93% while the patient was breathing ambient air, or both. The trial was stopped early at 76% of its projected sample size because cases of Covid-19 in the trial region decreased considerably and steady enrollment of trial patients became virtually impossible. RESULTS: A total of 160 patients underwent randomization. In the intention-to-treat population, severe respiratory disease developed in 13 of 80 patients (16%) who received convalescent plasma and 25 of 80 patients (31%) who received placebo (relative risk, 0.52; 95% confidence interval [CI], 0.29 to 0.94; P = 0.03), with a relative risk reduction of 48%. A modified intention-to-treat analysis that excluded 6 patients who had a primary end-point event before infusion of convalescent plasma or placebo showed a larger effect size (relative risk, 0.40; 95% CI, 0.20 to 0.81). No solicited adverse events were observed. CONCLUSIONS: Early administration of high-titer convalescent plasma against SARS-CoV-2 to mildly ill infected older adults reduced the progression of Covid-19. (Funded by the Bill and Melinda Gates Foundation and the Fundación INFANT Pandemic Fund; Dirección de Sangre y Medicina Transfusional del Ministerio de Salud number, PAEPCC19, Plataforma de Registro Informatizado de Investigaciones en Salud number, 1421, and ClinicalTrials.gov number, NCT04479163.).

Prevalence and risk factors for asthma, rhinitis, eczema, and atopy among preschool children in an Andean city.

BACKGROUND: Limited data are available on prevalence and associated risk factors for atopy and allergic diseases from high-altitude urban settings in Latin America. OBJECTIVE: To estimate the prevalence of atopy, asthma, rhinitis, and eczema, and associations with relevant risk factors in preschool children in the Andean city of Cuenca. METHODS: A cross-sectional study was undertaken using a representative sample of 535 children aged 3-5 years attending 30 nursery schools in the city of Cuenca, Ecuador. Data on allergic diseases and risk factors were collected by parental questionnaire. Atopy was measured by skin prick test (SPT) reactivity to a panel of relevant aeroallergens. Associations between risk factors and the prevalence of atopy and allergic diseases were estimated using multivariable logistic regression. RESULTS: Asthma symptoms were reported for 18% of children, rhinitis for 48%, and eczema for 28%, while SPT reactivity was present in 33%. Population fractions of asthma, rhinitis, and eczema attributable to SPT were 3.4%, 7.9%, and 2.9%, respectively. In multivariable models, an increased risk of asthma was observed among children with a maternal history of rhinitis (OR 1.85); rhinitis was significantly increased in children of high compared to low socioeconomic level (OR 2.09), among children with a maternal history of rhinitis (OR 2.29) or paternal history of eczema (OR 2.07), but reduced among children attending daycare (OR 0.64); eczema was associated with a paternal history of eczema (OR 3.73), and SPT was associated with having a dog inside the house (OR 1.67). CONCLUSIONS: A high prevalence of asthma, rhinitis, and eczema symptoms were observed among preschool children in a high-altitude Andean setting. Despite a high prevalence of atopy, only a small fraction of symptoms was associated with atopy. Parental history of allergic diseases was the most consistent risk factor for symptoms in preschool children.

Correction: Prevalence and risk factors for asthma, rhinitis, eczema, and atopy among preschool children in an Andean city.

[This corrects the article DOI: 10.1371/journal.pone.0234633.].

Megalops atlanticus (Megalopidae), a new fish at the Pacific Ocean; information about its fishery importance / Megalops atlanticus (Megalopidae), un nuevo pez en el océano Pacífico; información sobre su importancia pesquera

ABSTRACT Objective . Reports by the first time Megalops atlanticus, commonly known as tarpon, from the Colombian Pacific Ocean, discussing its distribution, uses, and value for local human populations. Material and methods . Interviews with fishermen from the municipalities of Nuquí and Bahía Solano (Chocó Province) were carried upon in order to collect information about fishing points, ecologic characteristics, and uses of tarpon; samples were additionally taken in order to determine sex, gonadal maturity, and stomach contents. Results. Fifty interviews were made to fishermen who declared have fished tarpon at least once; fishing methods (hook and line, spear, and gill net) and main uses [consumption (65%), handcraft production (20%), commerce (7%) and game fishing (8%)] were got from them. Conclusions. Our study should be the base for additional research and management strategies for this species both in the Pacific and Caribbean Colombian coasts.

RESUMEN Objetivo. Registrar la presencia de Megalops atlanticus (sábalo real) por primera vez en el Pacífico colombiano y dar un marco inicial de conocimiento acerca de su distribución, usos y apreciación por parte de las poblaciones locales. Materiales y métodos. Se llevaron a cabo 50 encuestas a pescadores de las comunidades de los municipios de Nuquí y Bahía Solano (departamento del Chocó) con el fin de recabar información acerca de los sitios de captura, características ecológicas y usos; adicionalmente se tomaron muestras donde se determinó sexo y estado de madurez gonadal. Resultados. A partir del conocimiento tradicional de los pescadores se establecieron los métodos de captura (línea de mano, arpón, caña de pescar y trasmallo), sitios de pesca: frente de los centros poblados de Jurubirá, Tribugá, Coquí y Bahía Solano (encontrándose en ambientes rocosos y ensenadas aledañas a estos) y usos que le dan al sábalo: consumo (65%), elaboración de artesanías (20%), venta (7%) y pesca deportiva (8%), adicionalmente en los ejemplares estudiados se evaluó el estado de madurez encontrándose todos en estadio III de maduración. Conclusiones. Este trabajo permite alcanzar un primer marco de conocimiento acerca de la distribución del sábalo en el Pacífico colombiano y su explotación en la región, sirviendo de base para estudios posteriores y planes de manejo que se realicen de esta especie en el Pacífico.