Heterogeneities in the Ecoepidemiology of Trypanosoma cruzi Infection in Rural Communities of the Argentinean Chaco

We conducted a cross-sectional survey of Trypanosoma cruzi infection of Triatoma infestans as well as dogs and cats in 327 households from a well-defined rural area in northeastern Argentina to test whether the household distribution of infection differed between local ethnic groups (Tobas and Creoles) and identify risk factors for host infection. Overall prevalence of infection of bugs (27.2%; 95% confidence interval = 25.3–29.3%), dogs (26.0%; 95% confidence interval = 23.3–30.1%), and cats examined (28.7%; 95% confidence interval = 20.2–39.0%) was similar. A multimodel inference approach showed that infection in dogs was associated strongly with the intensity and duration of local exposure to infected bugs and moderately with household ethnic background. Overall, Toba households were at a substantially greater risk of infection than Creole households. The strong heterogeneities in the distribution of bug, dog, and cat infections at household, village, and ethnic group levels may be used for targeted vector and disease control.Fil: Cardinal, Marta Victoria. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Orozco, Maria Marcela. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Enriquez, Gustavo Fabián. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Ceballos, Leonardo A.. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; ArgentinaFil: Gaspe, Maria Sol. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Alvarado Otegui, Julián Antonio. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; ArgentinaFil: Gurevitz, Juan Manuel. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Kitron, Uriel. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; ArgentinaFil: Gurtler, Ricardo Esteban. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ecología, Genética y Evolución; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin

Apatite mineralization process from silicocarnotite bioceramics: mechanism of crystal growth and maturation

A mechanism for the formation and crystallization processes of bone-like apatite grown on non-stoichiometric silicocarnotite (SC) is here proposed. Single-phase SC powders and ceramics were obtained from fixed mixtures of hydroxyapatite and bioactive glass 45S5. The bioactive behavior of SC was assessed by immersion in Hank´s solution at different times. Afterward, a systematic theoretical-experimental study of the structural properties at the micro and nanoscale using TEM was performed and correlated with SEM, EDX, XRD, and Raman techniques to determine the apatite mineralization process from the SC phase. The initial stage of apatite formation from SC was identified as the hydration and further polymerization of silanol groups, resulting in a silica-based hydrogel, which plays a critical role in the ionic exchange. As a result of the adsorption of ionic species from the medium into the silica-based hydrogel, the precipitation of crystalline apatitic structures starts through the emergence of newly formed SC nanocrystals, which act as a template for the crystallization process of a substituted apatite with SC-like structure. Then, due to the polymorphism between SC and HAp structures, the apatite layer retains the SC periodic arrangement following an epitaxial-like growth mechanism. Identification of the apatite layer formation mechanism is critical to understand its physical and chemical properties, which controls the long-term dissolution/precipitation rate of bioactive materials and their performance in the biological environment

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Hot corrosion behavior of dense CYSZ/YSZ bilayer coatings deposited by atmospheric plasma spray in Na2SO4 + V2O5 molten salts

In this work, the hot corrosion (HC) resistance of bilayer thermal barrier coatings (TBC) composed of dense Ceria-Yttria Stabilized Zirconia (D-CYSZ) and Yttria-Stabilized Zirconia (YSZ) deposited using the atmospheric plasma spray (APS) technique was evaluated. Two kinds of HC tests were performed using different salt concentrations and thermal cycling (adding fresh salt between cycles) with a constant salt mixture (Na2SO4-V2O5) and constant testing temperature (900°C). The results showed that the HC mechanism changes with the testing procedure and the outer D-CYSZ layer acts as a barrier to protect the inner layers against HC degradation, although the formation of vertical cracks during the coating deposition process affected the corrosion resistance of the TBC system

Synthesis, Characterization and In Vitro Study of Synthetic and Bovine-Derived Hydroxyapatite Ceramics: A Comparison

The physicochemical properties and biological behavior of sintered-bovine-derived hydroxyapatite (BHAp) are here reported and compared to commercial synthetic-HAp (CHAp). Dense ceramics were sintered for 2 h and 4 h at 1200 °C to investigate their microstructure–structure–in-vitro behavior relationship for both HAp ceramics. Densification was directly proportional to sintering time, showing a grain coarsening behavior with a greater effect on BHAp. Lattice parameters, crystallite size, cell volume and Ca/P ratio were determined by Rietveld refinement of X-ray diffraction (XRD) patterns using GSAS®. Ionic substitutions (Na+, Mg2+, CO32−) related to BHAp structure were associated with their position changes in the vibrational modes and correlated with the structural parameters obtained from the XRD analysis. Variations in the structural parameters and surface morphology were also evaluated after different soaking periods in simulated body fluid, which is associated with the formation of bone-like apatite layer and thus bioactivity. Mitochondrial activity (MTS) and lactate dehydrogenase (LDH) assays showed that the material released by the ceramics does not induce toxicity after exposure in human fetal osteoblastic (hFOB) cells. Furthermore, no statistically significant differences were found between the HAp obtained from different sources. These results show that BHAp can be used with no restrictions for the same biomedical applications as CHAp

E ect of the Average Energy on WC Grain Growth of WC-10Co-4Cr Composite by Laser Cladding

In the present study, the microstructure evolution of WC-10Co-4Cr powder deposited on AISI-SAE 1020 steel substrate by laser cladding was evaluated, considering the e ect of average energy per unit area. Single tracks were obtained by employing a Yb: YAG laser system with selected processing parameters. All samples were sectioned in the transverse direction for further characterization of the cladding. Results showed that dilution lay within 15% and 25%, whereas porosity was measured below 12%. According to microstructural analyses, considerable grain growth is developed within the central area of the cladding (namely, the inner region); additionally, the development of a triangular and/or polygonal morphology for WC particles along with a clear reduction in hardness was observed when employing a high average energy. It is worth noting that, in spite of the rapid thermal cycles developed during laser cladding of WC-10Co-4Cr, grain growth is attributed to a coalescence mechanism due to complete merging of WC into larger particles. Finally, the presence of small round or ellipsoidal particles within the inner region of the cladding suggested that non-merged particles occurred due to both an inhomogeneous dispersion and the lack of faced-shaped WC particles.En esta investigación, se analizó la evolución microestructural de los depósitos de polvo WC-10Co-4Cr, mediante el proceso de revestimiento por láser (Laser Cladding-LC) sobre un sustrato de acero AISI-SAE 1020, se configuró el proceso de LC a diferentes valores de energía promedio por unidad de área; los revestimientos se obtuvieron empleando un láser Yb: YAG. Todas las muestras se caracterizaron en sus secciones transversales a los depósitos. Los resultados indicaron que de acuerdo con los parámetros seleccionados para el revestimiento por el proceso de LC; la dilución se encuentra entre 15 y 25% para la mínima y máxima energía suministrada respectivamente, y con respecto a la porosidad resultó por debajo de 12%. Según los análisis de la microestructura; se desarrolla un considerable crecimiento de grano de WC dentro de la sección central del revestimiento (región interna); además, se observa el desarrollo de morfología triangular y/o poligonal junto con una clara reducción de la dureza cuando se emplea una entrada de alta energía. Cabe señalar que, a pesar de los rápidos ciclos térmicos desarrollados en el proceso de LC con WC-10Co-4Cr; se presenta el crecimiento del grano el cual se atribuye al mecanismo de coalescencia debido a la no presencia de interfaces entre partículas al ser observadas por MEB de WC en partículas más grandes. Finalmente, la presencia de pequeñas partículas redondeadas o elipsoidales dentro de la región interna del revestimiento es asociada a partículas no fusionadas debido a la dispersión no homogénea y la falta de partículas de WC con forma facetada

Study of the Isothermal Oxidation Process and Phase Transformations in B2-(Ni,Pt)Al/RENE-N5 System

Changes in composition, crystal structure and phase transformations of B2-(Ni,Pt)Al coatings upon isothermal oxidation experiments (natural and scale free oxidation) at 1100 °C, as a function of time beyond their martensitic transformation, are reported. Specifically, the analysis of lattice parameter and composition are performed to identify changes in the B2-(Ni,Pt)Al phase upon the chemically-driven L10-(Ni,Pt)Al and L12-(Ni,Pt)3Al transformations. The B2-(Ni,Pt)Al phase was found to disorder and transform the martensite during the heat treatments for both oxidation experiments at approximately 36.3 and 40.9 at. % of Al, 47.7 and 42.9 at. % of Ni, 6.2 and 8.5 at. % of Pt, 4.2 and 2.9 at. % of Cr and 4.4 and 3.8 at. % of Co. The lattice constant and the long-range order parameter of the B2-(Ni,Pt)Al phase decreased linearly as a function of the elemental content irrespective of the nature of the oxidation experiments

Consenso de especialistas sobre la estratificación, el manejo y el seguimiento del paciente con hipertensión pulmonar del grupo 1 con riesgo intermedio

Introducción: La estratificación del riesgo de complicaciones mayores (incluyendo mortalidad) es, en la actualidad, la estrategia clínica fundamental para la toma de decisiones terapéuticas en pacientes con hipertensión arterial pulmonar. Sin embargo, es llamativo que la mayoría de pacientes se agrupan en la categoría intermedia, tanto en el momento del diagnóstico como en el seguimiento, con lo cual se hace relevante y necesario mejorar la discriminación y las opciones terapéuticas de los pacientes en riesgo intermedio. Objetivo: Definir una serie de recomendaciones sobre la propia subclasificación, el seguimiento y el tratamiento de pacientes adultos con hipertensión arterial pulmonar en riesgo intermedio adaptadas al contexto colombiano. Método: Se invitaron 15 expertos en hipertensión pulmonar quienes votaron de acuerdo con la metodología Delphi modificada en torno a catorce preguntas, sobre las cuales se realizó una revisión sistemática de la literatura en varias bases bibliográficas: BVS, Cochrane Library, PubMed, Medline y Web of Science. Se utilizaron los criterios MeSh y DeCs para cada pregunta, sin límite de idioma o tiempo. Resultados y discusión: El principal elemento de valor de la investigación está representado por dieciocho recomendaciones consensuadas sobre estratificación, tratamiento y otros apartados. Adicionalmente, la iniciativa permite identificar la escasez de estudios científicos que determinen el comportamiento de la enfermedad, las barreras de acceso y la disponibilidad de medicamentos en Colombia