First-trimester ductus venosus Doppler velocimetry for estimation of risk of Down syndrome

OBJECTIVE: To test the hypothesis that the application of ductus venosus Doppler velocimetry between 10--14 weeks gestation may serve as a screening tool for the detection of fetuses with Down syndrome and estimate a new criteria of risk. PATIENTS AND METHODS: 491 fetuses were studied consecutively. In 132 cases a cytogenetic study was performed on material obtained from a biopsy of the chorionic villus, and in 359 cases the postnatal phenotype was used as a basis for the result. In addition to the routine ultrasonographic examination, all the fetuses were submitted to measurement of the nuchal translucency thickness. T student and ANOVA tests were used for the statistical analysis. The sensitivity, specificity, positive and negative predictive values, true-positive probability and likelihood ratio were calculated. RESULTS: There were 21 cases of Down syndrome. On these 21 fetuses the ductus venosus blood flow during atrial contraction was either absent (n = 3) or reversed (n = 17) - sensitivity = 95.2%. In the chromosomally normal fetuses (n = 470) only 8 had abnormal Doppler findings in the ductus venosus (specificity = 98.2%, positive and negative predictive values = 71.4% and 99.8%, respectively, and positive and negative likelihood ratio = 56 and 0.1, respectively). CONCLUSION: Our preliminary results suggest that the presence of Down syndrome may be strongly suspected when there is reverse or absent flow in the ductus venosus Doppler velocimetry during atrial contraction. We speculate the possibility of a new criteria to calculate the new risk of Down syndrome based on Doppler examination of the ductus venosus. Using the program of the Fetal Medicine Foundation to assess the baseline risk, a multiplying factor of approximately 0.1 (negative predictive value) is applied for normal ductus whereas a multiplying factor of 50 is applied in case of reverse or absent ductus, thus establishing a new adjusted risk factor.OBJETIVO: Investigar a validade da Dopplervelocimetria do duto venoso em detectar a síndrome de Down entre 10 e 14 semanas de gestação e propor novo cálculo de risco. PACIENTES E MÉTODOS: Foram estudados 491 fetos, consecutivamente. Em 132 casos realizou-se estudo citogenético no material obtido por biópsia de vilosidade coriônica e em 359 o resultado baseou-se no fenótipo do recém-nascido. Em todos os fetos realizaram-se, além da ultra-sonografia de rotina, a medida da translucência nucal e a Dopplervelocimetria do duto venoso. Na análise estatística foram utilizados o teste paramétrico T de student, a análise de variância e a regressão linear. Posteriormente, calcularam-se: sensibilidade, especificidade, valores preditivos positivo e negativo, probabilidade de falso-positivo e razões de probabilidades. RESULTADOS: Ocorreram 21 casos de trissomia do cromossomo 21. Desses casos, o fluxo no duto venoso durante a contração atrial foi ausente em três casos e reverso em 17 - sensibilidade de 95,2%. No grupo de fetos normais (470 casos), oito avaliações mostraram alterações do Doppler do duto venoso (especificidade de 98,2%, valores preditivos positivo e negativo de 71,4% e 99,8%, respectivamente, e razões de probabilidades positiva e negativa de 56 e 0,1, respectivamente). CONCLUSÕES: Nossos resultados preliminares sugerem que a presença de síndrome de Down pode ser fortemente suspeitada se houver fluxo reverso ou ausente no duto venoso. Especulamos a possibilidade de cálculo de novo risco para trissomia do 21 com base no Doppler do duto venoso. Utilizando o programa de risco da Fetal Medicine Foundation como risco basal, teríamos um fator multiplicador de aproximadamente 0,1 (razão de probabilidade negativa), caso duto normal, ou de 50 (razão de probabilidade positiva), caso duto reverso ou ausente, e assim, teremos novo risco corrigido.Universidade Federal do Rio de JaneiroUNIFESP Departamento de ObstetríciaUNIFESP, Depto. de ObstetríciaSciEL

Operaciones de cobertura con derivados financieros en el mercado de energéticos (crudo)

En el siguiente trabajo se detallarán los resultados que se obtuvieron al dar uso de las herramientas de cobertura contra el riesgo generado por la volatilidad de los precios del crudo, estas herramientas son los contratos a futuro y las opciones. El estudio tuvo como fecha inicial el 24 de septiembre de 2010, día en que se cotiza el contrato futuro, el subyacente cotizado en el mismo se identifica con el nemotécnico CLZ10 con fecha de vencimiento al 19 de noviembre de 2010, el cual se monitoreó durante casi dos meses, exactamente los días 29 de septiembre, 4, 7, 11, 18, y 21 de octubre del presente año. Al mismo tiempo se analizó el comportamiento de las primas de las opciones tipo call y put; todos estos datos fueron obtenidos de la página web de la bolsa de new york (www.ino.com). Luego de esto, a través del modelo Black-Scholes, se valoraron las opciones midiendo la sensibilidad de las variables delta, theta, Ro, Gama y Vega. Además también se observaron otras variables como la Maduración, tasa de interés y la volatilidad

Dietary Phenolics against Breast Cancer. A Critical Evidence-Based Review and Future Perspectives

© 2020 by the authors.Breast cancer (BC) is the most common malignancy and the leading cause of cancer-related death in adult women worldwide. Over 85% of BC cases are non-hereditary, caused by modifiable extrinsic factors related to lifestyle, including dietary habits, which play a crucial role in cancer prevention. Although many epidemiological and observational studies have inversely correlated the fruit and vegetable consumption with the BC incidence, the involvement of their phenolic content in this correlation remains contradictory. During decades, wrong approaches that did not consider the bioavailability, metabolism, and breast tissue distribution of dietary phenolics persist behind the large currently existing gap between preclinical and clinical research. In the present review, we provide comprehensive preclinical and clinical evidence according to physiologically relevant in vitro and in vivo studies. Some dietary phenolics such as resveratrol (RSV), quercetin, isoflavones, epigallocatechin gallate (EGCG), lignans, and curcumin are gaining attention for their chemopreventive properties in preclinical research. However, the clinical evidence of dietary phenolics as BC chemopreventive compounds is still inconclusive. Therefore, the only way to validate promising preclinical results is to conduct clinical trials in BC patients. In this regard, future perspectives on dietary phenolics and BC research are also critically discussedThis research was funded by the projects PID2019-103914RB-I00 (MICINN, Spain), 19900/GERM/15 (Fundación Séneca de la Región de Murcia, Spain), and 201870E014 and 201770E081 (CSIC, Spain). J.A.G.B. was supported by a Juan de la Cierva contract (IJCI-2016-27633) from the Ministry of Science, Innovation and Universities (Spain) and a Standard European Marie Curie Fellowship from the European Commission. This project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 838991.Peer reviewe

Akt phosphorylation of HCV NS5B regulates polymerase activity and HCV infection

Hepatitis C virus (HCV) is a single-stranded RNA virus of positive polarity [ssRNA(+)] that replicates its genome through the activity of one of its proteins, called NS5B. This viral protein is responsible for copying the positive-polarity RNA genome into a negative-polarity RNA strand, which will be the template for new positive-polarity RNA genomes. The NS5B protein is phosphorylated by cellular kinases, including Akt. In this work, we have identified several amino acids of NS5B that are phosphorylated by Akt, with positions S27, T53, T267, and S282 giving the most robust results. Site-directed mutagenesis of these residues to mimic (Glu mutants) or prevent (Ala mutants) their phosphorylation resulted in a reduced NS5B in vitro RNA polymerase activity, except for the T267E mutant, the only non-conserved position of all those that are phosphorylated. In addition, in vitro transcribed RNAs derived from HCV complete infectious clones carrying mutations T53E/A and S282E/A were transfected in Huh-7.5 permissive cells, and supernatant viral titers were measured at 6 and 15 days post-transfection. No virus was rescued from the mutants except for T53A at 15 days post-transfection whose viral titer was statistically lower as compared to the wild type. Therefore, phosphorylation of NS5B by cellular kinases is a mechanism of viral polymerase inactivation. Whether this inactivation is a consequence of interaction with cellular kinases or a way to generate inactive NS5B that may have other functions are questions that need further experimental workMinisterio de Ciencia, Innovación y Universidades (MCIU), PI18/00210 from Instituto de Salud Carlos III, and S2018/BAA-4370 (PLATESA2 from Comunidad de Madrid/FEDER). CP was supported by the Miguel Servet program of the Instituto de Salud Carlos III (CPII19/00001), cofinanced by the European Regional Development Fund (ERDF). CG-C was supported by the predoctoral contract PRE2018-083422 from MCIU. CIBERehd (Centro de Investigación en Red de Enfermedades Hepáticas y Digestivas) was funded by the Instituto de Salud Carlos III. Institutional grants from the Fundación Ramón Areces and Banco Santander to the CBMS

Associação da ceftriaxona intraperitoneal, gentamicina intravenosa e do metronidazol oral no tratamento de abscesso abdominal e peritonite em equino: relato de um caso

O tratamento conservativo dos abscessos abdominais em equinos requer antibioticoterapia prolongada e apresenta variadas taxas de sucesso. Foi atendido um cavalo de seis anos de idade, com histórico de cólica e múltiplas punções abdominais por agulha para esvaziamento de gás. Na admissão, foram observados taquicardia, taquipnéia, hipertermia, congestão mucosa, desidratação e marcha rígida. A associação do exame físico, achados laboratoriais e ultrassonográficos permitiu o diagnóstico de peritonite e abscesso abdominal. Foi realizado tratamento suporte e antibioticoterapia de amplo espectro: ceftriaxona intraperitoneal diária (25 mg/kg, 7 dias); gentamicina intravenosa diária (6,6 mg/kg, 7 dias); metronidazol oral três vezes ao dia (15 mg/kg, 12 dias), seguido de mesma dose duas vezes ao dia, por mais 33 dias, totalizando 45 dias de tratamento. O fibrinogênio plasmático e o exame ultrassonográfico foram os recursos mais eficazes para a avaliação da evolução do abscesso. Após 24 horas do início do tratamento foi constatada a normalização do exame fisico, regressão progressiva da contagem de células nucleadas no líquido peritoneal, do fibrinogênio plasmático e do tamanho do abscesso. No 10° dia de tratamento o animal recebeu alta hospitalar, mantendo-se a terapia oral com metronidazol a cada 12 horas (15 mg/Kg). Em retorno, ao 30° dia, observou-se regressão do tamanho do abscesso, entretanto, não houve resolução, tendo sido mantida a terapia com metronidazol. No 45º dia de tratamento, realizou-se nova avaliação hospitalar, onde foi observada a resolução do abscesso e a admnistração do metronidazol foi suspensa. Destaca-se, que a associação terapêutica utilizada no tratamento de infecção abdominal e abscesso resultou em rápida resposta clínica.Medical management of abdominal abscesses in horses requires prolonged antibiotic therapy and presents varied success rates. A 6-year-old male horse with a history of colic and multiple abdominal punctures to relieve gas was attended. At admission, tachycardia, tachypnea, hyperthermia, mucosal congestion, dehydration, and rigid gait were observed. The association of physical examination, laboratory and ultrasonographic findings allowed the diagnoses of peritonitis and abdominal abscess. Supporting treatment plus broad spectrum antibiotic therapy was performed: daily intraperitoneal ceftriaxone (25 mg/kg, 7 days); daily intravenous gentamicin (6.6 mg/kg, 7 days); per os metronidazole three times a day (15 mg/kg 12 days), followed by the same dose twice a day (15 mg/kg 33 days), totaling 45 days of treatment. Plasma fibrinogen and ultrasonographic examination were the most effective tools to evaluate abscess evolution. There was normalization of the physical examination 24 h after beginning the treatment, consecutive regression of the nucleated cell count in the peritoneal fluid, and regression of plasma fibrinogen and size of the abscess. On the 10th treatment day, the animal was discharged from the hospital, maintaining oral therapy with metronidazole every 12 h (15 mg / kg). When the animal returned on the 30th day, an abscess size regression was observed. However, there was no resolution, and therapy with metronidazole was maintained. On the 45th day of treatment, a new hospital evaluation was performed, where the abscess resolved, and metronidazole was suspended. It is highlighted that the therapeutic association used in the treatment of abdominal infection and abscess resulted in a rapid clinical respons

New species emergence via recombination among isolates of the Brazilian tomato infecting Begomovirus complex

A seqüência de nucleotídeos parcial de cinco isolados de Begomovirus foi determinada do DNA-A, correspendente à região intergênica e à porção 5' do gene associado à replicação e da capa protéica. O isolado DFM apresentou identidade de 95% com Tomato mottle leaf curl virus (TMoLCV); os isolados 34, PA-05 e Ta4 foram 88% idênticos ao Tomato yellow vein streak virus (ToYVSV); e o isolado DF-BR3 mostrou 77% de identidade com TMoLCV. Análise de recombinação indicou que o isolado DF-BR3 seria uma quimera e evidencia que um complexo de espécies de begomovírus bipartidos está em formação no Brasil.Partial nucleotide sequences of five tomato infecting Begomovirus isolates were determined from DNA-A fragments, corresponding to the 5' region of the replication associated protein gene, the intergenic region and the 5' region of the coat protein gene. Isolate DFM shared 95% identity with Tomato mottle leaf curl virus (TMoLCV), isolates 34, PA-05, and Ta4 were 88% identical to Tomato yellow vein streak virus and isolate DF-BR3 shared 77% identity with TMoLCV. Recombination analysis indicated that isolate DF-BR3 was a chimaera, and it provided evidence that there is a complex and actively recombining population of tomato infecting begomoviruses in Brazil

Potential Operating Models, Harvest Control Rules and Performance Statistics for the NAFO 3M Cod MSE.

This document presents a proposal of possible Operating Models (OMs), Harvest Control Rules (HCR) and Performance Statistics (PS) to carry out the Management Strategies Evaluation (MSE) for the 3M cod of NAFO. This proposal will have to be reviewed by the NAFO SC to decide the first set of OMs to test with the possible HCRs in the 3M Cod MSE

Hepatitis C virus fitness can influence the extent of infection-mediated epigenetic modifications in the host cells

[Introduction]: Cellular epigenetic modifications occur in the course of viral infections. We previously documented that hepatitis C virus (HCV) infection of human hepatoma Huh-7.5 cells results in a core protein-mediated decrease of Aurora kinase B (AURKB) activity and phosphorylation of Serine 10 in histone H3 (H3Ser10ph) levels, with an affectation of inflammatory pathways. The possible role of HCV fitness in infection-derived cellular epigenetic modifications is not known. [Methods]: Here we approach this question using HCV populations that display a 2.3-fold increase in general fitness (infectious progeny production), and up to 45-fold increase of the exponential phase of intracellular viral growth rate, relative to the parental HCV population. [Results]: We show that infection resulted in a HCV fitness-dependent, average decrease of the levels of H3Ser10ph, AURKB, and histone H4 tri-methylated at Lysine 20 (H4K20m3) in the infected cell population. Remarkably, the decrease of H4K20m3, which is a hallmark of cellular transformation, was significant upon infection with high fitness HCV but not upon infection with basal fitness virus. [Discussion]: Here we propose two mechanisms ─which are not mutually exclusive─ to explain the effect of high viral fitness: an early advance in the number of infected cells, or larger number of replicating RNA molecules per cell. The implications of introducing HCV fitness as an influence in virus-host interactions, and for the course of liver disease, are warranted. Emphasis is made in the possibility that HCV-mediated hepatocellular carcinoma may be favoured by prolonged HCV infection of a human liver, a situation in which viral fitness is likely to increase.The work at CBMSO was supported by grants SAF2014-52400-R from Ministerio de Economía y Competitividad (MINECO), SAF2017-87846-R, BFU2017-91384-EXP from Ministerio de Ciencia, Innovación y Universidades (MCIU), project 525/C/2021 from Fundació La Marató de TV3, PID2020-113888RB-I00 from Ministerio de Ciencia e Innovación, PI18/00210 and PI21/00139 from Instituto de Salud Carlos III, S2013/ABI-2906, (PLATESA from Comunidad de Madrid/FEDER) and S2018/BAA-4370 (PLATESA2 from Comunidad de Madrid/FEDER). This research work was also funded by the European Commission– NextGenerationEU (regulation EU 2020/2094), through the CSIC’s Global Health Platform (PTI Salud Global). CP is supported by the Miguel Servet program of the Instituto de Salud Carlos III (CP14/00121 and CPII19/00001) cofinanced by the European Regional Development Fund (ERDF). CIBERehd (Centro de Investigación en Red de Enfermedades Hepáticas y Digestivas) is funded by Instituto de Salud Carlos III. Institutional grants from the Fundación Ramón Areces and Banco Santander to the CBMSO are also acknowledged. The team at CBMSO belongs to the Global Virus Network (GVN). C. G.-C. is supported by predoctoral contract PRE2018-083422 from MCIU. The work at the UAM was supported by grant from Comunidad de Madrid IND2018/BMD9499. IF-R was supported by fellowships from Postgraduates studies from Universidad Autonoma de Madrid and from Ministerio de Educación Cultura y Deporte (MECD) FPU13/00945. The work at La Paz hospital was partially supported by grant PI12/02146 from “Fondo de Investigaciones Sanitarias”

Detection of aedes aegypti mosquitoes infected with dengue virus as a complementary method for increasing the sensitivity of surveillance: identification of serotypes 1, 2, and 4 by rt-pcr in Quintana Roo, Mexico

Abstract. Sensitivity of monitoring Aedes aegypti (L.) populations was determined to identify the distribution of dengue virus (DENV) during epidemics in Quintana Roo. From September to November 2012, we used a motorized aspirator to collect 2,144 female Ae. aegypti from 569 homes. These were grouped into 220 to use semi-nested RT-PCR for DENV, and positive groups were analyzed individually. Five groups (2.27%) were positive for DENV. Individual analysis yielded eight groups that tested positive, six with DENV-2, one DENV-1, and one DENV-4. The latter was not reported by the surveillance system that year. The mean number of female mosquitoes per household was 3.77 ± 5.71, and the rate of viral infection of Ae. aegypti was 0.4%. Most infected mosquitoes (49%) were concentrated in 10% of the houses. Monitoring Ae. aegypti infected with DENV has the potential to complement the current system of clinical and entomological surveillance

Restructuring of the "Macaronesia" biogeografic unit: a marine multi-taxon biogeographical approach

The Azores, Madeira, Selvagens, Canary Islands and Cabo Verde are commonly united under the term “Macaronesia”. This study investigates the coherency and validity of Macaronesia as a biogeographic unit using six marine groups with very different dispersal abilities: coastal fishes, echinoderms, gastropod molluscs, brachyuran decapod crustaceans, polychaete annelids, and macroalgae. We found no support for the current concept of Macaronesia as a coherent marine biogeographic unit. All marine groups studied suggest the exclusion of Cabo Verde from the remaining Macaronesian archipelagos and thus, Cabo Verde should be given the status of a biogeographic subprovince within the West African Transition province. We propose to redefine the Lusitanian biogeographical province, in which we include four ecoregions: the South European Atlantic Shelf, the Saharan Upwelling, the Azores, and a new ecoregion herein named Webbnesia, which comprises the archipelagos of Madeira, Selvagens and the Canary Islandsinfo:eu-repo/semantics/publishedVersio