Life history baseline of unexploited populations: The case of Beryx splendens from the Sierra Leone Rise

This study examines for the first time the biology of alfonsino (Beryx splendens) from three small seamounts of the Sierra Leone Rise (SLR), an unexploited and fragile ecosystem in the Atlantic, using data from an experimental survey carried out in 2001 by Spanish longliners. In general, the lack of rigorous baseline data limits the implementation of efficient management and conservation plans in fisheries strategies. Therefore, the main aim of present study was to provide baseline information on basic biological parameters of the alfonsino population associated with an unexploited ecosystem. A total of 17296 individuals of alfonsino were sampled from SLR. Alfonsino is gonochoric and presented an unbalanced sex ratio, there were significantly more females than males. Taking into account the results in stage of maturity of alfonsino and the gonadosomatic index values during studied period, we can conclude that at least one reproductive period in these seamounts was in the late spring and early summer. The spawning stage was attained at a minimum fork length of 23 and 25 cm for males and females, respectively. The size at which 50% of the population attains sexual maturity was approximately 28 and 27 cm for males and females, respectively. The stock structure of alfonsino showed a segregation of the size with the depth, as they increase in size they move into the deeper water.Versión del edito

Prevalence of asthma and rhinitis symptoms in a Coruña (Spain)

Ponencia presentada en el IV Congreso de la Sociedad de Pediatría de Galicia, Verín, 2004[Resumen] Introducción. El asma y la rinitis son dos enfermedades con elevada prevalencia en la infancia, con tendencia a incrementarse en los últimos años. En ambas es frecuente el infradiagnóstico. Objetivo. Verificar la prevalencia de síntomas de asma y rinitis en la población infantil. Material y métodos. Hemos realizado, mediante cuestionario escrito, un estudio transversal siguiendo la metodología del International Study of Asthma and Allergies in Childhood (ISAAC), de prevalencia de sintomatología de asma y rinitis en el área de A Coruña. Resultados. Han sido incluidos 3.017 niños y niñas de 6 y 7 años (tasa de respuesta del 73,9%), y 2.981 de 13 y 14 años (tasa de respuesta del 93,6%). Refirieron haber presentado sibilancias alguna vez el 25,3% de los niños y niñas de 13 y 14 años y el 37,2% de los de 6 y 7 años. Han presentado asma en alguna ocasión el 18,5% de los adolescentes y el 13,7 % del grupo de menor edad. La prevalencia de rinitis alguna vez fue del 30,4% a los 6 y 7 años y del 47,3% a los 13 y 14 años. La mayor prevalencia de rinitis se produjo en el otoño. Conclusiones. El asma y la rinitis son especialmente frecuentes en nuestra población, superior a la observada en la mayoría de poblaciones españolas estudiadas.[Abstract] Introduction. The prevalence of asthma and rhinitis is high in childhood and has been increasing in the last few years. In both diseases underdiagnosis is frequent. Objective. To asses the prevalence of asthma and rhinitis symptoms in childhood. Material and methods. We performed a cross-sectional study using a written questionnaire, following the methodology of the International Study of Asthma and Allergies in Childhood (ISAAC), on the prevalence of symptoms of asthma and rhinitis in La Coruña. Results. A total of 3017 boys and girls aged 6-7 years old (response rate 73.9 %) and 2981 boys and girls aged 13-14 years old (response rate 93.6 %) were included. The prevalence of “wheezing at some time” was 25.3% in adolescents aged 13-14 years old and was 37.2 % in children aged 6-7 years. The prevalence of “asthma at some time” was 18.5% in adolescents and 13.7% in children. The prevalence of “rhinitis at some time” was 30.4% in the group aged 6-7 years and 47.3% in the group of adolescents. The prevalence of rhinitis was highest in autumn. Conclusions. The prevalence of asthma and rhinitis is high in our population and is higher than that observed in most Spanish populations studied

Determinantes de la duración de la incapacidad temporal y la vuelta al trabajo en un área sanitaria de Galicia

ObjetivoDeterminar los factores asociados con la incidencia y la duración de la incapacidad temporal (IT) en un área sanitaria.DiseñoDescriptivo, retrospectivo.EmplazamientoÁrea Sanitaria Sur de la provincia de Lugo.ParticipantesUna muestra de 1.513 episodios de IT seleccionada aleatoriamente entre el total de éstos, durante un período de 3 años.Mediciones principalesSe analizaron las características sociodemográficas del paciente, el régimen de la seguridad social (SS), el diagnóstico que justifica la IT y la fecha de la prescripción; del médico prescriptor se analizaron la edad, el sexo, la formación especializada, la antigüedad en la plaza y los años de ejercicio. La comparación de medias se realizó mediante el análisis de la varianza y el test de Kruskal-Wallis. El efecto relativo de cada variable sobre la probabilidad de volver al trabajo se estimó mediante modelos de regresión de Cox.ResultadosLa duración media de los episodios de IT fue de 74 ± 103 días. Los diagnósticos más frecuentes fueron los del sistema osteomioarticular (SOMA), las lesiones y envenenamientos (LYE) y las enfermedades respiratorias (NML). Se reduce la probabilidad de volver al trabajo con el incremento de la edad, en los regímenes de seguridad social autónomos y agrarios por cuenta propia, en los diagnósticos de enfermedades mentales y del aparato circulatorio, y cuando el médico prescriptor es de mayor edad o menos antiguo en la plaza.ConclusionesLa duración media de los episodios de IT es superior a la de otros estudios españoles. Los factores que más influyen en la reincorporación al trabajo son la edad del paciente, el régimen de la seguridad social y la enfermedad diagnosticada.ObjectiveTo determine the factors associated with the incidence and duration of temporary work incapacity (TWI) in a health district.DesignDescriptive and retrospective study.SettingSouth health district of the province of Lugo, Spain.ParticipantsA random sample of 1513 cases was selected among the total of episodes of TWI, during 3 years period.Main measuresThe main factors analyzed are, on the one hand, the socio-demographic characteristics of the patient, his or her social security (SS) scheme, diagnosis that justifies the TWD, and the prescription date; and, on the other hand, the age, sex, specialised training, time in the post and years in practice of the physician who prescribes the TWI. The comparison of the means was carried out using variance analysis and the Kruskal-Wallis test. The relative effect of each variable on the probability of returning to the work was estimated through Cox regression models.ResultsThe mean duration of the episodes of TWI was of 74±103 days. The most frequent diagnoses were those of the bones-muscles and joints (BMAJ), injuries and poisonings (IAP), and respiratory diseases (RD). The probability of returning to work is reduced with the increase of the age, with agrarian and autonomous SS affiliates, with diagnoses of mental disease or diagnoses of the circulatory system, and in cases prescribed by older doctors or less time in the post.ConclusionsThe mean duration of the episodes of TWD is higher than that of other Spanish studies. The most influential factors in the return to work are the age of the patient, the SS scheme and the diagnosed illness

Young man with asthma and infertility

occur in the same patient. In some cases they could have patho-physiological changes common to both diseases. Our patient was seen as a result of having an irritating cough with wheezing, mainly at night, for more than a month. Asthma was diagnosed, and he responded favourably to the treatment given. Upon being informed that he had been examined for infertility for 5 years, alpha-1 antitrypsin (AAT) levels were requested. These confirmed that he had a phenotype SZ AAT deficiency. These findings, together with some evidence published recently, suggested that there is a need to rule out AAT deficiency in males with asthma and infertility

Expansion of different subpopulations of CD26 −/low T cells in allergic and non-allergic asthmatics

CD26 displays variable levels between effector (TH ≫ TH > TH > Treg) and naïve/memory (memory > naïve) CD4 T lymphocytes. Besides, IL-6/IL 6R is associated with TH -differentiation and asthma severity. Allergic/atopic asthma (AA) is dominated by TH responses, while TH immunity might either modulate the TH -dependent inflammation in AA or be an important mechanism boosting non-allergic asthma (NAA). Therefore, in this work we have compared the expression of CD26 and CD126 (IL-6Rα) in lymphocytes from different groups of donors: allergic (AA) and non-allergic (NAA) asthma, rhinitis, and healthy subjects. For this purpose, flow cytometry, haematological/biochemical, and in vitro proliferation assays were performed. Our results show a strong CD26-CD126 correlation and an over-representation of CD26 subsets with a highly-differentiated effector phenotype in AA (CD4 CD26 T cells) and NAA (CD4 CD26 γδ-T cells). In addition, we found that circulating levels of CD26 (sCD26) were reduced in both AA and NAA, while loss of CD126 expression on different leukocytes correlated with higher disease severity. Finally, selective inhibition of CD26-mRNA translation led to enhanced T cell proliferation in vitro. These findings support that CD26 down-modulation could play a role in facilitating the expansion of highly-differentiated effector T cell subsets in asthma

Comparison of three short-course rifamycin-based regimens for the prevention of tuberculosis in patients with end-stage kidney disease: Study protocol for a randomised clinical trial (RIFAKiD-TB trial)

Background and purpose Screening for and treatment of latent tuberculosis (TB) in patients with end-stage kidney disease (ESKD) are recommended. However, there is limited evidence on safety and treatment completion in this population. The objective of the study is to evaluate three short-course rifamycin-based regimens for the treatment of latent TB in ESKD patients. Methods Study design and setting. This is a prospective, open label, randomized clinical trial, that will be conducted at seven teaching hospitals in Spain. Study population, randomization, and interventions. Consecutive adult patients with ESKD requiring treatment for a latent TB infection will be randomly allocated (1:1:1) to receive one of the three treatment regimens of the study: three months of daily isoniazid plus rifampicin (3HR); three months of once-weekly isoniazid plus rifapentine (3HP); or four months of daily rifampicin (4R). Participants will be followed regularly through pre-established visits and a blood test schedule from enrolment to a month after finishing the assigned treatment. Outcomes. The primary outcome will be treatment completion, while the secondary outcomes will be discontinuation of the assigned treatment due to adverse events, related or unrelated to the study treatment; definitive discontinuation of the assigned treatment because of adverse events related to the treatment of the study, and death. Sample size. Two hundred and twenty-five subjects (75 per arm) will be enrolled, which will enable the demonstration, if it exists, of an increase of 0.16 in treatment completion rates either in the 3HP or 4R arm with respect to the 3HR arm. Discussion Results of this clinical trial will contribute to evidence-based recommendations on the management of latent TB infection in ESKD patients

Obesity and asthma: an association modified by age

[Abstract] Background. Some studies indicate some causal relationship between obesity and asthma, while others show inconsistent results. Our objective was to evaluate the prevalence of asthma according to obesity in children. Methods. A cross-sectional study, following the ISAAC study methodology, was conducted on two randomly selected groups consisting of 6–7 year-old children (n = 7485) and 13–14 year-old adolescents (n = 8496). The asthma symptoms and potential risk factors were determined from the questionnaire. Overweight and obesity were defined based on the body mass index. Multiple logistic regression was used to obtain adjusted prevalence odds ratios (OR) and 95% confidence intervals. Results. Obesity was associated with an increase in wheezing ever (OR: 1.35) and exercise-induced asthma (OR: 1.62) in the 6–7 year-old group. No significant relationship was observed in the adolescent population. Conclusion. Obesity was associated with a higher prevalence of asthma in young children, but not in adolescents

Cross‐sectional study about impact of parental smoking on rhinitis symptoms in children

[Abstract] Objective. Assess the prevalence of rhinitis and exposure to environmental tobacco smoke (ETS) of children in our community and its relationship with symptoms of rhinitis Methods (design, setting, participants, main outcome measures). Cross‐sectional study using questionnaire on rhinitis of the International Study of Asthma and Allergies in Childhood, in children (6‐7 years) and adolescents (13‐14 years). Categories: “rhinitis ever”, “recent rhinitis”, “recent rhinoconjunctivitis”, “severe rhinoconjunctivitis”. Parental smoking: (i) neither parent smokes; (ii) only the mother smokes; (iii) only the father smokes; and (iv) both parents smoke. Odds ratio of the prevalence of symptoms of rhinitis according to ETS exposure was calculated using logistic regression. Results. 10 690 children and 10 730 adolescents. The prevalence of “rhinitis ever” in children: 29.4%, “recent rhinitis” 24%, “recent rhinoconjunctivitis” 11.5% and “severe rhinoconjunctivitis” 0.1%. In adolescents: 46.2%, 34.5%, 16.2% and 0.2%, respectively. Environmental tobacco smoke exposure in the home occurred in 51% of cases. Parental smoking was associated with a higher prevalence of forms of rhinitis in adolescents when only the mother was a smoker. In children when both parents were smokers. Conclusion. Rhinitis is highly prevalent in our community. Environmental tobacco smoke exposure is still very common. The relationship between ETS and rhinitis symptoms in children of this community is not as robust as that found for asthma

Impact of parental smoking on childhood asthma

[Abstract] Objective: To evaluate the exposure to environmental tobacco smoke (ETS) of the childhood population in this community and its relationship with asthma symptoms. Methods: A cross-sectional study was conducted using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire on children and adolescents in this community. The symptoms "wheezing ever", "current asthma", "severe asthma", and "exercise-induced asthma" were defined by this questionnaire. Parental smoking was classified into four mutually exclusive categories: 1) no parent smokes; 2) only the mother smokes; 3) only the father smokes; and 4) both parents smoke. The odds ratio of the prevalence of asthma symptoms according to ETS exposure was calculated using logistic regression. Results: A total of 10,314 children and 10,453 adolescents were included. Over 51% of the children and adolescents were exposed to ETS at home. ETS is associated with a higher prevalence of asthma symptoms, particularly if the mother or both parents smoke. Conclusion: The prevalence of ETS is still high in this community, although there has been a decreasing tendency in the last 15 years. ETS is associated with higher prevalence of asthma

Perception, knowledge and education for drowning prevention in adolescent

Objective: Drowning is a major problem of public health in Spain, with a high number of deaths. The main strategy to address it is prevention, going through knowledge and education. The aim of this study was to analyze from a public health perspective a) the knowledge of young participants from 14 to 16 years old about drowning prevention, swimming skills and risks on the beach and b) to evaluate a pilot program with educational video for drowning prevention due to rip currents. Methods: For this purpose, a three-phase study was carried out: (1) application of a questionnaire to identify bath habits, risk perception in relation to rip currents and swimming level, (2) evaluation of a video for the identification of rip current risk and (3) evaluation of the assimilation of the visualized content one month after the intervention. 120 adolescents participated in this study during march, april and may, 2019. A descriptive analysis and comparisons with Chi-Square were performed in SPSS. Results: 120 adolescents participated in this study during March, April and May, 2019. 96.7% knew how to swim, but 44.1% had a basic level. More than half of the participants did not know rip currents or did not identify them in swimming areas. The video achieves the assimilation of concepts related to rip currents and drowning prevention. Conclusions: These findings suggest that adolescents have a lack of knowledge about rip currents and are not able to identify safe swimming areas. The use of health communication strategies based on the interests and profiles of young people have shown an improvement in the perception of risks at beaches on the sample studied