New insights into risk factors for transplant-associated thrombotic microangiopathy in pediatric HSCT

This study aimed to identify a risk profile for development of transplant-associated thrombotic microangiopathy (TA-TMA) in children undergoing hematopoietic stem cell transplantation (HSCT). Between 2013 and 2016, 439 children underwent 474 HSCTs at 2 supraregional United Kingdom centers. At a median of 153 days post-HSCT, TA-TMA occurred among 25 of 441 evaluable cases (5.6%) with no evidence of center variation. Sex, underlying disease, intensity of the conditioning, total body irradiation–based conditioning, the use of calcineurin inhibitors, venoocclusive disease, and viral reactivation did not influence the development of TA-TMA. Donor type: matched sibling donor/matched family donor vs matched unrelated donor vs mismatched unrelated donor/haplo-HSCT, showed a trend toward the development of TA-TMA in 1.8% vs 6.1% vs 8.3%, respectively. Presence of active comorbidity was associated with an increased risk for TA-TMA; 13% vs 3.7% in the absence of comorbidity. The risk of TA-TMA was threefold higher among patients who received >1 transplant. TA-TMA rates were significantly higher among patients with acute graft-versus-host disease (aGVHD) grades III to IV vs aGVHD grade 0 to II. On multivariate analysis, the presence of active comorbidity, >1 transplant, aGVHD grade III to IV were risk factors for TA-TMA (odds ratio [OR]: 5.1, 5.2, and 26.9; respectively), whereas the use of cyclosporine A/tacrolimus-based GVHD prophylaxis was not a risk factor for TA-TMA (OR: 0.3). Active comorbidity, subsequent transplant, and aGVHD grades III to IV were significant risk factors for TA-TMA. TA-TMA might represent a form of a vascular GVHD, and therefore, continuing control of aGVHD is important to prevent worsening of TA-TMA associated with GVHD

Phylogeography of the neotropical Anopheles triannulatus complex (Diptera: Culicidae) supports deep structure and complex patterns

Abstract Background The molecular phylogenetic relationships and population structure of the species of the Anopheles triannulatus complex: Anopheles triannulatus s.s., Anopheles halophylus and the putative species Anopheles triannulatus C were investigated. Methods\ud \ud The mitochondrial COI gene, the nuclear white gene and rDNA ITS2 of samples that include the known geographic distribution of these taxa were analyzed. Phylogenetic analyses were performed using Bayesian inference, Maximum parsimony and Maximum likelihood approaches. Results Each data set analyzed septely yielded a different topology but none provided evidence for the seption of An. halophylus and An. triannulatus C, consistent with the hypothesis that the two are undergoing incipient speciation. The phylogenetic analyses of the white gene found three main clades, whereas the statistical parsimony network detected only a single metapopulation of Anopheles triannulatus s.l. Seven COI lineages were detected by phylogenetic and network analysis. In contrast, the network, but not the phylogenetic analyses, strongly supported three ITS2 groups. Combined data analyses provided the best resolution of the trees, with two major clades, Amazonian (clade I) and trans-Andean + Amazon Delta (clade II). Clade I consists of multiple subclades: An. halophylus + An. triannulatus C; trans-Andean Venezuela; central Amazonia + central Bolivia; Atlantic coastal lowland; and Amazon delta. Clade II includes three subclades: Panama; cis-Andean Colombia; and cis-Venezuela. The Amazon delta specimens are in both clades, likely indicating local sympatry. Spatial and molecular variance analyses detected nine groups, corroborating some of subclades obtained in the combined data analysis. Conclusion Combination of the three molecular markers provided the best resolution for differentiation within An. triannulatus s.s. and An. halophylus and C. The latest two species seem to be very closely related and the analyses performed were not conclusive regarding species differentiation. Further studies including new molecular markers would be desirable to solve this species status question. Besides, results of the study indicate a trans-Andean origin for An. triannulatus s.l. The potential implications for malaria epidemiology remain to be investigated.This project has been financially supported by NIH grant AI ROI 54139–02 to JE Conn, PAPES IV Fiocruz-CNPq to RLO, and from the Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP (Grant 2011/20397-7 to MAMS), CNPq (BPP no. 301666/2011-3 to MAMS).This research was performed under a Memorandum of Understanding between the Walter Reed Army Institute of Research and the Smithsonian Institution, with institutional support provided by both organizations. The material to be published reflects the views of the authors and should not be construed to represent those of the Department of the Army or the Department of Defense

Phylogeography of the neotropical Anopheles triannulatus complex (Diptera: Culicidae) supports deep structure and complex patterns

Abstract Background The molecular phylogenetic relationships and population structure of the species of the Anopheles triannulatus complex: Anopheles triannulatus s.s., Anopheles halophylus and the putative species Anopheles triannulatus C were investigated. Methods\ud \ud The mitochondrial COI gene, the nuclear white gene and rDNA ITS2 of samples that include the known geographic distribution of these taxa were analyzed. Phylogenetic analyses were performed using Bayesian inference, Maximum parsimony and Maximum likelihood approaches. Results Each data set analyzed septely yielded a different topology but none provided evidence for the seption of An. halophylus and An. triannulatus C, consistent with the hypothesis that the two are undergoing incipient speciation. The phylogenetic analyses of the white gene found three main clades, whereas the statistical parsimony network detected only a single metapopulation of Anopheles triannulatus s.l. Seven COI lineages were detected by phylogenetic and network analysis. In contrast, the network, but not the phylogenetic analyses, strongly supported three ITS2 groups. Combined data analyses provided the best resolution of the trees, with two major clades, Amazonian (clade I) and trans-Andean + Amazon Delta (clade II). Clade I consists of multiple subclades: An. halophylus + An. triannulatus C; trans-Andean Venezuela; central Amazonia + central Bolivia; Atlantic coastal lowland; and Amazon delta. Clade II includes three subclades: Panama; cis-Andean Colombia; and cis-Venezuela. The Amazon delta specimens are in both clades, likely indicating local sympatry. Spatial and molecular variance analyses detected nine groups, corroborating some of subclades obtained in the combined data analysis. Conclusion Combination of the three molecular markers provided the best resolution for differentiation within An. triannulatus s.s. and An. halophylus and C. The latest two species seem to be very closely related and the analyses performed were not conclusive regarding species differentiation. Further studies including new molecular markers would be desirable to solve this species status question. Besides, results of the study indicate a trans-Andean origin for An. triannulatus s.l. The potential implications for malaria epidemiology remain to be investigated.This project has been financially supported by NIH grant AI ROI 54139–02 to JE Conn, PAPES IV Fiocruz-CNPq to RLO, and from the Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP (Grant 2011/20397-7 to MAMS), CNPq (BPP no. 301666/2011-3 to MAMS).This research was performed under a Memorandum of Understanding between the Walter Reed Army Institute of Research and the Smithsonian Institution, with institutional support provided by both organizations. The material to be published reflects the views of the authors and should not be construed to represent those of the Department of the Army or the Department of Defense

Fortalecimiento de la comprensi?n para mejorar el proceso de lectura, en los estudiantes del grado tercero del C.E.R Yerbabuenal, sede Santa Ana del municipio de Entrerr?os ? Antioquia

La investigaci?n se denomina ?Fortalecimiento de la Comprensi?n para mejorar el proceso de Lectura, en los estudiantes del grado tercero del C.E.R Yerbabuenal, sede Santa Ana del municipio de Entrerr?os ? Antioquia, a trav?s de estrategias pedag?gicas mediadas por una serie de secuencias did?cticas relacionadas con la competencia comunicativa lectora en el a?o 2022. El proyecto est? orientado bajo la pregunta ?De qu? manera la secuencia did?ctica fortalece el proceso de lectura en los estudiantes del grado tercero del Centro Educativo Rural Yerbabuenal, sede Santa Ana del municipio de Entrerr?os ? Antioquia? Y su objetivo general: Dise?ar una secuencia did?ctica que fortalezca el proceso de lectura en los estudiantes del grado tercero del Centro Educativo Rural Yerbabuenal, sede Santa Ana del municipio de Entrerr?os ? Antioquia. El marco te?rico se fundament? con autores cuyos aportes est?n relacionados con la lectura, comprensi?n lectora, el aprendizaje significativo, did?ctica y niveles de comprensi?n lectora, entre otros. Es una investigaci?n cualitativa de tipo descriptivo, porque se fundamenta en la observaci?n detallada, participaci?n, interpretaci?n, comprensi?n y an?lisis de las acciones de los estudiantes del grado tercero en cuanto al proceso de la lectura en el aula de clase, las t?cnicas para la recolecci?n de informaci?n fueron el an?lisis documental, la observaci?n directa y el diario de campo. Es de adelantar que la propuesta, ?La lectura, una Aventura Comprensiva? tuvo un buen impacto en los estudiantes y se logr? una participaci?n activa gracias a las actividades dise?adas para fortalecer la comprensi?n lectora que fue lo planteado desde el inicio.The research is called "Strengthening Comprehension to improve the Reading process, in third grade students of the C.E.R Yerbabuenal, Saint Ana campus of the municipality of Entrerr?os - Antioquia, through pedagogical strategies mediated by a series of didactic sequences related to the reading communicative competence in the year 2022. The project is oriented under the question: How does the didactic sequence strengthen the reading process in the third grade students of the Yerbabuenal Rural Educational Center, Saint Ana headquarters in the municipality of Entrerr?os - Antioquia? And its general objective: Design a didactic sequence that strengthens the reading process in third grade students of the Yerbabuenal Rural Educational Center, Saint Ana headquarters in the municipality of Entrerr?os - Antioquia. The theoretical framework was based on authors whose contributions are related to reading, reading comprehension, meaningful learning, didactics and levels of reading comprehension, among others. It is a qualitative research of a descriptive type, because it is based on detailed observation, participation, interpretation, understanding and analysis of the actions of third grade students regarding the process of reading in the classroom, the techniques for collecting of information were documentary analysis, direct observation and field diary. It is anticipated that the proposal, "Reading, a Comprehensive Adventure" had a good impact on students and active participation was achieved thanks to the activities designed to strengthen reading comprehension that was proposed from the beginning.Maestr?aMag?ster en Ciencias de la Educaci?

A Comparative Assessment of Emerging Solvents and Adsorbents for Mitigating CO2 Emissions From the Industrial Sector by Using Molecular Modeling Tools

The possibilities offered by molecular modeling tools to obtain relevant data at process conditions, while also gaining molecular insights on the techniques used for CO2 capture and separation, are presented here using selected case studies. Two different technologies, absorption with amine-based systems and adsorption on porous materials, were explored, using the molecular-based equation of state, soft-Statistical Associating Fluid Theory (SAFT), and Grand Canonical Monte Carlo simulations, respectively. The aqueous monoethanolamine (MEA) system was set as the benchmark for absorption and compared to the performance of 8 alternative amine-based systems, while 16 adsorbents belonging to different families (zeolites, metal–organic frameworks, amorphous silicas, and activated carbons), bare or functionalized with alkylamines, were investigated for the separation of CO2 by adsorption. In addition to obtaining molecular information on the CO2 capture process, the models were further used to examine the CO2 capture performance in terms of cyclic working capacity and energy index as key performance indicators, allowing the identification of promising systems that can improve the current ones to be further evaluated for separation in non-power industries. Results show that for the same total amine mass concentration, non-aqueous amine solvents have a 5–10% reduction in cyclic working capacity, and a 10–30% decrease in the energy index compared to their aqueous counterparts due to their lower heat of vaporization and specific heat capacity. In addition, M-MOF-74, NaX, and NaY structures present the best results for adsorption in temperature swing adsorption (TSA) processes. Similar values of energy requirements to those of amine-based systems (2–2.5 MJ kg CO2–1) were obtained for some of the adsorbent; however, the disadvantage of the TSA process versus absorption should be considered. These results confirm the reliability of molecular modeling as an attractive and valuable screening tool for CO2 capture and separation processes. © Copyright © 2020 Bahamon, Alkhatib, Alkhatib, Builes, Sinnokrot and Vega

Hipotiroidismo

Se revisaron cuidadosamente 52 casos de hipotiroidismo primario con el objeto de conocer sus etiologías, síntomas, signos, datos de laboratorio especiales y conducta terapéutica. Fue sorprendente la gran incidencia de la enfermedad despues de tiroidectomias subtotales para bocio tóxico o nódulos tiroideos. Los sintomas principales aislados son inespecificos pars el diagnóstico pero la combinación de fatigabilidad, sensibilidad al frio y abotagamiento facial constituyen una triada sugestiva de esta endocrinopatia. El signo de mayor valor confirmatorio fue la relajación lenta del reflejo aquileo que adecuadamente explorado y bien interpretado es de extraordinaria importancia clínica. La prueba de laboratorio más definitivamente diagnóstica fue la yodoproteinemia. Una respuesta satisfactoria se observeó, en todos los pacientes con terapéutica hormonal sustitutiva. Es apreciable el aumento de la enfermedad en los últimos años posiblemente porque se piensa más en ella, se buscan las formas poco aparentes o sub-clínicas y la mayor ayuda de laboratorio accesible al médico y al paciente

Resultados colombianos del ejercicio de control de calidad interlaboratorio 2009-2010

Colombian Reference National Laboratory, GENES LTDA, have organized and coordinated for the past two years (2009 and 2010) the Quality Control Exercise for laboratories undertaking paternity, maternity and forensic tests with DNA markers. Twenty-two laboratories have participated in 2009, increasing the number to 27 in 2010. Laboratories in Colombia, Brazil, Ecuador, Peru, Dominican Republic and Panama have participated in these exercises. There have been some similarities in the two controls: A practical exercise, three blood samples on FTA cards were sent to each participating laboratory to be genotyped for DNA markers using the routine methodologies in their laboratories; theoretical exercises including optional and obligatory cases. For the theoretical exercises, the participating laboratories should calculate the partial and final PI or BRI (Biological Relationship Index or Paternity Index). Forty-nine and 52 markers were under consensus for 2009 and 2010, respectively, distributed in autosomal, Y and X chromosomes STR. With respect to 2008, 12 and 15 additional markers were under consensus for 2009 and 2010, respectively. The rate of reporting error was 2.9% in 2009 while in 2010, 4.7% error was reported. The Proficiency Test conducted through the Colombian National Reference Laboratory has become a useful tool for quality assurance of all Colombian laboratories and some of Latin America that do DNA testing to establish biological relationships and an excellent opportunity for ongoing training of experts from the region

Resultados colombianos del ejercicio de control de calidad interlaboratorio 2009-2010

Colombian Reference National Laboratory, GENES LTDA, have organized and coordinated for the past two years (2009 and 2010) the Quality Control Exercise for laboratories undertaking paternity, maternity and forensic tests with DNA markers. Twenty-two laboratories have participated in 2009, increasing the number to 27 in 2010. Laboratories in Colombia, Brazil, Ecuador, Peru, Dominican Republic and Panama have participated in these exercises. There have been some similarities in the two controls: A practical exercise, three blood samples on FTA cards were sent to each participating laboratory to be genotyped for DNA markers using the routine methodologies in their laboratories; theoretical exercises including optional and obligatory cases. For the theoretical exercises, the participating laboratories should calculate the partial and final PI or BRI (Biological Relationship Index or Paternity Index). Forty-nine and 52 markers were under consensus for 2009 and 2010, respectively, distributed in autosomal, Y and X chromosomes STR. With respect to 2008, 12 and 15 additional markers were under consensus for 2009 and 2010, respectively. The rate of reporting error was 2.9% in 2009 while in 2010, 4.7% error was reported. The Proficiency Test conducted through the Colombian National Reference Laboratory has become a useful tool for quality assurance of all Colombian laboratories and some of Latin America that do DNA testing to establish biological relationships and an excellent opportunity for ongoing training of experts from the region