Gender differences in V˙O2 and HR kinetics at the onset of moderate and heavy exercise intensity in adolescents

The majority of the studies on (V)over dotO(2) kinetics in pediatric populations investigated gender differences in prepubertal children during submaximal intensity exercise, but studies are lacking in adolescents. The purpose of this study was to test the hypothesis that gender differences exist in the (V)over dotO(2) and heart rate (HR) kinetic responses to moderate (M) and heavy (H) intensity exercise in adolescents. Twenty-one healthy African-American adolescents (9 males, 15.8 +/- 1.1 year; 12 females, 15.7 +/- 1 year) performed constant work load exercise on a cycle ergometer at M and H. The (V)over dotO(2) kinetics of the male group was previously analyzed (Lai et al., Appl. Physiol. Nutr. Metab. 33:107-117, 2008b). For both genders, (V)over dotO(2) and HR kinetics were described with a single exponential at M and a double exponential at H. The fundamental time constant (tau(1)) of (V)over dotO(2) was significantly higher in female than male at M (45 +/- 7 vs. 36 +/- 11 sec, P < 0.01) and H (41 +/- 8 vs. 29 +/- 9 sec, P < 0.01), respectively. The functional gain (G(1)) was not statistically different between gender at M and statistically higher in females than males at H: 9.7 +/- 1.2 versus 10.9 +/- 1.3 mL min(-1) W-1, respectively. The amplitude of the slow component was not significantly different between genders. The HR kinetics were significantly (tau(1), P < 0.01) slower in females than males at M (61 +/- 16 sec vs. 45 +/- 20 sec, P < 0.01) and H (42 +/- 10 sec vs. 30 +/- 8 sec, P = 0.03). The G(1) of HR was higher in females than males at M: 0.53 +/- 0.11 versus 0.98 +/- 0.2 bpm W-1 and H: 0.40 +/- 0.11 versus 0.73 +/- 0.23 bpm W-1, respectively. Gender differences in the (V)over dotO(2) and HR kinetics suggest that oxygen delivery and utilization kinetics of female adolescents differ from those in male adolescents

Los desafíos en la continuidad de atención de personas viviendo con VIH en el Perú durante la pandemia de la COVID-19 [Challenges to the continuity of care of people living with HIV throughout the COVID-19 crisis in Peru]

The COVID-19 pandemic and societal response implemented may interact with the ongoing HIV epidemic in multiple ways. There are approximately 87000 people living with HIV (PLWH) who are at risk of developing COVID-19 in Peru and 67,000 of them are on antiretroviral therapy (ART) and at risk of limitations in their access to ART, compromising their adherence and their health during the pandemic. Finally, the potential effect of the pandemic on the mental health of PLWH is not documented. This opinion aims to: describe the clinical implications of the HIV/SARS-CoV-2 coinfection; discuss the challenges to the continuity of care of PLWH in Peru during the COVID-19 crisis; and comment possible implications that the COVID-19 crisis may pose on the mental health of PLWH

Role of the employment status and education of mothers in the prevalence of intestinal parasitic infections in Mexican rural schoolchildren

<p><b>Background:</b> Intestinal parasitic infections are a public health problem in developing countries such as Mexico. As a result, two governmental programmes have been implemented: a) "National Deworming Campaign" and b) "Opportunities" aimed at maternal care. However, both programmes are developed separately and their impact is still unknown. We independently investigated whether a variety of socio-economic factors, including maternal education and employment levels, were associated with intestinal parasite infection in rural school children.</p> <p><b>Methods:</b> This cross-sectional study was conducted in 12 rural communities in two Mexican states. The study sites and populations were selected on the basis of the following traits: a) presence of activities by the national administration of albendazole, b) high rates of intestinal parasitism, c) little access to medical examination, and d) a population having less than 2,500 inhabitants. A total of 507 schoolchildren (mean age 8.2 years) were recruited and 1,521 stool samples collected (3 per child). Socio-economic information was obtained by an oral questionnaire. Regression modelling was used to determine the association of socio-economic indicators and intestinal parasitism.</p> <p><b>Results:</b> More than half of the schoolchildren showed poliparasitism (52%) and protozoan infections (65%). The prevalence of helminth infections was higher in children from Oaxaca (53%) than in those from Sinaloa (33%) (p < 0.0001). Giardia duodenalis and Hymenolepis nana showed a high prevalence in both states. Ascaris lumbricoides, Trichuris trichiura and Entamoeba hystolitica/dispar showed low prevalence. Children from lower-income families and with unemployed and less educated mothers showed higher risk of intestinal parasitism (odds ratio (OR) 6.0, 95% confidence interval (CI) 1.6–22.6; OR 4.5, 95% CI 2.5–8.2; OR 3.3, 95% CI 1.5–7.4 respectively). Defecation in open areas was also a high risk factor for infection (OR 2.4, 95% CI 2.0–3.0).</p> <p><b>Conclusion:</b> Intestinal parasitism remains an important public health problem in Sinaloa (north-western Mexico) and Oaxaca (south-eastern Mexico). Lower income, defecation in open areas, employment status and a lower education level of mothers were the significant factors related to these infections. We conclude that mothers should be involved in health initiatives to control intestinal parasitism in Mexico.</p&gt

A

Abstract:  Introduction The increase of life expectancy turns into an increase of lower limbs arthroplasty, indicated because of articular degeneration, becoming a usual practice. However, on the knee, the poor soft tissue coverage predisposes to infectious complications. The treatment for this requires a surgical debridement, infectious agents’s typification and specific antibiotic treatment. Even thought the preservation of the implant predominates over the retirement of it, some cases may require the extraction with posterior revisión once solved the infection.  Objective To analyse comorbidities and most usual germs associated to acute periprosthetic infections on primary knee arthroplasty.  Methods and material It was made a descriptive, transversal and retrospectiv study, which included patients treated between january 2017 and march 2020 with PKA secondary to arthrosis in ages between 60 and 80 years old. Were excluded patients less tan 60 years old, more tan 80 years old and revisión surgeries. They were selected those with acute infection (first 6 weeks after the procedure), comorbidities, treatment and identify germs.  Results Over the determined period, were intervened 82 patients, of which 12 (14.6%) had an acute infection. Of 12 cases, 50% were women, the 50% rested were men, being the 100% of them urban people.  3 were diabetic, 2 hypertensive, 3 were diabetic and hypertensive, 1 patient was obese and 1 had no illness.  The most frecuent germn isolated was Stafilococcus aureus MS on 7 cases (58.3%), Stafilococcus capitis (8.33%), Stafilococcus warneri (8.33%), Stafilococcus epidermidis MS (8.33%), Stafilococcus aureus MR (8.33%) and Pseudomona aeruginosa (8.33%). They all were treated with surgical debridements, 9 cases kept the primary implant, but in 3 cases it had to be removed.  Conclusions Althought acute periprosthetic infections are not frecuent, the presence of it leads to a high morbidity because of the need of multiple surgery debridements and long term treatment with antibiotics. It would be important the screening of sams, the most frecuent germ involved for presurgical treatment.Introducción El aumento en la expectativa de vida conlleva a un incremento de artroplastias en miembros inferiores,  indicadas por degeneración articular, volviemdose una práctica habitual. Sin embargo, a nivel de la rodilla, la escasa cobertura de partes blandas predispone a complicaciones infecciosas. El tratamiento de la infección periprotésica, requiere desbridamiento quirúrgico, identificación del germen involucrado y tratamiento antibiótico especifico. Aunque la preservación del implante predomina en la sepsis aguda, determinados casos pueden requerir su extracción y posterior revisión, una vez resuelto el cuadro infeccioso.  Objetivo Observar las comorbilidades y gérmenes asociados a infecciones periprotésicas agudas de artroplastias primarias de rodilla (ATR).  Material y Métodos Se realizó un estudio descriptivo, transversal y retrospectivo que incluyo a pacientes intervenidos entre enero de 2017 y marzo de 2020 de ATR por gonartrosis, cuya edad se encontrara comprendida entre 60 a 80 años. Se excluyeron pacientes menores de 60 años, mayores de 80 años y cirugías de revisión. Se consignó aquellos casos que presentaron infección periprotésica aguda (primeras 6 semanas del procedimiento), sus comorbilidades, tratamiento instaurado y germen implicado.  Resultados Durante el periodo considerado, fueron intervenido 82 pacientes, de los cuales 12 (14,6 %) tuvo una infección periprotésica aguda. De los 12 casos, el 50% eran mujeres, el 50% restante hombres, siendo el 100% habitantes en zona urbana. 3 eran diabéticos, 2 hipertensos, 3 diabéticos e hipertensos, 1 paciente era obeso y 1 paciente no presentaba comorbilidades. El agente bacteriológico más frecuente fue el Staphylococcus aureus (SAMS) en 7 casos (58,3 %), Staphylococcus capitis (1 paciente, 8,33 %), Staphylococcus warneri (1 paciente, 8,33 %), Staphylococcus epidermidis MS (1 paciente, 8,33 %), Staphylococcus aureus (SAMR) 1 paciente, 8,33 % y Pseudomona aeruginosa (1 paciente, 8,33%). Todos fueron tratados con desbridamiento quirúrgico, 9 casos conservaron el implante primario y en 3 se retiró el material protésico.  Conclusiones Si bien las infecciomes periprotesicas agudas no son frecuentes, la presencia de la misma conlleva a una alta morbilidad debido a la demanda de limpiezas quirurgicas y tratamientos prolongados de antibioticos; resultaria importante el screening de SaMS, germen mas frecuente involucrado, para tratamiento oportuno prequirurgico.

How stellar rotation shapes the colour magnitude diagram of the massive intermediate-age star cluster NGC 1846

We present a detailed study of stellar rotation in the massive 1.5 Gyr old cluster NGC 1846 in the Large Magellanic Cloud. Similar to other clusters at this age, NGC 1846 shows an extended main sequence turn-off (eMSTO), and previous photometric studies have suggested it could be bimodal. In this study, we use MUSE integral-field spectroscopy to measure the projected rotational velocities (vsini) of around 1400 stars across the eMSTO and along the upper main sequence of NGC 1846. We measure vsini values up to ~250 km/s and find a clear relation between the vsini of a star and its location across the eMSTO. Closer inspection of the distribution of rotation rates reveals evidence for a bimodal distribution, with the fast rotators centred around vsini = 140 km/s and the slow rotators centred around vsini = 60 km/s. We further observe a lack of fast rotating stars along the photometric binary sequence of NGC 1846, confirming results from the field that suggest that tidal interactions in binary systems can spin down stars. However, we do not detect a significant difference in the binary fractions of the fast and slowly rotating sub-populations. Finally, we report on the serendipitous discovery of a planetary nebula associated with NGC 1846

Common Variants of TLR1 Associate with Organ Dysfunction and Sustained Pro-Inflammatory Responses during Sepsis

Background: Toll-like receptors (TLRs) are critical components for host pathogen recognition and variants in genes participating in this response influence susceptibility to infections. Recently, TLR1 gene polymorphisms have been found correlated with whole blood hyper-inflammatory responses to pathogen-associated molecules and associated with sepsis-associated multiorgan dysfunction and acute lung injury (ALI). We examined the association of common variants of TLR1 gene with sepsis-derived complications in an independent study and with serum levels for four inflammatory biomarker among septic patients. Methodology/Principal Findings: Seven tagging single nucleotide polymorphisms of the TLR1 gene were genotyped in samples from a prospective multicenter case-only study of patients with severe sepsis admitted into a network of intensive care units followed for disease severity. Interleukin (IL)-1 b, IL-6, IL-10, and C-reactive protein (CRP) serum levels were measured at study entry, at 48 h and at 7th day. Alleles -7202G and 248Ser, and the 248Ser-602Ile haplotype were associated with circulatory dysfunction among severe septic patients (0.001<=p <= 0.022), and with reduced IL-10 (0.012<= p <=0.047) and elevated CRP (0.011<= p <=0.036) serum levels during the first week of sepsis development. Additionally, the -7202GG genotype was found to be associated with hospital mortality (p =0.017) and ALI (p =0.050) in a combined analysis with European Americans, suggesting common risk effects among studies Conclusions/Significance: These results partially replicate and extend previous findings, supporting that variants of TLR1 gene are determinants of severe complications during sepsis

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015

SummaryBackground The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 provides an up-to-date synthesis of the evidence for risk factor exposure and the attributable burden of disease. By providing national and subnational assessments spanning the past 25 years, this study can inform debates on the importance of addressing risks in context. Methods We used the comparative risk assessment framework developed for previous iterations of the Global Burden of Disease Study to estimate attributable deaths, disability-adjusted life-years (DALYs), and trends in exposure by age group, sex, year, and geography for 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks from 1990 to 2015. This study included 388 risk-outcome pairs that met World Cancer Research Fund-defined criteria for convincing or probable evidence. We extracted relative risk and exposure estimates from randomised controlled trials, cohorts, pooled cohorts, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. We developed a metric that allows comparisons of exposure across risk factors—the summary exposure value. Using the counterfactual scenario of theoretical minimum risk level, we estimated the portion of deaths and DALYs that could be attributed to a given risk. We decomposed trends in attributable burden into contributions from population growth, population age structure, risk exposure, and risk-deleted cause-specific DALY rates. We characterised risk exposure in relation to a Socio-demographic Index (SDI). Findings Between 1990 and 2015, global exposure to unsafe sanitation, household air pollution, childhood underweight, childhood stunting, and smoking each decreased by more than 25%. Global exposure for several occupational risks, high body-mass index (BMI), and drug use increased by more than 25% over the same period. All risks jointly evaluated in 2015 accounted for 57·8% (95% CI 56·6–58·8) of global deaths and 41·2% (39·8–42·8) of DALYs. In 2015, the ten largest contributors to global DALYs among Level 3 risks were high systolic blood pressure (211·8 million [192·7 million to 231·1 million] global DALYs), smoking (148·6 million [134·2 million to 163·1 million]), high fasting plasma glucose (143·1 million [125·1 million to 163·5 million]), high BMI (120·1 million [83·8 million to 158·4 million]), childhood undernutrition (113·3 million [103·9 million to 123·4 million]), ambient particulate matter (103·1 million [90·8 million to 115·1 million]), high total cholesterol (88·7 million [74·6 million to 105·7 million]), household air pollution (85·6 million [66·7 million to 106·1 million]), alcohol use (85·0 million [77·2 million to 93·0 million]), and diets high in sodium (83·0 million [49·3 million to 127·5 million]). From 1990 to 2015, attributable DALYs declined for micronutrient deficiencies, childhood undernutrition, unsafe sanitation and water, and household air pollution; reductions in risk-deleted DALY rates rather than reductions in exposure drove these declines. Rising exposure contributed to notable increases in attributable DALYs from high BMI, high fasting plasma glucose, occupational carcinogens, and drug use. Environmental risks and childhood undernutrition declined steadily with SDI; low physical activity, high BMI, and high fasting plasma glucose increased with SDI. In 119 countries, metabolic risks, such as high BMI and fasting plasma glucose, contributed the most attributable DALYs in 2015. Regionally, smoking still ranked among the leading five risk factors for attributable DALYs in 109 countries; childhood underweight and unsafe sex remained primary drivers of early death and disability in much of sub-Saharan Africa. Interpretation Declines in some key environmental risks have contributed to declines in critical infectious diseases. Some risks appear to be invariant to SDI. Increasing risks, including high BMI, high fasting plasma glucose, drug use, and some occupational exposures, contribute to rising burden from some conditions, but also provide opportunities for intervention. Some highly preventable risks, such as smoking, remain major causes of attributable DALYs, even as exposure is declining. Public policy makers need to pay attention to the risks that are increasingly major contributors to global burden. Funding Bill & Melinda Gates Foundation

Properties of Graphene: A Theoretical Perspective

In this review, we provide an in-depth description of the physics of monolayer and bilayer graphene from a theorist's perspective. We discuss the physical properties of graphene in an external magnetic field, reflecting the chiral nature of the quasiparticles near the Dirac point with a Landau level at zero energy. We address the unique integer quantum Hall effects, the role of electron correlations, and the recent observation of the fractional quantum Hall effect in the monolayer graphene. The quantum Hall effect in bilayer graphene is fundamentally different from that of a monolayer, reflecting the unique band structure of this system. The theory of transport in the absence of an external magnetic field is discussed in detail, along with the role of disorder studied in various theoretical models. We highlight the differences and similarities between monolayer and bilayer graphene, and focus on thermodynamic properties such as the compressibility, the plasmon spectra, the weak localization correction, quantum Hall effect, and optical properties. Confinement of electrons in graphene is nontrivial due to Klein tunneling. We review various theoretical and experimental studies of quantum confined structures made from graphene. The band structure of graphene nanoribbons and the role of the sublattice symmetry, edge geometry and the size of the nanoribbon on the electronic and magnetic properties are very active areas of research, and a detailed review of these topics is presented. Also, the effects of substrate interactions, adsorbed atoms, lattice defects and doping on the band structure of finite-sized graphene systems are discussed. We also include a brief description of graphane -- gapped material obtained from graphene by attaching hydrogen atoms to each carbon atom in the lattice.Comment: 189 pages. submitted in Advances in Physic

Acoustic Intensity Causes Perceived Changes in Arousal Levels in Music: An Experimental Investigation

Listener perceptions of changes in the arousal expressed by classical music have been found to correlate with changes in sound intensity/loudness over time. This study manipulated the intensity profiles of different pieces of music in order to test the causal nature of this relationship. Listeners (N = 38) continuously rated their perceptions of the arousal expressed by each piece. An extract from Dvorak's Slavonic Dance Opus 46 No 1 was used to create a variant in which the direction of change in intensity was inverted, while other features were retained. Even though it was only intensity that was inverted, perceived arousal was also inverted. The original intensity profile was also superimposed on three new pieces of music. The time variation in the perceived arousal of all pieces was similar to their intensity profile. Time series analyses revealed that intensity variation was a major influence on the arousal perception in all pieces, in spite of their stylistic diversity