CARACTERISTICAS SOCIOECONÓMICAS DE FAMILIAS Y VIVIENDAS EN LA COMUNIDAD URBANA AUTOGESTIONARIA DE HUAYCÁN 2014

Desde el marco de la medicina familiar sostenida en el modelo biopsicosocial que incluye científicamente el dominio humano en el proceso salud-enfermedad se plantea la iniciativa de la vivienda saludable como estrategia para la promoción de la salud de la población. El presente estudio describe las características socioeconómicas de la población sujeto a estudio e identifica los riesgos en la comunidad autogestionaria de Huaycàn con la finalidad de implementar un plan de intervención. El objetivo delainvestigación es determinar las características socioeconómicas de familias y viviendas en la Comunidad Urbana autogestionaria de Huaycán 2014. Material y métodos. El tipo de estudio es descriptivo observacional exploratorio de corte transversal. La técnica utilizada fue la observación y la encuesta, con la aplicación de una ficha de viviendas y familias saludables del Ministerio de Salud. El periodo de estudio ha sido de marzo a junio del 2014. La Escuela Académico Profesional de Obstetricia de la Universidad Alas Peruanas a través de los docentes y estudiantes de la asignatura de introducción a la Salud pública recopilaron los datos mediante el instrumento mencionado.La muestra es de 207 familias con el mismo número de familias de 5 sectores de la comunidad autogestionaria de Huaycán. Previa a la aplicación del instrumento se realizó coordinación con los líderes, el mapeo y la identificación de familias de manera aleatoria ResultadosDe los 710 habitantes de las 207 viviendas, corresponden el 23,38% (166) población de 10 a 19 años es decir adolescente, el 18,73% (133) población joven entre los 20 a 30 años de edad, como también el 18,45% población entre los 31 a 40 años.

Wild edible plants: Nutritional and toxicological characteristics, retrieval strategies and importance for today's society

Wild edible plants (WEPs) are part of the cultural and genetic heritage of different regions of the world. In times of famine and scarcity, these sources of nutrients and health-promoting compounds have received high importance mainly in rural and suburban areas. Although currently underutilized, WEPs are still consumed traditionally by different communities and are gaining relevance in today's society. However, these foods lack recognition as significant contributors to the human diet in developed areas. This review describes the nutritional value of WEPs from the North-eastern region of Portugal and points out those containing potentially toxic compounds. Several retrieval strategies are presented with the aim of promoting the (re)use, production, commercialization and conservation of WEPs (wild harvested plants and crop wild relatives), and their importance for social, economic and agro-ecological development is highlighted.The authors are grateful to the Foundation for Science and Technology of Portugal and FEDER, under Programme PT2020, for financial support to CIMO (UID/AGR/00690/2013). J. Pinela thanks FCT for his grant (SFRH/BD/92994/2013) funded by European Social Fund and Portuguese Ministry of Education and Science (MEC) through Programa Operacional Capital Humano (POCH).info:eu-repo/semantics/publishedVersio

Identifying the current and future status of freshwater connectivity corridors in the Amazon Basin

The Amazon Basin features a vast network of healthy, free-flowing rivers, which provides habitat for the most biodiverse freshwater fauna of any basin globally. However, existing and future infrastructure developments, including dams, threaten its integrity by diminishing river connectivity, altering flows, or changing sediment regimes, which can impact freshwater species. In this study, we assess critical rivers that need to be maintained as freshwater connectivity corridors (FCCs) for selective freshwater species—long-distance migratory fishes and turtles (both with migrations >500 km) and river dolphins. We define FCCs as river stretches of uninterrupted river connectivity that provide important riverine and floodplain habitat for long-distance migratory and other species and that maintain associated ecosystem functions. We assessed more than 340,000 km of river, beginning with an assessment of the connectivity status of all rivers and then combining river status with models of occurrence of key species to map where FCCs occur and how they could be affected under a scenario of proposed dams. We identified that in 2019, 16 of 26 very long (>1000 km) rivers are free-flowing but only 9 would remain free-flowing if all proposed dams are built. Among long and very long rivers (>500 km), 93 are considered FCCs. Under the future scenario, one-fifth (18) of these long and very long FCCs—those that are of critical importance for long-distance migrants and dolphins—would lose their FCC status, including the Amazon, the Negro, Marañ on, Napo, Ucayali, Preto do Igap o Açu, Beni, and Uraricoera rivers. To avoid impacts of poorly sited infrastructure, we advocate for energy and water resources planning at the basin scale that evaluates alternative development options and limits development that will impact on FCCs. The results also highlight where corridors could be designated as protected from future fragmentation

Genotyping of dengue virus from infected tissue samples embedded in paraffin

Dengue has become one of the vector-borne diseases that affect humans worldwide. In Latin American countries, Colombia is historically one of the most affected by epidemics of this flavivirus. The underreporting of signs and symptoms of probable cases of dengue, the lack of characterization of the serotypes of the infection, and the few detailed studies of postmortem necropsies of patients are among other conditions that have delayed progress in the knowledge of the pathogenesis of the disease. This study presents the results of fragment sequencing assays on paraffin-embedded tissue samples from fatal DENV cases during the 2010 epidemic in Colombia. We found that the predominant serotype was DENV-2, with the Asian/American genotype of lineages 1 and 2. This work is one of the few reports of the circulating genotypes of dengue during the 2010 epidemic in Colombia, one of the most lethal dates in the country's history.Instituto Nacional de Salu

The relationships among Leishmania infantum and phyllostomid bats assessed by histopathological and molecular assays

Bats have been reported as reservoir host of Leishmania spp. worldwide, mostly by molecular detection. However, it is still unclear whether bats act as reservoirs of Leishmania infantum to sandflies vectors. In this sense, the investigation of amastigotes forms in the target organs, and the characterization of their associated inflammation, may help to clarify the epidemiological importance of bats in endemic areas for leishmaniasis. The aim of this work was to investigate the host-parasite relationships under microscopic evaluation and predict the epidemiological role of two phyllostomid bats species naturally infected by L. infantum in an endemic area for human leishmaniasis. Fragments of skin, liver and spleen of L. infantum positive and negative bats (Artibeus planirostris and Carollia perspicillata) by qPCR, were studied by histological and immunohistochemical techniques. Both groups, positive and negative, did not show differences in the histopathological study, presenting only discrete tissue changes. Liver and skin showed mild inflammatory reactions. Findings on spleen consisted of reactivity of the lymphoid follicles, expressive presence of apoptotic cells and macrophages containing abundant phagocytic cells debris. We did not find amastigote forms in tissues by histological and IHC techniques in positive qPCR bats. Our results allow us to hypothesize that phyllostomid bats seem to have an important role in reducing the risk of transmission, possibly acting as dead-end host

Post-transplant cyclophosphamide after HLA identical compared to Haploidentical donor transplant in Acute Myeloid Leukemia: a study on behalf of GETH-TC

Post-transplantation cyclophosphamide (PTCY) effectively prevents graft-versus-host disease (GVHD) after unmanipulated HLA-haploidentical hematopoietic stem cell transplantation (HSCT) and achieves low rates of GVHD in HLA-identical transplantation. To compare the outcomes of haploidentical versus HLA identical HSCT in patients undergoing HSCT for acute myeloid leukemia (AML) using PTCY. We conducted a retrospective study of 229 patients undergoing first HSCT for AML using PTCY with additional immunosuppression, 99 from matched sibling or unrelated donor (MSD/MUD) performed in 3 hospitals and 130 from haploidentical donors (haplo group) performed in 20 hospitals within the Spanish Group of Hematopoietic Stem Cell Transplantation and Cellular Therapy. Peripheral blood stem cells were used as graft in 89% of patients; myeloablative conditioning was used in 56%. There were significantly more patients with active disease (5% versus 20%, P = .001), high/very high disease risk index (DRI) (32% versus 67%, P = .000) and prior auto-HSCT (2% versus 11%, P = .010) in the haplo group. Median follow-up was 27 and 62.5 months for MSD/MUD and haplo, respectively. At 2 years, no significant differences were observed in overall survival (OS) (72% versus 62%, P = .07), event-free survival (EFS) (70% versus 54%, P = .055), cumulative incidence of relapse (19% versus 25%, P = .13), non-relapse mortality (14% versus 19%, P = .145), and the composite endpoint of GVHD and relapse-free survival (49% versus 42%, P = .249). Multivariate analysis identified only age and active disease as significant risk factors for OS and EFS; reduced-intensity conditioning, high/very high DRI, and haplo donor were nearly statistically significant for these outcomes. Grade II-IV acute GVHD was lower in MSD/MUD (14% versus 47%, P = .000). Cumulative incidences of grade III-IV acute GVHD (4% versus 9%, P = .14) and moderate-severe chronic GVHD (22% versus 19%, P = .28) were similar. Limitations of our study include limited sample size, differences between haplo and MSD/MUD groups and heterogeneous additional immunosuppression and PTCY timing in MSD/MUD. The use of an HLA-identical donor with PTCY in patients with AML showed lower incidence of clinically significant grade II-IV acute GVHD compared to haplo donors. Further studies with larger sample sizes should be performed to establish a possible benefit of HLA-identical donor on survival. (C) 2022 The American Society for Transplantation and Cellular Therapy. Published by Elsevier Inc

High p16 expression and heterozygous RB1 loss are biomarkers for CDK4/6 inhibitor resistance in ER+ breast cancer.

CDK4/6 inhibitors combined with endocrine therapy have demonstrated higher antitumor activity than endocrine therapy alone for the treatment of advanced estrogen receptor-positive breast cancer. Some of these tumors are de novo resistant to CDK4/6 inhibitors and others develop acquired resistance. Here, we show that p16 overexpression is associated with reduced antitumor activity of CDK4/6 inhibitors in patient-derived xenografts (n = 37) and estrogen receptor-positive breast cancer cell lines, as well as reduced response of early and advanced breast cancer patients to CDK4/6 inhibitors (n = 89). We also identified heterozygous RB1 loss as biomarker of acquired resistance and poor clinical outcome. Combination of the CDK4/6 inhibitor ribociclib with the PI3K inhibitor alpelisib showed antitumor activity in estrogen receptor-positive non-basal-like breast cancer patient-derived xenografts, independently of PIK3CA, ESR1 or RB1 mutation, also in drug de-escalation experiments or omitting endocrine therapy. Our results offer insights into predicting primary/acquired resistance to CDK4/6 inhibitors and post-progression therapeutic strategies