Análisis in silico de la expresión génica en células de granulosa de folículos preovulatorios en dos especies de bovinos

Buffaloes and cattle are two species of bovines with great similarity in their reproductive physiology, but at the same time with great difference in their reproductive parameters. The objective of this work is to compare gene expression in granulosa cells of preovulatory follicles of these two species, based on information available in the literature, existing transcriptome repositories and functional analysis using Ingenuity Pathway Analysis. Only two independent studies comparing buffalo and cattle in terms of gene expression in granulosa cells of preovulatory follicles were found. Expression data were analyzed independently and in combination. It was found that, between buffaloes and cattle, there is practically no correspondence between the processes evaluated, neither in the canonical pathways, nor in the upstream regulators, only some correspondence is found between the networks and physiological aspects of each process. It is concluded that each species has a different way of carrying out the same process and that each event should be studied according to the needs of the researchers.Los búfalos y vacunos son dos especies de bovinos con gran parecido en su fisiología reproductiva, pero a la vez con gran diferencia en sus parámetros reproductivos. El objetivo del presente trabajo es comparar la expresión génica en células de granulosa de folículos preovulatorios de estas dos especies, basados en información disponible en la literatura, los repositorios de transcriptomas existentes y en el análisis funcional usando Ingenuity Pathway Analysis. Sólo se encontraron dos estudios independientes en los que se comparan búfalos y vacunos en cuanto a la expresión génica en células de la granulosa de folículos preovulatorios. Se analizaron los datos de expresión de forma independiente y combinada. Se encontró que, entre búfalos y vacunos, prácticamente no hay correspondencia entre los procesos evaluados, ni en las vías canónicas, ni en los reguladores corriente arriba, solamente se encuentra alguna correspondencia entre las redes y aspectos fisiológicos de cada proceso. Se concluye que cada especie tiene forma diferente de realizar el mismo proceso y que debe investigarse cada evento de acuerdo con las necesidades de los investigadores

Colombian surgical outcomes study insights on perioperative mortality rate, a main indicator of the lancet commission on global surgery – a prospective cohort studyResearch in context

Summary: Background: Surgical care holds significant importance in healthcare, especially in low and middle-income countries, as at least 50% of the 4.2 million deaths within the initial 30 days following surgery take place in these countries. The Lancet Commission on Global Surgery proposed six indicators to enhance surgical care. In Colombia, studies have been made using secondary data. However, strategies to reduce perioperative mortality have not been implemented. This study aims to describe the fourth indicator, perioperative mortality rate (POMR), with primary data in Colombia. Methods: A multicentre prospective cohort study was conducted across 54 centres (hospitals) in Colombia. Each centre selected a 7-day recruitment period between 05/2022 and 01/2023. Inclusion criteria involved patients over 18 years of age undergoing surgical procedures in operating rooms. Data quality was ensured through a verification guideline and statistical analysis using mixed-effects multilevel modelling with a case mix analysis of mortality by procedure-related, patient-related, and hospital-related conditions. Findings: 3807 patients were included with a median age of 48 (IQR 32–64), 80.3% were classified as ASA I or II, and 27% of the procedures had a low-surgical complexity. Leading procedures were Orthopedics (19.2%) and Gynaecology/Obstetrics (17.7%). According to the Clavien–Dindo scale, postoperative complications were distributed in major complications (11.7%, 10.68–12.76) and any complication (31.6%, 30.09–33.07). POMR stood at 1.9% (1.48–2.37), with elective and emergency surgery mortalities at 0.7% (0.40–1.23) and 3% (2.3–3.89) respectively. Interpretation: The POMR was higher than the ratio reported in previous national studies, even when patients had a low–risk profile and low-complexity procedures. The present research represents significant public health progress with valuable insights for national decision-makers to improve the quality of surgical care. Funding: This work was supported by Universidad del Rosario and Fundación Cardioinfantil-Instituto de Cardiología grant number CTO-057-2021, project-ID IV-FGV017