Hepatitis C virus resistance to the new direct-acting antivirals

Introduction: The treatment of hepatitis C virus (HCV) infection has dramatically improved in recent years with the widespread use of interferon-free combination regimens. Despite the high sustained virological response (SVR) rates (over 90%) obtained with direct-acting antivirals (DAAs), drug resistance has emerged as a potential challenge. The high replication rate of HCV and the low fidelity of its RNA polymerase result in a high degree of genetic variability in the HCV population, which ultimately explains the rapid selection of drug resistance associated variants (RAVs). Areas covered: Results from clinical trials and real-world experience have both provided important information on the rate and clinical significance of RAVs. They can be present in treatment-naive patients as natural polymorphisms although more frequently they are selected upon treatment failure. In patients engaged in high-risk behaviors, RAVs can be transmitted. Expert opinion: Although DAA failures generally occur in less than 10% of treated chronic hepatitis C patients, selection of drug resistance is the rule in most cases. HCV re-treatment options are available, but first-line therapeutic strategies should be optimized to efficiently prevent DAA failure due to baseline HCV resistance. Considerable progress is being made and next-generation DAAs are coming with pangenotypic activity and higher resistance barrier.Fil: Esposito, Isabella. Hospital Universitario La Paz; EspañaFil: Trinks, Julieta. Hospital Italiano. Instituto de Ciencias Básicas y Medicina Experimental; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Soriano, Vicente. Hospital Universitario La Paz; Españ

Session B, 2017 First Place: A Comparison of Macroinvertebrate Assemblages Found in Forest Fungi of Different Hymenial Types

Insects and fungi are known to play important roles in overall forest health; however, the relationship between the two is not well studied. In the field we observed insects in gilled mushrooms. This led us to question if other fungal fruiting bodies also contained macroinvertebrate assemblages. We hypothesized that there would be a significant difference of macroinvertebrate assemblages between the three hymenial types studied: gilled, pored, and tubed. We also hypothesized that older fungi would contain larger assemblages of macroinvertebrates. Fungi were collected from five different areas at Cranberry Lake Biological Station. Macroinvertebrates were extracted using Berlese funnels for 4.5-5 hours. The fungi represent both experimental and sampling units (n=32), which are independent of the macroinvertebrate assemblages. ANOVA and Tukey tests were used to analyze data and results will be presented and discussed. Both larval and adult forms were found within the fruiting bodies, where the fungi appear to be serving as a food source and reproductive site for numerous macroinvertebrates

How to increase productivity of the copepod Acartia tonsa (Dana): effects of population density and food concentration

In this study, we analysed the effect of population density and food concentration on the fecundity of a Mediterranean strain of Acartia tonsa to maximize egg production. During 4-day feeding experiments, egg hatching success and faecal pellet production were also followed. The algae Rhinomonas reticulata was supplied at different concentrations corresponding to 250, 500, 1000, 1500, 2000 and 3000 μg C L−1 day−1 at the following adult copepod density: 40, 80 and 160 ind. L−1. Our results show a positive relationship between algal concentration and egg production under all experimental conditions confirming that the quantity of food strongly limits A. tonsa fecundity. Maximum egg production (57 eggs per female) was reached at the lowest density and at the maximum food concentration. Percentage of egg hatching success was not dependent on the quantity of food used. At the same food concentration, an increase in population density from 40 to 80 ind. L−1 induced an increase in faecal pellet production per couple which did not correspond to an increase in egg production, suggesting that higher energetic costs were shifted to swimming activity. Productivity of the A. tonsa Mediterranean strain is mainly limited by the quantity of food rather than by crowding conditions

Nurses in Public Health: A profession in continuous evolution

Today, nurses play a fundamental role in Public Health. In the last few decades the health profession has seen strong professional growth, in the areas of Clinical practice, Management and Education. In particular, this growth has been also informed by the progress being made in nursing research. In fact, nursing research has contributed to the establishment of support tools to facilitate and evaluate the daily work done by nurses, contributing significantly to the improvement of their professional performance

Targeting SARS-CoV-2 Main Protease: A Successful Story Guided by an In Silico Drug Repurposing Approach

The SARS-CoV-2 main protease (Mpro) is a crucial enzyme for viral replication and has been considered an attractive drug target for the treatment of COVID-19. In this study, virtual screening techniques and in vitro assays were combined to identify novel Mpro inhibitors starting from around 8000 FDA-approved drugs. The docking analysis highlighted 17 promising best hits, biologically characterized in terms of their Mpro inhibitory activity. Among them, 7 cephalosporins and the oral anticoagulant betrixaban were able to block the enzyme activity in the micromolar range with no cytotoxic effect at the highest concentration tested. After the evaluation of the degree of conservation of Mpro residues involved in the binding with the studied ligands, the ligands’ activity on SARS-CoV-2 replication was assessed. The ability of betrixaban to affect SARS-CoV-2 replication associated to its antithrombotic effect could pave the way for its possible use in the treatment of hospitalized COVID-19 patient

Unitas Multiplex. Biological architectures of consciousness

The so-called Posthuman question - the birth of organisms generated by the encounter of biological and artificial entities (humanoid robots, cyborgs and so on) – is now on the agenda of science and, more generally, of contemporary society. This is an issue of enormous importance, which not only poses ethical questions but also, and above all, methodological questions about how it will be achieved on a scientific plane. How such entities will be born and what their functions will be? For example, what kind of consciousness will they be equipped with, in view of the function of consciousness for distinguishing the Self from others, which is the foundation of the interactive life of relationships? Many scholars believe that rapid technological progress will lead to the emergence of organisms that will simulate the functions of the mind, learn from their experiences, decode real-world information, and plan their actions and choices based on their own values elaborated from vast amounts of data and metadata. In the not-too-distant future, it is believed that these entities will acquire awareness and, consequently, decisional freedom, and perhaps even their own unique morals. In this paper, we try to show that the path towards this goal cannot avoid clarification of the problems that neuroscience has ahead of it. These problems concern: a) the way in which consciousness comes about on the basis of well-defined brain processes; b) how it represents its own organization and not a simple brain function; c) how simultaneously contains multiple distinct contents, each with its own intentionality; d) how it expresses dynamic evolutionary relations and not a set of phenomena that may be isolated; e) finally, how its order is not rigidly hierarchical, but is supported by a multiplicity of horizontal levels, each of which is in structural and functional continuum with different phenomenal events. The empirical and theoretical research effort on this topic provides an intensive contribution to the development of IC Technologies

Addressing adverse synergies between chemical and biological pollutants at schools—The ‘SynAir-G’ hypothesis

While the number and types of indoor air pollutants is rising, much is suspected but little is known about the impact of their potentially synergistic interactions, upon human health. Gases, particulate matter, organic compounds but also allergens and viruses, fall within the ‘pollutant’ definition. Distinct populations, such as children and allergy and asthma sufferers are highly susceptible, while a low socioeconomic background is a further susceptibility factor; however, no specific guidance is available. We spend most of our time indoors; for children, the school environment is of paramount importance and potentially amenable to intervention. The interactions between some pollutant classes have been studied. However, a lot is missing with respect to understanding interactions between specific pollutants of different classes in terms of concentrations, timing and sequence, to improve targeting and upgrade standards. SynAir‐G is a European Commission‐funded project aiming to reveal and quantify synergistic interactions between different pollutants affecting health, from mechanisms to real life, focusing on the school setting. It will develop a comprehensive and responsive multipollutant monitoring system, advance environmentally friendly interventions, and disseminate the generated knowledge to relevant stakeholders in accessible and actionable formats. The aim of this article it to put forward the SynAir‐G hypothesis, and describe its background and objectives

Air Quality Characterization at Three Industrial Areas in Southern Italy

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The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)

Objective: To develop and update evidence-based and consensus-based guidelines on laparoscopic and robotic pancreatic surgery. Summary Background Data: Minimally invasive pancreatic surgery (MIPS), including laparoscopic and robotic surgery, is complex and technically demanding. Minimizing the risk for patients requires stringent, evidence-based guidelines. Since the International Miami Guidelines on MIPS in 2019, new developments and key publications have been reported, necessitating an update. Methods: Evidence-based guidelines on 22 topics in 8 domains were proposed: terminology, indications, patients, procedures, surgical techniques and instrumentation, assessment tools, implementation and training, and artificial intelligence. The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS, September 2022) used the Scottish Intercollegiate Guidelines Network (SIGN) methodology to assess the evidence and develop guideline recommendations, the Delphi method to establish consensus on the recommendations among the Expert Committee, and the AGREE II-GRS tool for guideline quality assessment and external validation by a Validation Committee. Results: Overall, 27 European experts, 6 international experts, 22 international Validation Committee members, 11 Jury Committee members, 18 Research Committee members, and 121 registered attendees of the 2-day meeting were involved in the development and validation of the guidelines. In total, 98 recommendations were developed, including 33 on laparoscopic, 34 on robotic, and 31 on general MIPS, covering 22 topics in 8 domains. Out of 98 recommendations, 97 reached at least 80% consensus among the experts and congress attendees, and all recommendations were externally validated by the Validation Committee. Conclusions: The EGUMIPS evidence-based guidelines on laparoscopic and robotic MIPS can be applied in current clinical practice to provide guidance to patients, surgeons, policy-makers, and medical societies.</p