Detection of Human papillomavirus and co-infection with other sexually transmitted pathogens in northern Peru

[El documento adjunto corresponde al resumen de la conferencia. Se presenta en este apartado el propósito del estudio]: Purpose: The epidemiology of human papillomavirus (HPV) and co-infections with other sexually transmitted infections (STIs) remains poorly characterized in Peru. The aim of this study was to identify HPV infections and the presence of co-infections by other important STIs (Chlamydia trachomatis, Trichomonas vaginalis, and Herpes simplex virus) in women attending the public health system in northern Peru.Campus Lima Centr

Differential clinical characteristics and prognosis of intraventricular conduction defects in patients with chronic heart failure

Intraventricular conduction defects (IVCDs) can impair prognosis of heart failure (HF), but their specific impact is not well established. This study aimed to analyse the clinical profile and outcomes of HF patients with LBBB, right bundle branch block (RBBB), left anterior fascicular block (LAFB), and no IVCDs. Clinical variables and outcomes after a median follow-up of 21 months were analysed in 1762 patients with chronic HF and LBBB (n = 532), RBBB (n = 134), LAFB (n = 154), and no IVCDs (n = 942). LBBB was associated with more marked LV dilation, depressed LVEF, and mitral valve regurgitation. Patients with RBBB presented overt signs of congestive HF and depressed right ventricular motion. The LAFB group presented intermediate clinical characteristics, and patients with no IVCDs were more often women with less enlarged left ventricles and less depressed LVEF. Death occurred in 332 patients (interannual mortality = 10.8%): cardiovascular in 257, extravascular in 61, and of unknown origin in 14 patients. Cardiac death occurred in 230 (pump failure in 171 and sudden death in 59). An adjusted Cox model showed higher risk of cardiac death and pump failure death in the LBBB and RBBB than in the LAFB and the no IVCD groups. LBBB and RBBB are associated with different clinical profiles and both are independent predictors of increased risk of cardiac death in patients with HF. A more favourable prognosis was observed in patients with LAFB and in those free of IVCDs. Further research in HF patients with RBBB is warranted

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

A CASE OF BONE CHORDOMA (CANCER) IN A CHANCAY INDIVIDUAL OF CERRO COLORADO, SANTA MARIA-HUAURA

El presente artículo presenta el diagnóstico de un caso de cáncer óseo en un individuo humano de la cultura Chancay recuperado en el área funeraria de Cerro Colorado, extremo meridional del valle de Huaura. Cerro Colorado es un extenso complejo arqueológico conformado por varios sectores entre los que destaca: el Tambo Tawantinsuyu, el sector amurallado y la extensa área funeraria, ocupada hoy por numerosos asentamientos humanos y asociaciones de vivienda.This article presents the diagnosis of a case of bone cancer in a human individual from the Chancay culture recovered in the funeral area of Cerro Colorado, southern end of the valley of Huaura. Cerro Colorado is a vast archaeological complex consisting of several sectors among which: the Tambo Tawantinsuyu, the walled sector and extensive funerary area, occupied now many human settlements and housing associations

Spondylus crassisquama Lamarck, 1819 as a microecosystem and the effects of associated macrofauna on its shell integrity: isles of biodiversity or sleeping with the enemy?

In May 2009, we studied the bivalve Spondylus crassisquama and its relevance for macrobenthic biodiversity off the north Ecuadorian coast. We found that the large and heavy shells offer an exclusive substrate for numerous epibiont species and highly specialized carbonate-drilling endobiont species (71 species in total), which is a distinctly different and much more diverse habitat than the surrounding sandy bottoms (13 species, 4 of them found in both habitats). This is reflected by a Bray–Curtis dissimilarity index of 0.88. We discuss in detail the live habits of all 9 species of drilling endobionts that we found, and conclude that these can be seen as true mutualists, with the exception of boring sipunculids and bivalves. To further illustrate this complex co-existence, we visualize and quantify for the first time the tremendous effects of boring organisms on the shell structure of S. crassisquama by means of magnetic resonance imaging and a video appendix is provided