Population history and anthropogenetic analysis of the city of Salta

En el presente trabajo se realizó un análisis de la composición antropogenética de una muestra poblacional de la ciudad de Salta, proveniente de 223 donantes que concurrieron al Centro Privado de Hemoterapia de la ciudad, quienes firmaron un consentimiento informado y completaron sus datos genealógicos. Se determinó el origen de los linajes maternos y paternos y se tipificaron 12 marcadores autosómicos a fin de estimar la mezcla génica utilizando el programa ADMIX. Los linajes maternos americanos representaron el 93,75% de la muestra, los europeos el 3,85% y un 2,40% los originarios de África (L). El linaje paterno Q*M3, de origen americano, se encontró en un 17,1% de los individuos masculinos. La mezcla génica resultó en un aporte nativo del 50,02%, seguido por el aporte europeo (46,29%) y subsahariano (3,51%). Respecto a ciudades previamente estudiadas por nuestro equipo, Salta se destaca por poseer la mayor presencia nativa americana en su acervo génico. Se destaca la gran importancia de las migraciones intrarregionales por sobre las interregionales o las internacionales. Estos estudios abonan la idea de que no se debe considerar a la población argentina como un todo homogéneo, sino considerar su variabilidad.In the present study the genetic composition of Salta capital city was estimated in a population sample. A total of 223 non related blood-donors from the Centro Privado de Hemoterapia were included, who provided written informed consent and genealogical information. Twelve autosomal markers, GM allotypes, mtDNA and Y-chromosome continental origin were analysed; genetic admixture was estimated employing the ADMIX program. Autosomal markers show the presence of 50,02% for the Amerindian component, 46,29% for the European and 3,51% for the African component. Amerindians mitochondrial haplogroups represented a 93,75%, while the Europeans haplogroups represented a 3,85% and the Africans a 2,40%; 17,1% of males analysed exhibited the aboriginal variant Q*M3. The data were compared to those obtained previously in other cities, and the genetic admixture of Salta showed the highest values of Amerindian and African component. The intraregional immigration is much more remarkable than interregional or foreign immigration. These studies reinforce the idea that the Argentine population should not be considered as a homogeneus totality but variability must be taken into account.Fil: Di Fabio Rocca, Francisco. Universidad Maimónides. Área de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Albeza, Maria Virginia. Universidad Nacional de Salta; ArgentinaFil: Postillone, María Bárbara. Universidad Maimónides. Área de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Acreche, Noemi Estela. Universidad Nacional de Salta; ArgentinaFil: Lafage, Lucía. Universidad Maimónides. Área de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; ArgentinaFil: Parolin, María Laura. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico; ArgentinaFil: Dejean, Cristina Beatriz. Universidad Maimónides. Área de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; ArgentinaFil: Carnese, Francisco Raul. Universidad Maimónides. Área de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; ArgentinaFil: Avena, Sergio Alejandro. Universidad Maimónides. Área de Investigaciones Biomédicas y Biotecnológicas. Centro de Estudios Biomédicos, Biotecnológicos, Ambientales y de Diagnóstico; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin

A Latin American survey on demographic aspects of hospitalized, decompensated cirrhotic patients and the resources for their management

Introduction & objectives: Liver cirrhosis is a major cause of mortality worldwide. Adequate diagnosis and treatment of decompensating events requires of both medical skills and updated technical resources. The objectives of this study were to search the demographic profile of hospitalized cirrhotic patients in a group of Latin American hospitals and the availability of expertise/facilities for the diagnosis and therapy of decompensation episodes. Methods: A cross sectional, multicenter survey of hospitalized cirrhotic patients. Results: 377 patients, (62% males; 58 ± 11 years) (BMI > 25, 57%; diabetes 32%) were hospitalized at 65 centers (63 urbans; 57 academically affiliated) in 13 countries on the survey date. Main admission causes were ascites, gastrointestinal bleeding, hepatic encephalopathy and spontaneous bacterial peritonitis/other infections. Most prevalent etiologies were alcohol-related (AR) (40%); non-alcoholic-steatohepatitis (NASH) (23%), hepatitis C virus infection (HCV) (7%) and autoimmune hepatitis (AIH) (6%). The most frequent concurrent etiologies were AR + NASH. Expertise and resources in every analyzed issue were highly available among participating centers, mostly accomplishing valid guidelines. However, availability of these facilities was significantly higher at institutions located in areas with population > 500,000 (n = 45) and in those having a higher complexity level (Gastrointestinal, Liver and Internal Medicine Departments at the same hospital (n = 22). Conclusions: The epidemiological etiologic profile in hospitalized, decompensated cirrhotic patients in Latin America is similar to main contemporary emergent agents worldwide. Medical and technical resources are highly available, mostly at great population urban areas and high complexity medical centers. Main diagnostic and therapeutic approaches accomplish current guidelines recommendations