Prognostic factors of a lower CD4/CD8 ratio in long term viral suppression HIV infected children

Background Combination antiretroviral therapy (cART) is associated with marked immune reconstitution. Although a long term viral suppression is achievable, not all children however, attain complete immunological recovery due to persistent immune activation. We use CD4/CD8 ratio like a marker of immune reconstitution. Methods Perinatal HIV-infected children who underwent a first-line cART, achieved viral suppression in the first year and maintained it for more than 5 years, with no viral rebound were included. Logistic models were applied to estimate the prognostic factors, clinical characteristics at cART start, of a lower CD4/CD8 ratio at the last visit. Results 146 HIV-infected children were included: 77% Caucasian, 45% male and 28% CDC C. Median age at cART initiation was 2.3 years (IQR: 0.5-6.2). 42 (30%) children received mono-dual therapy previously to cART. Time of undetectable viral load was 9.5 years (IQR: 7.8, 12.5). 33% of the children not achieved CD4/CD8 ratio >1. Univariate analysis showed an association between CD4/CD8 <1 with lower CD4 nadir and baseline CD4; older age at diagnosis and at cART initiation; and a previous exposure to mono-dual therapy. Multivariate analysis also revealed relationship between CD4/CD8 <1 and lower CD4 nadir (OR: 1.002, CI 95% 1.000-1.004) as well as previous exposure to mono-dual therapy (OR: 0.16, CI 95% 0.003-0.720). Conclusions CD4/CD8 > 1 was not achieved in 33% of the children. Lower CD4 nadir and previous exposure to suboptimal therapy, before initiating cART, are factors showing independently association with a worse immune recovery (CD4/CD8 < 1)

XXVI Congreso Nacional y II Congreso Internacional de SEDEM

Organizan: Sociedad Española de Educación Médica y Facultad de Medicina y Enfermería, Universidad del País Vasco (UPV/EHU)Comunicaciones aceptadas en el XXVI Congreso de la Sociedad Española de Educación Médica, celebrado en Bilbao del 28 al 30 de noviembre de 2024

Critical points of higher order for the normal map of immersions in Rd

AbstractWe study the critical points of the normal map ν:NM→Rk+n, where M is an immersed k-dimensional submanifold of Rk+n, NM is the normal bundle of M and ν(m,u)=m+u if u∈NmM. Usually, the image of these critical points is called the focal set. However, in that set there is a subset where the focusing is highest, as happens in the case of curves in R3 with the curve of the centers of spheres with contact of third order with the curve. We give a definition of r-critical points of a smooth map between manifolds, and apply it to study the 2 and 3-critical points of the normal map in general and the 2-critical points for the case k=n=2 in detail. In the later case we analyze the relation with the strong principal directions of Montaldi (1986) [2]

X-shooting Herbig Ae/Be stars : accretion probed by near-infrared He I emission

The Herbig Ae/Be stars are intermediate mass pre-main sequence stars that bridge the gap between the low mass T Tauri stars and the Massive Young Stellar Objects. In this mass range, the acting star forming mechanism switches from magnetically controlled accretion to an as yet unknown mechanism, but which is likely to be direct disk accretion onto the star. We observed a large sample of Herbig Ae/Be stars with X-shooter to address this issue from a multi-wavelength perspective. It is the largest such study to date, not only because of the number of objects involved, but also because of the large wavelength coverage from the blue to the near-infrared. This allows many accretion diagnostics to be studied simultaneously. By correlating the various properties with mass, temperature and age, we aim to determine where and whether the magnetically controlled mass accretion mechanism halts and the proposed direct disk accretion takes over. Here, we will give an overview of the background, present some observations and discuss our initial results. We will introduce a new accretion diagnostic for the research of Herbig Ae/Be stars, the He I 1.083 mu m line

X-shooting Herbig Ae/Be stars: Accretion probed by near-infrared He I emission

The Herbig Ae/Be stars are intermediate mass pre-main sequence stars that bridge the gap between the low mass T Tauri stars and the Massive Young Stellar Objects. In this mass range, the acting star forming mechanism switches from magnetically controlled accretion to an as yet unknown mechanism, but which is likely to be direct disk accretion onto the star. We observed a large sample of Herbig Ae/Be stars with X-shooter to address this issue from a multi-wavelength perspective. It is the largest such study to date, not only because of the number of objects involved, but also because of the large wavelength coverage from the blue to the near-infrared. This allows many accretion diagnostics to be studied simultaneously. By correlating the various properties with mass, temperature and age, we aim to determine where and whether the magnetically controlled mass accretion mechanism halts and the proposed direct disk accretion takes over. Here, we will give an overview of the background, present some observations and discuss our initial results. We will introduce a new accretion diagnostic for the research of Herbig Ae/Be stars, the He I 1.083 μm line

Preclinical Assessment of IgY Antibodies Against Recombinant SARS-CoV-2 RBD Protein for Prophylaxis and Post-Infection Treatment of COVID-19

Within the framework of the current COVID-19 pandemic, there is a race against time to find therapies for the outbreak to be controlled. Since vaccines are still tedious to develop and partially available for low-income countries, passive immunity based on egg-yolk antibodies (IgY) is presented as a suitable approach to preclude potential death of infected patients, based on its high specificity/avidity/production yield, cost-effective manufacture, and ease of administration. In the present study, IgY antibodies against a recombinant RBD protein of SARS-CoV-2 were produced in specific-pathogen-free chickens and purified from eggs using a biocompatible method. In vitro immunoreactivity was tested, finding high recognition and neutralization values. Safety was also demonstrated prior to efficacy evaluation, in which body weight, kinematics, and histopathological assessments of hamsters challenged with SARS-CoV-2 were performed, showing a protective effect administering IgY intranasally both as a prophylactic treatment or a post-infection treatment. The results of this study showed that intranasally delivered IgY has the potential to both aid in prevention and in overcoming COVID-19 infection, which should be very useful to control the advance of the current pandemic and the associated mortality

Amostragem para diagnose do estado nutricional e avaliação da fertilidade do solo em caramboleiras

Para a realização de uma análise confiável, a etapa mais sensível e que merece extremo cuidado é a amostragem do tecido vegetal e do solo. A amostra mais adequada é aquela que representa o melhor possível a área de estudo, exigindo um mínimo de plantas amostradas para atender a esse objetivo e com o menor número possível de amostras simples coletadas. Assim, o presente trabalho procurou dimensionar o número de plantas a serem amostradas para a diagnose do estado nutricional, bem como o número de amostras simples necessárias para formar a amostra composta, para fins de avaliação da fertilidade do solo cultivado com caramboleiras. O estudo foi realizado em um pomar comercial de caramboleiras, no município de Vista Alegre do Alto (SP), empregando-se amostragem aleatória, coletando-se a sexta folha a partir do ápice do ramo da caramboleira, na altura mediana da frutífera, no florescimento da cultura, em 40 plantas. Foram coletadas, também, 30 amostras simples de solo, em zigue-zague, nas linhas da cultura, com o auxílio de um trado tipo holandês, nas camadas de 0 a 0,2 m e 0,2 a 0,4 m. Considerando-se aceitável um erro amostral de 10%, 21 plantas de carambola seriam suficientes para as determinações químicas foliares de macronutrientes. Já para os micronutrientes, seriam necessárias, no mínimo, 52 plantas amostradas. O aumento do número de amostras simples reduziu o erro porcentual na estimativa da média desejada, permitindo a recomendação de 14 e 17 amostras simples nas camadas de 0 a 0,2 m e 0,2 a 0,4 m (erro = 20%), respectivamente