Neogene to Quaternary stratigraphic evolution of the Antarctic Peninsula, Pacific Margin offshore of Adelaide Island:Transitions from a non-glacial, through glacially-influenced to a fully glacial state

A detailed morphologic and seismic stratigraphic analysis of the continental margin offshore of Adelaide Island on the Pacific Margin of the Antarctic Peninsula (PMAP) is described based on the study of a regular network of reflection multichannel seismic profiles and swath bathymetry. We present an integrated study of the margin spanning the shelf to the continental rise and establish novel chronologic constraints and offer new interpretations on tectonic evolution and environmental changes affecting the PMAP. The stratigraphic stacking patterns record major shifts in the depositional style of the margin that outline three intervals in its evolution. The first non-glacial interval (Early Cretaceous to middle Miocene) encompasses a transition from an active to a passive margin (early Miocene). The second glacially-influenced interval (middle to late Miocene) is marked by pronounced aggradational sedimentary stacking and subsidence. Ice sheets advanced over the middle shelf of the margin at the end of this second interval, while the outer shelf experienced rare progradational events. The third, fully glaciated interval shows clear evidence of glacially dominated conditions on the margin. This interval divides into three minor stages. During the first stage (late Miocene to the beginning of the early Pliocene), frequent grounded ice advances to the shelf break began, depositing an initial progradational unit. A major truncation surface marked the end of this stage, which coincided with extensive mass transport deposits at the base of the slope. During the second progradational glacial margin stage (early Pliocene to middle Pleistocene), stacking patterns record clearly prograding glacial sequences. The beginning of the third aggradational glacial margin stage (middle Pleistocene to present) corresponded to an important shift in global climate during the Mid-Pleistocene Transition. Morphosedimentary characteristics observed along the margin today began to develop during the latest Miocene but did not become fully established until sometime during the interval between the end of the Pliocene and middle Pleistocene. Between these two time intervals, the northeast lateral migration of the Marguerite Trough also played a critical role in margin evolution, as it controlled ice sheet drainage pathways across the shelf, which in turn influenced development of slope and rise morphologies. Areas offshore from Adelaide Island differ from other areas of the PMAP due to changes in sedimentary processes that resulted from migration of the trough. This study confirms that the PMAP represents an exceptional locality for decoding, reconstructing and linking past tectonic and climatic changes. The study area specifically records not only the most relevant changes in depositional style, but also the relative importance of persistent along- and down-slope sedimentary processes. Our study approach can be extended to other areas and integrated with additional techniques to understand the evolution and the global linkages of the entire Antarctic continental margin and the ice sheets

Resistive Switching and Charge Transport in Laser-Fabricated Graphene Oxide Memristors: A Time Series and Quantum Point Contact Modeling Approach

This work investigates the sources of resistive switching (RS) in recently reported laser-fabricated graphene oxide memristors by means of two numerical analysis tools linked to the Time Series Statistical Analysis and the use of the Quantum Point Contact Conduction model. The application of both numerical procedures points to the existence of a filament connecting the electrodes that may be interrupted at a precise point within the conductive path, resulting in resistive switching phenomena. These results support the existing model attributing the memristance of laser-fabricated graphene oxide memristors to the modification of a conductive path stoichiometry inside the graphene oxide.The authors thank the support of the Spanish Ministry of Science, Innovation and Universities under projects TEC2017-89955-P, TEC2017-84321-C4-3-R, MTM2017-88708-P and project PGC2018-098860-B-I00 (MCIU/AEI/FEDER, UE), and the predoctoral grant FPU16/01451

Peces de la cuenca del río Pauto, Orinoquia colombiana

This paper presents an updated list of the fishes of the Pauto river basin, Casanare. The update process was realized by collections in the field in the middle and lower part of the basin, revision of reference collections and secondary information available. A total of 182 species are recorded. Of these species, 60 are new records for the Pauto river basin. Only one species is included in the Red Book of freshwater fishes of Colombia. At the regional level, 52 species were identified as ornamental, and 24 are used as food; 8 species are exploited for both purposes. Based on the results, it is indispensable to re-evaluate the importance of the Pauto river basin as an area of interest for regional conservation.Se presenta un listado actualizado de los peces de la cuenca del río Pauto, departamento del Casanare (Colombia). La actualización se realizó mediante colectas en campo en la parte media y baja de la cuenca, así como la revisión de colecciones de referencia e información secundaria disponible. Se registran 182 especies. De éstas especies 60 corresponden a nuevos registros para la cuenca del río Pauto. Sólo una especie está incluida en el Libro Rojo de peces de agua dulce de Colombia. De las especies registradas 52 son consideras como especies ornamentales a nivel regional y 24 de importancia para consumo, ocho especies son explotadas con doble propósito. Basado en los resultados obtenidos es indispensable re-evaluar la importancia de la cuenca del río Pauto como área de interés para la conservación a nivel regional

Monitoring the Formation of Amyloid Oligomers Using Photoluminescence Anisotropy

The formation of oligomeric soluble aggregates is related to the toxicity of amyloid peptides and proteins. In this manuscript, we report the use of a ruthenium polypyridyl complex ([Ru(bpy)2(dpqp)]2+) to track the formation of amyloid oligomers at different times using photoluminescence anisotropy. This technique is sensitive to the rotational correlation time of the molecule under study, which is consequently related to the size of the molecule. [Ru(bpy)2(dpqp)]2+ presents anisotropy values of zero when free in solution (due to its rapid rotation and long lifetime) but larger values as the size and concentration of amyloid-β (Aβ) oligomers increase. Our assays show that Aβ forms oligomers immediately after the assay is started, reaching a steady state at ∼48 h. SDS–PAGE, DLS, and TEM were used to confirm and characterize the formation of oligomers. Our experiments show that the rate of formation for Aβ oligomers is temperature dependent, with faster rates as the temperature of the assay is increased. The probe was also effective in monitoring the formation of α-synuclein oligomers at different timesAAM thanks the Welch Foundation (Grant C-1743) and JM thanks AEI (SAF2017-89890-R), ERC (DYNAP-677786) and HFSP (RGY0066/2017) for financial supportS

Comparing different models of the development of verb inflection in early child Spanish

How children acquire knowledge of verb inflection is a long-standing question in language acquisition research. In the present study, we test the predictions of some current constructivist and generativist accounts of the development of verb inflection by focusing on data from two Spanish-speaking children between the ages of 2;0 and 2;6. The constructivist claim that children's early knowledge of verb inflection is only partially productive is tested by comparing the average number of different inflections per verb in matched samples of child and adult speech. The generativist claim that children's early use of verb inflection is essentially error-free is tested by investigating the rate at which the children made subjectverb agreement errors in different parts of the present tense paradigm. Our results show: 1) that, although even adults ' use of verb inflection in Spanish tends to look somewhat lexically restricted, both children's use of verb inflection was significantly less flexible than that of their caregivers, and 2) that, although the rate at which the two children produced subjectverb agreement errors in their speech was very low, this overall error rate hid a consistent pattern of error in which error rates were substantially higher in low frequency than in high frequency contexts, and substantially higher for low frequency than for high frequency verbs. These results undermine the claim that children's use of verb inflection is fully productive from the earliest observable stages, and are consistent with the constructivist claim that knowledge of verb inflection develops only gradually

Exchange of nutrients and oxygen across the sediment-water interface below a Sparus aurata marine fish farm in the north-western Mediterranean Sea

Purpose: This study analyzes the effects of aquaculture activities in open seawater in the north-western coastal waters of the Mediterranean Sea. It is the first of its kind to be based on benthic flux data gathered in situ below fish farms for this particular area. Materials and methods: Samples were collected on four sampling campaigns over a 1-year cycle under a Sparus aurata fish farm facility where benthic fluxes were measured in situ using light and dark benthic chambers. Bottom water and sediment samples were also collected. Data were compared to those for a nearby control station. Results and discussion: Significant differences were found (ANOVA, p < 0. 05) between concentrations of organic matter (OM), total phosphorus and redox potentials in sediments located under the cages and those of the control station. The consumption of dissolved oxygen (DO) by sediment and positive ammonium (NH4 +) fluxes was stimulated by OM content, with correlations of r = -0. 60 (p < 0. 01) and r = 0. 70 (p < 0. 01), respectively. The OM content of sediments was found to be consistently higher under the cages than at the control station, with the highest value (1. 8 ± 0. 7 %) under the cages observed during the early summer; values of DO and NH4 + fluxes were -64 ± 17 and 12. 7 ± 1. 0 mmol m-2 day-1, respectively. PO4 3- fluxes were consistently higher in the fish farm sediments (between 0. 58 and 0. 98 mmol m-2 day-1) than those observed at the control station. Nitrate (NO3 -) fluxes were found to be consistently negative due to denitrification occurring in the sediments and were related to the concentration of NO3 - in bottom waters (r = 0. 92, p < 0. 01). Si fluxes were shown to be associated with water temperature (r = 0. 59, p < 0. 05). Conclusions: The results imply that sediments located below cages accumulate organic matter originating from aquaculture activities, especially during summer months when this activity increases. Sediments undergo biogeochemical changes that mainly affect fluxes of DO, NH4 + and soluble reactive phosphorus, although these do not seem to have a significant impact on the quality of the water column due to the hydrodynamic characteristics of the area. © 2012 Springer-Verlag.We would like to thank the Caja del Mediterraneo for a predoctoral fellowship fund for this research and Antonio Asuncion Acuigroup Maremar manager for the facilities and support in conducting the study. The translation of this paper was funded by the Universidad Politecnica de Valencia, Spain. We are grateful for the valuable comments of the anonymous reviewers on previous versions of the manuscript.Morata Higón, T.; Sospedra, J.; Falco Giaccaglia, SL.; Rodilla Alama, M. (2012). Exchange of nutrients and oxygen across the sediment-water interface below a Sparus aurata marine fish farm in the north-western Mediterranean Sea. Journal of Soils and Sediments. 12(10):1623-1632. doi:10.1007/s11368-012-0581-2S162316321210APHA, AWWA, and WEF (2005) Standard methods for the examination of water wastewater, 21st edn. American Public Health Association, WashingtonAksu M, Kocatas A (2007) Environmental effects of the three fish farms in Izmir Bay (Aegean Sea-Turkey) on water column and sediment. Rapport du 38e Congrés de la Commission Internationale Pour L’exploration Scientifique de la Mer Méditerranée 38, 414Aminot A, Chaussepied M (1983) Manuel des analyses chimiques en milieu marin. Centre National pour l’Explotation des Oceans, BrestArocena R, Conde D (1999) Sedimento. Métodos en ecología de aguas continentales. Universidad de la República, Montevideo, pp 40–52Asociación Empresarial de Productores de Cultivos Marinas (APROMAR) (2010) La Acuicultura Marina de Peces en España, pp. 69Baumgarten MGZ, Rocha JM, Niencheski LFH (1996) Manual de análises em oceanografia química, Rio GrandeBelias C, Dassenakis M, Scoullos M (2007) Study of the N, P and Si fluxes between fish farm sediment and seawater. Results of simulation experiments employing a benthic chamber under various redox conditions. Mar Chem 103:266–275Berelson WM, McManus J, Coale KH, Johnson KS, Burdige D, Kilgore T, Colodner D, Chavez F, Kudela R, Boucher J (2003) A time series of benthic flux measurements from Monterey Bay, CA. Cont Shelf Res 23:457–481Black KD, McDougall N (2002) Hydrography of four Mediterranean marine cage sites. J Appl Ichthyol 18:129–133Borja A, Rodríguez JG, Black K, Bodoy A, Emblow C, Fernandes TF, Forte J, Karakassis I, Muxika I, Nickell TD, Papageorgiou N, Pranovi F, Sevastou K, Tomassetti P, Angel D (2009) Assessing the suitability of a range of benthic indices in the evaluation of environmental impact of fin and shellfish aquaculture located in sites across Europe. Aquaculture 293:231–240Cermelj B, Ogrinc N, Faganeli J (2001) Anoxic mineralization of biogenic debris in near-shore marine sediments (Gulf of Trieste, northern Adriatic). Sci Total Environ 266:143–152Dell’Anno A, Mei ML, Pusceddu A, Danovaro R (2002) Assessing the trophic state and eutrophication of coastal marine systems: a new approach based on the biochemical composition of sediment organic matter. Mar Pollut Bull 44:611–622Dosdat A (2001) Environmental impact of aquaculture in the Mediterranean: nutritional and feeding aspects. Environmental impact assessment of Mediterranean aquaculture farms. Cah Options Méditerr CIHEAM-FAO 55:23–36Ferrón S, Ortega T, Forja JM (2009) Benthic fluxes in a tidal salt marsh creek by fish farm activities: Río San Pedro (Bay of Cádiz, SW Spain). Mar Chem 113:50–62Freitas U, Niencheski LFH, Zarzur S, Manzolli RP, Vieira JPP, Rosa LC (2008) Influência de um cultivo de camaraô sobre o metabolismo béntico e a qualidade da agua. Rev Bras Eng Agríc Ambient 12:293–301Hall POJ, Holby O, Kollberg S, Samuelsson MO (1992) Chemical fluxes and mass balances in a marine fish cage farm: IV. Nitrogen. Mar Ecol Prog Ser 89:81–91Hargrave B (2005) Environmental effects of marine finfish aquaculture. The handbook of environmental. chemistry, vol. 5. Part M. Springer, BerlinHargrave BT, Phillips GA, Doucette LI, White MJ, Milligan TG, Wildish DJ, Cranston RE (1997) Assessing benthic impacts of organic enrichment from marine aquaculture. Water Air Soil Pollut 99:641–650Heilskov AC, Holmer M (2001) Effects of benthic fauna on organic matter mineralization in fish-farm sediments: importance of size and abundance. ICES J Mar Sci 58:427–434Herbert RA (1999) Nitrogen cycling in coastal marine ecosystems. FEMS Microbiol Rev 23:563–590Holby O, Hall POJ (1991) Chemical fluxes and mass balances in a marine fish cage farm. 11. Phosphorus. Mar Ecol Prog Ser 70:263–272Holby O, Hall POJ (1994) Chemical fluxes and mass balances in a marine fish cage farm. III. Silicon. Aquaculture 120:305–318Jackson C, Preston N, Thompson PJ (2004) Intake and discharge nutrient loads at three intensive shrimp farms. Aquacult Res 35:1053–1061Karakassis I, Tsapakis M, Hatziyanni E (1998) Seasonal variability in sediment profiles beneath fish farm cages in the Mediterranean. Mar Ecol Prog Ser 162:243–252Kaymakci A, Aksu M, Egemen O (2010) Impacts of the fish farms on the water column nutrient concentrations and accumulation of heavy metals in the sediments in the eastern Aegean Sea (Turkey). Environ Monit Assess 162:439–451Lorenti M, De Falco G (2004) Measurements and characterization of abiotic variables. In: Gambi MC, Diappiano M (eds) Mediterranean marine benthos: a manual of methods for its sampling and study. Societa Italiana di Biologia Marina, Genova, pp 1–37Maldonado M, Carmona MC, Echeverría Y, Riesgo A (2005) The environmental impact of Mediterranean cage fish farms at semi-exposed locations: does it need a re-assessment? Helgol Mar Res 59:121–135Mantzavrakos E, Kornaros M, Lyberatos G, Kaspiris P (2007) Impacts of a marine fish farm in Argolikos Gulf (Greece) on the water column and the sediment. Desalination 210:110–124Mazzola A, Mirto S, La Rosa T, Fabiano M, Danovaro R (2000) Fish-farming effects on benthic community structure in coastal sediments: analysis of meiofaunal recovery. ICES J Mar Sci 57:1454–1461Molina L, Vergara JM (2005) Impacto ambiental de jaulas flotantes: estado actual de conocimientos y conclusiones prácticas. Bol Inst Esp Oceanogr 21:75–81Morán XAG, Estrada M (2005) Winter pelagic photosynthesis in the NW Mediterranean Deep-Sea. Research I 52:1806–1822Neofitou N, Klaoudatos S (2008) Effect of fish farming on the water column nutrient concentration in a semi-enclosed gulf of the Eastern Mediterranean. Aquac Res 39:482–490Niencheski LF, Jahnke RA (2002) Benthic respiration and inorganic nutrient fluxes in the estuarine región of Patos Lagoon (Brazil). Aquat Geochem 8:135–152Nizzoli D, Bartoli M, Viaroli P (2007) Oxygen and ammonium dynamics during a farming cycle of the bivalve Tapes philippinarum. Hydrobiologia 587:25–36Pergent-Martini C, Boudouresque CF, Pasqualini V, Pergent G (2006) Impact of fish farming facilities on Posidonia oceanica meadows: a review. Mar Ecol 27:310–319Pitta P, Karakassis I, Tsapakis M, Zivanovic S (1999) Natural versus mariculture induced variability in nutrients and plankton in the Eastern Mediterranean. Hydrobiologia 391:181–194Redfield AC, Ketchum BH, Richards FA (1963) The influence of organisms on the composition of seawater. In: Hill MN (ed) The sea, vol 2. Interscience, New YorkRiise JC, Roos N (1997) Benthic metabolism and the effects of bioturbation in a fertilized polyculture fish pond in northeast Thailand. Aquaculture 150:45–62Rodríguez J (1999) Ecología. Ed. Pirámide. pp 411Sakamaki T, Nishimura O, Sudo R (2006) Tidal time-scale variation in nutrient flux across the sediment-water interface of an estuarine tidal flat. Estuar Coast Shelf Sci 67:653–663Sarà G, Scilipoti D, Milazzo M, Modica A (2006) Use of stable isotopes to investigate dispersal of waste from fish farms as a function of hydrodynamics. Mar Ecol Prog Ser 313:261–270Shepard FP (1954) Nomenclature based on sand-silt-clay relations. J Sediment Petrol 24:151–158Siokou-Frangou I, Christaki U, Mazzocchi MG, Montresor M, Ribera d’Alcalá M, Vaqué D, Zingone A (2010) Plankton in the open Mediterranean Sea: a review. BG 7:1543–1586Warnken KW, Gill GA, Lehman R, Dellapenna T, Allison MA (2002) The effects of shrimp trawling on sediment oxygen demand and the release of trace metals and nutrients from estuarine sediments. Estuar Coast Shelf Sci 57:25–42Yucel-Gier G, Kucuksezgin F, Kocak F (2007) Effects of fish farming on nutrients and benthic community structure in the Eastern Aegean (Turkey). Aquac Res 38:256–26

Global Perspectives on Task Shifting and Task Sharing in Neurosurgery.

BACKGROUND: Neurosurgical task shifting and task sharing (TS/S), delegating clinical care to non-neurosurgeons, is ongoing in many hospital systems in which neurosurgeons are scarce. Although TS/S can increase access to treatment, it remains highly controversial. This survey investigated perceptions of neurosurgical TS/S to elucidate whether it is a permissible temporary solution to the global workforce deficit. METHODS: The survey was distributed to a convenience sample of individuals providing neurosurgical care. A digital survey link was distributed through electronic mailing lists of continental neurosurgical societies and various collectives, conference announcements, and social media platforms (July 2018-January 2019). Data were analyzed by descriptive statistics and univariate regression of Likert Scale scores. RESULTS: Survey respondents represented 105 of 194 World Health Organization member countries (54.1%; 391 respondents, 162 from high-income countries and 229 from low- and middle-income countries [LMICs]). The most agreed on statement was that task sharing is preferred to task shifting. There was broad consensus that both task shifting and task sharing should require competency-based evaluation, standardized training endorsed by governing organizations, and maintenance of certification. When perspectives were stratified by income class, LMICs were significantly more likely to agree that task shifting is professionally disruptive to traditional training, task sharing should be a priority where human resources are scarce, and to call for additional TS/S regulation, such as certification and formal consultation with a neurosurgeon (in person or electronic/telemedicine). CONCLUSIONS: Both LMIC and high-income countries agreed that task sharing should be prioritized over task shifting and that additional recommendations and regulations could enhance care. These data invite future discussions on policy and training programs

Global burden of respiratory infections associated with seasonal influenza in children under 5 years in 2018: a systematic review and modelling study

Background: Seasonal influenza virus is a common cause of acute lower respiratory infection (ALRI) in young children. In 2008, we estimated that 20 million influenza-virus-associated ALRI and 1 million influenza-virus-associated severe ALRI occurred in children under 5 years globally. Despite this substantial burden, only a few low-income and middle-income countries have adopted routine influenza vaccination policies for children and, where present, these have achieved only low or unknown levels of vaccine uptake. Moreover, the influenza burden might have changed due to the emergence and circulation of influenza A/H1N1pdm09. We aimed to incorporate new data to update estimates of the global number of cases, hospital admissions, and mortality from influenza-virus-associated respiratory infections in children under 5 years in 2018. Methods: We estimated the regional and global burden of influenza-associated respiratory infections in children under 5 years from a systematic review of 100 studies published between Jan 1, 1995, and Dec 31, 2018, and a further 57 high-quality unpublished studies. We adapted the Newcastle-Ottawa Scale to assess the risk of bias. We estimated incidence and hospitalisation rates of influenza-virus-associated respiratory infections by severity, case ascertainment, region, and age. We estimated in-hospital deaths from influenza virus ALRI by combining hospital admissions and in-hospital case-fatality ratios of influenza virus ALRI. We estimated the upper bound of influenza virus-associated ALRI deaths based on the number of in-hospital deaths, US paediatric influenza-associated death data, and population-based childhood all-cause pneumonia mortality data in six sites in low-income and lower-middle-income countries. Findings: In 2018, among children under 5 years globally, there were an estimated 109·5 million influenza virus episodes (uncertainty range [UR] 63·1–190·6), 10·1 million influenza-virus-associated ALRI cases (6·8–15·1); 870 000 influenza-virus-associated ALRI hospital admissions (543 000–1 415 000), 15 300 in-hospital deaths (5800–43 800), and up to 34 800 (13 200–97 200) overall influenza-virus-associated ALRI deaths. Influenza virus accounted for 7% of ALRI cases, 5% of ALRI hospital admissions, and 4% of ALRI deaths in children under 5 years. About 23% of the hospital admissions and 36% of the in-hospital deaths were in infants under 6 months. About 82% of the in-hospital deaths occurred in low-income and lower-middle-income countries. Interpretation: A large proportion of the influenza-associated burden occurs among young infants and in low-income and lower middle-income countries. Our findings provide new and important evidence for maternal and paediatric influenza immunisation, and should inform future immunisation policy particularly in low-income and middle-income countries. Funding: WHO; Bill & Melinda Gates Foundation.Fil: Wang, Xin. University of Edinburgh; Reino UnidoFil: Li, You. University of Edinburgh; Reino UnidoFil: O'Brien, Katherine L.. University Johns Hopkins; Estados UnidosFil: Madhi, Shabir A.. University of the Witwatersrand; SudáfricaFil: Widdowson, Marc Alain. Centers for Disease Control and Prevention; Estados UnidosFil: Byass, Peter. Umea University; SueciaFil: Omer, Saad B.. Yale School Of Public Health; Estados UnidosFil: Abbas, Qalab. Aga Khan University; PakistánFil: Ali, Asad. Aga Khan University; PakistánFil: Amu, Alberta. Dodowa Health Research Centre; GhanaFil: Azziz-Baumgartner, Eduardo. Centers for Disease Control and Prevention; Estados UnidosFil: Bassat, Quique. University Of Barcelona; EspañaFil: Abdullah Brooks, W.. University Johns Hopkins; Estados UnidosFil: Chaves, Sandra S.. Centers for Disease Control and Prevention; Estados UnidosFil: Chung, Alexandria. University of Edinburgh; Reino UnidoFil: Cohen, Cheryl. National Institute For Communicable Diseases; SudáfricaFil: Echavarría, Marcela Silvia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. CEMIC-CONICET. Centro de Educaciones Médicas e Investigaciones Clínicas "Norberto Quirno". CEMIC-CONICET; ArgentinaFil: Fasce, Rodrigo A.. Public Health Institute; ChileFil: Gentile, Angela. Gobierno de la Ciudad de Buenos Aires. Hospital General de Niños "Ricardo Gutiérrez"; ArgentinaFil: Gordon, Aubree. University of Michigan; Estados UnidosFil: Groome, Michelle. University of the Witwatersrand; SudáfricaFil: Heikkinen, Terho. University Of Turku; FinlandiaFil: Hirve, Siddhivinayak. Kem Hospital Research Centre; IndiaFil: Jara, Jorge H.. Universidad del Valle de Guatemala; GuatemalaFil: Katz, Mark A.. Clalit Research Institute; IsraelFil: Khuri Bulos, Najwa. University Of Jordan School Of Medicine; JordaniaFil: Krishnan, Anand. All India Institute Of Medical Sciences; IndiaFil: de Leon, Oscar. Universidad del Valle de Guatemala; GuatemalaFil: Lucero, Marilla G.. Research Institute For Tropical Medicine; FilipinasFil: McCracken, John P.. Universidad del Valle de Guatemala; GuatemalaFil: Mira-Iglesias, Ainara. Fundación Para El Fomento de la Investigación Sanitaria; EspañaFil: Moïsi, Jennifer C.. Agence de Médecine Préventive; FranciaFil: Munywoki, Patrick K.. No especifíca;Fil: Ourohiré, Millogo. No especifíca;Fil: Polack, Fernando Pedro. Fundación para la Investigación en Infectología Infantil; ArgentinaFil: Rahi, Manveer. University of Edinburgh; Reino UnidoFil: Rasmussen, Zeba A.. National Institutes Of Health; Estados UnidosFil: Rath, Barbara A.. Vienna Vaccine Safety Initiative; AlemaniaFil: Saha, Samir K.. Child Health Research Foundation; BangladeshFil: Simões, Eric A.F.. University of Colorado; Estados UnidosFil: Sotomayor, Viviana. Ministerio de Salud de Santiago de Chile; ChileFil: Thamthitiwat, Somsak. Thailand Ministry Of Public Health; TailandiaFil: Treurnicht, Florette K.. University of the Witwatersrand; SudáfricaFil: Wamukoya, Marylene. African Population & Health Research Center; KeniaFil: Lay-Myint, Yoshida. Nagasaki University; JapónFil: Zar, Heather J.. University of Cape Town; SudáfricaFil: Campbell, Harry. University of Edinburgh; Reino UnidoFil: Nair, Harish. University of Edinburgh; Reino Unid

Allergen sensitization linked to climate and age, not to intermittent-persistent rhinitis in a cross-sectional cohort study in the (sub)tropics

Background: Allergen exposure leads to allergen sensitization in susceptible individuals and this might influence allergic rhinitis (AR) phenotype expression. We investigated whether sensitization patterns vary in a country with subtropical and tropical regions and if sensitization patterns relate to AR phenotypes or age. Methods: In a national, cross-sectional study AR patients (2-70 y) seen by allergists underwent blinded skin prick testing with a panel of 18 allergens and completed a validated questionnaire on AR phenotypes. Results: 628 patients were recruited. The major sensitizing allergen was house dust mite (HDM) (56%), followed by Bermuda grass (26%), ash (24%), oak (23%) and mesquite (21%) pollen, cat (22%) and cockroach (21%). Patients living in the tropical region were almost exclusively sensitized to HDM (87%). In the central agricultural zones sensitization is primarily to grass and tree pollen. Nationwide, most study subjects had perennial (82.2%), intermittent (56.5%) and moderate-severe (84.7%) AR. Sensitization was not related to the intermittent-persistent AR classification or to AR severity; seasonal AR was associated with tree (p < 0.05) and grass pollen sensitization (p < 0.01). HDM sensitization was more frequent in children (0-11 y) and adolescents (12-17 y) (subtropical region: p < 0.0005; tropical region p < 0.05), but pollen sensitization becomes more important in the adult patients visiting allergists (Adults vs children + adolescents for tree pollen: p < 0.0001, weeds: p < 0.0005). Conclusions: In a country with (sub)tropical climate zones SPT sensitization patterns varied according to climatological zones; they were different from those found in Europe, HDM sensitization far outweighing pollen allergies and Bermuda grass and Ash pollen being the main grass and tree allergens, respectively. Pollen sensitization was related to SAR, but no relation between sensitization and intermittent-persistent AR or AR severity could be detected. Sensitization patterns vary with age (child HDM, adult pollen). Clinical implications of our findings are dual: only a few allergens –some region specific- cover the majority of sensitizations in (sub)tropical climate zones. This is of major importance for allergen manufacturers and immunotherapy planning. Secondly, patient selection in clinical trials should be based on the intermittent-persistent and severity classifications, rather than on the seasonal-perennial AR subtypes, especially when conducted in (sub)tropical countries