Ballast Treated with Asphalt Emulsion, Megarok and San Jose. AASTHO Standards

In the research work, the results obtained at the laboratory level of the lending material (ballast) treated with asphalt emulsion from the quarries "Megarok and San José" are compared, applying the AASTHO standards. The quarries are located in the Picoazá-La Sequita parish of the Portoviejo canton. Samples from both quarries were evaluated in the laboratory and it was possible to carry out tests of natural humidity, Atterberg, granulometric, compaction, and soil bearing capacity (CBR). Based on the results obtained, they were compared by disclosing which of the quarries meets the appropriate conditions within the construction standards and techniques, in order to stabilize the material with asphalt emulsion; in addition to comparing it with the specifications of the AASTHO standards and the MTOP standard. The result was that the materials extracted from the quarries do not meet the technical specifications; but when mixed with the asphalt emulsion, the Megarok material fulfills as type A base

Traditional soil fertility management ameliorates climate change impacts on traditional Andean crops within smallholder farming systems

Global changes, particularly rising temperatures, threaten food security in smallholder mountain communities by impacting the suitability of cultivation areas for many crops. Land-use intensification, associated with agrochemical use and tillage threaten soil health and overall agroecosystem resilience. In the Andean region, farmers often cultivate crops at multiple elevations. Warming climates have led to a shift in cultivation upslope, but this is not feasible in many areas. Traditional soil fertility management practices together with a focus on traditional (orphan) crops offers promise to cope with rapid climate warming in the region. To understand the impacts of warming and changing nutrient management, we established two side-by-side experiments using the traditional Andean crops Oxalis tuberosa (Oca) and Lupinus mutabilis (Tarwi) at three elevations, each with two fertility treatments (organic and synthetic). Soil and climate data (i.e., temperature and precipitation) were collected throughout the growing season, and crop performance was evaluated through impacts on yield and other growth metrics (e.g., biomass, pest incidence). We used two-way ANOVA to assess the influence of site (elevation) and management type (organic vs. synthetic) on crop performance. Results indicated that warmer climates (i.e., lowest elevation) negatively impact the production and performance of O. tuberosa, but that organic fertilization (sheep manure) can help maintain crop yield and biomass production in warmer conditions relatively to synthetic nutrient inputs. In contrast, L. mutabilis showed accelerated growth in warmer conditions, but grain yield and biomass production were not significantly affected by site and showed no interaction with nutrient management. Our findings highlight that climate warming represents a serious threat to small-scale crop production in the Peruvian Andes and could cause severe declines in the production of locally important crops. Additionally, the continued reliance traditional crops with organic inputs, instead of synthetic fertilizers, may help support agricultural productivity and resilience under climate change

Self-Medication Practices, Use of Brand-Name, and Over-the-Counter Medicines by Peruvian Older Adults

Background Older adults are a particularly vulnerable group to drug use and self-medication. The aim of the study was to evaluate self-medication as a factor associated with the purchase of brand-name and over-the-counter (OTC) drugs in older adults in Peru. Methods A secondary analysis was performed using an analytical cross-sectional design of data from a nationally representative survey from 2014 to 2016. The exposure variable was self-medication, defined as the purchase of medicines without a prescription. The dependent variables were purchases of brand-name and OTC drugs, both as a dichotomous response (yes/no). Information of sociodemographic variables, health insurance, and the types of drugs purchased by the participants was collected. Crude prevalence ratios (PR) were calculated and adjusted using generalized linear models of the Poisson family, considering the complex sample of the survey. Results In this study, 1,115 respondents were evaluated, with a mean age of 63.8 years and a male proportion of 48.2%. The prevalence of self-medication was 66.6%, while the proportions of purchases of brand-name and OTC drugs were 62.4% and 23.6%, respectively. The adjusted Poisson regression analysis revealed an association between self-medication and the purchase of brand-name drugs (adjusted PR [aPR]=1.09; 95% confidence interval [CI]: 1.01–1.19). Likewise, self-medication was associated with the purchase of OTC medications (aPR=1.97; 95%CI: 1.55–2.51). Conclusions This study evidenced a high prevalence of self-medication in Peruvian older adults. Two-thirds of the surveyed people bought brand-name drugs, whereas one-quarter bought OTC drugs. Self-medication was associated with a greater likelihood of buying brand-name and OTC drugs

The impact of the COVID-19 pandemic on an international rehabilitation study in MS: the CogEx experience

Pandemic restrictions have led to changes in therapy plans and disrupted rehabilitation services for people with multiple sclerosis. CogEx is an international, multicentre MS dual-intervention (cognitive rehabilitation, aerobic exercise) randomized, controlled rehabilitation trial confined to people with progressive disease. The primary outcome is cognition (processing speed).There are 11 treatment sites in six countries with participants required to make 27 site visits over 12 weeks. Collectively, the large, in-person demands of the trial, and the varying international policies for the containment of COVID-19, might disproportionately impact the administration of CogEx. During the first lockdown, all centres closed on average for 82.9 (SD = 24.3) days. One site was required to lockdown on two further occasions. One site remained closed for 16 months. Ten staff (19.2%) were required to quarantine and eight staff (15.4%) tested positive for COVID. 10 of 264 (3.8%) participants acquired COVID-19. All survived. The mean duration of enrollment delay has been [236.7 (SD = 214.5) days]. Restarting participants whose interventions were interrupted by the pandemic meant recalculating the intervention prescriptions for these individuals. While the impact of the pandemic on CogEx has been considerable, all study sites are again open. Participants and staff have shown considerable flexibility and resilience in keeping a complex, international endeavour running. The future in general remains uncertain in the midst of a pandemic, but there is cautious optimism the study will be completed with sufficient sample size to robustly evaluate our hypothesis and provide meaningful results to the MS community on the impact of these interventions on people with progressive MS. Trial registration: The trial was registered on September 20th 2018 at www.clinicaltrials.gov having identifier NCT03679468. Registration was performed before recruitment was initiated

Drivers of growth and establishment of the invasive plant Rumex acetosella within Andean fallow systems

Intensification of crop rotations and associated agricultural practices are reducing the capacity of traditional fallows to restore soil fertility and provide forage in Andean cropping systems. While the implementation of improved fallows offers great promise to enhance forage provision and maintain soil productivity, effects of these practices on the establishment of problematic weeds, including non-native plant species, remain poorly understood. To address this knowledge gap, we studied: i) how biotic and abiotic environmental factors influence the establishment and productivity of weeds in traditional fallows; and ii) to what extent improved fallows can help control weedy vegetation in smallholder rotations of the high Andes. Specifically, in this research, we focused on the invasive plant species Rumex acetosella L., which is a common concern of farmers throughout the central Peruvian Andes. We leveraged a multi-site, participatory research trial established in 2017 across eight communities in the region to understand the main drivers of R. acetosella presence and productivity. We used a total of 82 sites, each with paired treatments of traditional fallow (control with natural revegetation) and improved fallow (seeded with Vicia sativa L. and Avena sativa L.). Prior to treatment establishment we measured soil texture, pH, soil organic matter content as well as exchangeable macro-nutrients. Vegetation data was recorded in each treatment and divided into four categories: 1) A. sativa, 2) V. sativa, 3) R. acetosella, and 4) other weeds, and weighed to determine the relative biomass contribution of each. From these data, we calculated an index for R. acetosella pressure, weed pressure, and forage productivity. Our findings indicate that improved fallows greatly suppress weedy vegetation relative to unmanaged controls, including the invasive R. acetosella. Multivariate analyses suggested that R. acetosella abundance was associated with the presence of other non-planted weeds and predictors of soil fertility. The mean R. acetosella index in improved fallows was significantly lower compared to traditional fallows. We found R. acetosella biomass to be greater at lower productivity sites, i.e., those at higher elevations with cooler climates and sites with less fertile soils. Our findings indicate that if the fallow portion of a rotation is kept productive via adequate soil fertility inputs, the biomass of weeds, including the alien R. acetosella, is dramatically reduced

The relationship between processing speed and verbal and non-verbal new learning and memory in progressive multiple sclerosis

Objective: Processing speed (PS) deficits are the most common cognitive deficits in multiple sclerosis (MS), followed by learning and memory deficits, and are often an early cognitive problem. It has been argued that impaired PS is a primary consequence of MS, which in turn decreases learning. The current analysis examined the association between PS and learning in a large cohort of individuals with progressive MS. Methods: Baseline data from a randomized clinical trial on rehabilitation taking place at 11 centers across North America and Europe were analyzed. Participants included 275 individuals with clinically definite progressive MS (primary, secondary) consented into the trial. Results: Symbol Digit Modalities Test (SDMT) significantly correlated with California Verbal Learning Test-II (CVLT-II) (r = 0.21, p = 0.0003) and Brief Visuospatial Memory Test–Revised (BVMT-R) (r = 0.516, p < 0.0001). Receiver operating characteristic (ROC) analysis of the SDMT z score to distinguish between impaired and non-impaired CVLT-II performance demonstrated an area under the curve (AUC) of 0.61 (95% confidence interval (CI): 0.55–0.68) and a threshold of −1.62. ROC analysis between SDMT and BVMT-R resulted in an AUC of 0.77 (95% CI: 0.71–0.83) and threshold of −1.75 for the SDMT z score to predict impaired BVMT-R. Conclusion: Results indicate little ability beyond chance to predict CVLT-II from SDMT (61%), albeit statistically significant. In contrast, there was a 77% chance that the model could distinguish between impaired and non-impaired BVMT-R. Several potential explanations are discussed

Impact of international travel and diarrhea on gut microbiome and resistome dynamics

International travel contributes to the global spread of antimicrobial resistance. Travelers\u27 diarrhea exacerbates the risk of acquiring multidrug-resistant organisms and can lead to persistent gastrointestinal disturbance post-travel. However, little is known about the impact of diarrhea on travelers\u27 gut microbiomes, and the dynamics of these changes throughout travel. Here, we assembled a cohort of 159 international students visiting the Andean city of Cusco, Peru and applied next-generation sequencing techniques to 718 longitudinally-collected stool samples. We find that gut microbiome composition changed significantly throughout travel, but taxonomic diversity remained stable. However, diarrhea disrupted this stability and resulted in an increased abundance of antimicrobial resistance genes that can remain high for weeks. We also identified taxa differentially abundant between diarrheal and non-diarrheal samples, which were used to develop a classification model that distinguishes between these disease states. Additionally, we sequenced the genomes of 212 diarrheagenic Escherichia coli isolates and found those from travelers who experienced diarrhea encoded more antimicrobial resistance genes than those who did not. In this work, we find the gut microbiomes of international travelers\u27 are resilient to dysbiosis; however, they are also susceptible to colonization by multidrug-resistant bacteria, a risk that is more pronounced in travelers with diarrhea

Arsenic Exposure Is Associated with Decreased DNA Repair in Vitro and in Individuals Exposed to Drinking Water Arsenic

The mechanism(s) by which arsenic exposure contributes to human cancer risk is unknown; however, several indirect cocarcinogenesis mechanisms have been proposed. Many studies support the role of As in altering one or more DNA repair processes. In the present study we used individual-level exposure data and biologic samples to investigate the effects of As exposure on nucleotide excision repair in two study populations, focusing on the excision repair cross-complement 1 (ERCC1) component. We measured drinking water, urinary, or toenail As levels and obtained cryopreserved lymphocytes of a subset of individuals enrolled in epidemiologic studies in New Hampshire (USA) and Sonora (Mexico). Additionally, in corroborative laboratory studies, we examined the effects of As on DNA repair in a cultured human cell model. Arsenic exposure was associated with decreased expression of ERCC1 in isolated lymphocytes at the mRNA and protein levels. In addition, lymphocytes from As-exposed individuals showed higher levels of DNA damage, as measured by a comet assay, both at baseline and after a 2-acetoxyacetylaminofluorene (2-AAAF) challenge. In support of the in vivo data, As exposure decreased ERCC1 mRNA expression and enhanced levels of DNA damage after a 2-AAAF challenge in cell culture. These data provide further evidence to support the ability of As to inhibit the DNA repair machinery, which is likely to enhance the genotoxicity and mutagenicity of other directly genotoxic compounds, as part of a cocarcinogenic mechanism of action

Redox proteomics of the inflammatory secretome identifies a common set of redoxins and other glutathionylated proteins released in inflammation, influenza virus infection and oxidative stress

Protein cysteines can form transient disulfides with glutathione (GSH), resulting in the production of glutathionylated proteins, and this process is regarded as a mechanism by which the redox state of the cell can regulate protein function. Most studies on redox regulation of immunity have focused on intracellular proteins. In this study we have used redox proteomics to identify those proteins released in glutathionylated form by macrophages stimulated with lipopolysaccharide (LPS) after pre-loading the cells with biotinylated GSH. Of the several proteins identified in the redox secretome, we have selected a number for validation. Proteomic analysis indicated that LPS stimulated the release of peroxiredoxin (PRDX) 1, PRDX2, vimentin (VIM), profilin1 (PFN1) and thioredoxin 1 (TXN1). For PRDX1 and TXN1, we were able to confirm that the released protein is glutathionylated. PRDX1, PRDX2 and TXN1 were also released by the human pulmonary epithelial cell line, A549, infected with influenza virus. The release of the proteins identified was inhibited by the anti-inflammatory glucocorticoid, dexamethasone (DEX), which also inhibited tumor necrosis factor (TNF)-α release, and by thiol antioxidants (N-butanoyl GSH derivative, GSH-C4, and N-acetylcysteine (NAC), which did not affect TNF-α production. The proteins identified could be useful as biomarkers of oxidative stress associated with inflammation, and further studies will be required to investigate if the extracellular forms of these proteins has immunoregulatory functions