Emergency response for evaluating SARS-CoV-2 immune status, seroprevalence and convalescent plasma in Argentina

We report the emergency development and application of a robust serologic test to evaluate acute and convalescent antibody responses to SARS-CoV-2 in Argentina. The assays, COVIDAR IgG and IgM, which were produced and provided for free to health authorities, private and public health institutions and nursing homes, use a combination of a trimer stabilized spike protein and the receptor binding domain (RBD) in a single enzyme-linked immunosorbent assay (ELISA) plate. Over half million tests have already been distributed to detect and quantify antibodies for multiple purposes, including assessment of immune responses in hospitalized patients and large seroprevalence studies in neighborhoods, slums and health care workers, which resulted in a powerful tool for asymptomatic detection and policy making in the country. Analysis of antibody levels and longitudinal studies of symptomatic and asymptomatic SARS-CoV-2 infections in over one thousand patient samples provided insightful information about IgM and IgG seroconversion time and kinetics, and IgM waning profiles. At least 35% of patients showed seroconversion within 7 days, and 95% within 45 days of symptoms onset, with simultaneous or close sequential IgM and IgG detection. Longitudinal studies of asymptomatic cases showed a wide range of antibody responses with median levels below those observed in symptomatic patients. Regarding convalescent plasma applications, a protocol was standardized for the assessment of end point IgG antibody titers with COVIDAR with more than 500 plasma donors. The protocol showed a positive correlation with neutralizing antibody titers, and was used for clinical trials and therapies across the country. Using this protocol, about 80% of convalescent donor plasmas were potentially suitable for therapies. Here, we demonstrate the importance of providing a robust and specific serologic assay for generating new information about antibody kinetics in infected individuals and mitigation policies to cope with pandemic needs.Fil: Ojeda, Diego Sebastian. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Bioquímicas de Buenos Aires. Fundación Instituto Leloir. Instituto de Investigaciones Bioquímicas de Buenos Aires; ArgentinaFil: González López Ledesma, María Mora. Fundación Instituto Leloir; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Pallarés, Horacio Martín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Bioquímicas de Buenos Aires. Fundación Instituto Leloir. Instituto de Investigaciones Bioquímicas de Buenos Aires; ArgentinaFil: Costa Navarro, Guadalupe Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación Instituto Leloir; ArgentinaFil: Sanchez, Lautaro Nicolas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Bioquímicas de Buenos Aires. Fundación Instituto Leloir. Instituto de Investigaciones Bioquímicas de Buenos Aires; ArgentinaFil: Perazzi, Beatriz Elizabeth. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; ArgentinaFil: Villordo, Sergio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Bioquímicas de Buenos Aires. Fundación Instituto Leloir. Instituto de Investigaciones Bioquímicas de Buenos Aires; ArgentinaFil: Alvarez, Diego Ezequiel. Universidad Nacional de San Martín; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Echavarría, Marcela Silvia. Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno"; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Oguntuyo, Kasopefoluwa Y.. Icahn School of Medicine at Mount Sinai; Estados UnidosFil: Stevens, Christian S.. Icahn School of Medicine at Mount Sinai; Estados UnidosFil: Lee, Benhur. Icahn School of Medicine at Mount Sinai; Estados UnidosFil: Carradori, Jorge. Laboratorio Lemos S.R.L; ArgentinaFil: Caramelo, Julio Javier. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Bioquímicas de Buenos Aires. Fundación Instituto Leloir. Instituto de Investigaciones Bioquímicas de Buenos Aires; ArgentinaFil: Yanovsky, Marcelo Javier. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Bioquímicas de Buenos Aires. Fundación Instituto Leloir. Instituto de Investigaciones Bioquímicas de Buenos Aires; ArgentinaFil: Gamarnik, Andrea Vanesa. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Bioquímicas de Buenos Aires. Fundación Instituto Leloir. Instituto de Investigaciones Bioquímicas de Buenos Aires; Argentin

Vocabulario de la sociedad civil, la ruralidad y los movimientos sociales en América Latina

El Vocabulario de la Sociedad Civil, la Ruralidad y los Movimientos Sociales en América Latina tiene como objetivo desarrollar vocablos relacionados con temas de gran trascendencia para la vida colectiva de la población Latinoamericana; pretende introducir a estudiantes, personas del ámbito académico y activistas en la comprensión de estas categorías de análisis. A través de la mirada de 70 especialistas que participaron en este vocabulario, es posible comprender muchos de los términos que se utilizan dentro de la investigación social y áreas relacionadas con las ciencias políticas, ambientales y rurales, a partir de una mayor explicación y detalle. Es por ello que se inserta este trabajo desde una mirada colectiva y amplia de los conceptos que se exponen. En este libro podrá encontrar las ideas de varios autores y autoras de distintas universidades, con una visión multi, inter y transdisciplinaria. El esfuerzo que se realizó para conjuntar varios términos y analizar su compleja red de interpretaciones, permitirá que este manuscrito pueda ser consultado por estudiantes, personas del ámbito científico-académico, y ciudadanía; porque contiene el estado del arte, la historia del paulatino avance de múltiples conceptos y su vigencia en el contexto actual

Global respiratory syncytial virus–related infant community deaths

Background Respiratory syncytial virus (RSV) is a leading cause of pediatric death, with >99% of mortality occurring in low- and lower middle-income countries. At least half of RSV-related deaths are estimated to occur in the community, but clinical characteristics of this group of children remain poorly characterized. Methods The RSV Global Online Mortality Database (RSV GOLD), a global registry of under-5 children who have died with RSV-related illness, describes clinical characteristics of children dying of RSV through global data sharing. RSV GOLD acts as a collaborative platform for global deaths, including community mortality studies described in this supplement. We aimed to compare the age distribution of infant deaths <6 months occurring in the community with in-hospital. Results We studied 829 RSV-related deaths <1 year of age from 38 developing countries, including 166 community deaths from 12 countries. There were 629 deaths that occurred <6 months, of which 156 (25%) occurred in the community. Among infants who died before 6 months of age, median age at death in the community (1.5 months; IQR: 0.8−3.3) was lower than in-hospital (2.4 months; IQR: 1.5−4.0; P < .0001). The proportion of neonatal deaths was higher in the community (29%, 46/156) than in-hospital (12%, 57/473, P < 0.0001). Conclusions We observed that children in the community die at a younger age. We expect that maternal vaccination or immunoprophylaxis against RSV will have a larger impact on RSV-related mortality in the community than in-hospital. This case series of RSV-related community deaths, made possible through global data sharing, allowed us to assess the potential impact of future RSV vaccines

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Carlos Barral o un reverso guilleniano

Si bien se han venido investigando los puentes entre dos generaciones poéticas españolas como la del 27 y la de los años 50, dichos trabajos no son los más abundantes, sobre todo cuando se trata de estudiar a un autor encasillado como difícil, como es el caso de Carlos Barral. No obstante, los textos del Cántico de Jorge Guillén encuentran una notabilísima recepción en el Metropolitano de Barral, estableciéndose un nexo en absoluto desestimable entre dos nombres en apariencia tan distantes. Este estudio mostrará cómo ambos escritores filtran o poetizan la realidad de forma similar, aunque con actitudes sistemáticamente opuestas: la forma de concebir el mundo por Barral es el negativo perfecto de la manera en que lo hace Guillén. Se analizará la afinidad del poeta catalán por el vallisoletano desde varias perspectivas, que van desde su relación vital —en la que resulta fundamental el papel de Jaime Gil de Biedma— hasta las huellas de Cántico en Metropolitano, pasando por una lógica poética análoga. Finalmente, se hará palmario el hecho de que Jorge Guillén fue el poeta español del siglo xx —y puede que de la Historia de la literatura española— más admirado por Carlos Barral

An alternative inoculation technique of Colletotrichum gloeosporioides on mango for early anthracnose tolerance screening

The importance of having a technique that allows an efficient expression of symptoms of anthracnose is based on the early differentiation of cultivars and the optimization of genetic, material and financial resources. The objective of this research was to generate an alternative inoculation technique for Colletotrichum gloeosporioides on mango for early anthracnose tolerance screening. On this technique was optimized some of the most relevant components such as isolate virulence, conidial density, the inoculum deposition on leaves and using of surfactants. The study was carried in Iguala, Mexico, during the production cycles 2015-2016. C. gloeosporioides was biologically and culturally characterized. Gro and Sin monosporic strains were isolated from leaves, flowers, fruits and branches with anthracnose symptoms from commercial mango orchards located in Guerrero and Sinaloa states, Mexico. These strains show mycelial growth at 2.2 and 2.1 cm of diameter per day, spore density of 4.3x106, 3.9x106 conidia/ml, germination of 27 and 26%, virulence, with incubation period 4.5 and 4.1 days after inoculation, incidence of 90 and 92% and severity of 3.2 and 3.5 cm of diameter. The highest incidence and severity values with the lowest incubation period, was obtained using Gro isolate (1x105 conidia/ml) and polyoxyethylene-20-sorbitan monolaurate as spreader-sticker inoculated on the abaxial surface on detached young leaves, 15-20 days old, with a soft brush and incubated under dark condition. This inoculation technique allowed the optimal expression of C. gloeosporioides virulence in mango leaves and could be incorporated as a tool in the early differentiation of tolerance and susceptibility among cultivars.La importancia de contar con una técnica que permita una expresión eficiente de síntomas de antracnosis se basa en la diferenciación temprana de cultivares y a la optimización de recursos genéticos, materiales y financieros. El objetivo de esta investigación fue generar una técnica de inoculación alternativa para Colletotrichum gloeosporioides en mango para la detección temprana de la tolerancia a la antracnosis. En esta técnica se optimizaron algunos de los componentes más relevantes como la virulencia de los aislamientos, la densidad de conidios, la deposición de inóculo en hojas y el uso de surfactantes. El estudio se realizó en Iguala, México, durante los ciclos de producción 2015-2016. C. gloeosporioides fue caracterizado biológica y culturalmente. Los aislamientos monospóricos Gro y Sin, fueron obtenidos de hojas, flores, frutos y ramas con síntomas típicos de antracnosis procedentes de huertos comerciales de mango ubicados en los estados de Guerrero y Sinaloa, México. Estos aislamientos presentaron un crecimiento micelial de 2,2, y 2,1 cm de diámetro por día, densidad de esporas de 4,3x10 (elevado a 6), 3,9x10 (elevado a 6) conidios/ml, germinación de 27 y 26%, virulencia, con un período de incubación de 4,5 y 4,1 días después de la inoculación, 90 y 92% de incidencia y severidad de 3,2 y 3,5 cm de diámetro. Los valores de incidencia y severidad más altos y los períodos de incubación más bajos se obtuvieron con el aislamiento Gro (1x10 (elevado a 5) conidios/ml), en un medio de monolaurato de polioxietileno-20-sorbitán sobre la superficie abaxial de hojas jóvenes desprendidas, de 15-20 días de desarrollo, con el empleo de una brocha de pelo suave e incubado en condiciones de oscuridad. Esta técnica de inoculación permitió la expresión óptima de virulencia de C. gloeosporioides en hojas de mango y podría incorporarse como una herramienta en la diferenciación temprana de la tolerancia y susceptibilidad entre cultivares

An alternative inoculation technique of Colletotrichum gloeosporioides on mango for early anthracnose tolerance screening

The importance of having a technique that allows an efficient expression of symptoms of anthracnose is based on the early differentiation of cultivars and the optimization of genetic, material and financial resources. The objective of this research was to generate an alternative inoculation technique for Colletotrichum gloeosporioides on mango for early anthracnose tolerance screening. On this technique was optimized some of the most relevant components such as isolate virulence, conidial density, the inoculum deposition on leaves and using of surfactants. The study was carried in Iguala, Mexico, during the production cycles 2015-2016. C. gloeosporioides was biologically and culturally characterized. Gro and Sin monosporic strains were isolated from leaves, flowers, fruits and branches with anthracnose symptoms from commercial mango orchards located in Guerrero and Sinaloa states, Mexico. These strains show mycelial growth at 2.2 and 2.1 cm of diameter per day, spore density of 4.3x106, 3.9x106 conidia/ml, germination of 27 and 26%, virulence, with incubation period 4.5 and 4.1 days after inoculation, incidence of 90 and 92% and severity of 3.2 and 3.5 cm of diameter. The highest incidence and severity values with the lowest incubation period, was obtained using Gro isolate (1x105 conidia/ml) and polyoxyethylene-20-sorbitan monolaurate as spreader-sticker inoculated on the abaxial surface on detached young leaves, 15-20 days old, with a soft brush and incubated under dark condition. This inoculation technique allowed the optimal expression of C. gloeosporioides virulence in mango leaves and could be incorporated as a tool in the early differentiation of tolerance and susceptibility among cultivars

EVALUATION OF TOLERANCE TO VEGETATIVE ANTRACNOSIS OF NEW MANGO GERMPLASMS IN MEXICO

Anthracnose (Colletotrichum gloeosporioides Penz.) is one of the most important diseases of mango (Mangifera indica L.) due to its wide distribution in the world and to induce severe epidemics in the vegetative and reproductive stages, causing important production losses. The objective of this research was to evaluate the tolerance to C. gloeosporioides infection in the vegetative stage of eleven new mango cultivars in Mexico with potential in the export market. Leaves of 15 days old of development were inoculated with the Gro isolate highlighted in virulence. Based on the incubation, period, incidence and severity, "Alphonse", "Neelum", "Kesar and Ivory” cultivars were low susceptibility, “Nam Doc Mai”, “Rosygold”, “Cotaxtla” were highly susceptible, and "Fairchild", "Ataúlfo Diamante", "Ataúlfo Zafiro" and "Mallika" had medium susceptibility. The longer incubation periods determined the lowest severity (r2= -0.89 and -0.90) and incidence (r2= -0.77 and -0.85). The incidence correlated positively with severity (r2= 0.86 and 0.92), both inoculation techniques (DLT and ALT) were useful to induce typical symptoms of anthracnose and to estimate the expression of virulence (incubation period, incidence and severity) of the pathogen.   La antracnosis (Colletotrichum gloeosporioides Penz.) es una de las enfermedades más importantes del mango (Mangifera indica L.) debido a su amplia distribución en el mundo y por inducir severas epidemias en etapas vegetativas y reproductiva que conllevan a importantes pérdidas de producción. El objetivo de esta investigación fue evaluar la tolerancia a la infección por C. gloeosporioides en etapa vegetativa de once nuevos cultivares de mango en México con potencial en el mercado de exportación. Se inocularon hojas de 15 días de desarrollo con el aislamiento virulento Gro. Basándose en los períodos de incubación, incidencia y severidad, los cultivares "Alphonse", "Neelum", "Kesar e “Ivory" presentaron baja susceptibilidad, "Nam Doc Mai", "Rosygold", y "Cotaxtla" fueron altamente susceptibles mientras que  “Fairchild”. “Ataúlfo Diamante”, “Ataúlfo Zafiro” y "Mallika" exhibieron susceptibilidad media. Los períodos de incubación más largos determinaron la menor severidad (r2 = -0.89 y -0.90) e incidencia (r2 = -0.77 y -0.85). La incidencia se correlacionó positivamente con la gravedad (r2 = 0,86 y 0,92), ambas técnicas (DLT y ALT) de inoculación fueron útiles para inducir síntomas típicos de antracnosis y para estimar la expresión de virulencia (período de incubación, incidencia y severidad) del patógeno

Ibero-American Cases and Dialogues on International Criminal Law, International Humanitarian Law, and Transitional Justice

Este libro es producto de la investigación de diversas inquietudes, de veintidós investigadores de diez países iberoamericanos, en torno a los desarrollos jurisprudenciales y los debates contemporáneos del derecho internacional en materia derecho internacional penal, derecho internacional humanitario, justicia transicional y las necesidades cambiantes de su protección y desarrollo en el contexto de la globalización. Esta investigación se instala en el contexto de una comunidad epistémica que se ha ido consolidando alrededor de las mesas temáticas que anualmente se reúnen en el Congreso Nacional de Derecho Internacional de la Facultad de Jurisprudencia de la Universidad del Rosario que, con el apoyo del Anuario Colombiano de Derecho Internacional, el Anuario Iberoamericano de Derecho Internacional Penal, el Instituto Iberoamericano de La Haya, la Red Latinoamericana de Revistas de Derecho Internacional, la Red de Investigación Perspectivas Ibero-Americanas sobre la Justicia y el Colegio de Abogados Rosaristas, se ha consolidado como el epicentro de grandes debates y promotor de investigaciones en favor del desarrollo hemisférico del derecho internacional.This book is the result of the investigation of matters of interest by twenty-two researchers from ten Ibero-American countries regarding the jurisprudential developments of international law and contemporary debates on international criminal law, international humanitarian law, transitional justice, and the changing needs of their protection and development in the context of globalization. This research takes place within an epistemic community that has slowly become established around the annual thematic tables of the National Conference on International Law organized by the Faculty of Jurisprudence at the Universidad del Rosario. With the support of the Anuario Colombiano de Derecho Internacional, the Anuario Iberoamericano de Derecho Internacional Penal, the Ibero-American Institute of The Hague, the Latin American Network of International Law Journals, the Ibero-American Perspectives on Justice Research Network, and the Universidad del Rosario Bar Association, this conference has consolidated itself as the epicenter of great debates and promoter of research in favor of the development of international law in the hemisphere