Neuropathological findings in fatal COVID-19 and their associated neurological clinical manifestations

9 p.Severe cases of Coronavirus Disease 2019 (COVID-19) can present with multiple neurological symptoms. The available neuropathological studies have described different lesions; the most frequent was the presence of neuroinflammation and vascular-related lesions. The objective of this study was to report the neuropathological studies performed in a medical institution, with abundant long intensive care unit stays, and their associated clinical manifestations. This is a retrospective monocentric case series study based on the neuropathological reports of 13 autopsies with a wide range of illness duration (13-108 days). A neuroinflammatory score was calculated based on the quantification of CD8- and CD68-positive cells in representative areas of the central nervous system. This score was correlated afterwards with illness duration and parameters related to systemic inflammation. Widespread microglial and cytotoxic T-cell activation was found in all patients. There was no correlation between the neuroinflammatory score and the duration of the illness; nor with parameters of systemic inflammation such as the peak of IL-6 or the HScore (a parameter of systemic macrophage activation syndrome). Two patients had global hypoxic ischaemic damage and five patients had subacute infarcts. One patient had many more brain vascular microthrombi compared to the others and multiple subacute pituitary infarcts. SARS-CoV-2 RNA was not detected with qRT-PCR. The proportion of brain lesions in severe COVID-19 patients could be related to illness duration. In our series, with abundant long hospitalisation stays, neuroinflammation was present in all patients and was more prominent between day 34 and day 45 after onset of symptoms. Clinical correlation showed that two patients with the highest neuroinflammatory scores had severe encephalopathies that were not attributable to any other cause. The second most frequent lesions were related to vascular pathology.Instituto de Salud Carlos IIICIBERONCInstituto Ramón y Cajal de Investigación SanitariaMerck, Sharp & Dohme (MSD

Disgust sensitivity relates to attitudes toward gay men and lesbian women across 31 nations

Previous work has reported a relation between pathogen-avoidance motivations and prejudice toward various social groups, including gay men and lesbian women. It is currently unknown whether this association is present across cultures, or specific to North America. Analyses of survey data from adult heterosexuals (N = 11,200) from 31 countries showed a small relation between pathogen disgust sensitivity (an individual-difference measure of pathogen-avoidance motivations) and measures of antigay attitudes. Analyses also showed that pathogen disgust sensitivity relates not only to antipathy toward gay men and lesbians, but also to negativity toward other groups, in particular those associated with violations of traditional sexual norms (e.g., prostitutes). These results suggest that the association between pathogen-avoidance motivations and antigay attitudes is relatively stable across cultures and is a manifestation of a more general relation between pathogen-avoidance motivations and prejudice towards groups associated with sexual norm violations

Eficiência de filtros de areia pressurizados na remoção de diferentes tamanhos de partículas da água de irrigação

Resumo:O objetivo deste trabalho foi avaliar a eficiência de filtros de areia com diferentes granulometrias na remoção de diferentes tamanhos de partículas da água de irrigação, bem como a perda de pressão em função da taxa de filtração e da granulometria de areia do leito filtrante. Os ensaios foram realizados com três filtros de um mesmo modelo comercial, testados com diferentes combinações de granulometrias de areia (areia fina, 0,55 mm; média, 0,77 mm; e grossa, 1,04 mm de diâmetro) e taxas de filtração (20, 40, 60 e 75 m3m-2 h-1), e repetidos em três ciclos de filtração de 4 horas (C1, C2 e C3, realizados em 3 dias consecutivos). O filtro de areia avaliado é efetivo na remoção de partículas a partir do tamanho de areia fina (>60 μm). Nesta faixa de remoção de partículas, a influência da taxa de filtração aumenta com a diminuição do tamanho de partícula na água. O aumento na taxa de filtração, associado à diminuição da granulometria de areia, aumenta a eficiência de remoção, mas acentua a perda de pressão com o tempo, o que diminui a remoção das partículas menores ao longo dos ciclos de filtração

Nutritional divergence in genotypes of forage peanut

The objective of this study was to evaluate the nutritional divergence between ten genotypes of forage peanut, based on chemical composition as well as fermentation and in vitro degradation kinetic characteristics. Treatments consisted of ten genotypes of Arachis pintoi, namely eight accessions (31135, 30333, 15121, 31828, 15598, 31534, 13251 and 31496) and two cultivars (cv. Belmonte and cv. Amarillo). The genotypes were harvested in each plot at a height of 3 cm from the ground, in 42-day intervals, during the time of heaviest rainfall. For the multivariate analysis the following variables, the following were used: crude protein, neutral detergent fiber, potential degradation in 48 hours, degradation rate of insoluble potentially degradable fraction and degradation rate of non-fibrous carbohydrate. The application of the hierarchical clustering analysis, using the Euclidian distances matrix of standardized averages allowed for the identification of five homogeneous groups. Among them, the accessions 31828, 31534, 15121 and cv. Belmonte stood out nutritionally among the remaining genotypes evaluated, depicting as promising for the utilization in ruminant feeding

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.</p

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol�which is a marker of cardiovascular risk�changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95 credible interval 3.7 million�4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world. © 2020, The Author(s), under exclusive licence to Springer Nature Limited

Estudiantes de nutrición promueven la salud en la universidad, desde la cocina

Antecedentes: La alimentación poco saludable se ha vuelto costumbre entre estudiantes universitarios. Desde Nutrición y Dietética en la Universidad de Antioquia-Colombia, el Grupo de Estudio en Educación Alimentaria y Nutricional (GEAN) se propone enseñar y a la vez aprender a cocinar para comer sano. Material y método: El proyecto se desarrolló en el Laboratorio de alimentos. Muestra por conveniencia, vulnerable nutricionalmente; estudiantes que llevan almuerzo desde casa a la universidad, inconformes con su preparación. Diseño: investigación-acción. Se indagó previamente sobre propiocepción de estado nutricional, alimentación diaria, conocimientos culinarios. Los educadores fueron, principalmente, estudiantes de Nutrición, con estudios adicionales en gastronomía. Se hicieron sesiones de culinaria semanales durante tres meses: laboratorios, talleres, demostraciones y degustaciones. Resultados: Aprendizajes significativos de aprender compartiendo y enseñar aprendiendo desde la co-creación de recetas, estandarización de ingredientes, hacer mercado, recepción, preparación, cocción y servicio. Los platos únicos con alimentos de todos los grupos, lograron mayor aceptación para ser transportados de casa a la Universidad. Fueron más efectivos para el aprendizaje, los laboratorios que los talleres culinarios y la degustación fue una estrategia pedagógica efectiva para incentivar a la práctica en casa. Se lograron evidencias fotográficas, de preparar en el hogar las recetas aprendidas, para generar el efecto de un estilo de vida sano en el entorno familiar. Conclusiones: Estudiantes como maestros de sus pares, fue una estrategia acertada para el aprendizaje culinario en la universidad. La concertación de recetas estimuló nuevas formas de crear escenarios y dispositivos de aprendizaje. La creatividad combinada con la moderación, la variedad e inocuidad y el equilibrio nutricional, fueron los aprendizajes declarados para lograr una alimentación saludable desde casa a la universidad, promoviendo la salud en ambos contextos