Simposio Sul Americano do Siluro-Devoniano : estratigrafia e paleontologia : anais

El Silurico y Devonico de Bolivia registra importantes eventos tectonicos, eustaticos y paleogeograficos que afectaron al margen de Gondwana. Los mapas geologicos realizados durante los ultimos años de las areas de la Paz, Cochabamba y Uncia, permiten identificar cambios laterales y verticales del espesor y facies caracteristicos de las unidades siluricas y devonicas, contribuyendo a descifrar su geometria y distribucion actual. Sin embargo, existen todavia numerosos problemas sin estudiar en detalle y sin resolver sobre las edades y evolucion geologica de la zona durante este periodo. Debe tenerse cuidado al utilizar conceptos antiguos sobre el tema, o al tratar de correlacionar eventos que todavia no son bien conocidos (Résumé d'auteur)

Prevalence and clinical significance of respiratory viruses and bacteria detected in tuberculosis patients compared to household contact controls in Tanzania: a cohort study

To describe the prevalence of respiratory pathogens in tuberculosis (TB) patients and in their household contact controls, and to determine the clinical significance of respiratory pathogens in TB patients.; We studied 489 smear-positive adult TB patients and 305 household contact controls without TB with nasopharyngeal swab samples within an ongoing prospective cohort study in Dar es Salaam, Tanzania, between 2013 and 2015. We used multiplex real-time PCR to detect 16 respiratory viruses and seven bacterial pathogens from nasopharyngeal swabs.; The median age of the study participants was 33 years; 61% (484/794) were men, and 21% (168/794) were HIV-positive. TB patients had a higher prevalence of HIV (28.6%; 140/489) than controls (9.2%; 28/305). Overall prevalence of respiratory viral pathogens was 20.4% (160/794; 95%CI 17.7-23.3%) and of bacterial pathogens 38.2% (303/794; 95%CI 34.9-41.6%). TB patients and controls did not differ in the prevalence of respiratory viruses (Odds Ratio [OR] 1.00, 95%CI 0.71-1.44), but respiratory bacteria were less frequently detected in TB patients (OR 0.70, 95%CI 0.53-0.94). TB patients with both respiratory viruses and respiratory bacteria were likely to have more severe disease (adjusted OR [aOR] 1.6, 95%CI 1.1-2.4; p 0.011). TB patients with respiratory viruses tended to have more frequent lung cavitations (aOR 1.6, 95%CI 0.93-2.7; p 0.089).; Respiratory viruses are common for both TB patients and household controls. TB patients may present with more severe TB disease, particularly when they are co-infected with both bacteria and viruses