Accidental ulcer infestation due Tenebrio molitor in an AIDS patient: canthariasis

Canthariasis is a disease of humans caused by the infestation of beetle larvae. It is the second important insectal disease after myiasis. Several species of beetles are reported to cause the disease in gastrointestinal tract, urogenital system, nasal sinuses, ears and faces of mammals. The mealworm beetle, Tenebrio molitor, a species of darkling beetle, is a widespread pest that usually feeds on stored grain. The human infestation by this worm is extremely rarely reported, we described a case of T. molitor infestation in a AIDS patient in Colombia

DataSheet_1_High titre neutralizing antibodies in response to SARS–CoV–2 infection require RBD–specific CD4 T cells that include proliferative memory cells.pdf

BackgroundLong-term immunity to SARS-CoV-2 infection, including neutralizing antibodies and T cell-mediated immunity, is required in a very large majority of the population in order to reduce ongoing disease burden.MethodsWe have investigated the association between memory CD4 and CD8 T cells and levels of neutralizing antibodies in convalescent COVID-19 subjects.FindingsHigher titres of convalescent neutralizing antibodies were associated with significantly higher levels of RBD-specific CD4 T cells, including specific memory cells that proliferated vigorously in vitro. Conversely, up to half of convalescent individuals had low neutralizing antibody titres together with a lack of receptor binding domain (RBD)-specific memory CD4 T cells. These low antibody subjects had other, non-RBD, spike-specific CD4 T cells, but with more of an inhibitory Foxp3+ and CTLA-4+ cell phenotype, in contrast to the effector T-bet+, cytotoxic granzymes+ and perforin+ cells seen in RBD-specific memory CD4 T cells from high antibody subjects. Single cell transcriptomics of antigen-specific CD4+ T cells from high antibody subjects similarly revealed heterogenous RBD-specific CD4+ T cells that comprised central memory, transitional memory and Tregs, as well as cytotoxic clusters containing diverse TCR repertoires, in individuals with high antibody levels. However, vaccination of low antibody convalescent individuals led to a slight but significant improvement in RBD-specific memory CD4 T cells and increased neutralizing antibody titres.InterpretationOur results suggest that targeting CD4 T cell epitopes proximal to and within the RBD-region should be prioritized in booster vaccines.</p

Colombia diversidad biótica XIX : Selvas transicionales de Cumaribo (Vichada – Colombia)

ilustraciones, fotografías, mapasEl presente volumen documenta la caracterización biofísica de las selvas transicionales de Cumaribo realizada por investigadores del Grupo de Investigación en Biodiversidad y Conservación del Instituto de Ciencias Naturales de la Universidad Nacional de Colombia (Rangel-Ch. et al., en este volumen), como resultado del convenio de cooperación suscrito con Parques Nacionales Naturales de Colombia, para la generación de información base para los procesos de declaratoria de nuevas áreas. En particular, los resultados de la caracterización biofísica indicaron que el territorio de las selvas transicionales de Cumaribo presenta una alta importancia ecológica con muestras de ecosistemas que se encuentran con una baja o nula representatividad en el SINAP. Estos ecosistemas tienen altos valores de biodiversidad y mantienen las condiciones ideales para la conservación de especies de flora y fauna, donde sobresalen grupos de mamíferos, reptiles, aves, anfibios, mariposas y crustáceos. Varias de las especies registradas en el área se encuentran bajo categorías de amenaza según la Unión Internacional para la Conservación de la Naturaleza (UICN), o se encuentran en los apéndices I y II de la Convención sobre el Comercio Interna- cional de Especies Amenazadas de Fauna y Flora Silvestres (CITES). Así mismo, a partir de los resultados obtenidos se pudieron identificar nuevos registros de flora y fauna para la región. (texto tomado de la fuente)GEOLOGÍA Y GEOMORFOLOGÍA EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Geology and geomorphology in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -CARACTERIZACIÓN CLIMÁTICA DEL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Climatic characterization of the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- LA VEGETACIÓN EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA): COMPOSICIÓN FLORÍSTICA Y PRINCIPALES ASPECTOS ESTRUCTURALES / The vegetation in the territory of the transitional jungle of Cumaribo, Vichada (Colombia): floristic composition and main structural aspects -- RIQUEZA Y DIVERSIDAD DE LAS PLANTAS CON FLORES EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Richness and diversity patterns of flowering plants in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- SUELOS EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA): ASPECTOS FÍSICOS Y QUÍMICOS CON BASE EN REVISIÓN BIBLIOGRÁFICA / Soils in the territory of the transitional jungle of Cumaribo, Vichada (Colombia): Physical and chemical aspects based on bibliographic review -- CARACTERIZACIÓN BIOCLIMÁTICA EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Bioclimatic characterization in the territory of transitional jungle of Cumaribo, Vichada (Colombia) -- FLORA Y VEGETACIÓN ACUÁTICA EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Flowering plants and aquatic vegetation in the territory of transitional jungles of Cumaribo, Vichada (Colombia) -- USOS POTENCIALES Y CATEGORÍAS DE RIESGO DE LAS PLANTAS CON FLORES EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Potential uses and categories of risk of the flowering plants in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- CRUSTÁCEOS-DECÁPODOS EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Crustaceans-decapods in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- DIVERSIDAD DE MARIPOSAS (LEPIDOPTERA: PAPILIONIDAE-HESPERIOIDAE) EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Diversity of butterflies (lepidoptera: papilionidae-hesperiidae) in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- RIQUEZA Y DIVERSIDAD DE LA COMUNIDAD DE AVES EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Richness and diversity of bird community in the territory of the transitional jungles of Cumaribo, Vichada (Colombia) Elkin Rodríguez-Ortiz -- LOMBRICES DEL SUELO EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Earthworms in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- ANFIBIOS Y REPTILES EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) Amphibians and reptiles in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- MAMÍFEROS EN EL TERRITORIO SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Mammals in the territory of the transitional jungle of Cumaribo, Vichada (Colombia) -- CARACTERIZACIÓN DE LA COMUNIDAD ÍCTICA EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Characterization of the ictical community in the territory of the transitional jungles of Cumaribo, Vichada (Colombia) -- LA CARTOGRAFÍA DE LA VEGETACIÓN, LOS ECOSISTEMAS Y LAS AMENAZAS EN EL TERRITORIO DE LAS SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / The cartography of vegetation, ecosystems and Threats in the transitional jungles of Cumaribo, Vichada (Colombia) -- SERVICIOS ECOSISTÉMICOS EN EL TERRITORIO SELVAS TRANSICIONALES DE CUMARIBO, VICHADA (COLOMBIA) / Ecosystem services in the transitional jungle territory of Cumaribo, Vichada (Colombia)primera edició

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically