Protection of shallow marine ecosystems in Galapagos by permanent moorings

We describe a new system of permanent moorings designed for tour boats, to be installed throughout Galapagos, and the deployment of a research and monitoring vessel to Wolf Island

Morphometric Assessment of Coronary Stenosis Relevance With Optical Coherence Tomography A Comparison With Fractional Flow Reserve and Intravascular Ultrasound

ObjectivesThe study sought to assess the diagnostic efficiency of optical coherence tomography (OCT) in identifying hemodynamically severe coronary stenoses as determined by fractional flow reserve (FFR). Concomitant OCT and intravascular ultrasound (IVUS) area measurements were performed in a subgroup of patients to compare the diagnostic efficiency of both techniques.BackgroundThe value of OCT to determine stenosis severity remains unsettled.MethodsSixty-one stenoses with intermediate angiographic severity were studied in 56 patients. Stenoses were labeled as severe if FFR ≤0.80. OCT interrogation was performed in all cases, with concomitant IVUS imaging in 47 cases.ResultsAngiographic stenosis severity was 50.9 ± 8% diameter stenosis with 1.28 ± 0.3 mm minimal lumen diameter. FFR was ≤0.80 in 28 (45.9%) stenoses. An overall moderate diagnostic efficiency of OCT was found (area under the curve [AUC]: 0.74; 95% confidence interval [CI]: 0.61 to 0.84), with sensitivity/specificity of 82%/63% associated with an optimal cutoff value of 1.95 mm2. Comparison of the results in patients with simultaneous IVUS and OCT imaging revealed no significant differences in the diagnostic efficiency of OCT (AUC: 0.70; 95% CI: 0.55 to 0.83) and IVUS (AUC. 0.63; 95% CI: 0.47 to 0.77; p = 0.19). Sensitivity/specificity for IVUS was 67%/65% for an optimal cutoff value of 2.36 mm2. In the subgroup of small vessels (reference diameter <3 mm) OCT showed a significantly better diagnostic efficiency (AUC: 0.77; 95% CI: 0.60 to 0.89) than IVUS (AUC: 0.63; 95% CI: 0.46 to 0.78) to identify functionally significant stenoses (p = 0.04).ConclusionsOCT has a moderate diagnostic efficiency in identifying hemodynamically severe coronary stenoses. Although OCT seems slightly superior to IVUS for this purpose (particularly in vessels <3 mm), its low specificity precludes its use as a substitute of FFR for functional stenosis assessment

Resilient Response to Combined Heat and Drought Stress Conditions of a Tomato Germplasm Collection, Including Natural and Ethyl Methanesulfonate-Induced Variants

Agricultural systems are currently facing significant issues, primarily due to population growth rates in the context of global climate change. Rising temperatures cause plant heat stress and impact crop yield, which in turn compromises global food production and safety. Climate change is also having a significant impact on water availability around the world, and droughts are becoming more frequent and severe in many regions. The combined effect of both heat and drought stresses increases plant damage, resulting in reduced plant development and productivity loss. Therefore, developing heat&ndash;drought-tolerant crop varieties is crucial for enhancing yield under these challenging conditions. Tomato (Solanum lycopersicum L.), a major vegetable crop highly appreciated for its nutritional qualities, is particularly sensitive to extreme temperatures, which have a significant negative impact on tomato fruit setting and cause male gametophyte abortion. In this work, a classical genetic approach was employed to identify tomato genotypes showing a resilient response to combined heat and drought stress conditions. A phenotype screening of a natural germplasm collection and an ethyl methanesulfonate (EMS) mutagenized population resulted in the identification of a significant number of tomato lines tolerant to combined heat and drought conditions, specifically 161 EMS lines and 24 natural accessions as tolerant. In addition, TILLING and Eco-TILLING analyses were used as proof-of-concept to isolate new genetic variants of genes previously reported as key regulators of abiotic stress responses in different species. The identification of these variants holds the potential to provide suitable plant material for breeding programs focused on enhancing tomato resilience to adverse climate conditions

Safety of coronary revascularization deferral based on fractional flow reserve and instantaneous wave-free ratio in patients with chronic kidney disease

Background: The safety of revascularization deferral according to pressure wire examination in patients with chronic kidney disease (CKD) has not been fully established. Methods: From a retrospective cohort of 439 patients in whom revascularization was deferred after physiological assessment, we examined the incidence of patient-oriented composite endpoint (POCE: all-cause death, myocardial infarction [MI] and unplanned revascularization) in patients with CKD (estimated glomerular filtration rate [eGFR] &lt; 60 mL/min/1.73 m2) and without it. Results: At 4 years of follow-up, the primary endpoint was met by 25.0% of patients with CKD and by 14.4% of patients without CKD (hazard ratio [HR] 1.56, 95% confidence interval [CI] 0.96–2.53, p = 0.071). The incidence of POCE was even higher in patients with an eGFR &lt; 30 mL/min/1.73 m2: 43.8% (HR 3.10, 95% CI 1.08–8.92, p = 0.036). However, no differences were observed in the incidence of MI (4.2% vs. 4.4% in non-CKD), target vessel revascularization (5.8% vs. 5.9%), and target vessel MI (0.8% vs. 4.6%). Conclusions: Patients with CKD in whom pressure-wire evaluation led to deferral of coronary revascularization develop more POCE in the long term, compared to patients with normal renal function. However, the increase in POCE in patients with CKD was seldom related to deferred vessels, thus suggesting an epiphenomenon of an intrinsically higher cardiovascular risk of CKD patients

Pensar la resistencia : mayo del 2021 en Cali y Colombia.

La primera parte de la compilación, compuesta por cuatro textos, permite situar a nivel nacional el fenómeno del Paro Nacional y contextualizar los acontecimientos que se han producido en Cali durante este último mes. En el primero, Alberto Valencia reconstruye el proceso histórico vivido durante las últimas décadas para mostrar la peculiar y compleja situación a la que llegó el país en términos de falta de legitimidad política y crisis social. A continuación, Carlos Humberto Ortiz atiende a las dimensiones económicas que llevaron a que, en medio de las gra ves afectaciones para la población por causa de la pandemia Co vid-19, una torpe propuesta de reforma tributaria se convirtiera en el detonador de una amplia movilización social. En su texto, José Fernando Sánchez reconstruye algunas de las características centrales de las prácticas y culturas políticas colombianas, así como muestra la fragilidad de nuestro sistema social a la hora de tramitar los conflictos. Esta parte termina con el aporte de María Eugenia Ibarra y Stephanía Recalde sobre el papel que las mujeres y las feministas han jugado durante estas últimas semanas, reconstruyendo tanto la forma en que sus reclamos se vinculan a procesos previos, como las nuevas inquietudes suscitadas durante una movilización en la que las mujeres han ocupado un lugar destacado. La segunda parte, con cinco textos, se centra en el estudio de lo acontecido en la ciudad de Cali y su región metropolitana, precisamente allí donde el estallido social colombiano ha alcanzado las más altas cuotas de expresión, pero también de violencia y sufrimiento. En el primero, Luis Carlos Castillo describe y ubica los principales elementos de la movilización caleña, con especial atención al desarrollo temporal de los acontecimientos y a su ubicación en los distintos espacios de la ciudad. A continuación, Jorge Hernández disecciona con precisión y detalle los cambios experimentados en las formas de movilización y el ajuste constante de los repertorios de acción de los participantes. Sigue el texto de Boris Salazar, que tiene como protagonistas a los jóvenes de la ciudad quienes, afectados profundamente por las dificultades económicas y el impacto de la violencia, han sido actores principales durante la movilización. Por su parte, Fernando Urrea explora los posibles factores que habrían dado el cariz especial al estallido social de Cali y la región metropolitana, un espacio atravesado por fuertes divisiones de clase y raza, y altos índices de segregación espacial. Finalmente, Álvaro Guzmán aporta algunas notas orientadas a desentrañar las fuerzas y dinámicas que han estado presentes en la ciudad y hacen más comprensible lo acontecido en estas semanas. La tercera parte recoge el texto de María Gertrudis Roa y Jan Grill, en el que reconstruyen con detalle las movilizaciones de apoyo producidas a nivel internacional, especialmente -aunque no solo- en aquellos países con mayor presencia de la migración colombiana.QUÉ ESTÁ PASANDO EN COLOMBIA? Poder, legitimidad y crisis social / Alberto Valencia Gutiérrez .--- OTRA VUELTA DE TUERCA La codicia de las élites en la pandemia/ Carlos Humberto Ortiz Quevedo. -- REFLEXIONES SOBRE PRÁCTICAS Y CULTURAS POLÍTICAS EN EL PARO DEL 2021/ José Fernando Sánchez Salcedo. -- “AL OTRO LADO DEL MIEDO ESTÁ EL PAÍS QUE SOÑAMOS”: Mujeres y feministas en el Paro Nacional del 2021 / María Eugenia Ibarra Melo, Stephania Recalde García -- LO LOCAL ARDE CALI, SUCURSAL DEL CIELO Y CAPITAL MUNDIAL DE LA SALSA/ Luis Carlos Castillo Gómez . -- DE LA MARCHA HACIA EL CENTRO AL BLOQUEO EN LOS BARRIOS: LAS LUCHAS POR RECONOCIMIENTO Y OPORTUNIDADES EN CALI DURANTE EL PARO NACIONAL DE ABRIL-MAYO DE 2021/ Jorge Hernández Lara. -- NO SALGAS DE TU BARRIO: CALI ENTRE EL HORROR Y LA ESPERANZA /Boris Salazar Trujillo. -- ALGUNOS FACTORES DESENCADENANTES DEL LEVANTAMIENTO POPULAR EN CALI Y SU REGIÓN METROPOLITANA/ Fernando Urrea-Giraldo. --LA SITUACION DEL PARO NACIONAL EN CALI Intervención en foro programado por la Sociedad de Mejoras Públicas de Cali/ Álvaro Guzmán Barney. -- DESDE EL EXTERIOR LEJOS, PERO NO AUSENTES. MOVILIZACIONES DIASPÓRICAS EN EL PARO NACIONAL DEL 2021/ María Gertrudis Roa y Jan Gril

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

Experiencias en el aula: segundo encuentro de prácticas pedagógicas innovadoras

Experiencias de profesores en su quehacer en los distintos ambientes de aprendizaje presenciales y a distancia.La segunda entrega de Experiencias en el aula es una publicación anual que recoge las ponencias ganadoras presentadas en el Segundo Encuentro de Prácticas Pedagógicas Innovadoras, organizado por el Centro de Excelencia Docente aeiou, de la Vicerrectoría General Académica de la Corporación Universitaria Minuto de Dios – UNIMINUTO Todas las ponencias publicadas en la segunda entrega de Experiencias en el aula fueron seleccionadas por evaluadores externos durante la convocatoria al Segundo Encuentro de Prácticas Pedagógicas Innovadoras en el que fueron presentadas; este evento, organizado por el Centro de Excelencia Docente aeiou, y la Vicerrectoría General Académica de la Corporación Universitaria Minuto de Dios- UNIMINUTO, tuvo lugar los días 9 y 10 de octubre de 2017

COVID-19 vaccine failure

COVID-19 affects the population unequally with a higher impact on aged and immunosuppressed people. Hence, we assessed the effect of SARS-CoV-2 vaccination in immune compromised patients (older adults and oncohematologic patients), compared with healthy counterparts. While the acquired humoral and cellular memory did not predict subsequent infection 18 months after full immunization, spectral and computational cytometry revealed several subsets within the CD8+ T-cells, B-cells, NK cells, monocytes and CD45RA+ CCR7- Tγδ cells differentially expressed in further infected and non-infected individuals not just following immunization, but also prior to that. Of note, up to 7 subsets were found within the CD45RA+ CCR7- Tγδ population with some of them being expanded and other decreased in subsequently infected individuals. Moreover, some of these subsets also predicted COVID-induced hospitalization in oncohematologic patients. Therefore, we hereby have identified several cellular subsets that, even before vaccination, strongly related to COVID-19 vulnerability as opposed to the acquisition of cellular and/or humoral memory following vaccination with SARS-CoV2 mRNA vaccines.This study has been funded through Programa Estratégico Instituto de Biología y Genética Molecular (IBGM Junta de Castilla y León. Ref. CCVC8485), Junta de Castilla y León (Proyectos COVID 07.04.467B04.74011.0) and the European Commission – NextGenerationEU (Regulation EU 2020/2094), through CSIC's Global Health Platform (PTI Salud Global; SGL21-03-026 and SGL2021-03-038)N

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks