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Democracia, derechos humanos porEdgar Córdova Jaimes yFlor Ávila Hernández.

Immune checkpoint inhibitors (ICIs) are widely used for various malignancies. However, their safety and efficacy in patients with a kidney transplant have not been defined. To delineate this, we conducted a multicenter retrospective study of 69 patients with a kidney transplant receiving ICIs between January 2010 and May 2020. For safety, we assessed the incidence, timing, and risk factors of acute graft rejection. For efficacy, objective response rate and overall survival were assessed in cutaneous squamous cell carcinoma and melanoma, the most common cancers in our cohort, and compared with stage-matched 23 patients with squamous cell carcinoma and 14 with melanoma with a kidney transplant not receiving ICIs. Following ICI treatment, 29 out of 69 (42%) patients developed acute rejection, 19 of whom lost their allograft, compared with an acute rejection rate of 5.4% in the non-ICI cohort. Median time from ICI initiation to rejection was 24 days. Factors associated with a lower risk of rejection were mTOR inhibitor use (odds ratio 0.26; 95% confidence interval, 0.09-0.72) and triple-agent immunosuppression (0.67, 0.48-0.92). The objective response ratio was 36.4% and 40% in the squamous cell carcinoma and melanoma subgroups, respectively. In the squamous cell carcinoma subgroup, overall survival was significantly longer in patients treated with ICIs (median overall survival 19.8 months vs. 10.6 months), whereas in the melanoma subgroup, overall survival did not differ between groups. Thus, ICIs were associated with a high risk of rejection in patients with kidney transplants but may lead to improved cancer outcomes. Prospective studies are needed to determine optimal immunosuppression strategies to improve patient outcomes.

Additional file 1: Supplementary Figure S1. Renin activity in urine by moderate loss of kidney function, hypertension (HTN) and albumin/creatinine (ACR: urine albumin to creatinine ratio). Data are expressed as mean ± Standard error of the mean (SEM). *P = 0.001 different from control group, † P

The purpose of the work is to analyze the State as the object of the political sciences to understand the theoretical-- epistemological complexity involved in its conceptualization from utilitarian, functionalist, neo-institutional to the (re) discovery of the Weberian view of the phenomenon. The bibliographic review, analytically, concluded that the conceptions of the State as an autonomous actor of exclusive legal-institutional conception and instrument for the role of processor of exogenous claims, and /or as the exclusive object of the theory and philosophy, has been overwhelmed by the explanatory urgencies that the social, political and legal sciences today have the product of dynamic realities, positioning the State in a promoting action, in compensation with the unrealizable meta-narratives of the economic, social, autonomous development.

Supplemental material, BKVN_supplement for BK polyoma virus nephropathy in hematopoietic cell transplant recipients by Yeon Joo Lee, Ilya G Glezerman, Roni Tamari, Craig S Sauter, Susan E Prockop, Farid Boulad, Steven P Salvatore, Surya V Seshan, Edgar A Jaimes, Sergio A Giralt, Esperanza B Papadopoulos, Ann A Jakubowski and Genovefa A Papanicolaou in Journal of Onco-Nephrology

El objetivo de este trabajo es generar un modelo Edafogeomorfológico útil en la identificación de necesidades de manejo de suelos, se realizó un estudio en el área de la cuenca Cañada La Gorda Machiques-Colón, estado Zulia, Venezuela, caracterizada por un clima tropical de condición subhúmeda, con duración del periodo de crecimiento (DPC) de 230 días, régimen de humedad Ustic y de temperatura Isohipertémico. Se empleó el enfoque de la ecuación factorial de formación de suelos para el análisis y descripción biofísica de los factores a lo largo de una carena. El relieve caracterizado a partir de fotografías aéreas, imágenes de satélites y de chequeos sistemático mediante transectos en el sentido del flujo del escurrimiento; la vegetación a través del uso de la tierra, la cobertura vegetal, la identificación de las especies dominantes a partir de sus nombres vernáculos y la definición de indicadores de vegetales (Iv). Los suelos fueron descritos y clasificados según la Taxonomía de suelos y valorados mediante el modelo paramétricode Riquier et al. (1970) para determinar el índice de productividad (Ip). Se caracterizaron dos paisajes gemorfológicos: Colinar (C) y Valle (V), seis posiciones geomorfológicas entre ambos paisajes definidas por la sucesión de relieves en el sentido de la pendiente: Tope de colina-loma (TC), mesa conservada (MC), vertientes de mesa alta (VA), media (VM), baja (VB) y valle intracolinar (VI); e igual número de perfiles de suelos representativos, los cuales mostraron edafogénesis muy avanzada con Ip inferiores a 8% en todas las posiciones, exceptuando la VB, con una productividad de 13%. El uso de la tierra es a base de pastoreo semi-intensivo de plantas forrajeras introducidas. Las formaciones vegetales predominante fueron los matorrales y arbustales dispersos, acompañados con restos de una selva tropófila fuertemente afectada por la extracción forestal y la conversión en áreas de pastoreo. Se identificaron 8 Iv, asociados fuertemente con condiciones de físicas e hidrológicas del suelo. El alto impacto de las actividades humanas sobre el suelo y vegetación, expresado a través de los procesos de erosión activa, la ausencia de áreas boscosas y la baja productividad de los sistemas de ganadería reportada para la zona, señalan la necesidad de reorientación del uso actual de la tierra, para lo cual se plantean alternativas como la incorporación de bosques protectores y sistemas agrosilvopastoriles In order to generate an Edaphogeomorphological model to be used for the identification of management requirements of soils, a study was carried out in the area of the Cañada La Gorda watershed, Machiques Colon, Zulia State with a tropical climate, subsumid conditions with a growing period of 230 days, an Ustic soil moisture and Isohypertermic regimes. The soils factorial equation approach was used for the analisis and description of the factors of soil formation throughout a soil catena. Relief was characterized through aerial photographs, satellite images and systematic checks of transects drawn in the sense of surface runoff and also taking into account geomorphological features. Vegetation cover and land use were described and vegetation components were indified by its local names to defined vegetations indicators (VI) for the local conditions. Soils were described and classified according to soil taxonomy and valued by means of a parametric model proposed by Riquier et al, (1970) for determining the productivity index (PI). Two geomorphological landscapes were defined: Hilly and Valley with six positions within the landscapes: hilltop (round or elongated), preserved tableland summit, slopes of high, medium and low tableland and valleys between hills. Representative soils of each position were studied showing a highly advanced degree of edaphogenesis with PI values below 8% in all positions except the valleys with a PI of 13%. Land use type is based on semi intensive pasturing of introduced forage species, with a vegetation of brushwood and scattered shrubs, with some trees relicts of woods affected by timber extraction and turn to grassland Eight VI were identified, highly associated to local physical and hidrological soil conditions. The enormous impact of human activity on soils and vegetation as shown by active erosion processes and absence of wooded areas and the low productivity of livestock systems reported for the area, indicates the necessity of a reorientation of the present land use introducing alternatives like the incorporation of protective woods and agrosilvopastoral management systems.