Search

The objective was to understand the effectiveness of the BNT162b2 and mRNA-1273 vaccines against SARS-CoV-2 in health professionals(HPs) in the Valencian Autonomous Community(Spain) who had completed a full vaccination regimen, both in terms of preventing infections and avoiding hospitalisations, according to the time elapsed since the vaccine administration. Case-controlled study with negative test results. HPs who had undergone at least one PCR or antigen(Ag) active infection diagnostic test(AIDT) to rule out SARS-CoV-2 infection between 25 January and 18 July 2021 were included. HPs with positive AIDT result were considered as cases and those with a negative result controls. Adjusted vaccine effectiveness(VEa) to prevent SARS-CoV-2 infection and its 95% confidence interval(95% CI) were calculated using the formula VEa?=?(1?-?OR)?×?100. The VEa for the prevention of SARS-CoV-2 infection 12 to 120?days after completing the full two-dose vaccine regimen was 91.6%(95%CI[89.6%,93.2%]) for the BNT162b2 vaccine and 95.2%(95%CI[88.3%,98.1%]) for the mRNA-1273 vaccine. After 120?days the VEa was 71.5%(95%CI[67.0%,75.5%]) for the BNT162b2 vaccine and 88.3%(95%CI[75.7,94.4%]) for the mRNA-1273 vaccine. The VEa for prevention of hospitalisation for COVID-19 for the complete two-dose regimen of mRNA vaccines (BNT162b2 and mRNA-1273) was 96.8%(95%CI[76.1%,99.6%]). The administration of the complete regimen of the BNT162b2 and mRNA-1273 vaccine against SARS-CoV-2 was highly effective for the prevention of COVID-19 cases in HPs when 12 to 120?days had elapsed since the second dose. However, said effectiveness decreased as time from the vaccine administration elapsed, although it was maintained for the prevention of hospitalisation of HPs.

BACKGROUND: Pseudomonas aeruginosa (PA) is the third leading aetiological agent in healthcare-associated infections (HAIs) and the one most frequently found in patients with pneumonia associated with mechanical ventilation. In intensive care units (ICU), its appearance is associated with higher mortality, an increase in the days spent on ventilation, and hospital stay length and costs. Thus, evaluating strategies for preventing these infections is essential for their control. Therefore, our objective was to evaluate the effectiveness of the systematic use of antimicrobial filters in preventing PA infections in critical care units. METHODS: This was an open experimental crossover study. A total of 2,156 patients admitted for more than 24 hours in critical care units were included, 1,129 of them in units with filters, and 1,027 in units without filters. The study groups were followed-up for 24 months and HAIs were checked for the presence of PA. Chi-squared test were used to compare the rate of HAIs between groups and we calculated 95% confidence intervals adjusted by Poisson regression for the rate ratio (RR) of the association magnitude. RESULTS: Both groups were homogeneous in terms of intrinsic and extrinsic patient factors. The incidence of PA infections in the units with filters was 5.5 cases/1,000 hospitalized days and 5.4/1,000 hospitalized days for the units without water filters (RR = 1.09 [0.67-1.79]). CONCLUSIONS: Routine placing antimicrobial filters in the water taps in critical care units was not an effective means of preventing the emergence of HAIs caused by PA.

Resumen El oxígeno (O2) es una de las drogas más utilizadas en clínica, su uso no está exento de riesgos. Existen guias internacionales para su uso, pero en nuestro medio no sabemos si se aplican. Nuestro objetivo fue describir la forma en que se utiliza y controla la oxígenoterapia en los 3 hospitales de la red del Servicio de Salud Talcahuano. Aplicamos una encuesta un día de agosto de 2016 a los pacientes hospitalizados en las instituciones de la red que recibían O2 en ese momento. Se recolectaron datos sobre la prescripción, administración y seguimiento de la terapia de O2. De los 381 pacientes auditados, un 13,7% recibía oxígenoterapia. Los diagnósticos más frecuentes fueron de causa respiratoria (46,15%) y cardiológica (25%). La indicación la dio un médico en 88,5% de los casos y en un 3,8% no había registro. En un 17,3% de los pacientes no había fundamento para la indicación. Se indicó una dosis fija en el 75% con una meta de SaO2 en el 50%, siendo naricera y máscara de Venturi los métodos de administración más frecuentes monitorizándose con oximetría de pulso en los hospitales menos complejos y gasometría arterial en el hospital terciario. La duración media de la oxígenoterapia fue de 7,8 días. Habiendo un buen fundamento y control de la oxígenoterapia aún no se indican metas a obtener. No hay un buen registro de la indicación ni de los cambios realizados. Creemos útil la realización periódica de este tipo de control para optimizar su uso evitando los potenciales efectos adversos en los pacientes.

Background Human genetic factors are important determinants of malaria risk. We investigated associations between multiple candidate polymorphisms—many related to the structure or function of red blood cells—and risk for severe Plasmodium falciparum malaria and its specific phenotypes, including cerebral malaria, severe malaria anaemia, and respiratory distress. Methods We did a case-control study in Kilifi County, Kenya. We recruited as cases children presenting with severe malaria to the high-dependency ward of Kilifi County Hospital. We included as controls infants born in the local community between Aug 1, 2006, and Sept 30, 2010, who were part of a genetics study. We tested for associations between a range of candidate malaria-protective genes and risk for severe malaria and its specific phenotypes. We used a permutation approach to account for multiple comparisons between polymorphisms and severe malaria. We judged p values less than 0·005 significant for the primary analysis of the association between candidate genes and severe malaria. Findings Between June 11, 1995, and June 12, 2008, 2244 children with severe malaria were recruited to the study, and 3949 infants were included as controls. Overall, 263 (12%) of 2244 children with severe malaria died in hospital, including 196 (16%) of 1233 with cerebral malaria. We investigated 121 polymorphisms in 70 candidate severe malaria-associated genes. We found significant associations between risk for severe malaria overall and polymorphisms in 15 genes or locations, of which most were related to red blood cells: ABO, ATP2B4, ARL14, CD40LG, FREM3, INPP4B, G6PD, HBA (both HBA1 and HBA2), HBB, IL10, LPHN2 (also known as ADGRL2), LOC727982, RPS6KL1, CAND1, and GNAS. Combined, these genetic associations accounted for 5·2% of the variance in risk for developing severe malaria among individuals in the general population. We confirmed established associations between severe malaria and sickle-cell trait (odds ratio [OR] 0·15, 95% CI 0·11–0·20; p=2·61 × 10−58), blood group O (0·74, 0·66–0·82; p=6·26 × 10−8), and –α3·7-thalassaemia (0·83, 0·76–0·90; p=2·06 × 10−6). We also found strong associations between overall risk of severe malaria and polymorphisms in both ATP2B4 (OR 0·76, 95% CI 0·63–0·92; p=0·001) and FREM3 (0·64, 0·53–0·79; p=3·18 × 10−14). The association with FREM3 could be accounted for by linkage disequilibrium with a complex structural mutation within the glycophorin gene region (comprising GYPA, GYPB, and GYPE) that encodes for the rare Dantu blood group antigen. Heterozygosity for Dantu was associated with risk for severe malaria (OR 0·57, 95% CI 0·49–0·68; p=3·22 × 10−11), as was homozygosity (0·26, 0·11–0·62; p=0·002). Interpretation Both ATP2B4 and the Dantu blood group antigen are associated with the structure and function of red blood cells. ATP2B4 codes for plasma membrane calcium-transporting ATPase 4 (the major calcium pump on red blood cells) and the glycophorins are ligands for parasites to invade red blood cells. Future work should aim at uncovering the mechanisms by which these polymorphisms can result in severe malaria protection and investigate the implications of these associations for wider health.

Resumen El oxígeno (O2) es una de las drogas más utilizadas en clínica, su uso no está exento de riesgos. Existen guias internacionales para su uso, pero en nuestro medio no sabemos si se aplican. Nuestro objetivo fue describir la forma en que se utiliza y controla la oxígenoterapia en los 3 hospitales de la red del Servicio de Salud Talcahuano. Aplicamos una encuesta un día de agosto de 2016 a los pacientes hospitalizados en las instituciones de la red que recibían O2 en ese momento. Se recolectaron datos sobre la prescripción, administración y seguimiento de la terapia de O2. De los 381 pacientes auditados, un 13,7% recibía oxígenoterapia. Los diagnósticos más frecuentes fueron de causa respiratoria (46,15%) y cardiológica (25%). La indicación la dio un médico en 88,5% de los casos y en un 3,8% no había registro. En un 17,3% de los pacientes no había fundamento para la indicación. Se indicó una dosis fija en el 75% con una meta de SaO2 en el 50%, siendo naricera y máscara de Venturi los métodos de administración más frecuentes monitorizándose con oximetría de pulso en los hospitales menos complejos y gasometría arterial en el hospital terciario. La duración media de la oxígenoterapia fue de 7,8 días. Habiendo un buen fundamento y control de la oxígenoterapia aún no se indican metas a obtener. No hay un buen registro de la indicación ni de los cambios realizados. Creemos útil la realización periódica de este tipo de control para optimizar su uso evitando los potenciales efectos adversos en los pacientes. Abstract Oxygen is a commonly used drug in clinics and its use must be judicious. There are guidelines for oxygen therapy but we ignore if these are respected in our country. We conducted an audit of oxygen therapy by applying a survey to 381 patients in the three hospitals of Talcahuano Public Health Service. The day of the audit 13.7% of the hospitalized patients were on oxygen, most of them with respiratory (46.15%) or cardiovascular (25%) diseases. Indication of O2 administration was given by a physician in 88.5% and there was not registry in 3.8% of the cases. There was not foundation for supplying O2 in 13.3% of patients. A fixed dose was indicated in 75% of cases and 50% had an oximetry value as a target. Oxygen was administered in most of the cases by nasal prongs and Venturi masks. Monitoring was based on pulse oximetry in the less complex hospitals and on arterial blood gases in the tertiary hospital. 100% of patients at urgency ward were receiving a different dose from that indicated at their admission time and none of them had a registry of the new dose. Mean duration of therapy was 7.8 days. We believe our results might represent what is going on with oxygen therapy in our country; having a good foundation and monitoring, we still don t use targets and there is a bad system of registry. We think that it would be advisably to carry out audits on oxygen therapy at national level on regular basis.

Meat is a source of proteins and minerals. However, red meats have high levels of saturated fatty acids (SFA) and a low proportion of monounsaturated fatty acids (MUFA), a combination which has been linked to cancer and cardiovascular diseases. In ruminants, there are several genes that regulate the proportions of MUFA in tissues, but the most important is SCD (Stearoyl-CoA desaturase). The polymorphism g.31C >A has been described in the promoter region of the SCD gene, which is associated with changes in the gene expression and MUFA levels in the meat. The aim of this study was to detect the presence of polymorphism g.31C >A in a population of Araucano creole sheep using PCR-RFLP (polymerase chain reaction-restriction fragment length polymorphism). Genomic DNA was obtained from 157 Araucano creole sheep. The SCD promoter region was amplified using PCR and the amplicons were digested with restriction enzyme MnlI. The allelic frequency was 0.98 for the C allele and 0.02 for the A allele. The in silico analysis showed that the A allele could alter the expression of SCD. This is the first report of the presence of polymorphism g.31C >A in Chilean sheep, and its association with SCD expression levels and the proportion of MUFA in the meat will require further investigation.

Meat is a source of proteins and minerals. However, red meats have high levels of saturated fatty acids (SFA) and a low proportion of monounsaturated fatty acids (MUFA), a combination which has been linked to cancer and cardiovascular diseases. In ruminants, there are several genes that regulate the proportions of MUFA in tissues, but the most important is SCD (Stearoyl-CoA desaturase). The polymorphism g.31C >A has been described in the promoter region of the SCD gene, which is associated with changes in the gene expression and MUFA levels in the meat. The aim of this study was to detect the presence of polymorphism g.31C >A in a population of Araucano creole sheep using PCR-RFLP (polymerase chain reaction-restriction fragment length polymorphism). Genomic DNA was obtained from 157 Araucano creole sheep. The SCD promoter region was amplified using PCR and the amplicons were digested with restriction enzyme MnlI. The allelic frequency was 0.98 for the C allele and 0.02 for the A allele. The in silico analysis showed that the A allele could alter the expression of SCD. This is the first report of the presence of polymorphism g.31C >A in Chilean sheep, and its association with SCD expression levels and the proportion of MUFA in the meat will require further investigation Published

Polymorphisms in major gene effect related to reproductive activity have been described in sheep. Mutations located in the GDF9 gene have been associated with increased ovulation rate and litter size. GDF9 factor is secreted by the oocyte and is a member of the family of transforming growth factors (TGF-β) located on chromosome 5. The aim of this study was to identify the presence of polymorphic regions (G1 and G8) in the GDF9 gene in Araucano creole sheep. DNA was extracted from 100 blood samples and the presence of mutations was determinated using PCR-RFLP. Two regions were amplified, one corresponding to exon 1 of 462 bp digested with restriction enzyme HhaI and a 139bp fragment corresponding to exon 2 digested with enzyme DdeI. The presence of polymorphisms in G1 of GDF9 gene were detected with a genotype frequency of 0.56 (genotype GG), 0.44 (genotype GA) and an allele frequency of 0.78 for the allele (G) and 0.22 for the allele (A). No polymorphisms were detected in G8. This is the first report of this polymorphism in sheep in Chile that could serve as a genetic marker for marker for prolificacy selection in the the Araucano creole sheep. &nbsp, En la especie ovina se han descrito una serie de polimorfismos en genes de efecto mayor relacionados con la actividad reproductiva. Las mutaciones ubicadas en el gen de efecto mayor GDF9 se han asociado con el incremento de la tasa ovulatoria y el tamaño de la camada. GDF9 es un factor celular secretado por el ovocito y es miembro de la familia de factores de crecimiento transformante (TGF-β) localizado en el cromosoma 5 ovino. El objetivo de este trabajo fue identificar la presencia de los polimorfismos en los sitios G1 y G8 en el gen GDF9 en ovinos criollos Araucanos. Se extrajo el ADN de 100 muestras sanguíneas para posteriormente determinar la presencia de las mutaciones utilizando la técnica PCR-RFLP. Fue amplificada una región de 462 pb correspondiente al exón 1, la cuál fue digerida con la enzima de restricciónHhaI,el siguiente fragmento amplificado fue de 139 pb correspondiente al exón 2, siendo digerido con la enzimaDdel.Se identificó la presencia del polimorfismo G1 con una frecuencia genotípica del 0,56 (genotipo GG), 0,44 (genotipo GA) y una frecuencia alélica de 0,78 para el alelo (G) y 0,22 para el alelo (A). No se detectó la presencia de polimorfismo G8. Este es el primer reporte de este polimorfismo en ovinos en Chile que podría servir como un marcador genético de prolificidad para la selección de ovinos criollos Araucanos. &nbsp

El tejido muscular de muchos animales domésticos es fuente de proteínas, grasa y minerales para los seres humanos y está compuesto por una serie de estructuras que le otorgan propiedades nutricionales y bioquímicas. En los ultimos años se ha identificado un polimorfismo de único nucleótido (SNP) en el gen SCD (g.878TC), que influye sobre la composición de ácidos grasos en los bovinos. El objetivo de este estudio fue determinar la presencia del SNP g.878TC en músculo Longissimus dorsi de bovino (Bos taurus) por medio de la técnica PCR-RFLP. Fue utilizada una muestra de 100 novillos de raza Aberdeen Angus criados y sacrificados en la Región de La Araucanía (Chile). La frecuencia genotípica del polimorfismo fue de: 0,33 para TT, 0,43 para TC y 0,24 para el genotipo CC. La frecuencia alélica fue de 0,54 para el alelo T y 0,63 para el alelo C. De acuerdo a la composición de ácidos grasos, se determinó que existe una relación positiva entre el genotipo CC y el contenido de ácidos grasos MUFA y CLA presentes en el músculo Longissimus dorsi de novillos Angus. Por lo tanto, el SNP g.878TC podría ser considerado como un marcador genético para la selección de animales Aberdeen Angus, con una composición de ácidos grasos más saludable. The muscle tissue of many domestic animals is a source of protein, fat and minerals to humans and consists of a series of structures that give nutritional and biochemical properties. In recent years it has identified a single nucleotide polymorphism (SNP) in the SCD gene (g.878TC), which influences the fatty acid composition in cattle. The aim of this study was to determine the presence of SNP g.878TC in Longissimus dorsi bovine (Bos taurus) using the PCR-RFLP. It was used a sample of 100 Aberdeen Angus steers raised and slaughtered in the region of Araucania (Chile). Polymorphism genotype frequency were: 0.33 for TT, 043 for CT and 0.24 for the CC genotype. The allelic frequency was 0.54 for the T allele and 0.63 for allele C. According to the fatty acid composition was determined that a positive relationship between genotype CC and the content of MUFA and CLA fatty acids present in the Longissimus dorsi muscle of Angus steers. Therefore, the SNP g.878TC could be considered as a genetic marker for selection of animals Aberdeen Angus, with a fatty acid composition more healthy.

La melatonina es una hormona que regula los ciclos circadianos y muchos de los aspectos reproductivos de los mamíferos y es secretada por la glándula pineal en las horas de ausencia de luz. Esta hormona posee receptores de alta afinidad acoplados a proteínas de tipo G, denominados MT1. Un polimorfismo de la secuencia que codifica para estos receptores estaría involucrado en el control de la reproducción estacional de los ovinos. El propósito de este estudio busca determinar la presencia del polimorfismo del receptor MT1 en la oveja criolla Araucana, un ovino local en el que se ha registrado un corto anestro reproductivo. Para poder realizar este trabajo se utilizó la técnica denominada reacción en cadena de la polimerasa para polimorfismo en el tamaño de los fragmentos de restricción PCR-RFLP, para lo cual, se obtuvieron muestras de ADN genómico de 50 ovejas Araucanas, las cuales fueron digeridas con la endonucleasa de restricción Mnl1. Se logró identificar la presencia del polimorfismo del receptor MT1 en la oveja Araucana. Los genotipos se hallaron en una frecuencia de 68% para el genotipo +/+, 28% para el genotipo +/- y4% para el genotipo -/-. Este alto porcentaje de animales con genotipo +/+ podría explicar el corto anestro reproductivo que presenta esta raza. Melatonin is a hormone that regulates circadian rhythms and many of the reproductive aspects of mammals and is secreted by the pineal gland during the hours of absence of light. This hormone has high affinity receptors coupled to G-like proteins, termed MT1. A polymorphism of the sequence coding for these receptors was involved in the control of seasonal reproduction in sheep. The purpose of this study was to determine the presence of MT1 receptor polymorphism in Araucana creole sheep, a local breed with a short reproductive anestrus. To carry out this work, we used a technique called polymerase chain reaction-restriction fragment lengh polymorphism PCR-RFLP, for which samples were obtained from genomic DNA of 50 Araucana sheep, which were digested with Mnl1 restriction endonuclease. It was possible to identify the presence of MT1 receptor polymorphism in Araucana sheep. The genotypes were found in a genotype frequency of 68% for genotype + / +, 28% for genotype + / - y4% for genotype - / -. This high percentage of animals with genotype + / + could explain the short reproductive anestrus featuring this breed.

FONDAP FONDAP CIMAT

The term Podencos refers to a group of dog breeds from Spain and classification in Group 5 of dog breeds by the Fédération Cynologique Internationale (FCI). The aim of this study was to compare traits morphometric breeds of Podencos; Canario, Ibecenco, Andaluz (small, medium and large) and Orito. Ten morphometric variables were measured in 385 animals (245 females and 140 males), head length, muzzle length, height at withers, rump height, body length, head width, rump width, chest depth, chest girth and the shin circumference. Morphostructural variables were more homogeneous in the Podenco Ibicenco and the Podengo Canario, because for many years there were gradually distinctive trait standards for each breed. The discriminate analysis indicated morphostructural differences between all breeds, as reflected in the significant Mahalanobis distance, and confirmed that the hound Orito may be accepted as a different dog population. El término Podencos se refiere a un grupo de razas de perros originarios de España y clasificados en el grupo 5 de razas caninas por la Federación Cinológica Internacional (FCI). El objetivo del presente trabajo fue comparar caracteristicas morfométricas de las razas caninas de Podencos; Canario, Ibecenco, Andaluz (pequeño, medio y grande) y Orito. Se midieron diez variables morfométricas en 385 animales (245 hembras y 140 machos); longitud de la cabeza, la longitud hocico, altura a la cruz, alzada a la grupa, la longitud del cuerpo, ancho de la cabeza, ancho de la grupa, la profundidad del pecho, la circunferencia del pecho y la circunferencia de la caña. Las variables morfoestructurales fueron más homogéneas en el Podenco Ibicenco y el Podenco Canario, porque por muchos años fueron fijados gradualmente los rasgos distintivos para los estandares de cada raza. El análisis discriminante manifestó diferencias morfoestructurales entre todas las razas, lo que se refleja en la significativa distancia de Mahalanobis, y confirmó que el podenco Orito puede ser aceptado como una población de perros diferentes.

Background: Chronic Hashimoto Thyroiditis (CHT) is the main cause of hypothyroidism. Aim: To report a series of patients with CHT. Material and Methods: Retrospective analysis of a series of 27 men aged 38 ± 14 years and 201 women aged 37 ± 16 years, evaluated in the private offces of two of the authors. Results: Fifty six percent of patients only had unspecifc symptoms at the moment of consultation, 50% had a family history of thyroid diseases and only 21% of women had a previous history of goiter. Eighty one percent of patients had clinical or subclinical hypothyroidism, 62% had both antithyroglobulin and antithyroid peroxidase positive antibodies and 13% had both antibodies negative. Only 1.4% of patients had a normal thyroid ultrasound examination. Patients were treated with levothyroxine at a mean dosage of 75 µg/day and 53% achieved an adequate TSH level. Six of ten patients operated due to nodules had a papillary carcinoma. Conclusions: CHT should be sought in the general population, especially those with a family history of thyroid disease. Thyroid ultrasound is seldom normal in patients with CHT. Thyroid substitution should be monitored periodically to achieve adequate TSH levels.

Background: Chronic Hashimoto Thyroiditis (CHT) is the main cause of hypothyroidism. Aim: To report a series of patients with CHT. Material and Methods: Retrospective analysis of a series of 27 men aged 38 ± 14 years and 201 women aged 37 ± 16 years, evaluated in the private offces of two of the authors. Results: Fifty six percent of patients only had unspecifc symptoms at the moment of consultation, 50% had a family history of thyroid diseases and only 21% of women had a previous history of goiter. Eighty one percent of patients had clinical or subclinical hypothyroidism, 62% had both antithyroglobulin and antithyroid peroxidase positive antibodies and 13% had both antibodies negative. Only 1.4% of patients had a normal thyroid ultrasound examination. Patients were treated with levothyroxine at a mean dosage of 75 µg/day and 53% achieved an adequate TSH level. Six of ten patients operated due to nodules had a papillary carcinoma. Conclusions: CHT should be sought in the general population, especially those with a family history of thyroid disease. Thyroid ultrasound is seldom normal in patients with CHT. Thyroid substitution should be monitored periodically to achieve adequate TSH levels.