RESUMEN
INTRODUCTION: South America is one of the regions most affected by the COVID-19 pandemic. Specific and affordable treatments are needed to treat SARS-CoV-2 infection. Evidence regarding the use of convalescent plasma in COVID-19 patients is still limited. We compared the safety and efficacy of COVID-19-convalescent plasma administration as a complement to standard treatment in the early management of patients with moderate SARS-CoV-2 infection. METHODS: We carried out a random double blinded, placebo-controlled trial that compared standard treatment plus convalescent plasma (CP) or plus non-convalescent plasma in the management of COVID-19 patients. The main outcome was survival and secondary endpoints included: length of hospitalisation (LOH), days from treatment to discharge, time to clinical improvement or death within a 28-day period, and adverse reactions to treatment. RESULTS: Administration of CP with antibodies against SARS-CoV-2 did not affect patient survival, RR = 1.003, 95% CI (0.3938, 2.555). These results led to terminate the RCT prematurely. However, early treatment of COVID-19 patients with CP tended to decrease the LOH while the delay in CP treatment was associated with longer hospitalisation. In addition, delay in CP treatment negatively affected the recovery of the respiratory rate. CONCLUSION: Use of CP for the treatment of COVID-19 patients is safe and its early use can decrease the LOH and improve respiratory function. Early administration of antibody-rich CP could contribute to decrease the negative impact of COVID-19 pandemic in patients with impaired immune response.
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COVID-19 , Inmunización Pasiva , COVID-19/terapia , Humanos , Inmunización Pasiva/métodos , Pandemias , SARS-CoV-2 , Sueroterapia para COVID-19RESUMEN
OBJECTIVES: We study the genetic diversity between Classic Teotihuacan and its neighboring towns trying to understand how far or close they are at the genetic level. MATERIALS AND METHODS: We use cranial nonmetric traits to study a sample of 280 adult skulls from archaeological sites running from the late Preclassic to the early Postclassic. Samples of Classic Teotihuacan were studied for La Ventilla and San Sebastián Xolalpan neighbors. For the Epiclassic period, samples from Xaltocan, Toluca valley, Mogotes and Xico were used. For the Preclassic and Postclassic samples from Xico were also used. We used a parametric bootstrap for the mean measure of divergence for the statistical analysis. RESULTS: Samples from Xico have small biodistance from Preclassic to Postclassic. Samples from Los Mogotes differ depending on the functional context of deposition, with individuals from household burials (funerary) differing from non-funerary, ceremonial interments and exhibiting affinities to Epiclassic samples from Toluca valley. Epiclassic populations from Xaltocan vary significantly from any samples analyzed. Samples from Classic period Teotihuacan vary considerably among them but form a separate genetic group from all the other populations under study. CONCLUSIONS: The great biodistance separation among Classic Teotihuacan and its neighbor villages of central Mexico let us conclude that, contrary from the classical idea that those villages were confirmed by the inhabitants of Teotihuacan's collapse: They indeed remain as separate populations by themselves.
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Indígenas Norteamericanos , Cráneo/anatomía & histología , Antropología Física , Evolución Biológica , Entierro , Historia Antigua , Migración Humana , Humanos , Indígenas Norteamericanos/clasificación , Indígenas Norteamericanos/estadística & datos numéricos , MéxicoRESUMEN
Metabolic syndrome (MetS) and type 2 diabetes (T2D) are metabolic alterations associated with high morbidity and mortality, particularly in low and middle-income countries. Diet has a significant impact on the risk to develop MetS and T2D; in this regard, consumption of fruits, vegetables, and protein rich foods (from plant and animals) are important to prevent and manage these pathologies. There are limited studies regarding the potential association between Andean foods rich in proteins and the presence of cardio-metabolic conditions in Ecuador. It is necessary to develop new low-cost, local-culturally acceptable strategies to reduce the burden of cardio-metabolic diseases. We describe the prevalence (baseline data) of MetS and T2D in the Ecuadorian cohort of the Prospective Urban and Rural Epidemiology (PURE) study and their potential association with the consumption of protein rich foods, including beef, white meat, dairy and legumes. In this cross-sectional study, we assessed 1,997 individuals aged 35-70 years (mean age 51 years, 72% women), included in the Ecuadorian cohort of the PURE study, from February to December 2018. The prevalence of MetS was 42% for male and 44% for female participants; the prevalence of T2D was 9% for male and 10% for female. Metabolic syndrome and T2D were more common in women older than 50 years of age with primary education or less, low economic income, and with obesity; MetS was more frequent in the rural area while T2D was more frequent in the urban area. Using logistic regression analysis, we observed a significant protective effect of higher consumption of dairy and legumes in the prevalence of MetS and T2D compared with low consumption. It will be important to develop policies for ample production and consumption of protein rich foods such as legumes and dairy, part of traditional diets, to reduce the burden of cardio-metabolic diseases.
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Diabetes Mellitus Tipo 2/epidemiología , Dieta/estadística & datos numéricos , Síndrome Metabólico/epidemiología , Adulto , Anciano , Productos Lácteos/estadística & datos numéricos , Dieta/efectos adversos , Fibras de la Dieta/estadística & datos numéricos , Ecuador , Fabaceae , Femenino , Humanos , Masculino , Productos de la Carne/estadística & datos numéricos , Persona de Mediana Edad , Factores SocioeconómicosRESUMEN
The major burden of hypertension (HTN) occurs in low-middle-income countries (LMIC) and it is the main modifiable risk factor for cardiovascular diseases (CVD). Few population studies on HTN prevalence have been carried out in Ecuador where there is limited information regarding its prevalence, awareness, treatment, and control. Thus, the aim of the present study was to determine the prevalence, awareness, treatment, and control of HTN and its association with socio-economic, nutritional, and lifestyle habits in urban and rural Andean communities of Pichincha province in Ecuador. The authors studied 2020 individuals aged 35-70 years (mean age 50.8 years, 72% women), included in the Ecuadorian cohort of the Prospective Urban and Rural Epidemiology (PURE) study, from February to December 2018. The hypertension prevalence (>140/90 mmHg) was 27% and was greater in urban than in rural communities, more common in men, in individuals older than 50 years of age, in people with low monthly income and low level of education. Higher prevalence was also observed in subjects with obesity, and among former smokers and those who consumed alcohol. Only 49% of those with HTN were aware of their condition, 40% were using antihypertensive medications, and 19% had their blood pressure under control (<140/90 mmHg). These results showed low levels of awareness, treatment, and control of HTN in the Andean region of Ecuador, suggesting the urgent necessity of implementing programs to improve the diagnosis and management of HTN.
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Hipertensión , Adulto , Anciano , Antihipertensivos/farmacología , Antihipertensivos/uso terapéutico , Concienciación , Presión Sanguínea/efectos de los fármacos , Estudios Transversales , Ecuador/epidemiología , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Hipertensión/diagnóstico , Hipertensión/tratamiento farmacológico , Hipertensión/epidemiología , Masculino , Persona de Mediana Edad , Prevalencia , Estudios Prospectivos , Factores de RiesgoRESUMEN
BACKGROUND: There is a growing interest regarding the physiological role of free amino acids (FAA) present in human milk (HM). Recent studies show FAA in HM could be influenced by infants' gender and could have an important role in their growth and development. We studied the concentrations of FAA in HM and potential associations with infants' gender and their patterns of growth in a cohort of Ecuadorian women. METHODS: Human milk samples were collected after approximately eight hours of overnight fast within one week (colostrum), 2 weeks (transition milk), and 2 and/or 4 months (mature milk) after parturition. Free AA were determined by cation-exchange chromatography separation. RESULTS: We observed significantly higher concentrations of Glu 14.40 (1.35, 27.44), Gly 1.82 (0.24, 3.4), Cys 0.36 (0.03, 0.68), and Tyr 0.24 (0.02, 0.46) in HM intended for boys. Free Glu, Gly, Cys, and Tyr concentrations increased with time of lactation. In addition, there were higher concentrations of Glu 28.62 (1.78, 55.46) and Ala 7.16 (1.26, 13.06) in HM for children that presented faster weight gain than for those with slower gain. CONCLUSIONS: The present results showed that there are differences in FAA levels in HM intended for male and fast-growing children.