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RESUMEN Introducción: La infección por COVID-19 se asocia a compromiso cardiovascular en su etapa aguda. La información sobre el compromiso cardíaco en la etapa de convalecencia de la enfermedad tanto en pacientes con y sin síntomas persistentes es limitada. Objetivos: 1. Analizar el compromiso cardíaco mediante ecocardiograma en la etapa de convalecencia de la enfermedad por COVID-19; 2. Explorar su asociación con: a) gravedad del cuadro agudo y b) persistencia de síntomas. Métodos: Estudio analítico, observacional, prospectivo y unicéntrico. Se incluyeron pacientes consecutivos que consultaron al centro para realizar evaluación post-COVID. Se realizó ecocardiograma Doppler color transtorácico en busca de hallazgos patológicos. Resultados: Se incluyeron 600 pacientes desde el 01/09/2020 al 01/05/2021. Veintinueve (4,8%) presentaron hallazgos patológicos en el ecocardiograma. Los pacientes con cuadros iniciales moderados o graves presentaron mayor prevalencia de trastornos de motilidad parietal (4,3% versus 0,5%, p = 0,02) y derrame pericárdico (4,3% versus 0,24%, p = 0,01) en comparación con aquellos con cuadros asintomáticos o leves. En el ajuste multivariado esta asociación no alcanzó significación estadística. El 28,6% de los pacientes referían síntomas persistentes, no observándose una asociación entre la presencia de los mismos y los hallazgos ecocardiográficos patológicos. Conclusión: La prevalencia de compromiso cardíaco evaluado mediante ecocardiograma en la etapa de convalecencia de la enfermedad por COVID-19 fue de 4,8%. Los pacientes con cuadros iniciales más graves presentaron más hallazgos patológicos. La significancia no se sostuvo en el análisis multivariado. Los síntomas persistentes no se asociaron a mayor compromiso cardíaco.
ABSTRACT Background: The acute phase of COVID-19 infection is associated with cardiovascular involvement, but there is limited information regarding this relationship in the recovery phase from this disease both in patients with or without persistent symptoms. Objectives: The aims of this study were: 1. To analyze cardiovascular involvement by echocardiography in the recovery phase from COVID-19 disease, and 2. To explore its association with: a) the severity of the acute phase and b) the presence of persistent symptoms. Methods: An analytical, observational, prospective and single-center study was carried out, including consecutive patients attending the center for post-COVID-19 evaluation who underwent a transthoracic color Doppler echocardiogram looking for pathological outcomes. Results: A total of 600 patients were included from September 1, 2020 to May 1, 2021, and 29 of these patients (4.8%) presented pathological findings in the echocardiogram. Patients with moderate or severe acute phase COVID-19 infection had a higher prevalence of wall motion disorders (4.3% vs. 0.5%, p=0.02) and pericardial effusion (4.3% vs. 0.24%, p=0.01) compared with those with asymptomatic or mild symptoms; however, after multivariate adjustment, this association did not reach statistical significance. In 28.6% of cases, patients reported persistent symptoms, with no evident association between their presence and pathological echocardiographic results. Conclusion: The prevalence of cardiovascular involvement evaluated by echocardiography was 4.8% in the recovery phase from COVID-19 disease. Patients with more severe initial clinical presentation exhibited more pathological findings, but the significance was not sustained in the multivariate analysis. Persistent symptoms were not associated with greater cardiovascular involvement.
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BACKGROUND: Peanut smut is a disease caused by the fungus Thecaphora frezii Carranza & Lindquist to which most commercial cultivars in South America are highly susceptible. It is responsible for severely decreased yield and no effective chemical treatment is available to date. However, smut resistance has been identified in wild Arachis species and further transferred to peanut elite cultivars. To identify the genome regions conferring smut resistance within a tetraploid genetic background, this study evaluated a RIL population {susceptible Arachis hypogaea subsp. hypogaea (JS17304-7-B) × resistant synthetic amphidiploid (JS1806) [A. correntina (K 11905) × A. cardenasii (KSSc 36015)] × A. batizocoi (K 9484)4×} segregating for the trait. RESULTS: A SNP based genetic map arranged into 21 linkage groups belonging to the 20 peanut chromosomes was constructed with 1819 markers, spanning a genetic distance of 2531.81 cM. Two consistent quantitative trait loci (QTLs) were identified qSmIA08 and qSmIA02/B02, located on chromosome A08 and A02/B02, respectively. The QTL qSmIA08 at 15.20 cM/5.03 Mbp explained 17.53% of the phenotypic variance, while qSmIA02/B02 at 4.0 cM/3.56 Mbp explained 9.06% of the phenotypic variance. The combined genotypic effects of both QTLs reduced smut incidence by 57% and were stable over the 3 years of evaluation. The genome regions containing the QTLs are rich in genes encoding proteins involved in plant defense, providing new insights into the genetic architecture of peanut smut resistance. CONCLUSIONS: A major QTL and a minor QTL identified in this study provide new insights into the genetic architecture of peanut smut resistance that may aid in breeding new varieties resistant to peanut smut.
Assuntos
Arachis/genética , Arachis/microbiologia , Mapeamento Cromossômico , Resistência à Doença/genética , Doenças das Plantas/genética , Doenças das Plantas/microbiologia , Locos de Características Quantitativas/genética , Estudos de Associação Genética , Marcadores Genéticos , Endogamia , Fenótipo , Polimorfismo de Nucleotídeo Único/genética , Recombinação Genética/genéticaRESUMO
The aim of this work was to gain a more comprehensive and perspicacious view of the endophytic diazotrophic community (EDC) of tomato plant bacteria and assess the effects of chemical fertilization and the plant phenologic stage on the status of those microbes. When the EDC of stem and roots from tomato plants grown in a greenhouse with and without exogenous chemical fertilization was examined by pyrosequencing the nifH gene during the growth cycle, a high taxonomic and phylogenetic diversity was observed. The abundant taxa were related to ubiquitous endophytes such as Rhizobium or Burkholderia but also involved anaerobic members usually restricted to flooded plant tissues, such as Clostridium, Geobacter, and Desulfovibrio. The EDC composition appeared to be dynamic during the growth phase of the tomato, with the structure of the community at the early stages of growth displaying major differences from the late stages. Inorganic fertilization negatively affected the diversity and modified the profile of the predominant components of the EDC in the different growth stages. Populations such as Burkholderia and Geobacter plus the Cyanobacteria appeared particularly affected by fertilization.Our work demonstrates an extensive endophytic diazotrophic diversity, suggesting a high potential for nitrogen fixation. The effect of the phenologic stage and inorganic-chemical soil fertilization on the community structure indicated a dynamic community that responded to environmental changes. These findings contribute to a better understanding of endophytic associations that could be helpful in assisting to shape the endomicrobiome that provides essential benefits to crops.
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Endófitos/classificação , Endófitos/efeitos dos fármacos , Fertilizantes , Fixação de Nitrogênio , Solanum lycopersicum/crescimento & desenvolvimento , Variação Genética , Solanum lycopersicum/microbiologia , Filogenia , Raízes de Plantas/microbiologia , Microbiologia do SoloRESUMO
Las afecciones bucodentales constituyen un problema de salud pública por su alta prevalencia y su fuerte impacto individual y colectivo en términos de dolor, malestar y discapacidad social y funcional. El Centro de Medicina Familiar y Comunitaria San Pantaleón, ubicado en la provincia de Buenos Aires, brinda asistencia sanitaria gratuita a la comunidad. Un relevamiento documentó que el 97% de los concurrentes presentaba caries y no se lavaban los dientes por falta de cepillo y pasta dental. Se decidió llevar adelante un programa de promoción de la salud bucodental. El objetivo fue evaluar su implementación; que incluyó: a) rastreo de caries y problemas odontológicos; b) coordinación interinstitucional; c) entrega de cepillos y pasta dental; d) intervención educativa; e) extensión comunitaria. Participaron en forma irregular 120 niñas, niños y adolescentes entre 5 y 18 años del Centro de Apoyo Escolar Fundación Bajo Boulogne. Se realizaron dos encuentros educativos y entrega de cepillos y pasta dental. En la revisión odontológica inicial sobre 60 participantes se detectaron caries en 43 (71,6%), que fueron derivados para tratamiento odontológico, pero concurrieron solo 26 (60,4%). El conocimiento sobre salud bucodental mostró cambios entre los más pequeños luego de las intervenciones educativas. Se logró implementar el programa, cumplimentando las actividades propuestas. Pero surgieron barreras que dificultaron la cobertura. En cuanto a la eficacia de la intervención educativa, no se logró mostrar cambios en el conocimiento. Se consiguió la detección oportuna, la incorporación de hábitos como el cepillado dentro de la institución educativa, la articulación para mejorar el acceso a la atención y la vinculación entre los diferentes actores comunitarios. (AU)
Oral disorders are a public health problem due to their high prevalence and their strong individual and collective impact in terms of pain, discomfort, and social and functional disability. The San Pantaleón Family and Community Medicine Center, located in the province of Buenos Aires, provides free healthcare to the community. A survey documented that 97% of those present had cavities and did not brush their teeth due to a lack of brush and toothpaste. It was decided to carry out an oral health promotion program. The objective was to evaluate its implementation; which included: a) tracking of caries and dental problems; b) inter-institutional coordination; c) delivery of brushes and toothpaste; d) educational intervention; e) community extension. 120 girls and boys and adolescents between 5 and 18 years of age from the Bajo Boulogne Foundation School Support Center irregularly participated. Two educational meetings were held, handing out brushes and toothpaste. In the initial dental review of 60 participants, caries was detected in 43 (71.6%), who were referred for dental treatment, with only 26 (60.4%) concurring. Oral health knowledge showed changes among the youngest after educational interventions. It was possible to implement the program, completing the proposed activities. Barriers arose that made coverage difficult. Regarding the effectiveness of the educational intervention, it was not possible to show changes in knowledge. Timely detection was achieved, the incorporation of habits such as brushing within the educational institution, articulation to improve access to care and the link between the different community actors. (AU)
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Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Saúde Bucal/educação , Educação em Saúde Bucal/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Argentina , Serviços de Saúde Escolar/estatística & dados numéricos , Escovação Dentária/estatística & dados numéricos , Saúde Bucal/tendências , Saúde Bucal/estatística & dados numéricos , Saúde Pública/estatística & dados numéricos , Educação em Saúde Bucal/métodos , Educação em Saúde Bucal/tendências , Odontologia Comunitária/educação , Odontologia Comunitária/estatística & dados numéricos , Cárie Dentária/diagnóstico , Cárie Dentária/prevenção & controle , Cooperação e Adesão ao Tratamento , Doenças da Boca/prevenção & controleRESUMO
En colecciones de germoplasma, el material genético de interés es caracterizado a través de múltiples descriptores (variables). Cada accesión de la colección es representada por un vector de datos que pertenece a un espacio multidimensional. Las configuraciones multidimensionales son difíciles de interpretar al no ser fácilmente visualizadas. Un objetivo del análisis de matrices de datos de accesiones x descriptores es el ordenamiento del material genético en un espacio bi-dimensional, el cual comúnmente es óptimo por representar la máxima variabilidad. Métodos de análisis vectorial, como el Análisis de Componentes Principales (ACP), permiten reducir la dimensión bajo ese criterio de optimalidad. Los resultados del ACP se visualizan representando las accesiones a ordenar como puntos de un gráfico de dispersión según el valor que éstas asumen sobre los dos ejes principales (de mayor varianza) de ordenación. Por la pérdida de información al ordenar en un espacio de dos dimensiones, las distancias en el plano suelen no ser las distancias en el espacio original, conduciendo a errores de interpretación de relaciones entre accesiones. En este trabajo se cuantifica el error de interpretación en las relaciones inferidas del plano generado por los dos primeros componentes principales (CP), bajo escenarios simulados que involucran distintos tamaños de colecciones de germoplasma para un rango amplio de variabilidad explicada por los dos primeros CP (medida indirecta de la calidad de la representación). Los resultados sugieren que aunque estos componentes expliquen >70 por ciento de la variabilidad total mayor, el error de interpretación es estadísticamente > 0 y depende del número de objetos ordenados. Los Arboles de Expansión Mínimos, como complemento de ordenaciones producidas por análisis vectoriales, representan una herramienta eficiente para entender mejor las ordenaciones. Se ilustra la utilización de esta técnica en la interpretación de las ordenaciones producidas a partir del ACP