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BACKGROUND: A range of safe and effective vaccines against SARS CoV 2 are needed to address the COVID 19 pandemic. We aimed to assess the safety and efficacy of the COVID-19 vaccine SCB-2019. METHODS: This ongoing phase 2 and 3 double-blind, placebo-controlled trial was done in adults aged 18 years and older who were in good health or with a stable chronic health condition, at 31 sites in five countries (Belgium, Brazil, Colombia, Philippines, and South Africa). The participants were randomly assigned 1:1 using a centralised internet randomisation system to receive two 0·5 mL intramuscular doses of SCB-2019 (30 µg, adjuvanted with 1·50 mg CpG-1018 and 0·75 mg alum) or placebo (0·9% sodium chloride for injection supplied in 10 mL ampoules) 21 days apart. All study staff and participants were masked, but vaccine administrators were not. Primary endpoints were vaccine efficacy, measured by RT-PCR-confirmed COVID-19 of any severity with onset from 14 days after the second dose in baseline SARS-CoV-2 seronegative participants (the per-protocol population), and the safety and solicited local and systemic adverse events in the phase 2 subset. This study is registered on EudraCT (2020-004272-17) and ClinicalTrials.gov (NCT04672395). FINDINGS: 30 174 participants were enrolled from March 24, 2021, until the cutoff date of Aug 10, 2021, of whom 30 128 received their first assigned vaccine (n=15 064) or a placebo injection (n=15 064). The per-protocol population consisted of 12 355 baseline SARS-CoV-2-naive participants (6251 vaccinees and 6104 placebo recipients). Most exclusions (13 389 [44·4%]) were because of seropositivity at baseline. There were 207 confirmed per-protocol cases of COVID-19 at 14 days after the second dose, 52 vaccinees versus 155 placebo recipients, and an overall vaccine efficacy against any severity COVID-19 of 67·2% (95·72% CI 54·3-76·8), 83·7% (97·86% CI 55·9-95·4) against moderate-to-severe COVID-19, and 100% (97·86% CI 25·3-100·0) against severe COVID-19. All COVID-19 cases were due to virus variants; vaccine efficacy against any severity COVID-19 due to the three predominant variants was 78·7% (95% CI 57·3-90·4) for delta, 91·8% (44·9-99·8) for gamma, and 58·6% (13·3-81·5) for mu. No safety issues emerged in the follow-up period for the efficacy analysis (median of 82 days [IQR 63-103]). The vaccine elicited higher rates of mainly mild-to-moderate injection site pain than the placebo after the first (35·7% [287 of 803] vs 10·3% [81 of 786]) and second (26·9% [189 of 702] vs 7·4% [52 of 699]) doses, but the rates of other solicited local and systemic adverse events were similar between the groups. INTERPRETATION: Two doses of SCB-2019 vaccine plus CpG and alum provides notable protection against the entire severity spectrum of COVID-19 caused by circulating SAR-CoV-2 viruses, including the predominating delta variant. FUNDING: Clover Biopharmaceuticals and the Coalition for Epidemic Preparedness Innovations.

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The 16SrIV-A phytoplasmas are associated with the devastating disease lethal yellowing (LY) of palms. In Tabasco (Mexico), the death of Cocos nucifera, Adonidia merrillii, and Attalea butyracea palms have been suspected to be associated with LY based on symptomatology. Samples from the trunk of both symptomatic and nonsymptomatic palms were collected in three different environments: two species of palms within a rural zone and the other within an urban zone. DNA was extracted to perform a nested PCR with phytoplasma primers P1/P7-LY16SF/R16R2. A 1,345-bp fragment was amplified from the DNA extracted from each of the 29 LY-symptomatic palms sampled. Phytoplasma identification was achieved by amplicon sequencing and virtual restriction fragment length polymorphism analyses. Three 16SrIV phytoplasma subgroups were detected: 16SrIV-A in C. nucifera, 16SrIV-B in A. merrillii, and 16SrIV-D in C. nucifera, A. merrillii, and A. butyracea. Phylogenetic analysis showed also that the three phytoplasma strains found in the palm species clustered with phytoplasmas reported in the literature in the three subgroups identified. This is the first report of phytoplasmas associated with these palm species in Tabasco.

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Introducción: Debido a su extensión actual, la biomasa radicular de los pastizales tropicales es de vital importancia para el almacenamiento del carbono terrestre, pero su estimación ha sido principalmente indirecta y con un rango muy amplio de valores. Objetivo: Documentar a nivel nacional y mundial, y comparar, las existencias de carbono radicular extraídas en forma directa, de dos pastizales de origen y tipo de crecimiento distinto. Método: Se midió la biomasa y carbono total de dos pastizales con más de 40 años de uso, uno nativo de América y de crecimiento estolonífero (Paspalum notatum) y otro introducido de África y de crecimiento en macollos (Urochloa decumbens). El estudio se realizó entre agosto y octubre 2016. Se seleccionaron 3 parcelas de 1 600 m2 por pastizal, con 10 subcuadros (4 m2 c/u) en cada parcela, para determinar composición florística, biomasa y C aéreo. La biomasa y C radicular se estimaron mediante extracción directa en tres trincheras (1.50 m x 0.50 m x 1.0 m) por parcela. El contenido de carbono orgánico se determinó con el método por ignición a una temperatura promedio de 550 °C durante 3 horas. Para el análisis estadístico se usó un ANOVA de dos factores, en el que un factor fueron dos tratamientos (tipo de pastizal) y el otro factor fue la parte morfológica del pasto (aéreo y radicular). Resultados: La composición florística de los dos tipos de pastizal fue diferente debido a su historia de manejo. En promedio se estimó 28.25 MgC ha-1 total para la localidad. El pastizal nativo y de crecimiento estolonífero P. notatum produce casi tres veces más biomasa (42.5 MgC ha-1) que el introducido y de crecimiento en macollos U. decumbens (14 MgC ha-1) debido al almacén radicular (38.5 vs. 11.46 MgC ha-1). El 74.5 % del carbono en P. notatum se localizó en la parte radicular y el 25.5 % en la parte aérea, mientras que en U. decumbens fueron 56.5 y 43.5 %, respectivamente. Conclusión: P. notatum acumuló más biomasa y carbono total y radicular que U. decumbens. La mejor adaptación del pasto nativo, así como la morfología de su sistema radicular, pueden explicar esta diferencia. El 96 % de la biomasa y del C radicular se encuentra en los primeros 0.50 m de profundidad. Debido a la contribución de su porción radicular, los pastizales tropicales pueden constituir importantes reservorios de carbono terrestre, considerando su extensión hoy en día.

Introduction: Due to its current coverage, the root biomass of tropical pastures is of vital importance for the terrestrial carbon storage, but its estimation has been mainly indirect and with a very wide range of values. Objective: To document at national and global level as well as compare, the root carbon stocks extracted directly from two grasslands of different growth type and origin. Methods: The biomass and root carbon stocks were directly extracted from two tropical pastures with more than 40 yr of age. The biomass and total carbon, one native with stoloniferous growth (Paspalum notatum) and one introduced with growth in tillers (Urochloa decumbens) were measured. The study was conducted between August and October 2016. Three plots of 1 600 m2 each were selected per pasture, with 10 sub-squares (4 m2 each) in each plot to determine the floristic composition, aboveground biomass and C. The biomass and root C were estimated by hand in three trenches (1.50 m x 0.50 m x 1.0 m) per plot. The organic carbon content was determined with the ignition method at an average temperature of 550 °C for 3 hours. For the statistical analysis, a two-factor ANOVA was used, where one factor was the treatments that were the type of pasture (2) and the other factor was the section of the grass (above and belowground). Results: The floristic composition of the two types of pasture was different due to its management history. On average, 28.25 Mg ha-1 of total C was estimated for the locality. The native pasture of stoloniferous growth P. notatum yields almost three-fold more biomass (42.5 MgC ha-1) than the introduced with growth in tillers U. decumbens (14 MgC ha-1) due to the radicular storage (38.5 vs. 11.46 MgC ha-1). Seventy-four point five percent of the carbon in P. notatum was located in the radicular part and 25.5 % above-ground, while in U. decumbens 56.5 and 43.5 %, respectively. Conclusions: P. notatum accumulated more total and radicular biomass and carbon than U. decumbens. The best adaptation of the native grass as well as the morphology of its root system may explain this difference. Ninety six percent of the biomass and root C is found in the first 0.50 m depth. Due to the contribution of its radicular portion, tropical pastures can constitute important reservoirs of terrestrial carbon considering its extension nowadays.

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Actualmente el mundo atraviesa una de las peores crisis a nivel salud secundario a la infección por un nuevo coronavirus de alta transmisibilidad y mortalidad, que ha impactado múltiples aspectos. Se ha establecido de forma general que la severidad de la infección está asociada con edad avanzada y comorbilidades como hipertensión y diabetes. Por otro lado, la obesidad en este momento representa una de las mayores amenazas del sector salud, por su gran relación con morbimortalidad a nivel cardiometabólico, esto conlleva a un alto costo de la enfermedad. Este artículo busca alertar sobre lo que han llamado algunos expertos el "choque de dos pandemias", esto dado al aumento de la prevalencia de obesidad a nivel mundial, donde nuestro país no está exento, que podría relacionarse con un número mayor de personas vulnerables a la infección por COVID-19 y sus complicaciones respiratorias y de esta manera evitar desenlaces catastróficos.

Currently the world is going through one of the worst health crises secondary to the infection by a new highly transmissible and deadly coronavirus, which has impacted multiple aspects. It has been generally established that the severity of the infection is associated with old age and comorbidities such as hypertension and diabetes. On the other hand, obesity at this time represents one of the greatest threats to the health sector, due to its strong relationship with morbidity and mortality at the cardiometabolic level which leads to a high cost of the disease. This article seeks to warn about what some experts have called the "clash of two pandemics", this given the increasing prevalence of obesity worldwide, where our country is not exempt, which could be related with a greater number of people vulnerable to COVID-19 infection and related respiratory complications and thus avoid catastrophic outcomes.

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Los traumatismos dentales son eventos que suceden frecuentemente. Los datos estadísticos revelan cifras considerables en cuanto a la incidencia y prevalencia de estos accidentes. La intrusión dental es de las más comunes durante la infancia y su tratamiento depende de la severidad del caso. Junto con los traumatismos dentales se presentan lesiones en tejidos blandos, las cuales deben ser tratadas del modo más conservador posible a fi n de reducir las posibles secuelas. Presentación del caso: En el reporte se describe a una paciente femenina de 2 años 8 meses de edad que acude al área de urgencias del Hospital del Niño DIF Hidalgo por presentar ôcaída de las escalerasõ. Acude en primera instancia a otro hospital de donde fue remitida 24 horas después. A la exploración clínica bucal se observa intrusión de dientes 51 y 61. Clínica y radiográficamente apreciamos fractura de tabla alveolar vestibular. Presenta lesión lacerante en encía a nivel de dichos órganos y en el labio inferior. Se realiza lavado de la herida, se extraen los dientes afectados y se suturan las heridas. Se realizó seguimiento a la paciente durante 3 meses observando correcta cicatrización de las heridas. Conclusiones: La paciente presenta una evolución correcta. El manejo oportuno inmediato en este tipo de lesiones es esencial a fi n de disminuir las posibles secuelas...

Dental trauma are events that happen often. Stadistic revels high numbers about incidence and prevalence of these accidents. Dental intrusion is one of the most common injuries among childhood and the treatment de pends of the severity of the case. Dental trauma presents also soft tissue injuries, which must be treated in the most conservative way to reduce possible sequels. Case report: In this paper is described a female patient of two years eight month old which is carried by her mother to the urgency room of the Hospital del Niño DIF Pachuca because she suffered a fell from stairs. She went first to other Hospital and is dispatched to specialized care 24 hours later. At clinical examination we see intrusion of teeth 51 y 61 and lacerating injury of gingiva and lower lip. Clinical and radiographic appreciate fracture of the vestibular alveolar table. The wound is washed, affected tooth are extracted and sutured the injury. We conducted follow-up of the patient for 3 months observing proper healing of wounds. Conclusions: The evolution of the patient was satisfactory. The immediate prompt handling these types of injuries is essential in order to reduce the potential consequences...

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