Assessing the effects of long-term mining exploitation on a lacustrine system from the arid region of the Atacama Desert, Chile.

Over the last century, the Atacama Desert has been exploited due to the mineral resources in this environment. These anthropogenic effects have primarily been linked to the development of the mining industry, the impact of which remains uncertain. Here, we use high-resolution geochemical characterization and magnetic properties analysis from the sedimentary core of Inka Coya Lake, located in the Atacama Desert, to assess the anthropogenic impact in this metallogenic region. The geochemistry and magnetic properties changed with core depth. Elements, such as Cu, Ni, and Zn, increased during the lake's most recent period. Additionally, an increase in mass magnetic susceptibility (χ) and a decrease in magnetic susceptibility depending on the frequency (χfd%) may be attributed to fine iron oxide grains originating from industrial and urban sources. Moreover, indices of pollution classified the sediment of Inka Coya Lake as slightly polluted and strongly polluted with Ni, and Cu, respectively. This could reflect a period of pollution caused by the increase in the production of copper sulfide. These results highlight the possible impact of mining activities in the hyper-arid core of the Atacama Desert, which affects surrounding areas through dispersive processes, even reaching high altitudes, and provides a scientific basis for the prevention of environmental pollution from mining and the protection of the sediment and water source in the Atacama Desert.

Reply to the 'Comment on "Theoretical study of the NO3 radical reaction with CH2ClBr, CH2ICl, CH2BrI, CHCl2Br, and CHClBr2"' by C. J. Nielsen and Y. Tang, Phys. Chem. Chem. Phys., 2022, 24, DOI: 10.1039/D2CP03013F.

In this Reply, we answer the main argument raised in the Comment about the energy of the NO3 radical and its influence in the reaction profiles of the reaction of the NO3 radical with CH2ClBr, CH2ICl, CH2BrI, CHCl2Br, and CHClBr2 by C. J. Nielsen and Y. Tang. The optimized geometry of the NO3 radical has been obtained using 49 DFT functionals: 26 functionals predict a minimum with D3h symmetry and 23 with C2v symmetry. The former functionals have been used to calculate the thermodynamic values of three reactions (X + HNO3 → XH + NO3, X= OH, CH3 and CCl3) and compared with experimental data. Those functionals with smaller errors have been used to recalculate the barriers of the reaction of NO3 with CH2ClBr, CH2ICl, CH2BrI, CHCl2Br, and CHClBr2. The results show differences of 10.5 kJ mol-1 when compared to those obtained with the M08HX functional.

The Chemistry of Mercury in the Stratosphere.

Mercury, a global contaminant, enters the stratosphere through convective uplift, but its chemical cycling in the stratosphere is unknown. We report the first model of stratospheric mercury chemistry based on a novel photosensitized oxidation mechanism. We find two very distinct Hg chemical regimes in the stratosphere: in the upper stratosphere, above the ozone maximum concentration, Hg0 oxidation is initiated by photosensitized reactions, followed by second-step chlorine chemistry. In the lower stratosphere, ground-state Hg0 is oxidized by thermal reactions at much slower rates. This dichotomy arises due to the coincidence of the mercury absorption at 253.7 nm with the ozone Hartley band maximum at 254 nm. We also find that stratospheric Hg oxidation, controlled by chlorine and hydroxyl radicals, is much faster than previously assumed, but moderated by efficient photo-reduction of mercury compounds. Mercury lifetime shows a steep increase from hours in the upper-middle stratosphere to years in the lower stratosphere.

Theoretical study of the NO3 radical reaction with CH2ClBr, CH2ICl, CH2BrI, CHCl2Br, and CHClBr2.

The potential reaction of the nitrate radical (NO3), the main nighttime atmospheric oxidant, with five alkyl halides, halons (CH2ClBr, CH2ICl, CH2BrI, CHCl2Br, and CHClBr2) has been studied theoretically. The most favorable reaction corresponds to a hydrogen atom transfer. The stationary points on the potential energy surfaces of these reactions have been characterized. The reactions can be classified into two groups based on the number of hydrogen atoms in the halon molecules (1 or 2). The reactions with halons with only one hydrogen atom show more exothermic profiles than those with two hydrogen atoms. In addition, the kinetics of the reaction of NO3 + CH2BrI was studied in much higher detail using a multi-well Master Equation solver as a representative example of the nitrate radical reactivity against these halocarbons. These results indicate that the chemical lifetime of the alkyl halides would not be substantially affected by nitrate radical reactions, even in the case of NO3-polluted atmospheric conditions.

Farmacovigilancia de las vacunas frente a la COVID-19 en farmacias comunitarias I. Protocolo / Pharmacovigilance of COVID-19 vaccines in community pharmacies I. Protocol

INTRODUCCIÓN: la aprobación en tiempo récord de las vacunas frente a la COVID-19 hace necesario implementar acciones de farmacovigilancia, tanto de reacciones infrecuentes, como a medio o largo plazo, con el fin de completar su perfil de seguridad.OBJETIVOS: colaborar en la evaluación de la seguridad de las vacunas, mediante la detección y seguimiento de sospechas de reacciones adversas en los usuarios de las farmacias.MATERIAL Y MÉTODOS. Diseño: estudio observacional prospectivo, en farmacias comunitarias de Ourense y Pontevedra, a partir de la administración de las vacunas frente al SARS-CoV-2 en febrero de 2021.Sujetos: usuarios de la farmacia que hayan recibido la vacuna, mayores de edad, y que firmen el consentimiento informado. Variables principales: número y porcentaje de sujetos que presentan al menos una reacción adversa en relación al número de pacientes incorporados al estudio; su número, tipo y frecuencia. Repercusión en su vida diaria. Procedimiento: oferta de participación en el estudio, entrevista en la zona de atención personalizada. Recogida de datos en un cuaderno de registro cumplimentado por el farmacéutico junto con el paciente. Seguimiento decenal presencial o telefónico después de la primera y segunda dosis de vacuna recibidas y mensual a partir del segundo mes de la segunda dosis. A los pacientes vacunados con una reacción considerada leve tras su evaluación, se recomendarán medidas no farmacológicas convenientes y si es necesario, se les indicará un medicamento sin receta adecuado para la resolución o alivio del problema de salud originado por la reacción. Tamaño muestral: para una precisión del 5,0 % en la estimación de una proporción mediante un intervalo de confianza al 95 % bilateral, asumiendo que el porcentaje de sujetos con al menos una reacción adversa sería del 20,0 %, resultó necesario incluir 246 participantes. (AU)

Farmacovigilancia de las vacunas frente a la COVID-19 en farmacias comunitarias II. Reacciones adversas en farmacéuticos y personal auxiliar / Pharmacovigilance of COVID-19 vaccines in community pharmacies II. Adverse reactions in pharmacists and auxiliary personnel

OBJETIVO: conocer tipo y frecuencia de las sospechas de reacciones adversas (RA) experimentadas entre los farmacéuticos comunitarios (FC) y personal auxiliar de las farmacias de Pontevedra con la primera dosis de la vacuna y su repercusión laboral y personal.MÉTODOS . Diseño: estudio observacional transversal, febrero-abril de 2021.Sujetos: farmacéuticos, técnicos y auxiliares de la provincia de Pontevedra que ejercen en contacto con los pacientes, vacunados con la primera dosis frente al SARS-CoV-2, que dieron su consentimiento explícito. Variables: número, tipo y frecuencia de RA, repercusión. Procedimiento: se habilitó un formulario en la web del Colegio de Farmacéuticos de Pontevedra. Se anunció a los FC colegiados de la provincia su existencia y la conveniencia de cumplimentarlo. Tamaño muestral: teniendo en cuenta la metodología de incorporación al estudio, mediante cumplimentación voluntaria del cuestionario, no se consideró procedente. Análisis de resultados: test de chi- cuadrado para el análisis de variables cualitativas, t de Student y Mann-Whitney para cuantitativas. La normalidad comprobada mediante Kolmogorov-Smirnov con corrección de Lilliefors. Significación estadística p<0,05.Resultados 153 participantes manifestaron síntomas compatibles con reactividad a la vacuna, 122 (93,1 %) mujeres y 31 (86,1 %) hombres. 146 (95,4 %) que recibieron Vaxzevria® (VZ), 116 (79,4 %) mujeres y 30 (20,6 %) hombres, y 7 (4,6 %) Comirnaty® Pfizer-BioNtech (CO), 6 (85,7 %) mujeres y 1 (14,3 %) hombres. Se comunicaron 823 RA, 811 (98,5 %) con VZ y 12 (1,5 %) con CO. Reacciones más frecuentes: dolor en punto de inyección, 128 (87,7 %); escalofríos, 107 (73,3 %); dolor muscular, 106 (72,6 %). El número máximo de RA manifestadas por un participante fue 12. (AU)

Deep photothermal effect induced by stereotactic laser beams in highly scattering media.

Plasmonic photothermal therapy (PPTT), as an increasingly studied treatment alternative, has been widely regarded mostly as a surface tissue treatment choice. Although some techniques have been implemented for interstitial tumors, these involve some grade of invasiveness, as the outer skin is usually broken to introduce light-delivering optical fibers or even catheters. In this work, we present a potential non-invasive strategy using the stereotactic approach, long employed in radiosurgery, by converging multiple near infrared laser beams for PPTT in tissue-equivalent optical phantoms that enclose small gel spheres and simulate interstitial tissue impregnated with plasmonic nanoparticles. The real-time in-depth monitoring of temperature increase is realized by an infrared camera face-on mounted over the phantom. Our results show that a significant reduction in the surface heating can be achieved with this configuration while remarkably increasing the interstitial reach of PPTT, assuring a ∼6∘C temperature increase for the simulated tumors at 10 mm depth and ∼4∘C at 15 mm depth and opening up new possibilities for future clinical applications.

Photochemistry of oxidized Hg(I) and Hg(II) species suggests missing mercury oxidation in the troposphere.

Mercury (Hg), a global contaminant, is emitted mainly in its elemental form Hg0 to the atmosphere where it is oxidized to reactive HgII compounds, which efficiently deposit to surface ecosystems. Therefore, the chemical cycling between the elemental and oxidized Hg forms in the atmosphere determines the scale and geographical pattern of global Hg deposition. Recent advances in the photochemistry of gas-phase oxidized HgI and HgII species postulate their photodissociation back to Hg0 as a crucial step in the atmospheric Hg redox cycle. However, the significance of these photodissociation mechanisms on atmospheric Hg chemistry, lifetime, and surface deposition remains uncertain. Here we implement a comprehensive and quantitative mechanism of the photochemical and thermal atmospheric reactions between Hg0, HgI, and HgII species in a global model and evaluate the results against atmospheric Hg observations. We find that the photochemistry of HgI and HgII leads to insufficient Hg oxidation globally. The combined efficient photoreduction of HgI and HgII to Hg0 competes with thermal oxidation of Hg0, resulting in a large model overestimation of 99% of measured Hg0 and underestimation of 51% of oxidized Hg and ∼66% of HgII wet deposition. This in turn leads to a significant increase in the calculated global atmospheric Hg lifetime of 20 mo, which is unrealistically longer than the 3-6-mo range based on observed atmospheric Hg variability. These results show that the HgI and HgII photoreduction processes largely offset the efficiency of bromine-initiated Hg0 oxidation and reveal missing Hg oxidation processes in the troposphere.

Photodissociation Mechanisms of Major Mercury(II) Species in the Atmospheric Chemical Cycle of Mercury.

Mercury is a contaminant of global concern that is transported throughout the atmosphere as elemental mercury Hg0 and its oxidized forms HgI and HgII . The efficient gas-phase photolysis of HgII and HgI has recently been reported. However, whether the photolysis of HgII leads to other stable HgII species, to HgI , or to Hg0 and its competition with thermal reactivity remain unknown. Herein, we show that all oxidized forms of mercury rapidly revert directly and indirectly to Hg0 by photolysis. Results are based on non-adiabatic dynamics simulations, in which the photoproduct ratios were determined with maximum errors of 3%. We construct for the first time a complete quantitative mechanism of the photochemical and thermal conversion between atmospheric HgII , HgI , and Hg0 compounds. These results reveal new fundamental chemistry that has broad implications for the global atmospheric Hg cycle. Thus, photoreduction clearly competes with thermal oxidation, with Hg0 being the main photoproduct of HgII photolysis in the atmosphere, which significantly increases the lifetime of this metal in the environment.

In situ measurement of native extracellular matrix strain.

Cells directly interact with the extracellular matrix (ECM) in their microenvironment; however, the mechanical properties of the networks at this scale are not well defined. This work describes a method to quantify ECM network strain in situ after the application of a known load. Visualization of the ECM in the native 3D organization is facilitated using murine embryos and a novel decellularization method. During embryonic development, the ECM architecture is less dense making it easier to visualize and manipulate. Briefly, embryonic day (E)14.5 forelimbs were harvested and incubated in an acrylamide-based hydrogel mixture to maintain the 3D architecture of the ECM during decellularization. After decellularization, forelimbs were stained for fibrillin-2 and proteoglycans to visualize different networks. Samples were imaged, before and after the application of a static load, using confocal microscopy. A MATLAB-based fast iterative digital volume correlation algorithm was used to quantify network displacement fields by comparing the reference and compressed z-stacks. We observed that the amount of Green-Lagrange strain experienced by different proteins was dependent on whether the sub-region analyzed was located within cartilage or the adjacent connective tissue. The combination of these experimental and computational methods will enable the development of constitutive equations that describe the material behavior of ECM networks. In the future, this information has the potential to improve the fabrication of physiologically relevant scaffolds by establishing mechanical guidelines for microenvironments that support beneficial cell-ECM interactions.

Internal parasitic burdens in brown rats (Rattus norvegicus) from Grenada, West Indies.

This study identified the endoparasites in Brown rat (Rattus norvegicus) during May to July 2017 in Grenada, West Indies. A total of 162 rats, 76 females and 86 males were trapped from St. George and St. David parishes in Grenada. The collected fecal samples were examined for parasitic eggs and/or oocysts using simple fecal flotation technique. Adult parasites found in the intestinal tract were examined for identification. The overall prevalence of intestinal parasites among rats was 79 %. Ten helminth species were recovered, several of which were reported for the first time in rodents in Grenada. The internal parasites consist of seven nematodes (Angiostrongylus spp., Nippostrongylus braziliensis, Heterakis spumosa, Strongyloides ratti, Aspiculuris tetraptera, Syphacia spp. and Protospirura spp.), one cestode (Hymenolepsis diminuta), one acanthocephalan (Moniliformis moniliformis) and one protozoa species (Eimeria spp.). The most prevalent zoonotic species were Angiostrongylus spp. (35.2%), Hymenolepsis diminuta (7.4%) and Moniliformis moniliformis (3.1%). Several nonzoonotic endoparasites; which included Nippostrongylus braziliensis (50.6%), Heterakis spumosa (15.4%), Strongyloides ratti (43.2%), Aspiculuris tetraptera (2.5%), Syphacia spp. (1.9%), Protospirura spp. (1.2%) and Eimeria spp. (4.7%) were also identified. The most prevalent parasites were Nippostrongylus brasiliensis (50.6%), Strongyloides ratti (43.2%) and Angiostrongylus spp. (35.2%). Co-infections occurred with up to six species per rat showing different combinations of parasitic infections.

Gas-Phase Photolysis of Hg(I) Radical Species: A New Atmospheric Mercury Reduction Process.

The efficient gas-phase photoreduction of Hg(II) has recently been shown to change mercury cycling significantly in the atmosphere and its deposition to the Earth's surface. However, the photolysis of key Hg(I) species within that cycle is currently not considered. Here we present ultraviolet-visible absorption spectra and cross-sections of HgCl, HgBr, HgI, and HgOH radicals, computed by high-level quantum-chemical methods, and show for the first time that gas-phase Hg(I) photoreduction can occur at time scales that eventually would influence the mercury chemistry in the atmosphere. These results provide new fundamental understanding of the photobehavior of Hg(I) radicals and show that the photolysis of HgBr increases atmospheric mercury lifetime, contributing to its global distribution in a significant way.

Photoreduction of gaseous oxidized mercury changes global atmospheric mercury speciation, transport and deposition.

Anthropogenic mercury (Hg(0)) emissions oxidize to gaseous Hg(II) compounds, before deposition to Earth surface ecosystems. Atmospheric reduction of Hg(II) competes with deposition, thereby modifying the magnitude and pattern of Hg deposition. Global Hg models have postulated that Hg(II) reduction in the atmosphere occurs through aqueous-phase photoreduction that may take place in clouds. Here we report that experimental rainfall Hg(II) photoreduction rates are much slower than modelled rates. We compute absorption cross sections of Hg(II) compounds and show that fast gas-phase Hg(II) photolysis can dominate atmospheric mercury reduction and lead to a substantial increase in the modelled, global atmospheric Hg lifetime by a factor two. Models with Hg(II) photolysis show enhanced Hg(0) deposition to land, which may prolong recovery of aquatic ecosystems long after Hg emissions are lowered, due to the longer residence time of Hg in soils compared with the ocean. Fast Hg(II) photolysis substantially changes atmospheric Hg dynamics and requires further assessment at regional and local scales.

Nitric oxide release from a cucurbituril encapsulated NO-donor.

Controlling S-nitrosothiol decomposition, with the consequent release of nitric oxide, is a topic of great research interest. The incorporation of nitrosomercaptopyridine (SNO+) into the cucurbit[7]uril cavity results in a large increase of its nitrosation equilibrium constant. This effect being a consequence of the preferential stabilization of organic cations by the formation of host : guest complexes with CB7 results in a drastic reduction of the SNO+ denitrosation rate constant. Moreover, SNO+ encapsulation also prevents its decomposition yielding disulfide and nitric oxide. The expulsion of SNO+ from the cucurbituril cavity through the application of a chemical stimulus (competitive binding) results in controlled nitric oxide release as was confirmed by using a NO selective electrode.

Ascorbic acid increases SVCT2 localization at the plasma membrane by accelerating its trafficking from early secretory compartments and through the endocytic-recycling pathway.

Ascorbic acid (Asc) is an antioxidant molecule essential for physiological functions. The concentration of extracellular Asc increases during synaptic transmission and renal reabsorption. These phenomena induce an increase of the Sodium-dependent-Vitamin-C-transporter 2 (SVCT2) at plasma membrane (PM) localization, as we previously demonstrated in neuronal and non-neuronal cells. Hence, the aim of this study was to evaluate intracellular SVCT2 trafficking kinetics in response to Asc. We observed two peaks of SVCT2 localization and function at the PM (at 5-10 min, "acute response", and 30-60 min, "post-acute response") when cells were incubated with Asc. We defined that the post-acute response was dependent on SVCT2 located in early secretory compartments, and its trafficking was abolished with Tunicamycin and Brefeldin A treatment. Moreover, using the RUSH system to retain and synchronize cargo secretion through the secretory pathway we demonstrated that the post-acute response increases SVCT2 trafficking kinetics from the ER to the PM suggesting the retention of SVCT2 at the early secretory pathway when Asc is absent. However, these observations do not explain the increased SVCT2 levels at the PM during the "acute" response, suggesting the involvement of a faster mechanism in close proximity with the PM. To investigate the possible role of endosomal compartments, we tested the effect of endocytosis inhibition. Expression of dominant-negative (DN) versions of the GTPase-dynamin II and clathrin-accessory protein AP180 showed a significant increase in SVCT2 levels at the PM. Moreover, expression of Rab11-DN, a GTPase implicated in cargo protein recycling from endosomes to the PM showed a similar outcome, strongly indicating that Asc impacts SVCT2 trafficking during the acute response. Therefore, our results revealed two mechanisms by which Asc modulates SVCT2 levels at the PM, one at the early secretory pathway and another at the endocytic compartments. We propose that these two mechanisms have key protective implications in the homeostasis of metabolically active and specialized tissues.

El Convenio Marco para el Control del Tabaco de la Organización Mundial de la Salud / The Framework Convention on Tobacco Control of the World Health Organization

Resumen El Convenio Marco para el Control del Tabaco (CMCT) es el primer tratado internacional, negociado bajo el amparo de la OMS como respuesta coordinada a la pandemia del tabaco y fue aprobado en la 56a Asamblea Mundial de la Salud, en mayo de 2003, por unanimidad. Fue suscrito por Chile el 25 de septiembre de 2003 en la sede las Naciones Unidas en Nueva York y ratificado el 13 de junio de 2005 para entrar en vigencia con carácter de ley, el 11 de septiembre de 2005. A partir de esa fecha el marco regulatorio del tabaco en Chile está dado por: • El CMCT; • El Decreto Ley 828 (27/12/1978), que regula temas relacionado con producción y comercialización del tabaco. • La Ley 19.419 (del 6/09/1995), que regula publicidad, promoción, patrocinio y ambientes libres de humo, entre otros. Si bien en nuestro país la legislación para el control del tabaco evidencia una gran producción legislativa, se puede observar que ésta se ha focalizado en algunos temas específicos, quedan pendientes importantes materias establecidas en el CMTC, en las que es necesario avanzar: • Medidas de reducción de la demanda relativas a la dependencia y al abandono del tabaco; • Comisión Coordinadora Control del Tabaco: • Control del Comercio Ilícito.

The Framework Convention on Tobacco Control (FCTC) is the first international treaty, negotiated under the umbrella of WHO as a coordinated response to the tobacco pandemic, and was unanimously approved by the 56th World Health Assembly in May 2003. It was signed by Chile on september 25, 2003 at United Nations headquarters in New York and it was ratified on june 13, 2005 becoming a law, on september 11, 2005. Since that date the regulatory framework of tobacco in Chile is given by: • The WHO Framework Convention on Tobacco Control (FCTC); • Decree Law 828 (27/12/1978), which regulates issues related to the production and commercialization of tobacco; • Law 19.419 (of 09/09/1995), which regulates advertising, promotion, sponsorship and smoke-free environments, among others. Although our country shows a big legislative production, it can be observed that this one has focused on some specific subjects, important matters are still pending established in the CMTC, in which it is necessary to advance: • Demand reduction measures related to tobacco dependence and cessation; • Tobacco Control Coordinating Committee: • Control of Illicit Trade.

Calidad de vida en hemodiálisis y diálisis peritoneal tras cuatro años de tratamiento / Quality of life in hemodialysis and peritoneal dialysis after four years of treatment

Resumen ANTECEDENTES: la hemodiálisis y diálisis peritoneal corrigen algunos síntomas del paciente provocando cambios en el estilo de vida. Hay estudios que demuestran mejor calidad de vida con diálisis peritoneal comparada con hemodiálisis. La escala Kidney Disease Quality of Life (KDQOL SF 36) evalúa adecuadamente la calidad de vida. OBJETIVO: demostrar mayor puntaje en la escala de calidad de vida en pacientes con diálisis peritoneal por más de cuatro años comparados con pacientes en hemodiálisis. MATERIAL Y MÉTODO: estudio observacional, transversal, descriptivo y multicéntrico, realizado del 1 de abril al 31 de mayo de 2016. Se utilizó la escala KDQOL SF 36 en pacientes en diálisis peritoneal o hemodiálisis en el Hospital Central Norte y Regional Poza Rica. Los resultados se compararon con t de Student y χ2. RESULTADOS: se observaron efectos mentales en 39.5% del grupo de diálisis peritoneal vs 47% en hemodiálisis, p 0.05; efectos físicos en 34% de diálisis peritoneal vs 35% en hemodiálisis, p 0.758; carga de la enfermedad renal en 27% en diálisis peritoneal vs 46% en hemodiálisis, p 0.03; efectos de la enfermedad renal en 61% en diálisis peritoneal vs 55% en hemodiálisis, p 0.391; síntomas en 71% en diálisis peritoneal vs 71% en hemodiálisis, p 0.893. CONCLUSIONES: en pacientes con diálisis peritoneal el puntaje es mejor que en pacientes en hemodiálisis en cuanto a efectos de la enfermedad renal. También se observó menor puntaje en pacientes en diálisis peritoneal vs hemodiálisis en carga de la enfermedad renal, área de efectos mentales, efectos físicos y área de síntomas, sin dife rencia estadística. Tampoco hubo diferencia significativa en diálisis a largo plazo (más de cuatro años) entre ambos grupos. Por tanto, el médico y el paciente deben encontrar la modalidad de diálisis que se ajuste mejor a sus necesidades y estilo de vida.

Abstract BACKGROUND: Hemodialysis (HD) and peritoneal dialysis (PD) cor rect some patient symptoms causing changes in the lifestyle. Studies show improved quality of life in PD compared with HD. The scale Kidney Disease Quality of Life (KDQOL SF 36) adequately assesses the quality of life. OBJECTIVE: To show higher scores on the scale of quality of life of patients with peritoneal dialysis (PD) for more than 4 years compared to patients on hemodialysis (HD). MATERIAL AND METHOD: An observational, transversal, descriptive, multicenter study, performed from April 1st to May 31st, 2016. The KDQOL SF 36 scale was used in PD or HD patients in North Central Hospital and Poza Rica Regional Hospital, Mexico. The results were compared with t-Student and χ2. RESULTS: Mental effects in the group of PD 39.5% vs 47% in HD, p 0.05; physical effects on DP 34% vs 35% in HD, p 0.758; burden of kidney disease on PD 27% vs 46% in HD, p 0.03; effects of kidney disease in PD 61% vs 55% in HD, p 0.391; symptoms in PD 71% vs 71% in HD, p 0.893. CONCLUSIONS: Peritoneal dialysis has better score than hemodialysis on effects of kidney disease; PD with lower score that HD in burden of kidney disease, mental effects area; in physical effects, symptoms area with no statistical difference. No significant difference in long-term dialysis (>4 years) between both groups. Therefore, the physician and patient should find dialysis modality that best fits their needs and lifestyle adjustment.

Infección por adenovirus en el Hospital de niños Roberto del Río 2016 / Adenovirus infection at the Roberto del Río children's Hospital 2016

En los meses de invierno, las enfermedades respiratorias representan la primera causa de hospitalización en hospitales pediátricos. La mayoría de estas enfermedades son causadas por virus, dentro de los cuales se encuentra el adenovirus (AdV), el cual puede generar infecciones diseminadas graves, secuelantes e incluso letales y se caracteriza por tener una rápida transmisión entre pacientes, generando brotes intrahospitalarios. Se identificó a 54 pacientes hospitalizados con infección por adenovirus en el periodo de marzo-julio del 2016 con una edad promedio de 18,3 meses, de los cuales 23 casos fueron infecciones asociadas a la atención de salud (IIAS) y 2 tuvieron desenlace fatal. Los casos de IIAS, se asociaron a una mayor tasa de hospitalización prolongada (p= <0.01), ingreso a UPC (p= <0.01) y uso de ventilación mecánica (p= <0.01). No se encontró asociación entre la presencia de antecedentes mórbidos con el desarrollo de IIAS. Las IIAS por adenovirus se asocia a una hospitalización prolongada, ingreso de unidades de alta complejidad y necesidad de uso de ventilación mecánica. Dado que el adenovirus se transmite a través de contactos directo, aerosoles y fómites, las medidas básicas de precaución de contacto y de aislamiento permiten reducir los contagios nosocomiales, recayendo la responsabilidad en todo el equipo de salud a cargo.

Respiratorio deseases are frequent in winter times. being the main cause of hospital admissions. Viral infecciones are the main etiology, and adenovirus infección clould lead to severe disease, with cross infections. We identified 54 patients admitted to the Roberto del Río Childrens hospital in 2016, with a mean age of 18,3 months old; 23 cases where nosocomial infection, and 2 were fatal. Hospital acquired adenovirus infection were associated to long hospital stay (p= <0.01), intensive care admission (p= <0.01) and ventilatory support (p= <0.01). We did not find previous illness conditions. Adenovirus hospital acquired infection is associated with longer hospital stay and dead. Adenovirus is transmitted with direct contact, aerosols and fomites, therefore basic contact precautions are important.