Safety and effectiveness of direct-acting antiviral drugs in the treatment of hepatitis C in patients with inflammatory bowel disease.

BACKGROUND AND AIMS: Hepatitis C virus (HCV) management in Inflammatory Bowel Disease (IBD) is uncertain. The ECCO guidelines 2021 recommended HCV treatment but warn about the risk of IBD reactivation. We aimed to evaluate 1) the effectiveness and safety of direct-acting antivirals (DAAs) in IBD; 2) the interaction of DAAs with IBD drugs. METHODS: Multicentre study of IBD patients and HCV treated with DAAs. Variables related to liver diseases and IBD, as well as adverse events (AEs) and drug interactions, were recorded. McNemar's test was used to assess differences in the proportion of active IBD during the study period. RESULTS: We included 79 patients with IBD and HCV treated with DAAs from 25,998 IBD patients of the ENEIDA registry. Thirty-one (39.2 %) received immunomodulators/biologics. There were no significant differences in the percentage of active IBD at the beginning (n = 11, 13.9 %) or at the 12-week follow-up after DAAs (n = 15, 19 %) (p = 0.424). Sustained viral response occurred in 96.2 % (n = 76). A total of 8 (10.1 %) AEs occurred and these were unrelated to activity, type of IBD, liver fibrosis, immunosuppressants/biologics, and DAAs. CONCLUSIONS: We demonstrate a high efficacy and safety of DAAs in patients with IBD and HCV irrespective of activity and treatment of IBD.

Avaliação neurocomportamental e níveis de acetilcolinesterase cerebral em ratos expostos subcronicamente ao fipronil / Neurobehavioral assessment and brain acetylcholinesterase levels in rats subchronically exposed to fipronil

O fipronil é um inseticida de toxicidade seletiva amplamente empregado na agricultura e na medicina veterinária. Porém, há relatos de efeitos neurotóxicos dessa substância, que geram prejuízos para vertebrados. Avaliou-se a atividade locomotora, a coordenação motora e a atividade da enzima acetilcolinesterase cerebral em ratos expostos ao fipronil. Ratos Wistar machos adultos (n=15) receberam fipronil em dose de 30mg/kg, por via oral, durante 15 dias; o grupo controle (n=15) foi tratado com solução fisiológica, por via oral, no mesmo período. No 16° dia de experimentação, os animais foram submetidos aos testes de arena de campo aberto e hole board. No 17° dia, foram anestesiados e eutanasiados, procedendo-se à coleta de órgãos, e posteriormente foi feita a avaliação da AChE cerebral. A exposição ao fipronil não provocou alterações significativas sobre a coordenação motora e a atividade locomotora, porém gerou inibição significativa da atividade da acetilcolinesterase cerebral. Esses achados sugerem que o fipronil pode provocar efeitos neurotóxicos em curto prazo, os quais podem ser exacerbados caso a exposição seja prolongada.(AU)

Fipronil is a selective-toxicity insecticide widely used in agriculture and veterinary medicine. However, there are reports of neurotoxic effects of this substance, causing damages to vertebrates. We evaluated the locomotor activity, motor coordination and the activity of brain acetylcholinesterase in rats exposed to fipronil. Adult male Wistar rats (n= 15) received fipronil at a dose of 30mg/kg orally for 15 days; the Control group (n= 15) was treated with oral solution in the same period. On the 16th day of experimentation, the animals were submitted to the open field arena test and hole-board test. On the 17th day, they were anesthetized and euthanized, and organs were collected, and subsequently brain AChE was evaluated. Exposure to fipronil yielded no significant changes on motor coordination and locomotor activity but caused significant inhibition of brain acetylcholinesterase activity. These findings suggest that fipronil may cause short-term neurotoxic effects, which may be exacerbated if exposure is prolonged.(AU)

First Report on Molecular Detection of Phytoplasmas in Papaya in Cuba.

Phytoplasmas and rickettsias have been associated with recent nonviral papaya diseases (1,2). Forty leaf samples with symptoms similar to papaya bunchy top (PBT) (1) and Australian papaya diseases (2) were collected from surveys done in Cuban papaya areas of Havana and Villa Clara provinces. Thirty nine plants showed typical PBT symptoms, while 35 plants also exhibited symptoms previously described for phytoplasma diseases (2) such as yellowing, crinkling, necrosis and deformation of older leaves, phyllody, virescence, short internodes, reduced latex flow, stunted crown leaves, and abscission of the fruit. Samples were evaluated by transmission electron microscopy, nested polymerase chain reaction (nPCR) with 16S ribosomal RNA phytoplasma primers SN910601/DH6-R16F2n/R16R2, PCR with rickettsial succinate dehydrogenase gene (sdhA) primers PBT1/PBT2, HaeIII, RsaI, and AluI enzyme restriction, and phytoplasma intergenic sequence analyses. Rickettsia PCR amplifications of 750 bp were obtained for samples with PBT symptoms, while the 35 phytoplasma-infected samples yielded amplifications of 1,250 bp. Restriction profiles and a 98% homology in the intergenic sequence (GenBank Accession No. AY257547) confirmed the presence of apple proliferation phytoplasma group. Electron microscopy analysis evidenced the presence of particles similar to rickettsia and phytoplasma pleomorfic bodies in more than 50% of samples analysed. Also, those similar to potyvirus and rhabdovirus were observed in 22.5%. To our knowledge, these results are the first report on the molecular detection of phytoplasmas in papaya in Cuba and suggest a possible concomitance among phytopathogens detected. References: (1) M. Davis et al. Curr. Microbiol. 36:80, 1998. (2) K. Gibb et al. Plant Dis. 80:174, 1996.

Observations on female sterilization in Chile.

PIP: Prior to 1976, voluntary female sterilization was 1 of the regular family planning services offered in Chile. After that the Ministry of Public Health declared that it could not be considered a fertility regulation activity and could thus be performed only for health reasons. Between 1971-75, there was almost a 6-fold increase in the number of sterilizations performed at the Valdivia Regional Hospital, with a rise to 2400 procedures. Such an unprecedented increase in voluntary sterilization prompted this study. The results are based on a 1976 survey of women sterilized between 1971-75 at the Valdivia Regional Hospital. Personal interviews were conducted. The number of voluntary sterilizations there during the aforementioned period showed a sustained upward trend; the number of births increased only moderately during that time. The data on sterilization in the Valdivia area is compared to that collected by the Santiago study. Age, marital status, place of origin or residence, education, and religion were compared. Socioeconomic and occupational data were also examined. 9 of 10 women in Valdivia were from low-income families. This agrees closely with the Santiago data. About 1/4 of the women in both samples were employed outside the home. Also in both samples, about 1/2 of the spouses of sterilized women were blue collar workers; only 1/5 or less were white collar, and very few were professionals. About 52% in Valdivia and 45% in Santiago had borne 7 or more viable offspring. The average number of spontaneous abortions was also similar. A significantly higher percentage (P0.01) of Valdivia women used contraceptives. There are some general trends apparent in both groups as to the reasons for sterilization; most were prompted by difficult socioeconomic conditions. 37.9% of the Santiago women felt their families were complete and 27.3% of the other group cited the same reason. Other reasons were medical, failure of contraception, problems with spouse, and other. Medical and paramedical health services personnel played a significant role in patients' decision to request sterilization. Few women cited mass media as playing a part. Pomeroy and laparoscopic methods were the most popular methods used in Valdivia, 53.8% of the Santiago women were sterilized by the Pomeroy method and the others by Madlener or other methods. Postoperative results of sterilization are divided into clinical problems, postoperative attitude of spouse, and sexual relations. Results indicate that there are no substantial differences between the contraceptive behavior of Catholics and non-Catholics. There is an apparent need for more family planning education in Chile as is evidenced by complications of contraceptive method use. The postoperative consequences of sterilization suggest the need for research and analysis.^ieng

Observaciones sobre la esterilizacion femenina en Valdivia, Chile. / Observations on female sterilization in Valdivia, Chile

El creciente numero de esterilizaciones femeninas voluntarias en Valdivia, en el periodo de 1971 a 1975, unido a la necesidad de evaluaciones sistematicas que aporten informacion con respecto a ciertas caracteristicas de las mujeres esterilizadas, y a algunas posibles consecuencias de este tipo de operacion, motivaron la realizacion de este trabajo, cuyos resultados se comparan con los de otra investigacion efectuada en Santiago

[Sterilization of women in Chile. Results of 2 samples of Valdivia and Santiago]. / Observaciones sobre la esterilización de la mujer en Chile. Resultados de dos muestras de Valdivia y Santiago.

PIP: The article compares and comments on the results of 2 surveys on female sterilizations conducted between 1971-75 in Valdivia, and in 1975 in Santiago, Chile. Sterilizations were performed either by laparoscopy, 32.3% of cases, or by the Pomeroy method, 67.7% of cases. Most women were married, about half from urban areas, of average age 34 and average parity 4.7, with low educational and socioeconomic status. Belief in the catholic faith did not influence attitude toward sterilization. Socioeconomic reasons were most often cited for seeking the procedure, since most contraceptive methods previously used had resulted in failure. The attitude of partners toward sterilization was favorable in about 75% of cases. Side effects were pain in 24% of cases; sexual relations seemed to be unchanged for the most part.^ieng