The Novel Porcine Parvoviruses: Current State of Knowledge and Their Possible Implications in Clinical Syndromes in Pigs.

Parvoviruses (PVs) affect various animal species causing different diseases. To date, eight different porcine parvoviruses (PPV1 through PPV8) are recognized in the swine population, all of which are distributed among subfamilies and genera of the Parvoviridae family. PPV1 is the oldest and is recognized as the primary agent of SMEDI, while the rest of the PPVs (PPV2 through PPV8) are called novel PPVs (nPPVs). The pathogenesis of nPPVs is still undefined, and whether these viruses are putative disease agents is unknown. Structurally, the PPVs are very similar; the differences occur mainly at the level of their genomes (ssDNA), where there is variation in the number and location of the coding genes. Additionally, it is considered that the genome of PVs has mutation rates similar to those of ssRNA viruses, that is, in the order of 10-5-10-4 nucleotide/substitution/year. These mutations manifest mainly in the VP protein, constituting the viral capsid, affecting virulence, tropism, and viral antigenicity. For nPPVs, mutation rates have already been established that are similar to those already described; however, within this group of viruses, the highest mutation rate has been reported for PPV7. In addition to the mutations, recombinations are also reported, mainly in PPV2, PPV3, and PPV7; these have been found between strains of domestic pigs and wild boars and in a more significant proportion in VP sequences. Regarding affinity for cell types, nPPVs have been detected with variable prevalence in different types of organs and tissues; this has led to the suggestion that they have a broad tropism, although proportionally more have been found in lung and lymphoid tissue such as spleen, tonsils, and lymph nodes. Regarding their epidemiology, nPPVs are present on all continents (except PPV8, only in Asia), and within pig farms, the highest prevalences detecting viral genomes have been seen in the fattener and finishing groups. The relationship between nPPVs and clinical manifestations has been complicated to establish. However, there is already some evidence that establishes associations. One of them is PPV2 with porcine respiratory disease complex (PRDC), where causality tests (PCR, ISH, and histopathology) lead to proposing the PPV2 virus as a possible agent involved in this syndrome. With the other nPPVs, there is still no clear association with any pathology. These have been detected in different systems (respiratory, reproductive, gastrointestinal, urinary, and nervous), and there is still insufficient evidence to classify them as disease-causing agents. In this regard, nPPVs (except PPV8) have been found to cause porcine reproductive failure (PRF), with the most prevalent being PPV4, PPV6, and PPV7. In the case of PRDC, nPPVs have also been detected, with PPV2 having the highest viral loads in the lungs of affected pigs. Regarding coinfections, nPPVs have been detected in concurrence in healthy and sick pigs, with primary PRDC and PRF viruses such as PCV2, PCV3, and PRRSV. The effect of these coinfections is not apparent; it is unknown whether they favor the replication of the primary agents, the severity of the clinical manifestations, or have no effect. The most significant limitation in the study of nPPVs is that their isolation has been impossible; therefore, there are no studies on their pathogenesis both in vitro and in vivo. For all of the above, it is necessary to propose basic and applied research on nPPVs to establish if they are putative disease agents, establish their effect on coinfections, and measure their impact on swine production.

Regulation of megakaryo/thrombopoiesis by endosomal toll-like receptor 7 and 8 activation of CD34+ cells in a viral infection model.

Background: CD34+ cells, megakaryocytes (MKs), and platelets express toll-like receptors (TLRs) that enable these cells to amplify the host innate immune response. However, the role of TLR7/TLR8 activation in megakaryopoiesis has not yet been investigated. Objectives: We evaluated the effect of coxsackievirus B3 (CVB3) and synthetic TLR7/TLR8 agonists on the development of human MKs and production of platelets. Methods: CD34+ cells from human umbilical cord were inoculated with CVB3 or stimulated with synthetic TLR7/TLR8 agonists and then cultured in the presence of thrombopoietin. Results: CD34+ cells, MK progenitor cells, and mature MKs expressed TLR7 and TLR8, and exposure to CVB3 resulted in productive infection, as determined by the presence of viral infectious particles in culture supernatants. Cell expansion, differentiation into MKs, MK maturation, and platelet biogenesis were significantly reduced in CD34+-infected cultures. The reduction in MK growth was not due to an alteration in cellular proliferation but was accompanied by an increase in cellular apoptosis and pyroptosis. Impairment of MK generation and maturation of viable cells were also associated with decreased expression of transcription factors involved in these processes. These effects were completely abrogated by TLR7 but not TLR8 antagonists and mimicked by TLR7 but not TLR8 agonists. CVB3 infection of CD34+ cells increased the immunophenotype of MKs characterized as CD148+/CD48+ or CD41+/CD53+ cells. Conclusion: These data suggest a novel role of TLR7 in megakaryo/thrombopoiesis that may contribute to a better understanding of the molecular basis underlying thrombocytopenia and the immunologic role of MKs in viral infection processes.

Photooxidative Behavior of Polystyrene Nanocomposites Filled with Two-Dimensional Molybdenum Disulfide.

This study aimed to investigate how an ultralow content of a molybdenum disulfide (MoS2) two-dimensional particle affects the photodegradation mechanism of polystyrene (PS). Here, an accelerated weathering study was presented on neat polystyrene and its nanocomposites produced with 0.001, 0.002, 0.003 and 0.005 wt% of molybdenum disulfide (MoS2) exposed for various irradiation intervals (up to 8 weeks). The polymer photo-transformations were monitored using size exclusion chromatography (SEC), infrared spectroscopy (FTIR), and UV-Vis spectroscopy. The FTIR and UV/Vis results indicate that the PS degradation mechanism was not altered by the presence of MoS2 particles; however, the degradation reactions were slowed down at higher MoS2 contents (>0.003%). The SEC results proved the stabilizer effect due to MoS2 particles, where M¯n, M¯w, and M¯w/M¯n values after 8 weeks were less modified when compared with the neat PS results. The MoS2 acted as a UV stabilizer, and these two-dimensional particles acted by deactivating the free radicals generated by the PS matrix, even considering the low amount of the filler (<0.005 wt%).

Use of Polystyrene Nanoparticles as Collectors in the Flotation of Chalcopyrite.

This study proposes the use of polymeric nanoparticles (NPs) as collectors for copper sulfide flotation. The experimental phase included the preparation of two types of polystyrene-based NPs: St-CTAB and St-CTAB-VI. These NPs were characterized by Fourier-Transform Infrared (FTIR) spectroscopy and dynamic light scattering (DLS). Then, microflotation tests with chalcopyrite under different pH conditions and nanoparticle dosages were carried out to verify their capabilities as chalcopyrite collectors. In addition, the zeta potential (ZP) measurements of chalcopyrite in the presence and absence of NPs were carried out to study their interaction. Lastly, some Atomic Force Micrographs (AFM) of NPs and Scanning Electronic Microscopy (SEM) and Energy Dispersive X-ray Spectroscopy (EDS) analysis of NPs on the chalcopyrite surface were conducted to analyze the size, the morphology and their interaction. The results obtained at pH 6 and pH 8 show that the NPs under study can achieve a chalcopyrite recovery near or higher than that obtained with the conventional collector. In this study, it was possible to observe that the NPs functionalized by the imidazole group (St-CTAB-VI) achieved better performance due to the presence of this group in its composition, allowing to achieve a greater affinity with the surface of the mineral.

A Simple Yet Effective Preanalytical Strategy Enabling the Application of Aptamer-Conjugated Gold Nanoparticles for the Colorimetric Detection of Antibiotic Residues in Raw Milk.

The misuse of antibiotics in the cattle sector can lead to milk contamination, with concomitant effects on the dairy industry and human health. Biosensors can be applied in this field; however, the influence of the milk matrix on their activity has been poorly studied in light of the preanalytical process. Herein, aptamer-conjugated gold nanoparticles (nanoaptasensors) were investigated for the colorimetric detection in raw milk of four antibiotics used in cattle. The effect of milk components on the colorimetric response of the nanoaptasensors was analyzed by following the selective aggregation of the nanoparticles, using the absorption ratio A520/A720. A preanalytical strategy was developed to apply the nanoaptasensors to antibiotic-contaminated raw milk samples, which involves a clarification step with Carrez reagents followed by the removal of cations through dilution, chelation (EDTA) or precipitation (NaHCO3). The colorimetric signals were detected in spiked samples at concentrations of antibiotics as low as 0.25-fold the maximum residue limits (MRLs) for kanamycin (37.5 µg/L), oxytetracycline (25 µg/L), sulfadimethoxine (6.25 µg/L) and ampicillin (1 µg/L), according to European and Chilean legislation. Overall, we conclude that this methodology holds potential for the semiquantitative analysis of antibiotic residues in raw milk obtained directly from dairy farms.

Understanding the unorthodox stabilization of liquid phase exfoliated molybdenum disulfide (MoS2) in water medium.

Molybdenum disulfide is a highly esteemed 2D material with interesting applications in nanoelectronics, composites, biotechnology and beyond. Its production through liquid-phase exfoliation in H2O is low-cost and eco-friendly. Herein, we present a detailed experimental and theoretical investigation seeking to explain the peculiar stability of MoS2 in H2O medium. By combining different microscopic (SEM, AFM and OM), spectrometric (Raman, UV-vis and AFM-FTIR), scattering (DLS) and ab initio simulation techniques, an edge-functionalization hypothesis for the excellent solvent properties of water for producing few-layer MoS2 has been demonstrated.

Activation of toll-like receptors 2 and 4 on CD34+ cells increases human megakaryo/thrombopoiesis induced by thrombopoietin.

BACKGROUND: Platelet Toll-like receptor (TLR)2/4 are key players in amplifying the host immune response; however, their role in human megakaryo/thrombopoiesis has not yet been defined. OBJECTIVES: We evaluated whether Pam3CSK4 or lipopolysaccharide (LPS), TLR2/4 ligands respectively, modulate human megakaryocyte development and platelet production. METHODS: CD34+ cells from human umbilical cord were stimulated with LPS or Pam3CSK4 with or without thrombopoietin (TPO). RESULTS: CD34+ cells and megakaryocytes express TLR2 and TLR4 at both RNA and protein level; however, direct stimulation of CD34+ cells with LPS or Pam3CSK4 had no effect on cell growth. Interestingly, both TLR ligands markedly increased TPO-induced CD34+ cell proliferation, megakaryocyte number and maturity, proplatelet and platelet production when added at day 0. In contrast, this synergism was not observed when TLR agonists were added 7 days after TPO addition. Interleukin-6 (IL-6) release was observed upon CD34+ or megakaryocyte stimulation with LPS or Pam3CSK4 but not with TPO and this effect was potentiated in combination with TPO. The increased proliferation and IL-6 production induced by TPO + LPS or Pam3CSK4 were suppressed by TLR2/4 or IL-6 neutralizing antibodies, as well as by PI3K/AKT and nuclear factor-κB inhibitors. Additionally, increased proplatelet and platelet production were associated with enhanced nuclear translocation of nuclear factor-E2. Finally, the supernatants of CD34+ cells stimulated with TPO+LPS-induced CFU-M colonies. CONCLUSIONS: Our data suggest that the activation of TLR2 and TLR4 in CD34+ cells and megakaryocytes in the presence of TPO may contribute to warrant platelet provision during infection episodes by an autocrine IL-6 loop triggered by PI3K/NF-κB axes.

Population Pharmacogenomics for Precision Public Health in Colombia.

While genomic approaches to precision medicine hold great promise, they remain prohibitively expensive for developing countries. The precision public health paradigm, whereby healthcare decisions are made at the level of populations as opposed to individuals, provides one way for the genomics revolution to directly impact health outcomes in the developing world. Genomic approaches to precision public health require a deep understanding of local population genomics, which is still missing for many developing countries. We are investigating the population genomics of genetic variants that mediate drug response in an effort to inform healthcare decisions in Colombia. Our work focuses on two neighboring populations with distinct ancestry profiles: Antioquia and Chocó. Antioquia has primarily European genetic ancestry followed by Native American and African components, whereas Chocó shows mainly African ancestry with lower levels of Native American and European admixture. We performed a survey of the global distribution of pharmacogenomic variants followed by a more focused study of pharmacogenomic allele frequency differences between the two Colombian populations. Worldwide, we found pharmacogenomic variants to have both unusually high minor allele frequencies and high levels of population differentiation. A number of these pharmacogenomic variants also show anomalous effect allele frequencies within and between the two Colombian populations, and these differences were found to be associated with their distinct genetic ancestry profiles. For example, the C allele of the single nucleotide polymorphism (SNP) rs4149056 [Solute Carrier Organic Anion Transporter Family Member 1B1 (SLCO1B1)∗5], which is associated with an increased risk of toxicity to a commonly prescribed statin, is found at relatively high frequency in Antioquia and is associated with European ancestry. In addition to pharmacogenomic alleles related to increased toxicity risk, we also have evidence that alleles related to dosage and metabolism have large frequency differences between the two populations, which are associated with their specific ancestries. Using these findings, we have developed and validated an inexpensive allele-specific PCR assay to test for the presence of such population-enriched pharmacogenomic SNPs in Colombia. These results serve as an example of how population-centered approaches to pharmacogenomics can help to realize the promise of precision medicine in resource-limited settings.

Disentangling residents' engagement with communities of clinical practice in the workplace.

Maximising the potential of the workplace as a learning environment entails understanding the complexity of its members' interactions. Although some articles have explored how residents engage with supervisors, nurses and pharmacists individually, there is little research on how residents enter into and engage with the broader community of clinical practice (CoCP). To this end, we designed a constructivist grounded theory study that took place at Universidad Javeriana in Bogotá, Colombia. We conducted semi-structured interviews with 13 residents from different training levels and disciplines during the first weeks of their new rotations. During the interviews, we used the Pictor technique as a visual aid to collect data. Using iterative data collection and analysis, constant comparison methods and theoretical sampling, we constructed the final results. When entering a CoCP, residents experienced recurring and intertwined processes including: exploring how their goals and interest are aligned with those of the CoCP; identifying the relevant CoCP members in the workplace environment; and understanding how these members could assist their successful engagement with the community's practices. Residents entered a CoCP with the intention of either having a central or a peripheral trajectory in it. The final resident participation and role resulted from negotiations between the resident and the CoCP members. Optimising workplace learning includes being mindful as to how each member of the healthcare team influence residents' engagement on practice, and on understanding the nuances of residents' participatory trajectories while interacting with them. Understanding such nuances could be key to align CoCPs' learning affordances and residents' goals and intentions.

Violencia policial y afrontamiento: crecimiento postraumático en pobladores de una comunidad aislada del sur de Chile / Police Violence and Coping: Posttraumatic Growth in a Community Isolated of Southern Chile

En Puerto Aysén, a inicios del año 2012, se realizaron manifestaciones sociales en pro del mejoramiento de la calidad de vida de sus habitantes que fueron duramente reprimidas por una inusitada fuerza policial enviada desde la capital, Santiago de Chile. El presente estudio evaluó la influencia de la participación social en las asambleas, las marchas y actividades de resistencia, la experiencia de compartir socialmente con otros, la severidad subjetiva del evento y diversas estrategias de afrontamiento, sobre el crecimiento postraumático, en 301 habitantes adultos de dicha localidad. Los resultados muestran que quienes participaron en manifestaciones y actividades de resistencia, compartieron su experiencia con otras personas, usaron estrategias de afrontamiento como la búsqueda de apoyo instrumental, afrontamiento activo, religiosidad y negación, entre otras, presentaron mayores niveles de crecimiento postraumático. A continuación, se presentan los datos y las implicancias de dichos hallazgos.

This study assessed the influence of social participation in assemblies, marches and resistance activities, social sharing experience with other; subjective severity of the event and coping strategies on posttraumatic growth in 301 adult residents Puerto Aysen, where at the beginning of 2012, were performed social manifestations to improve their quality of life and were harshly repressed by an unusual police force sent from the capital, Santiago de Chile. The results show that people who participated in manifestations and resistance activities, socially shared, used strategies of seeking instrumental support, active coping, religiosity and denial, among others, had higher levels of posttraumatic growth. Then we present the data and the implications of these findings.

Páncreas anular: reporte de un caso / Annular pancreas: report of one case

El páncreas anular corresponde a la formación de un anillo de tejido pancreático normal alrededor del duodeno. Su etiología exacta es desconocida, pero se cree que es el resultado de la migración y rotación anormal del esbozo ventral de la cabeza del páncreas. En este artículo se presenta el caso de una niña de ocho meses de edad con obstrucción intestinal alta, evidenciada en un estudio de vías digestivas altas, por la presencia de páncreas anular descubierto en una laparotomía exploratoria.

Fístula del segundo arco branquial / Second branchial arch fistule

En este artículo se presentan los casos de dos pacientes con fístula del segundo arco branquial y, a partir de ahí, se hace una breve revisión de esta entidad. Se hace hincapié en la utilidad de la fistulografía para la planeación quirúrgica de esta entidad

Comportamiento de la infección meníngea, Hospital Infantil Consejo de Medellín, 1994 - 1998 / Meningeal infection behaviour, Infantile Hospital Concejo de Medellín, 1994 - 1998

La incidencia de meningitis ha aumentado en varios países del mundo. En las últimas décadas se han registrado epidemias especialmente por meningococo en Egipto, Finlandia, Brasil, Chile y cuba. En Colombia, en los últimos años se han encontrado la mayoría de los casos en Antioquia, siendo de los de mayor incidencia las meningitis por meningococo. En Medellín, en su área Metropolitana su mayor incidencia se ha venido presentando en la zona nororiental. En el transcurso de los 24 años de funcionamiento del Hospital Infantil Consejo de Medellín (H.I.C.M.), se ha venido encontrando una alta incidencia en la presentación de la infección meníngea, la cual ha ido aumentando progresivamente.