Uveítis: estudio de 109 casos / Uveitis: Study of 109 cases

Objetivo Analizar y describir la clasificación anatómica y etiológica, las características clínicas y epidemiológicas y los síntomas más frecuentes de los casos de uveítis en nuestra población. Pacientes y método Estudio observacional descriptivo, retrospectivo de los casos de uveítis atendidos en el Servicio de Oftalmología del Hospital Universitario Virgen del Rocío en el año 2021. Se estudiaron las características demográficas y clínicas. Resultados Se estudiaron 109 casos de uveítis, en 46 hombres y 63 mujeres, con una media de edad de 45,43±16,11 años. Los síntomas más frecuentes fueron dolor (74,31%), hiperemia (73,39%) y visión borrosa (65,14%). La clasificación anatómica más frecuente fue anterior (55,96%), seguida de panuveítis (18,35%), uveítis posterior (12,84%) e intermedia (7,34%). En cuanto a la etiología, la mayoría de las uveítis fueron idiopáticas (42,99%), seguidas de las no infecciosas (38,32%) y las infecciosas (18,69%). Conclusiones En el sur de España, las características de la uveítis son similares a las de otros estudios en países occidentales (AU)

Purpose Analyse and describe the anatomical and etiological classification, clinical and epidemiological characteristics and most frequent symptoms of uveitis cases in our population. Patients and method Descriptive, retrospective observational study of uveitis cases treated in the Ophthalmology Department of Virgen del Rocío University Hospital in 2021. The demographic and clinical characteristics were studied. Results A total of 109cases of uveitis were studied, 46 men and 63 women, with a mean age of 45.43±16.11 years. The most frequent symptoms were pain (74.31%), hyperemia (73.39%) and blurred vision (65.14%). The most frequent anatomical classification was anterior (55.96%), followed by panuveitis (18.35%), posterior (12.84%) and intermediate uveitis (7.34%). Regarding etiology, most uveitis were idiopathic (42.99%), followed by non-infectious (38.32%) and finally infectious (18.69%). Conclusions In southern España, the characteristics of uveitis are similar to other studies in Western countries (AU)

[Uveitis: Study of 109 cases]. / Uveítis: estudio de 109 casos.

PURPOSE: Analyse and describe the anatomical and etiological classification, clinical and epidemiological characteristics and most frequent symptoms of uveitis cases in our population. PATIENTS AND METHOD: Descriptive, retrospective observational study of uveitis cases treated in the Ophthalmology Department of Virgen del Rocío University Hospital in 2021. The demographic and clinical characteristics were studied. RESULTS: A total of 109cases of uveitis were studied, 46 men and 63 women, with a mean age of 45.43±16.11 years. The most frequent symptoms were pain (74.31%), hyperemia (73.39%) and blurred vision (65.14%). The most frequent anatomical classification was anterior (55.96%), followed by panuveitis (18.35%), posterior (12.84%) and intermediate uveitis (7.34%). Regarding etiology, most uveitis were idiopathic (42.99%), followed by non-infectious (38.32%) and finally infectious (18.69%). CONCLUSIONS: In southern España, the characteristics of uveitis are similar to other studies in Western countries.

Ocular Involvement in a Patient with Intravascular Large B-Cell Lymphoma: A Diagnostic Challenge. Clinical Case Report and Literature Review.

PURPOSE: To describe the ophthalmic findings and diagnosis of a case of intravascular large B-cell lymphoma. METHODS: Clinical case observational report. CLINICAL CASE: A Spanish 51-year-old man referred to our hospital with a diagnosis of panuveitis. The patient presented with blurred vision, photophobia, fever, and weight loss. Ocular examination revealed anterior uveitis, vitritis, and multiple round and oval creamy spots on the posterior pole. Fluorescein angiography, optical coherence tomography (OCT), and angio-OCT were used for the ocular examination. The diagnosis of lymphoma was formulated on the basis of a random normal skin biopsy, which showed significant CD20 cellularity within the vessels and extensive CD3 expression. CONCLUSIONS: Intravascular lymphoma is a rare form of extranodal diffuse large B-cell lymphoma, often with delayed diagnosis because of the nonspecific symptoms. Hence, random skin biopsy could be useful in the diagnosis.

A dataset of the food self-sufficiency assessment of Bristol and Vienna based on a foodshed approach.

The food self-sufficiency assessment of Bristol and Vienna was developed by applying the Metropolitan Foodshed and Self-sufficiency scenario (MFSS) model [1] in the proposed respective foodsheds. In the case of Vienna 25 surrounding districts (i.e. Niederösterreich region) were selected, whereas for Bristol 5 districts surrounding the city were included. The model takes the consumption patterns as well as the available area for agriculture in the proposed foodsheds as the main inputs. Intermediate calculations are developed using data on population and yields. The outputs after applying the MFSS model are: (1) the area demand (i.e. surface needed to meet the population´s dietary requirements) in terms of surface and radius, and (2) the potential food self-sufficiency, at district level and for the whole foodshed area. The outputs are shown for 12 scenarios resulting after combining four variables: (1) production system (conventional vs organic), (2) dietary shifts (domestic vs current diet), (3) reducing food losses and waste, and (4) population growth 2015-2050. The analytical outputs from the MFSS model are converted in spatial data after applying GIS software. Whereas some of the supporting information on the inputs are shown spatially, the spatial outputs are shown in the co-submitted publication [2], as well as a summary of the datasets shown here. These data can be used to develop food policies in both city-regions as well as to test whether a specific policy is feasible. The data might be especially useful for policymakers and governance actors (e.g. food policy councils) when developing or assessing the food policies for both cities. The data can be used also by policymakers in other cities developing foodshed assessments. Furthermore, other stakeholders (e.g. education, NGOs) might use the data to increase the awareness of the impact of dietary patterns on the food land footprint.

Systematic review of soil ecosystem services in tropical regions.

Soil ecosystem service (SES) approaches evidence the importance of soil for human well-being, contribute to improving dialogue between science and decision-making and encourage the translation of scientific results into public policies. Herein, through systematic review, we assess the state of the art of SES approaches in tropical regions. Through this review, 41 publications were identified; while most of these studies considered SES, a lack of a consistent framework to define SES was apparent. Most studies measured soil natural capital and processes, while only three studies undertook monetary valuation. Although the number of publications increased (from 1 to 41), between 2001 and 2019, the total number of publications for tropical regions is still small. Countries with the largest number of publications were Brazil (n = 8), Colombia (n = 6) and Mexico (n = 4). This observation emphasizes an important knowledge gap pertaining to SES approaches and their link to tropical regions. With global momentum behind SES approaches, there is an opportunity to integrate SES approaches into policy and practice in tropical regions. The use of SES evaluation tools in tropical regions could transform how land use decisions are informed, mitigating soil degradation and protecting the ecosystems that soil underpins.

Can a shift to regional and organic diets reduce greenhouse gas emissions from the food system? A case study from Qatar.

BACKGROUND: Qatar is one of the countries with the highest carbon (C) footprints per capita in the world with an increasing population and food demand. Furthermore, the international blockade by some countries that is affecting Qatar-which has been traditionally a highly-dependent country on food imports-since 2017 has led the authorities to take the decision of increasing food self-sufficiency. In this study we have assessed the effect on greenhouse gas (GHG) emissions of shifting diets from conventional to organic products and from import-based diets to more regionalized diets for the first time in a Gulf country. RESULTS: We found that considering the production system, the majority of the emissions come from the animal products, but the differences between conventional and organic diets are very small (738 and 722 kg CO2-eq capita-1 year-1, of total emissions, respectively). Conversely, total emissions from plant-based products consumption might be around one order of magnitude smaller, but the differences in the emissions between the organic and conventional systems were higher than those estimated for animal products, leading to a decrease in 44 kg CO2-eq capita-1 year-1 when changing from 100% conventional to 50% of organic consumption of plant-based products. Regarding the shift to regionalized diets, we found that packaging has a small influence on the total amount of GHG emissions, whereas emissions from transportation would be reduced in around 450 kg CO2 capita-1 year-1 when reducing imports from 100 to 50%. CONCLUSIONS: However, these results must be read carefully. Due to the extreme adverse pedoclimatic conditions of the country, commercial organic regional livestock would not be possible without emitting very high GHG emissions and just only some traditional livestock species may be farmed in a climate-friendly way. On the other hand, organic and regional low-CO2 emission systems of plant-based products would be possible by implementing innovations in irrigation or other innovations whose GHG emissions must be further studied in the future. Therefore, we conclude that shifting towards more plant-based organic regional consumption by using climate-friendly irrigation is a suitable solution to both increasing self-sufficiency and reducing C footprint. We encourage national authorities to including these outcomes into their environmental and food security policies.

Changes in soil organic carbon under perennial crops.

This study evaluates the dynamics of soil organic carbon (SOC) under perennial crops across the globe. It quantifies the effect of change from annual to perennial crops and the subsequent temporal changes in SOC stocks during the perennial crop cycle. It also presents an empirical model to estimate changes in the SOC content under crops as a function of time, land use, and site characteristics. We used a harmonized global dataset containing paired-comparison empirical values of SOC and different types of perennial crops (perennial grasses, palms, and woody plants) with different end uses: bioenergy, food, other bio-products, and short rotation coppice. Salient outcomes include: a 20-year period encompassing a change from annual to perennial crops led to an average 20% increase in SOC at 0-30 cm (6.0 ± 4.6 Mg/ha gain) and a total 10% increase over the 0-100 cm soil profile (5.7 ± 10.9 Mg/ha). A change from natural pasture to perennial crop decreased SOC stocks by 1% over 0-30 cm (-2.5 ± 4.2 Mg/ha) and 10% over 0-100 cm (-13.6 ± 8.9 Mg/ha). The effect of a land use change from forest to perennial crops did not show significant impacts, probably due to the limited number of plots; but the data indicated that while a 2% increase in SOC was observed at 0-30 cm (16.81 ± 55.1 Mg/ha), a decrease in 24% was observed at 30-100 cm (-40.1 ± 16.8 Mg/ha). Perennial crops generally accumulate SOC through time, especially woody crops; and temperature was the main driver explaining differences in SOC dynamics, followed by crop age, soil bulk density, clay content, and depth. We present empirical evidence showing that the FAO perennialization strategy is reasonable, underscoring the role of perennial crops as a useful component of climate change mitigation strategies.

A global, empirical, harmonised dataset of soil organic carbon changes under perennial crops.

A global, unified dataset on Soil Organic Carbon (SOC) changes under perennial crops has not existed till now. We present a global, harmonised database on SOC change resulting from perennial crop cultivation. It contains information about 1605 paired-comparison empirical values (some of which are aggregated data) from 180 different peer-reviewed studies, 709 sites, on 58 different perennial crop types, from 32 countries in temperate, tropical and boreal areas; including species used for food, bioenergy and bio-products. The database also contains information on climate, soil characteristics, management and topography. This is the first such global compilation and will act as a baseline for SOC changes in perennial crops. It will be key to supporting global modelling of land use and carbon cycle feedbacks, and supporting agricultural policy development.

Insecticide resistance is mediated by multiple mechanisms in recently introduced Aedes aegypti from Madeira Island (Portugal).

BACKGROUND: Aedes aegypti is a major mosquito vector of arboviruses, including dengue, chikungunya and Zika. In 2005, Ae. aegypti was identified for the first time in Madeira Island. Despite an initial insecticide-based vector control program, the species expanded throughout the Southern coast of the island, suggesting the presence of insecticide resistance. Here, we characterized the insecticide resistance status and the underlying mechanisms of two populations of Ae. aegypti from Madeira Island, Funchal and Paúl do Mar. METHODOLOGY/PRINCIPAL FINDINGS: WHO susceptibility bioassays indicated resistance to cyfluthrin, permethrin, fenitrothion and bendiocarb. Use of synergists significantly increased mortality rates, and biochemical assays indicated elevated activities of detoxification enzymes, suggesting the importance of metabolic resistance. Microarray-based transcriptome analysis detected significant upregulation in both populations of nine cytochrome P450 oxidase genes (including four known pyrethroid metabolizing enzymes), the organophosphate metabolizer CCEae3a, Glutathione-S-transferases, and multiple putative cuticle proteins. Genotyping of knockdown resistance loci linked to pyrethroid resistance revealed fixation of the 1534C mutation, and presence with moderate frequencies of the V1016I mutation in each population. CONCLUSIONS/SIGNIFICANCE: Significant resistance to three major insecticide classes (pyrethroid, carbamate and organophosphate) is present in Ae. aegypti from Madeira Island, and appears to be mediated by multiple mechanisms. Implementation of appropriate resistance management strategies including rotation of insecticides with alternative modes of action, and methods other than chemical-based vector control are strongly advised to delay or reverse the spread of resistance and achieve efficient control.

Genetic diversity and population structure of Plasmodium falciparum over space and time in an African archipelago.

The archipelago of São Tomé and Principe (STP), West Africa, has suffered the heavy burden of malaria since the 16th century. Until the last decade, when after a successful control program STP has become a low transmission country and one of the few nations with decreases of more than 90% in malaria admission and death rates. We carried out a longitudinal study to determine the genetic structure of STP parasite populations over time and space. Twelve microsatellite loci were genotyped in Plasmodium falciparum samples from two islands collected in 1997, 2000 and 2004. Analysis was performed on proportions of mixed genotype infections, allelic diversity, population differentiation, effective population size and bottleneck effects. We have found high levels of genetic diversity and minimal inter-population genetic differentiation typical of African continental regions with intense and stable malaria transmission. We detected significant differences between the years, with special emphasis for 1997 that showed the highest proportion of samples infected with P. falciparum and the highest mean number of haplotypes per isolate. This study establishes a comprehensive genetic data baseline of a pre-intervention scenario for future studies; taking into account the most recent and successful control intervention on the territory.

Adaptive Potential of Hybridization among Malaria Vectors: Introgression at the Immune Locus TEP1 between Anopheles coluzzii and A. gambiae in 'Far-West' Africa.

"Far-West" Africa is known to be a secondary contact zone between the two major malaria vectors Anopheles coluzzii and A. gambiae. We investigated gene-flow and potentially adaptive introgression between these species along a west-to-east transect in Guinea Bissau, the putative core of this hybrid zone. To evaluate the extent and direction of gene flow, we genotyped site 702 in Intron-1 of the para Voltage-Gated Sodium Channel gene, a species-diagnostic nucleotide position throughout most of A. coluzzii and A. gambiae sympatric range. We also analyzed polymorphism in the thioester-binding domain (TED) of the innate immunity-linked thioester-containing protein 1 (TEP1) to investigate whether elevated hybridization might facilitate the exchange of variants linked to adaptive immunity and Plasmodium refractoriness. Our results confirm asymmetric introgression of genetic material from A. coluzzii to A. gambiae and disruption of linkage between the centromeric "genomic islands" of inter-specific divergence. We report that A. gambiae from the Guinean hybrid zone possesses an introgressed TEP1 resistant allelic class, found exclusively in A. coluzzii elsewhere and apparently swept to fixation in West Africa (i.e. Mali and Burkina Faso). However, no detectable fixation of this allele was found in Guinea Bissau, which may suggest that ecological pressures driving segregation between the two species in larval habitats in this region may be different from those experienced in northern and more arid parts of the species' range. Finally, our results also suggest a genetic subdivision between coastal and inland A. gambiae Guinean populations and provide clues on the importance of ecological factors in intra-specific differentiation processes.

Ethane/ethylene adsorption on carbon nanotubes: temperature and size effects on separation capacity.

We present the results of Monte Carlo simulations of the adsorption of single-component ethane and ethylene and of equimolar mixtures of these two gases on bundles of closed, single-walled carbon nanotubes. Two types of nanotube bundles were used in the simulations: homogeneous (i.e., those in which all the nanotubes have identical diameters) and heterogeneous (those in which nanotubes of different diameters are allowed). We found that at the same pressure and temperature more ethane than ethylene adsorbs on the bundles over the entire range of pressures and temperatures explored. The simulation results for the equimolar mixtures show that the pressure at which maximum separation is attained is a very sensitive function of the diameter of the nanotubes present in the bundles. Simulations using heterogeneous bundles yield better agreement with single-component experimental data for isotherms and isosteric heats than those obtained from simulations using homogeneous bundles. Possible applications of nanotubes in gas separation are discussed. We explored the effect of the diameter of the nanotubes on the separation ability of these sorbents, both for the internal and for the external sites. We found that substrate selectivity is a decreasing function of temperature.

A prospective randomized study comparing cyclosporine versus tacrolimus combined with daclizumab, mycophenolate mofetil, and steroids in heart transplantation.

BACKGROUND: Cyclosporine (CsA) and tacrolimus (Tac) in heart transplantation (HTx) have been compared but with certain drawbacks. We compared both drugs in a prospective analysis with medium-term follow-up. METHODS: Hundred and six patients were randomized to receive CsA or Tac (53 per group). Target levels of CsA were 200-300 ng/mL in the first six months and 100-200 ng/mL thereafter. Tac levels were 10-15 and 5-10 ng/mL, respectively. We also used daclizumab as induction and mycophenolate mofetil (MMF) and steroids as maintenance therapy. RESULTS: Baseline characteristics were similar. Survival (CsA 88.7% vs. Tac 81.1%; p = 0.493) was similar. There was a tendency for longer time to first rejection with CsA (93 ± 110 vs. 55 ± 81 d; p = 0.122). There were more rejection-free patients with Tac (39 vs. 28%; p = 0.233). CsA patients suffered more viral infections (0.41 ± 0.58 vs. 0.11 ± 0.31; p = 0.003). CsA patients developed hypertension often (64 vs. 43%; p = 0.032). Tac patients suffered more gastrointestinal complications (16 vs. 6%; p = 0.042). Renal function and the development of diabetes, dyslipidemia, or neurological complications was similar. CONCLUSIONS: Tac patients showed a tendency for longer time to first rejection, and there were more rejection-free patients with Tac and suffered fewer viral infections. Tac patients developed less hypertension and needed less drugs for its control. Renal function was similar in both groups.

Genetic population structure of Anopheles gambiae in Equatorial Guinea.

BACKGROUND: Patterns of genetic structure among mosquito vector populations in islands have received particular attention as these are considered potentially suitable sites for experimental trials on transgenic-based malaria control strategies. In this study, levels of genetic differentiation have been estimated between populations of Anopheles gambiae s.s. from the islands of Bioko and Annobón, and from continental Equatorial Guinea (EG) and Gabon. METHODS: Genotyping of 11 microsatellite loci located in chromosome 3 was performed in three island samples (two in Bioko and one in Annobón) and three mainland samples (two in EG and one in Gabon). Four samples belonged to the M molecular form and two to the S-form. Microsatellite data was used to estimate genetic diversity parameters, perform demographic equilibrium tests and analyse population differentiation. RESULTS: High levels of genetic differentiation were found between the more geographically remote island of Annobón and the continent, contrasting with the shallow differentiation between Bioko island, closest to mainland, and continental localities. In Bioko, differentiation between M and S forms was higher than that observed between island and mainland samples of the same molecular form. CONCLUSION: The observed patterns of population structure seem to be governed by the presence of both physical (the ocean) and biological (the M-S form discontinuity) barriers to gene flow. The significant degree of genetic isolation between M and S forms detected by microsatellite loci located outside the "genomic islands" of speciation identified in A. gambiae s.s. further supports the hypothesis of on-going incipient speciation within this species. The implications of these findings regarding vector control strategies are discussed.