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Objective/context: In 2020, Ucayali was the Peruvian region with the highest loss of Amazonian forest (47,267 hectares). Measures have been taken regarding climate commitments and environmental governance, but the results continue without notoriety, and mitigation actions are limited. From a subnational approach, the article seeks to analyze the perceptions of brokers and actors involved about the implementation of forest policies in the Ucayali region. Methodology: Based on a qualitative strategy that included semi-structured interviews and a co- construction workshop to evidence the perceptions of the actors involved, with direct knowledge of the territory and implementation, and intermediary agents (brokers), the latter with the capacity to influence the decisions made regarding the formulation of action plans. Conclusions: The results demonstrate the existence of a structural difficulty in achieving short- or long-term change actions. There are institutional limitations but also a lack of support from civil society. Originality: Considering the type and limited number of studies on perceptions of climate change-oriented policies, the results obtained allow for generating relevant evidence for policy formulation processes and articulation between different levels of government. Objetivo/contexto: durante 2020, Ucayali fue la región peruana con mayor pérdida de bosque amazónico (47.267 hectáreas). Se han tomado medidas en materia de compromisos climáticos y gobernanza ambiental, pero los resultados continúan sin notoriedad y las medidas de mitigación son muy limitadas. Desde un enfoque subnacional, el artículo busca analizar las percepciones de brokers y actores involucrados sobre la ejecución de políticas forestales en la región de Ucayali. Metodología: a partir de una estrategia cualitativa que comprendió entrevistas semiestructuradas y un taller de coconstrucción, se toman como evidencia las percepciones de los actores involucrados —quienes tienen conocimiento directo sobre el territorio y la implementación— y los agentes intermediarios (brokers), estos últimos con capacidad de influir en las decisiones que se toman respecto a la formulación de planes de acción. Conclusiones: los resultados apuntan a la existencia de una dificultad estructural para lograr acciones de cambio a corto o largo plazo. Existen limitaciones institucionales, pero también falta de apoyo de la sociedad civil. Originalidad: considerando el tipo y limitado número de estudios de percepciones sobre políticas orientadas al cambio climático, los resultados obtenidos permiten generar evidencia útil para los procesos de formulación de políticas y la articulación entre diferentes niveles de gobierno. Objetivo/contexto: durante 2020, Ucayali foi a região peruana com a maior perda de floresta amazônica (47.267 hectares). Foram tomadas medidas com relação aos compromissos climáticos e à governança ambiental, mas os resultados permanecem despercebidos e as medidas de mitigação são muito limitadas. A partir de uma abordagem subnacional, este artigo busca analisar as percepções dos brokers e dos stakeholders sobre a implementação de políticas florestais na região de Ucayali. Metodologia: com base em uma estratégia qualitativa que incluiu entrevistas semiestruturadas e um workshop de coconstrução, as percepções dos atores envolvidos (stakeholders) — que têm conhecimento direto do território e da implementação — e dos agentes intermediadores (brokers), estes últimos com a capacidade de influenciar as decisões tomadas com relação à formulação de planos de ação, são tomadas como evidência. Conclusões: os resultados apontam para a existência de uma dificuldade estrutural na realização de ações de mudança de curto ou longo prazo. Há restrições institucionais, mas também uma falta de apoio da sociedade civil. Originalidade: considerando o tipo e o número limitado de estudos sobre percepções de políticas voltadas para as mudanças climáticas, os resultados obtidos nos permitem gerar evidências úteis para os processos de formulação de políticas e articulação entre diferentes níveis de governo.

The rate of Caesarean-section delivery in the United States has increased by 60% from 1996 through to 2013 and now accounts for > 30% of births [CDC, 2017]. The purpose of this review is to present the current understanding of both the microbial risk factors that increase the likelihood of a Caesarean-section delivery and the microbial dysbiosis that is thought to result from the Caesarean section. We provide examples of research into the impact of early-life microbial dysbiosis on infant development and long-term health outcomes, as well as consider the efficacy and the long-term implications of microbiome-based therapies to mitigate this dysbiosis. The steep rise in the Caesarean-section delivery rate makes it imperative to understand the potential of microbiota modulation for the treatment of dysbiosis.

Assessing the co-occurrence of multiple health risk factors in coastal ecosystems is challenging due to the complexity of multi-factor interactions and limited availability of simultaneously collected data. Understanding co-occurrence is particularly important for risk factors that may be associated with, or occur in similar environmental conditions. In marine ecosystems, the co-occurrence of harmful algal bloom toxins and bacterial pathogens within the genus Vibrio may impact both ecosystem and human health. This study examined the co-occurrence of Vibrio spp. and domoic acid (DA) produced by the harmful algae Pseudo-nitzschia by (1) analyzing existing California Department of Public Health monitoring data for V. parahaemolyticus and DA in oysters; and (2) conducting a 1-year seasonal monitoring of these risk factors across two Southern California embayments. Existing public health monitoring efforts in the state were robust for individual risk factors; however, it was difficult to evaluate the co-occurrence of these risk factors in oysters due to low number of co-monitoring instances between 2015 and 2020. Seasonal co-monitoring of DA and Vibrio spp. ( V. vulnificus or V. parahaemolyticus ) at two embayments revealed the co-occurrence of these health risk factors in 35% of sampled oysters in most seasons. Interestingly, both the overall detection frequency and co-occurrence of these risk factors were considerably less frequent in water samples. These findings may in part suggest the slow depuration of Vibrio spp. and DA in oysters as residual levels may be retained. This study expanded our understanding of the simultaneous presence of DA and Vibrio spp. in bivalves and demonstrates the feasibility of co-monitoring different risk factors from the same sample. Individual programs monitoring for different risk factors from the same sample matrix may consider combining efforts to reduce cost, streamline the process, and better understand the prevalence of co-occurring health risk factors.

Crew members are at an increased risk for exposure to and infection by pathogenic microbes during spaceflight. Therefore, it is imperative to characterize the species that are able to colonize and persist on spacecraft, how those organisms change in abundance and distribution over time, and their genotypic potential for and phenotypic expression of pathogenic traits (i.e., whether they encode for or exhibit traits associated with antibiotic resistance and/or virulence). Here, we describe a novel species of Microbacterium collected from the crew quarters on the International Space Station (ISS), 1F8SW-P5 T , for which we propose the name Microbacterium mcarthurae . M. mcarthurae was found to be distributed throughout the ISS with an increase in relative abundance over time. Additionally, this bacterium exhibits a unique antibiotic resistance phenotype that was not predicted from whole-genome sequencing, as well as increased virulence, suggesting the need for the identification of previously undescribed antimicrobial resistance genes and monitoring/mitigation during spaceflight.

It has been proposed that the onset of Acquired Thrombotic Thrombocytopenic Purpura (iTTP) is more severe than subsequent relapses; however, existing studies have limitations. We conducted a retrospective observational study to compare analytical and clinical severity of onset and relapse aTTP cases between 2012 and 2023. A total of 370 episodes of aTTP were analyzed, comprising 272 at initial diagnosis and 98 relapses. At onset, analytical parameters indicative of severity (low hemoglobin, low platelet count, and increased LDH) were significantly worse; patients had severe neurological symptoms (p<0.001) and ≥ 3 points in the TMA mortality score (p<0.001). In conclusion, the onset of aTTP is associated with worse analytical parameters and severe neurological involvement.

Background and objective Approximately 20% of the global population has a Lp(a) concentrations above 50 mg/dL (> 125nmol/L), yet many remain unaware of the associated cardiovascular risks. In Mexico, routine measurement of Lp(a) is uncommon. This study aimed to investigate the frequency of Lp(a) testing, and the clinical actions taken by physicians upon detecting elevated Lp(a) concentrations in patients at a tertiary medical institution. Methods Using an algorithm-based screening system, we reviewed the clinical and biochemical data of patients with Lp(a) measurements from 2019 to 2024. Data were retrieved from the laboratory information system and electronic health records. Complementary assessment data were obtained from the radiology and cardiology departments. Results Of the 150,083 individuals evaluated at the institution, only 830 (0.5%) underwent Lp(a) testing, with testing rates increasing from 0.037% in 2019 to 0.24% in 2023. Elevated Lp(a) concentrations (> 50 mg/dL) were found in 21% of patients, and 2.2% had concentrations > 180 mg/dL. Patients with elevated Lp(a) had significantly higher rates of atherosclerotic cardiovascular disease (ASCVD) ( p  < 0.001) and familial hypercholesterolemia ( p  < 0.004) than those with lower Lp(a) levels. Interestingly, diabetes prevalence was higher in those with Lp(a) < 4 mg/dL (51.5% vs. 33.4%, p  < 0.001). Despite the cardiovascular risk, only 26% of patients with elevated Lp(a) levels received interventions to modify risk factors. Conclusions Lp(a) testing was infrequent in a tertiary medical setting. Clinical interventions to modify cardiovascular risk factors were insufficient among patients with elevated Lp(a). These findings highlight the need for greater awareness among healthcare providers and the development of comprehensive screening and management algorithms to mitigate Lp(a) -related cardiovascular risk.

Dengue virus (DENV) is the causative agent of the most important mosquito-borne viral disease, which is endemic to over 100 countries in tropical and subtropical areas of the world. It is transmitted to humans by Aedes mosquitoes. The first step in the viral infection of host cells is virion attachment to the plasma membrane, which is mediated by specific surface molecules. There are several molecules that participate in DENV infection of mosquitoes, but only a few have been identified. In this work, we co-purified 4 proteins from C6/36 cells using a recombinant DENV 4 E protein and identified them as 70 kDa Heat Shock and 70 kDa Heat Shock cognate proteins (HSP70/HSc70), Binding immunoglobulin protein (BiP), Thioredoxin/protein disulphide isomerase (PDI), and 44 kDa Endoplasmic reticulum resident protein (ERp44) via matrix-assisted laser desorption/ionisation time of flight (Maldi-ToF) analysis. Using immunofluorescence and flow cytometry assays, we observed re-localisation of HSP70/HSc70 and, to a lesser extent, BiP to the plasma membrane under stress conditions, such as during DENV infection. By performing binding and infection assays independently, we found that all 4 proteins participate in both processes, but to differing extents: HSP70/HSc70 is the most critical component, while ERp44 is less important. Viral infection was not inhibited when the cells were incubated with antibodies against all of the surface proteins after virus binding, which suggests that DENV entry to C6/36 cells is mediated by these proteins at the same step and not sequentially.

Arboviruses are an important group of pathogens that cause diseases of medical and veterinary concern worldwide. The interactions of these viruses with their host cells are complex, and frequently, the coexistence of two different viruses in the same cell results in the inhibition of replication in one of the viruses, which is a phenomenon called viral interference. This phenomenon can be exploited to develop antiviral strategies. Insect cell lines persistently infected with arboviruses are useful models with which to study viral interference. In this work, a model of C6/36-HT cells (from Aedes albopictus mosquitoes) persistently infected with Dengue virus, serotype 2, was used. Viral interference was evaluated via plaque and flow cytometry assays. The presence of heterotypic interference against the other serotypes of the same virus and homologous interference against yellow fever virus was determined; however, this cell line did not display heterologous viral interference against Sindbis virus. The mechanisms responsible for viral interference have not been fully elucidated, but small RNAs could be involved. However, the silencing of Ago3, a key protein in the genome-derived P-element-induced wimpy testis pathway, did not alter the viral interference process, suggesting that viral interference occurs independent of this pathway.

The establishment of persistent dengue virus infection within the cells of the mosquito vector is an essential requirement for viral transmission to a new human host. The mechanisms involved in the establishment and maintenance of persistent infection are not well understood, but it has been suggested that both viral and cellular factors might play an important role. In the present work, we evaluated differential gene expression in Aedes albopictus cells acutely (C6/36-HT) and persistently infected (C6-L) with Dengue virus 2 by cDNA-AFLP. We observed that importin β3 was upregulated in noninfected cells compared with C6-L cells. Using RT-qPCR and plaque assays, we observed that Dengue virus levels in C6-L cells essentially do not vary over time, and peak viral titers in acutely infected cells are observed at 72 and 120 h postinfection. The expression level of importin β3 was higher in acutely infected cells than in persistently infected cells; this correlates with higher levels of NS5 in the nucleus of the cell. The differential pattern of importin β3 expression between acute and persistent infection with Dengue virus 2 could be a mechanism to maintain viral infection over time, reducing the antiviral response of the cell and the viral replicative rate.

The 3' untranslated region (3'UTR) of human astroviruses (HAstV) consists of two hairpin structures (helix I and II) joined by a linker harboring a conserved PTB/hnRNP1 binding site. The identification and characterization of cellular proteins that interact with the 3'UTR of HAstV-8 virus will help to uncover cellular requirements for viral functions. To this end, mobility shift assays and UV cross-linking were performed with uninfected and HAstV-8-infected cell extracts and HAstV-8 3'UTR probes. Two RNA-protein complexes (CI and CII) were recruited into the 3'UTR. Complex CII formation was compromised with cold homologous RNA, and seven proteins of 35, 40, 45, 50, 52, 57/60 and 75 kDa were cross-linked to the 3'UTR. Supermobility shift assays indicated that PTB/hnRNP1 is part of this complex, and 3'UTR-crosslinked PTB/hnRNP1 was immunoprecipitated from HAstV-8 infected cell-membrane extracts. Also, immunofluorescence analyses revealed that PTB/hnRNP1 is distributed in the nucleus and cytoplasm of uninfected cells, but it is mainly localized perinuclearly in the cytoplasm of HAstV-8 infected cells. Furthermore, the minimal 3'UTR sequences recognized by recombinant PTB are those conforming helix I, and an intact PTB/hnRNP1-binding site. Finally, small interfering RNA-mediated PTB/hnRNP1 silencing reduced synthesis viral genome and virus yield in CaCo2 cells, suggesting that PTB/hnRNP1 is required for HAstV replication. In conclusion, PTB/hnRNP1 binds to the 3'UTR HAstV-8 and is required or participates in viral replication.