Publications by authors named "A Alvarez-Cofino Tunon"

Vector-borne diseases are a major source of morbidity in Panama. Herein, we describe historical usage patterns of synthetic insecticides to control arthropod disease vectors in this country. We examine the influence of interventions by vector control programs on the emergence of insecticide resistance.

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Tropical forests are declining at unprecedented rates in favour of agriculture, and streams can be severely impacted due to effects of multiple stressors that have rarely been considered together in tropical studies. We studied the effects of multiple stressors associated with agricultural practices (pesticide toxicity, nutrient enrichment and habitat alteration-quantified as TUmax, soluble reactive phosphorus concentration and sedimentation, respectively) on macroinvertebrate communities in a tropical catchment in Panama (13 stream sites sampled in 20 occasions from 2015 to 2017, with 260 samples in total). We examined how macroinvertebrate abundance, taxonomic richness, community composition and biotic indices (SPEAR and BMWP/PAN, which were specifically designed to detect pesticide toxicity and nutrient enrichment, respectively) varied depending on the studied stressors, considering their single and combined effects.

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Chronic stress or inflammation increases tryptophan metabolism along the kynurenine pathway (KP), and the generation of neuroactive kynurenine metabolites contributes to subsequent depressive-like behaviors. Microglia regulate KP balance by preferentially producing oxidative metabolites, including quinolinic acid. Research has focused on the interplay between cytokines and HPA axis-derived corticosteroids in regulating microglial activity and effects of KP metabolites directly on neurons; however, the potential role that KP metabolites have directly on microglial activity is unknown.

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Background: Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) is a recently described inflammatory disease of the central nervous system, distinguished by brainstem- and spinal cord-centered lesions with a characteristic contrast enhancement on MRI, a lymphocytic perivascular infiltrate on pathological exam, and a dramatic response to and dependence on steroids therapy. Since its initial description in 2010, different glucocorticoid-sparing agents, mostly immunosuppressant drugs, have been used to minimize the dosage, but these therapies also carry the risk of important secondary effects. We present the first reported case of CLIPPERS treated with interferon beta 1a as add-on therapy.

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