BackgroundViral infections play a significant role in causing acute respiratory infections (ARIs) and exacerbations of chronic diseases. Acute respiratory infections are now the leading cause of mortality in children worldwide, especially in developing countries. Recently, human rhinovirus (HRV) infection has been emerged as an important cause of pneumonia and asthma exacerbation.ObjectivesTo determine the role of several viral agents principally, respiratory syncytial virus, and HRV in children with ARIs and their relationship with asthma exacerbation and pneumonia.MethodsBetween October 2011 and March 2014, 432 nasopharyngeal samples of children <15 years of age with ARI hospitalized at a referral hospital for respiratory diseases were tested for the presence of respiratory viruses using a multiplex RT-qPCR. Clinical, epidemiological, and demographic data were collected and associated with symptomatology and viral infections.ResultsViral infections were detected in at least 59·7% of the enrolled patients, with HRV (26·6%) being the most frequently detected. HRV infections were associated with clinical features of asthma and difficulty in breathing such as wheezing (P = 0·0003), supraesternal (P = 0·046), and xiphoid retraction (P = 0·030). HRV subtype C (HRV-C) infections were associated with asthma (P = 0·02).ConclusionsHuman rhinovirus was the virus most commonly detected in pediatric patients with ARI. There is also an association of HRV-C infection with asthma exacerbation, emphasizing the relevance of this virus in severe pediatric respiratory disease.
BackgroundHuman enterovirus D68 (EV‐D68) recently caused an increase in mild‐to‐severe pediatric respiratory cases in North America and some European countries. Even though few of these children presented with acute paralytic disease, direct causal relationship cannot yet be assumed.ObjectivesThe purposes of this report were to describe the clinical findings of an outbreak of EV‐D68 infection in Mexico City and identify the genetic relationship with previously reported strains.Patients/MethodsBetween September and December 2014, 126 nasopharyngeal samples (NPS) of hospitalized children <15 years of age with ARI were tested for the presence of respiratory viruses using a multiplex RT‐qPCR and EV‐D68‐specific RT‐qPCR. Clinical, epidemiological, and demographic data were collected and associated with symptomatology and viral infections. Phylogenetic analyses were performed using VP1 region.ResultsEnterovirus/rhinovirus infection was detected in 40 patients (31·7%), of which 24 patients were EV‐D68‐positive. EV‐D68 infection prevailed over September and October 2014 and was associated with neutrophilia and lymphopenia, and patients were more likely to develop hypoxemia. Phylogenetic analyses showed that Mexican EV‐D68 belongs to the new B1 clade.ConclusionsThis is the first EV‐D68 outbreak described in Mexico and occurred few weeks after the United States reported similar infections. Although EV‐D68 belongs to new B1 clade, no neurological affection was observed.
When the A(H1N1)pdm09 pandemic influenza virus moved into the post-pandemic period, there was a worldwide predominance of the seasonal influenza A(H3N2) and B viruses. However, A(H1N1)pdm09 became the prevailing subtype in the 2011–2012 influenza season in Mexico and most of Central America. During this season, we collected nasopharyngeal swabs of individuals presenting with influenza-like illness at our institution in Mexico City. Samples were tested for seasonal A(H3N2) and B influenza viruses, as well as A(H1N1)pdm09 by real-time reverse transcription–polymerase chain reaction. Of 205 samples tested, 46% were positive to influenza, all of them A(H1N1)pdm09. The clinical characteristics of patients showed a similar pattern to the 2009 pandemic cases. Using next generation sequencing, we obtained whole genome sequences of viruses from 4 different patients, and in 8 additional viruses we performed partial Sanger sequencing of the HA segment. Non-synonymous changes found in the Mexican isolates with respect to the prototype isolate H1N1 (A/California/04/2009) included HA S69T, K163R and N260D unique to 2012 Mexican and North American isolates and located within or adjacent to HA antigenic sites; HA S143G, S185T, A197T and S203T previously reported in viruses from the 2010–2011 season, located within or adjacent to HA antigenic sites; and HA E374K located in a relevant site for membrane fusion. All Mexican isolates had an oseltamivir-sensitive genotype. Phylogenetic analysis with all 8 influenza gene segments showed that 2012 Mexican sequences formed a robust, distinct cluster. In all cases, 2012 Mexican sequences tended to group with 2010–2011 Asian and European sequences, but not with 2009 Mexican sequences, suggesting a possible recent common ancestor between these latter regions and the 2012 Mexican viruses. It remains to be defined if these viral changes represent an important antigenic drift that would enable viral immune evasion and/or affect influenza vaccine effectiveness.
Design of road infrastructure in karst terrain is a challenge for any geotechnical condition caused by the weathering of the subsoil. Previous investigations pointed out the efficiency of the roads with geogrids, however there are few studies analyzing road reinforced under karst geohazards. This paper presents a numerical study of the geogrid additions in a typical Mexican road and considering 19 cavities in the subsoil due to failures of the roads in these terrains. The rocks and the soil were simulated by Hoek–Brown and Mohr–Coulomb constitutive models, considering specific characteristics of karstic materials. Hence, it was carried out in different two-dimension finite element models to analyze the geogrid behavior and its benefits. First, the geogrid position was varied inside of the road structure and applying a heavy truck load in its surface and finally, underground cavities were sequentially opened in the numerical model. It was established the best combination of the road-geogrid structure construction and the influence when cavities are developed underground analyzing the stress paths in the medium. From this study, it is found, that when the geogrid layer is embedded between bedrock and subgrade, the failure is mitigated, observing an increase in the factor of safety even with 19 voids presence in the model. Concluding that the geogrid is an adequate solution of reinforcement of roads.
Soil compaction causes negative effects on crop yield and its mechanical response analysis has recently gained relevance for research through numerical methods. In this work, Finite Element Method (FEM) using the Mohr-Coulomb (MC) and Hardening Soil (HS) constitutive models were employed to simulate the mechanical response of a Vertisol agricultural soil. First, an experimental study of the unconsolidated-undrained (UU) triaxial compression test with different moisture contents (w = 10%, 20% and 34%) and confining pressures (σ3 = σc = 0.05 MPa, 0.10 MPa and 0.15 MPa) was carried out, to obtain the shear strength parameters cohesion (c) and friction angle (φ), as well as the Young's modulus (E) of the soil. The experimental study was conducted through a 3 2 factorial design with three replicates that it was used to evaluate the influence of the w and σc on E of the studied soil. Also, an analysis of the behavior of the φ and c parameters at each w was performed. Numerical simulations were done with similar conditions as the experimental tests with respect to loading and boundary conditions. A comparison of the mechanical response between numerical results and physical experiments was carried out. As a result, the MC model allowed to estimate satisfactorily the stress-strain relationship of the soil for w of 10% and 20%, while HS model exhibited a better approximation for w of 34% in comparison with the MC model. Finally, the methodology and the adjusted parameters of the agricultural soil obtained in this work, can be used in the study of soil compaction produced by the agricultural machinery.
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