129 results on '"Ricardo Rivero"'
Search Results
2. Hard ticks (Ixodida: Ixodidae) in the Colombian Caribbean harbor the Jingmen tick virus: an emerging arbovirus of public health concern
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Yesica López, Richard Thomas, Sebastián Muñoz-Leal, Yeimi López-Mejia, Ketty Galeano, Alejandra Garcia, Luis Romero, Daniel Echeverri-De la Hoz, Caty Martinez, Alfonso Calderón, Bertha Gastelbondo, Héctor Contreras, Gino Olivieri, Luis Rubiano, Luis Paternina, Richard Hoyos-López, Anggie Ortiz, Evelyn Garay, Maira Alemán-Santos, Ricardo Rivero, Jorge Miranda, Luis Florez, Jolaime Ballesteros, Verónica Contreras, Vaneza Tique, Pedro Fragoso, Camilo Guzman, German Arrieta, and Salim Mattar
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Jingmen tick virus ,Virus ,Tick-borne disease ,Next-generation sequencing ,Rhipicephalus microplus ,Dermacentor nitens ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background Ticks are obligate hematophagous ectoparasites involved in transmitting viruses of public health importance. The objective of this work was to identify the Jingmen tick virus in hard ticks from the Colombian Caribbean, an arbovirus of importance for public health. Methods Ticks were collected in rural areas of Córdoba and Cesar, Colombia. Taxonomic identification of ticks was carried out, and pools of 13 individuals were formed. RNA extraction was performed. Library preparation was performed with the MGIEasy kit, and next-generation sequencing (NGS) with MGI equipment. Bioinformatic analyses and taxonomic assignments were performed using the Galaxy platform, and phylogenetic analyses were done using IQ-TREE2. Results A total of 766 ticks were collected, of which 87.33% (669/766) were Rhipicephalus microplus, 5.4% (42/766) Dermacentor nitens, 4.2% (32/766) Rhipicephalus linnaei, and 3.0% (23/766) Amblyomma dissimile. Complete and partial segments 1, 2, 3, and 4 of Jingmen tick virus (JMTV) were detected in the metatranscriptome of the species R. microplus, D. nitens, and A. dissimile. The JMTVs detected are phylogenetically related to JMTVs detected in Aedes albopictus in France, JMTVs detected in R. microplus in Trinidad and Tobago, JMTVs in R. microplus and A. variegatum in the French Antilles, and JMTVs detected in R. microplus in Colombia. Interestingly, our sequences clustered closely with JMTV detected in humans from Kosovo. Conclusions JMTV was detected in R. microplus, D. nitens, and A. dissimile. JMTV could pose a risk to humans. Therefore, it is vital to establish epidemiological surveillance measures to better understand the possible role of JMTV in tropical diseases. Graphical Abstract
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- 2024
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3. Presentación
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Ricardo Rivero Ortega and Juan José Rastrollo Suárez
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Law ,Political institutions and public administration (General) ,JF20-2112 - Abstract
Introducción del número.
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- 2024
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4. ¿Cómo probar la culpabilidad para exigir responsabilidades a los servidores públicos?
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Ricardo Rivero Ortega
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rendición de cuentas ,dolo ,negligencia ,servidores públicos ,culpabilidad ,función pública ,Public law ,K3150 - Abstract
La exigencia de responsabilidades a los servidores públicos debería respetar las garantías propias del Estado de derecho. Contra la manipulación política de los procesos y también frente a la impunidad, una correcta aplicación de las reglas probatorias favorecería la seguridad jurídica y la confianza en la rendición de cuentas. El presente artículo examina cómo la prueba de conocimiento del carácter ilícito de las conductas de servidores públicos puede lograrse a través advertencias desatendidas, señales de alarma insertas en los procedimientos administrativos.
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- 2024
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5. Borrelia puertoricensis in opossums (Didelphis marsupialis) from Colombia
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Yesica López, Álvaro A. Faccini-Martínez, Sebastián Muñoz-Leal, Verónica Contreras, Alfonso Calderón, Ricardo Rivero, Marina Muñoz, Juan David Ramírez, and Salim Mattar
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Opossums ,Borrelia puertoricensis ,Tick-borne spirochetes ,Colombia ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background The genus Borrelia comprises pathogenic species of bacteria that pose a significant risk to public health. Borrelia spp. are emerging or reemerging infectious agents worldwide with complex transmission cycles, and many species use rodents as vertebrate reservoir hosts. Spirochetes morphologically compatible with Borrelia have been recurrently observed in opossums; however, there is currently a lack of genetic evidence confirming infection or supporting that these marsupials are hosts of Borrelia spirochetes. Methods During 2017, 53 serum samples of Didelphis marsupialis from the municipality of Colosó (department of Sucre, Colombia) were collected and allocated in a serum bank. DNA extracted from the serum samples was submitted to a Borrelia genus-specific real-time PCR targeting the 16S rRNA gene. Positive samples were subsequently derived from semi-nested PCR protocols to obtain large fragments of the 16S rRNA and flaB genes. Obtained amplicons were subjected to Sanger sequencing. One positive sample was randomly selected for next-generation sequencing (NGS). Obtained reads were mapped to genomes of Borrelia spp. and sequences of two genes used in a multilocus sequence typing scheme retrieved for taxonomic assignment and phylogenetic analyses. Results Overall, 18.8% (10/53) of the samples were positive by qPCR. Of them, 80% (8/10) and 60% (6/10) were positive for the 16S rRNA and flaB genes after semi-nested PCRs, respectively. Bioinformatic analysis of one sample sequenced with NGS yielded 22 reads of genus Borrelia with different sizes. Two housekeeping genes, rplB and pyrG, were recovered. Nucleotide pairwise comparisons and phylogenetic analyses of 16S rRNA, flaB, rplB and pyrG genes showed that the Borrelia sp. found in opossums from Colosó corresponded to Borrelia puertoricensis. Conclusions We describe the first molecular evidence to our knowledge of B. puertoricensis in Colombia, specifically in opossums, and the first detection of this spirochete in a vertebrate host since its isolation from Ornithodoros puertoricensis in Panama. This detection is also relevant because of the epidemiological importance of opossums as reservoirs of zoonotic diseases to humans. Graphical abstract
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- 2023
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6. Consensus statement from the first RdRp Summit: advancing RNA virus discovery at scale across communities
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Justine Charon, Ingrida Olendraite, Marco Forgia, Li Chuin Chong, Luke S. Hillary, Simon Roux, Anne Kupczok, Humberto Debat, Shoichi Sakaguchi, Rachid Tahzima, So Nakagawa, Artem Babaian, Aare Abroi, Nicolas Bejerman, Karima Ben Mansour, Katherine Brown, Anamarija Butkovic, Amelia Cervera, Florian Charriat, Guowei Chen, Yuto Chiba, Lander De Coninck, Tatiana Demina, Guillermo Dominguez-Huerta, Jeremy Dubrulle, Serafin Gutierrez, Erin Harvey, Fhilmar Raj Jayaraj Mallika, Dimitris Karapliafis, Shen Jean Lim, Sunitha Manjari Kasibhatla, Jonathon C. O. Mifsud, Yosuke Nishimura, Ayda Susana Ortiz-Baez, Milica Raco, Ricardo Rivero, Sabrina Sadiq, Shahram Saghaei, James Emmanuel San, Hisham Mohammed Shaikh, Ella Tali Sieradzki, Matthew B. Sullivan, Yanni Sun, Michelle Wille, Yuri I. Wolf, Nikita Zrelovs, and Uri Neri
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RNA virus discovery ,viral metagenomics ,RNA-dependent RNA polymerase ,viral genome annotation ,metagenomic metadata standards ,virus evolution and diversity ,Microbiology ,QR1-502 - Abstract
Improved RNA virus understanding is critical to studying animal and plant health, and environmental processes. However, the continuous and rapid RNA virus evolution makes their identification and characterization challenging. While recent sequence-based advances have led to extensive RNA virus discovery, there is growing variation in how RNA viruses are identified, analyzed, characterized, and reported. To this end, an RdRp Summit was organized and a hybrid meeting took place in Valencia, Spain in May 2023 to convene leading experts with emphasis on early career researchers (ECRs) across diverse scientific communities. Here we synthesize key insights and recommendations and offer these as a first effort to establish a consensus framework for advancing RNA virus discovery. First, we need interoperability through standardized methodologies, data-sharing protocols, metadata provision and interdisciplinary collaborations and offer specific examples as starting points. Second, as an emergent field, we recognize the need to incorporate cutting-edge technologies and knowledge early and often to improve omic-based viral detection and annotation as novel capabilities reveal new biology. Third, we underscore the significance of ECRs in fostering international partnerships to promote inclusivity and equity in virus discovery efforts. The proposed consensus framework serves as a roadmap for the scientific community to collectively contribute to the tremendous challenge of unveiling the RNA virosphere.
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- 2024
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7. Genomic epidemiology of SARS-CoV-2 variants during the first two years of the pandemic in Colombia
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Cinthy Jimenez-Silva, Ricardo Rivero, Jordan Douglas, Remco Bouckaert, Ch. Julian Villabona-Arenas, Katherine E. Atkins, Bertha Gastelbondo, Alfonso Calderon, Camilo Guzman, Daniel Echeverri-De la Hoz, Marina Muñoz, Nathalia Ballesteros, Sergio Castañeda, Luz H. Patiño, Angie Ramirez, Nicolas Luna, Alberto Paniz-Mondolfi, Hector Serrano-Coll, Juan David Ramirez, Salim Mattar, and Alexei J. Drummond
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Medicine - Abstract
Abstract Background The emergence of highly transmissible SARS-CoV-2 variants has led to surges in cases and the need for global genomic surveillance. While some variants rapidly spread worldwide, other variants only persist nationally. There is a need for more fine-scale analysis to understand transmission dynamics at a country scale. For instance, the Mu variant of interest, also known as lineage B.1.621, was first detected in Colombia and was responsible for a large local wave but only a few sporadic cases elsewhere. Methods To better understand the epidemiology of SARS-Cov-2 variants in Colombia, we used 14,049 complete SARS-CoV-2 genomes from the 32 states of Colombia. We performed Bayesian phylodynamic analyses to estimate the time of variants’ introduction, their respective effective reproductive number, and effective population size, and the impact of disease control measures. Results Here, we detect a total of 188 SARS-CoV-2 Pango lineages circulating in Colombia since the pandemic’s start. We show that the effective reproduction number oscillated drastically throughout the first two years of the pandemic, with Mu showing the highest transmissibility (Re and growth rate estimation). Conclusions Our results reinforce that genomic surveillance programs are essential for countries to make evidence-driven interventions toward the emergence and circulation of novel SARS-CoV-2 variants.
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- 2023
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8. Rule of Law and Democracy: countermajority balance against authoritarian effects of polarization
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Ricardo Rivero Ortega
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Jurisprudence. Philosophy and theory of law ,K201-487 - Abstract
Democracy and rule of law are complementary constitutional principles, not possible separately. Constructive criticism of its shortcomings is acceptable, but the affirmation of its failure threatens the legitimacy of essential institutions for social coexistence. The academic approaches that confront democracy and the rule of law favor authoritarian reactions of an extremist nature, in a context of growing social polarization and risk of breakdown of democracy. Thus, jurists should provide solutions, and show courage and boldness in upholding core values. Also, should remember that Countermajority balances offset side effects of polarization.
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- 2023
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9. Presentación
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Ricardo Rivero Ortega and Juan José Rastrollo Suárez
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Law ,Political institutions and public administration (General) ,JF20-2112 - Abstract
Introducción del número.
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- 2023
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10. SARS-CoV-2 in a tropical area of Colombia, a remarkable conversion of presymptomatic to symptomatic people impacts public health
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Caty Martínez, Héctor Serrano-Coll, Álvaro Faccini, Verónica Contreras, Ketty Galeano, Yesica Botero, Yonairo Herrera, Alejandra Garcia, Evelin Garay, Ricardo Rivero, Héctor Contreras, Yesica López, Camilo Guzmán, Jorge Miranda, Germán Arrieta, and Salim Mattar
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Confounding factors epidemiology ,Presymptomatic disease ,Preventive measures ,Preventive medicine and public health ,Disease transmission ,Infectious ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background The ability of SARS-CoV-2 to remain in asymptomatic individuals facilitates its dissemination and makes its control difficult. Objective. To establish a cohort of asymptomatic individuals, change to the symptomatic status, and determine the most frequent clinical manifestations. Methods Between April 9 and August 9, 2020, molecular diagnosis of SARS-CoV-2 infection was confirmed in 154 asymptomatic people in contact with subjects diagnosed with COVID-19. Nasopharyngeal swabs were performed on these people in different hospitals in Córdoba, the Caribbean area of Colombia. The genes E, RdRp, and N were amplified with RT-qPCR. Based on the molecular results and the Cq values, the patients were subsequently followed up through telephone calls to verify their health conditions. Results Overall, of 154 asymptomatic individuals, 103 (66.9%) remained asymptomatic, and 51 (33.1%) changed to symptomatic. The most frequent clinical manifestations in young people were anosmia and arthralgia. Adults showed cough, ageusia, and odynophagia; in the elderly were epigastralgia, dyspnea, and headache. Mortality was 8%. Conclusions A proportion of 33% of presymptomatic individuals was found, of which four of them died. This high rate could indicate a silent transmission, contributing significantly to the epidemic associated with SARS-CoV-2.
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- 2022
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11. Human-to-dog transmission of SARS-CoV-2, Colombia
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Ricardo Rivero, Evelin Garay, Yesica Botero, Héctor Serrano-Coll, Bertha Gastelbondo, Marina Muñoz, Nathalia Ballesteros, Sergio Castañeda, Luz Helena Patiño, Juan David Ramirez, Alfonso Calderon, Camilo Guzmán, Caty Martinez-Bravo, Ader Aleman, Germán Arrieta, and Salim Mattar
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Medicine ,Science - Abstract
Abstract Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the causative agent of the current COVID-19 pandemic, has evolved to have a wide range of hosts, including non-human primates, wild and domestic animals. The ACE2 protein has a high level of conservation and is the common receptor invertebrate species for a viral infection to occur; this receptor could give rise to anthroponotic events. This article describes the first event of symptomatic transmission in Latin America from a human to a dog by the B.1.625 lineage of SARS-CoV-2. We found 21 shared mutations in the complete genomes of viral sequences from owners and dogs. Further phylogenetic and molecular analysis showed that 100% co-localization of the clade helps to understand human-animal transmission. Prediction of the Spike protein structure of the sequenced virus and docking analyzes showed that the E484K mutation in the receptor-binding domain (RBD) could contribute to the viral affinity of dACE2. Therefore, close contact between SARS-CoV-2-infected humans and pets should be avoided to prevent the emergence of novel mutations of public health importance from anthroponotic events.
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- 2022
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12. Effectiveness of the CoronaVac® vaccine in a region of the Colombian Amazon, was herd immunity achieved?
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Héctor Serrano-Coll, Hollman Miller, Camilo Guzmán, Ricardo Rivero, Bertha Gastelbondo, Jorge Miranda, Ketty Galeano, Jhon Montaña-Restrepo, and Salim Mattar
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COVID-19 vaccines ,Prevention ,Post-exposure ,Prophylaxis ,Public health ,Mass vaccination ,Arctic medicine. Tropical medicine ,RC955-962 - Abstract
Abstract Introduction Currently, more than 4.5 billion doses of SARS-CoV-2 vaccines have been applied worldwide. However, some developing countries are still a long way from achieving herd immunity through vaccination. In some territories, such as the Colombian Amazon, mass immunization strategies have been implemented with the CoronaVac® vaccine. Due to its proximity to Brazil, where one of the variants of interest of SARS-CoV-2 circulates. Objective To determine the effectiveness of the CoronaVac® vaccine in a population of the Colombian Amazon. Methods Between February 24, 2021, and August 10, 2021, a descriptive observational study was carried out in which a population of individuals over 18 years of age immunized with two doses of the CoronaVac® vaccine was evaluated. The study site was in the municipality of Mitú, Vaupés, in southeastern Colombia, a region located in the Amazon bordering Brazil. Results. 99% of the urban population of the Mitú municipality were vaccinated with CoronaVac®. To date, 5.7% of vaccinated individuals have become ill, and only 0.1% of these require hospitalization. One death was attributable to COVID-19 has been reported among vaccinated individuals, and the vaccine has shown 94.3% effectiveness against mild disease and 99.9% against severe infection. Conclusions The herd immunity achieved through mass vaccination in this population has made it possible to reduce the rate of complicated cases and mortality from COVID-19 in this region of the Colombian Amazon. Highlights CoronaVac® has shown 94.3% effectiveness against mild disease and 99.9% against severe infection in this indigenous population. CoronaVac® reduces the mortality rate from 2.2% in 2020 to 0.22% in 2021. The herd immunity was achieved through mass vaccination in this region of the Colombian Amazon.
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- 2022
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13. Epidemiological and viral features of a cohort of SARS-CoV-2 symptomatic and asymptomatic individuals in an area of the Colombian Caribbean
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Salim Mattar, Caty Martinez-Bravo, Ricardo Rivero, Héctor Contreras, Álvaro A. Faccini-Martínez, Camilo Guzman-Teran, Ketty Galeano, Nelson Alvis-Guzman, Verónica Contreras, German Arrieta, Marco Gonzalez-Tous, Jorge Miranda, Martha Ospina, Francisco Camargo-Assis, Marcela Mercado-Reyes, Evelyn Garay, Alejandra Garcia-Perez, Yesica Lopez, and Vaneza Tique
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Asymptomatic infections ,COVID-19 ,Coronavirus infections ,Pre symptomatic disease ,Environment and public health ,Communicable disease control ,Therapeutics. Pharmacology ,RM1-950 ,Infectious and parasitic diseases ,RC109-216 ,Microbiology ,QR1-502 - Abstract
Abstract Background Severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) is an emerging viral pandemic disease. In the last 6 months, SARS-CoV-2 has caused millions of reported cases and hundreds of thousands of deaths. As other world regions, South America has not contained the pandemic’s advance since it lacks the hospital and economic capacities. Public health implications of transmission, while the asymptomatic/presymptomatic infection is a critical concern at the current pandemic. Objective Describe the socio-demographic, clinical, and viral features of a cohort of SARS-CoV-2 infected individuals from the Colombian Caribbean. Methods Six hundred eighty-six clinical samples of suspected SARS-CoV-2 infection cases and contacts individuals from several hospital centers in the department of Córdoba, Colombia, were received at our laboratory between April 9th and May 16th, 2020. RNA was extracted using lysis buffers and spin columns. The samples were tested for SARS-CoV-2 by reverse transcription real-time polymerase chain reaction (RT-qPCR) using commercially available multiplex real-time PCR assay for simultaneous detection of 3 target genes of SARS-CoV-2 (Allplex™, 2019-nCoV assay, Korea). Viral copies quantification was done using a standard curve constructed from seriated dilutions of a SARS-CoV-2 positive control. Statics descriptive methods were used. Results Thirty-five nasopharyngeal samples were positive for SARS-CoV-2 infection; the average age was 43 (range, 1–95 years). Seventeen of 35 (49%) of the patients showed symptoms. Most of them had a cough, fever, and odynophagia; three of the patients reported having arthralgia. Only two patients required hospitalization. None of the patients had known co-morbidities. RT-qPCR results show that two of the symptomatic patients had significantly higher RNA copies than the rest. Eighteen of 35 (51%) individuals were asymptomatic, and the average age was 30 (range, 6–61 years). Four asymptomatic individuals showed a higher copy than some symptomatic patients; nonetheless, the average of RNA copies 8.26 × 1010 was lower than the symptomatic. Conclusions This study shows that asymptomatic patients may develop infections with a high number of RNA copies. Since a considerable percentage of infections may be asymptomatic/presymptomatic, enhanced testing approaches may be needed to detect these persons. Due the occurrence of a large proportion of infections being a result from transmission originated in asymptomatic/presymptomatic individuals, public health interventions in Colombia should be based on two steps: a massive molecular screening, and viral load quantification. Finally, a remarkable issue in our study is the average age of symptomatic and asymptomatic groups (43 and 30 respectively) which may be important because of the economic impact that has been caused by the coronavirus pandemic and may be probably the cause of the reduced lethality observed in the country and the department at the time of this study.
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- 2020
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14. Gobernanza anticipatoria y proactividad administrativa: las virtudes de la descentralización
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Ricardo Rivero Ortega
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decentralization ,strategy ,multilevel anticipatory governance ,Law in general. Comparative and uniform law. Jurisprudence ,K1-7720 - Abstract
The COVID-19 crisis has revealed the lack of capacity to anticipate of our multilevel governance, due to a slow reaction of central power. A more decentralized and not 'one size fits all' decision-making methodology could have been smarter, as suggested by the state of science of strategic scenario definition.
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- 2020
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15. Quien la hace ¿la paga? Servidores públicos y responsabilidad personal
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Ricardo Rivero Ortega
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responsabilidad personal ,función pública ,daño ,dolo ,culpa ,interdicción de la arbitrariedad ,Law of nations ,KZ2-6785 ,Law in general. Comparative and uniform law. Jurisprudence ,K1-7720 ,Public law ,K3150 - Abstract
Este trabajo explica las razones para mejorar las normas sobre responsabilidad de los servidores públicos, garantizando al tiempo la seguridad jurídica y el interés general. La correcta comprensión de las diferencias entre las responsabilidades penales, administrativas y contables es muy importante para alcanzar estos objetivos y prevenir la arbitrariedad.
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- 2020
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16. Presentación
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Ricardo Rivero Ortega and Juan José Rastrollo Suárez
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Presentación ,Revista Documentación Administrativa ,Law ,Political institutions and public administration (General) ,JF20-2112 - Abstract
Presentación del número 8 de la revista Documentación Administrativa
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- 2021
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17. A first probable case of SARS-CoV-2 reinfection in Colombia
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Whilken Novoa, Hollman Miller, Salim Mattar, Álvaro A. Faccini-Martínez, Ricardo Rivero, and Hector Serrano-Coll
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Therapeutics. Pharmacology ,RM1-950 ,Infectious and parasitic diseases ,RC109-216 ,Microbiology ,QR1-502 - Published
- 2021
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18. Serological cross-reactivity using a SARS-CoV-2 ELISA test in acute Zika virus infection, Colombia
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Álvaro A. Faccini-Martínez, Ricardo Rivero, Evelin Garay, Alejandra García, Salim Mattar, Yesica Botero, Ketty Galeano, Jorge Miranda, Caty Martínez, Camilo Guzmán, Germán Arrieta, Hector Contreras, Hugo Kerguelen, Maria Moscote, Eimi Brango, and Veronica Contreras
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Diagnosis ,Endemic diseases ,Arbovirus infection ,Validation study ,Infectious and parasitic diseases ,RC109-216 - Abstract
Objectives: We investigated seroreactivity by using a commercial SARS-CoV-2 ELISA test in samples collected from different groups of individuals, including patients diagnosed to have Dengue, Zika, and Chikungunya infection between 2015 and 2019, from an endemic area in the Caribbean Colombian region. Methods: A total of 127 sera samples obtained from six different groups of individuals were included in this study: Group A: patients with confirmed SARS-CoV-2 infection; Group B: patients with symptoms suggestive of COVID-19 or asymptomatic contacts with confirmed patients; Group C: patients with acute or recent dengue virus infection; Group D: patients with acute Zika virus infection; Group E: patients with previous Chikungunya virus infection; and Group F: individuals with exposure to spotted fever group rickettsiae. Results: Overall, group A, group B, and group D showed seroreactivity to SARS-CoV-2 in 92%, 75%, and 26% of samples, respectively; furthermore, group C, group E, and group F showed 100% seronegativity. Conclusions: We found 26% of serological cross-reactivity in patients with acute Zika virus infection by using a commercial SARS-CoV-2 ELISA test. Further studies are needed to evaluate whether serological cross-reaction is maintained with time in nonacute patients with previous exposure to the Zika virus and its effect in SARS-CoV-2 serosurveys in endemic areas for this arbovirus.
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- 2020
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19. Vacunas SARS-CoV-2: evolución y escape
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Ricardo Rivero-Herrera, Marco González-Tous, and Salim Mattar
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SARS-CoV-2 ,vacunas ,cepas virales ,Veterinary medicine ,SF600-1100 - Abstract
El SARS-CoV-2 fue declarado como un virus pandémico hace un año y ha causado más de 130 millones de casos confirmados y 2.8 millones de muertes alrededor del mundo. A finales de 2020, las vacunas basadas en la proteína spike de SARS-CoV-2 fueron las primeras aprobadas en la emergencia sanitaria. La proteína spike interacciona con el receptor ACE2 humano en el inicio del proceso de infección, este conocimiento básico dio inicio a una vacuna que tuviera como blanco de acción el spike para de esa forma desencadenar la acción de los anticuerpos neutralizantes. Las vacunas aplicadas en el hemisferio occidental no siguen la vía tradicional de los virus atenuados o inactivos, la nueva moda son las metodologías de ARN mensajero, algunos insertados en vectores virales que presentan el antígeno ante las células del sistema inmune e inducen memoria humoral. Sin embargo, existen vacunas basadas en péptidos recombinantes, virus atenuados e inactivos, aplicadas exitosamente en Latinoamérica y Asia, que superan las limitaciones de temperatura de almacenamiento y aspectos geopolíticos.
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- 2021
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20. Competitive suppression of dengue virus replication occurs in chikungunya and dengue co-infected Mexican infants
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Mussaret B Zaidi, Julio Garcia-Cordero, Ricardo Rivero-Gomez, Josselin Corzo-Gomez, María Elena González y Almeida, Raúl Bonilla-Moreno, José Bustos-Arriaga, Nicolás Villegas-Sepulveda, Leopoldo Flores-Romo, and Leticia Cedillo-Barron
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Dengue virus ,Chikungunya virus ,Co-infection ,Disease severity ,Maternal antibodies ,Seroconversion ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background Co-circulation of dengue virus (DENV) and chikungunya virus (CHIKV) is increasing worldwide but information on the viral dynamics and immune response to DENV-CHIKV co-infection, particularly in young infants, is scant. Methods Blood samples were collected from 24 patients, aged 2 months to 82 years, during a CHIKV outbreak in Mexico. DENV and CHIKV were identified by RT-PCR; ELISA was used to detect IgM and IgG antibodies. CHIKV PCR products were cloned, sequenced and subjected to BLAST analysis. To address serological findings, HMEC-1 and Vero cells were inoculated with DENV-1, DENV-2 and CHIKV alone and in combination (DENV-2-CHIKV and DENV-1-CHIKV); viral titers were measured at 24, 48 and 72 h. Results Nine patients (38%) presented co-infection, of who eight were children. None of the patients presented severe illness. Sequence analysis showed that the circulating CHIKV virus belonged to the Asian lineage. Seroconversion to both viruses was only observed in the four patients five years or older, while the five infants under two years of age only seroconverted to CHIKV. Viral titers in the CHIKV mono-infected cells were greater than in the DENV-1 and DENV-2 mono-infected cells. Furthermore, we observed significantly increased CHIKV progeny and reduction of DENV progeny in the co-infected cells. Conclusions In our population, DENV-CHIKV co-infection was not associated with increased clinical severity. Our in vitro assay findings strongly suggest that the lack of DENV IgG conversion in the co-infected infants is due to suppression of DENV replication by the Asian lineage CHIKV. The presence of maternal antibody and immature immune responses in the young infants may also play a role.
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- 2018
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21. High Prevalence of SARS-CoV-2 in an Indigenous Community of the Colombian Amazon Region
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Héctor Serrano-Coll, Hollman Miller, Camila Rodríguez-Van Der Hamen, Bertha Gastelbondo, Wilkhen Novoa, Misael Oviedo, Ricardo Rivero, Evelin Garay, and Salim Mattar
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public health ,population groups ,informal sector ,asymptomatic diseases ,seroepidemiologic studies ,Medicine - Abstract
Introduction. COVID-19 is a pathology caused by the SARS-CoV-2 virus. The World Health Organization (WHO) has reported more than 225 million cases and 4.5 million deaths worldwide. Objective: To describe the seropositivity, spatial distribution, and clinical and sociodemographic variables of SARS-CoV-2 in a community of the Colombian Amazon region. Methods. In December 2020, a cross-sectional observational study was carried out in a population located in the Colombian Amazon in the municipality of Mitú. Sociodemographic and clinical data were taken. Besides, 589 blood samples were taken, and an antibody detection was carried out with an ELISA and a recombinant protein N antigen of SARS-CoV-2. Results. A seropositivity of 57.6% was observed. The highest proportion of the infection is located in inter-municipal transport zones. The bivariate analysis did not show differences in the SARS-CoV-2 infection rate concerning the variables sex, age range, and the presence of comorbidities (p > 0.05). The bivariate and multivariate analysis showed that being symptomatic and presenting neurological manifestations of the upper respiratory tract are clinical variables associated with SARS-CoV-2 infection (p < 0.05). One of the causes of this virus’s high spread in this community could be that 53.3% of the people were asymptomatic. Conclusions. Our data showed a high burden and transmission of SARS-CoV-2 in the indigenous community. This could be linked to cultural behaviors and the high infection rate in asymptomatic patients.
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- 2021
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22. La Administración sin papel: registro, expediente, archivo electrónico, ¿estamos preparados?
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Ricardo Rivero Ortega and Amador Fernández Nieto
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administración electrónica ,archivo electrónico ,expediente electrónico ,gestión documental ,Law in general. Comparative and uniform law. Jurisprudence ,K1-7720 - Abstract
The new law on administrative procedure and public sector opens endless possibilities but also challenges for the role -based administration supports, and its update mandatory for years, analyzing the major developments and challenges in this article.
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- 2016
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23. La nueva Ley Orgánica de Seguridad Ciudadana: ¿Estado de prevención o Derecho administrativo del enemigo?
- Author
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Ricardo RIVERO ORTEGA
- Subjects
ley orgánica de seguridad ciudadana ,Law in general. Comparative and uniform law. Jurisprudence ,K1-7720 ,Political science (General) ,JA1-92 - Published
- 2015
24. Oportunidades, riesgos y resultados reales de la Ley de racionalización y sostenibilidad de la Administración Local
- Author
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Ricardo Rivero Ortega
- Subjects
Reforma local ,medidas de ajuste ,competencias del Estado y de las Comunidades Autónomas sobre la Administración local ,servicios públicos ,Political science ,Political institutions and public administration (General) ,JF20-2112 - Abstract
Un año después de la entrada en vigor de la Ley de Racionalización y Sostenibilidad de la Administración local podemos valorar su necesidad, oportunidades y riesgos creados. La aprobación de la norma en un momento de crisis económica explica algunas de sus soluciones, que sin embargo no pueden considerarse radicales. La efectividad de algunas de sus previsiones se enfrenta ahora a las medidas adoptadas por los poderes autonómicos, en una actitud defensiva de sus propias competencias y de los servicios municipales afectados.
- Published
- 2015
25. LAS TRANSFORMACIONES DEL PAPEL ECONÓMICO DE LOS MUNICIPIOS Y LA NECESIDAD DE CAMBIOS EN LA REGULACIÓN DE LA INTERVENCIÓN ECONÓMICA LOCAL
- Author
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Ricardo Rivero Ortega
- Subjects
Political science ,Political institutions and public administration (General) ,JF20-2112 - Published
- 2011
- Full Text
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26. Simplificació administrativa i administració electrònica: objectius pendents en la transposició de la Directiva de serveis
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Ricardo Rivero Ortega
- Subjects
Directiva de serveis ,simplificació administrativa ,descàrrega burocràtica ,Administració electrònica. ,Law ,Law in general. Comparative and uniform law. Jurisprudence ,K1-7720 - Abstract
La transposició de la Directiva de serveis a Espanya obliga a dur a terme un ambiciós programa de simplificació administrativa, també requerit per les difícils circumstàncies econòmiques que passen les nostres administracions. Altres països europeus ens mostren reformes concretes que s'hi podrien aplicar, com l'agilitació procedimental, que també s'intenten aplicar a les comunitats autònomes. Tanmateix, diversos desafiaments claus de la simplificació continuen necessitant modificacions més profundes de la nostra Llei de procediment administratiu per realitzar l'eliminació d'abusos en les exigències documentals, evitar les dilacions procedimentals, acabar amb el silenci administratiu i millorar aspectes de l'Administració electrònica, com ara la interoperabilitat.
- Published
- 2011
27. AUTONOMÍA LOCAL Y COMPETENCIAS: CASTILLA Y LEÓN EN EL ESCENARIO PREVIO AL PACTO LOCAL
- Author
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Ricardo Rivero Ortega
- Subjects
Political science ,Political institutions and public administration (General) ,JF20-2112 - Published
- 2011
- Full Text
- View/download PDF
28. Problemas administrativos en los nuevos espacios metropolitanos: la ausencia de una respuesta normativa suficiente en la Comunidad Autónoma de Castilla y León
- Author
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Ricardo Rivero Ortega
- Subjects
Áreas metropolitanas ,Derecho Local ,Estatuto de Autonomía ,Castilla y León ,Political science ,Political institutions and public administration (General) ,JF20-2112 - Published
- 2011
- Full Text
- View/download PDF
29. Effects of yoga in men with prostate cancer on quality of life and immune response: a pilot randomized controlled trial
- Author
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Kaushik, Dharam, Shah, Pankil K., Mukherjee, Neelam, Ji, Niannian, Dursun, Furkan, Kumar, Addanki P., Thompson, Jr, Ian M., Mansour, Ahmed M., Jha, Richapriya, Yang, Xiaoyu, Wang, Hanzhang, Darby, Nydia, Ricardo Rivero, J., Svatek, Robert S., and Liss, Michael A.
- Published
- 2022
- Full Text
- View/download PDF
30. PRESENTACIÓN
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Ortega, Ricardo Rivero
- Published
- 2021
31. PREÁMBULO
- Author
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Ortega, Ricardo Rivero, primary
- Published
- 2022
- Full Text
- View/download PDF
32. Claves de la responsabilidad personal de autoridades y empleados públicos
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Ortega, Ricardo Rivero, primary
- Published
- 2021
- Full Text
- View/download PDF
33. PRÓLOGO
- Author
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Ortega, Ricardo Rivero, primary
- Published
- 2021
- Full Text
- View/download PDF
34. How to correct the behavior of citizens from public entities?: The case of Nudges.
- Author
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Marta Cerezo Prieto, Ricardo Rivero Ortega, and Francisco Javier Frutos Esteban
- Published
- 2018
- Full Text
- View/download PDF
35. Algoritmos, sesgos, sexos y géneros: la sensatez del Derecho
- Author
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Ricardo Rivero Ortega
- Subjects
General Medicine - Abstract
El propósito de las ciencias sociales y jurídicas es fomentar la convivencia y ayudar a resolver problemas para alcanzar los objetivos de las personas. Cuando surgen conflictos relacionados con el avance tecnológico o las teorías constructivistas, es necesario que los juristas intervengan para encontrar un equilibrio entre el progreso y los intereses afectados por los cambios disruptivos utilizando principios jurídicos.
- Published
- 2023
- Full Text
- View/download PDF
36. Acicates (nudges), buen gobierno y buena administración : Aportaciones de las ciencias conductuales, nudging y sector público y privado
- Author
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SOLÉ, JULI PONCE, Coord., Peña-López, Ismael, Prólogo de, Ortega, Ricardo Rivero, Preámbulo de, Sunstein, Cass R., Consideraciones preliminares de, SOLÉ, JULI PONCE, Peña-López, Ismael, Ortega, Ricardo Rivero, and Sunstein, Cass R.
- Published
- 2022
- Full Text
- View/download PDF
37. ¿Existe un arquetipo universal del derecho administrativo? El ejemplo de Japón
- Author
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Ricardo Rivero Ortega
- Subjects
Hardware and Architecture ,Geology ,Geotechnical Engineering and Engineering Geology - Published
- 2022
- Full Text
- View/download PDF
38. Las instituciones de control, el análisis conductual y el derecho a la buena regulación
- Author
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NÁJERA, SANTIAGO A. MARTÍN, Ortega, Ricardo Rivero, Prólogo de, NÁJERA, SANTIAGO A. MARTÍN, and Ortega, Ricardo Rivero
- Published
- 2021
- Full Text
- View/download PDF
39. controvertida gestión de los fondos de recuperación en España: exigencias europeas y consenso futuro
- Author
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Ricardo Rivero Ortega
- Subjects
General Medicine - Abstract
Las críticas de la oposición a la gestión de los fondos de recuperación en España señalan su manipulación clientelar. El Gobierno ha respondido que está cumpliendo todas las normas europeas. Sin embargo, que sería conveniente un mayor énfasis en principios recogidos en los reglamentos europeos, incluyendo más participación de las comunidades autónomas, las entidades locales y los agentes políticos y sociales en las decisiones de distribución y asignación de los recursos. Un futuro de consenso parece deseable en los proyectos de nueva generación.
- Published
- 2022
- Full Text
- View/download PDF
40. El papel de las entidades locales en la reactivación de la economía
- Author
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Ricardo Rivero Ortega
- Subjects
Resilience (organizational) ,Decree ,Intervention (law) ,Government ,Complementary and alternative medicine ,Coronavirus disease 2019 (COVID-19) ,Welfare economics ,Political science ,Economic recovery ,Pharmaceutical Science ,Pharmacology (medical) ,European commission - Abstract
La crisis COVID ha producido un impacto sobre la economía y el empleo sin precedentes. La reactivación requerirá movilizar recursos públicos derivados del instrumento europeo de recuperación, para lo cual se ha aprobado el Real Decreto-Ley 36/2020, así como medidas paralelas en el ámbito autonómico. El Plan para nuestro país, presentado por el Gobierno de España a la comisión europea a finales de abril, debería tener más en cuenta los proyectos e iniciativas de las entidades locales, por su proximidad a los problemas, su conocimiento de las necesidades y su capacidad de intervención más ágil e inmediata.
- Published
- 2021
- Full Text
- View/download PDF
41. Genomic epidemiology of circulating SARS-CoV-2 variants during first two years of the pandemic in Colombia
- Author
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Cinthy Jimenez-Silva, Ricardo Rivero, Jordan Douglas, Remco Bouckaert, Julian Villabona-Arenas, Katherine Atkins, Bertha Gastelbondo, Alfonso Calderon, Camilo Guzman, Daniel Echeverri-De la Hoz, Marina Muñoz, Nathalia Ballesteros, Sergio Castañeda, Luz H. Patiño, Angie Ramirez, Nicolas Luna, Alberto Paniz-Mondolfi, Hector Serrano-Coll, Juan David Ramirez, Salim Mattar, and Alexei Drummond
- Abstract
The emergence of highly transmissible SARS-CoV-2 variants has led to surges in cases and the need for global genomic surveillance. While some variants rapidly spread worldwide, other variants only persist nationally. There is a need for more fine-scale analysis to understand transmission dynamics at a country scale. For instance, the Mu variant of interest, also known as lineage B.1.621, was first detected in Colombia and was responsible for a large local wave but only a few sporadic cases elsewhere. To provide a better understanding of the epidemiology of SARS-Cov-2 variants in Colombia, we used 14,049 complete SARS-CoV-2 genomes from the 32 states of Colombia, and performed Bayesian phylodynamic analyses to estimate the time of variants introduction, their respective effective reproductive number, and effective population size, and the impact of disease control measures. We detected a total of 188 SARS-CoV-2 Pango lineages circulating in Colombia since the start of the pandemic. We showed that the effective reproduction number oscillated drastically throughout the first two years of the pandemic, with Mu showing the highest transmissibility (Re and growth rate estimation). Our results reinforce that genomic surveillance programs are essential for countries to make evidence-driven interventions towards the emergence and circulation of novel SARS-CoV-2 variants.
- Published
- 2022
- Full Text
- View/download PDF
42. The association between sarcopenia and bladder cancer-specific mortality and all-cause mortality after radical cystectomy: A systematic review and meta-analysis
- Author
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Deepak Pruthi, Jesús Salinas Herrera, Dharam Kaushik, Sarah P. Psutka, Ahmed M. Mansour, Ann M. Farrell, Robert S. Svatek, Michael A. Liss, Hanzhang Wang, J. Ricardo Rivero, and Christine Ibilibor
- Subjects
Oncology ,medicine.medical_specialty ,Urology ,medicine.medical_treatment ,Management of MIBC ,030232 urology & nephrology ,cancer-specific mortality ,Review Article ,sarcopenia ,Cystectomy ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Cancer specific mortality ,030219 obstetrics & reproductive medicine ,Bladder cancer ,business.industry ,Specific mortality ,musculoskeletal system ,medicine.disease ,meta-analysis ,Meta-analysis ,Sarcopenia ,all-cause mortality ,business ,human activities ,All cause mortality - Abstract
Objective: To compare cancer-specific mortality (CSM) and all-cause mortality (ACM) between patients with and without sarcopenia who underwent radical cystectomy for bladder cancer. Materials and methods: We performed a systematic review and meta-analysis of original articles published from October 2010 to March 2019 evaluating the effect of sarcopenia on CSM and ACM. We extracted hazard ratios (HRs) and 95% confidence intervals (CIs) for CSM and ACM from the included studies. Heterogeneity amongst studies was measured using the Q-statistic and the I2 index. Meta-analysis was performed using a random-effects model if heterogeneity was high and fixed-effects models if heterogeneity was low. Results: We identified 145 publications, of which five were included in the meta-analysis. These five studies represented 1447 patients of which 453 were classified as sarcopenic and 534 were non-sarcopenic. CSM and ACM were increased in sarcopenic vs non-sarcopenic patients (HR 1.64, 95% CI 1.30–2.08, P
- Published
- 2021
- Full Text
- View/download PDF
43. Immunogenicity and safety of a RBD vaccine against SARS-CoV-2 in a murine model
- Author
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Andrés Díaz, Héctor Serrano-Coll, Yesica Botero, Alfonso Calderón, Ariel Arteta-Cueto, Bertha Gastelbondo, Camilo Guzmán, Ricardo Rivero, Caty Martínez, Tania Marquez, Germán Arrieta, and Salim Mattar
- Subjects
Mice, Inbred BALB C ,COVID-19 Vaccines ,SARS-CoV-2 ,Public Health, Environmental and Occupational Health ,COVID-19 ,Viral Vaccines ,Antibodies, Viral ,Antibodies, Neutralizing ,Disease Models, Animal ,Mice ,Infectious Diseases ,Spike Glycoprotein, Coronavirus ,Animals ,Humans - Abstract
Although more than half of the world's population is already vaccinated, the appearance of new variants of concern puts public health at risk due to the generation of new immunogens against the virus as a crucial and relevant strategy in the control of these new variants.A preclinical study used a potential vaccine candidate (RBD, SARS-CoV-2). Four groups of BALB/c mice were used, a control group, an adjuvant group, a group inoculated with one dose of RBD subunit protein, and the fourth group inoculated with two doses of RBD subunit protein.No inflammatory or cellular changes were shown in the mice's anatomopathological evaluation. Higher kinetics and 75% seroconversion were obtained in the mice inoculated with two doses of RBD (P 0.0001).The application of two doses of the RBD vaccine candidate in BALB/c mice proved safe and immunogenic against SARS-CoV-2.
- Published
- 2022
44. PREÁMBULO
- Author
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Ricardo Rivero Ortega
- Published
- 2022
- Full Text
- View/download PDF
45. Acicates (nudges), buen gobierno y buena administración
- Author
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Ortega, Ricardo Rivero, primary and Sunstein, Cass R., additional
- Published
- 2022
- Full Text
- View/download PDF
46. Claves de la responsabilidad personal de autoridades y empleados públicos
- Author
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Ricardo Rivero Ortega
- Published
- 2021
- Full Text
- View/download PDF
47. High Infection to SARS-CoV-2 in an Indigen Community of the Colombian Amazon Region
- Author
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Ricardo Rivero, Evelin Garay, Salim Mattar, Hollman Miller, Héctor Serrano-Coll, Camila Rodríguez-Van der hamen, Misael Oviedo, Bertha Gastelbondo, and Wilkhen Novoa
- Subjects
medicine.medical_specialty ,Geography ,Amazon rainforest ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Environmental health ,Public health ,medicine ,Seroepidemiologic Studies ,virology ,Asymptomatic Diseases - Abstract
Introduction. COVID-19 is a pathology caused by the SARS-CoV2 virus. The World Health Organization has reported more than 94 million cases and two million deaths worldwide. Objective: To describe the seroprevalence, spatial distribution, and clinical and sociodemographic variables of SARS-CoV2 in a community of the Colombian Amazon region. Methods. In December 2020, a cross-sectional observational study was carried out in a population located in the Colombian Amazon in the municipality of Mitú. Sociodemographic and clinical data were taken. Besides, 590 blood samples were taken, and an antibody detection was carried out with an ELISA and a recombinant protein N antigen of SARS-CoV2. Results. A seroprevalence of 57.6% was observed. The highest proportion of the infection is located in inter-municipal transport zones. The bivariate analysis did not show differences in the SARS-CoV2 infection rate concerning the variables sex, age-range, and the presence of comorbidities (P> 0.05). The bivariate and multivariate analysis showed that being symptomatic and presenting neurological manifestations of the upper respiratory tract are clinical variables associated with SARS-CoV2 infection (P
- Published
- 2021
- Full Text
- View/download PDF
48. Human-to-dog Transmission of SARS-CoV-2 Lota Variant: Should COVID-19 Patients Avoid Close Contact with their Pets During Illness?
- Author
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Juan David Ramírez, Caty Martinez-Bravo, Luz H. Patiño, Ricardo Rivero, Nathalia Ballesteros, Ader Aleman, Camilo Guzmán, Alfonso Calderón, Evelin Garay, Héctor Serrano-Coll, Salim Mattar, Bertha Gastelbondo, Marina Muñoz, Sergio Castañeda, Germán Arrieta, and Yesica Botero
- Subjects
Transmission (mechanics) ,Coronavirus disease 2019 (COVID-19) ,law ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Biology ,Close contact ,Virology ,law.invention - Abstract
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the etiological agent of the current COVID-19 pandemic, has been proven to have a broad range of host species, including non-human primates, as well as domestic animals and pets. A high conservation degree in the structure of the ACE2 receptor, which is the critical protein for viral infection among vertebrate species, could lead to anthroponotic events. The present paper reports the first symptomatic human-to-dog transmission event of the SARS-CoV-2 Iota variant in Latin America. We found a total of 21 mutations shared across the complete genomes of owner and dog viral sequences. Further phylogenetic and molecular analysis showed a 100% support of clade co-localization supporting the transmission event. Spike protein structure prediction of sequenced virus and docking analyses showed that E484K mutation in the receptor-binding domain (RBD) could enhance viral affinity towards dACE2. Therefore, close contact should be avoided between humans infected with SARS-CoV-2 and pets to avoid the appearance of novel mutations of importance in public health from anthroponotic events.
- Published
- 2021
- Full Text
- View/download PDF
49. LBA02-03 A PHASE II RANDOMIZED CLINICAL TRIAL OF YOGA IN MEN WITH PROSTATE CANCER
- Author
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Ian M. Thompson, Robert S. Svatek, Nydia Darby, Pratap A. Kumar, Xiaoyu Yang, J. Ricardo Rivero, Michael A. Liss, Hanzhang Wang, Ahmed M. Mansour, Dharam Kaushik, Richapriya Jha, Niannian Ji, Pankil Shah, and Neelam Mukherjee
- Subjects
Oncology ,medicine.medical_specialty ,business.industry ,Urology ,Cancer ,medicine.disease ,humanities ,law.invention ,Prostate cancer ,Quality of life ,Randomized controlled trial ,law ,Internal medicine ,medicine ,In patient ,business - Abstract
INTRODUCTION AND OBJECTIVE:Yoga improves health-related quality of life (QoL) in patients with several types of cancer, but its benefits have not been studied in prostate cancer. We performed a pha...
- Published
- 2021
- Full Text
- View/download PDF
50. Effects of yoga in men with prostate cancer on quality of life and immune response: a pilot randomized controlled trial
- Author
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Dharam, Kaushik, Pankil K, Shah, Neelam, Mukherjee, Niannian, Ji, Furkan, Dursun, Addanki P, Kumar, Ian M, Thompson, Ahmed M, Mansour, Richapriya, Jha, Xiaoyu, Yang, Hanzhang, Wang, Nydia, Darby, J, Ricardo Rivero, Robert S, Svatek, and Michael A, Liss
- Subjects
Male ,Yoga ,Quality of Life ,Cytokines ,Humans ,Prostatic Neoplasms ,Pilot Projects - Abstract
Diagnosis and treatment of prostate cancer is associated with anxiety, fear, and depression in up to one-third of men. Yoga improves health-related quality of life (QoL) in patients with several types of cancer, but evidence of its efficacy in enhancing QoL is lacking in prostate cancer.In this randomized controlled study, 29 men newly diagnosed with localized prostate cancer were randomized to yoga for 6 weeks (n = 14) or standard-of-care (n = 15) before radical prostatectomy. The primary outcome was self-reported QoL, assessed by the Expanded Prostate Index Composite (EPIC), Functional Assessment of Cancer Therapy-Prostate (FACT-P), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), Functional Assessment of Cancer Therapy-General (FACT-G) at baseline, preoperatively, and 6 weeks postoperatively. Secondary outcomes were changes in immune cell status and cytokine levels with yoga.The greatest benefit of yoga on QoL was seen in EPIC-sexual (mean difference, 8.5 points), FACIT-F (6.3 points), FACT-Functional wellbeing (8.6 points), FACT-physical wellbeing (5.5 points), and FACT-Social wellbeing (14.6 points). The yoga group showed increased numbers of circulating CD4+ and CD8+ T-cells, more production of interferon-gamma by natural killer cells, and increased Fc receptor III expression in natural killer cells. The yoga group also showed decreased numbers of regulatory T-cells, myeloid-derived suppressor cells, indicating antitumor activity, and reduction in inflammatory cytokine levels (granulocyte colony-stimulating factor [0.55 (0.05-1.05), p = 0.03], monocyte chemoattractant protein [0.22 (0.01-0.43), p = 0.04], and FMS-like tyrosine kinase-3 ligand [0.91 (-0.01, 1.82), p = 0.053].Perioperative yoga exercise improved QoL, promoted an immune response, and attenuated inflammation in men with prostate cancer. Yoga is feasible in this setting and has benefits that require further investigation.clinicaltrials.org (NCT02620033).
- Published
- 2021
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