Browsing by Author "González, Álvaro"

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    Cross-species transmission and PB2 mammalian adaptations of highly pathogenic avian influenza A/H5N1 viruses in Chile
    (2023) Pardo Roa, Catalina; Nelson, Martha I.; Ariyama, Naomi; Aguayo, Carolina; Almonacid Cárdenas, Leonardo Iván; Muñoz, Gabriela; Navarro, Carlos; Ávila, Claudia; Ulloa, Mauricio; Reyes, Rodolfo; Fuentes Luppichini, Eugenia Lucía Angélica; Mathieu, Christian; Vergara, Ricardo; González, Álvaro; González, Carmen Gloria; Araya, Hugo; Fernández, Jorge; Fasce, Rodrigo; Johow, Magdalena; Medina, Rafael; Neira, Víctor
    H5N1 highly pathogenic avian influenza viruses (HPAIV) emerged in wild birds in Chile in December 2022 and spilled over into poultry, marine mammals, and one human. Between December 9, 2022 – March 14, 2023, a coordinated government/academic response detected HPAIV by real-time RT-PCR in 8.5% (412/4735) of samples from 23 avian and 3 mammal orders. Whole-genome sequences obtained from 77 birds and 8 marine mammals revealed that all Chilean H5N1 viruses belong to lineage 2.3.4.4b and cluster monophyletically with viruses from Peru, indicating a single introduction from North America into Peru/Chile. Mammalian adaptations were identified in the PB2 segment: D701N in two sea lions, one human, and one shorebird, and Q591K in the human and one sea lion. Minor variant analysis revealed that D701N was present in 52.9 – 70.9% of sequence reads, indicating the presence of both genotypes within hosts. Further surveillance of spillover events is warranted to assess the emergence and potential onward transmission of mammalian adapted H5N1 HPAIV in South America.
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    Mechanical ventilation and survival without major morbidities in Very-Low-Birth-Weight Infants: a multicenter study
    (2023) Toso, Alberto; Kuzmanic, Daniela; Domínguez, Angélica; González, Álvaro; Herbozo, Cecilia; Brener Dik, Pablo Hernán; Ahumada, Luis Alberto; Méndez, Álvaro; Aburto, Claudia; Tapia Illanes, José Luis
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    Oxigenación con membrana extracorpórea en pacientes pediátricos. Comunicación de los 3 primeros casos tratados
    (2005) Kattan, Javier; González, Álvaro; Becker, Pedro; Rodríguez, José; Estay, Alberto; Faunes, Miriam; Fajardo, Christian; Canessa, Roberto
    Extracorporeal membrane oxygenation (ECMO) improves survival in neonatal and pediatric patients with reversible severe respiratory or cardiac failure, in whom intensive treatment fails. Since 1999, a multidisciplinary team is trained to form the first neonatal-pediatric ECMO center in Chile, according to the norms of the Extracorporeal Life Support Organization (ELSO). During 2003 the first three patients were admitted to the program: a male newborn with pulmonary hypertension, a 38 days old female operated for a total anomalous pulmonary venous connection and a 3 months old male with a severe pneumonia caused by respiratory syncytial virus. They remained in ECMO for five, seven and nine days respectively and all survived to the procedure. No neurological complications were observed after one and a half year of follow up. This consolidates the first national neonatal-pediatric ECMO program, associated to ELSO. Up to date, twelve patients have been admitted to the program (Rev Méd Chile 2005; 133: 1065-70).