Transplantation for Autoimmune Diseases in North and South America: A Report of the Center for International Blood and Marrow Transplant Research

Hematopoietic cell transplantation (HCT) is an emerging therapy for patients with severe autoimmune diseases (AID). We report data on 368 patients with AID who underwent HCT in 64 North and South American transplantation centers reported to the Center for International Blood and Marrow Transplant Research between 1996 and 2009. Most of the HCTs involved autologous grafts (n = 339); allogeneic HCT (n = 29) was done mostly in children. The most common indications for HCT were multiple sclerosis, systemic sclerosis, and systemic lupus erythematosus. The median age at transplantation was 38 years for autologous HCT and 25 years for allogeneic HCT. The corresponding times from diagnosis to HCT were 35 months and 24 months. Three-year overall survival after autologous HCT was 86% (95% confidence interval [CI], 81%-91%). Median follow-up of survivors was 31 months (range, 1-144 months). The most common causes of death were AID progression, infections, and organ failure. On multivariate analysis, the risk of death was higher in patients at centers that performed fewer than 5 autologous HCTs (relative risk, 3.5; 95% CI, 1.1-11.1; P = .03) and those that performed 5 to 15 autologous HCTs for AID during the study period (relative risk, 4.2; 95% CI, 1.5-11.7; P = .006) compared with patients at centers that performed more than 15 autologous HCTs for AID during the study period. AID is an emerging indication for HCT in the region. Collaboration of hematologists and other disease specialists with an outcomes database is important to promote optimal patient selection, analysis of the impact of prognostic variables and long-term outcomes, and development of clinical trials. Biol Blood Marrow Transplant 18: 1471-1478 (2012) (C) 2012 Published by Elsevier Inc. on behalf of American Society for Blood and Marrow Transplantation

Characterization of red wines from South America based on sensory properties and antioxidant activity

BACKGROUND: It is widely accepted that red wines constitute one of the most important sources of dietary polyphenolic antioxidants. However, it is still not known how some variables such as variety, vintage, country of origin, and retail price are associated with the antioxidant activity and sensory profile of South American red wines. In this regard, 80 samples produced in Brazil, Chile and Argentina were assessed in relation to their sensory properties, color and in vitro antioxidant activity, and results were subjected to multivariate statistical techniques. RESULTS: Samples were grouped in clusters, characterized by high, intermediate and low in vitro antioxidant activity, sensory properties and prices. It was possible to observe that wines with high antioxidant activity were associated to high retail prices and overall perception of sensory quality. CONCLUSION: South American wines produced from Vitis vinifera such as Syrah, Malbec and Cabernet Sauvignon had higher in vitro antioxidant activity and also higher sensory quality than wines produced from Vitis labrusca. This result was independent of vintage (2002-2010), corroborating the idea that the same grape varietal, even when produced in different years, displays similar sensory characteristics and antioxidant activity. (C) 2011 Society of Chemical Industry

Population amalgamation and genetic variation: observations on artificially agglomerated tribal populations of Central and South America.

The interpretation of data on genetic variation with regard to the relative roles of different evolutionary factors that produce and maintain genetic variation depends critically on our assumptions concerning effective population size and the level of migration between neighboring populations. In humans, recent population growth and movements of specific ethnic groups across wide geographic areas mean that any theory based on assumptions of constant population size and absence of substructure is generally untenable. We examine the effects of population subdivision on the pattern of protein genetic variation in a total sample drawn from an artificial agglomerate of 12 tribal populations of Central and South America, analyzing the pooled sample as though it were a single population. Several striking findings emerge. (1) Mean heterozygosity is not sensitive to agglomeration, but the number of different alleles (allele count) is inflated, relative to neutral mutation/drift/equilibrium expectation. (2) The inflation is most serious for rare alleles, especially those which originally occurred as tribally restricted "private" polymorphisms. (3) The degree of inflation is an increasing function of both the number of populations encompassed by the sample and of the genetic divergence among them. (4) Treating an agglomerated population as though it were a panmictic unit of long standing can lead to serious biases in estimates of mutation rates, selection pressures, and effective population sizes. Current DNA studies indicate the presence of numerous genetic variants in human populations. The findings and conclusions of this paper are all fully applicable to the study of genetic variation at the DNA level as well.

Reconstruction of the provenance and distribution of terrigenous sediments off NE South America over the last 30ka

We investigate the redistribution of terrigenous materials in the northeastern (NE) South American continental margin during slowdown events of the Atlantic Meridional Overturning Circulation (AMOC). The compilation of stratigraphic data from 108 marine sediment cores collected across the western tropical Atlantic shows an extreme rise in sedimentation rates off the Parnaíba River mouth (about 2°S) during Heinrich Stadial 1 (HS1, 18-15 ka). Sediment core GeoB16206-1, raised offshore the Parnaíba River mouth, documents relatively constant 143Nd/144Nd values (expressed as epsilonNd(0)) throughout the last 30 ka. Whereas the homogeneous epsilonNd(0) data support the input of fluvial sediments by the Parnaíba River from the same source area directly onshore, the increases in Fe/Ca, Al/Si and Rb/Sr during HS1 indicate a marked intensification of fluvial erosion in the Parnaíba River drainage basin. In contrast, the epsilonNd(0) values from sediment core GeoB16224-1 collected off French Guiana (about 7°N) suggest Amazon-sourced materials within the last 30 ka. We attribute the extremely high volume of terrigenous sediments deposited offshore the Parnaíba River mouth during HS1 to (i) an enhanced precipitation in the catchment region and (ii) a reduced North Brazil Current, which are both associated with a weakened AMOC.

Millenial variability of dust in South Atlantic sediment records

Fluxes of lithogenicmaterial and fluxes of three palaeo productivity proxies (organic carbon, biogenic opal and alkenones) over the past 100,000 years were determined using the 230Th-normalization method in three sediment cores from the Subantarctic South Atlantic Ocean. Features in the lithogenic flux record of each core correspond to similar features in the record of dust deposition in the EPICA Dome C ice core. Biogenic fluxes correlate with lithogenic fluxes in each sediment core. Our preferred interpretation is that South American dust, most probably from Patagonia, constitutes a major source of lithogenic material in Subantarctic South Atlantic sediments, and that past biological productivity in this region responded to variability in the supply of dust, probably due to biologically available iron carried by the dust. Greater nutrient supply as well as greater nutrient utilization (stimulated by dust) contributed to Subantarctic productivity during cold periods, in contrast to the region south of the Antarctic Polar Front (APF), where reduced nutrient supply during cold periods was the principal factor limiting productivity. The anti-phased patterns of productivity on opposite sides of the APF point to shifts in the physical supply of nutrients and to dust as cofactors regulating productivity in the Southern Ocean.

Regional and seasonal patterns of litterfall in tropical South America

The production of aboveground soft tissue represents an important share of total net primary production in tropical rain forests. Here we draw from a large number of published and unpublished datasets (n = 81 sites) to assess the determinants of litterfall variation across South American tropical forests. We show that across old-growth tropical rainforests, litterfall averages 8.61±1.91Mgha?1 yr?1 (mean±standard deviation, in dry mass units). Secondary forests have a lower annual litterfall than old-growth tropical forests with a mean of 8.01±3.41Mgha?1 yr?1. Annual litterfall shows no significant variation with total annual rainfall, either globally or within forest types. It does not vary consistently with soil type, except in the poorest soils (white sand soils), where litterfall is significantly lower than in other soil types (5.42±1.91Mgha?1 yr?1). We also study the determinants of litterfall seasonality, and find that it does not depend on annual rainfall or on soil type. However, litterfall seasonality is significantly positively correlated with rainfall seasonality. Finally, we assess how much carbon is stored in reproductive organs relative to photosynthetic organs. Mean leaf fall is 5.74±1.83Mgha?1 yr?1 (71% of total litterfall). Mean allocation into reproductive organs is 0.69±0.40Mgha?1 yr?1 (9% of total litterfall). The investment into reproductive organs divided by leaf litterfall increases with soil fertility, suggesting that on poor soils, the allocation to photosynthetic organs is prioritized over that to reproduction. Finally, we discuss the ecological and biogeochemical implications of these results.

Biogeographic range expansion into South America by Coccidioides immitis mirrors New World patterns of human migration

Long-distance population dispersal leaves its characteristic signature in genomes, namely, reduced diversity and increased linkage between genetic markers. This signature enables historical patterns of range expansion to be traced. Herein, we use microsatellite loci from the human pathogen Coccidioides immitis to show that genetic diversity in this fungus is geographically partitioned throughout North America. In contrast, analyses of South American C. immitis show that this population is genetically depauperate and was founded from a single North American population centered in Texas. Variances of allele distributions show that South American C. immitis have undergone rapid population growth, consistent with an epidemic increase in postcolonization population size. Herein, we estimate the introduction into South America to have occurred within the last 9,000–140,000 years. This range increase parallels that of Homo sapiens. Because of known associations between Amerindians and this fungus, we suggest that the colonization of South America by C. immitis represents a relatively recent and rapid codispersal of a host and its pathogen.

Climatic evolution of eastern South America during the last deglaciation: a paleoceanographic approach

Para dar suporte ao atual debate sobre as consequências climáticas da liberação antropogênica de CO2 na atmosfera, o refinamento do conhecimento sobre mudanças climáticas e oceanográficas no passado é necessário. A Circulação de Revolvimento Meridional do Atlântico (CRMA) tem papel fundamental na oceanografia e clima das áreas sob influência do Oceano Atlântico, controlando diretamente a estratificação e distribuição de massas d\'água, a quantidade de calor transportada pelo oceano e os ciclo e armazenamento de compostos químicos, como o CO2 em mar profundo. A formação e circulação da Água Intermediária Antártica (AIA), envolvida no transporte de calor e sal para o giro subtropical do Hemisfério Sul e nas teleconexões climáticas entre altas e baixas latitudes, é componente importante do ramo superior da CRMA. A reconstrução de propriedades de massas de água intermediárias é, portanto, importante para a compreensão dos sistemas de retroalimentação entre oceano-clima. No entanto, informações quanto a evolução da AIA continuam limitadas. Oscilações da CRMA e consequentes mudanças na distribuição de calor tem implicações importantes para o clima Sul Americano, influenciando a disponibilidade de umidade para o Sistema de Monções Sul Americano (SMSA), via temperatura da superfície marinha e posicionamento da Zona de Convergência Intertropical. Neste trabalho nós reconstruímos a assinatura isotópica da AIA durante os estágios isotópicos marinhos 2 e 3 (41-12 cal ka AP) usando isótopos de carbono e oxigênio de foraminíferos bentônicos (gêneros Cibicidoides e Uvigerina) de um testemunho de sedimentos marinhos datados por radiocarbono (1100 m de profundidade e a 20°S na costa do Brasil). Concluímos que propriedades físicas e químicas da AIA mudaram durante os estadiais Heinrich 3 e 4, provavelmente como consequência de enfraquecimento da CRMA durante estes períodos. Também reconstruímos as condições continentais do leste brasileiro entre o último máximo glacial e a deglaciação (23-12 cal ka AP) baseadas em razões Ti/Ca de nosso testemunho de sedimentos marinhos como indicadoras de aporte terrígeno do Rio Doce. A maior parte da chuva que cai na Bacia do Rio Doce está relacionada a atividade do SMAS. Nosso registro de Ti/Ca em conjunto com \'\'delta\' POT.18\'O de espeleotemas da Caverna Lapa Sem Fim, também no leste do Brasil, sugere diminuição marcante da chuva durante o interestadial Bølling-Allerød, provavelmente relacionada a enfraquecimento do SMAS. Ademais comparamos as razões de Ti/Ca com dados de saída da rodada SYNTRACE do modelo climático CCSM3 com forçantes transientes para a última deglaciação. Os registros geoquímicos e a saída do modelo mostram resultados consistentes entre si e sugerem que o leste da América do Sul passou pelo seu período mais seco de toda a última deglaciação durante o interestadial Bølling-Allerød, provavelmente relacionado ao enfraquecimento do SMAS.

Memoir on the navigation of South America, to accompany a chart of that station.

pt. 1. List of the passages made in H.M.S. Conway, on the South American station, by Captain Basil Hall.--pt. 2. Remarks on the sailing round Cape Horn [April 1814 and March 1815 by] Captain Pipon, on H.M.S. Tagus.

Mexico 1968 and South Africa 2010: development, leadership and legacies

In this essay we compare the rationales for hosting the 1968 Olympic Games in Mexico City with the FIFA World Cup 2010 to be held in South Africa. We draw on in-depth interviews, archival materials and a range of press coverage. We argue that three broad overlapping themes are apparent in both case studies. These are the developmental rhetoric both hosts employ in the justification of holding the events in their respective countries. Mexico and South Africa convey a leadership role that stretches across the South American and African continent respectively. Finally, both countries argue that the legacy the respective tournament leaves is important.

Altered Landscape or Arms Race? Making Sense of Military Spending in South America

In 2009, South American military spending reached a total of $51.8 billion, a fifty percent increased from 2000 expenditures. The five-year moving average of arms transfers to South America was 150 percent higher from 2005 to 2009 than figures for 2000 to 2004.[1] These figures and others have led some observers to conclude that Latin America is engaged in an arms race. Other reasons, however, account for Latin America’s large military expenditure. Among them: Several countries have undertaken long-prolonged modernization efforts, recently made possible by six years of consistent regional growth.[2] A generational shift is at hand. Armed Forces are beginning to shed the stigma and association with past dictatorial regimes.[3] Countries are pursuing specific individual strategies, rather than reacting to purchases made by neighbors. For example, Brazil wants to attain greater control of its Amazon rainforests and offshore territories, Colombia’s spending demonstrates a response to internal threats, and Chile is continuing a modernization process begun in the 1990s.[4] Concerns remain, however: Venezuela continues to demonstrate poor democratic governance and a lack of transparency; neighbor-state relations between Colombia and Venezuela, Peru and Chile, and Bolivia and Paraguay, must all continue to be monitored; and Brazil’s military purchases, although legitimate, will likely result in a large accumulation of equipment.[5] These concerns can be best addressed by strengthening and garnering greater participation in transparent procurement mechanism.[6] The United States can do its part by supporting Latin American efforts to embrace the transparency process. _________________ [1] Bromley, Mark, “An Arms Race in Our Hemisphere? Discussing the Trends and Implications of Military Expenditures in South America,” Brookings Institution Conference, Washington, D.C., June 3rd, 2010, Transcript Pgs. 12,13, and 16 [2] Robledo, Marcos, “The Rearmament Debate: A Chilean Perspective,” Power Point presentation, slide 18, 2010 Western Hemisphere Security Colloquium, Miami, Florida, May 25th-26th, 2010 [3] Yopo, Boris, “¿Carrera Armamentista en la Regiόn?” La Tercera, November 2nd, 2009, http://www.latercera.com/contenido/895_197084_9.shtml, accessed October 8th, 2010 [4] Walser, Ray, “An Arms Race in Our Hemisphere? Discussing the Trends and Implications of Military Expenditures in South America,” Brookings Institution Conference, Washington, D.C., June 3rd, 2010, Transcript Pgs. 49,50,53 and 54 [5] Ibid., Guevara, Iñigo, Pg. 22 [6] Ibid., Bromley, Mark, Pgs. 18 and 19

Post-liberal Regionalism in South America: The Case of UNASUR

This paper examines the formal features, the political rationale, distinctiveness, potential, and difficulties of post-liberal regionalism, with a particular focus on the case of UNASUR. Through this organization, traditional unionism and aspirations of Latin American regional integration are redefined in a South American geographic and ideational framework. Through this strategy South America became a political and economic construct in order to respond to globalization challenges and to achieve its members’ goals in development, regional autonomy (particularly in regards to the US), international influence and at the same time domestic governance of the involved countries. Nevertheless, the limits of this project’s future are being defined by nationalism, traditional visions of sovereignty and by a regional construction that involve significant institutional limitations, which are product of its intergovernmental logic, internal asymmetries and ambivalent Brazilian leadership

Mid-Holocene multiproxy compilation for eastern South America

The mid-Holocene (6000 calibrated years before present) is a key period in palaeoclimatology because incoming summer insolation was lower than during the late Holocene in the Southern Hemisphere, whereas the opposite happened in the Northern Hemisphere. However, the effects of the decreased austral summer insolation over South American climate have been poorly discussed by palaeodata syntheses. In addition, only a few of the regional studies have characterised the mid-Holocene climate in South America through a multiproxy approach. Here, we present a multiproxy compilation of mid-Holocene palaeoclimate data for eastern South America. We compiled 120 palaeoclimatological datasets, which were published in 84 different papers. The palaeodata analysed here suggest a water deficit scenario in the majority of eastern South America during the mid-Holocene if compared to the late Holocene, with the exception of northeastern Brazil. Low mid-Holocene austral summer insolation caused a reduced land-sea temperature contrast and hence a weakened South American monsoon system circulation. This scenario is represented by a decrease in precipitation over the South Atlantic Convergence Zone area, saltier conditions along the South American continental margin, and lower lake levels.

GIS technologies and spatial organization patterns among hunter-gatherers: an archaeological case study from Southern Patagonia (southern South America)

This paper discusses some aspects of hunter-gatherer spatial organization in southern South Patagonia, in later times to 10,000 cal yr BP. Various methods of spatial analysis, elaborated with a Geographic Information System (GIS) were applied to the distributional pattern of archaeological sites with radiocarbon dates. The shift in the distributional pattern of chronological information was assessed in conjunction with other lines of evidence within a biogeographic framework. Accordingly, the varying degrees of occupation and integration of coastal and interior spaces in human spatial organization are explained in association with the adaptive strategies hunter-gatherers have used over time. Both are part of the same human response to changes in risk and uncertainty variability in the region in terms of resource availability and environmental dynamics.