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1.
Environ Pollut ; 352: 124133, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38754690

ABSTRACT

Microplastic (MP) pollution has become a global concern due to its potential impacts on the environment, ecosystem services and human health. The goals of the present study were to document the MP contamination in wild specimens of Mytilus galloprovincialis sampled along the Atlantic coast of the North region of Portugal continental (NW Portuguese coast), and to estimate the human risk of MP intake (HRI) through the consumption of local mussels as seafood. Mussels were collected at four sampling sites along the NW Portuguese coast (40 mussels per site), and the whole soft body of each mussel was analysed for MP content. HRI estimates were based on the mean of MP items per wet weight of mussel analysed tissue (MP/g) and consumption habits. A total of 132 MP items were recovered from mussels. MP had diverse sizes (98-2690 µm) and colours. The most common shapes were fibres (39%) and pellets (36%). Five polymers were identified in the MP: polyethylene (50%), polystyrene (15%), poly(ethylene vinyl acetate) (14%), polyamide (12%) and polypropylene (9%). From the 160 analysed mussels, 55% had MP. The mean and standard error of the mean of mussel contamination ranged from 0.206 ± 0.067 and 0.709 ± 0.095 MP/g. Compared to estimates based on MP contamination in mussels from other areas and varied consumption habits, the HRI through the consumption of mussels from the NW Portuguese coast is relatively low.


Subject(s)
Environmental Monitoring , Microplastics , Mytilus , Seafood , Water Pollutants, Chemical , Animals , Portugal , Water Pollutants, Chemical/analysis , Microplastics/analysis , Seafood/analysis , Environmental Monitoring/methods , Humans , Mytilus/chemistry , Food Contamination/analysis , Risk Assessment , Bivalvia/chemistry , Dietary Exposure/statistics & numerical data , Atlantic Ocean
2.
Sci Total Environ ; 929: 172535, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38641109

ABSTRACT

Microplastics (MPs) are emerging contaminants of increasing concern as they may cause adverse effects and carry other contaminants, which may potentially compromise human health. Despite occurring in aquatic ecosystems worldwide, the knowledge about MP presence in different aquaculture systems and their potential impact on seafood products is still limited. This study aimed to determine the levels of MPs in water, feed, and European seabass (Dicentrarchus labrax) from three relevant aquaculture systems and estimate human exposure to MPs and metals through seabass consumption. The recirculating aquaculture system (RAS) had the highest MP occurrence in water and feed. MP levels in seabass followed the aquaculture system's levels in water and feed, with RAS-farmed fish presenting the highest MP load, both in the fish gastrointestinal tract (GIT) and muscle, followed by pond-, and cage-farmed fish. MPs' characteristics across aquaculture systems and fish samples remained consistent, with the predominant recovered particles falling within the MP size range. The particles were visually characterized and chemically identified by micro-Fourier Transform Infrared Spectroscopy (µFTIR). Most of these particles were fibres composed of man-made cellulose and PET. MP levels in GIT were significantly higher than in muscle for pond- and RAS-farmed fish, MPs' bioconcentration factors >1 indicated bioconcentration in farmed seabass. Metal concentrations in fish muscle were below permissible limits, posing low intake risks for consumers according to the available health-based guidance values and estimated dietary scenarios.


Subject(s)
Aquaculture , Bass , Metals , Microplastics , Water Pollutants, Chemical , Bass/metabolism , Animals , Water Pollutants, Chemical/analysis , Microplastics/analysis , Humans , Metals/analysis , Food Safety , Environmental Monitoring , Food Contamination/analysis , Risk Assessment , Seafood/analysis , Environmental Exposure/statistics & numerical data
3.
BMC Public Health ; 23(1): 2503, 2023 12 14.
Article in English | MEDLINE | ID: mdl-38097973

ABSTRACT

BACKGROUND: In countries where sugar fortification with vitamin A is mandatory, strategies to reduce the prevalence of overweight/obesity in adolescents that involve lowering added sugar intake could lead to vitamin A inadequate intakes, since vitamin A-fortified sugar for home consumption contributes to a high proportion of this vitamin intake in the adolescent diet. METHODS: The study employed a hierarchical linear model to perform a mediation analysis on a cross-sectional sample of adolescents (13-18 years old) in the province of San José, Costa Rica. RESULTS: Lowering the total energy intake derived from added sugars to less than 10% significantly increases the prevalence of vitamin A inadequate intake in adolescents by 12.1% (from 29.6% to 41.7%). This is explained by the mediation model in which, the reduced adequacy of vitamin A intake is mediated by a reduction in total energy intake derived from added sugars fortified with vitamin A. CONCLUSIONS: The vitamin A fortification of sugar for household consumption should be reassessed according to the current epidemiological profile in Costa Rica to promote strategies that reduce the prevalence of overweight/obesity in adolescents by lowering the consumption of added sugars without affecting vitamin A intake.


Subject(s)
Pediatric Obesity , Vitamin A , Humans , Adolescent , Sugars , Overweight/epidemiology , Overweight/prevention & control , Costa Rica/epidemiology , Cross-Sectional Studies , Pediatric Obesity/epidemiology , Pediatric Obesity/prevention & control , Diet , Energy Intake , Eating
4.
PLOS Glob Public Health ; 3(10): e0002417, 2023.
Article in English | MEDLINE | ID: mdl-37856471

ABSTRACT

Dengue transmission poses significant challenges for public health authorities worldwide due to its susceptibility to various factors, including environmental and climate variability, affecting its incidence and geographic spread. This study focuses on Costa Rica, a country characterized by diverse microclimates nearby, where dengue has been endemic since its introduction in 1993. Using wavelet coherence and clustering analysis, we performed a time-series analysis to uncover the intricate connections between climate, local environmental factors, and dengue occurrences. The findings indicate that multiannual dengue frequency (3 yr) is correlated with the Oceanic Niño Index and the Tropical North Atlantic Index. This association is particularly prominent in cantons located along the North and South Pacific Coast, as well as in the Central cantons of the country. Furthermore, the time series of these climate indices exhibit a leading phase of approximately nine months ahead of dengue cases. Additionally, the clustering analysis uncovers non-contiguous groups of cantons that exhibit similar correlation patterns, irrespective of their proximity or adjacency. This highlights the significance of climate factors in influencing dengue dynamics across diverse regions, regardless of spatial closeness or distance between them. On the other hand, the annual dengue frequency was correlated with local environmental indices. A persistent correlation between dengue cases and local environmental variables is observed over time in the North Pacific and the Central Region of the country's Northwest, with environmental factors leading by less than three months. These findings contribute to understanding dengue transmission's spatial and temporal dynamics in Costa Rica, highlighting the importance of climate and local environmental factors in dengue surveillance and control efforts.

5.
Mar Pollut Bull ; 195: 115531, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37717496

ABSTRACT

The Atlantic Islands National Park (AINP) in Galicia (NW of Spain) are host to large colonies of yellow-legged gulls (Larus michahellis). Here, we aimed to provide baseline data for the presence of microplastics (MP) in feces and pellets regurgitated of these resident yellow-legged gulls within this unique ecosystem. MP particles found in the samples were of five shapes (fiber, fragment, foam, film and rubber) and the predominant color was blue. The main plastic polymers identified by Raman spectroscopy were polypropylene and cellulose. The average size of the MP particles in the regurgitations was larger than that in the feces. Considering the population of Larus michahellis in the AINP, our estimates suggested an annual deposition of approximately 32.2 million of MP particles from feces and regurgitated pellets in the area.


Subject(s)
Charadriiformes , Environmental Monitoring , Animals , Microplastics , Plastics , Spain , Parks, Recreational , Ecosystem , Atlantic Islands , Feces
6.
Chemosphere ; 335: 139055, 2023 Sep.
Article in English | MEDLINE | ID: mdl-37268227

ABSTRACT

Plastic particles (PLs) are ubiquitous in aquatic ecosystems, and aquaculture production is susceptible to contamination from external or endogenous sources. This study investigated PL presence in water, fish feed and body sites of 55 European seabass produced in a recirculating aquaculture system (RAS). Fish morphometric parameters and health status biomarkers were determined. A total of 372 PLs were recovered from water (37.2 PL/L), 118 PLs from feed (3.9 PL/g), and 422 from seabass (0.7 PL/g fish; all body sites analysed). All 55 specimens had PLs in at least two of the four body sites analysed. Concentrations were higher in the gastrointestinal tract (GIT; 1.0 PL/g) and gills (0.8 PL/g) than in the liver (0.8 PL/g) and muscle (0.4 PL/g). PL concentration in GIT was significantly higher than in muscle. Black, blue, and transparent fibres made of man-made cellulose/rayon and polyethylene terephthalate were the most common PLs in water and seabass, while black fragments of phenoxy resin were the most common in feed. The levels of polymers linked to RAS components (polyethylene, polypropylene, and polyvinyl chloride) were low, suggesting a limited contribution to the overall PL levels found in water and/or fish. The mean PL size recovered from GIT (930 µm) and gills (1047 µm) was significantly larger than those found in the liver (647 µm) and dorsal muscle (425 µm). Considering all body sites, PLs bioconcentrated in seabass (BCFFish >1), but their bioaccumulation did not occur (BAFFish <1). No significant differences were observed in oxidative stress biomarkers between fish with low (<7) and high (≥7) PL numbers. These findings suggest that fish produced in RAS are mainly exposed to MPs through water and feed. Further monitoring under commercial conditions and risk assessment are warranted to identify potential threats to fish and human health and define mitigating measures.


Subject(s)
Bass , Water Pollutants, Chemical , Humans , Animals , Microplastics , Plastics/analysis , Water/analysis , Ecosystem , Aquaculture , Biomarkers , Water Pollutants, Chemical/analysis , Environmental Monitoring
7.
Adv Mar Biol ; 94: 159-200, 2023.
Article in English | MEDLINE | ID: mdl-37244677

ABSTRACT

Research on the occurrence of microplastics in wild fish populations is a constantly growing area, requiring continuous reviews to properly keep up with the fast pace of publications and guide future work. This review analyses the scientific output of 260 field studies covering 1053 different fish taxa for the presence of microplastics. To date, microplastics have been recorded in 830 wild fish species, including 606 species of interest to commercial and subsistence fisheries. Among these, based on IUCN Red List status, 34 species are globally classified in one of the three threatened categories (Critically Endangered, Endangered or Vulnerable) and another 22 species were assessed as "Near Threatened". Of the species for which the IUCN Red List tracks population trend data, the fish species reported to have microplastics so far include 81 which are recorded as declining, 134 as stable and just 16 as increasing. This review highlights the potential implications of fish microplastic contamination to biodiversity conservation, sustainability of wild fish stocks, and human food safety and security. Finally, recommendations for future research are presented.


Subject(s)
Conservation of Natural Resources , Endangered Species , Animals , Humans , Microplastics , Plastics , Biodiversity , Fishes
8.
BMC Public Health ; 23(1): 651, 2023 04 05.
Article in English | MEDLINE | ID: mdl-37016373

ABSTRACT

BACKGROUND: Childhood overweight and obesity levels are rising and becoming a concern globally. In Costa Rica, the prevalence of these conditions has reached alarming values. Spatial analyses can identify risk factors and geographical patterns to develop tailored and effective public health actions in this context. METHODS: A Bayesian spatial mixed model was built to understand the geographic patterns of childhood overweight and obesity prevalence in Costa Rica and their association with some socioeconomic factors. Data was obtained from the 2016 Weight and Size Census (6 - 12 years old children) and 2011 National Census. RESULTS: Average years of schooling increase the levels of overweight and obesity until reaching an approximate value of 8 years, then they start to decrease. Moreover, for every 10-point increment in the percentage of homes with difficulties to cover their basic needs and in the percentage of population under 14 years old, there is a decrease of 7.7 and 14.0 points, respectively, in the odds of obesity. Spatial patterns show higher values of prevalence in the center area of the country, touristic destinations, head of province districts and in the borders with Panama. CONCLUSIONS: Especially for childhood obesity, the average years of schooling is a non-linear factor, describing a U-inverted curve. Lower percentages of households in poverty and population under 14 years old are slightly associated with higher levels of obesity. Districts with high commercial and touristic activity present higher prevalence risk.


Subject(s)
Pediatric Obesity , Child , Humans , Adolescent , Pediatric Obesity/epidemiology , Costa Rica/epidemiology , Prevalence , Bayes Theorem , Overweight/epidemiology
9.
PLoS Negl Trop Dis ; 17(1): e0011047, 2023 01.
Article in English | MEDLINE | ID: mdl-36638136

ABSTRACT

Dengue fever is a vector-borne disease affecting millions yearly, mostly in tropical and subtropical countries. Driven mainly by social and environmental factors, dengue incidence and geographical expansion have increased in recent decades. Therefore, understanding how climate variables drive dengue outbreaks is challenging and a problem of interest for decision-makers that could aid in improving surveillance and resource allocation. Here, we explore the effect of climate variables on relative dengue risk in 32 cantons of interest for public health authorities in Costa Rica. Relative dengue risk is forecast using a Generalized Additive Model for location, scale, and shape and a Random Forest approach. Models use a training period from 2000 to 2020 and predicted climatic variables obtained with a vector auto-regressive model. Results show reliable projections, and climate variables predictions allow for a prospective instead of a retrospective study.


Subject(s)
Dengue , Animals , Humans , Dengue/epidemiology , Costa Rica/epidemiology , Prospective Studies , Retrospective Studies , Mosquito Vectors , Disease Outbreaks , Machine Learning , Incidence
10.
Math Biosci Eng ; 20(1): 534-551, 2023 01.
Article in English | MEDLINE | ID: mdl-36650777

ABSTRACT

We present a numerical implementation for a multilayer network to model the transmission of Covid-19 or other diseases with a similar transmission mechanism. The model incorporates different contact types between individuals (household, social and sporadic networks) and includes an SEIR type model for the transmission of the virus. The algorithm described in this paper includes the main ideas of the model used to give public health authorities an additional tool for the decision-making process in Costa Rica by simulating extensive possible scenarios and projections. We include two simulations: a study of the effect of restrictions on the transmission of the virus and a Costa Rica case study that was shared with the Costa Rican health authorities.


Subject(s)
COVID-19 , Pandemics , Humans , Costa Rica/epidemiology , COVID-19/epidemiology
11.
Heliyon ; 9(1): e13070, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36711285

ABSTRACT

Pollution-induced neurotoxicity is of high concern. This pilot study investigated the potential relationship between the presence of microplastics (MPs) in the brain of 180 wild fish (Dicentrarchus labrax, Platichthys flesus, Mugil cephalus) from a contaminated estuary and the activity of the acetylcholinesterase (AChE) enzyme. MPs were found in 9 samples (5% of the total), all of them from D. labrax collected in the summer, which represents 45% of the samples of this species collected in that season (20). Seventeen MPs were recovered from brain samples, with sizes ranging from 8 to 96 µm. Polyacrylamide, polyacrylic acid and one biopolymer (zein) were identified by Micro-Raman spectroscopy. Fish with MPs showed lower (p ≤ 0.05) AChE activity than those where MPs were not found. These findings point to the contribution of MPs to the neurotoxicity induced by long-term exposure to pollution, stressing the need of further studies on the topic to increase 'One Health' protection.

12.
Rev Panam Salud Publica ; 46: e113, 2022.
Article in English | MEDLINE | ID: mdl-36060201

ABSTRACT

Objective: To summarize the results of research conducted in Costa Rica in which mathematical and statistical methods were implemented to study the transmission dynamics of mosquito-borne diseases. Methods: Three articles with mathematical and statistical analysis on vector-borne diseases in Costa Rica were selected and reviewed. These papers show the value and relevance of using different quantitative methods to understand disease dynamics and support decision-making. Results: The results of these investigations: 1) show the impact on dengue case reports when a second pathogen emerges, such as chikungunya; 2) recover key parameters in Zika dynamics using Bayesian inference; and 3) show the use of machine learning algorithms and climatic variables to forecast the dengue relative risk in five different locations. Conclusions: Mathematical and statistical modeling enables the description of mosquito-borne disease transmission dynamics, providing quantitative information to support prevention/control methods and resource allocation planning.

13.
Article in English | PAHO-IRIS | ID: phr-56286

ABSTRACT

[ABSTRACT]. Objective. To summarize the results of research conducted in Costa Rica in which mathematical and statistical methods were implemented to study the transmission dynamics of mosquito-borne diseases. Methods. Three articles with mathematical and statistical analysis on vector-borne diseases in Costa Rica were selected and reviewed. These papers show the value and relevance of using different quantitative methods to understand disease dynamics and support decision-making. Results. The results of these investigations: 1) show the impact on dengue case reports when a second pathogen emerges, such as chikungunya; 2) recover key parameters in Zika dynamics using Bayesian inference; and 3) show the use of machine learning algorithms and climatic variables to forecast the dengue relative risk in five different locations. Conclusions. Mathematical and statistical modeling enables the description of mosquito-borne disease transmission dynamics, providing quantitative information to support prevention/control methods and resource allocation planning.


[RESUMEN]. Objetivo. Resumir los resultados de las investigaciones realizadas en Costa Rica en las que se aplicaron métodos matemáticos y estadísticos para estudiar la dinámica de transmisión de las enfermedades transmitidas por mosquitos. Métodos. Se seleccionaron y analizaron tres artículos con análisis matemáticos y estadísticos sobre enfermedades transmitidas por vectores en Costa Rica. En estos artículos se muestra el valor y la pertinencia de emplear diferentes métodos cuantitativos para comprender la dinámica de la enfermedad y brindar apoyo a la toma de decisiones. Resultados. Los resultados de estas investigaciones: 1) muestran la repercusión en los informes de casos de dengue cuando surge un segundo agente patógeno, como el chikunguña; 2) recuperan parámetros clave en la dinámica del Zika mediante la inferencia bayesiana; y 3) muestran el uso de los algoritmos de aprendizaje automático y las variables climáticas para pronosticar el riesgo relativo de dengue en cinco lugares diferentes. Conclusiones. Los modelos matemáticos y estadísticos permiten describir la dinámica de transmisión de las enfermedades transmitidas por mosquitos, mediante la provisión de información cuantitativa para brindar apoyo a los métodos de prevención y control y a la planificación de la asignación de recursos.


[RESUMO]. Objetivo. Resumir os resultados de estudos realizados na Costa Rica em que foram aplicados métodos matemáticos e estatísticos para estudar a dinâmica de transmissão de doenças transmitidas por mosquitos. Métodos. Foram selecionados e revisados três artigos com análises matemáticas e estatísticas sobre doenças transmitidas por vetores na Costa Rica. Esses artigos mostram o valor e a pertinência do uso de diferentes métodos quantitativos para compreender a dinâmica das doenças e apoiar a tomada de decisões. Resultados. Os resultados dessas investigações: 1) mostram o impacto nas notificações de casos de dengue quando surge um segundo patógeno, como o chikungunya; 2) recuperam parâmetros-chave na dinâmica do zika, usando a inferência bayesiana; e 3) mostram o uso de algoritmos de aprendizagem por máquina e variáveis climáticas para prever o risco relativo da dengue em cinco locais diferentes. Conclusões. A modelagem matemática e estatística permite a descrição da dinâmica de transmissão de doenças transmitidas por mosquitos ao oferecer informações quantitativas para apoiar métodos de prevenção e/ou controle e o planejamento da alocação de recursos.


Subject(s)
Vector Borne Diseases , Models, Theoretical , Public Health , Costa Rica , Vector Borne Diseases , Models, Theoretical , Public Health , Vector Borne Diseases , Models, Theoretical , Public Health
14.
Epidemics ; 39: 100577, 2022 06.
Article in English | MEDLINE | ID: mdl-35636309

ABSTRACT

Successful partnerships between researchers, experts, and public health authorities have been critical to navigate the challenges of the Covid-19 pandemic worldwide. In this collaboration, mathematical models have played a decisive role in informing public policy, with findings effectively translated into public health measures that have shaped the pandemic in Costa Rica. As a result of interdisciplinary and cross-institutional collaboration, we constructed a multilayer network model that incorporates a diverse contact structure for each individual. In July 2020, we used this model to test the effect of lifting restrictions on population mobility after a so-called "epidemiological fence" imposed to contain the country's first big wave of cases. Later, in August 2020, we used it to predict the effects of an open and close strategy (the Hammer and Dance). Scenarios constructed in July 2020 showed that lifting restrictions on population mobility after less than three weeks of epidemiological fence would produce a sharp increase in cases. Results from scenarios in August 2020 indicated that the Hammer and Dance strategy would only work with 50% of the population adhering to mobility restrictions. The development, evolution, and applications of a multilayer network model of Covid-19 in Costa Rica has guided decision-makers to anticipate implementing sanitary measures and contributed to gain valuable time to increase hospital capacity.


Subject(s)
COVID-19 , COVID-19/epidemiology , Costa Rica/epidemiology , Health Policy , Humans , Pandemics , Public Policy
15.
Sci Rep ; 12(1): 2279, 2022 02 10.
Article in English | MEDLINE | ID: mdl-35145180

ABSTRACT

For countries starting to receive steady supplies of vaccines against SARS-CoV-2, the course of Covid-19 for the following months will be determined by the emergence of new variants and successful roll-out of vaccination campaigns. To anticipate this scenario, we used a multilayer network model developed to forecast the transmission dynamics of Covid-19 in Costa Rica, and to estimate the impact of the introduction of the Delta variant in the country, under two plausible vaccination scenarios, one sustaining Costa Rica's July 2021 vaccination pace of 30,000 doses per day and with high acceptance from the population and another with declining vaccination pace to 13,000 doses per day and with lower acceptance. Results suggest that the introduction and gradual dominance of the Delta variant would increase Covid-19 hospitalizations and ICU admissions by [Formula: see text] and [Formula: see text], respectively, from August 2021 to December 2021, depending on vaccine administration and acceptance. In the presence of the Delta variant, new Covid-19 hospitalizations and ICU admissions are estimated to increase around [Formula: see text] and [Formula: see text], respectively, in the same period if the vaccination pace drops. Our results can help decision-makers better prepare for the Covid-19 pandemic in the months to come.


Subject(s)
COVID-19 Vaccines , COVID-19/transmission , Models, Theoretical , SARS-CoV-2 , Vaccination , Adult , Aged , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19/virology , Costa Rica/epidemiology , Forecasting , Humans , Middle Aged , Young Adult
16.
Article in English | LILACS-Express | LILACS | ID: biblio-1450206

ABSTRACT

ABSTRACT Objective. To summarize the results of research conducted in Costa Rica in which mathematical and statistical methods were implemented to study the transmission dynamics of mosquito-borne diseases. Methods. Three articles with mathematical and statistical analysis on vector-borne diseases in Costa Rica were selected and reviewed. These papers show the value and relevance of using different quantitative methods to understand disease dynamics and support decision-making. Results. The results of these investigations: 1) show the impact on dengue case reports when a second pathogen emerges, such as chikungunya; 2) recover key parameters in Zika dynamics using Bayesian inference; and 3) show the use of machine learning algorithms and climatic variables to forecast the dengue relative risk in five different locations. Conclusions. Mathematical and statistical modeling enables the description of mosquito-borne disease transmission dynamics, providing quantitative information to support prevention/control methods and resource allocation planning.


RESUMEN Objetivo. Resumir los resultados de las investigaciones realizadas en Costa Rica en las que se aplicaron métodos matemáticos y estadísticos para estudiar la dinámica de transmisión de las enfermedades transmitidas por mosquitos. Métodos. Se seleccionaron y analizaron tres artículos con análisis matemáticos y estadísticos sobre enfermedades transmitidas por vectores en Costa Rica. En estos artículos se muestra el valor y la pertinencia de emplear diferentes métodos cuantitativos para comprender la dinámica de la enfermedad y brindar apoyo a la toma de decisiones. Resultados. Los resultados de estas investigaciones: 1) muestran la repercusión en los informes de casos de dengue cuando surge un segundo agente patógeno, como el chikunguña; 2) recuperan parámetros clave en la dinámica del Zika mediante la inferencia bayesiana; y 3) muestran el uso de los algoritmos de aprendizaje automático y las variables climáticas para pronosticar el riesgo relativo de dengue en cinco lugares diferentes. Conclusiones. Los modelos matemáticos y estadísticos permiten describir la dinámica de transmisión de las enfermedades transmitidas por mosquitos, mediante la provisión de información cuantitativa para brindar apoyo a los métodos de prevención y control y a la planificación de la asignación de recursos.


RESUMO Objetivo. Resumir os resultados de estudos realizados na Costa Rica em que foram aplicados métodos matemáticos e estatísticos para estudar a dinâmica de transmissão de doenças transmitidas por mosquitos. Métodos. Foram selecionados e revisados três artigos com análises matemáticas e estatísticas sobre doenças transmitidas por vetores na Costa Rica. Esses artigos mostram o valor e a pertinência do uso de diferentes métodos quantitativos para compreender a dinâmica das doenças e apoiar a tomada de decisões. Resultados. Os resultados dessas investigações: 1) mostram o impacto nas notificações de casos de dengue quando surge um segundo patógeno, como o chikungunya; 2) recuperam parâmetros-chave na dinâmica do zika, usando a inferência bayesiana; e 3) mostram o uso de algoritmos de aprendizagem por máquina e variáveis climáticas para prever o risco relativo da dengue em cinco locais diferentes. Conclusões. A modelagem matemática e estatística permite a descrição da dinâmica de transmissão de doenças transmitidas por mosquitos ao oferecer informações quantitativas para apoiar métodos de prevenção e/ou controle e o planejamento da alocação de recursos.

17.
Life (Basel) ; 11(12)2021 Dec 03.
Article in English | MEDLINE | ID: mdl-34947868

ABSTRACT

The rapid spread of the new SARS-CoV-2 virus triggered a global health crisis, disproportionately impacting people with pre-existing health conditions and particular demographic and socioeconomic characteristics. One of the main concerns of governments has been to avoid health systems becoming overwhelmed. For this reason, they have implemented a series of non-pharmaceutical measures to control the spread of the virus, with mass tests being one of the most effective controls. To date, public health officials continue to promote some of these measures, mainly due to delays in mass vaccination and the emergence of new virus strains. In this research, we studied the association between COVID-19 positivity rate and hospitalization rates at the county level in California using a mixed linear model. The analysis was performed in the three waves of confirmed COVID-19 cases registered in the state to September 2021. Our findings suggest that test positivity rate is consistently associated with hospitalization rates at the county level for all study waves. Demographic factors that seem to be related to higher hospitalization rates changed over time, as the profile of the pandemic impacted different fractions of the population in counties across California.

18.
Diagnostics (Basel) ; 11(12)2021 Dec 09.
Article in English | MEDLINE | ID: mdl-34943548

ABSTRACT

Neck and back pain is increasingly prevalent, and has increased exponentially in recent years. As more resources are dedicated to the diagnosis of pain conditions, it is increasingly important that the diagnostic techniques used are as precise and accurate as possible. Traditional diagnostic methods rely heavily upon patient history and physical examination to determine the most appropriate treatments and/or imaging studies. Though traditional means of diagnosis remain a necessity, in many cases, correlation with positive or negative responses to injections may further enhance diagnostic specificity, and improve outcomes by preventing unnecessary treatments or surgeries. This narrative review aims to present the most recent literature describing the diagnostic validity of precision injections, as well as their impact on surgical planning and outcomes. Diagnostic injections are discussed in terms of facet arthropathy, lumbar radiculopathy, discogenic pain and discography, and sacroiliac joint dysfunction. There is a growing body of evidence supporting the use of diagnostic local anesthetic injections or nerve blocks to aid in diagnosis. Spinal injections add valuable objective information that can potentially improve diagnostic precision, guide treatment strategies, and aid in patient selection for invasive surgical interventions.

19.
Sci Total Environ ; 790: 147916, 2021 Oct 10.
Article in English | MEDLINE | ID: mdl-34091326

ABSTRACT

Especially added on many industrial and domestic products as flame retardants (FRs), polybrominated diphenyl ethers (PBDEs) are among the chemicals of high environmental concern because of their potential harmfulness for environmental and human health. Seafood consumption is considered the main source of PBDEs and their methoxylated congeners (MeO-BDEs) for humans. The present study aims to investigate the seasonal occurrence of six PBDEs and eight MeO-BDEs congeners using Douro river biota (different trophic levels) as sentinels, as well as to evaluate the human exposure risk to PBDEs through seafood consumption. Biota samples (n = 273) were collected from one of the most important Portuguese estuaries in the north-western coast of Portugal at four different seasons (2019-2020). The analyses were performed by an environmental-friendly extraction procedure followed by Gas Chromatography coupled to a triple quadrupole detector (GC-MS/MS). PBDEs were detected in all seafood samples analysed, with means ranging from 0.02 ng g-1 ww (flounder in autumn) to 3.75 ng g-1 ww (mussel in winter). Levels of lower-brominated PBDE congeners were significantly higher than higher-brominated ones in all seasons (p < 0.01). MeO-BDEs ranged from 0.001 ng g-1 ww (grey mullet in summer) to 5.66 ng g-1 ww (green crab in spring). Crabs and mussels presented the highest means of PBDEs and MeO-BDEs. Regarding the health risk assessment of the studied PBDE congeners (47, 99, and 153), consumption of Douro river fish is not a case of concern for consumers.


Subject(s)
Estuaries , Halogenated Diphenyl Ethers , Animals , Biota , Environmental Monitoring , Halogenated Diphenyl Ethers/analysis , Humans , Risk Assessment , Seasons , Tandem Mass Spectrometry
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