Sustainable Development Goals' health-related indicators for Brazil and Ecuador: an analysis for the period of 1990-2019.

OBJECTIVE: This article aims to analyse the evolution of 40 Sustainable Development Goals' (SDGs) health-related indicators in Brazil and Ecuador from 1990 to 2019. STUDY DESIGN: Epidemiological study of long-term trends in 40 SDGs' health-related indicators for Brazil and Ecuador from 1990 to 2019, using estimates from the Global Burden of Disease Study. METHODS: Forty SDGs' health-related indicators and an index from 1990 to 2017 for Brazil and Ecuador, and their projections up to 2030 were extracted from the Institute for Health Metrics and Evaluation's Global Burden of Disease website and analysed. The percent annual change (PC) between 1990 and 2019 was calculated for both countries. RESULTS: Both countries have made progress on child stunting (Brazil: PC = -38%; Ecuador: PC = -43%) and child wasting prevalences (Brazil: PC = -42%; Ecuador: PC = -41%), percent of vaccine coverage (Brazil: PC = +215%; Ecuador: PC = +175%), under-5 (Brazil: PC = -75%; Ecuador: PC = -60%) and neonatal mortality rates (Brazil: PC = -69%; Ecuador: PC = -51%), health worker density per 1000 population (Brazil: PC = +153%; Ecuador: PC = +175%), reduction of neglected diseases prevalences (Brazil: PC = -40%; Ecuador: PC = -58%), tuberculosis (Brazil: PC = -27%; Ecuador: PC = -55%) and malaria incidences (Brazil: PC = -97%; Ecuador: PC = -100%), water, sanitation and hygiene mortality rates (Brazil and Ecuador: PC = -89%). However, both countries did not show sufficient improvement in maternal mortality ratio to meet SDGs targets (Brazil: PC = -37%; Ecuador: PC = -40%). Worsening of indicators were found for violence, such as non-intimate partner violence for both countries (Brazil: PC = +26%; Ecuador: PC = +18%) and suicide mortality rate for Ecuador (PC = +66%), child overweight indicator for Brazil (PC = -67%), disaster mortality rates (Brazil: PC = +100%; Ecuador: PC = +325%) and alcohol consumption (Brazil: PC = +46%; Ecuador: PC = +35%). CONCLUSIONS: Significant improvements are necessary in both countries requiring the strengthening of health and other policies, particularly concerning the prevention and management of violence and alcohol consumption, and preparedness for dealing with environmental disasters.

Genotyping of European Toxoplasma gondii strains by a new high-resolution next-generation sequencing-based method.

PURPOSE: A new high-resolution next-generation sequencing (NGS)-based method was established to type closely related European type II Toxoplasma gondii strains. METHODS: T. gondii field isolates were collected from different parts of Europe and assessed by whole genome sequencing (WGS). In comparison to ME49 (a type II reference strain), highly polymorphic regions (HPRs) were identified, showing a considerable number of single nucleotide polymorphisms (SNPs). After confirmation by Sanger sequencing, 18 HPRs were used to design a primer panel for multiplex PCR to establish a multilocus Ion AmpliSeq typing method. Toxoplasma gondii isolates and T. gondii present in clinical samples were typed with the new method. The sensitivity of the method was tested with serially diluted reference DNA samples. RESULTS: Among type II specimens, the method could differentiate the same number of haplotypes as the reference standard, microsatellite (MS) typing. Passages of the same isolates and specimens originating from abortion outbreaks were identified as identical. In addition, seven different genotypes, two atypical and two recombinant specimens were clearly distinguished from each other by the method. Furthermore, almost all SNPs detected by the Ion AmpliSeq method corresponded to those expected based on WGS. By testing serially diluted DNA samples, the method exhibited a similar analytical sensitivity as MS typing. CONCLUSION: The new method can distinguish different T. gondii genotypes and detect intra-genotype variability among European type II T. gondii strains. Furthermore, with WGS data additional target regions can be added to the method to potentially increase typing resolution.

Persistent luminescence dosimetry performance of solid state synthesized BaZrO3 phosphors.

This work reports for the first time on the thermoluminescence (TL) and persistent luminescence (PLu) characterization of BaZrO3 synthesized through solid state reaction. X-Ray diffraction confirmed the crystalline structure of the synthesized phosphors. The characteristic glow curves of the synthesized samples exhibit TL maxima located at 85 and 165 °C, whose fading after radiation exposure gives rise to intense PLu. PLu decay curves were recorded after beta particle irradiation in the dose range from 1.0 up to 1024 Gy. Both TL and PLu exhibit remarkable reproducibility. The integrated persistent luminescence (IPLu) as a function of the irradiation dose exhibits a linear dependence in the 1.0-16 Gy dose range, followed by a sublinear behavior from 16 to 128 Gy. From the experimental evidence here presented, it is concluded that solid state synthesized BaZrO3 is an interesting phosphor material to be implemented as a PLu-based detector and dosimeter.

A ring trial to harmonize Toxoplasma gondii microsatellite typing: comparative analysis of results and recommendations for optimization.

A ring trial among five European laboratories was organized to reach consistency in microsatellite (MS) typing of the zoonotic parasite Toxoplasma gondii. Three sample sets were circulated and analyzed by each laboratory following a previously published method that is based on fragment length polymorphism of 15 MS markers. The first sample set compared typing results in general and focused on effects of DNA concentration; the second sample set focused on the polymorphic fingerprinting markers that can differentiate T. gondii strains within the same archetypal lineage; and the third set focused on non-archetypal genotypes. Methodological variations between laboratories, including the software programs used to determine MS fragment length, were collated using a questionnaire. Overall, lineage-level typing results reached a high level of agreement, especially in samples with the highest DNA concentrations. However, laboratory-specific differences were observed for particular markers. Major median differences in fragment length, of up to 6 base pairs, were related to the fluorophore used to label fragment-specific primers. In addition, primer pairs with identical sequences obtained from different suppliers resulted in fragments of differing length. Furthermore, differences in the way the sequencing profiles were assessed and interpreted may have led to deviating results in fragment length determination. Harmonization of MS typing, for example, by using the same fluorophores or by numerical adjustments applied to the fragment-lengths determined, could improve the uniformity of the results across laboratories. This is the first interlaboratory comparison, providing guidelines (added as a supplement) for the optimization of this technique.

Beta radiation excited thermoluminescence of solid-state synthesized SrZrO3 phosphors.

In this work, we report on the solid-state reaction synthesis of SrZrO3 phosphors, and their beta particle irradiation excited thermoluminescence (TL) characterization. X-ray diffraction data confirmed the obtention of the orthorhombic phase of SrZrO3. Through computational glow curve deconvolution, the whole glow curve was resolved into six individual first order kinetics peaks. This is the first report concerning the usefulness of SrZrO3 as TL dosimeter. The synthesized phosphors exhibit TL emission from below 100 °C up to above 300 °C, being the most intense TL between 200 and 300 °C, as well as a remarkable reproducibility of the TL response in repeated irradiation-TL readout cycles.

Beta radiation excited thermoluminescence of SrB4O7 phosphors synthesized through solid state reaction.

In this work, the synthesis of SrB4O7 through solid state reaction and its beta particle excited thermoluminescence (TL) are reported. The glow curves show maxima around 200 and 300 -considered suitable for TL dosimetry-, and a remarkable reproducibility in successive irradiation - TL readout cycles. The integrated TL exhibits a linear dependence upon the irradiation dose in the tested dose range (from 1.0 up to 8.0 Gy). The lower detection limit and the sensitivity relative to the TLD-100 dosimeter are 88 mGy and 0.49, respectively. From the results here presented, we conclude that SrB4O7 synthesized through solid state reaction can be considered a phosphor material interesting to develop TL dosimeters.

Beta particle excited thermoluminescence of CaZrO3 phosphors synthesized by solid state reaction.

In this work, the synthesis through solid state reaction and the thermoluminescence (TL) characterization of pellet shaped CaZrO3 samples is reported. X-ray diffraction confirms that orthorhombic CaZrO3 was obtained. The glow curve has two maxima located at 149 and 216 °C as well as a less intense maximum around 350 °C when a 5.0 °C/s heating rate is used after 64 Gy of beta particle exposure. A remarkably reproducibility of the TL response is observed in repeated irradiation - TL readouts cycles. The TL as a function of the dose displays linear dependence in the dose range from 0.5 to 256 Gy. The intensity of the maximum located around 216 °C remains 61% 14 days after irradiation, and then remains closely constant for longer times. The synthesized CaZrO3 exhibits TL properties potentially of interest for use in radiation detection and dosimetry.

Investigación cualitativa, un instrumento para el desarrollo de la ciencia de Enfermería

Fundamento:en ciencias de la salud la Enfermería es la disciplina que está implicada en el desarrollo de estudios cualitativos, ligados al hecho de experimentar a diario el sufrimiento humano personalizado. Esto es consecuencia del concepto holístico del cuidado sobre el que se asienta dicha profesión.Objetivo:analizar la perspectiva actual de la investigación cualitativa de Enfermería en América Latina en los últimos cinco años.Métodos:se realizó una revisión bibliográfica sistemática para desarrollar un análisis crítico reflexivo de documentos durante los meses de septiembre-octubre de 2019. Se utilizaron las bases de datos bibliográficas: PubMed, CUMED, CINAHL, CUIDEN PLUS, Lilacs y Metabuscador Google Scholar. Los términos de búsqueda incluyeron las palabras clave en inglés y en portugués, para su delimitación se utilizó el tesauro de Descriptores en Ciencias de la Salud (DeCS). El operador booleano utilizado fue el AND. Se siguieron los principios de análisis de contenido, donde se incluyó la identificación de significados que se señalaban de forma más repetitiva, la consistencia, explicaciones y relaciones de estos, a través de todos los estudios incluidos en la revisión.Resultados:se abordó la investigación cualitativa desde Florence Nigthingale hasta la actualidad con inclusión del estudio de todos los aspectos, componentes y fenómenos relacionados con la salud de interés para las enfermeras.Conclusiones:los estudios cualitativos son de especial relevancia para el desarrollo de la ciencia de enfermería, facilita una mejor comprensión del mundo, con un efecto práctico, pues se basará en un conocimiento de la realidad interpretada por las personas.[AU]

Optically stimulated luminescence dosimetry performance of novel MgO-La(OH)3 phosphors.

The aim of this work was to study the optically stimulated luminescence (OSL) properties of novel MgO co-doped with different lanthanides and lithium ions as well as to evaluate the feasibility of using the mentioned phosphors as OSL dosimeters. In this context, the OSL efficiency corresponding to different stimulation wavelengths and different filters was analyzed for all the samples. The properties of the most efficient material, namely, MgO-La(OH)3, were further studied. Moreover, the repeatability and linearity of the OSL response, the fading of the OSL signal and the minimum detectable dose were investigated. Finally, feasibility of using these compounds in OSL dosimetry was assessed.

Sarcocystis spp. diversity in the roe deer (Capreolus capreolus) from Lithuania and Spain.

The roe deer (Capreolus capreolus) has been identified as an intermediate host for six known Sarcocystis species, S. capreolicanis, S. entzerothi, S. gracilis, S. linearis, S. oviformis, and S. silva. In this study, we identified Sarcocystis species in the diaphragm and tongue muscles from the Lithuanian and Spanish roe deer, respectively, on the basis of a microscopic examination and DNA analysis. A total of 43 and 27 sarcocysts were isolated and characterized from the Lithuanian and Spanish roe deer, respectively. Overall six Sarcocystis species were identified in roe deer from Lithuania, and only three of them, S. gracilis, S. linearis, and S. silva were found to have infecting animals from Spain. The current paper represents first molecular results of Sarcocystis species in the Spanish roe deer. Furthermore, transmission electron microscopy examination revealed specific wall structure of sarcocysts studied, S. linearis was characterized by ribbon-like villar protrusions (vp) (type 8a), and S. oviformis was distinguished by elongated vp resembling spades or mushroom-like structures (type 39). Based on 18S rDNA and cox1 sequences, Sarcocystis species from the roe deer showed considerable intraspecific genetic variability. However, similar values of intraspecific genetic variation were estimated at both genes analysed. The highest variability was observed for S. capreolicanis and S. linearis in both genes and for S. silva at cox1. Consequently, the level of genetic variability of Sarcocystis from the roe deer varied depending on species rather than on gene analysed or geographical area.

Synthesis and thermoluminescence characterization of self-agglomerating CaSO4 exposed to beta radiation.

The synthesis and thermoluminescence (TL) characterization of self-agglomerating pellet-shaped CaSO4 phosphors, through a low cost and environmentally friendly method is reported. In order to investigate their TL features, some samples were exposed to beta particle irradiation in the dose range from 0.07 to 10 Gy. Characteristic TL glow curve consists of a single main maximum located at 216 °C, which is considered stable, hence, suitable for dosimetry applications. The dose-response was remarkable linear. Moreover, the lower detection limit was determined to be 6.0 µGy, and the relative TL sensitivity twice the one from the commercial TLD-100 dosimeter.

Rare but evolutionarily consequential outcrossing in a highly inbred zoonotic parasite.

Recurrent self-mating can result in nearly clonal propagation of biological lineages, but even occasional outcrossing can serve to redistribute variation in future generations, providing cohesion among regional populations. The zoonotic parasite Trichinella spiralis has been suspected to undergo frequent inbreeding, resulting in genetically uniform larval cohorts which differ markedly from one another. Here, we explored the extent of inbreeding for this parasite by determining how genetic variation (at variable microsatellite markers) is distributed among 1379 larvae derived from 41 wild boars in Extremadura, Spain. In particular, we sought to determine how much of the genetic variation in this region's parasites occurs among the larvae of any given wild boar, and whether each derives from one, or more, parental lineages. We found strong evidence for inbreeding, resulting in genetically distinct parasite subpopulations among the parasites derived from many pairs of wild boar. Fully two-thirds of these parasite cohorts appear to derive from inbred parents; in 10% of the wild boars, parasites were so inbred as to become absolutely fixed in all of the assayed genetic loci. In spite of this, more than one pair of parents appear to have given rise to the infections in one-third of the sampled wild boars, resulting in mixed infections. These mixed infections should slow losses of heterozygosity and multi-locus polymorphism in any given parasite lineage. Such outcrossing should limit distinctions that would otherwise accumulate among transmission chains, thereby enforcing cohesion through the region's population in spite of its marked departure from panmixia. Conditions of transmission may differ in other regions, where such epidemiological features may engender different evolutionary outcomes.

Afterglow based detection and dosimetry of beta particle irradiated ZrO2.

In this work, we report on the afterglow (AG) response characterization of commercially available ZrO2. Pellet shaped samples previously annealed in air at 1000°C during 24h were exposed to beta particle irradiation in the dose range from 0.5 up to 128Gy and their AG decay curves recorded during 600s after irradiation exposure. The characteristic glow curves of beta particle irradiated ZrO2 show two maxima located around 80°C and 150°C. The first one rapidly vanishes at room temperature, giving rise to AG. The integrated AG signal increases as dose increases from 0.5 to 128Gy, with a linear dependence from 0.5 up to ca. 32Gy. Excellent reproducibility of the AG response was observed in 10 irradiation - AG readout cycles, showing that the studied ZrO2 samples are reusable. The results here presented show that ZrO2 is a promising material for use as a radiation dosimeter based on the AG phenomenon.

Afterglow dosimetry performance of beta particle irradiated lithium zirconate.

In this work, we report for the very first time on the thermoluminescence (TL) and afterglow (AG) properties of Li2ZrO3. The ternary oxide Li2ZrO3 was synthesized by solid state reaction of a mixture of Li2CO3 and ZrO2 subjected to thermal annealing at 400°C for 2h and 1000°C during 24h in air. The characteristic glow curves of beta particle irradiated samples exhibit an intense TL emission located around 150°C. From the shape of the TL curve, a 0.4 form factor was determined, suggesting that first order kinetics processes are involved. The afterglow decay curves were recorded after exposure to beta particle irradiation in the dose range from 0.5 up to 2kGy. The AG integrated in the time interval from 510 to 600s after radiation exposure shows a linear dependence as a function of the irradiation dose from 0.5 up to 256Gy. A method is proposed to compute the lower detection limit and the AG sensitivity and applied to the studied phosphors. Structural and morphological characterization were carried out by X-ray diffraction and Scanning Electron Microscopy, respectively. From the results presented, it is concluded that the AG response of the synthesized Li2ZrO3 presents features suitable to develop radiation detectors and dosimeters.

Increased CD127+ and decreased CD57+ T cell expression levels in HIV-infected patients on NRTI-sparing regimens.

BACKGROUND: NRTIs-sparing regimens exert favourable profiles on T-cell homeostasis associated parameters. Our aim was to analyze the effect of NRTIs sparing regimen (NRTI-sparing-cART) vs NRTIs-containing regimen (NRTI-cART), on T-cell homeostasis associated parameters in naive HIV-infected patients. METHODS: Biomarkers of cell survival (CD127) and replicative senescence (CD57), were measured by multiparametric flow cytometry for T-cell phenotyping on peripheral blood mononuclear cells (PBMCs) samples just before (baseline) and after 48 weeks of undetectable viral load in patients on NRTI-sparing-cART (N = 13) and NRTI-cART (N = 14). After 48 weeks a subgroup of patients (n = 5) on NRTI-cART switched to NRTI-sparing-cART for another additional 48 weeks. In vitro assays were performed on PBMCs from HIV-uninfected healthy donors exposed or not to HIV. To analyze the independent factors associated with type of cART bivariate and stepwise multivariate analysis were performed after adjusting for basal CD4+, CD8+ and nadir CD4+ T-cell counts. RESULTS: After 48 weeks of a NRTI-sparing-cART vs NRTI-cART patients have higher effector memory (EM) CD4+ CD127+ T-cell levels, lower EM CD4+ CD57+ T-cell levels, higher CD8+ CD127+ T-cell levels, lower CD8+ CD57+ T-cell levels and higher memory CD8+ T-cell levels. This effect was confirmed in the subgroup of patients who switched to NRTI-sparing-cART. In vitro assays confirmed that the deleterious effect of a NRTIs-containing regimen was due to NRTIs. CONCLUSIONS: The implementation of NRTI-sparing regimens, with a favourable profile in CD127 and CD57 T-cell expression, could benefit cART-patients. These results could have potential implications in a decrease in the number of Non-AIDS events.

Novedades en patología y cirugía de columna vertebral en el 2016. ¿Qué hay de nuevo? / News in pathology and spine surgery in 2016. What’s new?

Este artículo de revisión muestra lo más destacado que ha aparecido publicado en las diferentes revistas que sobre cirugía de columna se presentaron el pasado año 2016. Si bien no han sido publicadas grandes novedades en esta área de conocimiento, queremos hacer énfasis en los aspectos más relevantes sobre sustitución discal cervical, patología degenerativa lumbar, deformidades, tanto idiopática del adolescente, como degenerativa en pacientes de tercera edad, fracturas tóraco-lumbares y materiales biológicos

This review article shows the most outstanding knowledgement that has been published in spine journals throughout the world in 2016. Although great novelties have not been published in this area of knowledge, we want to emphasize the most relevant aspects about cervical disc replacement, degenerative lumbar pathology, deformities, both adolescent idiopathic, and degenerative in elderly patients, thoraco-lumbar fractures and biological materials

Acute fatal sarcocystosis hepatitis in an Indo-Pacific bottlenose dolphin (Tursiops aduncus) in Hong Kong.

Unlike most species in the genus Sarcocystis, Sarcocystis canis has a broad intermediate host range. Its life cycle is incompletely known and most reports are from the USA. Here we report fatal hepatitis in a 4year old male Indo-Pacific bottlenose dolphin (Tursiops aduncus) from Hong Kong associated with a S. canis-like infection. Diagnosis was made based on clinical presentation, histopathology, transmission electron microscopy (TEM), and molecular characterization. Microscopically, S. canis-like like infection was confined to the liver. Immature and mature schizonts were found in hepatocytes and the parasite was associated with generalized hepatic necrosis. By TEM, schizonts divided by endopolygeny, and merozoites lacked rhoptries. Molecular characterization of parasites present in liver and brain tissues at the cox1 gene showed a high degree of identity (97-98%) and clustered together with Sarcocystis canis, S. lutrae, S. arctica, S. speeri, S. turdusi, and S. rileyi in a phylogenetic study. This is the first report of S. canis-like infection from Asia.

Identification of Macroscopic Sarcocysts of Sarcocystis cameli from One-Humped Camel ( Camelus dromedarius ) in Iraq.

There is considerable confusion concerning the identity of macroscopic Sarcocystis species in camels. Currently 2 species, Sarcocystis cameli and Sarcocystis ippeni, are recognized from 1-humped camel ( Camelus dromedarius ), and sarcocysts of both species are microscopic. Here, we report the identity of macroscopic sarcocysts from the C. dromedarius in Iraq as S. cameli. Five sarcocysts from the muscle of 2 adult camels collected in 1999 and stored in 10% formalin were studied by transmission electron microscopy (TEM). Sarcocysts were 1.5-5.0 mm long and 200-400 µm wide. By TEM, all 5 sarcocysts had thin sarcocyst walls. Ultrastructurally, the sarcocyst wall had "type 9j" villar protrusions similar to those of S. cameli. This is the first confirmation of macroscopic sarcocysts from 1-humped camel as S. cameli.

RUNX1 amplification in AML with myelodysplasia-related changes and ring 21 chromosomes.

Ring 21 is an unstable structural abnormality of chromosome 21 that can lead to RUNX1 gene amplification. We present a unique case with a carrier patient of a constitutional ring chromosome 21 (partial monosomy and trisomy 21) with dysmorphic features and congenital malformations phenotype, who developed acute myeloid leukaemia with myelodysplasia-related changes and two ring 21 chromosomes with RUNX1 amplification. The patient's constitutional ring 21 chromosome showed alterations in tumour suppressor genes, and oncogenes, but not in RUNX1. RUNX1 gene expression at acute myeloid leukaemia diagnosis, showed no upregulation, so other genes may also be the genetic amplification targets in this patient. Copyright © 2016 John Wiley & Sons, Ltd.