Roaming Dogs, Intense Brown Dog Tick Infestation, and Emerging Rocky Mountain Spotted Fever in Tijuana, México.

A two decades-long epidemic of Rocky Mountain spotted fever in northern México reached the U.S. border city of Tijuana in 2021. Cases were near the city periphery in marginalized areas, some lacking infrastructure such as streets or utilities. We worked in the three census areas where human cases were reported and in 12 additional control Áreas Geoestadisticas Básicas. There were dogs, the primary tick host and Rickettsia rickettsii reservoir, in 76% of homes, with 2.2 owned dogs per home on average, approximately equal numbers of roaming dogs were seen, and 46.2% of owned dogs were allowed to roam in the street. Sixty-eight percent of people had heard of Rocky Mountain spotted fever (RMSF), and 35% self-reported tick infestation, including 19% of homes without dogs. Ticks appeared to move among houses of adjacent neighbors. Of 191 examined dogs, 61.8% were tick-infested, with 6-fold increased odds if they were allowed to roam. Although no dogs were Rickettsia polymerase chain reaction-positive, we found one R. rickettsii- and 11 Rickettsia massiliae-infected ticks. The rickettsial IgG seroprevalence by immunofluorescence antibody assay was 76.4%, associated with unhealthy body condition, adults, dogs with >10 ticks, more dogs being seen in the area, and dogs being permitted in the street. Insufficient medical and canine management resources have contributed to a case fatality rate of RMSF that has exceeded 50% in areas. High canine seroprevalence suggests risks to people and dogs; unfortunately, herd immunity is impeded by high turnover in the canine population owing to the birth of puppies and high death rates. Binational One Health workers should monitor disease spread, enact canine population management and tick eradication, and provide prevention, diagnostic, and treatment support.

Religiosidade e Política na Sociedade Brasileira Secularizada: Uma Leitura Psicanalítica / Religiosity and Politics in the Brazilian Secularized Society: A Psychoanalytic Reading / Religiosidad y Política en la Sociedad Brasileña Secularizada: Una Lectura Psicoanalítica

A interface entre o envolvimento religioso e o espaço político na sociedade, possuindo um longo antecedente de relações, vem ganhando destaque em suas manifestações na conjuntura contemporânea. No presente artigo, buscaremos investigar, através de uma pesquisa teórica, como as novas formas de envolvimento religioso, em suas configurações seculares, podem ter derivado, também, novos caminhos na relação entre religião e política. Para tanto, em um primeiro momento, ocupar-nos-emos em expor as formulações freudianas a respeito das motivações que levam o sujeito ao encontro da religião. Também apresentaremos as reformulações presentes na obra de Lacan a respeito do tema, assim como contribuições de outros pensadores, buscando focalizar os pontos onde os autores analisam interseções entre religião e discurso político. Posteriormente, retomaremos algumas considerações históricas sobre a relação entre religião e política no Brasil, encaminhando a discussão para a forma como tal questão se situa na contemporaneidade. Por fim, proporemos uma análise, articulada aos conceitos psicanalíticos expostos, do papel da secularização na conjuntura exposta, tomando como exemplo paradigmático a teologia da prosperidade. Nesse sentido, visamos a apontar como certos paradigmas da secularização possivelmente reorganizaram pontos norteadores das relações estabelecidas entre religião e política no contemporâneo brasileiro.

The interface between religious involvement and political space in our society, considering its long historical relationship, has been gaining attention as a matter of debate in our contemporaneity. In the present article, through theoretical research, we seek to investigate how the new contours of religious involvement within the process of secularization might have also unfolded new forms of relationship between politics and religion. In order to do so, we will first introduce Freud's conception of the motivations that lead to religious involvement. We will also present the reformulations in Lacan's work on the subject, as well as other authors' contributions, trying to focus on the point where both political and religious discourse meet. Next, we will review some historical background on Brazilian religion and politics relation and how this debate is set on the contemporaneity. Finally, we will propose a reflection, with the conceptual system of psychoanalysis, on the secularization process' influence in the social conjecture exposed, using as a paradigmatic example the Prosperity Theology. In this sense, we aim to point out how some aspects of secularization could possibly provide a reorganization of the relationship established between religion and politics in Brazilian contemporaneity.

La interface entre desarrollo religioso y espacio político en la sociedad, que ya posee un largo antecedente de relaciones, vienen ganando destaque en sus manifestaciones en la coyuntura contemporánea. En este artigo, buscaremos investigar, por intermedio de la investigación teórica, como nuevas formas de comprometimiento religioso, en sus configuraciones seculares, pueden tener derivado nuevos caminos en la relación entre religión y política. Por lo tanto, en un primer momento, dedicaremos en exponer formulaciones freudianas en respeto de las motivaciones que llevan el sujeto al encuentro de la religión. También, presentaremos reformulaciones presentes en la obra de Lacan a respeto del tema, así como contribuciones de otros pensadores, buscando foco en puntos donde autores analizan intersecciones entre religión y discurso político. Posteriormente, retomaremos algunas consideraciones históricas sobre la relación entre religión y política brasileña, encaminando la discusión para la forma como esta cuestión se sitúa en la contemporaneidad. Por fin, propondremos un análisis, articulada a los conceptos psicoanalíticos, del papel de la secularización en la coyuntura expuesta, tomando como ejemplo paradigmático la teología de la prosperidad. Así, visamos mostrar como ciertos paradigmas de la secularización posiblemente reorganizaron puntos rectores de relaciones establecidas entre religión y política en el momento contemporáneo brasileño.

Ama teu próximo como a ti mesmo: intolerância religiosa sob uma perspectiva psicanalítica / Love thy neighbor as thyself: religious intolerance from a psychoanalytic perspective / Aime ton prochain comme toi-même: l'intolérance religieuse dans une perspective psychanalytique / Amarás a tu prójimo como a ti mismo: intolerancia religiosa desde una perspectiva psicoanalítica

Resumo Este trabalho aborda a problemática da intolerância religiosa sob a concepção de sujeito da psicanálise. Buscaremos investigar, com o sistema conceitual psicanalítico, como o fenômeno da intolerância se articula com a construção de identidade do sujeito. Para tal, faremos uma breve revisão da ideia de narcisismo, das considerações freudianas sobre o envolvimento religioso e das contribuições lacanianas à discussão acerca da religião. Pretendemos demonstrar como as elaborações teóricas se materializam ao longo da história, assim como suas ressonâncias no contemporâneo. Nesse sentido, apontaremos a relação entre a identificação religiosa e a possibilidade de um posicionamento político.

Abstract Based on psychoanalysis' concept of subject, this paper investigates the articulations between religious intolerance and the construction of the subject's identity. For this purpose, the article reviews the idea of narcissism, Freud's considerations on religious involvement and Lacan's contributions to the discussion of religion, demonstrating how theoretical elaborations materialize throughout history and their resonances in the contemporary. In this regard, the text highlights the articulation between religious identification and political position.

Résumé Basé sur le concept de sujet de la psychanalyse, cet article étudie les articulations entre l'intolérance religieuse et la construction de l'identité du sujet. À cette fin, l'article passe en revue l'idée de narcissisme, les considérations de Freud sur l'engagement religieux et les contributions de Lacan à la discussion sur la religion, tout en montrant comment les élaborations théoriques se matérialisent à travers l'histoire et leurs résonances dans le contemporain. A cet égard, le text souligne l'articulation entre identification religieuse et position politique.

Resumen Este trabajo aborda el tema de la intolerancia religiosa bajo el concepto de sujeto del psicoanálisis. A partir de conceptos psicoanalíticos, buscaremos investigar cómo la intolerancia se articula con la construcción de identidad del sujeto. Para ello, revisaremos la idea de narcisismo, las consideraciones freudianas sobre la participación religiosa y las contribuciones lacanianas a la discusión de la religión. Además, pretendemos demostrar cómo las elaboraciones teóricas se materializan a lo largo de la historia, así como sus resonancias en lo contemporáneo. En este sentido, señalaremos la articulación entre la identificación religiosa y la posibilidad de un posicionamiento político.

Prediction of significant conduction disease through noninvasive assessment of cardiac calcification.

AIMS: Cardiac calcification is associated with coronary artery disease, arrhythmias, conduction disease, and adverse cardiac events. Recently, we have described an echocardiographic-based global cardiac calcification scoring system. The objective of this study was to evaluate the severity of cardiac calcification in patients with permanent pacemakers as based on this scoring system. METHODS AND RESULTS: Patients with a pacemaker implanted within the 2-year study period with a previous echocardiogram were identified and underwent blinded global cardiac calcium scoring. These patients were compared to matched control patients without a pacemaker who also underwent calcium scoring. The study group consisted of 49 patients with pacemaker implantation who were compared to 100 matched control patients. The mean calcium score in the pacemaker group was 3.3 ± 2.9 versus 1.8 ± 2.0 (P = 0.006) in the control group. Univariate and multivariate analysis revealed glomerular filtration rate and calcium scoring to be significant predictors of the presence of a pacemaker. CONCLUSION: Echocardiographic-based calcium scoring correlates with the presence of severe conduction disease requiring a pacemaker.