Absence of Leishmania spp. DNA in road-killed wild mammals in Southern Brazil.

Leishmaniasis are neglected diseases transmitted by vectors that affect domestic and wild animals, including humans. Due to its incidence and lethality, this zoonosis is a worrying public health problem, making it essential to identify all links in the transmission chain. Infection of wild mammals by Leishmania spp. remains poorly understood, especially in southern Brazil. Therefore, the objective was to research, using the PCR technique, the presence of Leishmania spp. DNA in road-killed wild mammals in Southern Brazil. Carcasses of 96 animals were collected from highways in the Pelotas microregion, Rio Grande do Sul, southern Brazil and subjected to necropsies. Tissue fragments (spleen, skin, liver, kidney, heart, lung, lymph nodes, bone marrow and blood) were collected and genomic DNA was extracted. PCR protocols targeting the ITS1, kDNA and 18S genes were tested. We found no evidence of Leishmania spp. circulation in the studied population. However, epidemiological studies like this one are of great relevance, as they allow monitoring of the occurrence of pathogens and help identify possible risk areas. As these animals act as epidemiological markers for the presence of the microorganism, studies must be carried out continuously to understand whether there are sources of infection in the region.

Description of the parasitic fauna of a specimen of Didelphis albiventris at Rio Grande do Sul.

Didelphis albiventris is considered the most common marsupial in Rio Grande do Sul. With omnivorous and synanthropic habits, it can serve as a host to various parasites, playing an important role in maintaining their biological cycle. Despite being a widespread and abundant species, it has a relatively little-known parasitic fauna. Therefore, the aim of this study was to report the diversity of parasites in a fecal sample from D. albiventris in Rio Grande do Sul, Southern Brazil. Modified Centrifugal-flotation and Spontaneous sedimentation techniques were used, revealing a high taxonomic diversity of parasites. Eggs of Ancylostoma spp., Toxocara spp., and Anoplocephalidae were reported for the first time in the host in the southern region of the country, along with the first report of pseudoparasitism by Syphacia spp. and Monocystis spp. in this animal species. The presence of different parasites in the feces of D. albiventris is of utmost importance, primarily for public health, but also for understanding the biodiversity of parasites present in wildlife, which has been poorly studied until now. This allows the implementation of effective strategies for controlling, preventing and treating these diseases.

Didelphis albiventris é considerado o marsupial mais comum no Rio Grande do Sul. Com hábitos onívoros e sinantrópicos, pode servir de hospedeiro para diversos parasitas, desempenhando importante papel na manutenção do seu ciclo biológico. Apesar de ser uma espécie difundida e abundante, possui uma fauna parasitária relativamente pouco conhecida. Portanto, o objetivo deste estudo foi relatar a diversidade de parasitas em uma amostra fecal de D. albiventris no Rio Grande do Sul, Sul do Brasil. Foram utilizadas técnicas modificadas de flutuação centrífuga e sedimentação espontânea, revelando uma alta diversidade taxonômica de parasitas. Ovos de Ancylostoma spp., Toxocara spp. e Anoplocephalidae foram relatados pela primeira vez no hospedeiro na região sul do país, juntamente com o primeiro relato de pseudoparasitismo por Syphacia spp. e Monocystis spp. nesta espécie animal. A presença de diferentes parasitas nas fezes de D. albiventris é de extrema importância, principalmente para a saúde pública, mas também para a compreensão da biodiversidade de parasitas presentes na vida selvagem, que tem sido pouco estudada até agora. Isto permite a implementação de estratégias eficazes para controlar, prevenir e tratar estas doenças.

Absence of Leishmania spp. DNA in road-killed wild mammals in Southern Brazil / Ausência de DNA de Leishmania spp. em mamíferos silvestres atropelados no Sul do Brasil

Abstract Leishmaniasis are neglected diseases transmitted by vectors that affect domestic and wild animals, including humans. Due to its incidence and lethality, this zoonosis is a worrying public health problem, making it essential to identify all links in the transmission chain. Infection of wild mammals by Leishmania spp. remains poorly understood, especially in southern Brazil. Therefore, the objective was to research, using the PCR technique, the presence of Leishmania spp. DNA in road-killed wild mammals in Southern Brazil. Carcasses of 96 animals were collected from highways in the Pelotas microregion, Rio Grande do Sul, southern Brazil and subjected to necropsies. Tissue fragments (spleen, skin, liver, kidney, heart, lung, lymph nodes, bone marrow and blood) were collected and genomic DNA was extracted. PCR protocols targeting the ITS1, kDNA and 18S genes were tested. We found no evidence of Leishmania spp. circulation in the studied population. However, epidemiological studies like this one are of great relevance, as they allow monitoring of the occurrence of pathogens and help identify possible risk areas. As these animals act as epidemiological markers for the presence of the microorganism, studies must be carried out continuously to understand whether there are sources of infection in the region.

Resumo As leishmanioses são doenças negligenciadas, transmitidas por vetores que acometem animais domésticos e silvestres, incluindo os humanos. Devido a sua incidência e letalidade, essa zoonose consiste em um problema de saúde pública preocupante, sendo fundamental a identificação de todos os elos da cadeia de transmissão. A infecção de mamíferos silvestres por Leishmania spp. permanece pouco compreendida, especialmente no sul do Brasil. Portanto, objetivou-se pesquisar, por meio da técnica de PCR, a presença de DNA de Leishmania spp. em mamíferos silvestres atropelados no Sul do Brasil. Carcaças de 96 animais foram coletadas, em rodovias da microrregião de Pelotas, Rio Grande do Sul, sul do Brasil e submetidas a necropsias. Fragmentos de tecidos (baço, pele, fígado, rim, coração, pulmão, linfonodos, medula óssea e sangue) foram coletados e o DNA genômico foi extraído. Protocolos de PCR visando os genes ITS1, kDNA e 18S foram testados. Não foram encontradas evidências de circulação de Leishmania spp. na população estudada. Porém, estudos epidemiológicos como este são de grande relevância, pois permitem monitorar a ocorrência de patógenos e auxiliam na identificação de possíveis áreas de risco. Como esses animais atuam como marcadores epidemiológicos da presença do microrganismo, estudos devem ser realizados continuamente, para entender se existem fontes de infecção na região.

Ctenocephalides felis (Siphonaptera, Pulicidae) parasitizing White-eared opossum (Didelphis albiventris) at Southern Brazil - Case report.

Didelphis albiventris is a marsupial with synanthropic habits, whose contact with domestic animals and humans is increasing. They are considered potential disseminators of diseases, present as definitive hosts or reservoirs of various pathogenic agents. The present study aim to report, for the first time, the parasitism by Ctenocephalides felis in D. albiventris in Rio Grande, Southern Rio Grande do Sul state, Brazil. An adult female White-eared Opossum (D. albiventris), killed by being run over, was collected on the roads of the city of Rio Grande, Rio Grande do Sul, Brazil and sent to the laboratory for necropsy. During external inspection, a flea was found, which was stored in 70o alcohol until taxonomic identification, being classified as C. felis. This study reports the occurrence of parasitism by C. felis in D. albiventris for the first time in the location studied, demonstrating that these arthropods circulate between the wild and urban environments, and play an important role in the cycle of zoonotic pathogens among wild fauna, companion animals and humans.

Didelphis albiventris é um marsupial de hábitos sinantrópicos, cujo contato com animais domésticos e humanos está aumentando. São considerados potenciais disseminadores de doenças, apresentando-se como hospedeiros definitivos ou reservatórios de vários agentes patogênicos. O presente estudo tem como objetivo relatar, pela primeira vez, o parasitismo por Ctenocephalides felis em D. albiventris em Rio Grande, Sul do Rio Grande do Sul, Brasil. Uma fêmea adulta de gambá-de-orelha-branca (D. albiventris), morta por atropelamento, foi recolhida nas estradas da cidade de Rio Grande, Rio Grande do Sul, Brasil e encaminhado ao laboratório para necropsia. Durante inspeção externa foi encontrada uma pulga que foi armazenada em álcool 70º até a identificação taxonômica sendo classificado como C. felis. Este estudo relata a ocorrência de parasitismo por C. felis em D. albiventris para o primeira vez no local estudado, demonstrando que esses artrópodes circulam entre a natureza e ambientes urbanos e desempenham um papel importante no ciclo de patógenos zoonóticos entre a fauna selvagem, animais de companhia e humanos.

Effect of Electrical Stimulation on PC12 Cells Cultured in Different Hydrogels: Basis for the Development of Biomaterials in Peripheral Nerve Tissue Engineering.

Extensive damage to peripheral nerves is a health problem with few therapeutic alternatives. In this context, the development of tissue engineering seeks to obtain materials that can help recreate environments conducive to cellular development and functional repair of peripheral nerves. Different hydrogels have been studied and presented as alternatives for future treatments to emulate the morphological characteristics of nerves. Along with this, other research proposes the need to incorporate electrical stimuli into treatments as agents that promote cell growth and differentiation; however, no precedent correlates the simultaneous effects of the types of hydrogel and electrical stimuli. This research evaluates the neural differentiation of PC12 cells, relating the effect of collagen, alginate, GelMA, and PEGDA hydrogels with electrical stimulation modulated in four different ways. Our results show significant correlations for different cultivation conditions. Electrical stimuli significantly increase neural differentiation for specific experimental conditions dependent on electrical frequency, not voltage. These backgrounds allow new material treatment schemes to be formulated through electrical stimulation in peripheral nerve tissue engineering.

First report of parasitism by Eutrichophilus cercolabes (Phthiraptera: Trichodectidae) on Coendou spinosus (Erethizontidae) in Rio Grande do Sul, Brazil - case report.

Coendou spinosus is a species of rodent popularly known as porcupine, it has a great ability to adapt to different habitats and is found in tropical forests in countries such as Bolivia, Brazil, Venezuela and Guianas. This mammal has already been identified as a reservoir of several pathogenic agents for humans and other animals and has a variety of ectoparasites, endoparasites and hemoparasites little studied and described. Due to this, the objective was to report the parasitism by Eutrichophilus cercolabes in C. spinosus in the central region of Rio Grande do Sul, southern Brazil. In total, 16 lice were found, one male and 15 females of the species. This is the first report of the parasitism of this Phthiraptera on C. spinosus in Rio Grande do Sul. The scarcity of reports on the taxonomy and biotic characteristics, as well as the vector capacity of pathogens of most species of ectoparasites of wild animals, highlights the need for further studies on the distribution of these arthropods in different regions and host species.

Coendou spinosus é uma espécie de roedor conhecida popularmente por porco-espinho, possui uma grande capacidade de adaptação a diferentes habitats sendo encontrada em florestas tropicais de países como Bolívia, Brasil, Venezuela e Guianas. Esse mamífero já foi identificado como reservatório de vários agentes patogênicos para o homem e outros animais e possui uma variedade de ectoparasitos, endoparasitos e hemoparasitos pouco estudados e descritos. Devido a isso, objetivou-se relatar o parasitismo por Eutrichophilus cercolabes em C. spinosus na região central do Rio Grande do Sul, Sul do Brasil. Ao total, foram encontrados 16 piolhos, sendo um macho e 15 fêmeas da espécie. Esse é o primeiro relato do parasitismo deste Phthiraptera em C. spinosus no Rio Grande do Sul. A escassez de relatos sobre a taxonomia e características bióticas, bem como a capacidade vetorial de patógenos da maioria das espécies de ectoparasitos de animais silvestres evidencia a necessidade da realização de mais estudos sobre a distribuição desses artrópodes em diferentes regiões e espécies hospedeiras.

Antiparasitic action of ivermectin, moxidectin and piperazine against Parascaris spp. in foals at southern Rio Grande do Sul, Brazil / Ação antiparasitária de Ivermectina, Moxidectina e Piperazina contra Parascaris spp. em potros no sul do Rio Grande do Sul, Brasil

Parascaris spp. are the most dangerous parasites of foals, and their presence is related to poor growth, weight loss, colics and death after impaction or intestinal perforation.The reduction in the effectiveness of antiparasitics has become a serious threat to animal health and there is little prospect of the emergence of a new anthelmintic for horses. Therefore, the objective was to evaluate the effectiveness of active principles used in the control of ascarids in Creole foals, in a ownership located in the south of Rio Grande do Sul, Brazil. The Gordon and Whitlock technique was used on 12 samples of foal faeces that were collected on the date of administration of the antiparasitic and 14 days afterwards. The evaluation of the effectiveness of the active principles was carried out through the Faecal Egg Count Reduction Test (FECRT). All the anthelmintics used failed against Parascaris spp. and therefore should not be used to control infections caused by these helminths in the population studied. In addition, generalized resistance of ascarids to avermectins was observed. The results also show that other management practices should be implemented on the ownership, in an attempt to reduce infections by these helminths.

Parascaris spp. são os parasitas mais perigosos dos potros e estão relacionados ao baixo crescimento, perda de peso, cólicas e morte após impactação ou perfuração intestinal. A redução da eficácia dos antiparasitários tornou-se uma séria ameaça à saúde animal e há poucas perspectivas de surgimento de um novo anti-helmíntico para equinos. Portanto, objetivou-se avaliar a eficácia dos princípios ativos utilizados no controle de ascarídeos em potros crioulos, em uma propriedade localizada no sul do Rio Grande do Sul, Brasil. Foram utilizados os resultados da técnica de Gordon e Whitlock de 12 amostras de fezes de potros, que foram coletadas na data da administração do antiparasitário e 14 dias após. A avaliação da eficácia dos princípios ativos foi realizada por meio do Teste de Redução de Contagem de Ovos nas Fezes (TRCOF). Todos os anti-helmínticos utilizados falharam contra Parascaris spp. e não devem ser usados para controlar as infecções desses helmintos na população estudada, além disso, há uma resistência generalizada dos ascarídeos contra as avermectinas. Os resultados também mostram que outras práticas de manejo devem ser implementadas na propriedade, na tentativa de reduzir as infecções por esses helmintos.

Culicoides' species from a Leishmania transmission hotspot and efficacy of the Captor® suction light trap.

Culicoides have medical and veterinary importance, as they play a role as vectors of viruses, protozoa, and nematodes that cause diseases. Despite the relevance to public health, greater attention has been given to other insect vectors. Therefore, the objective of this study was to evaluate the efficiency of the Captor® light trap in capturing Culicoides that could be examined for the presence of Leishmania DNA. The insects were captured in a rural area of Santa Maria, Rio Grande do Sul, Brazil, where canine and human visceral leishmaniasis have been diagnosed. Adult insects were collected weekly, from 6:00 pm to 6:00 am, for a 12 month period using a Captor® brand suction light trap. All Culicoides were identified at species level. Pools of Culicoides were tested using the Polymerase Chain Reaction (PCR) technique for the detection of Leishmania DNA. A total of 16,016 specimens were collected (71.54% females and 28.39% males), divided among seven species. In the DNA analysis, none of the pools showed a positive result for Leishmania. The data presented demonstrate that the trap is efficient and can be an alternative for use in entomological research. They also demonstrate that, despite the females having hematophagous habits, similar to other vector insects, they did not have contact with Leishmania in the studied locality.

Culicoides têm importância médica e veterinária, pois desempenham um papel como vetores de vírus, protozoários e nematoides que causam doenças em animais e humanos. Apesar da relevância para a saúde pública, maior atenção tem sido dada a outros insetos vetores. Portanto, o objetivo do estudo foi avaliar a eficiência da armadilha luminosa Captor® na captura de Culicoides que pudesse ser verificada quanto à presença de DNA de Leishmania. Os insetos foram capturados em uma área rural de Santa Maria, Rio Grande do Sul, Brasil, onde foram diagnosticadas leishmaniose visceral canina e humana. Os insetos adultos foram coletados semanalmente, das 18h às 6h, com armadilha luminosa de sucção da marca Captor® por doze meses. Todos Culicoides foram identificados em nível de espécie. Pools de Culicoides foram testados pela técnica de PCR para detecção de DNA de Leishmania. Foram coletados 16.016 espécimes (71,54% fêmeas e 28,39% machos), divididos em sete espécies. Na análise de DNA, nenhum dos pools apresentou resultado positivo para Leishmania. Os dados apresentados demonstram que a armadilha é eficiente e pode ser uma alternativa para uso em pesquisas entomológicas. Demonstram também que, apesar das fêmeas apresentarem hábitos hematófagos, semelhantes a outros insetos vetores, não tiveram contato com Leishmania na localidade estudada.

Recommendations for the diagnosis and management of persons with suspected vaccine-induced immune thrombotic thrombocytopenia (VITT) / Recomendaciones para diagnostico y manejo de personas con trombocitopenia trombotica inmune inducida por vacunas (VITT)

Abstract In recent months, rare cases of thrombosis at unusual sites associated with thrombocytopenia, occurring within a typical risk window (i.e., 4-28 days) after receiving SARS CoV2 vaccines, have been reported. Healthcare professionals should be prepared to detect these cases on time. The Expert Panel of the Knowledge Management and Transfer Network conducted a free search of the related literature. With the available information and the clinical expertise of the working group, we formulated, reviewed, and endorsed recommendations for the timely suspicion, diagnosis (case definitions, the use of initial laboratory and imaging tests, specific tests), and management of these thrombotic conditions. This document is considered a living document that will be updated as new evidence emerges, and recommendations may change over time.

Resumen En meses recientes se han reportado casos raros de trombocitopenia y trombosis en sitios inusuales, que ocurren dentro de una ventana de riesgo típica ( por ejemplo de 4 a 28 días) luego de recibir vacunas de SARS CoV 2. Los profesionales de la salud deben estar preparados para detectar estos casos a tiempo. Un panel de expertos y una red de transferencia de conocimiento realizó una búsqueda libre de literatura seleccionada. Con la información disponible y la experticia clínica del grupo de trabajo revisamos y dimos recomendaciones para la sospecha temprana, el diagnostico (definición de caso, el uso de pruebas de laboratorio especificas y de imágenes diagnósticas) para le manejo de estas condiciones tromboticas. Este documento es considerado un documento vivo que debe ser actualizado a medida que surja nueva evidencia y las recomendaciones vayan cambiando con el tiempo

Antiphospholipid syndrome-mediated acute cerebrovascular diseases and long-term outcomes.

OBJECTIVES: The antiphospholipid syndrome (APS) is an autoimmune disease associated with thrombotic and non-thrombotic neurologic manifestations. APS is classified as primary (PAPS) or secondary (SAPS) when it co-exists with another autoimmune disease. We aim to describe the spectrum of acute cerebrovascular disease among patients with APS, their differences between stroke subtypes, and long-term functional outcomes. METHODS: Retrospective cohort study including adult (≥18 years) patients with APS followed in the stroke clinic of a tertiary-care reference center for autoimmune diseases in Mexico from 2009 to 2019. RESULTS: We studied 120 cases; 99 (82.5%) women; median age 43 years (interquartile range 35-52); 63.3% with SAPS. Demographics, comorbidities, and antiphospholipid antibodies (aPL) positivity were similar between APS type and stroke subtypes. Amongst index events, we observed 84 (70%) acute ischemic strokes (AIS), 19 (15.8%) cerebral venous thromboses (CVT), 11 (9.2%) intracerebral hemorrhages (ICH), and six (5%) subarachnoid hemorrhages (SAH). Sixty-seven (55.8%) were known patients with APS; the median time from APS diagnosis to index stroke was 46 months (interquartile range 12-96); 64.7% of intracranial hemorrhages (ICH or SAH) occurred ≥4 years after APS was diagnosed (23.5% anticoagulation-related); 63.2% of CVT cases developed before APS was diagnosed or simultaneously. Recurrences occurred in 26 (22.8%) patients, AIS, in 18 (69.2%); intracranial hemorrhage, in eight (30.8%). Long-term functional outcomes were good (modified Rankin Scale ≤2) in 63.2% of cases, during follow-up, the all-cause mortality rate was 19.2%. CONCLUSION: We found no differences between stroke subtypes and APS types. aPL profiles were not associated with any of the acute cerebrovascular diseases described in this cohort. CVT may be an initial thrombotic manifestation of APS with low mortality and good long-term functional outcome.

Prevalência de nematódeos intestinais em equinos de tração na cidade de Pelotas/RS, Brasil / Prevalence of intestinal nematodes in traction horses in city of Pelotas/RS, Brazil / Prevalencia de nematodos intestinales en caballos de tracción en la ciudad de Pelotas/RS, Brasil

Os equinos são utilizados em diversas atividades de trabalho, esporte e lazer, que demandam um bom desempenho e higidez do animal. Um dos fatores que alteram esses aspectos é a presença de endoparasitos. A atividade econômica utilizando equinos para tração é uma prática comum na cidade de Pelotas/RS, visto que muitas famílias dependem do cavalo para seu sustento. O objetivo do trabalho foi avaliar a avaliar a prevalência de nematódeos intestinais em equinos de tração na cidade. Para o estudo, foram utilizados resultados de diagnósticos de amostras fecais, obtidos através do banco de dados do laboratório do Grupo de Estudos em Enfermidades Parasitárias (GEEP) da Faculdade de Veterinária -Universidade Federal de Pelotas (UFPel). Entre os meses de janeiro a dezembro de 2018, 82 amostras foram processadas através da técnica de Gordon e Whitlock e os resultados expressos em OPG. Do total de amostras analisadas, 90,2% (74/82) foram positivas para algum nematódeo, apresentando média de contagem de 739,2 OPG. Observou-se maior prevalência de infecções por parasitos da família Strongylidae (74,3%). Infecções por Parascaris spp. e Strongyloides sp. foram observadas com 13,4% e 2,43% de prevalência, respectivamente. Conclui-se que na população de equinos avaliada, a maioria dos animais estavam parasitados por algum espécime de nematódeo, sendo os da família Strongylidae os mais prevalentes.(AU)

Horses are used in various work activities, sports and leisure activities, which require good performance and animal health. One of the factors that alter these aspects is the presence of endoparasites. Economic activity using horses for traction is a common practice in the city of Pelotas/RS, as many families depend on the horse for their livelihood. The objective of this study was to evaluate the prevalence of intestinal nematodes in traction horses in the city. For the study, we used results of diagnostics of fecal samples, obtained from the laboratory database of the Parasitic Disease Study Group (GEEP) at the Veterinary School -Federal University of Pelotas (UFPel). Between the months of January to December 2018, 82 samples were processed by the Gordon and Whitlock technique and the results expressed in EPG. Of the total samples analyzed, 90.2% (74/82) were positive for some nematode, with a mean count of 739.2 OPG. There was a higher prevalence of infections by parasites of the family Strongylidae (74.3%).Infections with Parascaris spp. and Strongyloides sp. were observed with 13.4% and 2.43% prevalence, respectively. It is concluded that in the evaluated horse population, most of the animals were parasitized by some specimen of nematodes, with the Strongylidae family being the most prevalent.(AU)

Los caballos se utilizan en diversas actividades laborales, deportivas y de ocio, que requieren un buen rendimiento y salud animal. Uno de los factores que alteran estos aspectos es la presencia de endoparásitos. La actividad económica que usa caballos para la tracción es una práctica común en la ciudad de Pelotas/RS, ya que muchas familias dependen del caballo para su sustento. El objetivo de este estudio fue evaluar la prevalencia de nematodos intestinales en caballos de tracciónen la ciudad. Para el estudio, utilizamos los resultados del diagnóstico de muestras fecales, obtenidos de la base de datos de laboratorio del Grupo de Estudio de Enfermedades Parasitarias (GEEP) dela Facultad de Veterinaria -Universidad Federal de Pelotas (UFPel). De enero a diciembre de 2018, se procesaron 82 muestras mediante la técnica de Gordon y Whitlock y los resultados se expresaron en OPG. Del total de muestras analizadas, 90.2% (74/82) fueron positivas para algunos nematodos, con un recuento medio de 739.2 OPG. Hubo una mayor prevalencia de infecciones por parásitos de la familia Strongylidae (74,3%). Infecciones por Parascaris spp. y Strongyloides sp. se observaron con 13.4% y 2.43% de prevalencia, respectivamente. Se concluyó que en la población equina evaluada, la mayoría de los animales fueron parasitados por algún espécimen de nematodos, siendo los de la familia Strongylidae los más prevalentes.(AU)

Metodologías cuantitativas: Cálculo del tamaño de muestra con STATA y R / Quantitative methods: Sample size calculation with STATA and R

El cálculo de tamaño de muestra es un aspecto esencial del diseño de estudios cuantitativos. Un adecuado tamaño de muestra nos permite determinar cuál es la mínima cantidad de participantes necesarios para probar nuestra hipótesis de interés. De esta manera, podemos reducir costos, maximizar el uso de nuestros recursos de investigación y garantizar la factibilidad del estudio. Contradictoriamente, a pesar de su relevancia muy pocos investigadores dominan esta habilidad. Esta revisión tiene por objeto revisar los conceptos básicos para realizar un cálculo de tamaño de muestra y compartir códigos de Stata y R específicamente diseñados para facilitar estos cálculos.

The calculation of sample size is an essential aspect of the design of quantitative studies. An adequate sample size allows us to determine the minimum number of participants necessary to test our hypothesis of interest. Hence, we can reduce costs, maximize the use of our research resources and guarantee the feasibility of the study. Contradictorily, despite its relevance, very few researchers dominate this skill. This review aims to review the basics of sample size calculation and share Stata and R codes specifically designed to facilitate these calculations.

Prevalência de nematódeos intestinais em equinos de tração na cidade de Pelotas/RS, Brasil / Prevalence of intestinal nematodes in traction horses in city of Pelotas/RS, Brazil / Prevalencia de nematodos intestinales en caballos de tracción en la ciudad de Pelotas/RS, Brasil

Os equinos são utilizados em diversas atividades de trabalho, esporte e lazer, que demandam um bom desempenho e higidez do animal. Um dos fatores que alteram esses aspectos é a presença de endoparasitos. A atividade econômica utilizando equinos para tração é uma prática comum na cidade de Pelotas/RS, visto que muitas famílias dependem do cavalo para seu sustento. O objetivo do trabalho foi avaliar a avaliar a prevalência de nematódeos intestinais em equinos de tração na cidade. Para o estudo, foram utilizados resultados de diagnósticos de amostras fecais, obtidos através do banco de dados do laboratório do Grupo de Estudos em Enfermidades Parasitárias (GEEP) da Faculdade de Veterinária -Universidade Federal de Pelotas (UFPel). Entre os meses de janeiro a dezembro de 2018, 82 amostras foram processadas através da técnica de Gordon e Whitlock e os resultados expressos em OPG. Do total de amostras analisadas, 90,2% (74/82) foram positivas para algum nematódeo, apresentando média de contagem de 739,2 OPG. Observou-se maior prevalência de infecções por parasitos da família Strongylidae (74,3%). Infecções por Parascaris spp. e Strongyloides sp. foram observadas com 13,4% e 2,43% de prevalência, respectivamente. Conclui-se que na população de equinos avaliada, a maioria dos animais estavam parasitados por algum espécime de nematódeo, sendo os da família Strongylidae os mais prevalentes.

Horses are used in various work activities, sports and leisure activities, which require good performance and animal health. One of the factors that alter these aspects is the presence of endoparasites. Economic activity using horses for traction is a common practice in the city of Pelotas/RS, as many families depend on the horse for their livelihood. The objective of this study was to evaluate the prevalence of intestinal nematodes in traction horses in the city. For the study, we used results of diagnostics of fecal samples, obtained from the laboratory database of the Parasitic Disease Study Group (GEEP) at the Veterinary School -Federal University of Pelotas (UFPel). Between the months of January to December 2018, 82 samples were processed by the Gordon and Whitlock technique and the results expressed in EPG. Of the total samples analyzed, 90.2% (74/82) were positive for some nematode, with a mean count of 739.2 OPG. There was a higher prevalence of infections by parasites of the family Strongylidae (74.3%).Infections with Parascaris spp. and Strongyloides sp. were observed with 13.4% and 2.43% prevalence, respectively. It is concluded that in the evaluated horse population, most of the animals were parasitized by some specimen of nematodes, with the Strongylidae family being the most prevalent.

Los caballos se utilizan en diversas actividades laborales, deportivas y de ocio, que requieren un buen rendimiento y salud animal. Uno de los factores que alteran estos aspectos es la presencia de endoparásitos. La actividad económica que usa caballos para la tracción es una práctica común en la ciudad de Pelotas/RS, ya que muchas familias dependen del caballo para su sustento. El objetivo de este estudio fue evaluar la prevalencia de nematodos intestinales en caballos de tracciónen la ciudad. Para el estudio, utilizamos los resultados del diagnóstico de muestras fecales, obtenidos de la base de datos de laboratorio del Grupo de Estudio de Enfermedades Parasitarias (GEEP) dela Facultad de Veterinaria -Universidad Federal de Pelotas (UFPel). De enero a diciembre de 2018, se procesaron 82 muestras mediante la técnica de Gordon y Whitlock y los resultados se expresaron en OPG. Del total de muestras analizadas, 90.2% (74/82) fueron positivas para algunos nematodos, con un recuento medio de 739.2 OPG. Hubo una mayor prevalencia de infecciones por parásitos de la familia Strongylidae (74,3%). Infecciones por Parascaris spp. y Strongyloides sp. se observaron con 13.4% y 2.43% de prevalencia, respectivamente. Se concluyó que en la población equina evaluada, la mayoría de los animales fueron parasitados por algún espécimen de nematodos, siendo los de la familia Strongylidae los más prevalentes.

Recomendaciones para el uso racional de la prueba 25-hidroxivitamina D Resumen de política

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The exponential increase in the request for laboratory tests of 25-Hydroxyvitamin D or [25 (OH) D has ignited the alarms and generated a strong call for attention, since it may reflect deficiencies in the standardization of clinical practice and in the use non-systematic scientific evidence for decision-making in real life, which allows to analyze the indications of the test, its frequency, interpretation and even to assess the impact for health systems, especially when contrasted with the minimum or almost. No effects of the strategy of screening or supplying indiscriminately to the general population, without considering a comprehensive clinical assessment of risks and needs of people. From a purely public health impact point of view, the consequence of massive and unspecified requests is affecting most of the health systems and institutions at the global level. The primary studies that determined average population intake values have been widely used in the formulation of recommendations in Clinical Practice Guidelines, but unfortunately misinterpreted as cut points to diagnose disease and allow the exaggerated prescription of nutritional substitution. The coefficient of variation in routine tests to measure blood levels of 25 (OH) D is high (28%), decreasing the overall accuracy of the test and simultaneously, increasing both the falsely high and falsely low values. The most recent scientific evidence analyzes and seriously questions the usefulness and the real effect of the massive and indiscriminate practice of prescribing vitamin D without an exhaustive risk analysis. The available evidence is insufficient to recommend a general substitution of vitamin D to prevent fractures, falls, changes in bone mineral density, incidence of cardiovascular diseases, cerebrovascular disease, neoplasms and also to modify the growth curve of mothers' children. They received vitamin D as a substitute during pregnancy. The recommendations presented in the document are based on the critical analysis of current evidence and the principles of good clinical practice and invite to consider a rational use of 25 (OH) D tests in the context of a clinical practice focused on people and a comprehensive assessment of needs and risks. The principles of good practice suggest that clinicians may be able to justify that the results of the 25 (OH) D test strongly influence and define clinical practice and modify the outcomes that interest people and impact their health and wellness. Currently there is no clarity on how to interpret the results, and the relationship between symptoms and 25 (OH) D levels, which may not be consistent with the high prevalence of vitamin D deficiency reported. For this reason, it is suggested to review the rationale of the request for tests for systematic monitoring of levels of 25 (OH) D or in all cases where substitution is performed. Consider the use of 25 (OH) D tests within the comprehensive evaluation of people with suspicion or confirmation of the following conditions: rickets, osteomalacia, osteoporosis, hyper or hypoparathyroidism, malabsorption syndromes, sarcopenia, metabolic bone disease.

Contaminação da areia da praia do Município de São Lourenço do Sul/RS por parasitos com potencial zoonótico presentes em fezes de cães / Contamination of the beach sand in the São Lourenço do Sul City/RS for parasites with zoonotic potential presents in feces of dogs

Este estudo teve como objetivo analisar a contaminação da orla da praia do Município de São Lourenço do Sul/RS, Brasil, por parasitos com potencial zoonótico presentes em fezes de cães. Entre novembro de 2017 e março de 2018, foram coletadas e analisadas 100 amostras fecais. Destas, 59 foram positivas para pelo menos um gênero de parasito, representando 59%do total. Houve maior frequência do gênero Ancylostoma spp., presente em 51 amostras (51%). Ainda foram encontrados ovos dos helmintos Toxocara sp. e Trichuris sp., e oocistos do protozoário Cystoisospora sp. As fezes coletadas foram processadas pela técnica de Willis Mollay, com modificações, que consistem na flutuação de ovos em solução hipersaturada glicosada. Pelo fato de ser um local público, a contaminação destas amostras indicam o risco a que a população está exposta, visto que estes parasitos apresentam potencial zoonótico. Desta forma, medidas devem ser adotadas para controlar esta exposição.

This study, has as objective, to analyze the contamination of the shore of the beach in São Lourenço do Sul City/RS, Brazil, by parasites with zoonotic potential, present in dog feces. Between November 2017 and March 2018, 100 fecal samples were collected and analyzed, of which 59 were positive for at least one parasite genus, representing 59% of the total. There was a higher frequency of the genus Ancylostoma spp. present in 51 samples (51%), was still found, eggs of the helminths Toxocara sp. and Trichuris sp. and oocysts of the protozoan Cystoisospora sp. The collected faeces were processed by the Willis-Mollay technique, with modifications, which consists in the flotation of eggs in glycosated hypersaturated solution. Because it is a public place, the contamination of these samples indicates the risk that the population is exposed, since these parasites present zoonotic potential. In this way, measures must be adopted to control this exposure.

Contaminação da areia da praia do Município de São Lourenço do Sul/RS por parasitos com potencial zoonótico presentes em fezes de cães / Contamination of the beach sand in the São Lourenço do Sul City/RS for parasites with zoonotic potential presents in feces of dogs

Este estudo teve como objetivo analisar a contaminação da orla da praia do Município de São Lourenço do Sul/RS, Brasil, por parasitos com potencial zoonótico presentes em fezes de cães. Entre novembro de 2017 e março de 2018, foram coletadas e analisadas 100 amostras fecais. Destas, 59 foram positivas para pelo menos um gênero de parasito, representando 59%do total. Houve maior frequência do gênero Ancylostoma spp., presente em 51 amostras (51%). Ainda foram encontrados ovos dos helmintos Toxocara sp. e Trichuris sp., e oocistos do protozoário Cystoisospora sp. As fezes coletadas foram processadas pela técnica de Willis Mollay, com modificações, que consistem na flutuação de ovos em solução hipersaturada glicosada. Pelo fato de ser um local público, a contaminação destas amostras indicam o risco a que a população está exposta, visto que estes parasitos apresentam potencial zoonótico. Desta forma, medidas devem ser adotadas para controlar esta exposição.(AU)

This study, has as objective, to analyze the contamination of the shore of the beach in São Lourenço do Sul City/RS, Brazil, by parasites with zoonotic potential, present in dog feces. Between November 2017 and March 2018, 100 fecal samples were collected and analyzed, of which 59 were positive for at least one parasite genus, representing 59% of the total. There was a higher frequency of the genus Ancylostoma spp. present in 51 samples (51%), was still found, eggs of the helminths Toxocara sp. and Trichuris sp. and oocysts of the protozoan Cystoisospora sp. The collected faeces were processed by the Willis-Mollay technique, with modifications, which consists in the flotation of eggs in glycosated hypersaturated solution. Because it is a public place, the contamination of these samples indicates the risk that the population is exposed, since these parasites present zoonotic potential. In this way, measures must be adopted to control this exposure.(AU)