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1.
J Prosthodont ; 2024 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-39233435

RESUMO

PURPOSE: To analyze the microstructural and mechanical properties of various commercial trademarks of lithium disilicate ceramics for CAD-CAM systems. MATERIALS AND METHODS: Specimens of different lithium disilicate ceramics were obtained and randomized into 5 groups (n = 14): EM: e.max CAD; RT: Rosetta SM; EV: Evolith; PM: Smile-Lithium CAD; and, HS: HaHaSmile. The microstructural analysis was performed by X-ray diffraction (XRD) and scanning electron microscopy (SEM); for flexural strength, the three-point bending flexure test was used. XRD and SEM data were qualitatively evaluated. Data from flexural strength were assessed with one-way ANOVA test (α = 0.05) and Weibull analysis. RESULTS: High peaks corresponding to the lithium metasilicate and lithium disilicate pattern with similar intensities were observed in all ceramics in the XRD analysis. SEM images showed similar patterns of crystalline structure in the EM and RT ceramics, while the other three groups presented different crystal morphologies than the previous ones and were similar to each other. No differences were found in flexural strength among the groups (p = 0.28). CONCLUSIONS: The CAD-CAM lithium disilicate ceramics showed comparable crystalline intensities. The microstructure of the EM and RT ceramics were different from the other groups. Flexural strength was similar among all ceramics.

2.
Rev Gastroenterol Peru ; 43(2): 166-178, 2023.
Artigo em Espanhol | MEDLINE | ID: mdl-37597234

RESUMO

This article summarizes the clinical practice guideline (CPG) for the management of acute pancreatitis in the Social Security of Peru (EsSalud), to provide evidence-based clinical recommendations for the management of acute pancreatitis in EsSalud. A guideline development group (GEG) was formed that included medical specialists and methodologists. The GEG formulated 7 clinical questions to be answered by this CPG. Systematic searches of systematic reviews and -when considered relevant- primary studies were carried out in PubMed during 2022. The evidence was selected to answer each of the clinical questions posed. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. In periodic work meetings, the GEG used the GRADE methodology to review the evidence and formulate the recommendations, the points of good clinical practice, and the corresponding flow charts. Finally, the CPG was approved with Resolution No. 105-IETSI-ESSALUD-2022. This CPG addressed 7 clinical questions on fluid therapy, start of enteral nutrition, analgesia, type of nutrition, antibiotic, and surgical treatment. Based on these questions, 8 recommendations (1 strong and 7 conditional), 13 BPCs, and 1 flowchart were formulated. This article summarizes the methodology and evidence-based conclusions of the CPG for the management of acute pancreatitis in EsSalud.


Assuntos
Pancreatite , Guias de Prática Clínica como Assunto , Humanos , Doença Aguda , Pancreatite/diagnóstico , Pancreatite/terapia , Peru
3.
Entropy (Basel) ; 24(12)2022 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-36554237

RESUMO

In this paper, the 4E assessment (Energetic, Exergetic, Exergoeconomic and Exergoenvironmental) of a low-temperature ORC activated by two different alternatives is presented. The first alternative (S1) contemplates the activation of the ORC through the recovery of waste heat from a flash-binary geothermal power plant. The second alternative (S2) contemplates the activation of the ORC using direct heat from a geothermal well. For both alternatives, the energetic and exergetic models were established. At the same time, the economic and environmental impact models were developed. Finally, based on the combination of the exergy concepts and the economic and ecological indicators, the exergoeconomic and exergoenvironmental performances of the ORC were obtained. The results show higher economic, exergoeconomic and exergoenvironmental profitability for S1. Besides, for the alternative S1, the ORC cycle has an acceptable economic profitability for a net power of 358.4 kW at a temperature of 110 °C, while for S2, this profitability starts being attractive for a power 2.65 times greater than S1 and with a temperature higher than 135 °C. In conclusion, the above represents an area of opportunity and a considerable advantage for the implementation of the ORC in the recovery of waste heat from flash-binary geothermal power plants.

4.
Trop Anim Health Prod ; 51(7): 2019-2024, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31041720

RESUMO

Influenza constitutes a challenge to animal and human health. It is a highly contagious disease with wildlife reservoirs and considered as endemic among swine populations. Pigs are crucial in the disease dynamics due to their capacity to generate new reassortant viruses. The risk of informal animal trade in the spread of zoonotic diseases is well recognized worldwide. Nevertheless, the contribution of the backyard pig trade network in the transmission of influenza in a wildlife/livestock interface area is unknown. This study provides the first simulation of influenza transmission based on backyard farm connections in Mexico. A susceptible-infectious-recovered (SIR) model was implemented using the Epimodel software package in R, and 260 backyard farms were considered as nodes. Three different scenarios of connectivity (low, medium, and high) mediated by trade were generated and compared. Our results suggest that half of the pig population were infected within 5 days in the high connectivity scenario and the number of infected farms was approximately 65-fold higher compared to the low connected one. The consequence of connectivity variations directly influenced both time and duration of influenza virus transmission. Therefore, high connectivity driven by informal trade constitutes a significant risk to animal health. Trade patterns of animal movements are complex. This approach emphasizes the importance of pig movements and spatial dynamics among backyard production, live animal markets, and wildlife.


Assuntos
Criação de Animais Domésticos , Vírus da Influenza A/fisiologia , Infecções por Orthomyxoviridae/veterinária , Doenças dos Suínos/transmissão , Animais , Animais Selvagens , Gado , México , Modelos Teóricos , Infecções por Orthomyxoviridae/transmissão , Sus scrofa , Suínos
5.
Proc Biol Sci ; 285(1893): 20182178, 2018 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-30963915

RESUMO

Zoonotic diseases transmitted by wildlife affect biological conservation, public and animal health, and the economy. Current research efforts are aimed at finding wildlife pathogens at a given location. However, a meta-analytical approach may reveal emerging macroecological patterns in the host-pathogen relationship at different temporal and spatial scales. West Nile virus (WNV) is a pathogen with worldwide detrimental impacts on bird populations. To understand macroecological patterns driving WNV infection, we aimed to recognize unknown competent reservoirs using three disease metrics-serological prevalence (SP), molecular prevalence (MP) and mortality (M)-and test if these metrics are correlated with the evolutionary history, geographical origin of bird species, viral strain, time-space and methodology. We performed a quantitative review of field studies on birds sampled for WNV. We obtained 4945 observations of 949 species from 39 countries. Our analysis supported the idea that MP and M are good predictors of reservoir competence, and allowed us to identify potential competent reservoirs. Furthermore, results indicated that the variability of these metrics was attributable to phylogeny, time-space and sample size. A macroecological approach is needed to recognize susceptible species and competent reservoirs, and to identify other factors driving zoonotic diseases originating from wildlife.


Assuntos
Doenças das Aves/epidemiologia , Aves , Reservatórios de Doenças/veterinária , Febre do Nilo Ocidental/veterinária , Zoonoses/epidemiologia , Animais , Doenças das Aves/mortalidade , Doenças das Aves/virologia , Suscetibilidade a Doenças/epidemiologia , Suscetibilidade a Doenças/mortalidade , Suscetibilidade a Doenças/veterinária , Suscetibilidade a Doenças/virologia , Prevalência , Estudos Soroepidemiológicos , Febre do Nilo Ocidental/epidemiologia , Febre do Nilo Ocidental/mortalidade , Febre do Nilo Ocidental/virologia , Vírus do Nilo Ocidental/fisiologia , Zoonoses/mortalidade , Zoonoses/virologia
6.
BMC Vet Res ; 13(1): 289, 2017 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-28934965

RESUMO

BACKGROUND: Hepatitis E virus (HEV) infection is one of the most common causes of acute liver diseases in humans worldwide. In developing countries, HEV is commonly associated with waterborne outbreaks. Conversely, in industrialized countries, HEV infection is often associated with travel to endemic regions or ingestion of contaminated animal products. Limited information on both, human and animal HEV infection in Mexico is available. As a consequence, the distribution of the virus in the country is largely unknown. Here, we assessed the seroprevalence of HEV among swine in different geographical regions in Mexico. METHODS: Seroprevalence of anti-HEV antibodies in swine herds in Mexico was evaluated in a representative sample including 945 pig serum specimens from different regions of the country using a commercial enzyme-linked immunosorbent assay (ELISA). RESULTS: The overall prevalence of anti-HEV antibodies in swine was 59.4%. The northern region of Mexico exhibited the highest seroprevalence in the country (86.6%), while the central and southern regions in Mexico showed lower seroprevalence, 42.7% and 51.5%, respectively. CONCLUSIONS: In Mexico, HEV seroprevalence in swine is high. Importantly, northern Mexico showed the highest seroprevalence in the country. Thus, further studies are required to identify the risk factors contributing to HEV transmission among pigs in the country. Assessment of HEV human infection in the context of viral transmission in swine is required to better understand the epidemiology of hepatitis E in Mexico.


Assuntos
Anticorpos Antivirais/sangue , Hepatite E/veterinária , Doenças dos Suínos/virologia , Animais , Hepatite E/sangue , Hepatite E/epidemiologia , Hepatite E/imunologia , México/epidemiologia , Razão de Chances , Estudos Soroepidemiológicos , Suínos , Doenças dos Suínos/epidemiologia , Doenças dos Suínos/imunologia
7.
Am J Vet Res ; 85(2)2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38039628

RESUMO

OBJECTIVE: Effect of photobiomodulation therapy (PBMT) in patients with CCLR after TPLO surgery by measuring C-reactive protein (CRP), percentage weight bearing, lameness using a short form of a composite measure pain scale, evaluated by the clinician and owners, and surgical site infection. SAMPLE: 54 client-owned dogs with CCLR undergoing unilateral TPLO surgery were enrolled in this study between April 5, 2021, through April 10, 2022. METHODS: The study population was randomly assigned to either a treatment group receiving PMBT (24 dogs) or a control group (30 dogs). PMBT was performed on the treatment group immediately after induction, and 6 hours, 24 hours, 48 hours, and 8 weeks postoperatively. The control group received sham PMBT (device turned off) at the same time. Evaluation of CRP, CMPS-SF, evidence of SSI, and %WB were evaluated for all dogs 24 hours preoperatively, and then 24 hours, 48 hours, and 8 weeks postoperatively. Owners completed CMPS-SF and subjective evaluations weekly for 8 weeks postoperatively. RESULTS: No statistically significant differences were found between treatment groups when evaluating CRP, %WB, and CMPS-SF by the clinician and weekly evaluation of the CMPS-SF by owners. Although no statistically significant differences were found in patients developing surgical site infections between treatment groups, SSI was only observed in patients in the control group (5/30, 16.6%). Most were minor/superficial infections (4/30 13.3%), and a single dog (1/30, 3.3%) had a major/deep surgical site infection. CLINICAL RELEVANCE: Although with promising but not statistically significant differences between groups, surgical site infections may be reduced after PBMT application.


Assuntos
Lesões do Ligamento Cruzado Anterior , Doenças do Cão , Terapia com Luz de Baixa Intensidade , Infecção da Ferida Cirúrgica , Animais , Cães , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/radioterapia , Lesões do Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/veterinária , Doenças do Cão/radioterapia , Doenças do Cão/cirurgia , Terapia com Luz de Baixa Intensidade/veterinária , Osteotomia/veterinária , Joelho de Quadrúpedes/cirurgia , Infecção da Ferida Cirúrgica/prevenção & controle , Infecção da Ferida Cirúrgica/veterinária , Tíbia/cirurgia
8.
PLoS One ; 19(8): e0309369, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39213331

RESUMO

Pig farming in Mexico is critical to the economy and food supply. Mexico has achieved advancements in swine health and established an electronic database that records swine movements (Sistema Nacional de Avisos de Movilización, SNAM). In this study, we characterized swine movement patterns in México between 2017 and 2019 to identify specific areas and periods that require concentrated efforts for effective epidemiological surveillance and disease control. We employed a Social Network Analysis (SNA) methodology to comprehensively describe and analyze the intricate patterns of pig movement. In addition, we sought to integrate swine population density into the analysis. We used metrics to characterize the network structure and identify the most critical nodes in the movement network. Cohesion metrics were used to identify commercial communities characterized by a high level of interconnectivity in swine movements between groups of nodes. Of a cumulative count of 662,255 pig shipments, 95.9% were attributed to slaughterhouse shipments. We observed that 54% of all Mexican municipalities were part of the network; however, the density of the movement network was less than 0.14%. We identified four Swine Production Centers in Mexico with high interconnectivity in the movement network. We detected moderate positive correlations (ρ ≥0.4 and <0.6, p < 0.001) between node metrics and swine population indicators, whereas the number of commercial swine facilities showed weak correlations with the node metrics. We identified six large, geographically clustered commercial communities that aligned with the Swine Production Centers. This study provides a comprehensive overview of swine movement patterns in Mexico and their close association with swine production centers, which play a dual role as producers and traders within the swine industry of Mexico. Our research offers valuable insights for policymakers in developing disease prevention and control strategies.


Assuntos
Criação de Animais Domésticos , Doenças dos Suínos , Animais , México , Suínos , Doenças dos Suínos/prevenção & controle , Doenças dos Suínos/epidemiologia , Criação de Animais Domésticos/métodos , Meios de Transporte , Densidade Demográfica , Análise de Rede Social , Matadouros
9.
Gen Dent ; 61(6): e17-21, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24064171

RESUMO

Crowns made from an yttria-stabilized tetragonal zirconia polycrystals (3Y-TZP) core with a porcelain veneer have shown high clinical failure rates. Manifestations of clinical failure in veneering ceramic ranges from a single chip to an extended fracture. Core failures are uncommon but usually are catastrophic. This article examines the possible causes of failure in zirconia systems and presents a case report involving the diagnosis and repair of three different types of failure in six 3Y-TZP/porcelain crowns.


Assuntos
Coroas/efeitos adversos , Falha de Restauração Dentária , Facetas Dentárias/efeitos adversos , Ítrio , Zircônio , Feminino , Humanos , Pessoa de Meia-Idade
10.
Ecol Evol ; 11(11): 6305-6314, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34141219

RESUMO

Understanding the assembly processes of symbiont communities, including viromes and microbiomes, is important for improving predictions on symbionts' biogeography and disease ecology. Here, we use phylogenetic, functional, and geographic filters to predict the similarity between symbiont communities, using as a test case the assembly process in viral communities of Mexican bats. We construct generalized linear models to predict viral community similarity, as measured by the Jaccard index, as a function of differences in host phylogeny, host functionality, and spatial co-occurrence, evaluating the models using the Akaike information criterion. Two model classes are constructed: a "known" model, where virus-host relationships are based only on data reported in Mexico, and a "potential" model, where viral reports of all the Americas are used, but then applied only to bat species that are distributed in Mexico. Although the "known" model shows only weak dependence on any of the filters, the "potential" model highlights the importance of all three filter types-phylogeny, functional traits, and co-occurrence-in the assemblage of viral communities. The differences between the "known" and "potential" models highlight the utility of modeling at different "scales" so as to compare and contrast known information at one scale to another one, where, for example, virus information associated with bats is much scarcer.

11.
Braz J Microbiol ; 52(2): 953-960, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33483895

RESUMO

The epidemiological behavior of six Leptospira serovarieties was analyzed by spatial autocorrelation and co-occurrence of leptospirosis, diagnosed in goat herds located in the State of Guanajuato, Mexico. A total of 1650 goat serum samples were analyzed by microscopic agglutination (MAT). True prevalence (Pv) and 95% confidence interval (CI95) were determined. Spatial autocorrelation was calculated using the spdep package, applying the global Moran's I and local Moran's I of Leptospira in Guanajuato. The probabilistic model of co-occurrence was applied using the co-occur package. Seroprevalence in the State was found to be 45.5% (CI95 42.96; 48.06%). The highest registered frequency was for the Icterohemorrhagiae serovar (Pv 34.16%; CI95 31.74, 36.65%), followed by the serovar Hardjo-prajitno (Pv: 6.77%; CI95 5.33, 8.40%). Other serovarieties showed a Pv < 5%. Global spatial autocorrelation, only for the Icterohemorrhagiae serovar, was I > 1, while local Moran's I revealed that five of the six Leptospira serovarieties were spatially correlated. The probabilistic model of co-occurrence detected negative associations between Icterohemorrhagiae and the other serovarieties. The current study demonstrates the presence of Leptospira in goat herds of the State of Guanajuato. The diagnosed serovarieties show an aggregation pattern associated to risk zones and disease-transmitting vectors. Antibody co-occurrence analysis revealed dominance of the Icterohemorrhagiae serovar. A multidisciplinary approach including spatial epidemiology, ecological analyses, and serological vigilance will generate useful information for the prevention and control of leptospirosis in caprine production units.


Assuntos
Coinfecção/veterinária , Doenças das Cabras/microbiologia , Leptospira/isolamento & purificação , Leptospirose/veterinária , Animais , Anticorpos Antibacterianos/sangue , Coinfecção/epidemiologia , Coinfecção/microbiologia , Doenças das Cabras/epidemiologia , Cabras , Leptospira/classificação , Leptospira/imunologia , Leptospirose/epidemiologia , Leptospirose/microbiologia , México/epidemiologia , Prevalência , Estudos Soroepidemiológicos , Sorogrupo , Análise Espacial
12.
Front Med (Lausanne) ; 8: 665023, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34805192

RESUMO

Mexicans and Mexican Americans share culture, genetic background, and predisposition for chronic complications associated with obesity and diabetes making imperative efficacious treatments and prevention. Obesity has been treated for centuries focused-on weight loss while other treatments on associated conditions like gout, diabetes (T2D), and hypertriglyceridemia. To date, there is no systematic review that synthesizes the origin of obesity clinics in Mexico and the efforts to investigate treatments for obesity tested by randomized clinical trials (RCT). We conducted systematic searches in Pubmed, Scopus, and Web of Science to retrieve anti-obesity RCT through 2019 and without an inferior temporal limit. The systematic review included RCT of anti-obesity treatments in the Mexican adult population, covering alternative medicine, pharmacological, nutritional, behavioral, and surgical interventions reporting metabolism-associated traits such as BMI, weight, waist circumference, triglycerides, glucose, among others. Only the studies with at least 3 months of treatment were included in the meta-analyses in order to reduce placebo effects. We found 634 entries, after removal of duplicates and screening the studies based on eligibility criteria, we analyzed 43 national, and 2 multinational-collaborative studies. Most of the national studies had small sample sizes, and the implemented strategies do not have replications in the population. The nutrition/behavioral interventions were difficult to blind, and most studies have medium-to-high risk of bias. Nutritional/behavioral interventions and medications showed effects on BMI, waist circumference, and blood pressure. Simple measures like pure water instead of sweet beverages decrease triglycerides and systolic blood pressure. Dark chocolate showed the highest effect for BMI and high blood pressure, and treatment with insulin increased weight in those with T2D. The study of obesity in Mexico has been on-going for more than four decades, the interest on RCT just increased until this millennium, but with small sample sizes and lack of replication. The interventions affect different cardiometabolic associated traits, which should be analyzed in detail in the population living near the Mexico-U.S. border; therefore, bi-national collaboration is desirable to disentangle the cultural effects on this population's treatment response. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020221436, identifier: CRD42020221436.

13.
Int J Parasitol Parasites Wildl ; 13: 221-230, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33224727

RESUMO

Parasites are strictly associated with their hosts and present a great diversity of life histories, often resulting in different diversity patterns than those observed in free-living species. However, ecological approaches have detected that, in some cases, mammal-associated helminths respond similarly to non-parasitic species in terms of diversity patterns. Using 2200 recorded interactions, we analysed the diversity patterns of helminths (Acanthocephala, Nematoda and Platyhelminthes) harbored by humans, wild and domestic mammals of Mexico, depending on latitude, host body mass and trophic guild (carnivore, herbivore, insectivore, omnivore), considering helminth richness and average taxonomic distinctness, and host phylogenetic diversity and phylogenetic clustering. Latitude was positively correlated with the average taxonomic distinctness encompassing the three parasite phyla and nematodes. Northern latitudes had less taxonomically related parasite assemblages. Host body mass had a significant negative relationship with the average taxonomic distinctness of acanthocephalans and the richness of helminths associated to wild hosts. The omnivore hosts had greater parasite richness, while insectivores had a less taxonomically related parasite assemblage and herbivores had a more heterogeneous parasite assemblage. Our results highlight the importance of incorporating different dimensions of diversity, such as average taxonomic distinctness and to consider the composition of parasite assemblages to better understand their diversity patterns.

14.
Front Vet Sci ; 7: 583032, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33195604

RESUMO

The apicomplexan parasite Toxoplasma gondii (T. gondii) has been found in more than 350 species of homoeothermic vertebrates in diverse climates and geographic areas. In most animals, T. gondii produces mild or asymptomatic infection. However, acute and hyperacute toxoplasmosis is associated with high mortality rates observed in Neotropical primates (NP) in captivity. These primates are distributed in 20 countries across the Americas, and although infection has been reported in certain countries and species, toxoplasmosis in the wild and its impact on NP population survival is unknown. Differences among species in exposure rates and disease susceptibility may be due in part to differences in host behavior and ecology. Four species of NP are found in Costa Rica, i.e., howler (Alouatta palliata), spider (Ateles geoffroyi), capuchin (Cebus imitator), and squirrel monkeys (Saimiri oerstedii). This study reports NP exposure to T. gondii using the modified agglutination test in 245 serum samples of NP (198 wild and 47 from captivity) from Costa Rica. Associations of serostatus with environmental (forest cover, annual mean temperature), anthropogenic (human population density), and biological (sex) variables in howler and capuchin monkeys were evaluated. The seroprevalence among wild NP was 11.6% (95% CI = 7.7-17.34), compared with 60% in captive monkeys (95% CI = 44.27-73.63), with significant differences between species (X 2 = 20.072; df = 3, p = 0.000164), suggesting an effect of behavior and ecology. In general, antibody titers were low for wild NP (<1:128) and high for captive NP (>1:8192), suggesting higher exposure due to management factors and increased life span in captivity. Seropositivity in howler monkeys was positively related to forest cover and inversely related to annual rainfall. For capuchins, annual rainfall was inversely related to seropositivity. Surveillance of T. gondii exposure in NP in captivity and in the wild is required to understand drivers of the infection and develop novel strategies to protect them.

15.
Cir Cir ; 2020 12 09.
Artigo em Esperanto | MEDLINE | ID: mdl-33296912

RESUMO

La epidemia de COVID-19 ha modificado la cultura de la comunicación. La solución para los problemas de salud puede ser asertiva cuando es consensuada. El método Delphi es una herramienta de consenso que emplea rondas de listas de preguntas para recopilar información del conocimiento de un panel de expertos que analizan planteamientos y posibles soluciones a problemas. Se basa en la premisa de que, con la libertad del anonimato, la inteligencia combinada mejora el juicio individual y captura la opinión colectiva experta. El proceso del método es muy flexible, pues las rondas de preguntas pueden realizarse de manera presencial o remota. En este artículo se describe cómo implementar el método Delphi convencional en tiempos de confinamiento, y se analizan la utilidad y las limitaciones del método para su uso por expertos en salud para la resolución de problemas de tratamiento, diagnóstico o administrativos. Las tecnologías actuales para recolectar los datos permiten gran flexibilidad en el formato de los cuestionarios y facilitan la recopilación de la opinión experta. Gracias a su adaptabilidad, el método Delphi se está convirtiendo en una estrategia popular que involucra los ámbitos cualitativo y cuantitativo.

16.
Zoonoses Public Health ; 66(6): 655-666, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31219223

RESUMO

Bats and rodents are recognized to host a great diversity of viruses and several important viral zoonoses, but how this viral diversity is structured and how viruses are connected, shared and distributed among host networks is not well understood. To address this gap in knowledge, we compared the associative capacity of the host-virus networks in rodents and bats with the identification of those viruses with zoonotic potential. A virus database, detected by molecular methods, was constructed in the two taxonomic groups. We compiled 5,484 records: 825 in rodents and 4,659 in bats. We identified a total of 173 and 166 viruses, of which 53 and 40 are zoonotic viruses, in rodents and bats, respectively. Based on a network theory, a non-directed bipartite host-virus network was built for each group. Subsequently, the networks were collapsed to represent the connections among hosts and viruses. We identified both discrete and connected communities. We observed a greater degree of connectivity in bat viruses and more discrete communities in rodents. The Coronaviridae recorded in bats have the highest values of degree, betweenness and closeness centralities. In rodents, higher degree positions were distributed homogeneously between viruses and hosts. At least in our database, a higher proportion of rodent viruses were zoonotic. Rodents should thus not be underestimated as important reservoirs of zoonotic disease. We found that viruses were more frequently shared among bats than in rodents. Network theory can reveal some macroecological patterns and identify risks that were previously unrecognized. For example, we found that parvovirus in megabats and Gbagroube virus in rodents may represent a zoonotic risk due to the proximity to humans and other zoonotic viruses. We propose that epidemiological surveillance programmes should consider the connectivity of network actors as a measure of the risks of dispersion and transmission.


Assuntos
Quirópteros/virologia , Reservatórios de Doenças/virologia , Roedores/virologia , Viroses/veterinária , Animais , Bases de Dados Factuais , Viroses/transmissão , Viroses/virologia , Zoonoses
17.
PLoS Negl Trop Dis ; 13(4): e0006859, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30964871

RESUMO

BACKGROUND: In Mexico, estimates of Chagas disease prevalence and burden vary widely. Updating surveillance data is therefore an important priority to ensure that Chagas disease does not remain a barrier to the development of Mexico's most vulnerable populations. METHODOLOGY/PRINCIPAL FINDINGS: The aim of this systematic review and meta-analysis was to analyze the literature on epidemiological surveys to estimate Chagas disease prevalence and burden in Mexico, during the period 2006 to 2017. A total of 2,764 articles were screened and 36 were retained for the final analysis. Epidemiological surveys have been performed in most of Mexico, but with variable study scale and geographic coverage. Based on studies reporting confirmed cases (i.e. using at least 2 serological tests), and taking into account the differences in sample sizes, the national estimated seroprevalence of Trypanosoma cruzi infection was 3.38% [95%CI 2.59-4.16], suggesting that there are 4.06 million cases in Mexico. Studies focused on pregnant women, which may transmit the parasite to their newborn during pregnancy, reported an estimated seroprevalence of 2.21% [95%CI 1.46-2.96], suggesting that there are 50,675 births from T. cruzi infected pregnant women per year, and 3,193 cases of congenitally infected newborns per year. Children under 18 years had an estimated seropositivity rate of 1.51% [95%CI 0.77-2.25], which indicate ongoing transmission. Cases of T. cruzi infection in blood donors have also been reported in most states, with a national estimated seroprevalence of 0.55% [95%CI 0.43-0.66]. CONCLUSIONS/SIGNIFICANCE: Our analysis suggests a disease burden for T. cruzi infection higher than previously recognized, highlighting the urgency of establishing Chagas disease surveillance and control as a key national public health priority in Mexico, to ensure that it does not remain a major barrier to the economic and social development of the country's most vulnerable populations.


Assuntos
Doença de Chagas/epidemiologia , Trypanosoma cruzi , Adolescente , Adulto , Doadores de Sangue/estatística & dados numéricos , Doença de Chagas/sangue , Doença de Chagas/transmissão , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Transmissão Vertical de Doenças Infecciosas , México/epidemiologia , Gravidez , Prevalência , Estudos Soroepidemiológicos , Testes Sorológicos/estatística & dados numéricos
18.
Int J Periodontics Restorative Dent ; 39(3): 381­389, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29677227

RESUMO

This study evaluated the impact of soft tissue grafts to reduce marginal peri-implant recession (MPR) after 1 year of follow-up. A total of 24 patients with one single failing maxillary incisor presenting facial bone dehiscence and receiving an immediate implant, bone graft, and provisional were randomly divided into three groups (n = 8 in each group): control (CTL), collagen matrix (CM), and connective tissue graft (CTG). Clinical, photographic, and tomographic analyses were performed to evaluate tissue alterations. The use of a CTG avoided MPR (P < .05) and provided better contour of the alveolar ridge (P < .01) and greater thickness (P < .05) of the soft tissue at the implant facial aspect.


Assuntos
Implantes Dentários para Um Único Dente , Terapia de Tecidos Moles , Processo Alveolar , Tecido Conjuntivo , Humanos , Incisivo , Maxila , Resultado do Tratamento
19.
Ecohealth ; 16(4): 726-733, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31664588

RESUMO

Mosquito-borne flaviviruses (MBFVs) are of public and animal health concern because they cause millions of human deaths annually and impact domestic animals and wildlife globally. MBFVs are phylogenetically divided into two clades, one is transmitted by Aedes mosquitoes (Ae-MBFVs) associated with mammals and the other by Culex mosquitoes (Cx-MBFVs) associated with birds. However, this assumption has not been evaluated. Here, we synthesized 79 published reports of MBFVs from wild mammals, estimating their host. Then, we tested whether the host specificity was biased to sampling and investigation efforts or to phylogenetic relationships using a viral phylogenetic tree drawn from analyzing whole flavivirus genomes obtained in GenBank. We found in total 18 flaviviruses, nine related to Aedes spp. and nine to Culex spp. infecting 129 mammal species. Thus, this supports that vectors are transmitting MBFV across available host clades and that ornithophilic mosquitoes are readily infecting mammals. Although most of the mosquito species are generalists in their host-feeding preferences, we also found a certain degree of MBFV's specificity, as most of them infect closely related mammal species. The present study integrates knowledge regarding MBFVs, and it may help to understand their transmission dynamics between viruses, vectors, and mammal hosts.


Assuntos
Interações entre Hospedeiro e Microrganismos/imunologia , Especificidade de Hospedeiro/genética , Especificidade de Hospedeiro/imunologia , Mosquitos Vetores/virologia , Febre do Nilo Ocidental/imunologia , Febre do Nilo Ocidental/transmissão , Vírus do Nilo Ocidental/isolamento & purificação , Aedes/virologia , Animais , Animais Domésticos/virologia , Culex/virologia , Interações entre Hospedeiro e Microrganismos/genética , Mamíferos/genética , Mamíferos/virologia
20.
Viruses ; 11(7)2019 07 12.
Artigo em Inglês | MEDLINE | ID: mdl-31336858

RESUMO

Hantaviruses are transmitted by rodents producing the hantavirus pulmonary syndrome (HPS) in the Americas. Today, no human cases of HPS have been reported in Mexico in spite of similar environmental conditions with Central America and the USA where several cases have occurred. To understand the current situation of hantaviruses in Mexico and the public health risk, a systematic review of studies was conducted reporting hantaviruses in rodents to known state seroprevalence and hantavirus genotypes. Simultaneously, this study identified the potential hantaviruses based on the phylogenetic diversity (PD) of hantaviruses reported in the Americas in hosts with the distribution in Mexico. A total 3862 rodents belonging to 82 species have been tested since 1999 to 2017. Overall, 392 individuals representing 43 rodent species were seropositive, and the seroprevalence ranged from 0 to 69.22%. Seven hantaviruses genotypes have been described in Mexico and three are zoonotic. Four host species of rodents are widely distributed in Mexico harboring the highest PD of viruses. According to the hosts distribution, 16 genotypes could be circulating in Mexico and some of these represent a potential risk for public health. This study proposed multidisciplinary and interinstitutional collaborations to implement systematic surveillance in rodents.


Assuntos
Infecções por Hantavirus/epidemiologia , Orthohantavírus/genética , Roedores/virologia , Animais , Reservatórios de Doenças , Genótipo , Orthohantavírus/patogenicidade , Infecções por Hantavirus/transmissão , Infecções por Hantavirus/virologia , Síndrome Pulmonar por Hantavirus/epidemiologia , Síndrome Pulmonar por Hantavirus/virologia , Especificidade de Hospedeiro , Humanos , México/epidemiologia , Filogenia , Vírus de RNA/genética , Análise de Sequência de DNA , Estudos Soroepidemiológicos , Zoonoses/epidemiologia , Zoonoses/transmissão , Zoonoses/virologia
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