[First record of Aedes albopictus in Galicia, obtained by citizen science through Mosquito Alert]. / Primera cita de Aedes albopictus para Galicia, obtenida mediante ciencia ciudadana por Mosquito Alert.

The first detection of the tiger mosquito, Aedes (Stegomyia) albopictus (Skuse, 1894), in the autonomous community of Galicia (Spain) is reported. The finding has been possible thanks to the collaboration between citizens, the citizen science application Mosquito Alert and the Rede Galega de Vixilancia de Vectores (ReGaViVec). At the beginning of August 2023, a same person submitted through the app several reports consistent with the tiger mosquito in the municipality of Moaña, in Pontevedra. The ReGaViVec entomological team confirmed the species and conducted vector surveillance in the area by placing traps (11 ovitraps and 3 BG-Sentinel 2 with BG-Lure attractant) with a weekly collection frequency. This finding represents the most northwestern detection of the tiger mosquito in the Iberian Peninsula and shows the crucial role of citizen science in vector surveillance.

Moving From Transactional to Relational: How Funders Can Work in Partnership With Black, Indigenous and People of Color Communities.

BACKGROUND: The Racial Equity Coalition (REC) formed to address persistent educational disparities. The coalition was composed of 14 Black, Indigenous and People of Color (BIPOC) organizations that provide culturally integrative youth services. OBJECTIVES: REC, with support from United Way of King County, engaged in participatory research to identify commonalities and shared struggles to inform collective action. Participatory research aligns with REC's commitment to equitable participatory processes. This article focuses on REC's experiences with funders. The objective was to understand what creates positive and challenging experiences with funders, and to identify recommendations for funders to become more culturally responsive. METHODS: A research committee was formed including representatives of nine REC organizations and United Way of King County staff. The committee conducted interviews with each of the 14 REC organizations and conducted thematic analysis of interview transcripts. Through participatory analysis, the committee drafted narratives that were further refined through a series of research retreats attended by all REC organizations. RESULTS: Recommendations were to incentivize collaboration, listen to communities to create culturally responsive definitions of success and measurement strategies, arrive at mutually agreed upon approaches with organizations, honor the connections BIPOC organizations have with their communities, and provide unrestricted funding to allow BIPOC organizations greater agency. CONCLUSIONS: A major challenge for BIPOC organizations is navigating White dominant culture that too often shows up in funding requirements. Having to fit dominant culture standards stifles BIPOC organizations' abilities to meet community needs and the responsiveness of their approaches. REC identified recommendations for funders to be more culturally responsive and community centered.

Problemas visuales en niños de edad escolar / Visual Impairment in School-Age Children

Introducción: A partir de su formación permanente y continuada, desde la educación en el trabajo, el tecnólogo de la salud en optometría y óptica desarrolla modos de actuación en la atención primaria de salud, mediante la interacción con escuelas de la comunidad, para identificar problemas visuales en niños y contribuir a su rehabilitación, al brindar educación especializada a familias y docentes. Objetivo: Exponer los resultados de una investigación sobre problemas visuales en niños en edad escolar atendidos en el Policlínico Mario Escalona para la socialización de datos que contribuyan a la educación especializada de familias y docentes en la rehabilitación visual. Métodos: Se realizó un estudio descriptivo, transversal, desde enero de 2020 hasta abril de 2022, para conocer la incidencia del uso de dispositivos electrónicos en niños en edad escolar atendidos en el Policlínico Mario Escalona. Conformaron el universo 1953 niños. Se valoró el defecto refractivo y el tiempo de uso de los dispositivos electrónicos. Resultados: El astigmatismo miópico fue la ametropía más frecuente, con una incidencia superior al 50 por ciento. En encuestas realizadas a los padres se corroboró el uso desmedido de dispositivos electrónicos. Conclusiones: Como acto de responsabilidad profesional, desde la atención primaria de salud, el tecnólogo de la salud en optometría y óptica debe identificar los problemas visuales en niños en edad escolar y brindar educación especializada a familias y docentes, que contribuya a la rehabilitación visual(AU)

Introduction: From his or her permanent and continuous training, from education at work, the health technologist in Optometry and Optics develops modes of action in primary health care, through interaction with community schools, to identify visual problems in children and contribute to their rehabilitation, by providing specialized education to families and professors. Objective: To present the results of a research on visual problems in school-age children treated at Mario Escalona Polyclinic for the socialization of data that contribute to the specialized education of families and teachers in visual rehabilitation. Methods: A descriptive, cross-sectional study was carried out from January 2020 to April 2022, in order to know the incidence of the use of electronic devices in school-age children attended at Policlínico Docente Dr. Mario Escalona Reguera. The universe consisted of 1953 children. The refractive defect and the time of use of electronic devices were assessed. Results: Myopic astigmatism was the most frequent ametropia, with an incidence higher than 50 percent. Surveys of parents corroborated an excessive use of electronic devices. Conclusions: As an act of professional responsibility, from primary health care, the health technologist in Optometry and Peptics should identify visual problems in school-age children, as well as provide specialized education to families and professors, contributing to visual rehabilitation(AU)

Green Synthesis of Silver Nanoparticles Using Pecan Nut (Carya illinoinensis) Shell Extracts and Evaluation of Their Antimicrobial Activity.

Nowadays, the increase in bacteria resistant to multiple antibiotics has become a real threat to the human health, forcing researchers to develop new strategies. Silver nanoparticles (AgNPs) may be a viable solution to this problem. The green synthesis of AgNPs is considered a green, ecological and low-priced process that provides small and biocompatible nanostructures with antimicrobial activity with a potential application in medicine. In this work, pecan nut shell extracts were analyzed in order to determine their viability for the production of AgNPs. These NPs were synthesized using an extract rich in bioactive molecules, varying the reaction time and silver nitrate (AgNO3) concentration. AgNPs production was confirmed by FT-IR, UV-Vis and EDX spectroscopy, while their morphology and size were determined by transmission electron microscopy (TEM) and dynamic light scattering (DLS). The antibacterial activity of AgNPs was evaluated by the agar diffusion method against Salmonella typhi, Staphylococcus aureus and Proteus mirabilis. The results showed that it is possible to obtain nanoparticles from an extract rich in antioxidant molecules with a size between 39.9 and 98.3 nm with a semi-spherical morphology. In addition, it was shown that the reaction time and the concentration of the precursor influence the final nanoparticles size. Antimicrobial tests showed that there is greater antimicrobial inhibition against Gram-negative than Gram-positive microorganisms, obtaining inhibition zone from 0.67 to 5.67 mm.

Alertas en salud sobre el uso de los dispositivos electrónicos y su impacto en el bienestar visual / Health alerts on the use of electronic devices and their impact on visual well-being

Introducción: El incremento del empleo de los dispositivos electrónicos en las actividades de estudio, trabajo, entretenimiento e interacción social desde las plataformas digitales deriva numerosos riesgos y causas de problemas visuales y defectos refractivos. La prevalencia de estos puede conllevar a considerarlos como problemas de salud a nivel global. Objetivo: Describir los riesgos y las repercusiones del uso excesivo de los dispositivos electrónicos en la salud visual a cualquier edad. Métodos: El método de revisión bibliográfica y la sistematización de resultados investigativos de diversos autores posibilitan identificar los riesgos y la repercusión del uso excesivo de los dispositivos electrónicos sobre la salud visual, así como las recomendaciones para afrontar esa realidad. Resultados: La sistematización permite demostrar cómo incide el uso de los dispositivos electrónicos en la elevada prevalencia de trastornos oculares y visuales, como el síndrome visual informático y la miopía en la población mundial actualmente. Conclusiones: Entre los riesgos y las repercusiones del uso excesivo de los dispositivos electrónicos sobre la salud visual, señalados por varios autores, se describieron factores ópticos y ambientales que inciden en la aparición de trastornos como la visión tubular, el síndrome visual informático, además de los defectos refractivos como la miopía, considerados problemas de salud a nivel global en la actualidad(AU)

Introduction: The increase in the use of electronic devices in study, work, entertainment and social interaction activities from digital platforms derives numerous risks and causes of visual problems and refractive defects. The prevalence of these can lead to consider them as global health problems. Objective: To describe the risks and repercussions of excessive use of electronic devices on visual health to prevent eye problems at any age. Methods: The bibliographic review method and the systematization of research results from various authors make it possible to identify the risks and repercussions of the excessive use of electronic devices on visual health, as well as the recommendations to face this reality. Results: The systematization allows us to demonstrate how the use of electronic devices affects the high prevalence of eye and visual disorders, such as computer vision syndrome and myopia in the world population today. Conclusions: The excessive use of electronic devices has caused visual problems and refractive errors globally. An act of responsibility is imposed to inform and raise awareness about the damage to eye health and its harmful effects(AU)

[Utility of prenatal screening for Congenital Chagas Disease in Chile]. / Utilidad del tamizaje prenatal de enfermedad de Chagas congénita en Chile.

Chagas Disease is a pathology caused by the parasite Trypanosoma cruzi. It is considered a public health issue, especially its congenital transmission, not only in endemic countries but also in non endemic ones, being the main form of transmission in Chile. Objectives: To describe a congenital Chagas Disease case and to report about the usefulness of prenatal screening for Chagas Disease. Cli nical Case: A 29-week preterm newborn of a multiparous mother with Chagas Disease detected in the perinatal screening of current pregnancy. Due to history of Trypanosoma cruzi, PCR was performed on the 4th day of life resulting undetectable. At the 6th and the 8th week of life, a macular erythema tous rash and fever and respiratory distress were observed, respectively, both self-limited. At the 8th week of life, as a routine prematurity follow-up, a fundus examination was performed which showed bilateral retinal granulation, therefore, a TORCH study was performed with a negative result. Also, in this same week, a second Trypanosoma cruzi PCR was performed, with a positive result. Lab tests reported visualization of trypomastigotes, confirming the Congenital Chagas Disease diagnosis. The patient was treated with Nifurtimox, presenting an adverse reaction at 35 days of treatment with neu tropenia, vomiting, and poor weight gain. The treating drug was replaced by Benznidazole, achieving 60 days of treatment. At 22 months of chronologic age, the patient has remained asymptomatic. Con clusions: It is necessary to increase efforts in prevention, early detection, and study of direct relatives. This report is an example of the usefulness of Chagas disease prenatal screening for the detection and early treatment of new cases.

First records of five species of mosquitoes (Diptera: Culicidae) in Galicia, including the first evidence of the genus Coquillettidia in northwestern Spain.

We present the first records of Coquillettidia (Coquillettidia) buxtoni (Edwards, 1923) (n=15), Culex (Neoculex) impudicus Ficalbi, 1890 (n=12), Culex (Neoculex) territans Walker, 1856 (n=52), Culiseta (Culicella) fumipennis (Stephens, 1825) (n=535), and Culiseta (Culicella) morsitans (Theobald, 1901) (n=54) in the Autonomous Community of Galicia (NW Spain), including the first evidence of the genus Coquillettidia Dyar, 1904 in the northwest of Spain. The field research was carried out in different water ecosystems (ponds, streams, rivers, lakes, and lagoons) belonging to 39 zones throughout the entire Galician territory. The samples were collected intermittently and seasonally through different projects of water quality monitoring between 1998 and 2018. A total of 1,614 mosquito larvae have been analyzed, and 668 of them were identified as species not previously recorded in Galicia. Between 1999 and 2003, the first catches of these species were obtained and since then, more specimens have been detected in different wetlands of Galicia, mainly in spring and summer.

First records of Anopheles (Anopheles) plumbeus Stephens, 1828 and Culex (Culex) torrentium Martini, 1925 (Diptera: Culicidae) in Galicia (NW Spain).

We present the first records of Anopheles (Anopheles) plumbeus Stephens, 1828 and Culex (Culex) torrentium Martini, 1925 in the autonomous region of Galicia (NW Spain), obtained through the Rede Galega de Vixilancia de Vectores (ReGaViVec). This entomological surveillance network, which was initiated in 2017 by the Xunta de Galicia in collaboration with the University of Vigo and the University of Santiago de Compostela, aims to detect the arrival of invasive vectors as well as to improve the knowledge about mosquito populations (Diptera: Culicidae) in the Galician territory. This study shows the first findings of these species in Galicia, which have been reported in six different locations throughout the region: five in the province of Pontevedra and one in the province of Lugo. The 51 captured specimens were collected at different stages of development between July and September, 2018 and 2019 by using specialized traps arranged in favorable regions for the settlement and development of culicids.

Chromosomal relationships of Simulium armoricanum and its undescribed sister species in the Simulium vernum species group (Diptera: Simuliidae).

The banding sequence of the polytene chromosomes of Simulium armoricanum Doby & David from England, Portugal, and Spain was resolved relative to the standard map for the S. vernum group. The species is characterized by 11 fixed inversions, one nearly fixed inversion, and three common polymorphisms. The sister species of S. armoricanum is proposed as a formally undescribed species discovered in samples from Portugal. It shares one unique inversion with S. armoricanum, but otherwise differs by eight fixed or nearly fixed rearrangements. Simulium armoricanum and its newly discovered sister species, informally referred to as Simulium 'IL-8', are members of a larger clade of Palearctic species defined by a small pericentric inversion in chromosome III. Among the simuliid species occupying the same streams with S. armoricanum was the first record, chromosomally confirmed, of S. aureum Fries sensu stricto in Portugal. Successful chromosomal analysis of samples of S. armoricanum 17 years after initial fixation demonstrates the importance of storing cytologically fixed larvae at subzero temperatures.

Vasodilatory action of loop diuretics: a plethysmography study of endothelial function in forearm arteries and dorsal hand veins in hypertensive patients and controls.

INTRODUCTION: Intravenous administration of loop diuretics induces venodilation before the diuretic response. We investigated whether furosemide and torasemide exert a dilatory effect on arteries and veins mediated by endothelial release of nitric oxide. METHODS: We performed intermittent venous occlusion plethysmography to study forearm blood flow and dorsal hand-vein distension in response to furosemide and torasemide infusion in hypertensive patients and healthy controls. RESULTS: Furosemide increased venodilation from 0.56 +/- 0.09 to 0.88 +/- 0.06 (P=0.000) in control subjects and from 0.49 +/- 0.10 to 0.75 +/- 0.12 (P=0.000) in hypertensive patients. Torasemide increased venodilation from 0.46 +/- 0.06 to 0.70 +/- 0.11 (P=0.007) in control subjects and from 0.48 +/- 0.09 to 0.67 +/- 0.12 (P = 0.03) in hypertensive patients. Co-infusion of the Nitric Oxide Synthase Inhibitor (L-NMMA)-blocked this venodilation, and the action was reversed with L-arginine. There were no significant changes in the arterial bed. CONCLUSIONS: Furosemide and torasemide induce a similar dose-response curve venodilation, but they have no effect on the arterial bed. Hypertensive patients show a smaller venous endothelium-dependent response than healthy controls. The venodilation induced by both diuretics requires release of nitric oxide.

Association of type II apoptosis and 92-kDa type IV collagenase expression in human amniochorion in prematurely ruptured membranes with tumor necrosis factor receptor-1 expression.

OBJECTIVE: We assessed the presence of tumor necrosis factor receptor-1 (TNF-R1), apoptosis, and simultaneous expression of 92-kDa collagenase type IV (MMP-9) in samples of human chorioamnion from women with premature rupture of membranes (PROM). METHODS: Amniotic membranes from women who underwent normal labor, cesarean delivery, or had PROM at term were studied by immunohistochemistry for localization of TNF-R1 and R2. Transmission electron microscopy and DNA fragmentation analyses by agarose gel electrophoresis were performed to identify apoptosis characteristics. Zymography and in situ zymography were used to assess gelatinolytic activity. RESULTS: We found that TNF-R1 was abundant in membranes from subjects who had normal labor and very abundant in those who had PROM. By contrast TNF-R2 was abundant only in membranes from subjects who had cesarean delivery. Gelatinolytic activity was associated with extracellular matrix rather than cells and was higher in extracts from fetal membranes from PROM and normal labor than in extracts obtained from cesarean deliveries. Transmission electron microscopy of fetal membranes from PROM revealed ultrastructural characteristics in amnion epithelium consistent with type II apoptosis. DNA laddering in agarose gel electrophoresis corroborated results from DNA fragmentation. CONCLUSION: During PROM the fetal membranes undergo type II apoptosis and extracellular matrix degradation in association with TNF-R1 expression.

Estudio de la osteoporosis y osteopenia por medio de radiología, densitometría, morfometría y microscopia de barrido en la tercera vértebra lumbar en una muestra de hombres y mujeres en la ciudad de México(AU) / Radiologic, densitometry, morphometric and sacanning electron microscopy study of osteoporosis or osteopenia ot the third lumbar vertebra in to female and male of the Mexico city

Objetivo. Determinar en la tercera vértebra lumbar de un grupo de hombres y mujeres de la Ciudad de México la densidad ósea estableciendo y correlacionando las características morfométricas del cuerpo vertebral, por medio de técnicas específicas y por detectar grupos con alteraciones de osteoporosis y osteopenia. Metodología. El estudio se realizó en la tercera vértebra lumbar de 23 cadáveres del Servicio Médico Forense, 8 mujeres de 31 a 72 años y 15 hombres de 25 a 62 años. Los estudios efectuados fueron: radiológicos, densitometría ósea y análisis de imagen, en la que se determinó espesor de las trabéculas verticales y horizontales. Con microscopia electrónica de barrido por medio de la Técnica de rayos X se determinó en forma semicuantitativa la presencia de calcio, fósforo, magnesio y sodio y en forma cualitativa la distribución de calcio en una área determinada del cuerpo vertebral mediante la técnica de energía dispersada de rayos X. Resultados. Estudio radiológico en el grupo de mujeres ninguna vértebra estudiada fue normal, todas ellas presentaron cambios degenerativos, de éstas cinco con trabeculación aumentada y tres con evidencia de fractura, con respecto al grupo de hombres siete fueron normales y ocho casos con cambios degenerativos de éstos seis presentaron densidad ósea con densitometría con DEXA en el grupo de mujeres sólo una se determinó normal, tres osteopenia y cinco con osteoporosis, en el grupo de varones cinco fueron normales, cinco con osteopenia y cinco con osteoporosis. En la determinación del mapeo de calcio por medio del microscopio de barrido, se pudo observar la distribución de calcio, en los casos normales se observó su distribución se presenta menos densa existiendo áreas en las que el calcio se encuentra disminuido o bien se encuentra ausente. En el estudio morfométrico se determinó el espesor trabecular de nueve vértebras, de cinco mujreses y cuatro hombres, en el grupo de mujeres, una presentó un espesor trabecular promedio normal de 222.1µm, en las cuatro restantes con osteoporosis el rango fue de 126.3 a 156.2 µm, en el grupò de varones se encontraron dos normales con un espesor trabecular promedio de 249.7 µm...

Informe del país para la IX Reunión del Grupo Tecnico del Programa Ampliado de Inmunizaciones y Erradicación de la Poliomielitis, 12-15 marzo de 1991 / Country report for the IX meeting of the tecnical advisory group of the inmunization

La reducción de la incidencia de la poliomelitis en la República Dominicana es muy significativa a partir de 1983, con una tasa inferior 0.1 por 100,000 hbts.; por otra parte, las tasas de parálisis flácidas por 100,000 niños menores de 15 años es de 0.4-0.5; con búsqueda activa de parálisis flácidas en Hospital Infantil Dr. Robert Reid Cabral. Por otro lado la tendencia del sarampión en los años 1981-90 ha sido irregular presentando incremento de casos de cada dos años. La cobertura de inmunización en menores de un año desde 1980 a 1990 llegó a duplicarse aumentando de 46 a 90 por ciento para antipolio, 36 a 70 por ciento para DPT, de 30 a 96 por ciento para antisarampión; y de 29 a 68 por ciento para BCG