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1.
Am J Primatol ; 86(6): e23622, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38561573

RESUMEN

The consumption of primates is integral to the traditional subsistence strategies of many Indigenous communities throughout Amazonia. Understanding the overall health of primates harvested for food in the region is critical to Indigenous food security and thus, these communities are highly invested in long-term primate population health. Here, we describe the establishment of a surveillance comanagement program among the Waiwai, an Indigenous community in the Konashen Amerindian Protected Area (KAPA). To assess primate health in the KAPA, hunters performed field necropsies on primates harvested for food and tissues collected from these individuals were analyzed using histopathology. From 2015 to 2019, hunters conducted 127 necropsies across seven species of primates. Of this sample, 82 primates (between 2015 and 2017) were submitted for histopathological screening. Our histopathology data revealed that KAPA primates had little evidence of underlying disease. Of the tissue abnormalities observed, the majority were either due to diet (e.g., hepatocellular pigment), degenerative changes resulting from aging (e.g., interstitial nephritis, myocyte lipofusion), or nonspecific responses to antigenic stimulation (renal and splenic lymphoid hyperplasia). In our sample, 7.32% of individuals had abnormalities that were consistent with a viral etiology, including myocarditis and hepatitis. Internal parasites were observed in 53.66% of individuals and is consistent with what would be expected from a free-ranging primate population. This study represents the importance of baseline data for long-term monitoring of primate populations hunted for food. More broadly, this research begins to close a critical gap in zoonotic disease risk related to primate harvesting in Amazonia, while also demonstrating the benefits of partnering with Indigenous hunters and leveraging hunting practices in disease surveillance and primate population health assessment.


Asunto(s)
Primates , Animales , Guyana , Humanos , Enfermedades de los Primates/virología , Masculino , Pueblos Indígenas , Femenino
2.
PLoS Negl Trop Dis ; 18(1): e0011859, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38194417

RESUMEN

Mayaro virus (MAYV) is a mosquito-borne Alphavirus that is widespread in South America. MAYV infection often presents with non-specific febrile symptoms but may progress to debilitating chronic arthritis or arthralgia. Despite the pandemic threat of MAYV, its true distribution remains unknown. The objective of this study was to clarify the geographic distribution of MAYV using an established risk mapping framework. This consisted of generating evidence consensus scores for MAYV presence, modeling the potential distribution of MAYV in select countries across Central and South America, and estimating the population residing in areas suitable for MAYV transmission. We compiled a georeferenced compendium of MAYV occurrence in humans, animals, and arthropods. Based on an established evidence consensus framework, we integrated multiple information sources to assess the total evidence supporting ongoing transmission of MAYV within each country in our study region. We then developed high resolution maps of the disease's estimated distribution using a boosted regression tree approach. Models were developed using nine climatic and environmental covariates that are related to the MAYV transmission cycle. Using the output of our boosted regression tree models, we estimated the total population living in regions suitable for MAYV transmission. The evidence consensus scores revealed high or very high evidence of MAYV transmission in several countries including Brazil (especially the states of Mato Grosso and Goiás), Venezuela, Peru, Trinidad and Tobago, and French Guiana. According to the boosted regression tree models, a substantial region of South America is suitable for MAYV transmission, including north and central Brazil, French Guiana, and Suriname. Some regions (e.g., Guyana) with only moderate evidence of known transmission were identified as highly suitable for MAYV. We estimate that approximately 58.9 million people (95% CI: 21.4-100.4) in Central and South America live in areas that may be suitable for MAYV transmission, including 46.2 million people (95% CI: 17.6-68.9) in Brazil. Our results may assist in prioritizing high-risk areas for vector control, human disease surveillance and ecological studies.


Asunto(s)
Alphavirus , Mosquitos Vectores , Animales , Humanos , Brasil , Guyana Francesa , Guyana
3.
Sci Rep ; 13(1): 16866, 2023 10 06.
Artículo en Inglés | MEDLINE | ID: mdl-37803142

RESUMEN

Preventing vector-borne diseases (VBDs) mainly relies on effective vector control tools and strategies, which in turn depend on population acceptance and adherence. Inspired by the abundant recent literature on SARS-COV-2, we investigate the relationship between risk perception and preventive behaviour for selected VBDs and the extent to which risk perception is determined by social norms. We use cross-sectional data collected from 497 individuals in four regions of Guyana in 2017. We use a conditional mixed process estimator with multilevel coefficients, estimated through a Generalized Linear Model (GLM) framework, applying a simultaneous equation structure. We find robust results on malaria: risk perception was significantly influenced by the risk perception of the reference group across different definitions of the reference group, hinting at the existence of social norms. Risk perception significantly increased the likelihood of passive behaviour by 4.48%. Less clear-cut results were found for dengue. This study applies quantitative social science methods to public health issues in the context of VBDs. Our findings point to the relevance of tailoring communications on health risks for VBDs to groups defined at the intersection of socio-economic and demographic characteristics. Such tailored strategies are expected to align risk perception among reference groups and boost preventive behaviour.


Asunto(s)
COVID-19 , Enfermedades Transmitidas por Vectores , Humanos , Guyana/epidemiología , Normas Sociales , Estudios Transversales , COVID-19/epidemiología , COVID-19/prevención & control , SARS-CoV-2 , Enfermedades Transmitidas por Vectores/prevención & control , Percepción
4.
Artículo en Inglés | MEDLINE | ID: mdl-37887669

RESUMEN

Guyana's colonial past has left a trail of economic instability, racial polarization, and physical and mental trauma. Despite the progress made since Guyana's independence in 1966, the remnants of this colonial past continue to shape present-day Guyana. As a result, violence and trauma continue to impact the mental health of the population. This is manifest in endemic problems of domestic violence and racialized social divisions which have created the conditions for rates of suicide which are amongst the highest in the world. The formal mental health provision which exists in Guyana is based primarily on an individualized and largely biomedical model of care. Despite valuable attempts to develop this provision, the difficulty of physically accessing this for some people and the stigma which surround this means that the capacity of this system to address the serious problems which exist is limited. It is also the case that in times of emotional and psychic distress, and in the context of Guyana being a very religious country, many people turn to traditional supernatural healers and remedies for support. In this paper, we discuss what is known as "Obeah", noting that while this is widely practiced, it remains something of a taboo subject in Guyana. We consider the reasons why these practices and beliefs continue to be influential. However, what neither these biomedical or supernatural perceptions of mental health are able to address is the sociogenic nature of Guyana's mental health issues, which we argue emerges out of the historic trauma of Guyana's experience of colonialism and the violence which it engendered. We argue that profound forms of mental distress which exist in Guyana call for an integrative and holistic practice model that contextualizes these problems through a sociogenic lens. Social workers, working collaboratively with other health-related professions, can occupy a critical role in integrating these different conceptions through developing a rights-based model of mental health where the causes of mental ill-health are understood as socially determined.


Asunto(s)
Salud Mental , Suicidio , Humanos , Guyana/epidemiología , Servicio Social , Practicantes de la Medicina Tradicional
5.
Ecology ; 104(11): e4165, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37671913

RESUMEN

Seed dispersal is widely considered an important mechanism for the conservation of plant diversity. In tropical regions, over 80% of woody plant species are dispersed by vertebrates, often through the consumption of fruits. Our understanding of what drives interactions between vertebrates and fruits is limited. Through a systematic literature search, we compiled a database of fruit and seed traits and vertebrate-fruit interactions for tree and vertebrate species occurring in the Guianas, with the aim of facilitating research into seed dispersal and seed predation of tree species in the Guianas. The database was compiled by extracting data from 264 published sources. It consists of 21,082 records, of which 19,039 records contain information about 19 different fruit and seed traits belonging to 1622 different tree species. The other 2043 records contain information on vertebrate-fruit interactions between 161 vertebrate species and 464 tree species. Our analyses showed a taxonomic bias, particularly in the interaction data, toward large-bodied vertebrates, with most interactions recorded for the bearded saki (Chiropotes chiropotes), followed by the lowland tapir (Tapirus terrestris). For plants we found an overrepresentation of the Sapotaceae and Moraceae families and an underrepresentation of the Rubiaceae, Myrtaceae, and Lauraceae families in the interactions. There are no copyright restrictions on the data set; please cite this publication when using these data.


Asunto(s)
Pitheciidae , Dispersión de Semillas , Animales , Conducta Alimentaria , Guyana Francesa , Frutas , Guyana , Plantas , Semillas , Suriname , Árboles , Vertebrados
6.
Perfil de carga de enfermedad por diabetes 2023OPS/NMH/NV/23-0031.
Monografía en Español | PAHO-IRIS | ID: phr-57843

RESUMEN

El propósito fundamental de esta serie de perfiles nacionales de la carga de enfermedad por diabetes y de enfermedad renal crónica debida a diabetes es apoyar a los países de la Región de las Américas en el seguimiento de las estrategias puestas en marcha para enfrentar la diabetes. Esta primera versión de los perfiles, que abarca el período comprendido entre el 2000 y el 2019, muestra la tendencia de la mortalidad, los años de vida perdidos por muerte prematura, los años vividos con discapacidad y los años de vida ajustados por discapacidad de ambas enfermedad. Se han elaborado con los últimos datos disponibles de las estimaciones mundiales de salud de la Organización Mundial de la Salud y tiene como objetivo convertirse en una herramienta útil para llevar a cabo el monitoreo de las estrategias conexas.


Asunto(s)
Diabetes Mellitus , Enfermedades Renales , Perfiles Sanitarios , Guyana
7.
J Fish Biol ; 103(5): 1015-1030, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37395669

RESUMEN

An iterative analysis of Imparfinis, combining phylogenetic analysis based on cytochrome oxidase gene and multivariate morphometrics, revealed a new cryptic species from the Andean tributaries of the Orinoco River basin, which is described here. The new species is sister to a clade constituted by Imparfinis hasemani and Imparfinis pijpersi, both from the river basins of the Guiana Shield, being also the most geographically proximate species. Nonetheless, the new species is most similar in general appearance to Imparfinis guttatus from the Madeira and Paraguay River drainages, being almost undistinguishable by conventional characters of external morphology, differing only by morphometric attributes overall. The new species can be distinguished from the remaining congeners by a unique combination of characters, including lower lobe of caudal fin darker than upper lobe, maxillary barbel reaching or surpassing pelvic-fin insertion, 12-15 gill rakers on first gill arch, 40-42 total vertebrae and 9-10 ribs. The new species constitutes the only representative from the Orinoco River basin belonging to Imparfinis sensu stricto.


Asunto(s)
Bagres , Animales , Filogenia , Bagres/genética , Ríos , Branquias , Guyana
8.
Int J Psychol ; 58(6): 554-562, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37470342

RESUMEN

This study examined the mediating role of parental cognitive engagement and parental guidance on the associations between family socioeconomic and home environment resource risk factors and children's literacy and social skills in Guyana. The sample consisted of 1208 families from diverse ethnic and socioeconomic backgrounds drawn from the 2019 to 2020 country-level UNICEF MICS data. Caregivers provided assessments of socioeconomic conditions, educational resources in the home environment, cognitive engagement, parental guidance and children's literacy and social skills. Family socioeconomic risk had an indirect association with social skills through cognitive engagement. Home environment educational resource risk had indirect associations with children's literacy and social skills through parental guidance. Findings are discussed in terms of identifying protective factors within families in low- and middle-income Caribbean countries that can better inform intervention efforts geared at reducing risks to childhood development.


Asunto(s)
Alfabetización , Habilidades Sociales , Humanos , Niño , Guyana , Padres/psicología , Factores de Riesgo , Cognición
9.
Zootaxa ; 5297(4): 533-561, 2023 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-37518780

RESUMEN

The actual diversity of anurans occurring in Amazonia remains only partly described. This is notably the case of the species of the genus Allobates despite a fast rate of species description in this genus during the last decade. This increasing taxonomic effort has been particularly facilitated by the availability of DNA sequences throughout the region. These data suggest for instance the existence of three lineages in the Guiana Shield that may correspond to unnamed species. We examined morphology and calls of these putative species and compared them to related nominal species, which confirmed that two of these lineages not only differ genetically but also morphologically and bioacoustically. These two species are thus named and described herein. Allobates vicinus sp. nov. from northern Suriname forms a clade with another candidate species from southern Suriname and Northern Pará, (Brazil) and with A. granti that occurs in French Guiana. Allobates ripicolus sp. nov. occurs throughout the eastern Guiana Shield and is nested within the A. tapajos complex which otherwise occurs in southeastern Amazonia and comprises A. tapajos and A. kamilae, along with three additional candidate species.


Asunto(s)
Anuros , Animales , Guyana
10.
Glob Heart ; 18(1): 22, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37125388

RESUMEN

Guyana is one of the poorest countries in South America, with the highest rate of cardiovascular mortality on the continent. As is the case in many low- and middle-income countries, cardiovascular care is available through the private sector but is not accessible to much of the urban and rural poor. We present the 10-year experience of the Guyana Program to Advance Cardiac Care (GPACC), an academic partnership aiming to provide high-quality, equitable cardiovascular care in Georgetown's only public hospital. We discuss the implementation of a cardiac care program using the World Health Organization Framework for Action, outlining vital components for care delivery in resource-limited settings. GPACC was able to demonstrate that targeted investment, education of clinicians, and cohesive healthcare delivery strategies can contribute to sustainable service delivery for Guyana's largest burden of disease. This structured approach may provide lessons for implementation of similar programs in other resource-limited settings. Highlights: In many LMICs, specialized cardiovascular care is available in the private, but not public, sector.The WHO Framework for Action can guide development of sustainable programs in low-resource settings.GPACC can serve as a successful and innovative model for delivery of sustainable cardiovascular care.


Asunto(s)
Atención a la Salud , Países en Desarrollo , Humanos , Guyana , América del Sur , Calidad de la Atención de Salud
11.
Washington, D.C.; Organisation panaméricaine de la Santé; 2023-05-19. (OPS/FPL/IM/22-0042).
en Francés | PAHO-IRIS | ID: phr-57531

RESUMEN

La fièvre jaune est endémique dans plusieurs pays d'Amérique latine. Afin d'aider les décideurs à hiérarchiser les actions de prévention contre cette maladie, l'Organisation panaméricaine de la santé présente ces profils de pays avec une sélection concise et complète de données provenant des pays endémiques. Chaque profil fournit une analyse de la situation actuelle du pays, des facteurs écologiques et climatiques associés à la maladie, de la distribution et de l'incidence des vecteurs, ainsi que des principales activités des arbovirus. Il comprend également une perspective historique de l'épidémiologie et un résumé de la situation de la vaccination contre la maladie dans le pays.


Asunto(s)
Fiebre Amarilla , Vacunas , Inmunización , Cobertura de Vacunación , Vacunación , Guyana
12.
Washington, D.C.; OPAS; 2023-05-15. (OPAS/FPL/IM/22-0042).
en Portugués | PAHO-IRIS | ID: phr-57473

RESUMEN

A febre amarela é uma doença endêmica em vários países da América Latina. Para ajudar os tomadores de decisão a priorizar ações preventivas contra esta doença, a Organização Pan-Americana de Saúde apresenta estes perfis de países com uma seleção concisa e abrangente de dados de países endêmicos. Cada perfil fornece uma análise da situação atual do país, fatores ecológicos e climáticos associados à doença, distribuição e incidência vetorial e atividade arboviral chave. Também inclui uma perspectiva histórica da epidemiologia e um resumo da situação da vacinação contra a doença no país.


Asunto(s)
Fiebre Amarilla , Vacunas , Inmunización , Cobertura de Vacunación , Vacunación , Guyana
13.
Washington, D.C.; OPS; 2023-05-15. (OPS/FPL/IM/22-0042).
en Español | PAHO-IRIS | ID: phr-57462

RESUMEN

La fiebre amarilla es una enfermedad endémica en varios países de América Latina. Con vistas a brindar apoyo a los responsables de la toma de decisiones para priorizar las acciones preventivas frente a esta afección, la Organización Panamericana de la Salud presenta estos perfiles nacionales con una selección de datos concisa y exhaustiva de los países con endemicidad. En cada perfil se brinda un análisis de la situación actual del país, los factores ecológicos y climáticos asociados a la enfermedad, la distribución e incidencia de los vectores, y las claves de la actividad arboviral. Asimismo, se incluye una perspectiva histórica de la epidemiología y un resumen del estado de la vacunación contra la enfermedad en el país. Con el fin de ayudar a los responsables de la toma de decisiones a priorizar las acciones preventivas contra esta enfermedad, la Organización Panamericana de la Salud presenta estos perfiles de país con una selección concisa y completa de datos de los países endémicos. Cada perfil ofrece un análisis de la situación actual del país, los factores ecológicos y climáticos asociados a la enfermedad, la distribución e incidencia del vector y la actividad arboviral clave. También incluye una perspectiva histórica de la epidemiología y un resumen de la situación de la vacunación contra la enfermedad en el país.


Asunto(s)
Fiebre Amarilla , Vacunación , Inmunización , Cobertura de Vacunación , Guyana
14.
Zootaxa ; 5230(5): 587-594, 2023 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-37044824

RESUMEN

The species of the water scavenger beetle genus Oocyclus Sharp are reviewed for the Guiana Shield region of South America. Seven species are recorded, including one here described as new: Oocyclus paraiso sp. n. from the Brazilian state of Pará. New records of previously described species are also reported for Brazil, French Guiana, Guyana, and Suriname. The aedeagus of O. coromoto Short & García is illustrated for the first time. As with all other known members of the genus, all Guiana Shield species are hygropetric habitat specialists. A key to the Oocyclus of the Guiana Shield is provided.


Asunto(s)
Escarabajos , Animales , Guyana , Agua
15.
Artículo en Inglés | MEDLINE | ID: mdl-37011944

RESUMEN

A virtual point-of-care ultrasound (POCUS) education program was initiated to introduce handheld ultrasound technology to Georgetown Public Hospital Corporation in Guyana, a low-resource setting. We studied ultrasound competency and participant satisfaction in a cohort of 20 physicians-in-training through the urology clinic. The program consisted of a training phase, where they learned how to use the Butterfly iQ ultrasound, and a mentored implementation phase, where they applied their skills in the clinic. The assessment was through written exams and an objective structured clinical exam (OSCE). Fourteen students completed the program. The written exam scores were 3.36/5 in the training phase and 3.57/5 in the mentored implementation phase, and all students earned 100% on the OSCE. Students expressed satisfaction with the program. Our POCUS education program demonstrates the potential to teach clinical skills in low-resource settings and the value of virtual global health partnerships in advancing POCUS and minimally invasive diagnostics.


Asunto(s)
Educación a Distancia , Evaluación Educacional , Humanos , Estudios de Cohortes , Guyana , Ultrasonografía
16.
Am J Orthopsychiatry ; 93(3): 236-244, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36931837

RESUMEN

Using models of risk and resilience as a guide, this study examined the mediating role of constructive conflict behaviors on the associations between maternal depressive symptoms, intimate partner violence (IPV), and child behavior problems. The nature of the mediation pathways was also examined for two groups of families, one experiencing high and another experiencing low levels of partner social support. Participants included 196 mothers and their preschool-aged children from diverse ethnic and socioeconomic backgrounds in Guyana. Constructive conflict behaviors partially mediated the link between maternal depressive symptoms and children's externalizing behaviors. Maternal depressive symptoms and physical intimate partner violence were directly related to children's internalizing behaviors. Constructive conflict behaviors were not a mediator of the association between risk factors and children's behavioral outcomes for families experiencing high or low levels of partner social support. In the context of families experiencing high partner social support, constructive conflict behaviors appeared to be more effective in reducing children's externalizing problem behaviors. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
Violencia de Pareja , Problema de Conducta , Preescolar , Femenino , Humanos , Niño , Guyana , Depresión , Madres
17.
PLoS Negl Trop Dis ; 17(2): e0011083, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36854042

RESUMEN

Snakebite envenomation is a relevant medical hazard in French Guiana and Martinique, two French territories in the Americas. All snakebite envenomations in Martinique are inflicted by the endemic viperid species Bothrops lanceolatus, whereas Bothrops atrox is responsible for the majority of snakebites in French Guiana, although other venomous snake species also occur in this South American territory. This review summarizes some of the key aspects of the natural history of these species, as well as of their venom composition, the main clinical manifestations of envenomations, and their treatment by antivenoms. B. atrox venom induces the typical set of clinical manifestations characteristic of Bothrops sp. venoms, i.e., local tissue damage and systemic alterations associated with coagulopathies, hemorrhage, hemodynamic alterations, and acute kidney injury. In the case of B. lanceolatus venom, in addition to some typical features of bothropic envenomation, a unique and severe thrombotic effect occurs in some patients. The pathogenesis of this effect remains unknown but may be related to the action of venom components and inflammatory mediators on endothelial cells in the vasculature. A monospecific antivenom has been successfully used in Martinique to treat envenomations by B. lanceolatus. In the case of French Guiana, a polyvalent antivenom has been used for some years, but it is necessary to assess the preclinical and clinical efficacy against viperid venoms in this country of other antivenoms manufactured in the Americas.


Asunto(s)
Bothrops , Venenos de Crotálidos , Mordeduras de Serpientes , Animales , Mordeduras de Serpientes/tratamiento farmacológico , Mordeduras de Serpientes/epidemiología , Antivenenos/uso terapéutico , Guyana , Martinica , Células Endoteliales , Inmunoterapia
18.
J Natl Med Assoc ; 115(1): 46-52, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36543621

RESUMEN

INTRODUCTION: Health screening is considered a vital intervention in public health practices. Despite the strong emphasis on the need for preventative health screenings, little attention is focused on many immigrant populations. Indo-Guyanese immigrants are one of the ethnically minoritized populations facing these challenges. This study aims to identify factors associated with the likelihood that Indo-Guyanese men will undergo screening for prostate cancer. METHODS: This study is guided by a mixed-method approach incorporating both quantitative and qualitative analyses. A total of 20 participants were recruited via a snowball technique. Correlation between variables was conducted using IBM SPSS Statistics Version 27, while the qualitative data underwent a rigorous process of analysis and interpretation. RESULTS: Education, income, understanding of risk factors, and considering self at risk were positively correlated with screening. Knowledge of prostate cancer and knowledge of the screening process was negatively correlated with screening. CONCLUSION: Immigrant health has a significant impact on the U.S. public health system. Timely identification of potential barriers and providing culturally competent solutions and services will ensure a safe and healthy nation.


Asunto(s)
Detección Precoz del Cáncer , Neoplasias de la Próstata , Masculino , Humanos , Neoplasias de la Próstata/diagnóstico , Guyana , Antígeno Prostático Específico , Factores de Riesgo
19.
Mycologia ; 115(1): 69-86, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36399708

RESUMEN

The Neotropics have recently emerged as an important region for studies of tropical ectomycorrhizal (ECM) fungi. Specific neotropical areas with high ECM host tree densities have ECM fungal diversities rivaling those of higher-latitude forests. Some forests of the Guiana Shield are dominated by endemic ECM trees of the Fabaceae, including species of Dicymbe (subfam. Detarioideae), Aldina (subfam. Papilionoideae), and Pakaraimaea (Cistaceae). One of the most species-rich ECM fungal families present in each of these systems is Russulaceae. Long-term sampling in forests in Guyana's Pakaraima Mountains has revealed a number of species of the Russulaceae genera Lactarius, Lactifluus, and Russula. In this study, we document a previously unknown, distinct lineage of Lactarius subg. Plinthogalus containing eight species from the Guiana Shield. Here, we describe five of these species from Guyana as new to science: Lactarius humiphilus, Lactarius mycenoides, Lactarius guyanensis, Lactarius dicymbophilus, and Lactarius aurantiolamellatus. Morphological descriptions, habit, habitat, and known distribution are provided for each new species. Sequence data for the barcode internal transcribed spacer (ITS) locus are provided for types and most other collections of the new taxa, and a molecular phylogenetic analysis based on the ITS, 28S, and RPB2 (second-largest subunit of the RNA polymerase II) loci across the genus Lactarius corroborates their morphology-based infrageneric placement. The discovery of this lineage changes our insights into the biogeography and evolutionary history of Lactarius subg. Plinthogalus.


Asunto(s)
Agaricales , Basidiomycota , Fabaceae , Micorrizas , Humanos , Guyana , Filogenia , ADN de Hongos/genética , Agaricales/genética , Micorrizas/genética , Fabaceae/microbiología
20.
Georgetown; PAHO; 2023.
en Inglés | PAHO-IRIS | ID: phr-59290

RESUMEN

The Country Cooperation Strategy (CCS) for Guyana covering the period 2023 to 2027 provides the medium-term vision that will guide the implementation of Pan American Health Organization’s technical cooperation at the national level. The development of the CCS was based on a consultative and participatory process with strong commitment and support from the Ministry of Health. The strategic agenda of the CCS outlines five Strategic Priorities and associated Focus Areas where PAHO/WHO will focus its technical cooperation over the period 2023 to 2027. Each Focus Area is linked to the Strategic Priorities of the Guyana Health Vision 2030, the outcomes of the PAHO Strategic Plan 2020-2025, the Sustainable Development Goals (SDGs) and the outcomes of the United Nations Multi-Country Sustainable Development Cooperation Framework 2022-2026.


Asunto(s)
Cooperación Técnica , Programas de Gobierno , Programas Nacionales de Salud , Desarrollo Sostenible , Estrategias para Cobertura Universal de Salud , Desarrollo Sostenible , Estrategias de Salud Nacionales , Sistemas de Salud , Prioridades en Salud , Guyana
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