Political events upon the Romania rural population using VAR model / A influência de eventos políticos sobre a população rural usando o modelo VAR: Eventos da Romênia

Maintaining a rural-urban balance is absolutely necessary in the context of the challenges related to food security and environmental protection as well as the perspectives of urban agglomeration. This paper highlighted the impact of the main events from the last 30 years on the rural population. This study used the vector autoregressive model (VAR) to investigate the estimates and analyse the dynamic impact of innovations on the system of variables. Key issues that influenced certain periods in the analyzed interval were highlighted, which clearly show the impact on the analyzed variables using variance decomposition. The cost of living in rural areas is increasing, so more and more inhabitants give up growing certain crops or raising certain animals, thus having to search for food to survive, leading to additional wage income to cover these costs.

A manutenção do equilíbrio rural-urbano é absolutamente necessária no contexto dos desafios relacionados com a segurança alimentar e proteção ambiental, bem como as perspetivas de aglomeração urbana. O objetivo do trabalho é destacar o impacto dos principais acontecimentos dos últimos 30 anos sobre a população rural. Este estudo utilizou o modelo autoregressivo vetorial (VAR) para investigar as estimativas e analisar o impacto dinâmico das inovações no sistema de variáveis. Foram destacadas as principais questões que influenciaram determinados períodos no intervalo analisado, o que mostra claramente o impacto nas variáveis ​​analisadas usando a decomposição de variância. O custo de vida nas zonas rurais está a aumentar, tanto mais que cada vez mais habitantes desistem de cultivar determinadas culturas ou de criar determinados animais, tendo assim de obter os alimentos necessários à sua sobrevivência, o que obriga a um rendimento salarial adicional para cobrir estas despesas custos.

Colouring the Balassa index: a hermeneutic approach towards Romanian meat import / Colorindo o índice Balassa: uma abordagem hermenêutica para as importações de carne da Romênia

Romania has good agricultural resources and declining meat consumption, yet the country's meat imports are on the rise. This study uses Balassa's idea to link national trade patterns to worldwide ones and extends it, for the period between 2004 and 2019, to the ratio between prices and to the ratio between variables describing intra-industry trade. For price ratios, this study showed that Romania imported primarily inferior qualities of meat, particularly at the beginning of the study period. Regarding intra-industry trade, the Romanian trend moves in the opposite direction to the worldwide trend. Although, the trade of meat parts compared with whole/ half carcasses is on the rise internationally, it is declining in Romania, probably due to increasing competitiveness of the industry.

A Romênia tem bons recursos agrícolas e declínio no consumo de carne, mas as importações de carne do país estão aumentando. Este estudo usa a ideia de Balassa para vincular os padrões de comércio nacional aos mundiais e estende-a, para o período entre 2004 e 2019, à razão entre os preços e à razão entre as variáveis que descrevem o comércio intra-indústria. Para as relações de preços, este estudo mostra que a Romênia importou principalmente qualidades inferiores de carne, especialmente no início do período de estudo. No que diz respeito ao comércio intra-indústria, a tendência romena move-se na direção oposta à tendência mundial. Embora o comércio de partes de carne em comparação com carcaças inteiras / meias carcaças esteja crescendo internacionalmente, apresenta uma diminunuição na Romênia, provavelmente devido ao aumento da competitividade da indústria.

Perceptions of the local government and the residents regarding rural tourism development effects. Survey in the Suceava County - Romani / Percepções do governo local e dos residentes sobre os efeitos do desenvolvimento do turismo rural: Levantamento no Condado de Suceava na Romênia

Rural tourism has received more and more attention because it can contribute to increase the living standard in some rural areas, stimulate local economy and reduce the urban-rural gaps. At the same time, the preference for this type of tourism is growing, but for the efficient use of the existing potential, the involvement of local authorities and residents is needed. This paper revealed the perceptions of human resources in local government institutions and of residents in Suceava County - Romania to identify the effects of tourism development on the administrative process, living standards and natural environment. The undertaken questionnaire-based research showed that the degree of tourism development positively influenced the level of improvement of the public affairs management process in the respective administrative-territorial unit, as well as the standard of living of the local community. Regarding the influence of tourism development on the environment, the recorded results showed that the intensification of the tourism phenomenon does not strongly threaten the local environment, but it is necessary to raise awareness of the environmental impact.

O turismo rural tem recebido cada vez mais atenção porque pode contribuir para o aumento do padrão de vida em algumas áreas rurais, para o estímulo da economia local e para a redução das brechas urbano-rurais. Ao mesmo tempo, a preferência por este tipo de turismo é crescente, mas para o aproveitamento eficiente do potencial existente é necessário o envolvimento das autoridades locais e dos residentes. Este artigo tem como objetivo revelar as percepções dos recursos humanos em instituições governamentais locais e dos residentes no Condado de Suceava na Roménia para identificar os efeitos do desenvolvimento do turismo no processo administrativo, nos padrões de vida e no ambiente natural. A pesquisa baseada em questionários evidenciou que o grau de desenvolvimento do turismo influencia positivamente o nível de melhoria do processo de gestão da coisa pública na respectiva unidade administrativo-territorial, bem como os padrões de vida da comunidade local em questão. Em relação à influência do desenvolvimento do turismo no meio ambiente, os resultados registrados mostraram que a intensificação do fenômeno turístico não ameaça fortemente o meio ambiente local, mas é preciso conscientizar sobre o impacto ambiental.

Stress levels of mangalita, large white, and pietrain pigs reared in different housing systems in south eastern Europe / Níveis de estresse de mangalita, grandes porcos brancos e pietrain criados em diferentes sistemas de alojamento no sudeste europeu

Cortisol is a steroid hormone that regulates a wide range of vital processes throughout the body, including metabolism and the immune response. It also has a very important role in helping the body respond to stress. Numerous studies have been conducted around the world to compare the development rates of pigs raised indoors to those raised outdoors, but the results have been ambiguous and, in many cases, conflicting. The objective of this study was to determine the effects of various housing systems (indoors with no free access to outdoor runs or indoors with free access to outdoor runs) on stress levels and slaughter value in growing-finishing pigs.

O cortisol é um hormônio esteroide que regula uma ampla gama de processos vitais em todo o corpo, incluindo o metabolismo e a resposta imune. Ele também tem um papel muito importante em ajudar o corpo a responder ao estresse. Numerosos estudos foram realizados em todo o mundo para comparar as taxas de desenvolvimento de porcos criados em ambientes fechados com aqueles criados ao ar livre, mas os resultados foram ambíguos e, em muitos casos, conflitantes. O objetivo deste estudo foi determinar os efeitos de vários sistemas de alojamento (dentro de casa sem acesso livre a corridas ao ar livre ou dentro de casa com acesso livre a corridas ao ar livre) nos níveis de estresse e no valor de abate em suínos em crescimento e terminação.

Stress induced by pre-slaughter farm conditions in pigs / [Estresse induzido pelas condições da fazenda pré-abate em suínos]

Cortisol is a steroid hormone, one of the glucocorticoids, made in the cortex of the adrenal glands and then released into the blood, which transports it in the entire body. Almost every cell contains receptors for cortisol and so cortisol can have lots of different actions depending on which sort of cells it is acting upon. These effects include controlling the body's blood sugar levels and thus regulating metabolism, acting as an anti-inflammatory product, controlling salt and water balance and influencing blood pressure. The study was conducted over a period of 3 months, between March-August 2020, in 2 swine farms in Iasi county, Romania, on a total of 46 pigs, 3 to 4 months old, both males and females, in order to investigate stress levels in finishing facilities. The study revealed higher levels of cortisol while eosinophil counts severely decreased, changes which are associated with a strong reaction to stress for individuals that were housed in finishing facilities.(AU)

O cortisol é um hormônio esteroide, um dos glicocorticoides, produzido no córtex das glândulas suprarrenais e, em seguida, liberado no sangue, que o transporta por todo o corpo. Quase todas as células contêm receptores para o cortisol e, portanto, ele pode ter muitas ações diferentes, dependendo do tipo de célula sobre a qual atua. Esses efeitos incluem controlar os níveis de açúcar no sangue do corpo e, assim, regular o metabolismo, atuando como um produto anti-inflamatório, controlando o equilíbrio de sal e água e influenciando a pressão arterial. O presente estudo foi realizado durante um período de três meses, entre março-agosto de 2020, em duas granjas de suínos no condado de Iasi, Romênia, em um número total de 46 porcos, de três a quatro meses de idade, machos e fêmeas, a fim de investigar níveis de estresse nas instalações de acabamento. O estudo revelou níveis mais elevados de cortisol, enquanto a contagem de eosinófilos diminuiu severamente, mudanças que são consideradas associadas a uma forte reação ao estresse para indivíduos que foram alojados em instalações de acabamento.(AU)

Psychometric properties of the Mexican version of the Driver's Angry Thoughts Questionnaire and analysis of invariance with the Romanian and Spanish versions.

Research has shown the relevance of three axes in the study of violent behaviour: the emotional axis (anger), the behavioural axis (aggression), and the cognitive axis (hostility or aggressive thinking). In the field of driving, the first two axes have received a lot of attention, whereas the third one has been less studied. The current research aimed to analyse the psychometric properties of the Driver's Angry Thoughts Questionnaire (DATQ) in a Mexican sample. Besides, the structural invariance of this instruments was analysed with respect to both the Spanish and the Romanian versions. A sample of 294 participants taken from the general Mexican drivers population completed a set of measures including the DATQ and the Driving Survey, as a measure of risky driving, aggressive driving, and crash-related events. The results showed that the Mexican version of the DATQ replied the original five-factor structure, maintaining the 65 items likewise in both the Spanish and Romanian versions. Analyses of the invariance suggested the equivalence among the three versions, especially in the case of Mexican-Spanish. Moreover, the five factors were positive and mostly significantly related to each other, and with both risky driving and aggressive driving. Some significant relationships were attained also with crash-related events, especially in the case of those which happened in the last three months (short-termed). Finally, males showed higher scores than females in the five ways of aggressive thinking. Limitations of the study, practical implications and future research are discussed.

Interpopulational differences in the frequency and distribution of delta types.

The classification of the main pattern types, arch, loop and whorls, is based on the number and location of deltas or triradii, which are areas defined by the confluence of three ridge systems carrying different directions on the fingerprint. Despite being areas that give place to an important morphological variability, their study has only been approached from the quantitative point of view, in relation to the number with which they appear per finger, hand, or individual (intensity pattern), and their sexual and population differences; while the qualitative aspects have not been evaluated so far. The following paper aims to study and analyze the qualitative variability, both intra and interpopulation, of the frequency of occurrence of the different types of deltas or triradii, in four fingerprint samples from males of different population origin: 100 individuals from China, 100 individuals from Colombia, 100 individuals from Nigeria and 100 individuals from Romania, which has meant the analysis of 4000 fingerprints. For this purpose, the classification of 24 types used by the Scientific Police and Criminalist Departments of the Guardia Civil of Spain has been employed. The results obtained showed the non-equiprobability of the frequency distribution of the different delta types in the four populations. In all cases, sunk open total deltas (Hat), sunk open total with point (Hat(p)) and tripod long (Tl) were the most frequent types, while the sunk closed total with point (Hct(p)) had the lowest frequency. Furthermore, for the first time, interpopulation differences in the frequency distribution of different types of deltas have become noticeable. The data provided in this paper are a pioneer in the field of dactyloscopy and can be used as a reference by the departments of criminalistics of the different countries for the estimation of the scientific value of the evidence in dactyloscopy.

High-risk human papillomavirus in patients with oral leukoplakia and oral squamous cell carcinoma-A multi-centre study in Sweden, Brazil and Romania.

OBJECTIVES: Although causal associations between oral leukoplakia (OL), oral squamous cell carcinoma (OSCC) and high-risk human papillomavirus (HR-HPV) have been speculated upon in several reports, conclusive evidence has not been presented. This study investigates whether the number of cases of HR-HPV in OL has increased over time and whether the prevalence of HR-HPV-positive OL differs in various parts of the world. PATIENTS AND METHODS: A total of 432 patients with OL from Sweden, Brazil and Romania were analysed. Patients were divided into historical (1992-2002) and contemporary (2011-2017) cohorts from the respective countries. Seventeen patients with OL developed oral squamous cell carcinoma (OSCC). A real-time PCR assay, targeting HPV sub-types 6,11,16,18,31,33,35,39,45,52,56,58 and 59, was performed to detect HR-HPV in patients with OL. RESULTS: In the Swedish and Romanian cohorts, none of the investigated HPV sub-types were detected. In the Brazilian cohorts, five patients with OL (3%) were positive for HR-HPV, including four patients from the contemporary cohort (HPV 16, 31, 33) and one from the historical cohort (HPV 11). All the cases of OL that transformed into OSCC were HR-HPV-negative, as were the corresponding tumours. CONCLUSIONS: In summary, the prevalence of HR-HPV in OL is low in all the tested countries, and the incidence has not changed over time. HR-HPV in OL does not seem to be a driver of oncogenesis.

Screening diabetes mellitus patients for pulmonary tuberculosis: a multisite study in Indonesia, Peru, Romania and South Africa.

BACKGROUND: Diabetes mellitus (DM) patients are three times more likely to develop tuberculosis (TB) than the general population. Active TB screening in people with DM is part of a bidirectional approach. The aim of this study was to conduct pragmatic active TB screening among DM patients in four countries to inform policy. METHODS: DM patients were recruited in Indonesia (n=809), Peru (n=600), Romania (n=603) and South Africa (n=51). TB cases were diagnosed using an algorithm including clinical symptoms and chest X-ray. Presumptive TB patients were examined with sputum smear and culture. RESULTS: A total of 171 (8.3%) individuals reported ever having had TB (South Africa, 26%; Indonesia, 12%; Peru, 7%; Romania, 4%), 15 of whom were already on TB treatment. Overall, 14 (0.73% [95% confidence interval 0.40 to 1.23]) TB cases were identified from screening. Poor glucose control, smoking, lower body mass index, education and socio-economic status were associated with newly diagnosed/current TB. Thirteen of the 14 TB cases diagnosed from this screening would have been found using a symptom-based approach. CONCLUSIONS: These data support the World Health Organization recommendation for routine symptom-based screening for TB in known DM patients in high TB-burden countries. DM patients with any symptoms consistent with TB should be investigated and diagnostic tools should be easily accessible.

Taming the pandemic? The importance of homemade plant-based foods and beverages as community responses to COVID-19.

Household responses to COVID-19 in different corners of the world represent the primary health care that communities have relied on for preventing and mitigating symptoms. During a very complex and confusing time, in which public health services in multiple countries have been completely overwhelmed, and in some cases even collapsed, these first-line household responses have been quintessential for building physical, mental, and social resilience, and for improving individual and community health. This editorial discusses the outcomes of a rapid-response preliminary survey during the first phase of the pandemic among social and community contacts in five metropolises heavily affected by the COVID-19 health crisis (Wuhan, Milan, Madrid, New York, and Rio de Janeiro), and in twelve rural areas or countries initially less affected by the pandemic (Appalachia, Jamaica, Bolivia, Romania, Belarus, Lithuania, Poland, Georgia, Turkey, Pakistan, Cambodia, and South Africa). We summarized our perspectives as 17 case studies, observing that people have relied primarily on teas and spices ("food-medicines") and that there exist clear international plant favorites, popularized by various new media. Urban diasporas and rural households seem to have repurposed homemade plant-based remedies that they use in normal times for treating the flu and other respiratory symptoms or that they simply consider healthy foods. The most remarkable shift in many areas has been the increased consumption of ginger and garlic, followed by onion, turmeric, and lemon. Our preliminary inventory of food medicines serves as a baseline for future systematic ethnobotanical studies and aims to inspire in-depth research on how use patterns of plant-based foods and beverages, both "traditional" and "new", are changing during and after the COVID-19 pandemic. Our reflections in this editorial call attention to the importance of ethnobiology, ethnomedicine, and ethnogastronomy research into domestic health care strategies for improving community health.

Evidence for Better Lives Study: a comparative birth-cohort study on child exposure to violence and other adversities in eight low- and middle-income countries - foundational research (study protocol).

INTRODUCTION: Violence against children is a health, human rights and social problem affecting approximately half of the world's children. Its effects begin at prenatal stages with long-lasting impacts on later health and well-being. The Evidence for Better Lives Study (EBLS) aims to produce high-quality longitudinal data from cities in eight low- and middle-income countries-Ghana, Jamaica, Pakistan, the Philippines, Romania, South Africa, Sri Lanka and Vietnam-to support effective intervention to reduce violence against children. EBLS-Foundational Research (EBLS-FR) tests critical aspects of the planned EBLS, including participant recruitment and retention, data collection and analysis. Alongside epidemiological estimates of levels and predictors of exposure to violence and adversity during pregnancy, we plan to explore mechanisms that may link exposure to violence to mothers' biological stress markers and subjective well-being. METHODS AND ANALYSES: EBLS-FR is a short longitudinal study with a sample of 1200 pregnant women. Data are collected during the last trimester of pregnancy and 2 to 6 months after birth. The questionnaire for participating women has been translated into nine languages. Measures obtained from mothers will include, among others, mental and physical health, attitudes to corporal punishment, adverse childhood experiences, prenatal intimate partner violence, substance use and social/community support. Hair and dry blood spot samples are collected from the pregnant women to measure stress markers. To explore research participation among fathers, EBLS-FR is recruiting 300 fathers in the Philippines and Sri Lanka. ETHICS AND DISSEMINATION: The study received ethical approvals at all recruiting sites and universities in the project. Results will be disseminated through journal publications, conferences and seminar presentations involving local communities, health services and other stakeholders. Findings from this work will help to adjust the subsequent stages of the EBLS project.

Dermatobia hominis in a dog imported from Brazil to Romania.

BACKGROUND: Dermatobia hominis (Diptera: Oestridae: Cuterebrinae) is a parasite with an important zoonotic and economical impact in the cattle industry, distributed in Central and South America, inhabiting wooded areas along rivers and lowlands. It infests mammals including humans. Lately, there has been a growing trend for people to travel on holidays with their pet dog and also international trade of dogs has increased significantly in the last two decades. Hence, the risk of importation of exotic parasites, including agents of myiasis has increased. Dermatobia hominis has been commonly reported as an imported parasite to various countries, mostly as human cases and currently there are only two published cases of D. hominis imported with dogs to Europe. Herein, we report a case of D. hominis infestation in Romania in a dog recently imported from Brazil. METHODS: Larvae were manually extracted from nodules of a 4-month old non-neutered male, Fila Brasileiro in Arad, Romania. The larvae were morphologically identified, and one specimen was characterized molecularly by amplification and sequencing of a fragment of the mitochondrial cytochrome c oxidase subunit 1 gene (cox1). RESULTS: All larvae were morphologically identified as L3 of Dermatobia hominis. The BLAST analysis revealed a 98.81% nucleotide similarity to two D. hominis isolates from Brazil. The sequence was deposited in the GenBank database under the accession number MT364820. CONCLUSIONS: The travel history of dogs is an important part of the veterinary anamnesis questions and should be thoroughly conducted in the daily practice. Also, prior to and after the importation of dogs from tropical regions, a thorough check of the body surface to detect the presence of nodules is recommended.

Hepatitis C Reinfection in People Who Inject Drugs in Resource-Limited Countries: A Systematic Review and Analysis.

Hepatitis C (HCV) is a global pandemic. The World Health Organization has developed a strategic plan for HCV elimination that focuses on low- and middle-income countries (LMICs) and high-risk populations, including people who inject drugs (PWID). While direct-acting antiviral (DAA) therapies are highly effective at eliminating HCV infections and have few side effects, medical professionals and policymakers remain concerned about the risk of reinfection among PWID. This study is a systematic review of research measuring the rate of HCV reinfection among PWID in LMICs and identifies additional areas for further research. A systematic search strategy was used to identify studies documenting HCV reinfection after sustained virologic response in PWID in LMICs. We refined results to include studies where at least 50% of participants had DAA treatment for primary HCV infection. Pooled reinfection rate was calculated across all studies. Seven studies met eligibility criteria. Most studies were conducted in six upper middle-income countries (Mexico, Romania, Russia, Taiwan, Georgi, and Brazil) and one lower middle-income country (Bangladesh) with a total of 7665 participants. No study included information from PWID in low-income countries. Sample sizes ranged from 200 to 3004 individuals, with demographic data missing for most participants. Four studies used deep gene sequencing, and reflex genotyping procedures to differentiate reinfection (infection by a different HCV genotype/subtype) from virologic relapse (infection by the same strain). The follow-up time of people cured from primary chronic HCV infection ranged from 12 weeks to 6.6 years. The pooled reinfection rate of all seven studies was 2.8 (range: 0.02 to 10.5) cases per 100 person-years (PY). In the five studies that differentiated relapse from reinfection, the incidence of reinfection was 1.0 per 100 PY. To date, research on reinfection rates among PWID in LMICs remains limited. Research focused on PWID in low-income countries is particularly needed to inform clinical decision making and evidence-based programs. While rates of reinfection among PWID who complete DAA treatment in upper and lower middle-income countries were similar or lower than rates observed in PWID in high-income countries, the rates were highly variable and factors may influence the accuracy of these measurements. This systematic review identifies several areas for continued research. Policies concerning access to HCV testing and treatment should be comprehensive and not place restrictions on PWID in these settings.

Pestivirus spillover effect: molecular detection of bovine viral diarrhea virus in domestic and feral pigs / Efeito spillover de pestivírus: detecção molecular do vírus da diarreia viral bovina em suínos domésticos e javalis

Pestivirus infections are important in the livestock industries, with infection occurring in cattle, sheep and pigs. The Pestivirus genus of the family Flaviviridae, includes four recognized species: bovine viral diarrhea virus 1 (BVDV-1), bovine viral diarrhea virus 2 (BVDV-2), border disease virus (BDV), and classical swine fever virus (CSFV). All pestivirus species can infect pigs, therefore accurate and specific pestivirus detection and differentiation is of great importance to assure control measures in swine populations. The aim of the study was the molecular detection of different pestiviruses in domestic and feral pigs. A total of 527 samples (92 pigs and 435 wild boars) were tested for pestiviruses detection using molecular assays. Eleven positive samples (6 wild boars and 5 domestic pigs) were identified using panpestivirus primers targeting the 5'- UTR region of the pestivirus RNA genome. Further all the positive samples were sequentially tested for detection of CSFV, BVDV-1 and BVDV-2 using specific primers. All RNAs were identified as positives for BVDV-1 and no amplification signals were obtained from BVDV-2 and CSFV. The current detection of BVDV-1 in clinical swine specimens highlights the important risk factor of swine population as reservoir and consequently carrier for BVDV.(AU)

As infecções por pestivírus são importantes nas indústrias pecuárias, com infecções em bovinos, ovinos e suínos. O gênero Pestivirus da família Flaviviridae inclui quatro espécies reconhecidas: vírus da diarreia viral bovina 1 (BVDV-1), vírus da diarreia viral bovina 2 (BVDV-2), vírus da doença de fronteira (VDF) e vírus da peste suína clássica (VPSC). Todas as espécies de pestivírus podem infectar porcos, portanto a detecção e diferenciação precisas e específicas de pestivírus são de grande importância para garantir medidas de controle nas populações suínas. O objetivo do estudo foi a detecção molecular de diferentes pestivírus em suínos domésticos e javali. Um total de 527 amostras (92 porcos e 435 javalis) foram testados para detecção de pestivírus usando ensaios moleculares. Onze amostras positivas (6 javalis e 5 porcos domésticos) foram identificadas usando iniciadores de panpestivírus visando a região 5'-UTR do genoma do RNA do pestivírus. Além disso, todas as amostras positivas foram testadas sequencialmente para detecção de VPSC, BVDV-1 e BVDV-2 usando iniciadores específicos. Todos os RNAs foram identificados como positivos para BVDV-1 e nenhum sinal de amplificação foi obtido do BVDV-2 e CSFV. A detecção atual do BVDV-1 em amostras clínicas de suínos destaca o importante fator de risco da população suína como reservatório e consequentemente portador do BVDV.(AU)

Pestivirus spillover effect: molecular detection of bovine viral diarrhea virus in domestic and feral pigs / Efeito spillover de pestivírus: detecção molecular do vírus da diarreia viral bovina em suínos domésticos e javalis

Pestivirus infections are important in the livestock industries, with infection occurring in cattle, sheep and pigs. The Pestivirus genus of the family Flaviviridae, includes four recognized species: bovine viral diarrhea virus 1 (BVDV-1), bovine viral diarrhea virus 2 (BVDV-2), border disease virus (BDV), and classical swine fever virus (CSFV). All pestivirus species can infect pigs, therefore accurate and specific pestivirus detection and differentiation is of great importance to assure control measures in swine populations. The aim of the study was the molecular detection of different pestiviruses in domestic and feral pigs. A total of 527 samples (92 pigs and 435 wild boars) were tested for pestiviruses detection using molecular assays. Eleven positive samples (6 wild boars and 5 domestic pigs) were identified using panpestivirus primers targeting the 5'- UTR region of the pestivirus RNA genome. Further all the positive samples were sequentially tested for detection of CSFV, BVDV-1 and BVDV-2 using specific primers. All RNAs were identified as positives for BVDV-1 and no amplification signals were obtained from BVDV-2 and CSFV. The current detection of BVDV-1 in clinical swine specimens highlights the important risk factor of swine population as reservoir and consequently carrier for BVDV.(AU)

As infecções por pestivírus são importantes nas indústrias pecuárias, com infecções em bovinos, ovinos e suínos. O gênero Pestivirus da família Flaviviridae inclui quatro espécies reconhecidas: vírus da diarreia viral bovina 1 (BVDV-1), vírus da diarreia viral bovina 2 (BVDV-2), vírus da doença de fronteira (VDF) e vírus da peste suína clássica (VPSC). Todas as espécies de pestivírus podem infectar porcos, portanto a detecção e diferenciação precisas e específicas de pestivírus são de grande importância para garantir medidas de controle nas populações suínas. O objetivo do estudo foi a detecção molecular de diferentes pestivírus em suínos domésticos e javali. Um total de 527 amostras (92 porcos e 435 javalis) foram testados para detecção de pestivírus usando ensaios moleculares. Onze amostras positivas (6 javalis e 5 porcos domésticos) foram identificadas usando iniciadores de panpestivírus visando a região 5'-UTR do genoma do RNA do pestivírus. Além disso, todas as amostras positivas foram testadas sequencialmente para detecção de VPSC, BVDV-1 e BVDV-2 usando iniciadores específicos. Todos os RNAs foram identificados como positivos para BVDV-1 e nenhum sinal de amplificação foi obtido do BVDV-2 e CSFV. A detecção atual do BVDV-1 em amostras clínicas de suínos destaca o importante fator de risco da população suína como reservatório e consequentemente portador do BVDV.(AU)

Breast cancer treatment: A phased approach to implementation.

Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many low- and middle-income countries, effective care management pathways can be difficult to follow because of financial constraints, a lack of resources, an insufficiently trained workforce, and/or poor infrastructure. On the basis of prior work by the Breast Health Global Initiative, this article proposes a phased implementation strategy for developing sustainable approaches to enhancing patient care in limited-resource settings by creating roadmaps that are individualized and adapted to the baseline environment. This strategy proposes that, after a situational analysis, implementation phases begin with bolstering palliative care capacity, especially in settings where a late-stage diagnosis is common. This is followed by strengthening the patient pathway, with consideration given to a dynamic balance between centralization of services into centers of excellence to achieve better quality and decentralization of services to increase patient access. The use of resource checklists ensures that comprehensive therapy or palliative care can be delivered safely and effectively. Episodic or continuous monitoring with established process and quality metrics facilitates ongoing assessment, which should drive continual process improvements. A series of case studies provides a snapshot of country experiences with enhancing patient care, including the implementation of national cancer control plans in Kenya, palliative care in Romania, the introduction of a 1-stop clinic for diagnosis in Brazil, the surgical management of breast cancer in India, and the establishment of a women's cancer center in Ghana.

The Role of Emotional Intelligence and Sociocultural Adjustment on Migrants' Self-reported Mental Well-Being in Spain: A 14 Month Follow-Up Study.

The analysis of mental and psychological health is a relevant public issue in modern societies. Migration is a process that may have a lasting impact on a person's mental well-being. In this study, perceived health, emotional intelligence, sociocultural adjustment and the participants' perceived general situation, not only economical, were analyzed to attest their impact on psychological distress as a measure of mental well-being. Sixty-three migrants from Romania and Ecuador were contacted twice during a 14 month period in a middle-sized Spanish city. Attrition analyses show no significant differences in perceived psychological distress between those who participated only one time or who participated in both waves. Less psychological distress is related to less attention to one's feelings and higher mood repair in both data waves. Stronger behavioral adjustment is also linked to less distress. Less distress in time 1 led to better perceived health, sociocultural adjustment and a perception of a better general situation in Spain in comparison to their home country in time 2. In general, more attention to negative feelings triggered more perceived psychological distress, whereas mood repair elicited less psychological distress, in time 2. The relevance of understanding the impact of emotional intelligence to health promotion programs with migrants is discussed.

[The perspective of migrants on access to health care in the context of austerity policies in Andalusia (Spain)]. / La perspectiva de personas migrantes sobre el acceso a la atención sanitaria en el contexto de políticas de austeridad en Andalucía.

OBJECTIVE: To conduct an assessment of migrant people regarding their access to the health system following entry into force of Royal Decree-Law 16/2012 along with the impact of economic cuts on such access. METHOD: Qualitative phenomenological study with semi-structured interviews, conducted in Andalusia (Spain), in two phases (2009-2010 and 2012-2013), with 36 participants. The sample was segmented by length of stay, nationality and area of residence. The nationalities of origin are Bolivia, Morocco and Romania. RESULTS: Elements facilitating access in both periods: regular administrative situation, possession of Individual Health Card, knowledge of the language, social networks and information. The results show differences in access to health care for migrants before and after the enforcement of the RDL 16/2012, within austerity policies. In the second period, access barriers such as waiting times or incompatibility of schedules are aggravated and the socio-economic and administrative conditions of participants worsen. CONCLUSIONS: The design of policies, economic and regulatory health care, should take into account barriers and facilitators of access as fundamental main points of health protection for migrants and, therefore, for the general population.

Is rectus abdominis thickness associated with survival among patients with liver cirrhosis? A prospective cohort study.

BACKGROUND: Sarcopenia may affect patients with liver cirrhosis and worsen disease outcomes. OBJECTIVES: To evaluate ultrasound-measured psoas major (PM) and rectus abdominis (RA) thickness for predicting survival among patients with liver cirrhosis. DESIGN AND SETTING: Prospective cohort study in a tertiary-level hospital. METHODS: 61 patients with liver cirrhosis were prospectively included during a 15-month period and followed up for at least six months. Cirrhosis was classified using the Child-Pugh score. Sarcopenia was assessed using surrogate parameters: handgrip strength (HGS), mid-arm muscle circumference (MAMC) and SGA (subjective global assessment). We used ultrasound to measure RA and PM thickness at admission. RESULTS: There were 41 men. The patients' mean age was 58.03 ± 10.8 years. 26.22% of them were Child-Pugh A, 45.9% B and 27.86% C. The patients were followed up for 11.9 ± 5.63 months. RA thickness correlated moderately with MAMC (r = 0. 596; P < 0.0001) and HGS (r = 0.515; P < 0.0001) and decreased with increasing SGA class (A, 10.6 ± 2.8 mm; B, 8.3 ± 1.9 mm; C, 6.5 ± 1.9 mm; P < 0.0001). Survival at six months was independently predicted by using the model for end-stage liver disease-serum sodium score (odds ratio, OR 1.305; 95% OR confidence interval 1.083-1.572; P = 0.005). Survival during follow-up was independently predicted by RA thickness (hazard ratio, HR 0.701; 95% HR confidence interval 0.533-0.922; P = 0.011) and ascites (HR 1.876; 95% HR confidence interval 1.078-3.267; P = 0.026). PM thickness did not have any predictive value. CONCLUSIONS: As a surrogate marker of sarcopenia, RA thickness may predict survival among patients with liver cirrhosis.