Behavior and Use of Quaternary Ammonium-Based Disinfectants in Biosafety Protocols Against Fusarium oxysporum f. sp. cubense Race 1 and Tropical Race 4.

The banana is one of Colombia's main export products. However, production is seriously affected by Fusarium wilt of banana, which is the most destructive disease caused by the fungus Fusarium oxysporum f. sp. cubense tropical race 4 (Foc TR4). Currently, management strategies focus on containment and biosecurity protocols to prevent its spread to territories that are free of this disease. This study aimed to evaluate nine quaternary ammonium-based disinfectants (i.e., quaternary ammonium compounds [QACs]) in vitro in Colombia on reproductive (microconidia and macroconidia) and resistance structures (chlamydospores) of Foc race 1 (R1) and tropical race 4 (TR4), with and without soil, to determine the influence of organic matter and soil texture on the action of QACs. A method for inhibiting the action of QACs was standardized and evaluated at 1,200 ppm with a contact time of ≤30 s while evaluating the soil-inoculum and soil-disinfectant interactions. In the soil-inoculum interaction, the efficacy of QACs was 100% in the reproductive and resistance structures of Foc R1 and TR4 without soil. However, in the soil-disinfectant interaction, only QAC4 controlled the pathogen at 100%. The presence of organic matter influenced the biocidal action of the QACs, and fine textures had a greater reducing effect on the concentration. The soil decreased the efficacy of the QACs and, therefore, must be removed from contaminated boots before treatments are applied.

Effects of different management strategies on long-term trends of Australian threatened and near-threatened mammals.

Monitoring is critical to assess management effectiveness, but broadscale systematic assessments of monitoring to evaluate and improve recovery efforts are lacking. We compiled 1808 time series from 71 threatened and near-threatened terrestrial and volant mammal species and subspecies in Australia (48% of all threatened mammal taxa) to compare relative trends of populations subject to different management strategies. We adapted the Living Planet Index to develop the Threatened Species Index for Australian Mammals and track aggregate trends for all sampled threatened mammal populations and for small (<35 g), medium (35-5500 g), and large mammals (>5500 g) from 2000 to 2017. Unmanaged populations (42 taxa) declined by 63% on average; unmanaged small mammals exhibited the greatest declines (96%). Populations of 17 taxa in havens (islands and fenced areas that excluded or eliminated introduced red foxes [Vulpes vulpes] and domestic cats [Felis catus]) increased by 680%. Outside havens, populations undergoing sustained predator baiting initially declined by 75% but subsequently increased to 47% of their abundance in 2000. At sites where predators were not excluded or baited but other actions (e.g., fire management, introduced herbivore control) occurred, populations of small and medium mammals declined faster, but large mammals declined more slowly, than unmanaged populations. Only 13% of taxa had data for both unmanaged and managed populations; index comparisons for this subset showed that taxa with populations increasing inside havens declined outside havens but taxa with populations subject to predator baiting outside havens declined more slowly than populations with no management and then increased, whereas unmanaged populations continued to decline. More comprehensive and improved monitoring (particularly encompassing poorly represented management actions and taxonomic groups like bats and small mammals) is required to understand whether and where management has worked. Improved implementation of management for threats other than predation is critical to recover Australia's threatened mammals.

Efectos de diferentes estrategias de manejo sobre las tendencias a largo plazo de los mamíferos amenazados y casi amenazados de Australia Resumen El monitoreo es fundamental para evaluar la efectividad del manejo, aunque faltan evaluaciones sistemáticas y a gran escala de este monitoreo para evaluar y mejorar los esfuerzos de recuperación. Compilamos 1,808 series temporales de 71 especies y subespecies de mamíferos terrestres y voladores amenazadas y casi amenazadas en Australia (48% de todos los taxones de mamíferos amenazados) para comparar las tendencias relativas de las poblaciones sujetas a diferentes estrategias de manejo. Adaptamos el Índice Planeta Vivo para desarrollar el Índice de Especies Amenazadas para los Mamíferos Australianos y así rastrear las tendencias agregadas de todas las poblaciones muestreadas de mamíferos amenazados y de los mamíferos pequeños (<35 g), medianos (35-5,500 g) y grandes (>5,500 g) entre 2000 y 2017. Las poblaciones sin manejo (42 taxones) declinaron en un 63% en promedio; los mamíferos pequeños sin manejo exhibieron las declinaciones más marcadas (96%). Las poblaciones de 17 taxones incrementaron 680% en los refugios (islas o áreas encercadas que excluían o eliminaban al zorro rojo [Vulpes vulpes] y al gato doméstico [Felis catus], especies introducidas) Afuera de los refugios, las poblaciones sometidas al cebado constante de los depredadores en un inicio declinaron en un 75% pero después incrementaron al 47% de su abundancia para el 2000. En los sitios en donde los depredadores no fueron excluidos o cebados sino sometidos a otras acciones (manejo del fuego, control de herbívoros introducidos), las poblaciones de los mamíferos pequeños y medianos declinaron más rápido, pero los mamíferos grandes declinaron de manera más lenta que las poblaciones sin manejo. Sólo el 13% de los taxones contaron con datos para sus poblaciones con y sin manejo; las comparaciones entre índices para este subconjunto mostraron que los taxones con poblaciones en incremento dentro de los refugios declinaron afuera de éstos, pero los taxones con poblaciones sujetas al cebado de depredadores afuera de los refugios declinaron más lentamente que las poblaciones sin manejo y después incrementaron, mientras que las poblaciones sin manejo continuaron su declinación. Se requiere un monitoreo más completo y mejorado (particularmente el que engloba las acciones de manejo mal representadas y los grupos taxonómicos como los murciélagos y los mamíferos pequeños) para entender si ha funcionado el manejo y en dónde. La implementación mejorada del manejo para las amenazas distintas a la depredación es fundamental para recuperar a los mamíferos amenazados de Australia.

Skull base osteomyelitis mimicking skull base tumor in immunocompetent pediatric patient: case report.

Central skull base osteomyelitis (CSBO) is a rare complication of infection in pediatric patients, especially when there are no comorbidities like immunosuppression or metabolic illness. The diagnosis of CSBO is a challenge in children, and imaging findings can mimic skull base tumor. We describe the clinical history and image diagnosis of a case in a 6-year-old girl with no relevant history who presented an extensive skull base lesion. She underwent tumor resection surgery. The intraoperative finding confirmed clivus osteomyelitis, and the histopathological studies discarded malignancy. After diagnosis, the patient completed 6-week antibiotic treatment with adequate evolution. In conclusion, CSBO should be considered within the differential diagnoses due to the fact that it can mimic skull base lesions and it may present without relevant history.

Ventriculo-atrial shunt. Comparison of an ultrasound-guided peel-away technique versus conventional technique in the management of normal pressure hydrocephalus: A retrospective cohort.

BACKGROUND: Normal pressure hydrocephalus (NPH) is a common neurodegenerative syndrome among the elderly characterized by ventriculomegaly and the classic triad of symmetric gait disturbance, cognitive decline and urinary incontinence. To date, the only effective treatment is a cerebrospinal fluid shunting procedure that can either be ventriculo-atrial, ventriculo-peritoneal, or lumbo-peritoneal shunt. The conventional ventriculo-atrial shunt uses venodissection, whereas the peel-away is a percutaneous ultrasound (US)-guided technique that shows some advantages over conventional technique. We sought to compare perioperative complication rates, mean operating time and clinical outcomes for both techniques in NPH patients at our institution. METHODS: A retrospective cohort-type analytical study was conducted, using clinical record data of patients diagnosed with NPH and treated at our center from January 2009 to September 2019. Parameters to be compared include: Perioperative complication rates, intraoperative bleeding, mortality, and mean operating time. Perioperative complication rates are those device-related such as shunt infection, dysfunction, and those associated with the procedure. Complications are further classified in immediate (occurring during the first inpatient stay), early (within the first 30 days of surgery), and late (after day 30 of surgery). RESULTS: A total of 123 patients underwent ventriculo-atrial shunt. Eighty-two patients (67%) underwent conventional venodissection technique and 41 patients (33%) underwent a peel-away technique. Immediate complications were 3 (3.6%) and 0 for conventional and peel-away groups, respectively. Early complications were 0 and 1 (2.4%) for conventional and peel-away groups, respectively. Late complications were 5 (6.1%) and 2 (4.9%) for conventional and peel-away groups, respectively. Mean operating time was lower in the peel-away group (P = 0.0000) and mortality was 0 for both groups. CONCLUSION: Ventriculo-atrial shunt is an effective procedure for patients with NPH. When comparing the conventional venodissection technique with a percutaneous US-guided peel-away technique, the latter offers advantages such as shorter operating time and lower perioperative complication rates.

Prevalencia de anticuerpos anti-Leptospira spp. en personas con exposición laboral en el departamento del Tolima / Prevalence of anti-Leptospira spp. antibodies among people with occupational exposure in Tolima department / Prevalência de anticorpos anti-Leptospira spp. em pessoas com exposição laboral no Departamento do Tolima

Objetivo: estimar la prevalencia de anticuerpos IgM contra Leptospira spp., mediante el Ensayo de Inmunoabsorción Ligado a Enzimas (ELISA), en la población de riesgo laboral de 8 municipios del Tolima. Metodología: se obtuvieron muestras de sangre de 261 empleados, las cuales fueron analizadas mediante la técnica de elisa para la detección de anticuerpos IgM anti-Leptospira spp., seguido de MAT y serotipificación. Resultado : se estimó una seroprevalencia del 25,29%, con una seroreactividad mayor en trabajadores de plantas de beneficio animal (34,2%), recolección de residuos sólidos (27,1%) y trabajadores de acueducto y alcantarillado (14,8%). La actividad en plantas de beneficio animal se identificó como factor de riesgo de Leptospira spp. (OR=1,86). Los serovares identificados fueron L. Bratislava (16), Ballum (5), Tarassovi (3), Hebdomadis (2), Sejroe (2) y Icterhemorragiae (1). El municipio de Libano presentó el mayor porcentaje de positividad (36,96%), seguido de Espinal y Guamo con 28,57% cada uno. Discusión: La evaluación del sistema de vigilancia indicó deficiencia en recursos y debilidades de los profesionales de la salud al desconocer los procedimientos, investigación, diagnóstico y notificación de la enfermedad. Conclusión: la leptospirosis está presente en poblaciones de riesgo laboral en el Tolima y se hace necesario abordar esta problemática en la población de otros municipios y los animales transmisores de la enfermedad.

Objective: to estimate the prevalence of IgM antibodies against Leptospira spp. Using the enzyme-linked immunosorbent assay (elisa) in a population at occupational risk from 8 municipalities of the Tolima department, Colombia. Methodology: blood samples were collected from 261 employees and analyzed with the elisa technique to detect IgM and anti-Leptospira spp. antibodies. This was followed by mat and serotyping. Result: a seroprevalence of 25.29% was estimated, with higher seroreactivity for individuals working at slaughter plants (34.2%), collecting solid waste (27.1%) and those in contact with water and sewage waste (14.8%). Activity in slaughter plants was identified as a risk factor for Leptospira spp. (OR = 1.86). The serovars identified were L. Bratislava (16), Ballum (5), Tarassovi (3), Hebdomadis (2), Sejroe (2), and Icterhemorragiae (1). The municipality of Libano had the highest percentage of positivity (36.96%), followed by Espinal and Guamo with 28.57% each. Discussion: assessment of the current surveillance system for leptospirosis indicated deficient resources and health professionals who are lacking in terms of knowledge regarding appropriate procedures, research on, diagnosis and reporting mechanisms for the disease. Conclusions: leptospirosis is present in public workers with occupational hazard in Tolima. In addition, this issue should be approached while taking into account the population from other municipalities as well as the animals associated with its transmission

Objetivo: estimam a prevalência de anticorpos IgM contra Leptospira spp., por ensaio de ensaio de imunossorvente ligado a enzima (ELISA) na população de risco ocupacional de 8 municípios de Tolima. Metodologia: Coletaram-se amostras de sangue de 261 empregados, e analisaram-se com a técnica de ELISA para detectar anticorpos IgM anti-Leptospira spp., seguido de MAT e de serotipificação. Resultados : estimou-se uma seroprevalência de 25,29%, com seroatividade superior nos trabalhadores dos matadouros (34,2%), da recolecção de lixo sólido (27,1%), e nos trabalhadores dos esgotos (14,8%). A atividade nos matadouros foi identificada como fator de risco de Leptospira spp. (OR=1,86). Os serovares identificados foram L. Bratislava (16), Ballum K(5), Tarassovi K(3), Hebdomadis (2), Sejroe (2) e Icterhemorragiae (1). O município de Libano apresentou a percentagem mais alta de positividade (36,96%), seguido por Espinal e por Guamo, com 28,57 cada um. Discussão: a avaliação do sistema de vigilância revelou deficiência de recursos e fraquezas dos profissionais da saúde, porque desconhecem os procedimentos, a investigação, o diagnóstico e a notificação da doença. Conclusão: a leptospirosis está nas populações de risco laboral no Departamento do Tolima, o que faz necessário acometer este problema na população de outros municípios e nos animais transmissores da doença.