Helminth Parasites of the Crane Hawk Geranospiza caerulescens (Vieillot) (Aves: Accipitridae) from Argentina, with the Description of a New Species of Parastrigea (Digenea: Strigeidae).

PURPOSE: The goal of this work was to increase the knowledge of the parasitic helminths of the Crane hawk, Geranospiza caerulescens. METHODS: Two specimens of the Crane hawk were captured in Formosa province, Argentina, their viscera were preserved in 10% formalin and examined in the laboratory. RESULTS: Helminthological analysis revealed the presence of six helminth taxa (one Trematoda, four Nematoda, and one Acanthocephala). The morphometric study of these helminths and its comparison with previous reports, allowed us to describe a new species of Parastrigea (Digenea: Strigeidae) and report new host-parasite associations and geographical records. Parastrigea labiata n. sp. is mainly characterized by having forebody not divided and two long trumpet-shaped projections of dorsal lip, which emerge through the opening. Five taxa, previously known, Synhimantus (Dispharynx) resticula, Synhimantus (Synhimantus) rectus, Microtetrameres sp., Porrocaecum sp. and Centrorhynchus sp. are briefly described. CONCLUSIONS: Previous parasitological studies on G. caerulescens were carried out on material collected between 1817 and 1955, and seven species of helminths were reported. In this study, the six taxa of helminths found constitute new host records, which shows the importance of contemporary studies about this host. All helminths found have heteroxenous life cycles and birds are infected by trophic transmission. Crane hawk's diet includes small vertebrates and to a lesser extent large arthropods. The finding of five helminth species that use invertebrates as intermediate hosts could indicate an important consumption of invertebrates. This research expands the helminthological inventory of Argentinean birds and the knowledge of the helminths of G. caerulescens.

COVID-19 impacts on household solid waste generation in six Latin American countries: a participatory approach.

The COVID-19 pandemic has greatly impacted the Americas, the continent with the highest number of COVID-related deaths according to WHO statistics. In Latin America, strict confinement conditions at the beginning of the pandemic put recycling activity to a halt and augmented the consumption of plastic as a barrier to stop the spread of the virus. The lack of data to understand waste management dynamics complicates waste management strategy adjustments aimed at coping with COVID-19. As a novel contribution to the waste management data gap for Latin America, this study uses a virtual and participatory methodology that collects and generates information on household solid waste generation and composition. Data was collected between June and November 2021 in six countries in Latin America, with a total of 503 participants. Participants indicated that the pandemic motivated them to initiate or increase waste reduction (41%), waste separation (40%), and waste recovery (33%) activities. Forty-three percent of participants perceived an increase in total volume of their waste; however, the quantitative data showed a decrease in household waste generation in Peru (-31%), Honduras (-25%), and Venezuela (-82%). No changes in waste composition were observed. Despite the limited sample size, this data provides a much-needed approximation of household waste generation and composition in the pandemic situation during 2021.

Adverse Effects in Patients with Intellectual and Developmental Disabilities Hospitalized at the University Clinical Hospital.

(1) Background: Providing the patient with the health care they need in a personalized and appropriate manner and without adverse effects (AEs) is a part of quality of care and patient safety. The aim of this applied research project was the assessment of AEs as a clinical risk in patients with high social vulnerability such as persons with intellectual and developmental disabilities (PwIDD). (2) Methods: A retrospective epidemiological cohort study was performed on exposed and unexposed groups (the control group) in order to estimate the incidence of AEs in PwIDDs and assess their importance for this category of patients. (3) Results: AEs were observed with a frequency of 30.4% (95% CI) in the PwIDD exposed group, with significant differences to the unexposed group (p = 0.009). No differences were observed with regards to gender. Age was as a marker of care risk, with the highest incidence of AEs in the group of 60-69 years. (4) Conclusions: PwIDDs have a high risk of suffering AEs while receiving health care assistance due to their high social and clinical vulnerability. Health care practitioners must therefore be aware of these results and keep these observations in mind in order to carry out personalized, preventive, competent, effective, and safe medical care.

Exposure to Morphine and Cocaine Modify the Transcriptomic Landscape in Zebrafish Embryos.

Morphine and other opioid analgesics are the drugs of election to treat moderate-to-severe pain, and they elicit their actions by binding to the opioid receptors. Cocaine is a potent inhibitor of dopamine, serotonin, and noradrenaline reuptake, as it blocks DAT, the dopamine transporter, causing an increase in the local concentration of these neurotransmitters in the synaptic cleft. The molecular effects of these drugs have been studied in specific brain areas or nuclei, but the systemic effects in the whole organism have not been comprehensively analyzed. This study aims to analyze the transcriptomic changes elicited by morphine (10 uM) and cocaine (15 uM) in zebrafish embryos. An RNAseq assay was performed with tissues extracts from zebrafish embryos treated from 5 hpf (hours post fertilization) to 72 hpf, and the most representative deregulated genes were experimentally validated by qPCR. We have found changes in the expression of genes related to lipid metabolism, chemokine receptor ligands, visual system, hemoglobins, and metabolic detoxification pathways. Besides, morphine and cocaine modified the global DNA methylation pattern in zebrafish embryos, which would explain the changes in gene expression elicited by these two drugs of abuse.

Doublecortin in the Fish Visual System, a Specific Protein of Maturing Neurons.

Doublecortin (DCX) is a microtubule associated protein, essential for correct central nervous system development and lamination in the mammalian cortex. It has been demonstrated to be expressed in developing-but not in mature-neurons. The teleost visual system is an ideal model to study mechanisms of adult neurogenesis due to its continuous life-long growth. Here, we report immunohistochemical, in silico, and western blot analysis to detect the DCX protein in the visual system of teleost fish. We clearly determined the expression of DCX in newly generated cells in the retina of the cichlid fish Astatotilapia burtoni, but not in the cyprinid fish Danio rerio. Here, we show that DCX is not associated with migrating cells but could be related to axonal growth. This work brings to light the high conservation of DCX sequences between different evolutionary groups, which make it an ideal marker for maturing neurons in various species. The results from different techniques corroborate the absence of DCX expression in zebrafish. In A. burtoni, DCX is very useful for identifying new neurons in the transition zone of the retina. In addition, this marker can be applied to follow axons from maturing neurons through the neural fiber layer, optic nerve head, and optic nerve.

Intercontinental distributions, phylogenetic position and life cycles of species of Apharyngostrigea (Digenea, Diplostomoidea) illuminated with morphological, experimental, molecular and genomic data.

When subjected to molecular study, species of digeneans believed to be cosmopolitan are usually found to consist of complexes of species with narrower distributions. We present molecular and morphological evidence of transcontinental distributions in two species of Apharyngostrigea Ciurea, 1924, based on samples from Africa and the Americas. Sequences of cytochrome c oxidase I and, in some samples, internal transcribed spacer, revealed Apharyngostrigea pipientis (Faust, 1918) in Tanzania (first known African record), Argentina, Brazil, USA and Canada. Sequences from A. pipientis also match previously published sequences identified as Apharyngostrigea cornu (Zeder, 1800) originating in Mexico. Hosts of A. pipientis surveyed include definitive hosts from the Afrotropic, Neotropic and Nearctic, as well as first and second intermediate hosts from the Americas, including the type host and type region. In addition, metacercariae of A. pipientis were obtained from experimentally infected Poecilia reticulata, the first known record of this parasite in a non-amphibian second intermediate host. Variation in cytochrome c oxidase I haplotypes in A. pipientis is consistent with a long established, wide-ranging species with moderate genetic structure among Nearctic, Neotropic and Afrotropic regions. We attribute this to natural dispersal by birds and find no evidence of anthropogenic introductions of exotic host species. Sequences of CO1 and ITS from adult Apharyngostrigea simplex (Johnston, 1904) from Egretta thula in Argentina matched published data from cercariae from Biomphalaria straminea from Brazil and metacercariae from Cnesterodon decemmaculatus in Argentina, consistent with previous morphological and life-cycle studies reporting this parasite-originally described in Australia-in South America. Analyses of the mitochondrial genome and rDNA operon from A. pipientis support prior phylogenies based on shorter markers showing the Strigeidae Railliet, 1919 to be polyphyletic.

Incidence of Neonatal Abstinence Syndrome (NAS) in Castilla y Leon (Spain).

INTRODUCTION: Neonatal Abstinence Syndrome (NAS) is considered a Public Health problem that is defined as a group of symptoms that appear in the newborn due to withdrawal from intrauterine drug exposure. OBJECTIVE: The aim of this study was to analyze the incidence of NAS in Castilla y León from 2000 to 2019. METHODOLOGY: Data of NAS cases in Castilla y León from 2000 to 2019 were obtained. NAS incidence per 1000 births was calculated and the correlation among data from different provinces and years was analyzed. RESULTS: The cumulative incidence of NAS in Castilla y León per 1000 births between 2000-2019 was 0.91‱, with great interprovincial variability. The provinces of Zamora and Palencia stand out, with high incidence rates of NAS despite their low birth rates. The temporal trend points towards a decrease in incidence from 2000 to 2019. Opioids such as methadone, cannabis, benzodiazepines and poly-drug use are the most prevalent drugs causing NAS, and it has also been observed that methadone is being replaced by cannabis as the major cause of NAS cases at the University Hospital in Salamanca in recent years. CONCLUSIONS: The incidence of NAS in Castilla y León decreased in 2004 and remained constant until 2019, but it shows great interprovincial variability. It is necessary to implement a national NAS Registry to obtain comprehensive information regarding its incidence.

Geodemographic analysis of pediatric firearm injuries in Miami, FL.

PURPOSE: Firearm injuries (GSW) are a growing public health concern and leading cause of morbidity and mortality among children, yet predictors of injury remain understudied. This study examines the correlates of pediatric GSW within our county. METHODS: We retrospectively queried an urban Level 1 trauma center registry for pediatric (0-18 years) GSW from September 2013 to January 2019, examining demographic, clinical, and injury information. We used a geographic information system to map GSW rates and perform spatial and spatiotemporal cluster analysis to identify zip code "hot spots." RESULTS: 393 cases were identified. The cohort was 877% male, 87% African American, 10% Hispanic, and 22% Caucasian/Other. Injuries were 92% violence-related and 4% accidental, with 63% occurring outside school hours. Mortality was 12%, with 53% of deaths occurring in the resuscitation unit. Zip-level GSW rates ranged from 0 to 9 (per 1000 < 18 years) by incident address and 0-6 by home address. Statistically significant hot spots were in predominantly underserved African American and Hispanic neighborhoods. CONCLUSIONS: Geodemographic analysis of pediatric GSW injuries can be utilized to identify at-risk neighborhoods. This methodology is applicable to other metropolitan areas where targeted interventions can reduce the burden of gun violence among children. TYPE OF STUDY: Retrospective study. LEVEL OF EVIDENCE: Level III.

Phylogenetic position of Diplostomum spp. from New World herons based on complete mitogenomes, rDNA operons, and DNA barcodes, including a new species with partially elucidated life cycle.

Diplostomum ardeae Dubois, 1969 has seldom been reported since its description from the great blue heron (Ardea herodias L., 1758) in the USA. Sequences obtained in this study from the barcode region of cytochrome c oxidase 1 (CO1) in diplostomids from black-crowned night heron (Nycticorax nycticorax (L., 1758)) in Puerto Rico matched data from D. ardeae from A. herodias in the type region. We also obtained DNA barcodes from morphologically similar diplostomids from a rufescent tiger heron (Tigrisoma lineatum (Boddaert, 1783)) and from metacercariae from eye lenses of Trachelyopterus galeatus (Linnaeus, 1766) from the Paraná River basin in Argentina and Brazil, respectively. Barcodes matched (97-100% identity) in these South American adult and larval specimens as well as in recently published sequences from metacercariae from 11 other siluriform fishes from the same region. Barcodes from the South American species, which we describe as Diplostomum lunaschiae n. sp., differed from those of D. ardeae by 7.2-9.8%, and the new species differs from D. ardeae in its size, pharynx:oral sucker length ratio, egg:body length ratio, and distribution of vitellaria. As in prior phylogenetic analysis of CO1 sequences, both D. ardeae and D. lunaschiae n. sp. were not associated with Diplostomum. In more character-rich analyses of nuclear rDNA and of mitochondrial genomes, D. ardeae was an early divergent member of clades of species of Diplostomum. Consequently, we continue to consider D. ardeae and D. lunaschiae n. sp. members of Diplostomum, in contrast to recent suggestions that these species may belong to a different genus.

Hernia de Grynfelt resuelta por vía laparoscópica: reporte de un caso / Grynfelt ́s hernia resolved laparoscopically: a case report

RESUMEN Las hernias lumbares son una patología rara que involucra herniación de los contenidos intraabdominales o retroperitoneales a través de debilidades congénitas o adquiridas en la pared abdominal posterolateral. El tratamiento quirúrgico es el recomendado, sin embargo, la vía de abordaje aún no está estandarizada en la literatura, pero existe mucha evidencia a favor de la laparoscopía con mejores resultados en el control del dolor posoperatorio, resultados estéticos y menor estancia hospitalaria. Se presenta el caso clínico de una paciente feme-nina de 55 años con cuadro de dolor lumbar izquierdo de 6 meses de evolución que fue diagnosticada de hernia del triángulo posterior por estudio de imagen. La reparación de su defecto herniario fue con tratamiento quirúrgico por vía laparoscópica.Palabras claves: Hernia; cirugía laparoscópica; procedimientos quirúrgicos operativos; patología quirúrgica; informes de caso.

ABSTRACT Lumbar hernia are a rare pathology that involves herniation of the intra-abdominal or retroperitoneal contents through congenital or ac-quired weaknesses in the posterolateral abdominal wall. Surgical treatment is recommended, however, the approach is not yet standard-ized in the literature, but there is much evidence in favor of laparoscopy with better results in postoperative pain control, cosmetic results, and shorter hospital stay. We present the clinical case of a 55-year-old female patient with a 6-month history of left lumbar pain who was diagnosed with posterior triangle hernia by imaging study. The repair of her hernia defect was with laparoscopic surgical treatment.Keywords: Hernia; laparoscopic surgery; operative surgical procedures; surgical pathology; case report.

Male reproductive dysfunction in Solea senegalensis: new insights into an unsolved question.

Senegalese sole (Solea senegalensis) is a species with a high commercial value that exhibits a reproductive dysfunction in males born and raised in captivity (F1) that hinders their sustainable culture. The present study evaluates the sperm quality and dopaminergic pathway of males born in the wild environment and of F1 males. Traditional sperm analyses were performed, finding only significant differences in curvilinear velocity (VCL) and no significant differences in viability and total motility. No differences in global sperm methylation were observed either in spermatozoa or brain between the two groups (F1 and wild-born males). However, our results point to a different sperm molecular signature between wild fish and fish born in captivity, specifically the differential expression in miR-let7-d and miR-200a-5p between these two groups. miR-let7-d has been correlated with spermatogenesis and sex preferences, whereas the miR-200 family is implied in target innervation of dopaminergic neurons in zebrafish. When we analysed the dopaminergic pathway, no differences were found in terms of different mRNA expression of dopaminergic markers. However, some differences were detected in terms of tyrosine hydroxylase protein expression by western blot analysis, thus suggesting an altered post-transcriptional regulation in F1 males. The results of this study suggest that an altered sperm miRNA signature in F1 males could be one possible mode of transmission of reproductive dysfunction to the progeny.

A new species of Microtetrameres (Nematoda, Tetrameridae) parasitizing Buteogallus urubitinga (Aves, Accipitridae) from northeastern Argentina.

A new tetramerid nematode, Microtetrameres urubitinga n. sp., is described from specimens recovered from the proventriculus of the great black-hawk, Buteogallus urubitinga (Aves: Accipitridae), from Formosa Province, Argentina. The males of the new species are characterized by having spicules unequal (length ratio of spicules 1:3.8-5.9) and dissimilar in shape (right spicule with a simple tip, left spicule with a symmetrical bifurcated tip), caudal papillae arranged asymmetrically (two pairs precloacal and two pairs postcloacal) and cloacal lips highly protruded forming a tube. The gravid females are permanently coiled clockwise or counterclockwise in a spiral and having a tail tapering gradually to a sharp point, with a cuticular fold. This is the first nominal species of Microtetrameres (Travassos, 1915) described parasitizing birds from Argentina. The relationship between the diet of B. urubitinga and the low prevalence of M. urubitinga n. sp. is discussed.

Estatus epiléptico. Factores asociados a una evolución desfavorable en un centro terciario / Status Epilepticus. Prognostic Variables for an Unfavorable Outcome in a tertiary center of care

Resumen Introducción: El Estatus Epiléptico (EE) es una causa frecuente de emergencia neurológica. Escasos son los estudios realizados en Suramérica para evaluar los factores pronósticos de mortalidad y discapacidad en pacientes con EE. Objetivo: Determinar las variables asociadas a una evolución desfavorable (ED) al alta hospitalaria en pacientes con EE. Método: Se realizó un estudio retrospectivo durante el periodo enero 2016-junio 2017. Un total de 26 pacientes fueron diagnosticados con EE en sus diferentes variantes. Se evaluó el efecto de las variables clínicas, radiológicas y electroencefalográficas sobre la evolución hospitalaria final acorde la escala de Rankin. Resultados: 12 (46,2%) de los pacientes tuvieron una ED al alta hospitalaria, con una mortalidad que alcanzó el 23%. Existió un predominio del sexo masculino (76,9%). Las variables asociadas de forma independiente con una ED fueron el número de comorbilidades (p=0.01, OR: 4.27-95%CI1.33-13.6), lesiones en la imagen por Resonancia Magnética (IRM) (p=0.04, OR: 3.92-95%CI1.05-14.61) y el EE refractario (p=0.01, OR: 12.52-95%CI1.85-84.44), y la edad (p=0.07 OR: 1.03-95%CI0.99-1.07). Mientras que, un buen estado clínico inicial acorde la escala de Glasgow fue un factor protector (p=0.00 OR: 0.49-IC95%0.29-0.84) de tener una ED. Conclusiones: Tener una ED se asocia a la edad, el estado clínico inicial del paciente acorde la escala de Glasgow, así como lesiones en la IRM. EE refractario y más de 4 comorbilidades también fueron predictores de una ED al alta hospitalaria.

Abstract Introduction: Status Epilepticus (SE) is a frequent neurologic emergency. Little research has been done in South America to evaluate the prognostic variables of mortality and disability in patients with SE. Objective: To determine the variables associated to an unfavorable outcome at hospital discharge in the patients who were treated for SE. Methods: A retrospective study was performed during the period of January 2016-June 2017. A total of 26 patients were diagnosed of SE and its different variants. The effects of clinical, radiological, and electroencephalographic features on hospital outcome according Rankin scale were evaluated. Results: Twelve (46.2%) patients had an unfavorable outcome at hospital discharge, while the mortality rate reached 23.1%. There was a predominance of males with a 76.9% of all the patients. The independent variables associated with an unfavorable outcome were the number of comorbidities (p=0.01, OR: 4.27-95%CI1.33-13.6), structural lesions on the Magnetic Resonance Image (MRI) (p=0.04, OR: 3.92-95%CI1.05-14.61) and refractory SE (p=0.01, OR: 12.52-95%CI1.85-84.44). There was also a trend for age (p=0.07 OR: 1.03-95%CI0.99-1.07). While an initial good clinical condition, according to the Glasgow Scale represent a protective factor (p=0.00 OR: 0.49-IC95% 0.29-0.84) of an unfavorable outcome. Conclusions: The unfavorable outcome was marginally associated with patient age, clinical status at the onset of SE according to the Glasgow Coma Scale, as well as brain lesions on brain MRI. Refractory SE and more than 4 comorbidities are predictors of an unfavorable outcome at hospital discharge.

Strigeid parasites of Circus buffoni from Argentina, with the description of a new species of Parastrigea Szidat, 1928.

Studying the Helminthological Collection of Museo de La Plata (MLP-He), several specimens of digeneans, recovered parasitizing a long-winged harrier, Circus buffoni (Accipitridae) from Buenos Aires Argentina, were analysed. The morphological and morphometric analysis of these specimens revealed the presence of two strigeid species, one of them new for science. Parastrigea buffoni n. sp. is characterised by a forebody differentiated in a retractile cephalic region with a large opening and a balloon-shaped collar region or collerette, suckers located in cephalic region, holdfast organ with well development dorsal and ventral lips that can emerge through opening, a claviform hindbody, a large copulatory bursa with muscular ring (Ringnapf) and a genital cone well delimited, crossed by a sinuous hermaphroditic duct with internal rugae. The euryxenous parasite, Strigea falconis brasiliana, is briefly described, parasitizing a new host. This is the first record of helminths parasitizing long-winged harrier.