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1.
MMWR Morb Mortal Wkly Rep ; 70(10): 348-349, 2021 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-33705368

RESUMO

In December 2020, the B.1.1.7 genetic variant of SARS-CoV-2, the virus that causes COVID-19, was first reported after emergence and rapid circulation in the United Kingdom (1). Evidence suggests that the B.1.1.7 variant is more efficiently transmitted than are other SARS-CoV-2 variants, and widespread circulation could thereby increase SARS-CoV-2 infection and hospitalization rates (1,2). The first reported SARS-CoV-2 B.1.1.7 variant case in the United States was confirmed by sequencing in Colorado on December 29, 2020.* This report describes a person who traveled from the United Kingdom to the United States after experiencing COVID-19-compatible symptoms† and was eventually confirmed to be infected with the B.1.1.7 variant.


Assuntos
/diagnóstico , /isolamento & purificação , Doença Relacionada a Viagens , /complicações , Humanos , Pessoa de Meia-Idade , Avaliação de Sintomas , Texas/epidemiologia , Reino Unido/epidemiologia , Estados Unidos/epidemiologia
2.
J Parasitol ; 107(1): 138-140, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33647983

RESUMO

Quail populations in the United States have been declining for several decades, and the role that parasites may be playing in this decline is not well understood. The goal of this study was to document novel parasites that inhabited the scaled quail, Callipepla squamata, of the Trans-Pecos ecoregion of Texas. To do this, quail were collected by hunter-harvest, night-netting, and funnel-trapping and were necropsied in the laboratory to determine the parasites they hosted. After analyzing 386 birds, we identified Dispharynx sp. in one of the samples. This specimen is the first to be officially documented in scaled quail.


Assuntos
Doenças das Aves/parasitologia , Codorniz/parasitologia , Infecções por Spirurida/veterinária , Spirurina/isolamento & purificação , Animais , Doenças das Aves/epidemiologia , Doenças das Aves/patologia , Proventrículo/parasitologia , Proventrículo/patologia , Infecções por Spirurida/epidemiologia , Infecções por Spirurida/parasitologia , Infecções por Spirurida/patologia , Spirurina/classificação , Texas/epidemiologia
3.
J Parasitol ; 107(1): 132-137, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33647985

RESUMO

The Northern bobwhite quail (Colinus virginianus) is a popular game bird that has been experiencing a well-documented decline throughout Texas since the 1960s. While much of this decline has been attributed to habitat loss and fragmentation, recent studies have identified other factors that may also contribute to decreasing quail populations. Parasites, in particular, have become increasingly recognized as possible stressors of quail, and some species, particularly the eyeworm (Oxyspirura petrowi) and cecal worm (Aulonocephalus pennula) are highly prevalent in Texas quails. Eyeworm infection has also been documented in some passerines, suggesting helminth infection may be shared between bird species. However, the lack of comprehensive helminth surveys has rendered the extent of shared infection between quail and passerines in the ecoregion unclear. Thus, helminth surveys were conducted on bobwhite, scaled quail (Callipepla squamata), Northern mockingbirds (Mimus polyglottos), curve-billed thrashers (Toxistoma curvirostre), and Northern cardinals (Cardinalis cardinalis) to contribute data to existing parasitological gaps for birds in the Rolling Plains ecoregion of Texas. Birds were trapped across 3 counties in the Texas Rolling Plains from March to October 2019. Necropsies were conducted on 54 individuals (36 quail and 18 passerines), and extracted helminths were microscopically identified. Nematode, cestode, and acanthocephalan helminths representing at least 10 helminth species were found. Specifically, A. pennula and O. petrowi had the highest prevalence, and O. petrowi was documented in all of the study species. This research adds to the body of knowledge regarding parasitic infections in quail and passerines of the Rolling Plains ecoregion and highlights the potential consequences of shared infection of eyeworms among these bird species.


Assuntos
Doenças das Aves/parasitologia , Cromadoria/isolamento & purificação , Colinus/parasitologia , Helmintíase Animal/parasitologia , Passeriformes/parasitologia , Thelazioidea/isolamento & purificação , Animais , Doenças das Aves/epidemiologia , Cromadoria/classificação , Infecções Oculares Parasitárias/epidemiologia , Infecções Oculares Parasitárias/parasitologia , Infecções Oculares Parasitárias/veterinária , Helmintíase Animal/epidemiologia , Prevalência , Infecções por Spirurida/epidemiologia , Infecções por Spirurida/parasitologia , Infecções por Spirurida/veterinária , Texas/epidemiologia , Thelazioidea/classificação
4.
Value Health ; 24(3): 361-368, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33641770

RESUMO

OBJECTIVES: Promoting patient involvement in managing co-occurring physical and mental health conditions is increasingly recognized as critical to improving outcomes and controlling costs in this growing chronically ill population. The main objective of this study was to conduct an economic evaluation of the Wellness Incentives and Navigation (WIN) intervention as part of a longitudinal randomized pragmatic clinical trial for chronically ill Texas Medicaid enrollees with co-occurring physical and mental health conditions. METHODS: The WIN intervention used a personal navigator, motivational interviewing, and a flexible wellness expense account to increase patient activation, that is, the patient's knowledge, skills, and confidence in managing their self-care and co-occurring physical and mental health conditions. Regression models were fit to both participant-level quality-adjusted life years (QALYs) and total costs of care (including the intervention) controlling for demographics, health status, poverty, Medicaid managed care plan, intervention group, and baseline health utility and costs. Incremental costs and QALYs were calculated based on the difference in predicted costs and QALYs under intervention versus usual care and were used to calculate the incremental cost-effectiveness ratios (ICERs). Confidence intervals were calculated using Fieller's method, and sensitivity analyses were performed. RESULTS: The mean ICER for the intervention compared with usual care was $12 511 (95% CI $8971-$16 842), with a sizable majority of participants (70%) having ICERs below $40 000. The WIN intervention also produced higher QALY increases for participants who were sicker at baseline compared to those who were healthier at baseline. CONCLUSION: The WIN intervention shows considerable promise as a cost-effective intervention in this challenging chronically ill population.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/organização & administração , Medicaid/estatística & dados numéricos , Múltiplas Afecções Crônicas/epidemiologia , Adulto , Análise Custo-Benefício , Feminino , Promoção da Saúde/economia , Nível de Saúde , Humanos , Estudos Longitudinais , Masculino , Medicaid/economia , Entrevista Motivacional/organização & administração , Navegação de Pacientes/organização & administração , Anos de Vida Ajustados por Qualidade de Vida , Autocuidado , Autoimagem , Fatores Socioeconômicos , Texas/epidemiologia , Estados Unidos , Adulto Jovem
5.
AIDS Patient Care STDS ; 35(2): 39-46, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33571047

RESUMO

Viral suppression and postpartum retention in care have far-reaching health implications for pregnant women living with HIV and their children, yet remain public health challenges. Prenatal care presents a unique opportunity to engage pregnant women in care. The purpose of this study is to evaluate whether group prenatal care is effective in impacting these outcomes for pregnant women living with HIV. A retrospective cohort study was performed of all women living with HIV who obtained prenatal care from a community-based health center between 2013 and 2019. Women who spoke English or Spanish, remained within the system, and had not participated in group prenatal care previously were included. Women self-selected a prenatal care model: 85 selected group care and 109 elected individual care. Group prenatal care followed a standard Centering Pregnancy® curriculum with the addition of HIV-related topics. The primary outcomes of the study were viral suppression (viral load <20 copies/mL) and postpartum retention in care (attending at least one or two visits with HIV primary care within 12 months postpartum). After adjusting for potential confounding factors, women who participated in group prenatal care were significantly more likely to have at least one HIV primary care visit postpartum {adjusted odds ratio (aOR) = 2.71 [95% confidence interval (CI 1.14-6.46)]; p = 0.024}, and had a trend for achieving viral suppression by the time of delivery [aOR = 2.29 (95% CI 0.94-5.55); p = 0.068]. We have demonstrated that group prenatal care for pregnant women living with HIV is feasible and effective, with positive impacts on retention in care and viral suppression, factors that affect long-term outcomes from patients living with HIV.


Assuntos
Fármacos Anti-HIV/uso terapêutico , Serviços de Saúde Comunitária/organização & administração , Infecções por HIV/tratamento farmacológico , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Complicações Infecciosas na Gravidez/tratamento farmacológico , Retenção nos Cuidados , Adulto , Criança , Estudos de Coortes , Centros Comunitários de Saúde , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/virologia , Humanos , Cuidado Pós-Natal , Período Pós-Parto , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Gestantes , Cuidado Pré-Natal , Estudos Retrospectivos , Resposta Viral Sustentada , Texas/epidemiologia , Carga Viral
6.
Tex Med ; 117(2): 16-21, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33641118

RESUMO

The malaise in physician practice long known as burnout - a term doctors increasingly balk at - has been exacerbated by the pandemic, as an extensive survey by the Physicians Foundation recently showed. It's created its own stressors and made existing ones worse.


Assuntos
Esgotamento Profissional/epidemiologia , /terapia , Esgotamento Profissional/etiologia , Humanos , Médicos/psicologia , Texas/epidemiologia
7.
Tex Med ; 117(2): 22-25, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33641119

RESUMO

Not long after COVID-19 hit Texas last March, pediatricians at Austin Regional Clinic (ARC) began screening patients for food insecurity. The timing was coincidental but fortunate given the pandemic's economic toll.


Assuntos
/epidemiologia , Papel do Médico , Humanos , Desnutrição/diagnóstico , Desnutrição/prevenção & controle , Texas/epidemiologia
8.
Tex Med ; 117(2): 36-38, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33641120

RESUMO

Texas opened two new medical schools in July - the University of Houston College of Medicine in Houston and Sam Houston State University College of Osteopathic Medicine in Conroe. Thanks to COVID-19, both opened under circumstances that would have seemed bizarre just a year ago.


Assuntos
/epidemiologia , Faculdades de Medicina/organização & administração , Educação Médica/métodos , Educação Médica/organização & administração , Humanos , Texas/epidemiologia
9.
Tex Med ; 117(2): 45-46, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33641122

RESUMO

It's no surprise that many physicians were among the more than 1.3 million confirmed COVID-19 cases in Texas last year. Texas Medicine spoke with three Texas physicians who contracted COVID-19 to learn how the disease affected them physically and impacted their outlook as caregivers.


Assuntos
/epidemiologia , Transmissão de Doença Infecciosa do Paciente para o Profissional , Médicos , /transmissão , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Paciente para o Profissional/estatística & dados numéricos , Obrigações Morais , Texas/epidemiologia
10.
Am J Epidemiol ; 190(2): 295-304, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33524122

RESUMO

Socioeconomic status has been associated with cardiovascular disease risk factors. However, few studies have examined this relationship among populations in the US Gulf Coast region. We assessed neighborhood deprivation in relation to obesity and diabetes in 9,626 residents participating in the Gulf Long-Term Follow-Up Study (2011-present) who completed a home visit (2011-2013) with height, weight, waist, and hip measurements. Obesity was categorized as body mass index of at least 30, and diabetes was defined by doctor's diagnosis or prescription medication. Participant home addresses were linked to an established Area Deprivation Index and categorized into 4 levels (1 = least deprived). In adjusted, modified Poisson regression models, participants with greatest deprivation were more likely to have obesity compared with those with least deprivation (adjusted prevalence ratio (aPR) = 1.21, 95% confidence interval (CI): 1.08, 1.35), central obesity (aPR = 1.11, 95% CI: 1.04, 1.19), and diabetes (aPR = 1.49, 95% CI: 1.03, 2.14). Repeated analyses among a subgroup of participants (n = 3,016) whose hemoglobin A1C values were measured 3 years later indicated the association with diabetes (defined as diagnosis, medications, or hemoglobin A1C ≥ 6.5) was similar (aPR = 1.46, 95% CI: 1.14, 1.86). Results suggest neighborhood deprivation is associated with obesity and diabetes in a US region with high baseline prevalence.


Assuntos
Diabetes Mellitus/epidemiologia , Obesidade/epidemiologia , Características de Residência/estatística & dados numéricos , Adulto , Idoso , Consumo de Bebidas Alcoólicas/epidemiologia , Índice de Massa Corporal , Fumar Cigarros/epidemiologia , Feminino , Hemoglobina A Glicada , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Classe Social , Fatores Socioeconômicos , Sudeste dos Estados Unidos/epidemiologia , Texas/epidemiologia
12.
Artigo em Inglês | MEDLINE | ID: mdl-33557439

RESUMO

Central to developing effective control measures for the COVID-19 pandemic is understanding the epidemiology of transmission in the community. Geospatial analysis of neighborhood-level data could provide insight into drivers of infection. In the current analysis of Harris County, Texas, we used custom interpolation tools in GIS to disaggregate COVID-19 incidence estimates from the zip code to census tract estimates-a better representation of neighborhood-level estimates. We assessed the associations between 29 neighborhood-level characteristics and COVID-19 incidence using a series of aspatial and spatial models. The variables that maintained significant and positive associations with COVID-19 incidence in our final aspatial model and later represented in a geographically weighted regression model were the percentage of the Black/African American population, percentage of the foreign-born population, area derivation index (ADI), percentage of households with no vehicle, and percentage of people over 65 years old inside each census tract. Conversely, we observed negative and significant association with the percentage employed in education. Notably, the spatial models indicated that the impact of ADI was homogeneous across the study area, but other risk factors varied by neighborhood. The current findings could enhance decision making by local public health officials in responding to the COVID-19 pandemic. By understanding factors that drive community transmission, we can better target disease control measures.


Assuntos
/epidemiologia , Pandemias , Características de Residência , Fatores Socioeconômicos , Humanos , Incidência , Análise Espacial , Texas/epidemiologia
13.
J Investig Med ; 69(3): 710-718, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33431604

RESUMO

The global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic leading to coronavirus disease 2019 (COVID-19) is straining hospitals. Judicious resource allocation is paramount but difficult due to the unpredictable disease course. Once hospitalized, discerning which patients may progress to critical disease would be valuable for resource planning. Medical records were reviewed for consecutive hospitalized patients with COVID-19 in a large healthcare system in Texas. The main outcome was progression to critical disease within 10 days from admission. Albumin trends from admission to 7 days were analyzed using mixed-effects models, and progression to critical disease was modeled by multivariable logistic regression of laboratory results. Risk models were evaluated in an independent group. Of 153 non-critical patients, 28 (18%) progressed to critical disease. The rate of decrease in mean baseline-corrected (Δ) albumin was -0.08 g/dL/day (95% CI -0.11 to -0.04; p<0.001) or four times faster, in those who progressed compared with those who did not progress. A model of Δ albumin combined with lymphocyte percentage predicting progression to critical disease was validated in 60 separate patients (sensitivity, 0.70; specificity, 0.74). ALLY (delta albumin and lymphocyte percentage) is a simple tool to identify patients with COVID-19 at higher risk of disease progression when: (1) a 0.9 g/dL or greater albumin drop from baseline within 5 days of admission or (2) baseline lymphocyte of ≤10% is observed. The ALLY tool identified >70% of hospitalized cases that progressed to critical COVID-19 disease. We recommend prospectively tracking albumin. This is a globally applicable tool for all healthcare systems.


Assuntos
/sangue , Linfopenia/etiologia , Modelos Biológicos , Albumina Sérica Humana/deficiência , Adulto , Idoso , Estado Terminal , Progressão da Doença , Feminino , Humanos , Linfopenia/sangue , Masculino , Pessoa de Meia-Idade , Pandemias , Fatores de Risco , Índice de Gravidade de Doença , Texas/epidemiologia , Fatores de Tempo
14.
Sr Care Pharm ; 36(2): 104-111, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33509334

RESUMO

OBJECTIVE: To evaluate the change of geriatric anticholinergic cognitive burden (ACB) over acute admission for fall, fracture, or altered mental status (AMS) with a secondary endpoint of associated 30-day all-cause readmission.
DESIGN: Retrospective, single-center chart review.
SETTING: An academic, 636-bed level-I trauma and tertiary care hospital in Texas.
PATIENTS, PARTICIPANTS: Participants at least 65 years of age admitted for acute fall, fracture, or AMS between January 1, 2014, and August 31, 2018. A total of 265 participants were included; average age was 83 years, with 56% female.
MAIN OUTCOME MEASURES: Change in ACB of home medications from hospital admission to discharge.
RESULTS: At admission, ACB averaged 2.6 with 43.4% of participants having clinically significant scores, defined as ACB greater than or equal to 3. Overall, ACB decreased by 0.1 by discharge with 63.8% and 13.9% of participants having no change and increases in their ACB over admission, respectively. Clinically significant anticholinergic burden at discharge was significantly associated with 30-day all-cause readmission (P<0.001).
CONCLUSIONS: Anticholinergic burden in older people admitted for fall, fracture, or AMS is not consistently intervened upon in this acute care setting. Strategies to optimize deprescribing in this setting are needed.


Assuntos
Antagonistas Colinérgicos/efeitos adversos , Transtornos Cognitivos/induzido quimicamente , Cognição/efeitos dos fármacos , Tempo de Internação/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Antagonistas Colinérgicos/uso terapêutico , Transtornos Cognitivos/epidemiologia , Feminino , Hospitalização , Humanos , Masculino , Estudos Retrospectivos , Texas/epidemiologia
15.
Epidemiol Infect ; 149: e28, 2021 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-33455588

RESUMO

As the on-going severe acute respiratory syndrome coronavirus 2 pandemic, we aimed to understand whether economic reopening (EROP) significantly influenced coronavirus disease 2019 (COVID-19) incidence. COVID-19 data from Texas Health and Human Services between March and August 2020 were analysed. COVID-19 incidence rate (cases per 100 000 population) was compared to statewide for selected urban and rural counties. We used joinpoint regression analysis to identify changes in trends of COVID-19 incidence and interrupted time-series analyses for potential impact of state EROP orders on COVID-19 incidence. We found that the incidence rate increased to 145.1% (95% CI 8.4-454.5%) through 4th April, decreased by 15.5% (95% CI -24.4 -5.9%) between 5th April and 30th May, increased by 93.1% (95% CI 60.9-131.8%) between 31st May and 11th July and decreased by 13.2% (95% CI -22.2 -3.2%) after 12 July 2020. The study demonstrates the EROP policies significantly impacted trends in COVID-19 incidence rates and accounted for increases of 129.9 and 164.6 cases per 100 000 populations for the 24- or 17-week model, respectively, along with other county and state reopening ordinances. The incidence rate decreased sharply after 12th July considering the emphasis on a facemask or covering requirement in business and social settings.


Assuntos
/economia , Controle de Doenças Transmissíveis , Adulto , Feminino , Férias e Feriados , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Texas/epidemiologia , Adulto Jovem
16.
J Sch Health ; 91(1): 3-8, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33140434

RESUMO

BACKGROUND: Amid the COVID-19 pandemic, there is a need to understand caregiver preferences for their children's instructional format for the start of the 2020 to 2021 academic year. The purpose of the current study was to assess caregiver preferences for on-campus versus virtual learning at home during the fall and factors associated with these preferences. METHODS: Participants were caregivers of 4436 children and adolescents who were enrolled in pre-kindergarten through high school at a large, public school district in Texas. Caregivers were asked to complete an anonymous, online survey about their initial preferences for their student's back to the school learning environment. RESULTS: Caregivers of high- and middle-school students were more likely to endorse a preference for an on-campus/virtual hybrid instructional format and less likely to endorse a preference for a traditional, face-to-face instructional format compared to caregivers of elementary school students. Regardless of the school level, concerns about child health and safety were the factor most strongly associated with caregiver preferences for on-campus versus virtual learning at home during the fall. CONCLUSIONS: These data highlight the importance of school re-opening plans offering virtual options and addressing caregiver concerns about children's health and safety amid the COVID-19 pandemic.


Assuntos
/epidemiologia , Cuidadores/psicologia , Pais/psicologia , /organização & administração , Adolescente , Criança , Saúde da Criança/normas , Pré-Escolar , Feminino , Humanos , Masculino , Pandemias , Fatores Socioeconômicos , Texas/epidemiologia
17.
J Urban Health ; 98(1): 53-58, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33337529

RESUMO

People in prison are particularly vulnerable to infectious disease due to close living conditions and the lack of protective equipment. As a result, public health professionals and prison administrators seek information to guide best practices and policy recommendations during the COVID-19 pandemic. Using latent profile analysis, we sought to characterize Texas prisons on levels of COVID-19 cases and deaths among incarcerated residents, and COVID-19 cases among prison staff. This observational study was a secondary data analysis of publicly available data from the Texas Department of Criminal Justice (TBDJ) collected from March 1, 2020, until July 24, 2020. This project was completed in collaboration with the COVID Prison Project. We identified relevant profiles from the data: a low-outbreak profile, a high-outbreak profile, and a high-death profile. Additionally, current prison population and level of employee staffing predicted membership in the high-outbreak and high-death profiles when compared with the low-outbreak profile. Housing persons at 85% of prison capacity was associated with lower risk of COVID-19 infection and death. Implementing this 85% standard as an absolute minimum should be prioritized at prisons across the USA.


Assuntos
/prevenção & controle , Surtos de Doenças/prevenção & controle , Guias como Assunto , Pandemias/prevenção & controle , Prisioneiros/estatística & dados numéricos , Prisões/normas , Saúde Pública/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Surtos de Doenças/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/estatística & dados numéricos , Dinâmica Populacional/estatística & dados numéricos , Prisões/estatística & dados numéricos , Saúde Pública/estatística & dados numéricos , Texas/epidemiologia
18.
J Parasitol ; 106(6): 755-771, 2020 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-33326587

RESUMO

Sea turtles are difficult to sample because of their protected status; however, museum collections and sea turtle stranding networks provide unique opportunities for parasitological research. Four gastrointestinal tracts from stranded, endangered green turtles, Chelonia mydas, were collected between 1993 and 1995 from the upper Texas coast and opportunistically sampled for parasite fauna. Two new species of Telorchis, a common freshwater amphibian and reptilian intestinal parasite genus, were found and described. Telorchis marinus n. sp. differs from Telorchis mydas n. sp. by its short body length, lack of pharyngeal glands, long esophagus relative to total body length, short and straight cirrus sac, short ventral sucker to ovary length relative to total body length, and an ovary located in the anterior one-third of body; it differs from its congeners in the number of ovary lengths between the ventral sucker and ovary, the number of ventral sucker lengths the cirrus sac extends beyond the posterior margin of the ventral sucker, and the vitelline field extent. Telorchis mydas differs from its congeners in the number of ovary lengths between the ventral sucker and ovary, the number of ventral sucker lengths the cirrus sac extends beyond the posterior margin of the ventral sucker, and the combination of having its ovary position near the midbody and a long, sinuous cirrus sac that is 35-44% of the total body length. Given the taxonomic complexities within Telorchis, a revised key to North American species is provided using morphological characteristics to assist future researchers in delineating true species and appropriate synonymies with molecular explorations. We reject the majority of synonymies in the genus until molecular data are available; we accept the synonymies of Telorchis necturi as Telorchis stunkardi and Telorchis gutturosi as Telorchis chelopi. Both Telorchis linstowi and Telorchis stossichi should be considered as species inquirenda. This is the first confirmed report of Telorchis from a marine host and the first report on parasites of cheloniid sea turtles in Texas, and this study adds to the ever-growing evidence that collections are essential to understanding biodiversity.


Assuntos
Trematódeos/classificação , Infecções por Trematódeos/veterinária , Tartarugas/parasitologia , Animais , Feminino , Golfo do México/epidemiologia , Intestino Delgado/parasitologia , Masculino , Prevalência , Água do Mar , Texas/epidemiologia , Trematódeos/anatomia & histologia , Trematódeos/isolamento & purificação , Infecções por Trematódeos/epidemiologia , Infecções por Trematódeos/parasitologia
19.
Artigo em Inglês | MEDLINE | ID: mdl-33321902

RESUMO

Despite growing health disparities in Latino populations related to lack of physical activity (PA), little is known regarding the impact of social networks on PA and sedentary behavior among a sample of Latino fathers residing in functionally rural colonias. Fathers wore accelerometers and responded to questions regarding their self-efficacy and characteristics of who they were active with most often. Fathers (n = 47) attained a mean of 73.3 min of moderate-to-vigorous PA (SD = 23.8) per day and were sedentary for a mean of 364.0 min (SD = 74.4) per day. In total, fathers reported 205 alters and significantly more family members (M = 3.60, SD = 1.64) than friends (M = 0.77, SD = 1.37). Sedentary time was positively associated with number of peers and inversely related to the number of children reported. Minutes of moderate-to-vigorous PA was significantly associated with greater self-efficacy and number of family members reported. This study contributes to the evidence by further examining PA correlates of Latino fathers from functionally rural colonia communities. Additionally, this study supported both family systems theory and the socio-ecological model as it details the interpersonal and familial influences of PA behavior. Thus, supports for family activity promotion and programs which impact familial norms and activity at the family level may be particularly useful.


Assuntos
Exercício Físico , Pai , Comportamento Sedentário , Rede Social , Criança , Pai/estatística & dados numéricos , Hispano-Americanos/estatística & dados numéricos , Humanos , Masculino , Atividade Motora , População Rural/estatística & dados numéricos , Comportamento Sedentário/etnologia , Texas/epidemiologia
20.
Viruses ; 12(12)2020 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-33321892

RESUMO

Previous work has indicated that canine parvovirus (CPV) prevalence in the Central Texas region may follow yearly, periodic patterns. The peak in CPV infection rates occurs during the summer months of May and June, marking a distinct "CPV season". We hypothesized that human activity contributes to these seasonal changes in CPV infections. The COVID-19 pandemic resulted in drastic changes in human behavior which happened to synchronize with the CPV season in Central Texas, providing a unique opportunity with which to assess whether these society-level behavioral changes result in appreciable changes in CPV patient populations in the largest CPV treatment facility in Texas. In this work, we examine the population of CPV-infected patients at a large, dedicated CPV treatment clinic in Texas (having treated more than 5000 CPV-positive dogs in the last decade) and demonstrate that societal-behavioral changes due to COVID-19 were associated with a drastic reduction in CPV infections. This reduction occurred precisely when CPV season would typically begin, during the period immediately following state-wide "reopening" of business and facilities, resulting in a change in the typical CPV season when compared with previous years. These results provide evidence that changes in human activity may, in some way, contribute to changes in rates of CPV infection in the Central Texas region.


Assuntos
/epidemiologia , Doenças do Cão/epidemiologia , Infecções por Parvoviridae/veterinária , Animais , Controle de Doenças Transmissíveis/legislação & jurisprudência , Doenças do Cão/terapia , Cães , Hospitais Veterinários , Humanos , Unidades de Terapia Intensiva , Infecções por Parvoviridae/epidemiologia , Infecções por Parvoviridae/terapia , Parvovirus Canino/patogenicidade , Prevalência , Política Pública , Texas/epidemiologia
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