Dinâmica da transmissão do Trypanosoma cruzi numa área rural da Argentina: III. Persistência da parasitemia pelo T. cruzi em reservatórios caninos durante um seguimento de dois anos

A new cross-sectional survey of household- associated mongrel dogs as well as follow-up of previously parasitemic individuals was carried out in 1984 toy means of xenodiagnosis and serologic techniques to get a deeper insight into the relationship of T. cruzi parasitemia and age among canine hosts in a rural area of Argentina. Persistence of detectable parasitemia was age-independent, or at most, loosely related to age, confirming the pattern observed in 1982. Similarly no significant age-decreasing effect was recorded among seropositive dogs in: a) the probability of detecting parasites in a 2-year follow-up; b) their intensity of infectiousness (=infective force) for T. infestans 3rd-4th instar nymphs, as measured by the percentage of infected bugs observed in each dog xenodiagnosis. Moreover, not only was the infective force of seropositive dogs for bugs approximately constant through lifetime, but it was significantly higher than the one recorded for children in the present survey, and for human people by other researchers. Therefore, and since T. infestans field populations show high feeding frequencies on dogs, the latter are expected to make the greatest contribution to the pool of infected vectors in the rural household of Argentina. This characteristic should be sufficient to involve canine reservoirs definitely as a risk factor for human people residing in the same house. The increased severity of parasitemia observed among dogs in this survey may be related to the acute undernutrition characteristic of canine populations of poor rural areas in our country, which is expected to affect the ability of the host to manage the infection.Foi realizada em 1984 uma nova pesquisa epidemiológica dos cães domésticos e seguimento dos indivíduos que apresentaram parasitemia dois anos antes a fim de compreender a relação entre a parasitemia e a idade dos cães, empregando para isso técnicas sorológicas e xenodiagnóstico. A persistência da parasitemia foi independente ou pouco relacionada à idade, confirmando assim o padrão observado em 1982. Da mesma maneira, nos cães soropositivos não se registrou nenhuma diminuição significativa com respeito a idade em: a) a probabilidade de descobrir parasitas por meio de um seguimento durante 2 anos; b) sua capacidade de infecção para as ninfas de 3.ª 4.ª fase de T. infestans, medido pela porcentagem de barbeiros infectados que se observou em cada um dos xenodiagnósticos dos cães. A capacidade infectante dos cães soropositivos foi aproximadamente constante ao longo da vida, e significativamente maior que a registrada para as crian. ças no presente estudo, e para os agrupamentos humanos pesquisados por outros investigadores. Assim sendo e considerando as altas freqüências de alimentação no cão que são observados nas populações pelo T. infestans, espera-se que o cão contribua para o total de barbeiros infectados existentes nas áreas rurais da Argentina. Esta característica deveria ser suficiente para incriminar definitivamente os reservatórios caninos como um fator de risco para as pessoas residentes na mesma casa. A alta intensidade da parasitemia registrada entre os cães na presente pesquisa poderia estar relacionada com a acentuada desnutrição característica dos cães nas áreas rurais pobres da Argentina, o que poderia afetar a capacidade do hospedeiro para controlar a infecção

High-efficiency, long-pulse operation of MW-level dual-frequency gyrotron, 84/126GHz, for the TCV Tokamak

The first unit of the dual-frequency gyrotron, 84126GHz/1MW/2s, for the upgrade of the TCV ECH system has been delivered and is presently being commissioned. During a first phase, long-pulse operation (TRF gt 0.5 mathrm{s}) has been achieved and powers in excess of 0.93MW/1.1s and 1MW/1.2s have been measured in the evacuated RF-load at the two frequencies, 84GHz (TE {17,5} mode) and 126GHz (TE {26,7} mode), respectively. Considering the different rf losses in the experimental setup, the power level generated in the gyrotron cavity is in excess of 1.1MW and 1.2MW, with a corresponding electronic efficiency of 35% and 36%. These values are in excellent agreement with the design parameters and would likely lead to a gyrotron total efficiency higher than 50% in case of implementation of a depressed collector. The gyrotron behavior is remarkably reliable and robust with the pulse length extension to 2s presently only limited by external auxiliary systems

Measles in Democratic Republic of Congo: an outbreak description from Katanga, 2010--2011

BACKGROUND: The Democratic Republic of Congo experiences regular measles outbreaks. From September 2010, the number of suspected measles cases increased, especially in Katanga province, where Medecins sans Frontieres supported the Ministry of Health in responding to the outbreak by providing free treatment, reinforcing surveillance and implementing non-selective mass vaccination campaigns. Here, we describe the measles outbreak in Katanga province in 2010--2011 and the results of vaccine coverage surveys conducted after the mass campaigns. METHODS: The surveillance system was strengthened in 28 of the 67 health zones of the province and we conducted seven vaccination coverage surveys in 2011. RESULTS: The overall cumulative attack rate was 0.71% and the case fatality ratio was 1.40%.The attack rate was higher in children under 4 and decreased with age. This pattern was consistent across districts and time. The number of cases aged 10 years and older barely increased during the outbreak. CONCLUSIONS: Early investigation of the age distribution of cases is a key to understanding the epidemic, and should guide the vaccination of priority age groups

Correspondence between neurophysiological and clinical measurements of chemotherapy-induced peripheral neuropathy: secondary analysis of data from the CI-PeriNoms study

Chemotherapy-induced peripheral neuropathy (CIPN) lacks standardized clinical measurement. The objective of the current secondary analysis was to examine data from the CIPN Outcomes Standardization (CI-PeriNomS) study for associations between clinical examinations and neurophysiological abnormalities. Logistic regression estimated the strength of associations of vibration, pin, and monofilament examinations with lower limb sensory and motor amplitudes. Examinations were classified as normal (0), moderately abnormal (1), or severely abnormal (2). Among 218 participants, those with class 1 upper extremity (UE) and classes 1 or 2 lower extremity (LE) monofilament abnormality were 2.79 (95% confidence interval [CI]: 1.28-6.07), 3.49 (95%CI: 1.61-7.55), and 4.42 (95%CI: 1.35-14.46) times more likely to have abnormal sural nerve amplitudes, respectively, compared to individuals with normal examinations. Likewise, those with class 2 UE and classes 1 or 2 LE vibration abnormality were 8.65 (95%CI: 1.81-41.42), 2.54 (95%CI: 1.19-5.41), and 7.47 (95%CI: 2.49-22.40) times more likely to have abnormal sural nerve amplitudes, respectively, compared to participants with normal examinations. Abnormalities in vibration and monofilament examinations are associated with abnormal sural nerve amplitudes and are useful in identifying CIPN

Active commuting to and from university, obesity and metabolic syndrome among Colombian university students

Background: There is limited evidence concerning how active commuting (AC) is associated with health benefits in young. The aim of the study was to analyze the relationship between AC to and from campus (walking) and obesity and metabolic syndrome (MetS) in a sample of Colombian university students. Methods: A total of 784 university students (78.6% women, mean age = 20.1 ± 2.6 years old) participated in the study. The exposure variable was categorized into AC (active walker to campus) and non-AC (non/infrequent active walker to campus: car, motorcycle, or bus) to and from the university on a typical day. MetS was defined in accordance with the updated harmonized criteria of the International Diabetes Federation criteria. Results: The overall prevalence of MetS was 8.7%, and it was higher in non-AC than AC to campus. The percentage of AC was 65.3%. The commuting distances in this AC from/to university were 83.1%, 13.4% and 3.5% for < 2 km, 2- 5 km and > 5 km, respectively. Multiple logistic regressions for predicting unhealthy profile showed that male walking commuters had a lower probability of having obesity [OR = 0.45 (CI 95% 0.25–0.93)], high blood pressure [OR = 0.26 (CI 95% 0.13–0.55)] and low HDL cholesterol [OR = 0.29 (CI 95% 0.14–0.59)] than did passive commuters. Conclusions: Our results suggest that in young adulthood, a key life-stage for the development of obesity and MetS, AC could be associated with and increasing of daily physical activity levels, thereby promoting better cardiometabolic health.This study was part of the project entitled “Body Adiposity Index and Biomarkers of Endothelial and Cardiovascular Health in Adults”, which was funded by Centre for Studies on Measurement of Physical Activity, School of Medicine and Health Sciences, Universidad del Rosario (Code N° FIUR DNBG001) and Universidad de Boyacá (Code N° RECT 60)