Health system response during the european refugee crisis : policy and practice analysis in four Italian regions

The decentralization of the provision of health services at the subnational level produces variations in healthcare offered to asylum seekers (ASs) across the different Italian regions, even if they are entitled to healthcare through the national health service. The present study aims to map the healthcare path and regional policies for ASs upon arrival and identify challenges and best practices. This is a multicentric, qualitative study of migrant health policies and practices at the regional level within four Italian regions. For the analysis, a dedicated tool for the systematic comparison of policies and practices was developed. The collection and analysis of data demonstrated the presence of many items of international recommendations, even if many gaps exist and differences between regions remain. The analysis of practices permitted the identification of three models of care and access. Some aspects identified are as follows: fragmentation and barriers to access; a weakness in or lack of a governance system, with the presence of many actors involved; variability in the response between territories. The inclusion of ASs in healthcare services requires intersectoral actions, involving healthcare sectors and other actors within local social structures, in order to add value to local resources and practices, reinforce networks and contribute to social integration

Avaliação da vacina Circovac(r) no controle da síndrome da circovirose suína (SCS) em condições de campo no Brasil.

bitstream/item/58046/1/CUsersPiazzonDocuments473.pdfProjeto/Plano de Ação: 03.07.51.900-07

Otimização das técnicas de PCR e RFLP para o gene tbpA de Haemophilus parasuis.

Projeto/Plano de Ação: 03.07.05.017

Sala hospital para recuperação de suínos doentes.

bitstream/item/124949/1/ITSU-17.pd

Condições de biosseguridade no recolhimento de animais mortos de propriedades rurais e transporte até empresas processadoras.

bitstream/item/175298/1/final8775.pd

Causas infecciosas de problemas reprodutivos na produção de suínos.

bitstream/item/57975/1/CUsersPiazzonDocuments498.pd

Genótipos de circovírus suíno tipo 2 e PCV3 em amostras clínicas de suínos no Brasil.

Resumo: O Circovírus suíno tipo 2 (PCV2) é um importante patógeno para suínos e causador das doenças associadas a circovirose suína (PCVD). Apesar da PCVD ser controlada pelas vacinas comerciais, a sua apresentação está mudando. Além disso, o PCV2 está evoluindo geneticamente e novos genótipos foram identificados em suínos vacinados e não vacinados. O objetivo deste trabalho foi verificar a presença dos genótipos PCV2a, PCV2b e PCV2d em amostras previamente positivas para PCV2. Além disso, identificar coinfecções entre genótipos de PCV2 e/ou com PCV3, que também podem causar doenças em suínos, utilizando um teste de diagnóstico PCR rápido, eficaz e de baixo custo. Foram analisadas 333 amostras clínicas positivas para PCV2 por qPCR e provenientes de diferentes fases de produção e rebanhos do Brasil. Destas, 266 foram genotipadas, sendo o PCV2b o genótipo mais predominante (56,77% das amostras positivas), principalmente provenientes de animais da creche. O PCV2d também foi detectado em 33,10% das amostras, principalmente em suínos de terminação e porcas reprodutoras. O teste PCR utilizado neste estudo foi comparado a um kit comercial e foi eficaz na genotipagem do PCV2. Este estudo demonstrou a importância da genotipagem do PCV2 e que o PCV2b continua sendo o genótipo predominante responsável pela doença em granjas de suínos no Brasil. O PCV2a, genótipo mais comum utilizado nas vacinas comerciais, não foi detectado em nenhuma amostra analisada. Embora os suínos infectados com outros genótipos de PCV2 possam obter alguma proteção heteróloga das vacinas contra PCV2a, diagnósticos adequados e monitoria da vacina para atualizações devem ser considerados. Abstract: Porcine circovirus type 2 (PCV2), an important pathogen in swine, causes PCV disease (PCVD). Although PCVD is effectively controlled using commercial vaccines, its clinical presentation is changing. Moreover, PCV2 is genetically evolving, with new genotypes emerging in vaccinated or unvaccinated pigs. In this study, we aimed to verify the presence of the PCV2a, PCV2b, and PCV2d genotypes in PCV-positive porcine samples. Furthermore, to identify coinfections between the PCV2 genotypes and/or PCV3, which can also induce disease in pigs, we employed a quick, effective, and low-cost PCR diagnostic test. In this study, 333 PCV2 PCR and clinically positive samples from various production stages and herds across Brazil were analyzed. Among these, 266 samples were genotyped, with PCV2b emerging as the most predominant genotype (56.77% of the positive samples), mainly observed in nursery pigs. PCV2d was also identified in 33.10% of the samples, primarily from finishing pigs and breeding sows. The employed PCR test was compared with a commercial kit, proving effective in PCV2 genotyping. This study demonstrates the significance of PCV2 genotyping, showing PCV2b as the most predominant genotype responsible for disease in pig farms in Brazil. PCV2a, the prevalent genotype used in commercial vaccines, was not detected in any of the analyzed samples. While pigs infected with other PCV2 genotypes may receive some heterologous protection from PCV2a vaccines, adequate diagnosis and vaccine monitoring for updates must be considered.Título em inglês: Porcine Circovirus Type 2 Genotypes and PCV3 in Swine Clinical Samples From Brazil

Lifetime psychopathology among the offspring of Bipolar I parents

BACKGROUND: Recent studies have demonstrated high rates of psychopathology in the offspring of parents with bipolar disorder. The aim of this study was to identify psychiatric diagnoses in a sample of children of bipolar parents. METHOD: This case series comprised 35 children and adolescents aged 6 to 17 years, with a mean age of 12.5 + 2.9 years (20 males and 15 females), who had at least one parent with bipolar disorder type I. The subjects were assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime version (K-SADS-PL). Family psychiatric history and demographics were also evaluated. RESULTS: Of the offspring studied, 71.4% had a lifetime diagnosis of at least one psychiatric disorder (28.6% with a mood disorder, 40% with a disruptive behavior disorder and 20% with an anxiety disorder). Pure mood disorders (11.4%) occurred less frequently than mood disorders comorbid with attention deficit hyperactivity disorder (17.1%). Psychopathology was commonly reported in second-degree relatives of the offspring of parents with bipolar disorder (71.4%). CONCLUSIONS: Our results support previous findings of an increased risk for developing psychopathology, predominantly mood and disruptive disorders, in the offspring of bipolar individuals. Prospective studies with larger samples are needed to confirm and expand these results.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)NARSADKrus Endowed Chair in Psychiatry UTHSCSAFederal University of São Paulo Department of PsychiatryThe University of Texas Health Science Center Departments of Psychiatry and OrthodonticsUniversidade de São Paulo Faculdade de Medicina Department of PsychiatryUniversity of Texas Health Science CenterThe University of Texas Health Science Center Department of PsychiatryUNIFESP, Department of PsychiatryNARSAD: MH 69774NARSAD: RR 20571NARSAD: MH068280SciEL

Desenvolvimento e implantação de diagnóstico de patógenos causadores de falhas reprodutivas em fêmeas suínas associadas a síndrome da circovirose suína.

Projeto/Plano de Ação: 03.07.05.019

Lifetime psychopathology among the offspring of Bipolar I parents

BACKGROUND: Recent studies have demonstrated high rates of psychopathology in the offspring of parents with bipolar disorder. The aim of this study was to identify psychiatric diagnoses in a sample of children of bipolar parents. METHOD: This case series comprised 35 children and adolescents aged 6 to 17 years, with a mean age of 12.5 + 2.9 years (20 males and 15 females), who had at least one parent with bipolar disorder type I. The subjects were assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime version (K-SADS-PL). Family psychiatric history and demographics were also evaluated. RESULTS: Of the offspring studied, 71.4% had a lifetime diagnosis of at least one psychiatric disorder (28.6% with a mood disorder, 40% with a disruptive behavior disorder and 20% with an anxiety disorder). Pure mood disorders (11.4%) occurred less frequently than mood disorders comorbid with attention deficit hyperactivity disorder (17.1%). Psychopathology was commonly reported in second-degree relatives of the offspring of parents with bipolar disorder (71.4%). CONCLUSIONS: Our results support previous findings of an increased risk for developing psychopathology, predominantly mood and disruptive disorders, in the offspring of bipolar individuals. Prospective studies with larger samples are needed to confirm and expand these results