Dengue disease, basic reproduction number and control

Dengue is one of the major international public health concerns. Although progress is underway, developing a vaccine against the disease is challenging. Thus, the main approach to fight the disease is vector control. A model for the transmission of Dengue disease is presented. It consists of eight mutually exclusive compartments representing the human and vector dynamics. It also includes a control parameter (insecticide) in order to fight the mosquito. The model presents three possible equilibria: two disease-free equilibria (DFE) and another endemic equilibrium. It has been proved that a DFE is locally asymptotically stable, whenever a certain epidemiological threshold, known as the basic reproduction number, is less than one. We show that if we apply a minimum level of insecticide, it is possible to maintain the basic reproduction number below unity. A case study, using data of the outbreak that occurred in 2009 in Cape Verde, is presented.Comment: This is a preprint of a paper whose final and definitive form has appeared in International Journal of Computer Mathematics (2011), DOI: 10.1080/00207160.2011.55454

Estudio de foraminífiros bentónicos en escala mensual en una bahía subtropical moderadamente afectada por efluentes urbanos

Benthic foraminifera were sampled monthly during a one-year period in order to examine their biological response to the environmental factors in the Ubatuba Bay (northern coast of São Paulo State, Brazil). The area is a popular tourist destination with a population that varies during the year, as does the untreated sewage carried into the bay by the rivers. Four sites were analysed. Each station is near one of the rivers that discharge into the bay. Biological data were analysed with multivariate and univariate techniques. The influence of the abiotic parameters on the foraminiferal fauna was inferred through statistical methods and time correlation functions. Geochemical and populational parameter differences allowed the sites to be separated into two groups according to their stress conditions. One group was dominated by Ammonia tepida—a herbivore species—and showed higher densities indicating a more productive and less contaminated location. The other one was dominated by Buliminella elegantissima—a detritivore species. Species diversity did not seem to be a good indicator of environmental health in this area due to the low densities and the high dominance of few species. Nevertheless, density and richness were used as evidence of local productivity and environmental conditions. Quasi-azoic moments related to the high degree of contamination were observed. Anthropogenic effects were stronger in the austral summer period, when sewage input through the rivers increases due to mass tourism.Fueron analizados foraminíferos bentónicos en cuatro estaciones muestreadas mensualmente con la intención de investigar la respuesta biológica a los factores ambientales en la Ensenada de Ubatuba (costa noreste de São Paulo, Brasil). El área es un importante local turístico cuya población fluctúa a través del año y recibe efluentes no tratados a través de los ríos que en ella desembocan. Fueron analizados cuatro locales. Cada estación se encuentra localizada próxima a uno de los cuatro ríos que desembocan en la bahía. Los datos biológicos fueron analizados con técnicas uni y multivariadas. La influencia de los parámetros abióticos sobre la fauna de foraminíferos fue inferida a través de métodos estadísticos y de funciones de correlación temporal. Parámetros geoquímicas y poblacionales permitieron distinguir dos grupos de estaciones que reflejan las condiciones de estrés local. Uno de los grupos estuvo dominado por Ammonia tepida –especie herbívora– y se mostró más productivo y menos contaminado. El otro local estuvo dominado por Buliminella elegantísima –especie detritívora. La diversidad especifica no se mostró un buen indicador de la salud ambiental en esta región debido a las bajas densidades y a la alta dominancia de unas pocas especies. Sin embargo, la densidad y riqueza pudieron ser utilizadas como evidencias de la productividad local y condiciones ambientales. Fueron observados momentos casi azoicos relacionados con el alto grado de contaminación. Los efectos antropogénicos fueron mayores durante el período de verano austral, cuando la entrada de deshechos domésticos a través de los ríos aumenta como consecuencia del incremento del turismo

Complete atrioventricular block during exercise: New insights from an old test

Exercise stress testing can have a central role in the assessment of cardiovascular disease. Contemporary data, however, has highlighted the added value of imaging modalities over the exercise electrocardiogram in the investigation of coronary artery disease. Given the physiological changes associated with exercise and the possibility to address other parameters such as rhythm changes and the chronotropic response, exercise stress testing with continuous electrocardiographic monitoring can still have an important place in contemporary clinical practice. We report the case of a complete atrioventricular block associated with exercise and discuss the current role of exercise stress testing with continuous electrocardiographic monitoring in this entity

Staff SARS-CoV-2 Seroprevalence and Mental Health as Key Factors in University Response to COVID-19 Pandemic

Copyright © 2021 Lopes, Henriques, Santos-Dias, Nunes-da-Silva, Gonçalves, de Sousa, Abdulghani, Eletério, Braga, Soares, Branco, Canhão and Rodrigues.Background: In response to rapid global spread of the newly emerged coronavirus disease 2019 (COVID-19), universities transitioned to online learning and telework to decrease risks of inter-person contact. To help administrators respond to the COVID-19 pandemic and better understand its impacts, we surveyed SARS-CoV-2 seroprevalence among NOVA University employees and assessed community mental health. Methods: Data were collected from voluntary participants at six NOVA University locations, in the Lisbon metropolitan area, from June 15-30, 2020. All subjects provided written informed consent. Of 1,627 recruited participants (mean age 42.0 ± 12.3 years), 1,624 were tested. Prior to blood collection, participants completed a questionnaire that assessed: COVID-19 symptoms during the previous 14 days, chronic non-communicable diseases, chronic medication, anxiety, and depression symptoms. SARS-CoV-2 serology tests were then performed, and results communicated approximately 4 days after blood draw. Participants with positive serology tests were contacted to assess COVID-19 symptoms since February. Results: Estimated prevalence of SARS-CoV-2 IgG antibodies was 3.1% (n = 50), of which 43.5% reported symptoms in the previous 4 months. The Medical School had the highest seroprevalence (6.2%). Participants reported having at least one chronic disease (63.7%), depression-like symptoms (2.1%), and anxiety symptoms (8.1%). Rates of depression and anxiety symptoms were significantly higher in women, with sleep hours and occasional alcohol consumption negatively associated with depression. Male gender, older age, and sleep hours negatively associated with anxiety symptoms. School of employment and presence of comorbidities positively associated with anxiety. Conclusion: By measuring seroprevalence of SARS-CoV-2 antibodies among NOVA employees and assessing subjects' mental health, we aim to help administrators at European public universities in urban areas, such as Lisbon, Portugal, better understand the needs of their communities. This study resulted in implementation of a stricter contingency plan in the Medical School, while other schools continued to follow Government mitigation guidelines. These findings may also guide the development of tailored strategies to ensure physical and mental health of the academic community during this pandemic crisis. We conclude that, together with COVID-19 contingency plans, psychological support services and facilities to help people effectively face pandemic-associated challenges and minimise anxiety and depression should be implemented.publishersversionpublishe

Anomalous Features of EMT during Keratinocyte Transformation

During the evolution of epithelial cancers, cells often lose their characteristic features and acquire a mesenchymal phenotype, in a process known as epithelial-mesenchymal transition (EMT). In the present study we followed early stages of keratinocyte transformation by HPV16, and observed diverse cellular changes, associated with EMT. We compared primary keratinocytes with early and late passages of HF1 cells, a cell line of HPV16-transformed keratinocytes. We have previously shown that during the progression from the normal cells to early HF1 cells, immortalization is acquired, while in the progression to late HF1, cells become anchorage independent. We show here that during the transition from the normal state to late HF1 cells, there is a progressive reduction in cytokeratin expression, desmosome formation, adherens junctions and focal adhesions, ultimately leading to poorly adhesive phenotype, which is associated with anchorage-independence. Surprisingly, unlike “conventional EMT”, these changes are associated with reduced Rac1-dependent cell migration. We monitored reduced Rac1-dependent migration also in the cervical cancer cell line SiHa. Therefore we can conclude that up to the stage of tumor formation migratory activity is eliminated