153 research outputs found

    Comparative study of several sinusitis experimental modelling techniques in rabbits

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    Experimental models for clinical studies of rhinosinusitis are needed. AIM: to define a reliable, solid and reproducible experimental model for inflammatory rhinosinusitis with no innoculation of infectious agents in rabbits. Study design: Experimental. MATERIAL AND METHOD: Twenty 20 rabbits were divided into 4 groups submitted to 4 different interventions: the placement of a unilateral nasal fossa sponge, unilateral obliteration of the nasal ostium with cyanoacrylate, unilateral placement of antigens in the maxillary cavity and unilateral placement of blood in the maxillary cavity. The animals were monitored for 15 days and then anesthetized and sacrificed; the maxillary sinuses were evaluated histologicaly and results were compared with controls and between the intervention groups. CONCLUSION: Sponje and glue as agents of meatal obstruction and toxoid aplied in the antrum are efficient as methods for rhinosinusitis modeling. Blood was not efficient in producing sinusitis.A criação de modelos de estudo das rinossinusites é necessária para compreensão de seus aspectos fisiopatológicos. OBJETIVO: Sugerimos neste estudo estabelecer um modelo experimental fidedigno, reproduzível e consistente para a rinossinusite inflamatória sem uso de inoculação de agentes infecciosos em coelhos. Tipo de Estudo: Experimental. MATERIAL E MÉTODO: Foram utilizados 20 coelhos neste estudo. Os animais foram submetidos a 4 intervenções diferentes: colocação de tampão de esponja unilateral, obliteração unilateral de óstio nasal com cianoacrilato, instilação unilateral de antígenos em seio maxilar e instilação de sangue em cavidade maxilar unilateral. Os animais foram acompanhados até 15 dias do início do estudo e ao final do período de seguimento foram anestesiados e sacrificados. Os seios maxilares foram avaliados histologicamente e os resultados comparados com os seios maxilares contralaterais para controle e entre os grupos de intervenção. RESULTADOS: Todos os animais do estudo desenvolveram rinorréia amarelada unilateral até o 15º dia de acompanhamento. Apenas os animais que receberam sangue não apresentaram alterações histológicas compatíveis com rinossinusite purulenta. CONCLUSÕES: O uso de esponja e cola para obstrução do óstio meatal e a aplicação de toxóide são eficientes como produtores de modelo de rinossinusite. A aplicação de sangue no antro não produz os mesmos resultados.Santa Casa de São Paulo Depto. de OtorrinolaringologiaSanta Casa de São Paulo programa de Pós-GraduaçãoSanta Casa de São PauloUNIFESPUNIFESPSciEL

    Epidemiological characteristics of human-infective RNA viruses

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    RNA viruses are a major threat to human health. Here, based on extensive literature searches carried out over a period of 18 years, we provide a catalogue of all 214 known human-infective RNA virus species. We link these viruses to metadata for a number of traits that influence their epidemiology, including the date of the first report of human infection, transmissibility in human populations, transmission route(s) and host range. This database can be used in comparative studies of human-infective RNA viruses to identify the characteristics of viruses most likely to pose the greatest public health threat, both now and in the future

    Taxonomic patterns in the zoonotic potential of mammalian viruses

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    Predicting and simplifying which pathogens may spill over from animals to humans is a major priority in infectious disease biology. Many efforts to determine which viruses are at risk of spillover use a subset of viral traits to find trait-based associations with spillover. We adapt a new method—phylofactorization—to identify not traits but lineages of viruses at risk of spilling over. Phylofactorization is used to partition the International Committee on Taxonomy of Viruses viral taxonomy based on non-human host range of viruses and whether there exists evidence the viruses have infected humans. We identify clades on a range of taxonomic levels with high or low propensities to spillover, thereby simplifying the classification of zoonotic potential of mammalian viruses. Phylofactorization by whether a virus is zoonotic yields many disjoint clades of viruses containing few to no representatives that have spilled over to humans. Phylofactorization by non-human host breadth yields several clades with significantly higher host breadth. We connect the phylogenetic factors above with life-histories of clades, revisit trait-based analyses, and illustrate how cladistic coarse-graining of zoonotic potential can refine trait-based analyses by illuminating clade-specific determinants of spillover risk

    Satellite Telemetry and Long-Range Bat Movements

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    Background: Understanding the long-distance movement of bats has direct relevance to studies of population dynamics, ecology, disease emergence, and conservation. Methodology/Principal Findings: We developed and trialed several collar and platform terminal transmitter (PTT) combinations on both free-living and captive fruit bats (Family Pteropodidae: Genus Pteropus). We examined transmitter weight, size, profile and comfort as key determinants of maximized transmitter activity. We then tested the importance of bat-related variables (species size/weight, roosting habitat and behavior) and environmental variables (day-length, rainfall pattern) in determining optimal collar/PTT configuration. We compared battery- and solar-powered PTT performance in various field situations, and found the latter more successful in maintaining voltage on species that roosted higher in the tree canopy, and at lower density, than those that roost more densely and lower in trees. Finally, we trialed transmitter accuracy, and found that actual distance errors and Argos location class error estimates were in broad agreement. Conclusions/Significance: We conclude that no single collar or transmitter design is optimal for all bat species, and that species size/weight, species ecology and study objectives are key design considerations. Our study provides a strategy for collar and platform choice that will be applicable to a larger number of bat species as transmitter size and weight continue to decrease in the future

    Using Mathematical Models In A Unified Approach To Predicting The Next Emerging Infectious Disease

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    Emerging infectious diseases (EIDs) pose a significant threat to human health, global economies, and conservation (Smolinski et al. 2003). They are defined as diseases that have recently increased in incidence (rate of the development of new cases during a given time period), are caused by pathogens that recently moved from one host population to another, have recently evolved, or have recently exhibited a change in pathogenesis (Morse 1993; Krause 1994). Some EIDs threaten global public health through pandemics with large-scale mortality (e.g., HN/AIDS). Others cause smaller outbreaks but have high case fatality ratios or lack effective therapies or vaccines (e.g. Ebola virus or methicillin-resistant Staphylococcus aureus). As a group, EIDs cause hundreds of thousands of deaths each year, and some outbreaks (e.g., SARS, H5N1) have cost the global economy tens of billions of dollars. Emerging diseases also affect plants, livestock, and wildlife and are recognized as a Significant threat to the conservation of biodiversity (Daszak et al. 2000). Approximately 60% of emerging human disease events are zoonotic, and over 75% of these diseases originate in wildlife (Jones et al. 2008). The global response to such epidemics is frequently reactive, and the effectiveness of conventional disease control operations is often too little, too late\u27: With rising globalization, the ease with which diseases spread globally has increased dramatically in recent times. Also, interactions between humans and wildlife have intensified through trade markets, agricultural intensification, logging and mining, and other forms of development that encroach into wild areas. Rapid human population growth, land use change, and change in global trade and travel require a shift toward a proactive, predictive, and preventive approaches for the next zoonotic pandemic

    Interoperabilidade e Sistemas de Informações em Saúde: o que estamos publicando no Brasil?

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    Este artigo tem como objetivo analisar a produção científica em periódicos nacionais referentes a interoperabilidade em sistemas de informação em saúde, no período de 2000-2023, cuja questão norteadora é: “O que se tem publicado no Brasil sobre interoperabilidade e sistemas de informação em saúde?”. Trata-se de um estudo bibliométrico a respeito da tecnologia em saúde, com foco na interoperabilidade dos sistemas de saúde, cuja busca foi realizada na base de dados BVS e Periódicos CAPES com os DeCS “interoperabilidade” e “sistemas de informação”, no recorte temporal de 2000-2023, tendo como critério de inclusão: artigo disponível na íntegra e está publicado em língua portuguesa. Selecionou-se 27 artigos. No Brasil é perceptível que as publicações com temáticas sobre interoperabilidade e Sistemas de Informação em Saúde ganharam força no período paralelo ao início do desenvolvimento do projeto piloto do Cartão Nacional de Saúde. Leis que tratam da Proteção de Dados Pessoais bem como a Política Nacional de Informação e Informática em saúde inexistiam até poucos anos atrás. No que tange o uso dos Sistemas de Informação em Saúde no Brasil, tanto nas esferas públicas quanto nas privadas, são sistemas fragmentados e não interoperáveis. Nas publicações brasileiras é possível perceber uma crescente sobre interoperabilidade e sistemas de informação em saúde, com destaque para interoperabilidade semântica, sendo necessário investimentos para que ocorra de fato a interoperabilidade dos SIS
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