Seroprevalence and risk factors associated with the presence of bovine leptospirosis in the municipality of Sotaquirá, Colombia

Background: Bovine leptospirosis is a zoonotic, infectious, and cosmopolitan disease of worldwide distribution, caused by the spirochete Leptospira spp., which has been diagnosed in humans; domestic mammals, such as dogs, sheep, goats, swine, horses and cattle; and wild animals. It is considered a significant cause of economic losses in livestock because it causes infertility, abortion and reduced milk production. Aim: To establish the prevalence and the main risk factors associated with Leptospira spp. in cattle in the municipality of Sotaquirá, Colombia. Methods: An observational, descriptive, cross-sectional study with simple random sampling was carried out. 1,000 cattle of Ayrshire, Holstein, Jersey, Normande, Zebu, and crossbreeds were sampled. Blood samples were taken by coccygeal venipuncture and processed by microscopic agglutination technique; animals were considered positive when titers were ≥1:100. The data obtained were processed with the statistical program EpiInfo®. Results: A general apparent prevalence (AP) of 16% (160/1,000) was established, where the crossbreeds (20.5% AP), the 2–4 years age group (17% AP), and the serovars Leptospira interrogans serogroup Pomona (5.1%) and L. interrogans serogroup Sjroe serovar Hardjo (3.4%) presented the highest seropositivity. The variables barnyard, artificial insemination, and use of certified semen were identified as protective factors against the disease, while diarrhea was considered a risk factor. Conclusion: The prevalence in this study is within the range of those reported at the national level; however, it is essential to establish plans to control and prevent the disease

Diagnóstico de parásitos gastrointestinales en bovinos del departamento de Boyacá, Colombia

Parasitic diseases are considered to be one of the most prevalent pathologies worldwide. They are characterized as one of the most critical sanitary problems in cattle, causing a decrease in the productive capacity of parasitized animals, which translates into economic losses. Intestinal parasitism in cattle is caused by protozoa and helminths, and its manifestation is generally multi-etiological. Clinical signs in gastrointestinal parasitism may vary depending on parasite load, parasite species, and host immunity. This research aimed to determine the prevalence of the main parasitic families affecting cattle in the central province of the department of Boyacá. A cross-sectional study with simple random sampling was carried out, where 716 fecal samples were taken and processed using a modified Ritchie technique. An overall prevalence of 95,6% was determined, and the most prevalent families were Trichostrongylidae, Eimeriidae, Taeniidae, and Trichuridae. The age showed no significant statistical association with most of the parasitic families, except for the Strongyloididae family. The breeds showed a correlation with the Trichostrongylidae, Eimeriidae, Strongylidae, Chabertiidae, and Taeniidae families. The results show the high prevalence of GIP (gastrointestinal parasites) in cattle of the central province of the department of Boyacá.Las enfermedades parasitarias son consideradas como una de las patologías más prevalentes alrededor del mundo. Se caracterizan por ser uno de los problemas sanitarios de mayor importancia en los bovinos, causando una disminución en la capacidad productiva de los animales parasitados, lo cual se traduce en pérdidas económicas. El parasitismo gastrointestinal en bovinos es causado por protozoos y helmintos, y generalmente su presentación es multietiológica. Los signos clínicos en el parasitismo gastrointestinal pueden variar dependiendo de la carga parasitaria, la especie parasitaria  y la inmunidad del huésped. El objetivo de esta investigación fue determinar la prevalencia de las principales familias parasitarias que afectan a los bovinos de la provincia central del departamento de Boyacá. Se realizó un estudio de corte transversal con muestreo aleatorio simple, en el cual se tomaron 716 muestras de materia fecal que fueron procesadas mediante la técnica de Ritchie modificada. Se determinó una prevalencia general de 95,6 %, en donde las familias más prevalentes fueron Trichostrongylidae, Eimeriidae, Taeniidae y Trichuridae. La edad no presentó asociación estadística significativa con la mayoría de las familias parasitarias, a excepción de la familia Strongyloididae. La raza mostró asociación con las familias Trichostrongylidae, Eimeriidae, Strongylidae, Chabertiidae y Taeniidae. Los resultados muestran una alta prevalencia de PGI (parásitos gastrointestinales) en la provincia central de Boyacá

Global variations in heart failure etiology, management, and outcomes

Importance: Most epidemiological studies of heart failure (HF) have been conducted in high-income countries with limited comparable data from middle- or low-income countries. Objective: To examine differences in HF etiology, treatment, and outcomes between groups of countries at different levels of economic development. Design, Setting, and Participants: Multinational HF registry of 23 341 participants in 40 high-income, upper–middle-income, lower–middle-income, and low-income countries, followed up for a median period of 2.0 years. Main Outcomes and Measures: HF cause, HF medication use, hospitalization, and death. Results: Mean (SD) age of participants was 63.1 (14.9) years, and 9119 (39.1%) were female. The most common cause of HF was ischemic heart disease (38.1%) followed by hypertension (20.2%). The proportion of participants with HF with reduced ejection fraction taking the combination of a β-blocker, renin-angiotensin system inhibitor, and mineralocorticoid receptor antagonist was highest in upper–middle-income (61.9%) and high-income countries (51.1%), and it was lowest in low-income (45.7%) and lower–middle-income countries (39.5%) (P < .001). The age- and sex- standardized mortality rate per 100 person-years was lowest in high-income countries (7.8 [95% CI, 7.5-8.2]), 9.3 (95% CI, 8.8-9.9) in upper–middle-income countries, 15.7 (95% CI, 15.0-16.4) in lower–middle-income countries, and it was highest in low-income countries (19.1 [95% CI, 17.6-20.7]). Hospitalization rates were more frequent than death rates in high-income countries (ratio = 3.8) and in upper–middle-income countries (ratio = 2.4), similar in lower–middle-income countries (ratio = 1.1), and less frequent in low-income countries (ratio = 0.6). The 30-day case-fatality rate after first hospital admission was lowest in high-income countries (6.7%), followed by upper–middle-income countries (9.7%), then lower–middle-income countries (21.1%), and highest in low-income countries (31.6%). The proportional risk of death within 30 days of a first hospital admission was 3- to 5-fold higher in lower–middle-income countries and low-income countries compared with high-income countries after adjusting for patient characteristics and use of long-term HF therapies. Conclusions and Relevance: This study of HF patients from 40 different countries and derived from 4 different economic levels demonstrated differences in HF etiologies, management, and outcomes. These data may be useful in planning approaches to improve HF prevention and treatment globally