Sociodemographic Profile of Elderly People with Temporomandibular Disorder and Depression in Combination with Parkinson's Disease

Objective: To describe the sociodemographic profile of elderly people with temporomandibular disorder and depression in Parkinson's disease cases. Material and Methods: It is a cross-sectional cohort cut study, which used secondary data from 124 elderly people with Parkinson’s disease (PD). To diagnose temporomandibular disorder (TMD), the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire was used, and the variables studied were: age, sex, race, education, marital status, family income, stage of the disease, and depression. The statistical analysis performed was descriptive and used absolute numbers and a frequency count. Results: After the application of the eligibility criteria, the patient records of 81 elderly people with Parkinson’s disease were selected; 15 presented associated TMD and depression. The average age was 69 years old; 66.67% were male; 46.67% had more than 9 years of schooling; 60% were married or had a partner; 53.33% received between 1 and 2 minimum wages; 33.33% stated they were brown; 80% were in the moderate stage of the disease; 46.66% were in group II according to the RDC/TMD, presenting disk displacement; and 53.33% presented severe depression. Conclusion: It was verified that the elderly people with Parkinson’s and associated TMD and depression were male, married or with a partner, on a low income, with nine or more years of schooling, and were in the moderate stage of the disease

Sociodemographic Profile of Elderly People with Temporomandibular Disorder and Depression in Combination with Parkinson's Disease

Objective: To describe the sociodemographic profile of elderly people with temporomandibular disorder and depression in Parkinson's disease cases. Material and Methods: It is a cross-sectional cohort cut study, which used secondary data from 124 elderly people with Parkinson’s disease (PD). To diagnose temporomandibular disorder (TMD), the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire was used, and the variables studied were: age, sex, race, education, marital status, family income, stage of the disease, and depression. The statistical analysis performed was descriptive and used absolute numbers and a frequency count. Results: After the application of the eligibility criteria, the patient records of 81 elderly people with Parkinson’s disease were selected; 15 presented associated TMD and depression. The average age was 69 years old; 66.67% were male; 46.67% had more than 9 years of schooling; 60% were married or had a partner; 53.33% received between 1 and 2 minimum wages; 33.33% stated they were brown; 80% were in the moderate stage of the disease; 46.66% were in group II according to the RDC/TMD, presenting disk displacement; and 53.33% presented severe depression. Conclusion: It was verified that the elderly people with Parkinson’s and associated TMD and depression were male, married or with a partner, on a low income, with nine or more years of schooling, and were in the moderate stage of the disease

Testes para detecção de COVID- 19 por estado brasileiro: análise da relação estoque versus execução: Tests for detection of COVID- 19 by brazilian state: analysis of the stock versus execution relationship

A Covid-19 é causada pelo Coronavírus SARS-CoV-2 família de vírus que causam infecções respiratórias, descoberto em Wuhan- China e em pouco tempo transformou-se em uma pandemia. O presente estudo buscou a partir da distribuição de testes identificar a oferta versus demanda nos estados brasileiros. Por meio de estudo descritivo de abordagem quantitativa, que analisou a distribuição de testes de Covid-19 pelo Ministério da Saúde e realizados pelos estados brasileiros em 2020. Utilizando dados do Instituto Brasileiro de Geografia e Estatísticas (IBGE) e das secretarias de saúde de cada estado

Análise dos parâmetros espaço-temporais da marcha em indivíduos com disfunção neurológica tratados com prática mental: uma revisão sistemática

Gait ability after neurological pathology is often impaired and limited to short distances, with walking time, stride length and cadence being inferior to people without known pathologies or disabilities. Currently, mental practice has been combined with the clinical context, in the rehabilitation of patients with neurological sequelae, especially after a stroke. Objective: To analyze the effects of mental practice, associated or not with other intervention strategies, on the spatiotemporal gait parameters of people with neurological diseases. Methods: This is a systematic literature review on spatial gait parameters in patients with neurological dysfunction treated with mental practice. The databases searched were Pubmed/Medline LILACS, Scopus, Web of Science and Cochrane. Results: Most studies presented stroke as a neurological dysfunction, followed by Parkinson's disease, spinal cord injury and multiple sclerosis. The selected studies presented protocols of mental practice associated with physical therapy combined or not with other treatment strategies in the experimental group, including transcranial magnetic stimulation and rhythmic auditory stimulation. Among the spatiotemporal gait parameters, speed was the most evaluated parameter and the least evaluated stride length. Conclusion: Mental practice had positive effects on time, speed and gait cadence of stroke patients. Few studies limit the interpretation of results for Parkinson's disease, multiple sclerosis and spinal cord injury.A habilidade da marcha após uma patologia neurológica muitas vezes é prejudicada e limitada a curtas distâncias, sendo o tempo de caminhada, o comprimento do passo e a cadência inferiores às pessoas sem patologias ou deficiências conhecidas. Atualmente a prática mental vem sendo combinada ao contexto clínico, na reabilitação de pacientes com sequelas neurológicas, principalmente pós-Acidente Vascular Cerebral. Objetivo: Analisar os efeitos da prática mental, associada ou não a outras estratégias de intervenção, nos parâmetros espaço-temporais da marcha de pessoas com doenças neurológicas. Métodos: Trata-se de uma revisão sistemática da literatura sobre os parâmetros espaciais da marcha em pacientes com disfunção neurológica tratados com prática mental. As bases de dados pesquisadas foram Pubmed/Medline LILACS, Scopus, Web of Science e Cochrane. Resultados: A maioria dos estudos apresentou o Acidente Vascular cerebral como disfunção neurológica, seguidos de Doença de Parkinson, Lesão medular e Esclerose múltipla.  Os estudos selecionados apresentaram protocolos de prática mental associado à fisioterapia combinado ou não com outras estratégias de tratamento no grupo experimental dentre elas estimulação magnética transcraniana e estimulação auditiva rítmica. Dentre os parâmetros espaço-temporais da marcha a velocidade foi o parâmetro mais avaliado e o comprimento da passada o menos avaliado. Conclusão: A prática mental apresentou efeitos positivos nos parâmetros tempo, velocidade e cadência da marcha de pacientes com AVC. Poucos estudos limitam a interpretação dos resultados para doença de Parkinson, Esclerose múltipla e Lesão medular

Enteric methane mitigation strategies for ruminant livestock systems in the Latin America and Caribbean region: A meta-analysis

Latin America and Caribbean (LAC) is a developing region characterized for its importance for global food security, producing 23 and 11% of the global beef and milk production, respectively. The region's ruminant livestock sector however, is under scrutiny on environmental grounds due to its large contribution to enteric methane (CH4) emissions and influence on global climate change. Thus, the identification of effective CH4 mitigation strategies which do not compromise animal performance is urgently needed, especially in context of the Sustainable Development Goals (SDG) defined in the Paris Agreement of the United Nations. Therefore, the objectives of the current study were to: 1) collate a database of individual sheep, beef and dairy cattle records from enteric CH4 emission studies conducted in the LAC region, and 2) perform a meta-analysis to identify feasible enteric CH4 mitigation strategies, which do not compromise animal performance. After outlier's removal, 2745 animal records (65% of the original data) from 103 studies were retained (from 2011 to 2021) in the LAC database. Potential mitigation strategies were classified into three main categories (i.e., animal breeding, dietary, and rumen manipulation) and up to three subcategories, totaling 34 evaluated strategies. A random effects model weighted by inverse variance was used (Comprehensive Meta-Analysis V3.3.070). Six strategies decreased at least one enteric CH4 metric and simultaneously increased milk yield (MY; dairy cattle) or average daily gain (ADG; beef cattle and sheep). The breed composition F1 Holstein × Gyr decreased CH4 emission per MY (CH4IMilk) while increasing MY by 99%. Adequate strategies of grazing management under continuous and rotational stocking decreased CH4 emission per ADG (CH4IGain) by 22 and 35%, while increasing ADG by 22 and 71%, respectively. Increased dietary protein concentration, and increased concentrate level through cottonseed meal inclusion, decreased CH4IMilk and CH4IGain by 10 and 20% and increased MY and ADG by 12 and 31%, respectively. Lastly, increased feeding level decreased CH4IGain by 37%, while increasing ADG by 171%. The identified effective mitigation strategies can be adopted by livestock producers according to their specific needs and aid LAC countries in achieving SDG as defined in the Paris Agreement.Fil: Congio, Guilhermo Francklin de Souza. Universidade do Sao Paulo. Escola Superior de Agricultura Luiz de Queiroz; Brasil. Corporación Colombiana de Investigación Agropecuaria; ColombiaFil: Bannink, André. University of Agriculture Wageningen; Países BajosFil: Mayorga Mogollón, Olga Lucía. Corporación Colombiana de Investigación Agropecuaria; ColombiaFil: Jaurena, Gustavo. Universidad de Buenos Aires. Facultad de Agronomia. Departamento de Producción Animal. Cátedra de Nutrición Animal; ArgentinaFil: Gonda, Horacio Leandro. Uppsala Universitet; SueciaFil: Gere, José Ignacio. Instituto Nacional de Tecnología Agropecuaria. Centro de Investigación en Ciencias Veterinarias y Agronómicas. Instituto de Patobiología Veterinaria - Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Patobiología Veterinaria; ArgentinaFil: Cerón Cucchi, María Esperanza. Instituto Nacional de Tecnología Agropecuaria. Centro de Investigación en Ciencias Veterinarias y Agronómicas. Instituto de Patobiología; ArgentinaFil: Ortiz Chura, Abimael. Instituto Nacional de Tecnología Agropecuaria. Centro de Investigación en Ciencias Veterinarias y Agronómicas. Instituto de Patobiología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Tieri, María Paz. Universidad Tecnológica Nacional. Facultad Regional Rafaela; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación de la Cadena Láctea. - Instituto Nacional de Tecnología Agropecuaria. Centro Regional Santa Fe. Estación Experimental Agropecuaria Rafaela. Instituto de Investigación de la Cadena Láctea; ArgentinaFil: Hernandez, Olegario. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Tucuman-Santiago del Estero; ArgentinaFil: Ricci, Patricia. Instituto Nacional de Tecnologia Agropecuaria. Centro Regional Buenos Aires Sur. Estacion Experimental Agropecuaria Balcarce. Instituto de Innovación Para la Producción Agropecuaria y El Desarrollo Sostenible. Grupo Vinculado Estacion Experimental Agropecuaria Cuenca del Salado Al Ipads | Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Conicet - Mar del Plata. Instituto de Innovación Para la Producción Agropecuaria y El Desarrollo Sostenible. Grupo Vinculado Estacion Experimental Agropecuaria Cuenca del Salado Al Ipads.; ArgentinaFil: Juliarena, María Paula. Universidad Nacional del Centro de la Provincia de Buenos Aires. Centro de Investigaciones en Física e Ingeniería del Centro de la Provincia de Buenos Aires. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil. Centro de Investigaciones en Física e Ingeniería del Centro de la Provincia de Buenos Aires. - Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Investigaciones en Física e Ingeniería del Centro de la Provincia de Buenos Aires; ArgentinaFil: Lombardi, Banira. Universidad Nacional del Centro de la Provincia de Buenos Aires. Centro de Investigaciones en Física e Ingeniería del Centro de la Provincia de Buenos Aires. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil. Centro de Investigaciones en Física e Ingeniería del Centro de la Provincia de Buenos Aires. - Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Investigaciones en Física e Ingeniería del Centro de la Provincia de Buenos Aires; ArgentinaFil: Abdalla, Adibe Luiz. Universidade de Sao Paulo; BrasilFil: Abdalla Filho, Adibe Luiz. Universidade de Sao Paulo; BrasilFil: Berndt, Alexandre. Ministerio da Agricultura Pecuaria e Abastecimento de Brasil. Empresa Brasileira de Pesquisa Agropecuaria; BrasilFil: Oliveira, Patrícia Perondi Anchão. Ministerio da Agricultura Pecuaria e Abastecimento de Brasil. Empresa Brasileira de Pesquisa Agropecuaria; BrasilFil: Henrique, Fábio Luis. Colegios Asociados de Uberaba; BrasilFil: Monteiro, Alda Lúcia Gomes. Universidade Federal do Paraná; BrasilFil: Borges, Luiza Ilha. Universidade Federal do Paraná; BrasilFil: Ribeiro Filho, Henrique Mendonça Nunes. Universidade Federal de Santa Catarina; BrasilFil: Ribeiro Pereira, Luiz Gustavo. Ministerio da Agricultura Pecuaria e Abastecimento de Brasil. Empresa Brasileira de Pesquisa Agropecuaria; BrasilFil: Tomich, Thierry Ribeiro. Ministerio da Agricultura Pecuaria e Abastecimento de Brasil. Empresa Brasileira de Pesquisa Agropecuaria; BrasilFil: Campos, Mariana Magalhães. Ministerio da Agricultura Pecuaria e Abastecimento de Brasil. Empresa Brasileira de Pesquisa Agropecuaria; BrasilFil: Machado, Fernanda Samarini. Ministerio da Agricultura Pecuaria e Abastecimento de Brasil. Empresa Brasileira de Pesquisa Agropecuaria; BrasilFil: Marcondes, Marcos Inácio. Universidade Federal de Viçosa.; BrasilFil: Mercadante, Maria Eugênia Zerlotti. Agencia de Tecnología Agroindustrial de Sao Paulo; ArgentinaFil: Sakamoto, Leandro Sannomiya. Agencia de Tecnología Agroindustrial de Sao Paulo; ArgentinaFil: Albuquerque, Lucia Galvão. Universidade Estadual Paulista Julio de Mesquita Filho; BrasilFil: Carvalho, Paulo César de Faccio. Universidade Federal do Rio Grande do Sul; BrasilFil: Hristov, Alexander Nikolov. State University of Pennsylvania; Estados Unidos. University of Agriculture Wageningen; Países Bajos. Universidade de Sao Paulo; Brasil. Corporación Colombiana de Investigación Agropecuaria; Colombi

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Relationship between parasitemia and leukogram in Trypanosoma evansi infected cats / <br> Relação parasitemia e leucograma de gatos infectados com Trypanosoma evansi

Trypanosoma evansi is a protozoan which causes trypanosomosis in livestock in many countries of Southeast Asia, Africa and South America. We chose to use cats in our study due to the facility to handle the animals and the lack of studies involving the trypanosomosis in this species. The aim of this study was to analyze the leukogram of domestic cats experimentally infected with T. evansi and its correlation to the parasitemia. Thirteen animals were divided into two groups. Seven animals were infected with T. evansi and six were used as negative control. Parasitemia was estimated daily by microscopic examination of smears. Blood samples for leukogram were collected at days 0, 7, 21, 35 and 49. The parasitemia peak was recorded at day five post-inoculation. Thereafter, irregular waves of parasitemia were observed, ranging from zero to three trypomastigotes per microscopic field. Increased number of total leukocytes (day 49), monocytes (days 7, 35 and 49), segmented (day 49) and nonsegmented neuthrophils (day 35), and decreased number of lymphocytes and eosinophils (days 21, 35 and 49) were observed (P < 0.05). Cats infected with T. evansi have leukocytosis, neutrophilia, monocytosis, lymphopenia and eosinopenia. However, no relationship between parasitemia peaks and white blood cells was observed, except by the monocytes in day 7.<p><p>Trypanosoma evansi é um protozoário que causa a tripanossomose em animais de muitos países do sudeste da Ásia, África e América do Sul. Optamos por utilizar os gatos em nosso estudo, devido à facilidade de manipular os animais e a falta de estudos envolvendo a tripanossomose nesta espécie. Deste modo, o objetivo deste estudo foi investigar alterações no leucograma de felinos domésticos infectados experimentalmente por T. evansi e relacionar com a parasitemia. Foram utilizados 13 gatos, divididos em dois grupos. Sete deles foram infectados com T. evansi e o restante foram utilizados como grupo controle negativo. Os animais foram monitorados diariamente através de esfregaço sanguíneo. Nos dias 0, 7, 21, 35 e 49 de experimento, foram coletadas amostras de sangue para avaliação do leucograma. O pico de parasitemia ocorreu cinco dias após inoculação, após este período o número de parasitos reduziu e manteve-se com picos irregulares, variando de zero a três tripomastigotas/campo. Na pesquisa foi verificado aumento (P < 0,05) do número de leucócitos totais (dia 49), bastonetes (dia 35), neutrofilos segmentados (dia 49) e monócitos (dias 7, 35 e 49) e redução de linfocitos e eosinofilos (dias 21, 35 e 49). Gatos infectados com T. evansi apresentam leucocitose, neutrofilia, monocitose, linfopenia e eosinopenia. Porém, não foi verificado relação entre os picos de parasitemia e alteração no número de globulos brancos circulantes, com execção dos monócitos no dia 7

Impact of COVID-19 on the imaging diagnosis of cardiac disease in Europe

Objectives We aimed to explore the impact of the COVID-19 pandemic on cardiac diagnostic testing and practice and to assess its impact in different regions in Europe. Methods The online survey organised by the International Atomic Energy Agency Division of Human Health collected information on changes in cardiac imaging procedural volumes between March 2019 and March/April 2020. Data were collected from 909 centres in 108 countries. Results Centres in Northern and Southern Europe were more likely to cancel all outpatient activities compared with Western and Eastern Europe. There was a greater reduction in total procedure volumes in Europe compared with the rest of the world in March 2020 (45% vs 41%, p=0.003), with a more marked reduction in Southern Europe (58%), but by April 2020 this was similar in Europe and the rest of the world (69% vs 63%, p=0.261). Regional variations were apparent between imaging modalities, but the largest reductions were in Southern Europe for nearly all modalities. In March 2020, location in Southern Europe was the only independent predictor of the reduction in procedure volume. However, in April 2020, lower gross domestic product and higher COVID-19 deaths were the only independent predictors. Conclusion The first wave of the COVID-19 pandemic had a significant impact on care of patients with cardiac disease, with substantial regional variations in Europe. This has potential long-term implications for patients and plans are required to enable the diagnosis of non-COVID- 19 conditions during the ongoing pandemic.</p

Impact of COVID-19 on Cardiovascular Testing in the United States Versus the Rest of the World

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-U.S. institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection.</p