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Sökning: WFRF:(Fonseca Rodríguez Osvaldo)

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1.
  • Navarrete, Maylin G., et al. (författare)
  • Serological and molecular diagnosis of Ehrlichia canis and associated risk factors in dogs domiciled in western Cuba
  • 2018
  • Ingår i: Veterinary Parasitology: Regional Studies and Reports. - : Elsevier. - 2405-9390. ; 14, s. 170-175
  • Tidskriftsartikel (refereegranskat)abstract
    • Ehrlichia canis is a rickettsia transmitted by the tick, Rhipicephalus sanguineus, and is the causative agent of canine monocytic ehrlichiosis (CME). In Cuba, the first diagnosis of CME was made in 2001, but few studies have since investigated this disease locally. The objective of this study was to estimate the prevalence of E. canis in dogs domiciled in four municipalities within the western region of Cuba and determine the associated risk factors. Blood was drawn from 378 selected dogs living in four municipalities in two provinces of western Cuba. From the total number of samples, 206 plasma samples were selected to perform an enzyme-linked immunosorbent assay (ELISA) to detect antibodies against E. canis. Using the original 378 samples of extracted DNA, a nested polymerase chain reaction (nPCR) was performed to amplify a specific fragment of the 16S rRNA gene of E. canis. Analysis of the 206 plasma samples revealed a total of 162 animals that were seropositive for E. canis (78.64%) with a density index between 109.5 and 970.7. In contrast, 179 samples were positive based on the nPCR assay (47.35%). As well, there was a high concordance (kappa = 0.7), calculated through the Kappa index, between the animals found to be positive based on nPCR and those determined based on ELISA. The analysis of risk factors showed that residing in the municipality of Boyeros in addition to having a history of infestation by ticks increases the probability of having a positive result based on nPCR.
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2.
  • Nguyen, Thanh N, et al. (författare)
  • Global Impact of the COVID-19 Pandemic on Stroke Volumes and Cerebrovascular Events: A 1-Year Follow-up.
  • 2023
  • Ingår i: Neurology. - 1526-632X. ; 100:4
  • Tidskriftsartikel (refereegranskat)abstract
    • Declines in stroke admission, IV thrombolysis (IVT), and mechanical thrombectomy volumes were reported during the first wave of the COVID-19 pandemic. There is a paucity of data on the longer-term effect of the pandemic on stroke volumes over the course of a year and through the second wave of the pandemic. We sought to measure the effect of the COVID-19 pandemic on the volumes of stroke admissions, intracranial hemorrhage (ICH), IVT, and mechanical thrombectomy over a 1-year period at the onset of the pandemic (March 1, 2020, to February 28, 2021) compared with the immediately preceding year (March 1, 2019, to February 29, 2020).We conducted a longitudinal retrospective study across 6 continents, 56 countries, and 275 stroke centers. We collected volume data for COVID-19 admissions and 4 stroke metrics: ischemic stroke admissions, ICH admissions, IVT treatments, and mechanical thrombectomy procedures. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases.There were 148,895 stroke admissions in the 1 year immediately before compared with 138,453 admissions during the 1-year pandemic, representing a 7% decline (95% CI [95% CI 7.1-6.9]; p < 0.0001). ICH volumes declined from 29,585 to 28,156 (4.8% [5.1-4.6]; p < 0.0001) and IVT volume from 24,584 to 23,077 (6.1% [6.4-5.8]; p < 0.0001). Larger declines were observed at high-volume compared with low-volume centers (all p < 0.0001). There was no significant change in mechanical thrombectomy volumes (0.7% [0.6-0.9]; p = 0.49). Stroke was diagnosed in 1.3% [1.31-1.38] of 406,792 COVID-19 hospitalizations. SARS-CoV-2 infection was present in 2.9% ([2.82-2.97], 5,656/195,539) of all stroke hospitalizations.There was a global decline and shift to lower-volume centers of stroke admission volumes, ICH volumes, and IVT volumes during the 1st year of the COVID-19 pandemic compared with the prior year. Mechanical thrombectomy volumes were preserved. These results suggest preservation in the stroke care of higher severity of disease through the first pandemic year.This study is registered under NCT04934020.
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3.
  • Corona González, Belkis, et al. (författare)
  • Primera evidencia molecular de especies de micoplasmas hemotrópicos (Mycoplasma spp.) en animales de importancia económica y social en Cuba : [First molecular evidence of hemotropic mycoplasma species (Mycoplasma spp.) in animals of economic and social importance in Cuba]
  • 2023
  • Ingår i: Anales de la Academia de Ciencias de Cuba. - : Editorial Ciencias Medicas. - 2304-0106. ; 13:4
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Hemotropic mycoplasmas are widely distributed in several regions of the world. The aim of the present work was to determine the presence of hemotropic mycoplasma species in cattle, buffaloes, dogs and ticks in Cuba.Methods: They were analyzed thirty-nine buffalo and 41 cattle blood samples to investigate the presence of Mycoplasma wenyonii and ‘Candidatus Mycoplasma haemobos’. They were analyzed and 391 dog blood samples and 247 tick pools to detect the presence of Mycoplasma haemocanis and ‘Candidatus Mycoplasma haematoparvum’. In all cases it was used the species-specific TaqMan® real-time PCR assay.Results: For M. wenyonii 53 animals were positive and 33 for ‘Ca. Mycoplasma haemobos’; in coinfection with M. wenyonii, with similar prevalence in cattle and buffalo. 17.9% of dog samples were positive for at least one hemoplasma species, with 15.1% positive for M. haemocanis, 4.4% for ‘Ca. Mycoplasma haematoparvum’, and 1.5% co-infected. The ticks were identified as Rhipicephalus sanguineus sensu lato; none of the pools were positive for the canine mycoplasma species under study. It was demonstrated he presence of five different haplotypes for M. haemocanis and four haplotypes for ‘Ca. M. haematoparvum’; one of these haplotypes showed 100 % identity with one isolated from Grenada, which was associated with cases of zoonotic exposure.Conclusions. These results constitute the first molecular evidence of infection by hemoplasma species in cattle and buffaloes in Cuba and the Caribbean and the first molecular report of the occurrence of single infections and co-infections caused by M. haemocanis and ‘Ca. M. haematoparvum’ in dogs in Cuba. For the first time is evident the circulation of a genotype of ‘Ca. M. haematoparvum’ with zoonotic potential, common between the Greater and Lesser Antilles of the Caribbean.
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4.
  • de las Nieves Montano, Damarys, et al. (författare)
  • Influenza aviar. Oportunidades de mejora del sistema de vigilancia activa basado en riesgo en Cuba
  • 2020
  • Ingår i: Revista de Salud Animal. - : SciELO Cuba. - 0253-570X .- 2224-4700. ; 42:3
  • Tidskriftsartikel (refereegranskat)abstract
    • El perfeccionamiento continuo de la vigilancia y el control de la influenza aviar (IA) son prioridades a nivel mundial debido a la permanencia de esta amenaza a escala global. El objetivo del presente trabajo fue identificar oportunidades de mejora en el sistema de vigilancia activa de la IA establecido en Cuba. Mediante análisis geoespacial multicriterio se mapeó con resolución de 1 km2. Adicionalmente, se tuvo en cuenta la existencia de zonas de contigüidad entre granjas avícolas (< 3 km) donde pudiera verse favorecida la difusión del agente causal en caso de introducción. Como resultado, se identificaron áreas con muy alto riesgo de ocurrencia, ya sea por exposición o difusión que, en ocasiones, se favoreció por la contigüidad entre granjas avícolas comerciales. A partir de estos hallazgos se logró refinar el criterio preexistente para la selección de granjas a ser investigadas durante la vigilancia activa, lo cual pudiera mejorar la capacidad de detección de casos positivos. La precisión y el manejo del riesgo de difusión son de gran importancia porque suele ser el principal determinante de la magnitud de la epidemia. Se concluye que existen áreas estratégicas y de marcada importancia hacia donde se deben dirigir, prioritariamente, los principales recursos para fortalecer la bioseguridad y la vigilancia encaminada a la alerta rápida.
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5.
  • Díaz-Sánchez, Adrian A., et al. (författare)
  • Molecular detection and identification of tick-borne pathogens in Equus caballus and ticks from western Cuba : [Detección e identificación molecular de patógenos transmitidos por garrapatas en Equus caballus y garrapatas del occidente de Cuba]
  • 2022
  • Ingår i: Biotecnologia Aplicada. - : Elfos Scientiae. - 0864-4551 .- 1027-2852. ; 39:2, s. 2501-2505
  • Tidskriftsartikel (refereegranskat)abstract
    • Babesia caballi, Theileria equi and several species of rickettsias are agents of vector-borne diseases that affect equines. The objective of this study was to detect infections by B. caballi and T. equi in horses and to identify rickettsias in horses and ticks in the western region of Cuba. Two nPCR assays were developed and standardized for the detection of B. caballi and T. equi. Blood samples from horses and ticks were collected. Identification by blood smear and molecular detection and identification of B. caballi, T. equi and Rickettsia spp. were carried out. Intraerythrocytic formations compatible with B. caballi and T. equi were observed. The nPCR showed that 25 % of the samples were positive for B. caballi, 73 % for T. equi and 20 % showed coinfection. The results were confirmed with the partial sequencing of the genes bc48 (B. caballi) and ema-1 (T. equi). The sequencing of the 18S rRNA gene of T. equi demonstrated the presence of at least two genotypes of T. equi isolates in Cuba. The real time qPCR assay and sequencing revealed the presence of Rickettsia amblyommatis in A. mixtum and Rickettsia felis in D. nitens.Conclusions: These results constitute the first piece of molecular evidence of B. caballi and T. equi in horses and the first report of R. felis in D. nitens in Cuba, which broadens the knowledge about the distribution of pathogens and the spectrum of potential vectors contributing to the strengthening of management and control programs.
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6.
  • Macías, Daniel Isaías Burgos, et al. (författare)
  • Asociación entre la presencia de anticuerpos contra Leptospira y lesiones renales en bovinos
  • 2020
  • Ingår i: Revista de Investigaciones Veterinarias del Perú. - : Universidad Nacional Mayor de San Marcos, Vicerectorado de Investigacion. - 1682-3419 .- 1609-9117. ; 31:4
  • Tidskriftsartikel (refereegranskat)abstract
    • El estudio tuvo como objetivo determinar la posible relación entre la presencia de lesiones denominadas «Riñón con Manchas Blancas» (RMB) y la seroprevalencia de Leptospira spp en bovinos sacrificados en el matadero del cantón Manta, provincia Manabí, Ecuador. Se tomaron muestras de sangre a 320 bovinos para detectar anticuerpos contra bacterias del género Leptospira utilizando la técnica de microaglutinación. Asi-mismo, se hizo una revisión macroscópica de los riñones y se tomaron muestras para el análisis histopatológico. La seroprevalencia de Leptospira spp fue de 50.9% y la fre-cuencia de lesiones renales fue de 18.13%. Se encontró la presencia de los ocho serovares evaluados, siendo mayor la frecuencia de los serovares Pomona, Icterohaemorragiae y Bratislava. Los animales serológicamente positivos a Leptospira presentan 40.56 más probabilidad de presentar lesiones específicas asociadas con la enfermedad al momento del sacrificio (p<0.00001; OR=40.56; IC 95%= 9.86-169.79). Se determinó asociación signi-ficativa entre la presencia de lesiones renales con los serovares Icterohaemorragiae, Canicola, Hardjo y Wolffi. No se encontró asociación entre la presencia de lesiones con el sexo de los animales ni con el cantón de procedencia. Se concluye que existe relación entre la seroprevalencia a Leptospira spp y la presencia de lesiones renales (RMB).
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7.
  • Roblejo-Arias, Lisset, et al. (författare)
  • First molecular evidence of Mycoplasma haemocanis and ‘Candidatus Mycoplasma haematoparvum’ infections and its association with epidemiological factors in dogs from Cuba
  • 2022
  • Ingår i: Acta Tropica. - : Elsevier. - 0001-706X .- 1873-6254. ; 228
  • Tidskriftsartikel (refereegranskat)abstract
    • Haemotrophic mycoplasmas (haemoplasmas) are unculturable, epicellular, cell wall-less gram-negative bacteria distributed worldwide, which infect several mammalian species. In dogs, Mycoplasma haemocanis and ‘Candidatus Mycoplasma haematoparvum’ have been reported as causative agents of infectious anaemia, especially in splenectomised or immunocompromised animals. The present cross-sectional study aims to assess the prevalence, risk factors, and molecular characterization of canine haemoplasmas in Cuba. A total of 391 dog blood samples and 247 tick samples were tested for the presence of canine haemoplasmas by species-specific quantitative TaqMan® real-time PCR assays. Overall, 17.9% (70/391; 95% CI: 14.1–21.7) blood samples were PCR-positive for at least one canine haemoplasmas species, where 15.1% (59/391; 95% CI: 11.5–18.7) for Mycoplasma haemocanis, 4.4% (17/391; 95% CI: 2.3–6.4) for ‘Candidatus Mycoplasma haematoparvum’, and 1.5% (6/391; 95% CI: 0.3–2.8) were co-infected. All collected ticks were identified morphologically as Rhipicephalus sanguineus sensu lato, and none of the tested tick samples was found PCR-positive for the presence of Mycoplasma haemocanis and ‘Candidatus Mycoplasma haematoparvum’. Risk factors for canine haemoplasmas species infection included the presence of tick infestation, crossbreeding and living in kennels, while no association was found with the occurrence of anaemia. Phylogenetic analyses based on the 16S rRNA gene sequences of Mycoplasma haemocanis and ‘Candidatus Mycoplasma haematoparvum’ revealed >99% identity to other isolates distributed worldwide, indicating low genetic variability amongst these canine haemoplasmas species. To the best of the authors´ knowledge, this is the first molecular evidence of Mycoplasma haemocanis and ‘Candidatus Mycoplasma haematoparvum’ infections in dogs from Cuba.
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8.
  • Alberto Diaz-Sanchez, Adrian, et al. (författare)
  • First molecular evidence of bovine hemoplasma species (Mycoplasma spp.) in water buffalo and dairy cattle herds in Cuba
  • 2019
  • Ingår i: Parasites & Vectors. - : BioMed Central. - 1756-3305. ; 12
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Hemotropic mycoplasmas (aka hemoplasmas) are small bacteria which cause infectious anemia in several mammalian species including humans. Information on hemoplasma infections in Cuban bovines remains scarce and no studies applying molecular methods have been performed so far. The aim of the present study was to utilize real-time PCR and sequence analysis to investigate dairy cattle and buffalo from Cuba for the presence of bovine hemoplasma species.Results: A total of 80 blood samples from 39 buffalo and 41 dairy cattle were investigated for the presence of Mycoplasma wenyonii and Candidatus Mycoplasma haemobos using two species-specific real-time TaqMan PCR assays. PCR results revealed overall 53 (66.2%; 95% CI: 55.3-75.7%) positive animals for M. wenyonii and 33 (41.2%; 95% CI: 31.1-52.2%) for Ca. M. haemobos; the latter were all co-infections with M. wenyonii. The sample prevalences were similar in cattle and buffalo. Based on the sequence analysis of the nearly full-length 16S rRNA gene from two cattle and two buffalo, the presence of M. wenyonii and Ca. M. haemobos was confirmed. Statistical analysis revealed that buffalo and cattle one year of age or older were more frequently infected with M. wenyonii or Ca. M. haemobos than younger animals. PCR-positivity was not associated with anemia; however, the infection stage was unknown (acute infection versus chronic carriers).Conclusions: The high occurrence of bovine hemoplasma infections in buffalo and dairy cattle may have a significant impact on Cuban livestock production. To the best of our knowledge, this is the first molecular evidence of bovine hemoplasma species infection in dairy cattle and buffalo from Cuba and the Caribbean.
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9.
  • Arce Cardozo, Rodrigo Karlop, 1987-, et al. (författare)
  • Did the COVID-19 quarantine policies applied in Cochabamba, Bolivia mitigated cases successfully? : an interrupted time series analysis
  • 2024
  • Ingår i: Global Health Action. - : Taylor & Francis Group. - 1654-9716 .- 1654-9880. ; 17:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The COVID-19 pandemic prompted varied policy responses globally, with LatinAmerica facing unique challenges. A detailed examination of these policies’ impacts on healthsystems is crucial, particularly in Bolivia, where information about policy implementation andoutcomes is limited.Objective: To describe the COVID-19 testing trends and evaluate the effects of quarantinemeasures on these trends in Cochabamba, Bolivia.Methods: Utilizing COVID-19 testing data from the Cochabamba Department Health Servicefor the 2020–2022 period. Stratified testing rates in the health system sectors were firstestimated followed by an interrupted time series analysis using a quasi-Poisson regressionmodel for assessing the quarantine effects on the mitigation of cases during surge periods.Results: The public sector reported the larger percentage of tests (65%), followed by theprivate sector (23%) with almost double as many tests as the public-social security sector(11%). In the time series analysis, a correlation between the implementation of quarantinepolicies and a decrease in the slope of positive rates of COVID-19 cases was observedcompared to periods without or with reduced quarantine policies.Conclusion: This research underscores the local health system disparities and the effective-ness of stringent quarantine measures in curbing COVID-19 transmission in the Cochabambaregion. The findings stress the importance of the measures’ intensity and duration, providingvaluable lessons for Bolivia and beyond. As the global community learns from the pandemic,these insights are critical for shaping resilient and effective health policy responses.
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10.
  • Burgos Macías, D. I., et al. (författare)
  • Determination of the seroprevalence of Leptospira spp. and the main serovars circulating in cattle in the province of Manabí, Ecuador
  • 2019
  • Ingår i: Revue scientifique et technique (International Office of Epizootics). - : The World Organisation for Animal Health (OIE). - 0253-1933. ; 38:3, s. 787-800
  • Tidskriftsartikel (refereegranskat)abstract
    • Leptospirosis is a transmissible zoonotic disease caused by pathogenic strains of the genus Leptospira. Clinical signs in cattle are fever, haematuria, haemoglobinuria, meningitis, abortion, birth of weak calves and infertility; in the most severe cases, it can cause death to the animal. The few studies conducted in Ecuador, and in particular the province of Manabí, have revealed varying prevalence rates, ranging from 35.8% to 75%. The objective of this study is to determine the seroprevalence of leptospirosis in cattle and to ascertain the main serovars circulating in the province of Manabí. A cross-sectional epidemiological study was conducted from November 2015 to March 2016, for which seven cantons were selected at random and a total of 854 animals from 67 herds were investigated. The samples were processed in the laboratories of the Animal Diagnostics Directorate of the Ecuadorian Agency for Agriculture Quality Assurance (AGROCALIDAD) in Tumbaco, using the microscopic agglutination test. The sera were analysed to check whether they contained any of the eight serovars of Leptospira interrogans circulating most frequently in the country: Canicola, Hardjo, Pomona, Icterohaemorrhagiae, Grippotyphosa, Wolffi, Bratislava and Copenhageni. Overall seroprevalence at herd level was 97.01%, with the most common serovars being Pomona, Icterohaemorrhagiae, Grippotyphosa, Bratislava and Canicola. It was concluded that there is high seroprevalence at herd level in the province of Manabí.
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11.
  • Coronado, Liani, et al. (författare)
  • Investigation of chronic and persistent classical swine fever infections under field conditions and their impact on vaccine efficacy
  • 2019
  • Ingår i: BMC Veterinary Research. - : BioMed Central (BMC). - 1746-6148. ; 15:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Recent studies have hypothesized that circulation of classical swine fever virus (CSFV) variants when the immunity induced by the vaccine is not sterilizing might favour viral persistence. Likewise, in addition to congenital viral persistence, CSFV has also been proven to generate postnatal viral persistence. Under experimental conditions, postnatal persistently infected pigs were unable to elicit a specific immune response to a CSFV live attenuated vaccine via the mechanism known as superinfection exclusion (SIE). Here, we study whether subclinical forms of classical swine fever (CSF) may be present in a conventional farm in an endemic country and evaluate vaccine efficacy under these types of infections in field conditions.Results: Six litters born from CSF-vaccinated gilts were randomly chosen from a commercial Cuban farm at 33 days of age (weaning). At this time, the piglets were vaccinated with a lapinized live attenuated CSFV C-strain vaccine. Virological and immunological analyses were performed before and after vaccination. The piglets were clinically healthy at weaning; however, 82% were viraemic, and the rectal swabs in most of the remaining 18% were positive. Only five piglets from one litter showed a specific antibody response. The tonsils and rectal swabs of five sows were CSFV positive, and only one of the sows showed an antibody response. After vaccination, 98% of the piglets were unable to clear the virus and to seroconvert, and some of the piglets showed polyarthritis and wasting after 36 days post vaccination. The CSFV E2 glycoprotein sequences recovered from one pig per litter were the same. The amino acid positions 72(R), 20(L) and 195(N) of E2 were identified in silico as positions associated with adaptive advantage.Conclusions: Circulation of chronic and persistent CSF infections was demonstrated in field conditions under a vaccination programme. Persistent infection was predominant. Here, we provide evidence that, in field conditions, subclinical infections are not detected by clinical diagnosis and, despite being infected with CSFV, the animals are vaccinated, rather than diagnosed and eliminated. These animals are refractory to vaccination, likely due to the SIE phenomenon. Improvement of vaccination strategies and diagnosis of subclinical forms of CSF is imperative for CSF eradication.
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12.
  • Coronado, Liani, et al. (författare)
  • Positive selection pressure on E2 protein of classical swine fever virus drives variations in virulence, pathogenesis and antigenicity : implication for epidemiological surveillance in endemic areas
  • 2019
  • Ingår i: Transboundary and Emerging Diseases. - : Blackwell Verlag. - 1865-1674 .- 1865-1682. ; 66:6, s. 2362-2382
  • Tidskriftsartikel (refereegranskat)abstract
    • Classical swine fever (CSF), caused by CSF virus (CSFV), is considered one of the most important infectious diseases with devasting consequences for the pig industry. Recent reports describe the emergence of new CSFV-strains resulting from the action of positive selection pressure, due mainly to the bottleneck effect generated by ineffective vaccination. Even though a decrease in the genetic diversity of the positive selected CSFV-strains has been observed by several research groups, there is little information about the effect of this selective force on the virulence degree, antigenicity and pathogenicity of this type of strains. Hence, the aim of the current study was to determine the effect of the positive selection pressure on these three parameters of CSFV-strains, emerged as result of the bottleneck effects induced by unproper vaccination in a CSF-endemic area. Moreover, the effect of the positive selected strains on the epidemiological surveillance system was assessed. By the combination of in vitro, in vivo and immunoinformatic approaches we revealed that the action of the positive selection pressure induces a decrease in virulence and alteration in pathogenicity and antigenicity. However, we also noted that the evolutionary process of CSFV, especially in segregated microenvironments, could contribute to the gain-fitness event, restoring the highly virulent pattern of the circulating strains. Besides, we denoted that the presence of low virulent strains selected by bottleneck effect after inefficient vaccination can lead to a relevant challenge for the epidemiological surveillance of CSF, contributing to under-reports of the disease, favoring the perpetuation of the virus in the field. In this study B-cell and CTL epitopes on the E2 3D-structure model were also identified. Thus, the current study provides novel and significant insights into variation in virulence, pathogenesis and antigenicity experienced by CSFV strains after the positive selection pressure effect.
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13.
  • Corzo-Bacallao, Julio Adolfo, et al. (författare)
  • Influence of tree shade on the growth and chlorophyll content of Arabica coffee plants established in an agroforestry system at southern Manabí, Ecuador
  • 2023
  • Ingår i: Sarhad Journal of Agriculture. - : ResearchersLinks Ltd. - 1016-4383 .- 2224-5383. ; 39:Specialissue 2, s. 37-47
  • Tidskriftsartikel (refereegranskat)abstract
    • The experiment was developed under production conditions on a farm in the Santa Ana city, south-central region of the province of Manabí, Ecuador, in a mountainous area of approximately 300 meters above sea level. Coffee (Coffea arabica, sp.) production is carried out in a context of peasant family agriculture, with an agroforestry system with coffee trees of the Sarchimor variety planted at 1.5 x 1.5 m, interspersed with tree species typical of the dry forest. The system involves manual weed control, without fertilization, irrigation, phytosanitary control, or shade regulation. In this scenario, and during an experimental period of 90 days (03/08/2022 - 26/10/2022), phenological variables of coffee trees maintained in a study area of 50 x 50 m at a high (S1: 51-70%) and low (S3: 1-30%) shade level was compared with those obtained at an intermediate shade level considered as standard (S2: 31-50%). The phenological variables related to vegetative development (Total Branches) of coffee plants showed higher values in S2 compared to S1 and S3. These results are related to the higher photosynthetic activity associated with the higher intensity of incident solar radiation, although the relationship is not linear. In our results, flowering and fruiting were not affected by the level of shade, nor were their precursors, such as nodes per productive branch and productive nodes per productive branch. On the other hand, coffee plants at full sun exposure in S1, without shade, decreased chlorophyll measured in SPAD units, as a possible compensation for the increase in photosynthetically active uptake in that condition.
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14.
  • Díaz-Sánchez, Adrian Alberto, et al. (författare)
  • Development and application of a multiplex TaqMan® real-time qPCR assay for the simultaneous detection of anaplasma marginale and theileria annulata and molecular characterization of anaplasma marginale from cattle in Western Cuba."/>
  • 2020
  • Ingår i: Ticks and Tick-borne Diseases. - : Elsevier BV. - 1877-959X .- 1877-9603. ; 11:2
  • Tidskriftsartikel (refereegranskat)abstract
    • Anaplasmosis and theileriosis are considered the most important tick-borne diseases for livestock production worldwide, causing significant economic losses in tropical and subtropical regions. The present study was aimed to develop a multiplex TaqMan® qPCR assay to simultaneously detect Anaplasma marginale and Theileria annulata and to applied it to investigate naturally infected cattle in Cuba. The assay was highly specific, sensible, and efficient; it was more sensitive than a well-established nested PCR and detected 1 DNA copy of each target. Consistent repeatability and reproducibility within and between multiplex qPCR runs was shown. A total of 223 blood samples collected in western Cuba were analyzed for haemoparasites infection in cattle. The multiplex qPCR assay detected A. marginale in 213 samples (95.5%; CI: 95%; 91.9%–97.5%), but all samples were negative for T. annulata. Additionally, the genetic diversity of A. marginale was assessed using 16S rRNA, MSP1a and MSP4 nucleotide and protein sequences. The MSP1a tandem repeats ranged from three to five, and twelve different MSP1a tandem repeats of A. marginale were found, which presented genotypes C, E, and G in the 5ʹUTR microsatellite region. Phylogenetic analysis using the msp4 gene showed that Cuban strains were closely related to others previously reported in Mexico, Brazil and Asian countries. The multiplex qPCR described here proved to be a rapid, specific and cost-effective mean for the simultaneous detection of A. marginale and T. annulata. Further epidemiological studies using this assay will improve the surveillance of the associated diseases in regions where they are endemic.
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15.
  • Díaz-Sánchez, Adrian Alberto, et al. (författare)
  • Molecular detection and characterization of Hepatozoon canis in stray dogs from Cuba
  • 2021
  • Ingår i: Parasitology international. - : Elsevier. - 1383-5769 .- 1873-0329. ; 80
  • Tidskriftsartikel (refereegranskat)abstract
    • Canine hepatozoonosis caused by Hepatozoon canis is a worldwide distributed tick-borne disease of domestic and wild canids that is transmitted by ingestion of Rhipicephalus sanguineus sensu lato (s.l.) ticks. The present study was aimed to determine the prevalence of Hepatozoon infections in 80 stray dogs from Havana Province in Cuba, and to confirm the species identity and phylogenetic relationships of the causative agent. Samples were screened by microscopical examination of thin blood smears for the presence of Hepatozoon spp. gamonts and by genus-specific SYBR green-based real-time PCR assay targeting the 18S rRNA gene. Direct microscopy examination revealed Hepatozoon gamonts in the peripheral blood of 8 dogs (10.0%; 95% CI: 4.80-18.0%), while 38 animals (47.5%; 95% CI: 36.8-58.4%) were PCR-positive, including all microscopically positive dogs. Hence, the agreement between the two detection methods was 'poor' (κ = 0.20). Hematological parameters did not differ significantly between PCR-positive and PCR-negative dogs (p > 0.05). The DNA sequences of the 18S rRNA gene of the Hepatozoon spp. from Cuban dogs showed a nucleotide identity >99% with those of 18S rRNA sequences of Hepatozoon canis isolates from Czech Republic, Brazil and Spain. Phylogenetic analysis revealed that obtained sequences clustered within the Hepatozoon canis clade, different from the Hepatozoon felis or Hepatozoon americanum clades. The present study represents the first molecular characterization of Hepatozoon canis in stray dogs within Cuba.
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16.
  • Diaz-Sanchez, A. A., et al. (författare)
  • Molecular detection and identification of spotted fever group rickettsiae in ticks collected from horses in Cuba
  • 2021
  • Ingår i: Medical and Veterinary Entomology. - : John Wiley & Sons. - 0269-283X .- 1365-2915. ; 35:2, s. 207-212
  • Tidskriftsartikel (refereegranskat)abstract
    • Spotted fever group (SFG) rickettsiae are obligatory intracellular bacteria that cause disease in humans and other animals. Ixodid ticks are the principal vectors of SFG rickettsiae. The present study aimed to determine the prevalence and species identity of SFG rickettsiae in ticks and horses from urban and rural areas of western Cuba using PCR assays. Tick samples, collected from 79 horses, consisted of 14 Amblyomma mixtum adults, 111 Dermacentor nitens adults and 19 pools of D. nitens nymphs (2-5 individuals/pool). The PCR results revealed the presence of Rickettsia spp. in 64% of the A. mixtum adults, 16% of the D. nitens adults, and 11% of the pooled samples of D. nitens nymphs. In contrast, Rickettsia spp. was not detected in any of the 200 horse blood samples included in this study. DNA sequence data of the rickettsial 17 kDa antigen gene showed that Rickettsia amblyommatis was present in A. mixtum; and Rickettsia felis in D. nitens. This is the first report of R. felis in D. nitens in Cuba. The present study extends our knowledge of the potential vector spectrum and distribution of SFG rickettsiae pathogens in western Cuba.
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17.
  • Díaz-Sánchez, Adrian Alberto, et al. (författare)
  • Molecular Diagnosis, Prevalence and Importance of Zoonotic Vector-Borne Pathogens in Cuban Shelter Dogs : A Preliminary Study
  • 2020
  • Ingår i: Pathogens. - : MDPI. - 2076-0817. ; 9:11
  • Tidskriftsartikel (refereegranskat)abstract
    • The present study aimed to determine the prevalence of zoonotic vector-borne pathogens, including Anaplasma platys, Anaplasma phagocytophilum, Borrelia burgdorferi sensu lato, Ehrlichia canis and Rickettsia spp. in shelter dogs from Cuba. Blood samples were collected from 100 shelter dogs and examined by molecular methods. Overall, 85 (85%; 95% CI: 77.88-92.12) dogs tested positive for at least one vector-borne pathogen using species-specific qPCR assays. Among the positive samples, E. canis was the most prevalent 62% (95% CI: 52.32-71.68), followed by A. platys 40% (95% CI: 30.23-49.77) and Rickettsia felis 27% (95% CI: 18.15-35.85), whereas 36% (95% CI: 26.43-45.57) showed co-infections. All samples were negative for A. phagocytophilum and B. burgdorferi s.l. The presence of 248 Rhipicephalus sanguineus ticks collected from the dogs was not statistically associated with the occurrence of infections. Thrombocytopenia was the most frequent haematological alteration found in PCR-positive dogs; it was statistically associated with the presence of E. canis, as well as co-infections (p < 0.05). The phylogenetic analyses of A. platys and E. canis based on 16S rRNA, groEL and gltA genes showed a low genetic diversity between Cuban strains. The present study demonstrates the high prevalence of vector-borne pathogens with zoonotic potential in shelter dogs from Cuba.
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18.
  • Ferrer-Miranda, Edyniesky, et al. (författare)
  • Assessment of the foot-and-mouth disease surveillance system in Brazil
  • 2022
  • Ingår i: Preventive Veterinary Medicine. - : Elsevier. - 0167-5877 .- 1873-1716. ; 205
  • Tidskriftsartikel (refereegranskat)abstract
    • In 2021, the 88th General Session of the World Assembly of National Delegates to the World Organisation for Animal Health (OIE) recognized the estates of Acre, Paraná, the Rio Grande do Sul, and Rondônia as being free of foot-and-mouth disease (FMD) without vaccination. The certification was also extended to some cities in Amazonas and Mato Grosso. The new national strategic plan for 2026, which focuses on creating and maintaining sustainable conditions to expand FMD-free zones without vaccination, imposes new challenges and requires continuous evaluation of the FMD surveillance system. The objective of this research was to evaluate the FMD surveillance system in Brazil using quantitative models through Bayesian network approaches. The research was conducted using the Continental Surveillance and Information System (SivCont) database for Official Veterinary Services in Brazil, which refers to notified vesicular syndromes. The data on states, reported diseases, source of notification, disease confirmation, and timeliness (TL in days) of the delay by owners in notifying (TL.1) after a suspected case of the disease, and the response of Brazilian Veterinary Services after being notified (TL.2), were analysed. The collected data were analysed using Bayesian networks. It was observed that diseases with symptoms identical to FMD are the most notified events. TL.1 was long (mean of 18.96, CI: 18.33-19.59), and a low number of notifications was observed throughout the study period, which increases the chances of disseminating FMD in the population. Meanwhile, TL.2 suggests appropriate effectiveness of the Veterinary Services responding to suspected cases of FMD with interventions in less than 24 h (mean of 1, CI: 0.68-1.31). This study evaluated the performance of Brazilian Veterinary Services facing the report of vesicular diseases in the period 2004-2018. The results can help the states improve the surveillance system and the transition to the vaccination stop. Furthermore, the analytical method presented in the paper could serve as a model for other countries to evaluate the effectiveness of FMD surveillance systems.
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19.
  • Fonseca Rodriguez, Osvaldo, et al. (författare)
  • Association between Weather Types based on the Spatial Synoptic Classification and All-Cause Mortality in Sweden, 1991⁻2014
  • 2019
  • Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 16:10
  • Tidskriftsartikel (refereegranskat)abstract
    • Much is known about the adverse health impact of high and low temperatures. The Spatial Synoptic Classification is a useful tool for assessing weather effects on health because it considers the combined effect of meteorological factors rather than temperature only. The aim of this study was to assess the association between oppressive weather types and daily total mortality in Sweden. Time-series Poisson regression with distributed lags was used to assess the relationship between oppressive weather (Dry Polar, Dry Tropical, Moist Polar, and Moist Tropical) and daily deaths over 14 days in the extended summer (May to September), and 28 days during the extended winter (November to March), from 1991 to 2014. Days not classified as oppressive weather served as the reference category. We computed relative risks with 95% confidence intervals, adjusting for trends and seasonality. Results of the southern (Skåne and Stockholm) and northern (Jämtland and Västerbotten) locations were pooled using meta-analysis for regional-level estimates. Analyses were performed using the dlnm and mvmeta packages in R. During summer, in the South, the Moist Tropical and Dry Tropical weather types increased the mortality at lag 0 through lag 3 and lag 6, respectively. Moist Polar weather was associated with mortality at longer lags. In the North, Dry Tropical weather increased the mortality at shorter lags. During winter, in the South, Dry Polar and Moist Polar weather increased mortality from lag 6 to lag 10 and from lag 19 to lag 26, respectively. No effect of oppressive weather was found in the North. The effect of oppressive weather types in Sweden varies across seasons and regions. In the North, a small study sample reduces precision of estimates, while in the South, the effect of oppressive weather types is more evident in both seasons.
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20.
  • Fonseca-Rodríguez, Osvaldo, et al. (författare)
  • Avoiding bias in self-controlled case series studies of coronavirus disease 2019
  • 2021
  • Ingår i: Statistics in Medicine. - : John Wiley & Sons. - 0277-6715 .- 1097-0258. ; 40:27, s. 6197-6208
  • Tidskriftsartikel (refereegranskat)abstract
    • Many studies, including self-controlled case series (SCCS) studies, are being undertaken to quantify the risks of complications following infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19). One such SCCS study, based on all COVID-19 cases arising in Sweden over an 8-month period, has shown that SARS-CoV-2 infection increases the risks of AMI and ischemic stroke. Some features of SARS-CoV-2 infection and COVID-19, present in this study and likely in others, complicate the analysis and may introduce bias. In the present paper we describe these features, and explore the biases they may generate. Motivated by data-based simulations, we propose methods to reduce or remove these biases.
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21.
  • Fonseca Rodriguez, Osvaldo, PhD, 1982-, et al. (författare)
  • Classical Swine Fever in a Cuban Zone Intended for Eradication : Spatiotemporal Clustering and Risk Factors
  • 2020
  • Ingår i: Frontiers in Veterinary Science. - : Frontiers Media S.A.. - 2297-1769. ; 7
  • Tidskriftsartikel (refereegranskat)abstract
    • Classical Swine Fever (CSF) is an endemic disease in Cuba, and an eradication strategy by zones is planned by the Official Veterinary Service. The aim of this study was to identify high-risk areas of CSF and the risk factors associated with the disease occurrence in the Pinar del Rio province, one of the prioritized areas in the eradication strategy. The outbreak occurrence at district level was analyzed through a 7-year period (2009 to 2015). A high-risk cluster (RR = 5.13, 95% CI 3.49-7.56) was detected during the last 2 years of the study period in the eastern half of the province, with 38 out of 97 districts included. The rate of CSF-affected holdings had a significant increase during 2014-2015 and seems to have occurred mainly in the high-risk cluster area. Swine population density by district (heads/km(2)) and road length (km) by district were associated with the disease outbreak occurrence. These results provide new insights into the knowledge of the epidemiology of the disease in Cuban endemic conditions and can contribute to improving the control and the eradication strategy in this situation.
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22.
  • Fonseca Rodriguez, Osvaldo, PhD, 1982-, et al. (författare)
  • Descriptive epidemiology of endemic Classical Swine Fever in Cuba
  • 2018
  • Ingår i: Spanish Journal of Agricultural Research. - : Instituto Nacional de Investigacion y Tecnologia Agraria y Alimentaria (INIA). - 1695-971X .- 2171-9292. ; 16:2
  • Tidskriftsartikel (refereegranskat)abstract
    • In Cuba, Classical Swine Fever (CSF) has become an endemic disease since 1993 with several outbreaks each year despite the compulsory vaccination program implemented. To deepen the disease characterization is essential for improving the CSF control measures and to achieve its eradication. The aim of this study was to describe the epidemiological characteristics of CSF occurrences in Cuba during a seven-year period within the endemic situation. Data on CSF occurrence from January 2010 to December 2016 were analyzed. The seven-year period shows a tendency of the number of affected premises to increase (r=0.31, p=0.005) over time (month). Directional distribution (1SD ellipse) indicated a great dispersion of affected premises by year across the country with a trend to a higher occurrence to the west. It was demonstrated by the negative correlation (r=-0.893, p=0.007) between the longitude of the mean center of the ellipses over the years. The Kernel density indicated that the disease was spatially distributed across the whole country, but four hot spots were found in the western (Pinar del Río and Artemisa) and eastern (Guantánamo and Holguín) regions. The clinical sign most frequently reported in affected premises was fever, followed by loss of appetite, conjunctivitis, and diarrhea. The most frequent observed clinical signs were non-specific, which complicates the disease recognition in the field. The obtained results have a practical importance for improving the efficiency of the CSF control program implemented in the country and contribute to enhance epidemiological surveillance taking into account the risk based principles.
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23.
  • Fonseca Rodriguez, Osvaldo, PhD, 1982-, et al. (författare)
  • Effect of extreme hot and cold weather on cause-specific hospitalizations in Sweden : A time series analysis
  • 2021
  • Ingår i: Environmental Research. - : Elsevier. - 0013-9351 .- 1096-0953. ; 193
  • Tidskriftsartikel (refereegranskat)abstract
    • Considering that several meteorological variables can contribute to weather vulnerability, the estimation of their synergetic effects on health is particularly useful. The spatial synoptic classification (SSC) has been used in biometeorological applications to estimate the effect of the entire suite of weather conditions on human morbidity and mortality. In this study, we assessed the relationships between extremely hot and dry (dry tropical plus, DT+) and hot and moist (moist tropical plus, MT+) weather types in summer and extremely cold and dry (dry polar plus, DP+) and cold and moist (moist polar, MP+) weather types in winter and cardiovascular and respiratory hospitalizations by age and sex. Time-series quasi-Poisson regression with distributed lags was used to assess the relationship between oppressive weather types and daily hospitalizations over 14 subsequent days in the extended summer (May to August) and 28 subsequent days during the extended winter (November to March) over 24 years in 4 Swedish locations from 1991 to 2014. In summer, exposure to hot weather types appeared to reduce cardiovascular hospitalizations while increased the risk of hospitalizations for respiratory diseases, mainly related to MT+. In winter, the effect of cold weather on both cause-specific hospitalizations was small; however, MP+ was related to a delayed increase in cardiovascular hospitalizations, whilst MP+ and DP + increased the risk of hospitalizations due to respiratory diseases. This study provides useful information for the staff of hospitals and elderly care centers who can help to implement protective measures for patients and residents. Also, our results could be helpful for vulnerable people who can adopt protective measures to reduce health risks.
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24.
  • Fonseca Rodriguez, Osvaldo, PhD, 1982-, et al. (författare)
  • Hot and cold weather based on the spatial synoptic classification and cause-specific mortality in Sweden : a time-stratified case-crossover study
  • 2020
  • Ingår i: International journal of biometeorology. - : Springer. - 0020-7128 .- 1432-1254. ; 64:9, s. 1435-1449
  • Tidskriftsartikel (refereegranskat)abstract
    • The spatial synoptic classification (SSC) is a holistic categorical assessment of the daily weather conditions at specific locations; it is a useful tool for assessing weather effects on health. In this study, we assessed (a) the effect of hot weather types and the duration of heat events on cardiovascular and respiratory mortality in summer and (b) the effect of cold weather types and the duration of cold events on cardiovascular and respiratory mortality in winter. A time-stratified case-crossover design combined with a distributed lag nonlinear model was carried out to investigate the association of weather types with cause-specific mortality in two southern (Skåne and Stockholm) and two northern (Jämtland and Västerbotten) locations in Sweden. During summer, in the southern locations, the Moist Tropical (MT) and Dry Tropical (DT) weather types increased cardiovascular and respiratory mortality at shorter lags; both hot weather types substantially increased respiratory mortality mainly in Skåne. The impact of heat events on mortality by cardiovascular and respiratory diseases was more important in the southern than in the northern locations at lag 0. The cumulative effect of MT, DT and heat events lagged over 14 days was particularly high for respiratory mortality in all locations except in Jämtland, though these did not show a clear effect on cardiovascular mortality. During winter, the dry polar and moist polar weather types and cold events showed a negligible effect on cardiovascular and respiratory mortality. This study provides valuable information about the relationship between hot oppressive weather types with cause-specific mortality; however, the cold weather types may not capture sufficiently effects on cause-specific mortality in this sub-Arctic region.
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25.
  • Fonseca-Rodriguez, Osvaldo, PhD, 1982-, et al. (författare)
  • Projection of extreme heat- and cold-related mortality in Sweden based on the spatial synoptic classification
  • 2023
  • Ingår i: Environmental Research. - : Elsevier. - 0013-9351 .- 1096-0953. ; 239
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Climate change is projected to result in increased heat events and decreased cold events. This will substantially impact human health, particularly when compounded with demographic change. This study employed the Spatial Synoptic Classification (SSC) to categorize daily weather into one of seven types. Here we estimated future mortality due to extremely hot and cold weather types under different climate change scenarios for one southern (Stockholm) and one northern (Ja center dot mtland) Swedish region. Methods: Time-series Poisson regression with distributed lags was used to assess the relationship between extremely hot and cold weather events and daily deaths in the population above 65 years, with cumulative effects (6 days in summer, 28 days in winter), 1991 to 2014. A global climate model (MPI-M-MPI-ESM-LR) and two climate change scenarios (RCP 4.5 and 8.5) were used to project the occurrence of hot and cold days from 2031 to 2070. Place-specific projected mortality was calculated to derive attributable numbers and attributable fractions (AF) of heat- and cold-related deaths. Results: In Stockholm, for the RCP 4.5 scenario, the mean number of annual deaths attributed to heat increased from 48.7 (CI 32.2-64.2; AF = 0.68%) in 2031-2040 to 90.2 (56.7-120.5; AF = 0.97%) in 2061-2070, respectively. For RCP 8.5, heat-related deaths increased more drastically from 52.1 (33.6-69.7; AF = 0.72%) to 126.4 (68.7-175.8; AF = 1.36%) between the first and the last decade. Cold-related deaths slightly increased over the projected period in both scenarios. In Ja center dot mtland, projections showed a small decrease in cold-related deaths but no change in heat-related mortality.Conclusions: In rural northern region of Sweden, a decrease of cold-related deaths represents the dominant trend. In urban southern locations, on the other hand, an increase of heat-related mortality is to be expected. With an increasing elderly population, heat-related mortality will outweigh cold-related mortality at least under the RCP 8.5 scenario, requiring societal adaptation measures.
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26.
  • Fonseca-Rodríguez, Osvaldo, et al. (författare)
  • Spatial clustering and contextual factors associated with hospitalisation and deaths due to COVID-19 in Sweden : A geospatial nationwide ecological study
  • 2021
  • Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 6:7
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: In Sweden, thousands of hospitalisations and deaths due to COVID-19 were reported since the pandemic started. Considering the uneven spatial distribution of those severe outcomes at the municipality level, the objective of this study was, first, to identify high-risk areas for COVID-19 hospitalisations and deaths, and second, to determine the associated contextual factors with the uneven spatial distribution of both study outcomes in Sweden.Methods: The existences of spatial autocorrelation of the standardised incidence (hospitalisations) ratio and standardised mortality ratio were investigated using Global Moran's I test. Furthermore, we applied the retrospective Poisson spatial scan statistics to identify high-risk spatial clusters. The association between the contextual demographic and socioeconomic factors and the number of hospitalisations and deaths was estimated using a quasi-Poisson generalised additive regression model.Results: Ten high-risk spatial clusters of hospitalisations and six high-risk clusters of mortality were identified in Sweden from February 2020 to October 2020. The hospitalisations and deaths were associated with three contextual variables in a multivariate model: population density (inhabitants/km 2) and the proportion of immigrants (%) showed a positive association with both outcomes, while the proportion of the population aged 65+ years (%) showed a negative association.Conclusions: Our study identified high-risk spatial clusters for hospitalisations and deaths due to COVID-19 and the association of population density, the proportion of immigrants and the proportion of people aged 65+ years with those severe outcomes. Results indicate where public health measures must be reinforced to improve sustained and future disease control and optimise the distribution of resources.
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27.
  • Fonseca Rodriguez, Osvaldo, PhD, 1982-, et al. (författare)
  • Spatial modeling of oestrosis in sheep in Guantánamo province, Cuba
  • 2018
  • Ingår i: Small Ruminant Research. - : Elsevier BV. - 0921-4488 .- 1879-0941. ; 164, s. 32-38
  • Tidskriftsartikel (refereegranskat)abstract
    • Oestrosis is a myiasis caused by larvae of the fly Oestrus ovis (Linné 1761, Diptera: Oestridae) that occurs worldwide. Oestrosis was first reported in Cuba in the middle of the 1990s in the municipality of Imías, Guantánamo province. Determining the spatial pattern and risk factors for the disease might be useful to help explain the disease occurrence and select options for disease surveillance and control. In the present study, the number and distribution of affected premises was shown to have been similar throughout the period studied (2006–2010). The disease was found to occur mostly in the southern and western parts of the province with high dispersion in an east-west direction over the period of study. Three “hotspots” (Getis-Ord Gi*) were identified in the province in which there was an increased risk of disease occurrence. Geographically Weighted Logistic Regression was used to test associations between environmental variables and disease occurrence. Results demonstrated that areas with lower mean annual rainfall, higher mean temperature, and higher sheep density had the highest risk of disease occurrence. High risk areas are mostly located in the western zone (El Salvador, Niceto Pérez and Guantánamo municipalities) and also in the central zone (coast of San Antonio del Sur and Imías). The associations between oestrosis cases and local environmental characteristics varied geographically within the study area. These results might be useful to improve disease surveillance and control. Treatment of animals in these “hotspots”, as well as in other places where the risk is higher should be prioritized to more efficiently reduce the harmful impact of this disease.
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28.
  • Fonseca-Rodríguez, Osvaldo, 1982-, et al. (författare)
  • Spatiotemporal Analysis of Glanders in Brazil
  • 2019
  • Ingår i: Journal of Equine Veterinary Science. - : Elsevier. - 0737-0806 .- 1542-7412. ; 78, s. 14-19
  • Tidskriftsartikel (refereegranskat)abstract
    • In Brazil, glanders remains a serious problem, with the obligatory sacrifice of disease-positive animals without compensation. Each year, glanders cases are reported in several regions of the country, causing severe economic losses and trade restrictions. The present study describes and discusses the occurrence of glanders foci in Brazil during a 12-year period from 2005 to 2016. The highest frequency of reported affected holdings during the study period was in the northeast region. Moreover, during this period, the disease incidence in Brazil showed an overall increasing tendency. The number of affected holdings significantly increased during the last four years of the period, and more cases were noted during the months of May and June. Spatiotemporally, there are four high-risk glanders clusters: (1) cluster A (relative risk [RR = 6.51, P < .0001) involved the northeast region from March 2008 to February 2014; (2) cluster B (RR = 17.37, P < .0001) involved a southeast region state from March 2013 to June 2015; (3) cluster C (RR = 6.92, P < .0001) involved the states in the midwest, southeast, and south regions of Brazil from March 2015 to May 2016; and (4) cluster D (RR = 19.07, P < .0001) involved a north region state from October 2015 to April 2016. Only two states of the north region (Acre and Amapá) did not experience glanders during the study period.
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29.
  • Fonseca Rodriguez, Osvaldo, PhD, 1982-, et al. (författare)
  • "The devil is in the detail": geographical inequalities of femicides in Ecuador
  • 2021
  • Ingår i: International Journal for Equity in Health. - : BioMed Central. - 1475-9276. ; 20:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Femicide is a very important public health problem in Ecuador. Since regional and country-level femicide rates can obscure significant variations at the sub-national level, it is important to provide information at the lowest relevant level of disaggregation to be able to develop targeted preventive policies. The aim of this study was to assess the spatial distribution of the femicide rate and to examine its spatial clustering at the canton level in Ecuador in the period 2018-2019.METHODS: Data on cases were collected by a national network of non-governmental organizations. Two age-disaggregated analyses were done, one for the 15 to 24 years-olds and the other for the female population of 15 and older. Age-specific population data were obtained from the National Institute of Statistics for the study period. Standardized mortality ratios for mapping the mortality were calculated using hierarchical Bayesian models and spatial scan statistics were applied to identify local clusters. Thematic maps of age-specific femicide rates were also constructed.RESULTS: During the two-year period, 61 and 183 women were killed in the age ranges 15-24 and 15 years and older, respectively. The annual rate of femicides in Ecuador was 1.0 and 0.8 per 100,000 in the female population aged 15-24 and 15+, respectively, with substantial variations among cantons. The spatial analysis contributed to visualize high risk cantons, which were mainly located in a small area in the central part of the country (for those 15+) but especially in the Amazon region, for both of the studied age groups.CONCLUSIONS: This study has shown the usefulness of applying spatial analysis to the problem of femicides in Ecuador. The study has revealed important variations among cantons but also a spatial clustering, mainly in the Amazon region of the country. The results should help policymakers to focus on current prevention programmes for violence against women into these high-risk areas. Continuous monitoring of femicides at low-level geographical areas is highly recommended.
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30.
  • González, Belkis Corona, et al. (författare)
  • Detección e identificación molecular de patógenos transmitidos por garrapatas en perros de La Habana, Cuba : [Detection and molecular identification of tick-borne pathogens in Havana, Cubandogs]
  • 2023
  • Ingår i: Anales de la Academia de Ciencias de Cuba. - : Editorial Ciencias Medicas. - 2304-0106. ; 13:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Vector-borne canine diseases are a serious danger to animal and human health. The objective of the present study was to determine the prevalence of zoonotic pathogens (Anaplasma platys, Anaplasma phagocytophilum, Borrelia burgdorferi sensu lato, Ehrlichia canis and Rickettsia spp. and non-zoonotic (Hepatozoon canis and Babesia spp.) in ownerless dogs from Havana, Cuba.Methods: Blood samples were collected from 100 dogs and the hematological profiles were studied and pathogens were detected by visualization of blood smears and real-time PCR. To determine the prevalence of infection by Hepatozoon canis, 80 dogs were studied by visualization of blood smears andreal time PCR. For the detection of Babesia spp., 60 dogs were studied, using hematological examination, blood smear visualization and PCR.Results: Eighty-five dogs were positive for at least one pathogen, being E. canis the most prevalent, followed by A. platys and Rickettsia felis, and 36 % showed coinfections. All samples were negative for A. phagocytophilum and B. burgdorferi s.l. These results constitute the first report of R. felis in dogs from Cuba, demonstrate the high prevalence of pathogens transmitted by ticks, with zoonotic potential, and constitute the first study where coinfections are analyzed. 38 % of the dogs were positive for H. canis by PCR and for the first-time molecular characterization of H. canis was carried out in Cuban ownerless dogs and 20 % were positive by PCR for Babesia spp., which constitutes the first molecular evidence of Babesia spp. in ownerless dogs fromCuba.Conclusions, these results are of great importance for the surveillance of vector-borne diseasesin dogs, and demonstrate the need for studies on the prevention of transmission and spread of the diseases they cause.
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31.
  • Gustafsson, Per E, et al. (författare)
  • A novel application of interrupted time series analysis to identify the impact of a primary health care reform on intersectional inequities in avoidable hospitalizations in the adult Swedish population
  • 2024
  • Ingår i: Social Science and Medicine. - : Elsevier. - 0277-9536 .- 1873-5347. ; 343
  • Tidskriftsartikel (refereegranskat)abstract
    • Primary health care (PHC) systems are a crucial instrument for achieving equitable population health, but there is little evidence of how PHC reforms impact equities in population health. In 2010, Sweden implemented a reform that promoted marketization and privatization of PHC. The present study uses a novel integration of intersectionality-informed and evaluative epidemiological analytical frameworks to disentangle the impact of the 2010 Swedish PHC reform on intersectional inequities in avoidable hospitalizations. The study population comprised the total Swedish population aged 18–85 years across 2001–2017, in total 129 million annual observations, for whom register data on sociodemographics and hospitalizations due to ambulatory care sensitive conditions were retrieved. Multilevel Analysis of Individual Heterogeneity and Discriminatory Analyses (MAIHDA) were run for the pre-reform (2001–2009) and post-reform (2010–2017) periods to provide a mapping of inequities. In addition, random effects estimates reflecting the discriminatory accuracy of intersectional strata were extracted from a series MAIHDAs run per year 2001–2017. The estimates were re-analyzed by Interrupted Time Series Analysis (ITSA), in order to identify the impact of the reform on measures of intersectional inequity in avoidable hospitalizations. The results point to a complex reconfiguration of social inequities following the reform. While the post-reform period showed a reduction in overall rates of avoidable hospitalizations and in age disparities, socioeconomic inequities in avoidable hospitalizations, as well as the importance of interactions between complex social positions, both increased. Socioeconomically disadvantaged groups born in the Nordic countries seem to have benefited the least from the reform. The study supports a greater attention to the potentially complex consequences that health reforms can have on inequities in health and health care, which may not be immediate apparent in conventional evaluations of either population-average outcomes, or by simple evaluations of equity impacts. Methodological approaches for evaluation of complex inequity impacts need further development.
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32.
  • Gustafsson, Per E, et al. (författare)
  • Evaluating the impact of the 2010 Swedish choice reform in primary health care on avoidable hospitalization and socioeconomic inequities : an interrupted time series analysis using register data
  • 2024
  • Ingår i: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 24:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The Swedish Primary Health Care (PHC) system has, like in other European countries, undergone a gradual transition towards marketization and privatization, most distinctly through a 2010 choice reform. The reform led to an overall but regionally heterogenous expansion of private PHC providers in Sweden, and with evidence also pointing to possible inequities in various aspects of PHC provision. Evidence on the reform's impact on population-level primary health care performance and equity in performance remains scarce. The present study therefore aimed to examine whether the increase in private provision after the reform impacted on population-average rates of avoidable hospitalizations, as well as on corresponding socioeconomic inequities.Methods: This register-based study used a multiple-group interrupted time-series design for the study period 2001-2017, with the study population (N = 51 million observations) randomly drawn from the total Swedish population aged 18-85 years. High, medium, and low implementing comparison groups were classified by tertiles of increase in private PHC providers after the reform. PHC performance was measured by avoidable hospitalizations, and socioeconomic position by education and income. Interrupted time series analysis based on individual-level data was used to estimate the reform impact on avoidable hospitalization risk, and on inequities through the Relative Index of Inequality (RII).Results: All three comparisons groups displayed decreasing risk of avoidable hospitalizations but increasing socioeconomic inequities across the study period. Compared to regions with little change in provision after the reform, regions with large increase in private provision saw a steeper decrease in avoidable hospitalizations after the reform (relative risk (95%): 1.6% (1.1; 2.1)), but at the same time steeper increase in inequities (by education: 2.0% (0.1%; 4.0); by income: 2.2% (-0.1; 4.3)).Conclusions: The study suggests that the increase in private health care centers, enabled by the choice reform, contributed to a small improvement when it comes to overall PHC performance, but simultaneously to increased socioeconomic inequities in PHC performance. This duality in the impact of the Swedish reform also reflects the arguments in the European health policy debate on patient choice PHC models, with hopes of improved performance but fears of increased inequities.
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33.
  • Gustafsson, Per E, et al. (författare)
  • Inequitable impact of infection : social gradients in severe COVID-19 outcomes among all confirmed SARS-CoV-2 cases during the first pandemic wave in Sweden.
  • 2022
  • Ingår i: Journal of Epidemiology and Community Health. - : BMJ Publishing Group Ltd. - 0143-005X .- 1470-2738. ; 76:3, s. 261-267
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: The backdrop of the ubiquitous social inequalities has increasingly come into foreground in research on the COVID-19 pandemic, but the lack of high-quality population-based studies limits our understanding of the inequitable outcomes of the disease. The present study seeks to estimate social gradients in COVID-19 hospitalisations, intensive care admissions and death by education, income and country of birth, while taking into account disparities in comorbidities.METHODS: We used a register-based retrospective open cohort design enrolling all 74 659 confirmed SARS-CoV-2-positive cases aged >25 years in Sweden during the first wave of the pandemic (until 14 September 2020). Information was retrieved from multiple registers and linked by the unique Swedish personal identity number concerning COVID-19 case identification; COVID-19 hospitalisations, intensive care admissions and death; comorbidities as measured by the Charlson Comorbidity Index; and sociodemographic information. Social gradients were estimated by the Relative Index of Inequality (RII) using Cox regression.RESULTS: Adjusted analyses showed significant social gradients in COVID-19 hospitalisation, intensive care admission, across education, income and country of birth, which were unaffected by adjustment for comorbidities. Education and country of birth gradients were stronger for hospitalisation and intensive care admissions but small to non-existent for death. In contrast, income gradients were consistent across all three COVID-19 outcomes.CONCLUSION: Social gradients in severe COVID-19 outcomes are widespread in Sweden, but appear to be unrelated to pre-existing health disparities. Inequitable outcomes of SARS-CoV-2 infection may therefore be at least partially avoidable and could rely on equitable management of confirmed COVID-19 cases.
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34.
  • Gustafsson, Per E, et al. (författare)
  • Intersectional inequalities in loneliness among older adults before and during the early phase of the COVID-19 pandemic : A total population survey in the Swedish eldercare setting
  • 2022
  • Ingår i: Social Science and Medicine. - : Elsevier. - 0277-9536 .- 1873-5347.
  • Tidskriftsartikel (refereegranskat)abstract
    • Loneliness among older adults is a public health problem that has received particular attention since the emergence of the COVID-19 pandemic. Studies to date have however found a rather modest psychosocial impact of the pandemic on older adults, and scarce research has analyzed this impact using a comprehensive equity lens. The present study used an intersectional approach to examine social inequalities in loneliness before and during the early phase of the pandemic among older adults receiving eldercare in Sweden. The study population (analytical N = 205,529) came from two waves (2019 and 2020) of a total population survey to all older adult (>65 years of age) home care recipients and nursing home residents in Sweden. Loneliness was self-reported by a single-item measure, and survey data were linked to population register data on age, gender, residential setting, income, and country of birth. Additive binomial regression models were used to estimate prevalence differences and discriminatory accuracy according to an analysis of individual heterogeneity and discriminatory accuracy (AIHDA) approach. Results showed inequalities in loneliness arising particularly in the intersection of country of birth, income, and residential setting. The inequalities widened slightly but ubiquitously following the emergence of the pandemic in 2020, with particularly nursing home residents emerging as a risk group. The discriminatory accuracy of inequalities was consistently low to moderate throughout the analyses but increased marginally during the pandemic in 2020. The study illustrates how social inequalities engenders heterogeneity in the psychosocial risk of older adults before and during the pandemic. These findings should stimulate more nuanced and equity-oriented depictions, research and policies about loneliness among older adults in the peri-pandemic era.
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35.
  • Katsoularis, Ioannis, 1986- (författare)
  • Cardiovascular complications following covid-19 : population-based register studies
  • 2023
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Background and Aim: COVID-19 is a multiorgan disease and there has been increasing reports of cardiovascular complications. However, previous studies have shown conflicting results and have mainly included hospitalized individuals with severe disease. The aim of this thesis was to estimate the risk of incident cardiovascular disease following COVID-19. Material and Methods: This project was based on Swedish national register data from all individuals who tested positive for SARS-CoV-2 between February 1st, 2020, and May 25th, 2021. Outcomes were events of incident cardiovascular disease, recorded as ICD-10 codes in the National Patient Register. Self-controlled case series (SCCS) studies and matched cohort studies were performed to determine the relative risks for a new onset cardiovascular event following COVID-19. Moreover, a data-simulation study was performed to investigate features that could introduce bias in the SCCS studies: the "day zero-effect", i.e., a high incidence of events at the COVID-19 date; and the increase in mortality due to cardiovascular events.Results: In the SCCS studies, the risk of cardiovascular disease was significantly increased compared to the control period as follows: up to 14 days after COVID-19 for acute myocardial infarction; up to 1 month for ischemic stroke; up to 3 months for deep vein thrombosis; up to 6 months for pulmonary embolism; up to 2 months for bleeding and for atrial tachycardias; up to 6 months for paroxysmal supraventricular tachycardias; and up to 14 days for bradyarrhythmias. In the matched cohort studies, COVID-19 was associated with an approximately 3- and 4-fold increase in the risk of acute myocardial infarction and ischemic stroke, respectively, during day 1-14 after the infection. During day 1-30 following the infection, the increase in risk was 5-fold for deep vein thrombosis; 33-fold for pulmonary embolism; 2-fold for bleeding; 12-fold for atrial tachycardias; 5-fold for paroxysmal supraventricular tachycardias; and 3-fold for bradyarrhythmias. The relative risks were higher in older individuals with comorbidities, with more severe COVID-19, and during the first months of the pandemic. Unvaccinated individuals had a higher risk of arrhythmias. In the data-simulation study, bias was introduced by including "day-zero events" in the analyses. Moreover, the extended rather the traditional SCCS model was more appropriate to minimize possible bias introduced by the increase in mortality due to cardiovascular events.Conclusion: There is an increased risk of cardiovascular complications in individuals with COVID-19, especially in individuals with severe disease. These findings highlight the value of diagnostic and prophylactic strategies in individuals with COVID-19, such as risk factor control or thromboprophylaxis, and the value of vaccination. 
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36.
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37.
  • Katsoularis, Ioannis, et al. (författare)
  • Risk of acute myocardial infarction and ischaemic stroke following COVID-19 in Sweden : a self-controlled case series and matched cohort study
  • 2021
  • Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 398:10300, s. 599-607
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: COVID-19 is a complex disease targeting many organs. Previous studies highlight COVID-19 as a probable risk factor for acute cardiovascular complications. We aimed to quantify the risk of acute myocardial infarction and ischaemic stroke associated with COVID-19 by analysing all COVID-19 cases in Sweden.Methods: This self-controlled case series (SCCS) and matched cohort study was done in Sweden. The personal identification numbers of all patients with COVID-19 in Sweden from Feb 1 to Sept 14, 2020, were identified and cross-linked with national inpatient, outpatient, cancer, and cause of death registers. The controls were matched on age, sex, and county of residence in Sweden. International Classification of Diseases codes for acute myocardial infarction or ischaemic stroke were identified in causes of hospital admission for all patients with COVID-19 in the SCCS and all patients with COVID-19 and the matched control individuals in the matched cohort study. The SCCS method was used to calculate the incidence rate ratio (IRR) for first acute myocardial infarction or ischaemic stroke following COVID-19 compared with a control period. The matched cohort study was used to determine the increased risk that COVID-19 confers compared with the background population of increased acute myocardial infarction or ischaemic stroke in the first 2 weeks following COVID-19.Findings: 86 742 patients with COVID-19 were included in the SCCS study, and 348 481 matched control individuals were also included in the matched cohort study. When day of exposure was excluded from the risk period in the SCCS, the IRR for acute myocardial infarction was 2·89 (95% CI 1·51–5·55) for the first week, 2·53 (1·29–4·94) for the second week, and 1·60 (0·84–3·04) in weeks 3 and 4 following COVID-19. When day of exposure was included in the risk period, IRR was 8·44 (5·45–13·08) for the first week, 2·56 (1·31–5·01) for the second week, and 1·62 (0·85–3·09) for weeks 3 and 4 following COVID-19. The corresponding IRRs for ischaemic stroke when day of exposure was excluded from the risk period were 2·97 (1·71–5·15) in the first week, 2·80 (1·60–4·88) in the second week, and 2·10 (1·33–3·32) in weeks 3 and 4 following COVID-19; when day of exposure was included in the risk period, the IRRs were 6·18 (4·06–9·42) for the first week, 2·85 (1·64–4·97) for the second week, and 2·14 (1·36–3·38) for weeks 3 and 4 following COVID-19. In the matched cohort analysis excluding day 0, the odds ratio (OR) for acute myocardial infarction was 3·41 (1·58–7·36) and for stroke was 3·63 (1·69–7·80) in the 2 weeks following COVID-19. When day 0 was included in the matched cohort study, the OR for acute myocardial infarction was 6·61 (3·56–12·20) and for ischaemic stroke was 6·74 (3·71–12·20) in the 2 weeks following COVID-19.Interpretation: Our findings suggest that COVID-19 is a risk factor for acute myocardial infarction and ischaemic stroke. This indicates that acute myocardial infarction and ischaemic stroke represent a part of the clinical picture of COVID-19, and highlights the need for vaccination against COVID-19. 
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38.
  • Katsoularis, Ioannis, 1986-, et al. (författare)
  • Risk of arrhythmias following COVID-19 : nationwide self-controlled case series and matched cohort study
  • 2023
  • Ingår i: European Heart Journal Open. - : Oxford University Press. - 2752-4191. ; 3:6
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims: COVID-19 increases the risk of cardiovascular disease, especially thrombotic complications. There is less knowledge on the risk of arrhythmias after COVID-19. In this study, we aimed to quantify the risk of arrhythmias following COVID-19.Methods and Results: This study was based on national register data on all individuals in Sweden who tested positive for SARS-CoV-2 between 1 February 2020 and 25 May 2021. The outcome was incident cardiac arrhythmias, defined as international classification of diseases (10th revision) codes in the registers as follows: atrial arrhythmias; paroxysmal supraventricular tachycardias; bradyarrhythmias; and ventricular arrhythmias. A self-controlled case series study and a matched cohort study, using conditional Poisson regression, were performed to determine the incidence rate ratio and risk ratio, respectively, for an arrhythmia event following COVID-19.A total of 1 057 174 exposed (COVID-19) individuals were included in the study as well as 4 074 844 matched unexposed individuals. The incidence rate ratio of atrial tachycardias, paroxysmal supraventricular tachycardias, and bradyarrhythmias was significantly increased up to 60, 180, and 14 days after COVID-19, respectively. In the matched cohort study, the risk ratio during Days 1–30 following COVID-19/index date was 12.28 (10.79–13.96), 5.26 (3.74–7.42), and 3.36 (2.42–4.68), respectively, for the three outcomes. The risks were generally higher in older individuals, in unvaccinated individuals, and in individuals with more severe COVID-19. The risk of ventricular arrhythmias was not increased.1 057 174 exposed (COVID-19) individuals were included in the study as well as 4 074 844 matched unexposed individuals. The incidence rate ratio of atrial tachycardias, paroxysmal supraventricular tachycardias and bradyarrhythmias was significantly increased up to 60, 180 and 14 days after COVID-19, respectively. In the matched cohort study, the risk ratio during day 1-30 following COVID-19/index date was 12.28 (10.79-13.96), 5.26 (3.74-7.42) and 3.36 (2.42-4.68), respectively for the three outcomes. The risks were generally higher in older individuals, unvaccinated individuals and in individuals with more severe COVID-19. The risk of ventricular arrhythmias was not increased.Conclusion: There is an increased risk of cardiac arrhythmias following COVID-19, and particularly increased in elderly vulnerable individuals, as well as in individuals with severe COVID-19.
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39.
  • Katsoularis, Ioannis, 1986-, et al. (författare)
  • Risk of atrial tachycardias after covid-19 : nationwide self-controlled cases series and matched cohort study
  • 2023
  • Ingår i: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645. ; 44:Suppl. 2
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: COVID-19 is a multiorgan disease. We previously identified COVID-19 as a risk factor for myocardial infarction, stroke (1), venous thromboembolism and bleeding (2). Less evidence exists on the risk of arrhythmias after COVID-19. Previous studies included mainly hospitalized patients with severe COVID-19, and there are no nationwide studies published.Purpose: The aim of this study was to estimate the risk of atrial tachycardias (atrial fibrillation and atrial flutter) following COVID-19, including all individuals tested positive for SARS-CoV-2 in Sweden, regardless of disease severity.Method: COVID-19 has been a notifiable disease in Sweden. All individuals in Sweden who were tested positive for SARS-CoV-2 between February 1, 2020 and May 25, 2021 were included in the study. We identified four control individuals for each COVID-19 individual matched on age, sex, and county of residence. Using Personal Identification Numbers, we cross-linked data from national registries: COVID-19 registry; Inpatient and Outpatient Registry; Cause of Death Registry; Prescribed Pharmaceutical Registry and Intensive Care Registry. Outcomes are cardiovascular events, defined using ICD-10 diagnosis codes for atrial fibrillation and atrial flutter in the registries. We performed a ‘’first-ever event’’ analysis, i.e., we excluded individuals with events before the study period. The self-controlled case series (SCCS) method was used to determine the incidence rate ratio (IRR) of a first atrial tachycardia during the risk periods 1-7, 8-14, 15-30, 31-60, 61-90, and 91-180 days after COVID-19. In the matched cohort study (MCS), Poisson regression was performed to calculate the risk ratio (RR) of a first arrhythmia event in the risk period 1-30 days following COVID-19, after adjusting for the effect of confounders, such as cardiac disease, treatment with antiarrhythmics, comorbidities and vaccination status.Results: 1 057 174 cases and 4 074 844 controls were included in the study. In the SCCS, the risk of first atrial tachycardia was significantly increased up to 60 days following COVID-19. Specifically, during days 1-7 and 8-14 post-COVID-19 the IRRs were approximately 12 and 10 respectively. Similarly, in the MCS the RR for the first atrial tachycardia during day 1-30 post-COVID-19 was approximately 11. The risks were higher in patients with more severe COVID-19; and during the first pandemic wave compared to the second and third wave.Conclusions: This study suggests that COVID-19 is a risk factor for atrial tachycardias, based on information obtained on all people who tested positive for SARS-CoV-2 in Sweden, regardless of disease severity. These results could impact recommendations on diagnostic and prophylactic strategies against atrial tachycardias after COVID-19. The importance of preventive strategies, such as risk factor control; vaccination to prevent severe COVID-19; and early review of high-risk individuals after COVID-19, is indicated.
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40.
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41.
  • Katsoularis, Ioannis, et al. (författare)
  • Risks of deep vein thrombosis, pulmonary embolism, and bleeding after covid-19 : nationwide self-controlled cases series and matched cohort study
  • 2022
  • Ingår i: The BMJ. - : BMJ Publishing Group Ltd. - 1756-1833. ; 377
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: To quantify the risk of deep vein thrombosis, pulmonary embolism, and bleeding after covid-19.DESIGN: Self-controlled case series and matched cohort study.SETTING: National registries in Sweden.PARTICIPANTS: 1 057 174 people who tested positive for SARS-CoV-2 between 1 February 2020 and 25 May 2021 in Sweden, matched on age, sex, and county of residence to 4 076 342 control participants.MAIN OUTCOMES MEASURES: Self-controlled case series and conditional Poisson regression were used to determine the incidence rate ratio and risk ratio with corresponding 95% confidence intervals for a first deep vein thrombosis, pulmonary embolism, or bleeding event. In the self-controlled case series, the incidence rate ratios for first time outcomes after covid-19 were determined using set time intervals and the spline model. The risk ratios for first time and all events were determined during days 1-30 after covid-19 or index date using the matched cohort study, and adjusting for potential confounders (comorbidities, cancer, surgery, long term anticoagulation treatment, previous venous thromboembolism, or previous bleeding event).RESULTS: Compared with the control period, incidence rate ratios were significantly increased 70 days after covid-19 for deep vein thrombosis, 110 days for pulmonary embolism, and 60 days for bleeding. In particular, incidence rate ratios for a first pulmonary embolism were 36.17 (95% confidence interval 31.55 to 41.47) during the first week after covid-19 and 46.40 (40.61 to 53.02) during the second week. Incidence rate ratios during days 1-30 after covid-19 were 5.90 (5.12 to 6.80) for deep vein thrombosis, 31.59 (27.99 to 35.63) for pulmonary embolism, and 2.48 (2.30 to 2.68) for bleeding. Similarly, the risk ratios during days 1-30 after covid-19 were 4.98 (4.96 to 5.01) for deep vein thrombosis, 33.05 (32.8 to 33.3) for pulmonary embolism, and 1.88 (1.71 to 2.07) for bleeding, after adjusting for the effect of potential confounders. The rate ratios were highest in patients with critical covid-19 and highest during the first pandemic wave in Sweden compared with the second and third waves. In the same period, the absolute risk among patients with covid-19 was 0.039% (401 events) for deep vein thrombosis, 0.17% (1761 events) for pulmonary embolism, and 0.101% (1002 events) for bleeding.CONCLUSIONS: The findings of this study suggest that covid-19 is a risk factor for deep vein thrombosis, pulmonary embolism, and bleeding. These results could impact recommendations on diagnostic and prophylactic strategies against venous thromboembolism after covid-19.
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42.
  • KC, Ashish, 1982, et al. (författare)
  • Effect of non-optimal ambient temperature on preterm birth stratified by social positioning in Nepal: A space-time-stratified case-crossover study.
  • 2024
  • Ingår i: Environmental research. - : Elsevier. - 1096-0953 .- 0013-9351. ; 258
  • Tidskriftsartikel (refereegranskat)abstract
    • The ongoing increase in the mean global temperature due to human induced climate change, indicates that women and infants will have higher exposure to heat events leading to adverse outcomes. The study investigates the effect of non-optimal ambient temperature on the risk of preterm birth stratified by social position in Nepal.This is a space-time-stratified case-crossover design, based on hospital-registered perinatal data between 2017 and 2021 (n=47,807). A daily count of pregnant women residing in seven heat-prone districts was extracted together with their social status (ethnicity), obstetric complication and gestation of birth. The daily count of events was matched with the daily ambient temperature of their residence using the NOAA spatial temperature recording. Ambient temperature exposure was analysed using conditional Poisson regression and distributed lag non-linear models.In the general population, with exposure to ambient temperature at the 75th centile (28°C) the cumulative risk of preterm birth over 28 days was 1·29 times higher (RR, 1·29; 95% CI; 1·09, 1·54) than at median temperature (24.1°C), and even higher among the socially disadvantaged population. Cumulative risk of preterm birth to cold ambient temperature at the 1st centile was high but not significant. Exposure to ambient temperature at the 90th centile (32·5°C) had the highest cumulative risk of preterm birth for pregnant women from socially disadvantaged populations (RR 1·81; 95% CI; 1·28, 2·55). The delayed effect after exposure to temperatures above the 75th percentile was more prolonged in the disadvantaged than the advantaged social group.Although exposure to cold with certain effect on preterm births, heat (increase in ambient temperature) carries a risk of preterm birth in Nepal, and is more profound among socially disadvantaged populations.
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43.
  • Lukyamuzi, Zubair, et al. (författare)
  • Quality of care in family planning services : differences between formal and informal settlements of Kira municipality, Uganda
  • 2021
  • Ingår i: Epidemiologic Methods. - : Frontiers Media S.A.. - 2194-9263 .- 2161-962X. ; 2
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Quality of care (QoC) of family planning (FP) affects contraceptive use, and it varies across types of urban settlement. This study assesses the difference in service delivery point (SDP) structural and process factors between formal and informal urban settlements, and the opinion of the client on the QoC in informal settlements. This is useful in creating an evidence base to advocate for better quality services for the most vulnerable in society.Methods: This was a cross-sectional survey that included SDPs of Kira municipality in Wakiso district, Uganda. Data were collected from all the service points in Kira municipality with the caretakers consented. In addition, using multi-stage sampling, 626 women of reproductive age (15–49 years) who lived in the informal settlements of Kira municipality were interviewed. Data were collected using structured questionnaires, descriptive analysis was carried out in Stata version 14.0, and Chi-square and t-tests were used to compare the informal with the formal settlements.Results: Formal settlements generally had more higher-level SDPs compared to informal settlements (value of p < 0.001). SDPs in the formal settlements provided more FP methods and had more community health workers (CHW) to support their work. Also, SDPs in the formal settlements were more likely to have long-term FP methods available and more likely to have trained personnel to insert and remove implants and IUDs compared to those in informal settlements. Additionally, more SDPs in the formal settlements provided counseling for permanent, long-term, and short-term FP methods. Of the 626 interviewed women, most of the women (68.6%) reported that they would not return to the previous FP provider or refer a friend to the same provider (72.7%).Conclusions: There is a lower quality FP services in the informal settlements with a commensurable effect on the client satisfaction with the services. Therefore, improving the quality of FP services in informal settlements should be a top priority. Improved quality of services could act as a motivation to increase the uptake of modern contraceptives in such settings.
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44.
  • Ollila, Hanna M, et al. (författare)
  • How do clinicians use post-COVID syndrome diagnosis? Analysis of clinical features in a Swedish COVID-19 cohort with 18 months’ follow-up : a national observational cohort and matched cohort study
  • 2024
  • Ingår i: BMJ Public Health. - : BMJ Publishing Group Ltd. - 2753-4294. ; 2:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: SARS-CoV-2 infection causes acute COVID-19 and may result in post-COVID syndrome (PCS). We aimed to investigate how clinicians diagnose PCS and identify associated clinical and demographic characteristics.Methods: We analysed multiregistry data of all SARS-CoV-2 test-positive individuals in Sweden (n=1 057 174) between 1 February 2020 and 25 May 2021. We described clinical characteristics that prompt PCS diagnosis in outpatient and inpatient settings. In total, there were 6389 individuals with a hospital inpatient or outpatient diagnosis for PCS. To understand symptomatology, we examined individuals diagnosed with PCS at least 3 months after COVID-19 onset (n=6389) and assessed factors associated with PCS diagnosis.Results: Mechanical ventilation correlated with PCS (OR 114.7, 95% CI 105.1 to 125.3) compared with no outpatient/inpatient contact during initial COVID-19. Dyspnoea (13.4%), malaise/fatigue (8%) and abnormal pulmonary diagnostic imaging findings (4.3%) were the most common features linked to PCS. We compared clinical features of PCS with matched controls (COVID-19 negative, n=23 795) and COVID-19 severity-matched patients (COVID-19 positive, n=25 556). Hypertension associated with PCS cohort (26.61%) than in COVID-19-negative (OR 17.16, 95% CI 15.23 to 19.3) and COVID-19-positive (OR 9.25, 95% CI 8.41 to 10.16) controls, although most individuals received this diagnosis before COVID-19. Dyspnoea was the second most common feature in the PCS cohort (17.2%), and new to the majority compared with COVID-19-negative (OR 54.16, 95% CI 42.86 to 68.45) and COVID-19-positive (OR 18.7, 95% CI 16.21 to 21.57) controls.Conclusions: Our findings highlight factors Swedish physicians associate with PCS.
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45.
  • Perez Ruano, Miguel, et al. (författare)
  • Seroprevalence and risk factors of bovine leptospirosis in the province of Manabí, Ecuador
  • 2020
  • Ingår i: Comparative Immunology, Microbiology & Infectious Diseases. - : Elsevier. - 0147-9571 .- 1878-1667. ; 72
  • Tidskriftsartikel (refereegranskat)abstract
    • Leptospirosis is a zoonotic disease with worldwide distribution. The disease affects dairy and beef cattle, causing infertility, abortion, and reduced milk yield. A cross-sectional study was conducted to determine the seroprevalence of leptospirosis in cattle and the associated risk factors in the province of Manabi, Ecuador. Serum samples from 749 animals from 55 cattle herds were analyzed using the microscopic agglutination test (MAT). Animals were considered positive when titers were >= 1:100. The association between the potential risk factors and the positive Leptospira result was modeled at both animal and herd level using a generalized linear model with a binomial distribution and logarithmic link. The seroprevalence was 56.21% at the individual level and 98.18% at the herd level. The most prevalent serovars were Pomona (28.57%) and Icterohaemorragiae (22.30%). At the animal level, only the age was associated with leptospirosis seropositivity. Seroprevalence in animals over three years of age was 1.197 (95% confidence intervals (CI), 1.032 - 1.390), higher compared to animals up to three years old. The seroprevalence of Leptospira spp. was higher in farms with no veterinary assistance (PR =1.209; 95%CI 1.053 - 1.388) and without a vaccination program against Leptospira (PR =1.399; 95%CI 1.09 1.794). In addition, herds from Junin canton had a significantly higher seroprevalence of Leptospira spp (PR =1.548; 95%CI 1.213 1.977) compared to the Bolivar canton, which had the lowest seroprevalence. In conclusion, more than half of the animals were positive to Leptospiraspp, and almost all herds had at least one positive animal. Furthermore, veterinary assistance and vaccination of cattle must be considered as essential aspects of the disease control program.
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46.
  • Ruano, Miguel Pérez, et al. (författare)
  • Seroprevalence and factors associated with bovine brucellosisin Pinar del Río province, Cuba : [Seroprevalencia y factores asociados a la brucelosis bovina en la provincia de Pinar del Río, Cuba]
  • 2022
  • Ingår i: Revista de Investigaciones Veterinarias del Perú. - : Universidad Nacional Mayor de San Marcos. - 1682-3419 .- 1609-9117. ; 33:4
  • Tidskriftsartikel (refereegranskat)abstract
    • The objective of this study was to determine the seroprevalence of bovine brucellosis and identify risk factors for brucellosis in Pinar del Río province, Cuba. A cross-sectional study was performed based on the results of the epidemiological surveillance programme. Geospatial distribution was analyzed by calculating the standardized incidence ratio (SIR) at the municipality level. In addition, the association between diagnostic results and factors such as the productive system, sex and age groups (<12, 12-24, 25-36, >36 months) was assessed. A total of 12 760 blood samples were processed and 113 were positive; thus, the estimated seroprevalence in the province was 0.89% (95 % CI 0.74-1.06). The disease was present in three out of eight municipalities in the province (Los Palacios, Consolación del Sur and Pinar del Río), although only in Los Palacios the prevalence was significantly higher than that expected: 2.40 (1.30-3.28). Furthermore, the prevalence ratio in animals younger than 12 months was 8.33 (1.41-49.42) times higher than in animals between 12 and 24 months of age. In conclusion, the municipality of origin and age category are relevant factors that should be considered by the health authorities to design disease control strategies in the province.
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47.
  • Ruiz-Gil, Amado Kent, et al. (författare)
  • What do we have learned about mastitis spatial analysis during the last 30 years?
  • 2022
  • Ingår i: Large Animal Review. - 1124-4593. ; 28:3, s. 153-160
  • Tidskriftsartikel (refereegranskat)abstract
    • Mastitis is the main disease in dairy farms worldwide. However, even after decades of research, mastitis is still a difficult disease to control, because multiple environmental, management and pathogen factors are involved. This review aims to analyze the most influential research works, in order to systematize the knowledge body on spatial analysis of mastitis. Our results indicate that the main techniques found for spatial data analysis of mastitis using udder health indicators like somatic cell count (SCC) and somatic cell score (SCS), are clustering, spatial correlation, and interpolation. We finally perceived that the lack of national data-bases of dairy production for each country may be a limiting factor for conducting spatial epidemiology research at both the national and local levels.
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48.
  • San Sebastian, Miguel, et al. (författare)
  • Cancer en la Amazonía del Ecuador (1990-2019) : parte I
  • 2024
  • Rapport (populärvet., debatt m.m.)abstract
    • Este estudio tiene como objetivo actualizar la información sobre la incidencia del cáncer en la región amazónica (provincias de Sucumbíos, Orellana, Napo y Pastaza) del Ecuador durante el periodo 1990-2019.Dado que no existe un registro de tumores en la región amazónica, se obtuvieron los datos del Registro Nacional de Tumores de Quito, donde se registran todos casos que se diagnostican en establecimientos de salud de esa ciudad procedentes de las provincias de estudio.Se calcularon el número total de casos de cáncer por sexo, provincia y periodo. Se establecieron seis periodos de estudio: 1990-1994, 1995-1999, 2000-2004, 2005-2009, 2010-2014 y 2015-2019. Se estimaron también las tasas estandarizadas por edad de todos los cánceres combinados por provincia y periodo.En total se registraron 4.881 casos (36,8% en hombres) de cáncer durante el periodo 1990-2019 en las cuatro provincias. En hombres, los cánceres de próstata, sistema hematopoyético (sangre y médula ósea), estómago, otros de piel, y el no especificado de ganglios fueron los más frecuentes. En las mujeres, los de cuello de útero, mama, tiroides, otros de piel y sistema hematopoyético fueron los cinco cánceres más comunes.El estudio muestra un incremento acelerado de cáncer en la región en total y para cada uno de los tipos de cáncer seleccionados en los últimos tres quinquenios (2005-2019). Este aumento es probablemente un indicador del continuo aumento de esta patología junto con un posible mayor acceso al diagnóstico en la ciudad de Quito. La situación geográfica (comunidades alejadas), diferentes estilos de vida, el crecimiento de la población, sobre todo por procesos migratorios, un envejecimiento de la misma y el limitado acceso a los servicios sanitarios son probablemente los determinantes más importantes en la evolución de las tasas de cáncer en esta región. Especialmente preocupantes son los incrementos en los cánceres de próstata en hombres, de mama y tiroides en mujeres y la estabilidad del resto de los tumores, sobre todo teniendo en cuenta la posibilidad de implementar programas de prevención para la mayoría de estos tumores. En conclusión, la tendencia ascendente de casos de cáncer en la Amazonía ecuatoriana exige la necesidad urgente de contar con un Plan Nacional de Control de Cáncer como hoja de ruta para el manejo de pacientes dentro del sistema de salud.
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49.
  • San Sebastian, Miguel, et al. (författare)
  • Prevalence and social determinants of smoking among men in Mauritius : a cross-sectional study
  • 2024
  • Ingår i: Global Health Action. - : Taylor & Francis. - 1654-9716 .- 1654-9880. ; 17:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Mauritius has implemented a range of stringent policies to control smoking and promote public health. Regular monitoring focuses on the prevalence of tobacco use, yet there is a gap in understanding its socio-economic patterns. Objective: The aim of this study was to estimate the prevalence of tobacco smoking and to identify the social determinants associated with smoking among men in Mauritius in 2021.Methods: This is a cross-sectional population-based study conducted by the Ministry of Health and Wellness during 2021. In total, 3622 individuals participated (response rate of 84.1%), of which 1663 were men (45.9%). The study mainly focused on men given the low prevalence of smoking among women. Daily smoking was the outcome and a series of sociodemographic and socioeconomic factors were included as independent variables. Prevalence ratios (PR) and their 95% confidence intervals (95% CI) were estimated to fulfill the study objective.Results: The prevalence of smoking among men was 30.4%. People in the 25–34 age group (PR = 1.65; 95% CI: 1.12–2.41), those separated, divorced or widowed (PR = 1.57; 95% CI: 1.16–2.11), the ethnic groups Muslim-Mauritians (PR = 1.70; 95% CI: 1.00–2.89) and Creoles (PR = 1.97; 95% CI: 1.16–3.35), and those with secondary (PR = 1.29; 95% CI: 1.00–1.67) and primary education (PR = 1.47; 95% CI: 1.10–1.98) were statistically significantly associated with daily smoking.Conclusions: Although a gradual decline in smoking prevalence was observed compared with the previous 2015 survey, the Ministry of Health and Wellness should persist in fortifying its anti-smoking measures and concentrate on crafting tailored interventions aimed at the vulnerable groups identified in this study.
  •  
50.
  • Sosa, Dayana, et al. (författare)
  • Polycyclic aromatic hydrocarbons and polychlorinated biphenyls in urban and semi-urban soils of Havana, Cuba
  • 2019
  • Ingår i: Journal of Soils and Sediments. - : Springer Science and Business Media LLC. - 1439-0108 .- 1614-7480. ; 19:3, s. 1328-1341
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs) in Havana were quantified and analyzed in relation to possible emission sources to assess metropolitan soil contaminations in a highly dynamic, urban environment. The results of this study will serve Cuban legislators as a basis to develop environmental quality standards for organic pollutants in soils.Materials and methods: Possible emission sources as, e.g., the vicinity to roads or industrial plants and the influence of the land use were related to the organic contaminants concentrations. Therefore, 28 topsoils in the Havana urban and semi-urban area were sampled at agricultural (n = 12), organoponic (urban gardens in the capital, n = 8), public park (n = 7), and remediation (on-site bioremediation of an oil refinery, n = 1) sites. Their PAH and PCB concentrations were measured with gas chromatography mass spectroscopy and the total organic carbon (TOC) and black carbon (BC) concentrations with the chemo-thermal oxidation.Results and discussion: The sum of the 16 PAH concentrations ranged from 0.04 mg/kg in agricultural and organoponic soils to up to 72 mg/kg in a public park at about 1.5 km distance from an oil refinery. The lowest sum of the seven PCB congener concentrations was also measured in organoponic soils (0.002 mg/kg) and the highest in an arable patch of land between the rail roads and a main road (0.1 mg/kg). Both, PAH as well as PCB soil concentrations in Havana were almost up to two orders of magnitudes higher compared to a soil monitoring in the neighboring province of Mayabeque, but overall in the typical range of urban soils reported by other studies. The pollutants showed no relationship between TOC and BC except for PAHs with BC. For PAHs, combustion was the main source.Conclusions: A comparison of the pollutant concentrations with regulatory guidance values (RGV) of other countries revealed PCB concentrations in Havana soils far below these RGV. In contrast, some concentrations of benzo[a]pyrene, the most carcinogenic PAH, in agricultural and park soils in Havana exceeded some RGV. Thus, some public parks pose a risk according to the Canadian quality guidelines when people have direct contact with these soils but not if they were consuming products thereof.
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