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Plasmodium simium, a parasite of platyrrhine monkeys, is known to cause human malaria outbreaks in Southeast Brazil. It has been hypothesized that, upon the introduction of Plasmodium vivax into the Americas at the time of the European colonization, the human parasite adapted to neotropical anophelines of the Kerteszia subgenus and to local monkeys, along the Atlantic coast of Brazil, to give rise to a sister species, P. simium. Here, to obtain new insights into the origins and adaptation of P. simium to new hosts, we analysed whole-genome sequence (WGS) data from 31 P. simium isolates together with a global sequence dataset of 1086 P. vivax isolates. Population genomic analyses revealed that P. simium comprises a discrete parasite lineage with greatest genetic similarity to P. vivax populations from Latin America – especially those from the Amazon Basin of Brazil – and to ancient European P. vivax isolates, consistent with Brazil as the most likely birthplace of the species. We show that P. simium displays half the amount of nucleotide diversity of P. vivax from Latin America, as expected from its recent origin. We identified pairs of sympatric P. simium isolates from monkeys and from humans as closely related as meiotic half-siblings, revealing ongoing zoonotic transmission of P. simium. Most critically, we show that P. simium currently causes most, and possibly all, malarial infections usually attributed to P. vivax along the Serra do Mar Mountain Range of Southeast Brazil.
Although carotid endarterectomy (CEA) or carotid artery stenting (CAS) is recommended for symptomatic extracranial carotid stenosis of 50–99%, the COVID-19 pandemic significantly impacted resources. CAS therefore offered potential advantages as access to the angiosuite was seemingly easier than access to operating rooms. The primary objective was to determine the frequency of serious and non-serious complications following CAS before and during the COVID-19 pandemic.
Methods:
We performed a retrospective cohort study of consecutive patients who received CAS at the Ottawa Hospital, Canada, from June 2019 to May 2021. We reviewed baseline demographics, imaging, as well as intraprocedural and postprocedural complications based on chart review. We performed multivariable logistic regression to determine associations between clinical and safety outcomes.
Results:
We included 47 patients in the pre-pandemic period and 93 patients in the pandemic period (mean age = 70.4 years; 54% female; P = 0.287 for age and P = 0.962 for sex, respectively). The combined rate of intraprocedural and postprocedural serious complications (ischemic stroke, intracerebral hemorrhage, myocardial infarction or death) was 7.1%. Eight strokes occurred, and one patient with a postprocedural ischemic stroke died 11 days after stenting. Complication rates were similar before and during the pandemic (aOR 1.040, 95% CI 0.466–2.321). The number of referrals for CEA during the pandemic period decreased by 50%.
Conclusion:
In this cohort of consecutive patients undergoing CAS at a Canadian comprehensive stroke center before and during the COVID-19 pandemic, the rates of stroke and death were similar to pre-pandemic conditions and were generally consistent with the published literature.
Background: Stroke survivors have a higher risk of depression and suicide, but how hospitalization for major depression modifies the risk of suicide after stroke is not well-known. Methods: We conducted a population-based matched cohort study of adults hospitalized with first-ever stroke between 2008 to 2017 matched 1:1 to the general Ontario population on age, sex, neighbourhood-level income, rurality, and comorbidities. Patients with major depression or deliberate self-harm prior to index event were excluded from both groups. We used cause-specific proportional hazards models to evaluate the association between stroke and suicide (defined as self-harm or death by suicide) and used an interaction term to assess effect modification of depression on stroke-suicide association. Results: We included 64,719 matched pairs of patients with stroke and without (45.5% female, mean age 71.4 years). Compared to matched controls, stroke survivors had a higher rate of suicide (11.1 vs. 3.2, HR 2.87 [2.35-3.51]). Depression was associated with a higher rate of suicide in both groups (HR 13.8 [8.82-21.61]). The interaction between stroke and depression was not significant (Pstroke*depression = 0.51). Conclusions: Hospitalization for depression does not modify the rate of suicide after stroke, suggesting the need to better understand the pathways leading to suicide after stroke.
Recent changes to US research funding are having far-reaching consequences that imperil the integrity of science and the provision of care to vulnerable populations. Resisting these changes, the BJPsych Portfolio reaffirms its commitment to publishing mental science and advancing psychiatric knowledge that improves the mental health of one and all.
The impact of several ‘flavours’ of free-stream turbulence (FST) on the structural response of a cantilever cylinder, subjected to a turbulent cross-flow is investigated. At high enough Reynolds numbers, the cylinder generates a spectrally rich turbulent wake that contributes significantly to the experienced loads. The presence of FST introduces additional complexity through two primary mechanisms: directly, by imposing a fluctuating velocity field on the cylinder’s surface, and indirectly, by altering the vortex shedding dynamics, modifying the experienced loads. We employ concurrent temporally resolved particle image velocimetry and distributed strain measurements using Rayleigh backscattering fibre optic sensors to instrument the surrounding velocity field and the structural strain respectively. By using various turbulence-generating grids, and manipulating their distance to the cylinder, we assess a broad FST parameter space allowing us to explore individually the influence of the transverse integral length scale ($\mathcal{L}_{13}/D$) and turbulence intensity of the FST on the developing load dynamics. The FST enhances the magnitude of the loads acting on the cylinder. This results from a decreased vortex formation length, increased coherence of regular vortex shedding, and energy associated with this flow structure in the near wake. The cylinder’s structural response is driven mainly by the vortex shedding dynamics, and its modification induced by the presence of FST, i.e. the indirect effect outweighs the direct effect. From the explored FST parameter space, turbulence intensity was seen to be the main driver of enhanced loading conditions, presenting a positive correlation with the fluctuating loads magnitude at the root.
Understanding the determinants of malnutrition is pivotal for public health interventions. This study aimed to identify socio-economic, demographic, dietary and maternal determinants of wasting and overweight among Brazilian children between 6 and 59 months. Data from the Brazilian National Survey on Child Nutrition were analysed (n 11 789). Children’s weight-for-height Z-scores were calculated according to the WHO growth standard and classified as wasting (Z < −2), normal weight (–2 ≤ Z ≤ 1), overweight risk (1 < Z ≤ 2) and overweight (Z > 2). Socio-economic, demographic, dietary and maternal covariables were considered. Adjusted multinomial logistic regression (OR and 95 % CI) was employed. The prevalence of overweight and wasting was 9·5 and 2·6 %, respectively. In the adjusted model, younger age (6–23 months: OR: 1·7; 95 % CI: 1·3, 2·2), consumption of ≥ 5 ultra-processed food groups (OR: 1·8; 95 % CI: 1·1, 3·1), maternal underweight (OR: 0·4; 95 % CI: 0·2, 0·9), overweight (OR: 1·5; 95 % CI: 1·2, 1·9) and mild food insecurity (OR: 0·8; 95 % CI: 0·6, 1·0) were associated with child overweight. The Brazilian Northeast (OR: 4·9; 95 % CI: 2·1, 11·3), Southeast (OR: 7·1; 95 % CI: 3·0, 16·6), South (OR: 4·7; 95 % CI: 1·8, 12·1), Midwest regions (OR: 2·7; 95 % CI: 1·2, 6·2) and maternal underweight (OR: 5·4; 95 % CI: 2·7, 10·7) were associated with wasting. Overweight in Brazil is prevalent among children between 6 and 59 months, while wasting is not a major public health problem. The main determinants of these Brazilian children’s nutritional status were age, ultra-processed food consumption and maternal nutritional status.
Silvopastoral systems (SPSs) constitute a modality of agroforestry systems in which trees or shrubs, pastures and animals mutually grow, interacting with the environment, and providing several ecosystem services. This review aims to comprehensively discuss the ecosystem services provided by SPSs in different countries, highlighting the diverse ways these systems can contribute to human well-being and environmental sustainability, also emphasizing the importance of management strategies, the differences among systems and the main shortcomings and challenges to optimizing ecosystem service delivery from SPSs. The review focused on global studies, mainly those published between 2010 and 2024, directly relevant to the topic. We used Google Scholar, Scopus and Web of Science databases for literature screening. SPSs have demonstrated worldwide potential to enhance human food and forage production, nutrient cycling, soil fertility, biological nitrogen fixation, carbon sequestration, greenhouse gas mitigation, erosion control, microclimate regulation, pollination, control of pests and diseases, biodiversity, residue absorption, water quality, spiritual enrichment, recreation and aesthetic experiences. However, most ecosystem services provided by SPSs depend on climate conditions, soil type, choice of species, system design and management practices to ensure that such benefits are not provided at the cost of other important services. Interaction among components is a major challenge for system management and evaluations. Adopting SPSs has the potential to promote sustainable agriculture. Long-term studies are needed to elucidate the implications of multiple interactions within the system and their impact on ecosystem service delivery. Public policies, including evaluating ecosystem services, should be developed to promote the adoption of SPSs.
Mental Health problems and substance misuse during pregnancy constitute a serious social problem due to high maternal-fetal morbidity (Cook et al, 2017; JOCG, 39(10) ,906-915) and low detection and treatment rates (Carmona et al. Adicciones. 2022;34(4):299-308)
Objectives
Our study aimed to develop and test the feasibility and acceptability of a screening and treatment clinical pathway in pregnancy, based on the combination of e-Health tools with in-person interventions and, secondly, describe the prevalence of mental illness and substance use problems in this population.
Methods
1382 pregnant women undergoing her first pregnancy visit were included in a tailored clinical pathway and sent a telematic (App) autoapplied questionnaire with an extensive battery of measures (WHO (Five) Well-Being [WHO-5],Patient Health Questionnaire [PHQ-9], General Anxiety Disorder [GAD-7], Alcohol Use Disorders Identification Test [AUDIT], Drug Abuse Screening Test [DAST], Columbia Suicide Severity Rating Scale [C-SSRS] and specifically designed questions on self-harm and psychopharmacological drugs).
Patients who did not respond to the questionnaire on their own received a counseling call.
Based on the screening results, patients were classified into five groups according to severity (Figure 1) and assigned a specific action pathway (Figure 2) that included a range of intervention intensity that goes from an individual psychiatric appointment to no intervention.
Results
Of the 1382 women included in the clinical pathway, 565(41%) completed the evaluation questionnaires. Of these, 205 (36%) were screened as positive (Grades III,IV or V. Table 1) and 3(0.5%) were classified as needing urgent care. Of the patients offered on-line groups (100), 40% (40) were enrolled in them.Table 1:
Grade distribution of those screened as positives
Grade III
97 (17,2%)
Grade IV
105 (18,6%)
Grade V
3 (0,5%)
Concerning prevalence rates, 73 (12,9%) patients endorsed at least moderate anxiety according to GAD-7 (≥10), 65 (11,5%) endorsed at least moderate depression according to PHQ-9 (≥ 10), 17 were positive on DAST (3%) and 63 (11%) patients scored above the threshold in AUDIT-C(≥ 3) for alcohol use.
Image:
Image 2:
Conclusions
High prevalence rates suggest that effective detection and treatment mechanisms should be integrated into usual care. The use of standardized clinical pathways can help with this aim, allowing better clinical management and referral to treatment, but still face challengues to increase retention. The use of e-health tools offers the opportunity to improve accessibility and therapeutic outcomes through online interventions.
Alcohol and illicit drug use are highly prevalent among the homeless population. Religiosity and spirituality (RS) have been widely associated with lower substance use. However, evidence of this relationship among the homeless is still scarce.
Objectives
To assess the association between RS and the use of alcohol and illicit drugs among the homeless population of a large Brazilian urban center.
Methods
This cross-sectional study was conducted in São Paulo, Brazil. Aspects such as spirituality (FACIT-Sp12), religiosity (P-DUREL), religious-spiritual coping (Brief-RCOPE), and self-applied questions about current substance use (alcohol and illicit drugs) were evaluated. Adjusted Logistic Regression models were performed.
Results
A total of 456 homeless individuals were included, with an average age of 44.5 (SD=12.6) years. More than half of the participants used alcohol (55.7%) weekly and 34.2% used illicit drugs weekly. The adjusted Logistic Regression models identified that aspects of RS were associated with a lower propensity for alcohol and illicit drug use, whereas negative religious-spiritual coping strategies were associated with a higher propensity for the use of both.
Conclusions
The prevalence of alcohol and illicit drug use among participants was high. Positive RS and religious-spiritual coping were significant protective factors against the use of these substances. Conversely, negative religious-spiritual coping strategies were associated with risk factors.
Obsessive-compulsive disorder (OCD) is a chronic, prevalent, and highly impairing psychiatric illness. While its aetiology remains unknown, several infectious agents have been associated to obsessive-compulsive symptoms, including herpes simplex virus 1 (HSV-1) and Toxoplasma gondii.
Objectives
To evaluate the serostatus for HSV-1 and Toxoplasma gondii in sample of patients with OCD, as well as its clinical and brain imaging correlates.
Methods
Twenty-six patients with OCD and 30 healthy controls recruited in Lisbon were assessed for sociodemographic and clinical characteristics using the Yale-Brown Obsessive-Compulsive Scale-II (YBOCS-II) and the Beck Depression Inventory-II (BDI-II). Seropositivity for HSV-1 and Toxoplasma gondii was assessed in serum using ELISA, and volumes of cortical and subcortical structures were assessed using T1-weighted magnetic resonance imaging.
Results
YBOCS-II and BDI-II scores were significantly higher in patients, while age, sex, smoking status, and seropositivity for HSV-1 and Toxoplasma gondii were similar between the two groups. Among OCD patients, those seropositive for HSV-1 had significantly lower volumes of total white-matter, total grey-matter, left and right putamen, while for HSV-1 seropositive healthy controls, only the last two were significantly smaller. In multiple regression analyses to control for age, associations between HSV-1 and brain volumes were conserved, while the effect of age was not significant. No significant differences were found in brain volumes of patients with OCD according to seropositivity for Toxoplasma gondii.
Conclusions
Our preliminary results suggest that in patients with OCD, seropositivity to HSV-1 is associated with smaller volumes of total white- and grey-matter in the brain.
Silvopastoral systems (SPSs) are sustainable alternatives for pasture intensification. Management practices such as thinning are options to diminish competition for resources between pasture and trees, ensuring appropriate forage production. The objective of this study was to evaluate the productive and nutritive traits of Piatã palisadegrass (Urochloa brizantha cv. BRS Piatã) after thinning the forest component of a SPS. Forage production and nutritive value, along with microclimate variables were assessed in a SPS and in an intensive system (INT) in São Carlos-SP, Brazil, from 2016 to 2018. The INT was a full sun pasture of Piatã palisadegrass, while the SPS was established with Piatã palisadegrass shaded by eucalyptus (Eucalyptus urograndis clone GG100) spaced 15 × 2 m but thinned to 15 × 4 m before the onset of the experiment. In the SPS, measurements were made under the tree row (SPS_1), 3.75-m (SPS_2), 7.5-m (SPS_3) and 11.25-m (SPS_4) distant from the North row. Forage accumulation in the two systems were similar, whereas the pre-grazing forage mass in most of the SPS positions were smaller than that of the INT during the autumn of 2017 and summer of 2018. Crude protein (CP) content was greater in the SPS than in the INT in most positions and seasons. Forage production was favoured by the thinning of the trees mainly in the seasons close to the event, while forage CP was consistently greater in the understory pasture. Thinning of trees in SPSs can be adopted to provide forage production similar to intensive pastures with higher protein content.
Cactus pear is an important species for animal feeding in the regions of dry climate. There is no information on the fertilization with coated urea in the cultivation of cactus pear under rainfed conditions in the savannah region. The aim of the current study was to evaluate the forage potential of Nopalea cochenillifera variety Doce in yellow latosol under rainfed conditions in the Brazilian savannah, comparing the fertilization with urea and coated urea in different levels. A randomized block design was adopted, in a 2 × 4 × 2 factorial scheme, with the factors corresponding to two sources of nitrogen (urea and urea coated with polymers, N+), four levels of nitrogen (0, 60, 120 and 240 kg/ha/year) and two harvests (year I and year II). The plants were evaluated after 1 year of growth, in each year of evaluation, regarding the characteristics of growth, production, chemical and mineral composition and nutritional value. The level of 240 kg/ha provided higher emission of cladodes per plant (17.33 and 18.17), respectively, for N+ and urea. The highest nitrogen use efficiency was found in the level of 60 kg N/ha (142 kg/ha/year). NFC values were 3.5 g/kg dry matter (DM) higher when the cactus pear was fertilized with urea in year I and 5.4 g/kg DM in year II. The use of conventional urea promoted better results of agronomic and nutritional characteristics of the cactus pear, under rainfed regime, when compared to the use of urea coated with polymers.
Helicoverpa punctigera (Wallengren), the native budworm, is an important highly polyphagous pest that has caused serious damage on a wide variety of crops in Australia. In Australia, its range overlaps that of its congener, Helicoverpa armigera (Hübner), a notorious invasive pest globally. We used CLIMEX, a bioclimatic niche modelling software package, to estimate the potential geographical distribution of H. punctigera under current and future climates (A1B scenario). Under both current and future climate conditions, the model indicates that H. punctigera could establish throughout the tropics and subtropics. Comparing the potential distributions under each climate scenario revealed that in the future its potential distribution is likely to shift poleward and into higher altitudes, into areas that are currently too cold as observed in the South of Brazil, Europe, North America, South East Asia, and South Pacific Islands including New Zealand. The projected potential distribution can inform pre- and post-border biosecurity strategies for the management of this pest in each country.
Pork is one of the most consumed meats worldwide, yet, pork quality remains an issue for the industry, mainly because of flavour, colour and water holding capacity instabilities. Castration techniques combined with dietary supplementation with ractopamine hydrochloride (RAC) seem to be a tangible solution to deal with these issues. There is a lack of knowledge of how these techniques will impact the proteomic profile and, consequently, the meat quality. The main goal of this work was to study the proteomic profile of non-aged pork meat under different sexual conditions and RAC dietary supplementation, and how the combination of these two factors impacts meat quality attributes. Forty-eight animals were distributed in six treatments, three sexual conditions (females; surgically castrated males; immune castrated males) and two diets (with RAC inclusion or without). For proteomic analysis, a sample of the Longissimus dorsi muscle was collected 24 h after slaughter and analysed using one-dimensional SDS/PAGE. The ultimate pH and colour (L*, a*, b*) were measured in the carcasses after 24 h, then meat samples were collected to measure drip, cooking and thawing losses, as well as the shear force. The interaction between gender and diet affected the ultimate pH and the L* parameter. Meat tenderness was only influenced by diet. Twenty-seven protein bands were revealed by SDS/PAGE, six of them with the protein abundance affected by diet. In conclusion, the inclusion of dietary RAC caused differences in the pork meat proteome, and more studies are necessary to fully explore the proteins involved in these changes.
Kuhn has been hailed as one of the main critics of logical positivism since the publication of Structure of Scientific Revolutions. But the image of science he criticizes in the published version of the book is not considered sufficiently clear and has left room for doubt as to whether or not positivism, rarely directly cited, is a real target of this criticism. In the first manuscript of the work, written in 1958, the traditional image of science becomes clearer due to the contrast Kuhn makes between science and art. This chapter shows that the traditional image of science that Kuhn presents through the contrast with art in the first manuscript is the same as the one logical positivists present in the contrast with philosophy, particularly in the context of one of their most important and characteristic ideas, the proposal of a scientific philosophy. This allows a proper assessment of the share of responsibility of logical positivism in the construction of the traditional image of science Kuhn criticizes and, thus, a better understanding of Kuhn’s relationship with positivism.
This study evaluated the effect of roughage:concentrate (R:C) ratio associated with a variable particle size of physically effective neutral detergent fibre (peNDF8) in the forage (Tifton-85 hay) on the performance, carcass traits and meat quality of lambs. Seventy-two 4-month-old, non-castrated Santa Ines male lambs (23.5 ± 2.32 kg BW) were distributed in a completely randomized design, in a 2 × 2 factorial arrangement [two peNDF8 hay particle sizes (13 and 6 mm) and two R:C ratios (700:300 and 500:500 g/kg DM total)]. DMI, DM, NFC and TDN digestibility's, N-intake and N-faecal excretion were affected by the R:C ratio (P < 0.05). However, the N-retained was not affected by the studied variables (P > 0.05). It was observed an interaction (P < 0.05) between the peNDF8 and R:C ratios for final BW, average daily gain (ADG), colour parameters and pH 24 h. The lower roughage ratio provided greater (P < 0.05) concentrations of C14:1, C16:1–cis9, C18:1–cis9, ΣMUFA, Σn–6:Σn–3 and hypocholesterolemic/hypercholesterolemic index, enzymatic activity Δ9desaturase-C16 and -C18. Lambs fed a lower roughage diet had improved performance and feed efficiency, however, presented reduced polyunsaturated fatty acids (PUFA) concentrations in the meat, especially Σn–3 family. Higher roughage diet and larger peNDF8 particle size improved the concentrations of PUFA while decreased Σn–6:Σn–3 ratio in meat. Larger peNDF8 particle size associated with higher roughage proportion, have reduced animal performance however, it increased protein concentration, a* and C* colour parameter without affecting fatty acids profile of Longissimus lumborum muscle.
We investigated the effects of pathogens associated with subclinical intramammary infections on yield, composition and quality indicators of goat milk. By means of a longitudinal study, individual half udder milk samples (n = 132) were collected at different lactation periods and assessed for milk yield and physicochemical composition, somatic cell count (SCC), total bacteria count (TBC) and microbiological culture. Staphylococci species accounted for the great majority of the isolates (96.1%). Intramammary infections significantly reduced fat and total solids in goat milk and increased both SCC and TBC. However, these indicators were significantly higher in udder halves affected by S. aureus compared with other staphylococci species.
This work aimed to evaluate the effects of whey protein concentrate (WPC) admixtured of curcumin on metabolic control, inflammation and oxidative stress in Wistar rats submitted to exhaustive exercise. A total of forty-eight male rats were divided into six experimental groups (n 8): standard diet group (AIN-93M), standard diet submitted to exhaustion test group (AIN-93M ET), WPC admixtured of curcumin group (WPC + CCM), WPC + CCM submitted to exhaustion test group (WPC + CCM ET), CCM group and CCM subjected to exhaustion test group (CCM ET). The swimming exhaustion test was performed after 4 weeks of experiment. The consumption of WPC + CCM as well as isolated CCM did not alter the biometric measurements, the animals’ food consumption and the hepatic and kidney function, as well as the protein balance of the animals (P > 0·05), but reduced the glycaemia and the gene expression of TNF-α and IL-6 and increased the expression of IL-10 (P < 0·05). The animals that were submitted to the exhaustion test (AIN-93M ET) showed higher aspartate aminotransferase values when compared to the animals that did not perform the exercise (AIN-93 M) (P < 0·05). WPC + CCM reduced the concentration of nitric oxide, carbonylated protein and increased the concentration of catalase (P < 0·05). Both (WPC + CCM and CCM) were able to increase the concentrations of superoxide dismutase (P < 0·05). We concluded that the WPC admixtured of CCM represents a strategy capable of decreasing blood glucose and oxidative and inflammatory damage caused by exhaustive physical exercise in swimming.