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Relative to the numerous studies focused on mammalian schistosomes, fewer include avian schistosomatids particularly in the southern hemisphere. This is changing and current research emerging from the Neotropics shows a remarkable diversity of endemic taxa. To contribute to this effort, nine ducks (Spatula cyanoptera, S.versicolor, Netta peposaca), 12 swans (Cygnus melancoryphus) and 1,400 Physa spp. snails from Chile and Argentina were collected for adults and larval schistosomatids, respectively. Isolated schistosomatids were preserved for morphological and molecular analyses (28S and COI genes). Four different schistosomatid taxa were retrieved from birds: Trichobilharzia sp. in N. peposaca and S. cyanoptera that formed a clade; S.cyanoptera and S. versicolor hosted Trichobilharzia querquedulae; Cygnus melancoryphus hosted the nasal schistosomatid, Nasusbilharzia melancorhypha; and one visceral, Schistosomatidae gen. sp., which formed a clade with furcocercariae from Argentina and Chile from previous work. Of the physid snails, only one from Argentina had schistosomatid furcocercariae that based on molecular analyses grouped with T. querquedulae. This study represents the first description of adult schistosomatids from Chile as well as the elucidation of the life cycles of N.melancorhypha and T. querquedulae in Chile and Neotropics, respectively. Without well-preserved adults, the putative new genus Schistosomatidae gen. sp. could not be described, but its life cycle involves Chilina spp. and C. melancoryphus. Scanning electron microscopy of T. querquedulae revealed additional, undescribed morphological traits, highlighting its diagnostic importance. Authors stress the need for additional surveys of avian schistosomatids from the Neotropics to better understand their evolutionary history.

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In the present study, we sought to determine whether i) a waterfowl signal induces avoidance behaviour of the amphipod Hyalella patagonica, ii) infection by the acanthocephalan Pseudocorynosoma enrietti affects the behaviour of the amphipod, and iii) the parasite interferes with the amphipod response to waterfowl. We evaluated amphipod behaviour experimentally by measuring activity levels, phototaxis, geotaxis, and clinging behaviour. The main findings of this study indicate that uninfected amphipods show avoidance behaviour by reducing their activity in the presence of a predator signal. Secondly, infected amphipods show altered behaviour, such as swimming in bright areas near the water surface, which makes them more visible to predators in nature. Lastly, the presence of predatory cues causes infected amphipods to drop to the bottom, which increases their visibility to predators. The present research allows us to perceive the intricate interplay among predators, parasites, and their intermediate hosts and advance our understanding of these complex ecological dynamics.

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INTRODUCTION: Aeromedical evacuation missions to transport highly infectious critical COVID-19 patients involve multiple factors, therefore planning is essential in their preparation. The management of specialist nurses is cross-cutting, as they participate in the planning, organisation and implementation of aero-evacuation protocols, delivery of care and operational safety procedures throughout the operation, with an integrated aeromedical crew working as a team alongside the air crew. OBJECTIVE: To study the management of nurses specialised in the aero-evacuation of highly infectious critical patients during the COVID-19 pandemic. DESIGN: Through a systematic search of the biomedical literature, this study was conducted according to the standards of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. The literature search included articles published from 2019 to August 2020 and meta-search engines, yielding a total of 142 articles, and a triangulation of information was performed. A total of 11 articles were eventually included in the review, and the validity of each article was determined according to the guidelines of the Joanna Briggs Institute level of evidence. RESULTS AND DISCUSSION: The systematic review identified 11 studies that use different methodological considerations for conducting an aeromedical evacuation and covering key aspects for a successful operation. CONCLUSION: The management of specialist nurses has a direct impact on the aeromedical evacuation of the critical patient. It covers planning, organisation, and operational safety, applied in the instruction, training, execution and strict monitoring of the work of the aeromedical crew as a solid team. This contributes to the success of the aero-evacuation mission and the infectious patient's high likelihood of survival during the COVID-19 pandemic.

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Introduction: Aeromedical evacuation missions to transport highly infectious critical COVID-19 patients involve multiple factors, therefore planning is essential in their preparation. The management of specialist nurses is cross-cutting, as they participate in the planning, organisation and implementation of aero-evacuation protocols, delivery of care and operational safety procedures throughout the operation, with an integrated aeromedical crew working as a team alongside the air crew. Objective: To study the management of nurses specialised in the aero-evacuation of highly infectious critical patients during the COVID-19 pandemic. Design: Through a systematic search of the biomedical literature, this study was conducted according to the standards of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. The literature search included articles published from 2019 to August 2020 and meta-search engines, yielding a total of 142 articles, and a triangulation of information was performed. A total of 11 articles were eventually included in the review, and the validity of each article was determined according to the guidelines of the Joanna Briggs Institute level of evidence. Results and discussion: The systematic review identified 11 studies that use different methodological considerations for conducting an aeromedical evacuation and covering key aspects for a successful operation. Conclusion: The management of specialist nurses has a direct impact on the aeromedical evacuation of the critical patient. It covers planning, organisation, and operational safety, applied in the instruction, training, execution and strict monitoring of the work of the aeromedical crew as a solid team. This contributes to the success of the aero-evacuation mission and the infectious patient's high likelihood of survival during the COVID-19 pandemic.

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A checklist of larval digeneans parasitising molluscs from inland waters of Argentina is presented here. Based on the bibliographical survey of 113 scientific articles and nine theses published between 1930 and 2021, 213 digeneans were found, which were distributed within 13 superfamilies and 35 families. The parasites were identified in 102 locations, encompassing eight of the sixteen biogeographical provinces in Argentina. Digeneans were found in 34 mollusc species (31 gastropods and three bivalves) belonging to 17 genera. The available data are presented for each digenean species, and included host information, localities, prevalence values, type of habitat, life cycle information (natural or experimental host), and information on material and genetic sequences deposited in repositories. Only 21.1% of individuals were identified to species level, and 8.5% to genus level. In addition, the genetic sequences of only 10 species (4.7%) were available at GenBank. This survey constitutes the first checklist of parasitic helminths in molluscs from inland waters of Argentina.

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All Pseudocorynosoma species inhabit freshwater environments of the American continent, but little is known about their life cycles. We report Pseudocorynosoma enrietti (Molfi & Freitas Fernandes, 1953) from natural and experimental specimens in Patagonia and identify the intermediate and definitive hosts of its life cycle for the first time in South America. Adult worms were recovered from Anas platyrhynchos (Linnaeus) and from a new definitive host, Coscoroba coscoroba Molina. Naturally infected amphipods, Hyalella patagonica Ortmann, were collected to obtain cystacanths that were fed to Gallus gallus domesticus (Linnaeus) and Anas platyrhynchos. Specimens of P. enrietti are described in detail using light and scanning electron microscopy. A key to species of the genus Pseudocorynosoma is included. Worms are characterized in both sexes by fore-trunk spines, and genital spines in an isolated field. The proboscis has 19-20 hook rows; males have 9-11 (10) hooks per row and females 7-9 (8). Males with four cement glands similar in size. Eggs elongated, with filaments. Experimental male and female worms were recovered from A. platyrhynchos at seven and 14 days, post-infection.

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Abstract: Focal fibrous hyperplasia (FFH) is an oral mucosal localized non-neoplastic enlargement representing a reaction to chronic local irritations or injuries. The purpose of this report is to describe the management of an asymptomatic fibrotic lesion located in the tongue, in a preschooler boy. A 7-year-6-month old boy attended our clinic for the evaluation of an exophytic pedunculated tumor-like round mass located in the dorsal surface of the tongue. Based on the initial examination and the natural history of the lesion, the presumptive clinical diagnosis determined an irritation FFH. The lesion was surgically excised with a diode laser device, and the postoperative period evolution occurred without any complication. The appropriate treatment of FFH in children initially consists of the removal of local irritant factors. Excellent oral hygiene maintenance and close follow-up care are strongly suggested. Surgical excision is the most frequent modality for persistent lesions. Early diagnosis and proper management of FFH can reduce the risk of future recurrences or complications.

Resumen: La hiperplasia fibrosa focal (HFF) es un agrandamiento no neoplásico localizado en la mucosa oral que representa una reacción a irritaciones o lesiones locales crónicas. El propósito de este informe es describir el tratamiento de una lesión fibrótica asintomática ubicada en la lengua, en un niño en edad preescolar. Un niño de 7 años y 6 meses de edad asistió a nuestra clínica para la evaluación de una masa redonda exofítica y pedunculada con forma de tumor ubicada en la superficie dorsal de la lengua. Basado en el examen inicial y la historia natural de la lesión, el diagnóstico clínico presuntivo determinó una irritación HFF. La lesión se extirpó quirúrgicamente con un láser de diodo, y la evolución en el período postoperatorio se produjo sin ninguna complicación. El tratamiento apropiado de HFF en niños inicialmente consiste en la eliminación de factores irritantes locales. Se recomienda un excelente mantenimiento de la higiene bucal y una estrecha atención de seguimiento. La escisión quirúrgica es la modalidad más frecuente para lesiones persistentes. El diagnóstico temprano y el manejo adecuado de la HFF pueden reducir el riesgo de futuras recurrencias o complicaciones.

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INTRODUCTION: Appearing in the year 2000, capsule endoscopy revolutionized the study of the small bowel. It is the gold standard for the study of small bowel bleeding and is considered a safe procedure. OBJECTIVE: The aim of the present study was to identify the indications for, diagnostic yield, and safety of capsule endoscopy in Mexican patients. MATERIALS AND METHODS: A descriptive study was conducted on the first 500 small bowel capsule endoscopies performed at a tertiary care hospital center in Mexico City. Sex, age, type of video camera employed, bowel transit time, referral diagnosis, and capsule endoscopy findings and complications were registered. RESULTS: Mean patient age was 55years (±17.63) and 57.9% of the cases were women. Complete visualization of the small bowel was achieved in 420 capsule endoscopies (84%). Mean bowel transit time was 272.25minutes (±114.86). The most common indications for the procedure were small bowel bleeding (65.2%), search for neoplasia (14.4%), and Crohn's disease (10.2%). The presence of ulcers was the most common finding in small bowel bleeding (24.8%), followed by angioectasias (18.9%). Capsule retention was the only complication and it presented in 11 patients (2.2%). CONCLUSIONS: Capsule endoscopy is a safe and efficacious method for studying the small bowel. The results obtained in Mexican patients were similar to those described in the international literature. The present case series is the largest reported in a Mexican population.

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Resumen La calcifilaxis es un síndrome caracterizado por la calcificación de la pared media de las arteriolas de pequeño y mediano calibre de dermis y tejido celular subcutáneo, que se caracteriza clínicamente por úlceras necróticas, intensamente dolorosas, que afectan sobre todo miembros inferiores. Existen factores de riesgo para su desarrollo, como insuficiencia renal crónica, hiperparatiroidismo, sexo femenino, raza caucásica, diabetes, uso de anticoagulantes, entre otros. Si bien no existe un protocolo estandarizado para su tratamiento, se ha propuesto el uso del tiosulfato sódico como primera elección. Se presenta el caso de una paciente de sexo femenino de 75 años de edad con diagnóstico de calcifilaxis.

Abstract Calciphylaxis is a syndrome characterized by calciphication of the media of small and medium vessels of dermis and subcutaneous celular tissue, clinically characterized by extremely painful, necrotic ulcers, that affects especially lower limbs. There are risk factors for its development, such as renal failure, hyperparathyroidism, female gender, caucasian race, diabetes, use of anticoagulants, among others. Although there is not a standarized protocol for the treatment, it has been proposed the use of sodium thiosulfate as first line. We report a case of a woman of 75 years old with calciphylaxis.

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Galaxias maculatus (Jenyns, 1842) is a widespread freshwater fish and an important component of the economically important whitebait fisheries across the Southern Hemisphere. We report a new myxosporean parasite (Cnidaria: Myxozoa) infecting the kidney of G. maculatus from northwestern Patagonia (Argentina). Ortholinea lauquen sp. nov. was characterized using myxospore morphology, morphometrics and small subunit rDNA (ssrDNA) sequence data. Our ssrDNA phylogenetic analyses showed that O. lauquen sp. nov. is a member of the oligochaete-freshwater urinary tract clade and basal to a clade containing 4 different spore morphotypes (Chloromyxum, Myxidium, Zschokkella, Hoferellus). We explored host-parasite relationships at the macro- and microscale by analyzing the distribution, tissue tropism and pathology of O. lauquen sp. nov. Prevalence was relatively low (7%) by microscopy, but PCR detection revealed hidden levels of infection (49%), with the highest detection in lakes Morenito and Moreno (63-90%, Río Negro Province). The only locality negative by both microscopy and PCR was the Caleufu River (Neuquén Province), suggesting differences in fish life history traits (landlocked vs. potamodromous) or preference of the putative obligate invertebrate host for lentic habitats. O. lauquen sp. nov. sporulates in the renal tubules and occasionally in the glomerular space. The plasmodia frequently occluded the tubule lumina, and cellular necrosis and disintegration of the epithelium were observed. O. lauquen sp. nov. could represent a potential threat to G. maculatus culture under intensive farming conditions.

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Centrorynchus nahuelhuapensis n. sp. is described from the intestine of Strix rufipes, the rufous-legged owl, in Patagonia, Argentina. This species is characterized by the presence of 31-33 hook rows with 16-17 hooks per row, distributed as follows: 5 true hooks, 4 transitional hooks with 4 alate processes, more evident in the first three, 7-8 spiniform hooks, and three cement glands. It differs from most members of the genus by having a filiform body, the arrangement and size of the hooks, the number of cement glands, and egg size. Part of the SSU and LSU genes were sequenced and compared to those in GenBank. Sequences are most similar to other species of Centrorhynchus, supporting their placement within this genus. We present the first molecular study for a species of Centrorhynchus from South America. Additionally, it is the second species of the genus described in Argentina, and the first species of a terrestrial acanthocephalan from a bird in Patagonia.

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INTRODUCTION AND AIMS: Peutz-Jeghers syndrome is an autosomal dominant inherited pathology characterized by gastrointestinal hamartomatous polyps, predominantly in the small bowel, and pigmented mucocutaneous lesions. Guidelines suggest polypectomy with a balloon-assisted enteroscope when polyps are larger than 10mm. Complications in adults can be as high as 6.8%, but there is little information on pediatric populations. Our aim was to describe the safety and efficacy of polypectomy in a group of pediatric patients with Peutz-Jeghers syndrome using balloon-assisted enteroscopy. MATERIALS AND METHODS: A retrospective study was conducted at the Hospital de Especialidades del Centro Médico Nacional Siglo XXI on pediatric patients with Peutz-Jeghers syndrome that required balloon-assisted enteroscopy and polypectomy within the time frame of January 2010 and December 2015. Patients that underwent polypectomy with a push enteroscope were excluded from the study. RESULTS: A total of 35 polypectomies were performed on 4 patients (female/male: 3/1). The mean age of the patients was 13.7 years (range:11-16). Twelve enteroscopies were carried out, 8 of which were anterograde. A single-balloon enteroscope was used in 7 procedures and a double-balloon enteroscope in 5. The mean size of the polyps was 1.6cm (range: 1-4cm). A major complication (acute pancreatitis) presented in only one case (8.3%). No other major complications associated with the procedures were observed. CONCLUSION: Balloon-assisted enteroscopy with polypectomy in children is a safe and effective procedure, with complications similar to those reported in adults.

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Diphyllobothriidea are the principal agents of Diphyllobothriosis, a widespread food-borne cestodosis. Accurate identification of the species in samples is therefore crucial for diagnosis and epidemiology in wild and domestic animals, and also humans. We aim to identify at specific level the causative agent, and provide an observational, descriptive, and transversal study of the epidemiology of this zoonosis in urban dogs. Also data on wild carnivores from Northwestern Patagonia are presented. Dog feces were collected in thirteen neighborhoods of varying socioeconomic status, and stools were analyzed by two concentration methods. Adult worms were collected and identified by molecular methods. The population of free-roaming dogs in each neighborhood was estimated, and surveys were conducted at all veterinary clinics registered in the Veterinary Medical College of Bariloche city. A total of 36 wild carnivores road killed or found dead in three National Parks were analyzed. Molecular and morphometric analyses of proglottids and eggs from dogs indicate they are infected with D. latum. Twenty out of 118 dog feces were positive for Diphyllobothrium, from 9 out of 13 neighborhoods, with infection values between 10% and 66%. Percentage of infection was correlated positively with the number of free roaming dogs per block, and with Unsatisfied Basic Needs (UBN %), but not with distance to nearest water body. Infection by D. latum in dogs is widely distributed throughout the city. Not all local veterinarians know the occurrence of Diphyllobothriosis in the dogs of the city, and it is evident that this zoonosis is underdiagnosed in relation to the percentage of infection found in this study. None of the analyzed wild carnivores were positive for Diphyllobothrium.

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El presente artículo tiene como objetivo actualizar los conocimientos sobre las alteraciones morfológicas sobre las alteraciones morfológicas de las células epiteliales de la mucosa bucal de pacientes con diabetes tipo II, detectables con microscopía óptica y citología exfoliativa, con la finalidad de aportar datos que podrían ser útiles para el médico u odontólogo, junto a los análisis clínicos, para el diagnóstico precoz de esta enfermedad. Para una mejor comprensión y por la importancia de esta patología sistémica, se abordan los siguientes ítems: 1- diabetes mellitus tipo II y su impacto social, 2- diabetes mellitus tipo II y sus manifestaciones bucales, 3- citología bucal como método auxiliar del diagnóstico clínico. Los investigadores coinciden en que la diabetes causa alteraciones estructurales, morfológicas y morfométricas en las células bucales, fácilmente detectables por citología exfoliativa, por lo que esta técnica es viable para complementar el diagnóstico clínico y seguir la evolución de esta enfermedad.

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El presente artículo tiene como objetivo actualizar los conocimientos sobre las alteraciones morfológicas sobre las alteraciones morfológicas de las células epiteliales de la mucosa bucal de pacientes con diabetes tipo II, detectables con microscopía óptica y citología exfoliativa, con la finalidad de aportar datos que podrían ser útiles para el médico u odontólogo, junto a los análisis clínicos, para el diagnóstico precoz de esta enfermedad. Para una mejor comprensión y por la importancia de esta patología sistémica, se abordan los siguientes ítems: 1- diabetes mellitus tipo II y su impacto social, 2- diabetes mellitus tipo II y sus manifestaciones bucales, 3- citología bucal como método auxiliar del diagnóstico clínico. Los investigadores coinciden en que la diabetes causa alteraciones estructurales, morfológicas y morfométricas en las células bucales, fácilmente detectables por citología exfoliativa, por lo que esta técnica es viable para complementar el diagnóstico clínico y seguir la evolución de esta enfermedad.(AU)

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Cryptosporidium parvum oocysts were detected in feces of dairy calves raised in Rio de Janeiro State and the risk factors involved in the infection were determined. A hundred calves aging up to 12-month-old from 13 dairy farms were sampled. Polymerase chain reaction was used to detect the presence of oocysts. The zoonotic C. parvum species was detected in 45 percent animals. Statistical risk factors analyses revealed an association between infection and animals raised in technical systems such as the use of milking equipment, milking cooler, and water trough(P<0.05).

Detectaram-se oocistos de Cryptosporidium parvum em fezes de bezerros leiteiros no estado do Rio de Janeiro e analisaram-se os fatores de risco envolvidos na infecção dos animais. Cem bezerros com idades de 0 a 12 meses, provenientes de 13 propriedades rurais, foram amostrados, e suas fezes examinadas pela reação em cadeia da polimerase para a detecção dos oocistos. A espécie zoonótica C. parvum foi detectada em 45 por cento dos animais. As análises estatísticas dos fatores de risco revelaram haver associação entre infecção e animais criados em propriedades tecnificadas, que usam ordenha mecanizada, resfriamento de leite e fazendas que continham reservatórios de água à disposição dos animais (P<0,05).

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Cryptosporidium parvum oocysts were detected in feces of dairy calves raised in Rio de Janeiro State and the risk factors involved in the infection were determined. A hundred calves aging up to 12-month-old from 13 dairy farms were sampled. Polymerase chain reaction was used to detect the presence of oocysts. The zoonotic C. parvum species was detected in 45 percent animals. Statistical risk factors analyses revealed an association between infection and animals raised in technical systems such as the use of milking equipment, milking cooler, and water trough(P<0.05).(AU)

Detectaram-se oocistos de Cryptosporidium parvum em fezes de bezerros leiteiros no estado do Rio de Janeiro e analisaram-se os fatores de risco envolvidos na infecção dos animais. Cem bezerros com idades de 0 a 12 meses, provenientes de 13 propriedades rurais, foram amostrados, e suas fezes examinadas pela reação em cadeia da polimerase para a detecção dos oocistos. A espécie zoonótica C. parvum foi detectada em 45 por cento dos animais. As análises estatísticas dos fatores de risco revelaram haver associação entre infecção e animais criados em propriedades tecnificadas, que usam ordenha mecanizada, resfriamento de leite e fazendas que continham reservatórios de água à disposição dos animais (P<0,05).(AU)

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This study analyzes the temporal-spatial correlation between angio-and corticogenesis in the developing chick optic tectum (OT) by means of NADPH-diaphorase and immunolabeling methods. Qualitative and quantitative parameters were used to analyze a new vessels formation and growth of preexisting ones as a function of time and space...

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This report analyzes the dynamics temporo-spacial of the cellular proliferation during brain corticogenesis. It is an attempt of the authors to find operative rules of the proliferation that can explain the morpho and histogenetic effects of this activity.

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