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to identify sociodemographic and health characteristics according to age groups and to analyze the association between self-assessed health status and satisfaction with regular/bad life with sociodemographic characteristics, global functioning and falls of older adults linked to home care within the primary health care network.

cross-sectional study with 124 older adults, conducted using home interviews. A sociodemographic data and health status questionnaire was used, together with Barthel Index, Lawton Instrumental Activities of Daily Living Scale (IADL), the Mini-Mental State Examination, the Geriatric Depression Scale and the Timed Up and Go Test. Bivariate and multivariate analyses (Poisson regression) were applied.

there was a predominance of female octogenarians. Self-assessment of regular/bad health was associated with mild (p=0.002) and severe (p<0.001) depressive symptoms. Satisfaction with regular/bad life was associated with fear of falling (p=0.019) and with mild (p<0.001) and severe (p<0.001) depressive symptoms.

depressive symptoms were associated with a worse life satisfaction and health self-assessment.

depressive symptoms were associated with a worse life satisfaction and health self-assessment.This study aimed to determine the intensity, seasonality, and distribution by genera of, as well as to identify phenotypic markers of susceptibility to, gastrointestinal parasites among sheep on farms within the Brazilian savanna (cerrado) biome. We evaluated 1271 sheep, on seven farms, during the rainy season (in December 2017 and December 2018) and dry season (in July 2018 and July 2019). Parasitological evaluation was based on culture and EPG. We calculated hematocrit, as well as the body condition score and feces score. Of the sheep evaluated, 34.15% had moderate-to-severe parasitic infection. The factors of herds' phenotypic characterization about helminth infections were (p ≤ 0.05 for all) anemia (OR = 5.72); leanness (OR = 1.80); loose stools or diarrhea (OR = 1.54); breed other than Santa Inês (OR = 2.31); "weaned lamb" category (OR = 4.76); "lambing ewe" category (OR = 4.66); and dry season (OR = 2.37). Haemonchus, Trichostrongylus, Oesophagostomum, and Cooperia accounted for 76.40%, 20.23%, 2.89%, and 0.47%, respectively, of the helminth genera identified, with their proportional distributions being comparable between the rainy and dry seasons. Changes in health management, with regard to helminth infection control, are urgently needed in order to combat the disease more effectively and sustainably.Hippoboscid flies are potential ectoparasites of several avian orders, including birds of prey, a group formed by the orders Falconiformes, Strigiformes, Cathartiformes and Accipitriformes. In this study, we evaluated 155 birds of prey that were brought to the Wildlife Rehabilitation Center of Juiz de Fora, Minas Gerais, Brazil, between the years 2016 and 2019. Two species of hippoboscid flies (Ornithoctona erythrocephala and Icosta americana) were found in five species of birds of prey (Megascops choliba, Asio stygius, Athene cunicularia, Asio clamator and Caracara plancus). The average intensity found was 1.4 hippoboscids/bird and Megascops choliba (tropical screech-owl) was the most parasitized bird. This is the first record of parasitism of Asio stygius (stygian owl) by Ornithoctona erythrocephala in Brazil and of Athene cunicularia (burrowing owl) and Asio clamator (striped owl) by Icosta americana. Ornithoctona erythrocephala is recorded here for the first time infesting birds of prey in the state of Minas Gerais, Brazil.

Understanding the mortality-associated risk factors of coronavirus disease 2019 will impact clinical decisions.

This retrospective longitudinal study included patients hospitalized for coronavirus disease in Rio de Janeiro, Brazil. The Kaplan-Meier method and multivariate Cox regression analysis were used.

Sequential Organ Failure Assessment score of ≥2 (hazard ratio 4.614; 95% confidence interval =2.210-9.634; p<0.001) and neutrophil/lymphocyte ratio of >5 (hazard ratio=2.616; 95% confidence interval=1.303-5.252; p=0.007) were independently associated with mortality.

Sequential Organ Failure Assessment score and neutrophil/lymphocyte ratio on admission can identify coronavirus disease patients at increased risk of death and guide subsequent clinical decisions.

Sequential Organ Failure Assessment score and neutrophil/lymphocyte ratio on admission can identify coronavirus disease patients at increased risk of death and guide subsequent clinical decisions.Chagas disease is caused by the protozoan Trypanosoma cruzi. Seven lineages have been identified based on different molecular markers, namely TcI, TcII, TcIII, TcIV, TcV, TcVI, and TcBat. Dogs play the role of epidemiological sentinels being domestic reservoirs of T. cruzi. The aim of the current study was to report the first case of CD in a domestic dog in Manaus, Amazonas, Brazil, infected with T. cruzi DTU TcIV. We hope our report encourages veterinarians and surveillance professionals to a take a deeper look at T. cruzi infection in domestic animals.This report describes a case of multisystem inflammatory syndrome in a child that evolved with a pattern of toxic shock syndrome with coronary artery ectasia and neurological involvement, documented by magnetic resonance imaging, with changes in the corpus callosum and myopathy in the pelvic girdle and paravertebral musculature.Proteus mirabilis is one of the main pathogens causing urinary tract infections and sepsis. To our knowledge, this is the first report of a P. mirabilis hosting bla GES. The presence of these genes was determined using PCR and sequencing. We identified the presence of bla GES-1 in all three isolates. SH-4-54 In addition, we identified the bla KPC-2 and bla NDM-1 genes in the two strains. These data emphasize the importance of monitoring and surveillance of all enterobacteria. The circulation of P. mirabilis strains carrying bla GES-1 constitutes a new scenario of resistance in this species and should be an epidemiological alert for global health.

Health planning is required for the control and prevention of severe cases of COVID-19 in children.

Spatial analysis of severe COVID-19 cases in children of Pernambuco in the first six months of the pandemic and its autocorrelation with the Human Development Index was conducted.

A total of 551 severe cases (39.4 cases/100,000 inhabitants) was initially concentrated in the metropolitan area, with later interiorization. The spatial autocorrelation of cases was identified. The bivariate analysis revealed alert regions in less developed municipalities (I=0.341; p=0.001).

Considering the local particularities can assist in directing the priorities for decision making.

Considering the local particularities can assist in directing the priorities for decision making.Leishmaniasis is a tropical infectious disease caused by Leishmania spp. protozoa and is transmitted by insects from the Phlebotominae subfamily. It can manifest as cutaneous leishmaniasis, a painless ulcer that can develop into a more serious systemic affliction as the protozoa spreads lymphatically or hematogenously, depending on the host's immunity. In this case series, the authors present a rare form of genital mucocutaneous leishmaniasis, with consideration of epidemiologic characteristics, clinical presentation, differential diagnosis, and treatments offered.

Human immunodeficiency virus (HIV) and human T-cell leukemia virus-1 (HTLV-1) viruses are associated with a high global burden of disease, and coinfection is a frequently reported event. We aimed to compare the functioning and health-related quality of life (HRQoL) of patients infected with HTLV-1, HIV, and HIV-HTLV-1.

We conducted a cross-sectional study of patients older than 18 years who had an HTLV-1 infection (Group A), HIV infection (Group B), or HIV-HTLV-1 coinfection (Group C). The functioning profiles were evaluated using handgrip strength, Berg balance scale (BBS), timed "up and go" (TUG) test, and 5-m walk test (m/s). We used the World Health Organization Disability Assessment Schedule (WHODAS 2.0) questionnaire to measure disability. The HRQoL was evaluated using a 36-item short-form health survey. For data with parametric and non-parametric distribution, we used analysis of variance with Bonferroni correction and the Kruskal-Wallis test, followed by Dunn's pairwise tests with Bonferroni correction.

We enrolled 68 patients in Group A, 39 in Group B, and 29 in Group C. The scores for handgrip strength, BBS, TUG test, all the WHODAS domains, and HRQoL were poorer for Groups A and C than for Group B.

Compared to patients with HIV infection, those with HIV-HTLV-1 coinfection and HTLV-1 infection had poor functioning and HRQoL scores. HTLV-1 infection was associated with reduced functioning and HRQoL in patients with a single HTLV-1 infection and HIV-HTLV-1 coinfection.

Compared to patients with HIV infection, those with HIV-HTLV-1 coinfection and HTLV-1 infection had poor functioning and HRQoL scores. HTLV-1 infection was associated with reduced functioning and HRQoL in patients with a single HTLV-1 infection and HIV-HTLV-1 coinfection.Visceral leishmaniasis (VL) is an infectious disease caused by Leishmania spp. The recurrence of the disease occurs, in general, in patients with decreased or loss of T-cell function, whether due to the use of corticosteroids, immunosuppressive disease, or another cause. In some cases, splenectomy may be a therapeutic option. However, the effectiveness of splenectomy is not well defined. This report describes the evolution of a pediatric patient with seven recurrences of VL, who relapsed post-surgery after drug therapy and splenectomy.

Suckling by schistosomotic mice improves anti-ovalbumin (OA) antibody production, while delayed-type hypersensitivity (DTH) remains unaffected. This property of milk from schistosomotic mice was investigated in IL-12/IL-23-deficient mice (IL-12p40KO).

We compared anti-OA DTH, IgG2a and cytokines in wild-type and IL-12p40KO mice suckled by infected (SIM) or non-infected (CONTROL) mothers.

SIM mice showed similar intensity and eosinophils in the DTH, which was abolished in IL-12p40KO and IL-12p40KO-SIM mice. In IL-12p40KO-SIM, IgG2a and TGF-β levels were higher, but IL-6 levels were lower.

Milk from schistosomotic mothers may evoke IgG2a without eliciting DTH in IL-12/IL-23 deficiencies, by changing TGF-β/IL-6 levels.

Milk from schistosomotic mothers may evoke IgG2a without eliciting DTH in IL-12/IL-23 deficiencies, by changing TGF-β/IL-6 levels.

Mycobacterium tuberculosis (MTB) is a causative agent of tuberculosis (TB) that causes death worldwide.

MTB was subjected to phenotypic drug-susceptibility tests (DST), and drug-resistant genes were sequenced.

Previously treated patients were more likely to have positive smear results and exhibit drug resistance. New patients were more likely to be mono SM-resistant and less likely to be INH- and RIF-resistant. The most common mutations were katG (S315T), rpoB (S450L), rpsL (K43R), and embB (M306V).

The proportion of mono-SM-resistant TB among new patients was higher.

The proportion of mono-SM-resistant TB among new patients was higher.