Abstract Indiscriminate use of highly toxic pesticides in agriculture has produced soil contamination and deterioration of ecosystems. A promising solution to this environmental problem is bioremediation, which includes the use of bacteria to degrade contaminating substances. (Objective): The objective of this work was to isolate, identify, and characterize bacterial strains capable of degrading the pesticides chlorothalonil and chlorpyrifos to determine their potential use in bioremediation of contaminated soils. (Methodology): The strains were isolated from agricultural soils using enrichment cultures containing chlorothalonil or chlorpyrifos (20 mg/L) as the sole carbon source. The isolated strains were characterized by their morphology, by their physiological responses to 48 biochemical tests and sensitivity to 1 antibiotics, by their growth kinetics, and in molecular terms (amplification of the gene rDNA 16S). (Results): In total, three strains were isolated, one capable of using (and degrading) chlorpyrifos, identified as Stenotrophomonas maltophilia, and two bacterial strains with a partial ability to use chlorothalonil as a carbon source, identified as Enterobacter cloacae and Ochrobactrumanthropi. The three bacterial species are Gram-negative bacilli and have diverse physiological characteristics, including variable resistance to certain antibiotics. (Conclusion): It is concluded that the isolated bacteria have biotechnological potential to be incorporated into a bioremediation strategy for contaminated soils, especially for the elimination of chlorpyrifos. Finally, further research perspectives are proposed to determine more efficient processes of chlorothalonil degradation by cometabolism.

Resumen El uso indiscriminado de plaguicidas altamente tóxicos en la agricultura ha producido contaminación de los suelos y deterioro de los ecosistemas. Una solución prometedora para este problema ambiental es la biorremediación, que incluye el uso de bacterias para degradar estas sustancias contaminantes. (Objetivo): El presente trabajo tuvo por objetivo el aislamiento, identificación y caracterización de cepas bacterianas con capacidad de degradar los plaguicidas clorotalonil y clorpirifos, para su potencial uso en la biorremediación de suelos contaminados. (Metodología): Las cepas fueron aisladas de suelos agrícolas mediante cultivos de enriquecimiento, que contenían clorotalonil o clorpirifos (20 mg/L) como única fuente de carbono. Las cepas aisladas se caracterizaron por su morfología, fisiológicamente por su respuesta a 48 pruebas bioquímicas y frente a 15 antibióticos, cinética de crecimiento, y molecularmente (amplificación del gen ADNr 16S). (Resultados): Se aisló una cepa bacteriana capaz de utilizar (y degradar) clorpirifos como fuente de carbono, identificada como Stenotrophomonas maltophilia y dos cepas bacterianas con capacidad parcial de utilizar clorotalonil como fuente de carbono, identificadas como Enterobacter cloacae y Ochrobactrum anthropi. Las tres especies bacterianas son bacilos Gram negativo y presentaron características fisiológicas diversas, incluyendo resistencia variable a ciertos antibióticos. (Conclusión): Se concluye que las bacterias aisladas tienen potencial biotecnológico para ser incorporadas en una estrategia de biorremediación de suelos contaminados, especialmente para eliminación de clorpirifos. Finalmente, se plantean perspectivas de investigación a futuro para dilucidar procesos más eficientes de degradación de clorotalonil mediante cometabolismo.

Resumo O uso indiscriminado de pesticidas altamente tóxicos na agricultura tem causado contaminação do solo e deterioração dos ecossistemas. Uma solução promissora para esse problema ambiental é a biorremediação, que inclui o uso de bactérias para decompor essas substâncias poluentes. (Objetivo): O objetivo deste trabalho foi o isolamento, identificação e caracterização de cepas bacterianas com capacidade de degradar os agrotóxicos clorotalonil e clorpirifós, para seu potencial uso em biorremediação de solos contaminados. (Metodologia): As cepas foram isoladas de solos agrícolas por meio de culturas de enriquecimento, que continham clorotalonil ou clorpirifós (20 mg/L) como única fonte de carbono. As cepas isoladas foram caracterizadas quanto à morfologia, fisiologica ente pela resposta a 48 testes bioquímicos e contra 15 antibióticos, cinética de crescimento e molecularmente amplificação do gene 16S rRNA). (Resultados): Foram isoladas uma cepa bacteriana capaz de utilizar (e decompor) o clorpirifós como fonte de carbono, identificada como Stenotrophomonas maltophilia, e duas cepas bacterianas com capacidade parcial de utilizar o clorotalonil como fonte de carbono, identificadas como Enterobacter cloacae e Ochrobactrum anthropi. As três espécies bacterianas são bacilos Gram-negativos e apresentaram diversas características fisiológicas, incluindo resistência variável a determinados antibióticos. (Conclusão): Conclui-se que as bactérias isoladas possuem potencial biotecnológico para serem incorporadas a uma estratégia de biorremediação de solos contaminados, principalmente para a eliminação de clorpirifós. Por fim, são levantadas perspectivas de pesquisas futuras para elucidar processos mais eficientes de degradação do clorotalonil por meio do cometabolismo.

Meningitis is a potentially life-threatening infection characterised by the inflammation of the leptomeningeal membranes. The estimated annual prevalence of 8.7 million cases globally and the disease is caused by many different viral, bacterial, and fungal pathogens. Although several genera of fungi are capable of causing infections in the central nervous system (CNS), the most significant number of registered cases have, as causal agents, yeasts of the genus Cryptococcus. The relevance of cryptococcal meningitis has changed in the last decades, mainly due to the increase in the number of people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and medications that impair the immune responses. In this context, coronavirus disease 19 (COVID-19) has also emerged as a risk factor for invasive fungal infections (IFI), including fungal meningitis (FM), due to severe COVID-19 disease is associated with increased pro-inflammatory cytokines, interleukin (IL)-1, IL-6, and tumour necrosis factor-alpha, reduced CD4-interferon-gamma expression, CD4 and CD8 T cells. The gold standard technique for fungal identification is isolating fungi in the culture of the biological material, including cerebrospinal fluid (CSF). However, this methodology has as its main disadvantage the slow or null growth of some fungal species in culture, which makes it difficult to finalise the diagnosis. In conclusions, this article, in the first place, point that it is necessary to accurately identify the etiological agent in order to assist in the choice of the therapeutic regimen for the patients, including the implementation of actions that promote the reduction of the incidence, lethality, and fungal morbidity, which includes what is healthy in the CNS.

ABSTRACT Purpose: This study aimed to implement a health-related quality of life (HRQoL) assessment protocol to measure the consequences of a rehabilitation program for visual impaired people at a leading reference institute in Brazil. Methods: A cross-sectional study was conducted with 60 visual impaired adults enrolled in a Rehabilitation Program of the Instituto Benjamin Constant. The research protocol consisted of a questionnaire with personal data, social, demographic, and clinical information; the EQ-5D-3L instrument for generic HRQoL measurement; the Patient Health Questionnaire-2 (PHQ- 2) to screen for depression, and the 25-Item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) to assess specific HRQoL of visual function. The main independent variable analyzed was the exposure time to the rehabilitation. Linear regression models were used to investigate the relationship between rehabilitation time and HRQoL of the NEI VFQ-25 and EQ 5D-3L instruments. Results: Most participants (73%) have acquired visual impairment, 68% are under 60 years old, 53% lost their vision more than 10 years ago, the most common self-reported visual condition (48%) was blindness in both eyes and 42% are in the Rehabilitation Program for more than 3 years. The median HRQoL utility index for EQ 5D-3L was 0.75. The specific instrument for screening for depression, PHQ-2, identified 27% of participants above the cut-off point. The NEI VFQ-25 instrument showed scores below 50 (scale from 0 to 100) in subdomains: “general vision”, “near activities” and “distance activities”. The medians of “ocular pain” and “social aspects” of the VFQ-25 were significantly lower among those who have undergone psychiatric treatment. “Rehabilitation time” was independently associated with better scores of “mental health” and “role difficulties” subdomains. Conclusion: The protocol showed applicability for the assessment of HRQoL, allowing the conclusion that longer time in the rehabilitation program was associated with higher quality of life scores.

RESUMO Objetivo: Aplicar um protocolo para avaliar a qualidade de vida relacionada à saúde de participantes de um programa de reabilitação para pessoas com deficiência visual de um instituto de referência. Métodos: Foi realizado um estudo transversal com 60 adultos com deficiência visual participantes de um programa de reabilitação para pessoas com deficiência visual de um instituto de referência no Rio de Janeiro. O protocolo de pesquisa consistiu em um questionário com dados pessoais, sociais, demográficos e informações clínicas; no European Quality of Life 5 Dimensions 3 Level Version para medição genérica de qualidade de vida relacionada à saúde; no Patient Health Questionnaire-2 para rastrear a depressão e no Visual Function Questionnaire 25 para avaliar a qualidade de vida relacionada à saúde específica da função visual. A principal variável independente analisada foi o tempo de exposição ao programa. Modelos de regressão linear foram utilizados para investigar a relação entre o tempo no programa e a qualidade de vida relacionada à saúde do Visual Function Questionnaire 25 e do European Quality of Life 5 Dimensions 3 Level Version. Resultados: A maioria dos participantes (73%) possuía deficiência visual adquirida; 68% tinham menos de 60 anos e 53% perderam a visão há mais de 10 anos. A condição visual autorreferida mais comum foi cegueira em ambos os olhos (48%) e 42% frequentavam o programa há mais de 3 anos. A mediana do índice de utilidade do European Quality of Life 5 Dimensions 3 Level Version foi de 0,75. O instrumento específico para rastreamento de depressão, o Patient Health Questionnaire, identificou proporção de 27% de participantes positivos. O Visual Function Questionnaire 25 apresentou escores abaixo de 50 (escala de zero a cem) nos subdomínios visão geral, atividades de perto e atividades à distância. As medianas de dor ocular e aspectos sociais do Visual Function Questionnaire 25 foram significativamente menores entre aqueles que realizavam tratamento psiquiátrico. O tempo de reabilitação foi independentemente associado a melhores escores dos subdomínios saúde mental e atividades da vida diária. Conclusão: O protocolo demonstrou aplicabilidade para a avaliação de qualidade de vida relacionada à saúde em pessoas com deficiência visual, permitindo concluir que o maior tempo no programa de reabilitação foi associado a maiores escores de qualidade de vida.

Resumen El objetivo de este estudio fue determinar la distribución, riqueza e identificación molecular de cangrejos araña en las costas Pacífico y Caribe costarricenses. Se realizaron mapas de distribución de especies de la familia Mithracidae en las costas del Caribe y Pacífico de Costa Rica a partir de muestreos exploratorios y registros espacio-temporales de colectas (1960 al 2016) suministrados por el Museo de Zoología de la Universidad de Costa Rica (UCR). Además, se obtuvo un árbol filogenético mediante topología concatenada multigénica de fragmentos de genes mitocondriales y nuclear. Los registros históricos revelan la presencia de 24 especies de cangrejos mitrácidos y su distribución geográfica en el Pacífico y Caribe de Costa Rica, incluyendo islas de la plataforma continental y oceánica. Los análisis moleculares confirman relaciones de parentesco entre los clados Ala-Maguimithrax, Omalacantha-Microphrys,Omalacantha+Microphyrs-Teleophrys y el clado bien soportado de las especies del género Mithraculus. Los resultados generados en este estudio contribuyen con información para el desarrollo de estrategias futuras de protección ambiental de los recursos marinos, al aportar una línea base para el monitoreo de la degradación ambiental y la destrucción del hábitat de cangrejos araña en las costas de Costa Rica. La información molecular obtenida a futuro permitirá estudios de genética de poblaciones, filogeografía, flujo génico regional y divergencia entre especies del Caribe y Pacífico.

Resumo O objetivo deste estudo foi determinar a distribuição, riqueza e identificação molecular de caranguejosaranha no litoral costarriquenho do Pacífico e do Caribe. Foram realizados mapas de distribuição de espécies da família Mithracidae nas costas do Caribe e do Pacífico da Costa Rica a partir de amostragens exploratórias e registros de espaço-tempo de coletas (1960 a 2016) fornecidos pelo Museu de Zoologia da Universidade da Costa Rica (UCR). Além disso, foi obtido um posicionamento taxonômico por meio da topologia multigênica concatenada de fragmentos genéticos mitocondriais e nucleares. Registros históricos revelam a presença de 24 espécies de caranguejos Mithracida e sua distribuição geográfica no Pacífico e Caribe da Costa Rica, incluindo ilhas da plataforma continental e oceânica. As análises moleculares confirmam relações de parentesco entre os clados Ala-Maguimithrax, Omalacantha-Microphrys, Omalacantha+MicrophyrsTeleophrys e o clado bem apoiado de espécies do gênero Mithraculus. Os resultados gerados neste estudo contribuem com informações para o desenvolvimento de futuras estratégias de proteção ambiental dos recursos marinhos, fornecendo uma linha de base para o monitoramento da degradação ambiental e a destruição do habitat do caranguejo-aranha no litoral da Costa Rica. As informações moleculares obtidas, no futuro, permitirão estudos de genética populacional, filogeografia, fluxo genético regional e divergência entre espécies do Caribe e do Pacífico.

Abstract The objective of this study was to determine the distribution, richness, and molecular identification of spider crabs in the Costa Rican Pacific and Caribbean coasts. Distribution maps were created for species of the Mithracidae family on the Caribbean and Pacific coasts of Costa Rica, based on exploratory samplings and spatio-temporal records of collections (1960 to 2016) provided by the Universidad de Costa Rica’s Museum of Zoology. In addition, phylogenetic relationships were explored using a multigene concatenated phylogenetic tree based on mitochondrial and nuclear gene fragments. Historical records reveal the presence of 24 species of mithracid crabs and their geographic distribution in the Pacific and Caribbean of Costa Rica, including islands on the continental and oceanic shelf. Molecular analyses confirm sister relationships between the clades Ala-Maguimithrax, Omalacantha-Microphrys, Omalacantha+MicrophyrsTeleophrys, and a well-supported clade of species belonging to the genus Mithraculus. However, our concatenated molecular data set suggests a monophyletic relationship between Thoe, Petramithrax, and Hemus, differing from what was previously reported. The results obtained in this study will help in the development of strategies for the environmental protection of these marine resources, by providing a baseline for monitoring environmental degradation and destruction of habitats used by spider crabs on the coasts of Costa Rica. Furthermore, the molecular information obtained in this study will help future studies focusing on understanding the population genetics, phylogeography, regional gene flow, and divergence among species between the Caribbean and Pacific coast.

RESUMEN Introducción: La tifosis aviar y la pulorosis, enfermedades ocasionadas por Salmonella enterica subsp. enterica (serotipo Gallinarum, biotipos Gallinarum y Pullorum), son responsables de una elevada mortalidad en aves de corral y generan grandes pérdidas económicas. Objetivo: Optimizar técnicas moleculares, como la PCR punto final y la PCR de tiempo real (qPCR), para detectar tifosis aviar y pulorosis. Métodos: Se emplearon cepas bacterianas control, aislamientos y tejidos de aves de infectadas con Salmonella Gallinarum para estandarizar la detección con ambas técnicas. Resultados: Para la PCR de punto final se obtuvo una repetibilidad, especificidad y sensibilidad del 100%, y un valor Kappa de 0,98 para la reproducibilidad; para qPCR una eficiencia del 103% y variación menor al 6% en repetibilidad y reproducibilidad. El límite de detección de ADN genómico fue de 6,4 pg/μL y el del número de células viables de 3x102 UFC/mL para la PCR punto final, y de 10 copias de ADN por reacción para la qPCR. Confirmamos la identidad de S. Gallinarum. Y se redujo el tiempo de detección a unas 48 horas, Conclusión: Logramos optimizar una técnica molecular para detección rápida, confiable y sensible de Salmonella Gallinarum/Pullorum, la cual reduce el tiempo de espera para tomar acción en casos de sospecha clínica y posibles brotes.

ABSTRACT "Optimization of PCR techniques optimization for detection of Salmonella enterica (serotype: Gallinarum) in Costa Rican poultry". Introduction: Avian typhoid and pullorosis, diseases caused by Salmonella enterica subsp. enterica (Gallinarum serotype, Gallinarum and Pullorum biotypes), cause high mortality in poultry and generate large economic losses. Objective: To optimize molecular techniques, such as endpoint PCR and real-time PCR (qPCR), to detect avian typhoid and pullorosis. Methods: We used control bacterial strains, isolates and tissues from birds infected with Salmonella Gallinarum to standardize detection with both techniques. Results: For the endpoint PCR, we obtained 100% repeatability, specificity and sensitivity, and a Kappa value of 0.98 for reproducibility; for qPCR, 103% efficiency with a variation under 6% in repeatability and reproducibility. The detection limit for genomic DNA was 6.4 pg/μL and the limit for the number of viable cells was 3x102 CFU/mL for endpoint PCR, and 10 DNA copies per reaction for qPCR. We also confirmed the identity of S. Gallinarum, and was reduced. We reduced the detection time to about 48 hours. Conclusion: We optimized a molecular technique for rapid, reliable and sensitive detection of Salmonella Gallinarum/Pullorum, which reduces the waiting time to take action in cases of clinical suspicion and possible outbreaks.

Resumen Técnicas moleculares requieren extracciones de ácidos nucleicos en cantidad y pureza adecuadas. Este trabajo describe un modelo lineal generalizado (GLM) de un factor ajustado con efectos fijos sobre el rendimiento de ácido nucleico (ng/μl) y la pureza (A260/A280 y A260/A230), para cinco métodos de extracción de ADN utilizando tarjetas FTA con sangre de cabra (Capra aegagrus hircus). Se ensayaron dos métodos comerciales basados en columnas de sílice (Invitrogen y Macherey Nagel; MN), método resina quelante (Chelex), método CTAB y el método de fenol-cloroformo-alcohol isoamílico (PCI). Adicionalmente, para MN, se evaluó una etapa de incubación con tampón PBS (Phosphate Buffered Saline) en alta temperatura previa a la lisis y una etapa de purificación posterior a la extracción utilizando un modelo de efecto fijo de dos factores con interacción. Las concentraciones de ADN y las proporciones de pureza fueron variables; la concentración más alta se obtuvo con el kit MN (170.45 ng/μl), pero con deficiencias en la pureza (0.32 de A260/A230, 0.34 de A260/A280). A pesar de esto, todos los métodos de extracción generaron productos PCR con cebadores específicos D-loop (ADNmt). El efecto combinado de las etapas de pre-incubación y post-purificación arrojó valores de pureza satisfactorios (1.89 para A260/A230 y 1.65 para A260/A280), así como relaciones de concentración (476.78 ng/μl) con baja variabilidad. En conclusión, la concentración y pureza del ADN de muestras de sangre mejora considerablemente cuando se usa un kit comercial en combinación con incubación previa a la lisis y purificación posterior a la extracción. Estos ácidos nucleicos se sugieren para uso en potenciales aplicaciones moleculares a posteriori.

Abstract Molecular techniques require extractions of nucleic acids in adequate quantity and purity. This work describes a generalized linear model (GLM) of an adjusted factor with fixed effects on nucleic acid yield (ng/μl) and purity (A260/A280 and A260/A230), for five methods of DNA extraction using FTA cards with goat (Capra aegagrus hircus) blood. Two commercial methods based on silica columns (Invitrogen and Macherey Nagel; MN), the chelating resin method (Chelex), the CTAB method and the phenol-chloroform-isoamyl alcohol (PCI) method were tested. Additionally, for MN, an incubation step with PBS (Phosphate Buffered Saline) buffer at high temperature prior to lysis and a purification step post extraction were evaluated using a fixed-effect model of two factors with interaction. DNA concentrations and purity ratios were variable; the highest concentration was obtained with the MN kit (170.45 ng/μl), but with deficiencies in purity (0.32 of A260/A230, 0.34 of A260/A280). Despite this, all extraction methods generated PCR products with specific D-loop primers (mtDNA). The combined effect of the pre-incubation and post-purification stages yielded satisfactory purity values (1.89 for A260/A230 and 1.65 for A260/A280), as well as concentration ratios (476.78 ng/μl) with low variability. In conclusion, the concentration and purity of DNA from blood samples is greatly improved when using a commercial kit in combination with pre-lysis incubation and post-extraction purification. These nucleic acids are suggested for use in potential molecular applications a posteriori.

BACKGROUND Leprosy is a chronic infectious disease, still endemic in many countries that may lead to neurological, ophthalmic, and motor sequelae if not treated early. Access to timely diagnosis and multidrug therapy (MDT) remains a crucial element in the World Health Organization’s strategy to eliminate the disease as a public health problem. OBJECTIVES This systematic review aims to evaluate the accuracy of rapid point-of-care (POC) tests for diagnosis of leprosy. METHODS Searches were carried out in electronic databases (PubMed, EMBASE, CRD, Cochrane Library and LILACS) in April 2021 for patients with suspicion or confirmatory diagnostic of leprosy, classified in multibacillary (MB) or paucibacillary (PB) cases, performing rapid POC serological tests compared to clinical evaluation, smear microscopy and immunohistochemistry analysis. Methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool (QUADAS-2). A meta-analysis was undertaken to generate pooled estimates of diagnostic parameters, presenting sensitivity, specificity and diagnostic odds ratio (DOR) values. The review protocol was registered at PROSPERO, CRD # 42014009658. FINDINGS From 893 potentially relevant references, 12 articles were included reporting 16 diagnostic tests accuracy studies with 5395 individuals enrolled. Meta-analysis of NDO-LID and PGL-I tests data in MB patients showed sensitivity and specificity [95% confidence interval (CI)] of 0.83 (0.71-0.91), 0.91 (0.72-0.97); and 0.92 (0.86-0.96), 0.93 (0.78-0.98); respectively, with high heterogeneity among the studies. MAIN CONCLUSIONS Our results can inform policymakers regarding the possibility of implementing accurate, rapid POC tests for leprosy in public health services, especially within primary health care.

ABSTRACT Background: An outbreak of acute hepatitis of unknown etiology in children was recently reported worldwide. We aimed to describe the burden of hospitalizations due to hepatitis of unknown etiology in children/adolescents in Brazilian public hospitals. Methods: We retrieved a database of all hospitalizations in the Brazilian Unified Health System (SUS) from January/2019 to February/2022 using the “microdatasus” R package. Hepatitis of unknown etiology was defined by the following International Classification of Diseases [ICD-10] codes: B19, B19.0, B19.9, K72.0, K72.9, K75, K75.9, R94.5, or R93.2. The incidence rates (95% confidence interval, IC) per 1,000 all-cause hospitalizations in different age strata [< 6 years; 6–11 years and 12–17 years] were estimated. Results: A total of 94,198 hospitalizations due to hepatic or infectious diseases with potential liver injury were analyzed. Of them, 1,535 children/adolescents [48.2% male sex, 41.6% aged < 6 years] were hospitalized with hepatitis with unknown etiology. The top ICD-10 codes were B19.9 [unspecified viral hepatitis without hepatic coma; 39.9% (n = 612)], K72.9 [hepatic failure, unspecified; 29.8% (n = 457)], and K72.0 [hepatic failure, not elsewhere classified; 14.5% (n = 223)]. A total of 8.5% (n = 131) of individuals required liver transplantation and 7.0% (n = 107) died during the hospital-stay. In 2021, the incidence rates (95% CI) of hospitalizations for hepatitis with unknown etiology were 7.80 (7.63–7.98), 17.96 (17.46–18.48) and 13.28 (12.95–13.62) per 1,000 all-cause hospitalizations in subjects aged < 6 years, 6–11 years and 12–17 years-old, respectively. Similarly, the incidence rates of hospitalization due to hepatitis with unknown etiology per 1,000 all-cause hospitalizations (CI95%) in January-February/2022 were 7.52 (7.11–7.94), 16.82 (15.68–18.03), and 13.96 (13.10–14.85) for children/adolescents with age < 6 years, 6–11 years, and 12–17 years, respectively. Conclusions: A non-negligible number of hospitalizations due to hepatitis with unknown etiology in children/adolescents was observed in the last years in Brazil. Up to 15% of those cases needed liver transplantation or died.

Resumen Objetivo: Determinar la confiabilidad del Barómetro de la Familia por medio del método test retest. Método: Estudio de tipo instrumental, se evaluó a 299 personas que vivían con sus parejas y/o hijos al momento de ser evaluados, el 83,6 % de la muestra fueron mujeres. El rango de edad fluctuó entre los 18 y 65 años (M=40,7 años). El Barómetro de la Familia (versión peruana) está compuesto por 98 ítems con diferentes opciones de respuesta (dicotómico, Likert, respuesta múltiple nominal y abierto de respuesta numérica) que evalúan la estructura y la dinámica familiar, además de la percepción que se tiene sobre temas relacionados a la familia como el aborto o el matrimonio. Se aplicaron los estadísticos kappa de Cohen (κ) y coeficiente de correlación intraclase (CCI). Resultados: La mayoría de reactivos que indagan sobre la estructura, dinámica familiar, violencia y conductas de riesgo son confiables (κ≥ 0,4 o CCI≥ 0,4). Por otro lado, preguntas sobre la separación, matrimonio, homosexualidad y aborto no son confiables (κ< 0,4 o CCI< 0,4). Conclusión: El cuestionario del Barómetro de la Familia demostró ser confiable en la medición de diversas características familiares en la población peruana.

Abstract Objective: It is to determine the reliability of the Family Barometer using the test retest method. Method: An instrumental study, 299 people living with their partners and / or children were evaluated at the time of evaluation, 83,6 % of the sample were women. The age range fluctuated between 18 and 65 years (M = 40,7 years). The Family Barometer (Peruvian version) is made up of 98 items with different response options (dichotomous, Likert, multiple nominal response and open numerical response) that evaluate the family structure and dynamics, in addition to the perception that one has about family related issues like abortion or marriage. Cohen’s kappa statistics (κ) and intraclass correlation coefficient (ICC) were applied. Results: Most of the items that inquire about the structure, family dynamics, violence and risk behaviors are reliable (κ≥ 0,4 or CCI≥ 0,4). On the other hand, questions about separation, marriage, homosexuality and abortion are not reliable (κ <0,4 or ICC <0,4). Conclusion: The Family Barometer questionnaire proved to be reliable in measuring various family characteristics in the Peruvian population.

Resumen Introducción: El complejo enzimático emisor de luz de las bacterias luminiscentes es una poderosa herramienta bioquímica, con una amplia variedad de aplicaciones, incluyendo el control de la calidad ambiental. Objetivos: Identificar taxonómicamente dos bacterias luminiscentes de las aguas de la plataforma cubana, así como seleccionar los medios de cultivo que favorezcan su crecimiento y luminiscencia. Métodos: La identificación taxonómica de las bacterias luminiscentes se llevó a cabo utilizando métodos tradicionales y moleculares. Cuatro medios de cultivo (LM, Boss, Chalk, ZoBell) fueron evaluados en función de la tasa de crecimiento específico (μ) y la luminiscencia utilizando un espectrofotómetro Genesys 10UV y un espectro fluorómetro Shimadzu RF-5301pc, respectivamente. Resultados: La caracterización bioquímica y fisiológica de los aislamientos de CBM-976 y CBM-992 mostró similitudes con las especies de Vibrio harveyi. El análisis del posicionamiento taxonómico confirmó una alta correspondencia con las cepas de V. harveyi aisladas de entornos acuáticos, utilizando secuencias parciales de los genes 16S rRNA, gyrB y pyrH. Se seleccionaron los medios de cultivo LM y ZoBell por tener una alta tasa de crecimiento específico de las cepas CBM-976 y CBM-992; así como por mostrar altos valores de luminiscencia. Los resultados permitirán profundizar en la caracterización fisiológica y son el punto de partida para el desarrollo de métodos de detección de contaminantes. Conclusiones: La combinación de las características fisiológicas y bioquímicas, así como las técnicas de biología molecular contribuyeron a determinar la posición taxonómica de las cepas CBM-976 y CBM-992 aisladas de las aguas marinas cubanas como Vibrio harveyi. Además, se seleccionaron los medios de cultivo LM y ZoBell como los más adecuados para el crecimiento y la emisión de luminiscencia de ambas cepas.

Abstract Introduction: The light-emitting enzyme complex of luminescent bacteria is a powerful biochemical tool, with a wide variety of applications including environmental quality monitoring. Objectives: To identify taxonomically two luminescent bacteria from Cuban shelf waters, as well as select the culture media that favor their growth and luminescence. Methods: The taxonomic location of the luminescent bacteria was carried out using traditional and molecular methods. Four culture media (LM, Boss, Chalk, ZoBell) were evaluated as a function of specific growth rate (μ) and luminescence, using a Genesys 10UV spectrophotometer and a Shimadzu RF-5301pc spectrofluorometer, respectively. Results: Biochemical and physiological characterization of CBM-976 and CBM-992 isolates showed similarities with Vibrio harveyi species. Phylogenetic positioning analysis confirmed a high correspondence with V. harveyi strains isolated from aquatic environments, using partial sequences of 16S rRNA, gyrB and pyrH genes. LM and ZoBell culture media were selected for having a high specific growth rate of CBM-976 and CBM-992 strains, as well as for showing high luminescence values. The results will allow deepening the physiological characterization and are the starting point for the development of contaminant detection methods. Conclusions: The rational combination of physiological and biochemical characteristics, as well as the molecular approach, contributed to determine the taxonomic position of CBM-976 and CBM-992 strains isolated from Cuban marine waters as Vibrio harveyi. Furthermore, LM and ZoBell culture media were selected as the most suitable for growth and luminescence emission for both strains.

RESUMO A Covid-19 é uma ameaça global que atrai pesquisadores de todas as áreas a fim de conhecer a história natural da doença e seus parâmetros epidemiológicos. O desenvolvimento tecnológico de vacinas, testes para diagnóstico e alvos terapêuticos tem mobilizado grande quantidade de recursos em curto tempo. A Avaliação de Tecnologias em Saúde (ATS), baseada em uma análise sistemática das propriedades, efeitos e/ou impactos das tecnologias em Saúde através de métodos e instrumentos validados internacionalmente para avaliar a qualidade e rigor metodológico dos estudos que demonstrem eficácia, efetividade e segurança, está sofrendo pressões, sem precedentes, devido à pandemia. Este artigo traz uma reflexão sobre a autorização emergencial do uso de tratamentos e testes diagnósticos que conflita com os preceitos da ATS. Apresentaremos também uma avaliação das tecnologias não farmacológicas de contenção da doença e seus impactos na economia doméstica e internacional, bem como as intervenções judiciais que impactam as decisões dos gestores no contexto excepcional da pandemia de Covid-19.

ABSTRACT Covid-19 is a global threat that attracts researchers from all areas to understand the natural history of the disease and its epidemiological parameters. The technological development of vaccines, diagnostic tests, and therapeutic targets has mobilized many resources in a short time. Health technology assessment (HTA), based on a systematic analysis of the properties, effects and/or impacts of health technologies through internationally-validated methods and instruments to assess the quality and methodological rigor of studies that demonstrate effectiveness, efficacy, and safety, is under unprecedented pressure due to the pandemic. This article also reflects on the emergency authorization of the use of treatments and diagnostic tests that conflict with HTA precepts. We will also evaluate non-pharmacological technologies of containment of the disease and their impacts on the domestic and international economy, as well as the judicial interventions that impact the decisions of managers in the exceptional context of the covid-19 pandemic.

ABSTRACT The accuracy of commercially available tests for COVID-19 in Brazil remains unclear. We aimed to perform a meta-analysis to describe the accuracy of available tests to detect COVID-19 in Brazil. We searched at the Brazilian Health Regulatory Agency (ANVISA) online platform to describe the pooled sensitivity (Se), specificity (Sp), diagnostic odds ratio (DOR) and summary receiver operating characteristic curves (SROC) for detection of IgM/IgG antibodies and for tests using naso/oropharyngeal swabs in the random-effects models. We identified 16 tests registered, mostly rapid-tests. Pooled diagnostic accuracy measures [95%CI] were: (i) for IgM antibodies Se = 82% [76-87]; Sp = 97% [96-98]; DOR = 168 [92-305] and SROC = 0.98 [0.96-0.99]; (ii) for IgG antibodies Se = 97% [90-99]; Sp = 98% [97-99]; DOR = 1994 [385-10334] and SROC = 0.99 [0.98-1.00]; and (iii) for detection of SARS-CoV-2 by antigen or molecular assays in naso/oropharyngeal swabs Se = 97% [85-99]; Sp = 99% [77-100]; DOR = 2649 [30-233056] and SROC = 0.99 [0.98-1.00]. These tests can be helpful for emergency testing during the COVID-19 pandemic in Brazil. However, it is important to highlight the high rate of false negative results from tests which detect SARS-CoV-2 IgM antibodies in the initial course of the disease and the scarce evidence-based validation results published in Brazil. Future studies addressing the diagnostic performance of tests for COVID-19 in the Brazilian population are urgently needed.

Resumen Introducción. Los cultivos genéticamente modificados (CGM) son de particular interés, debido al impacto en la economía global. Por lo tanto, como preocupación general, muchos países han establecido regulaciones con respecto a estos organismos. En Costa Rica, el cultivo de OGM se realiza desde 1991; sin embargo, existe un faltante de estudios que monitoreen la ejecución y el cumplimiento de las regulaciones de bioseguridad. Objetivo. El objetivo del presente estudio fue identificar la presencia o ausencia de transgenicidad en alimentos procesados para consumo humano y animal, así como en semillas provenientes de algodón. Materiales y métodos. Se utilizó la técnica de PCR tiempo real dirigida a la secuencia promotora 35S, derivada del virus del mosaico de la coliflor (CaMV, siglas en inglés), como marcador para detectar presencia de transgenes en alimentos procesados para consumo humano y animal y en semillas de algodón, silvestre o cultivado, recolectadas en áreas aledañas a una finca de algodón GM en mayo de 2017. Resultados. En las muestras analizadas hubo una alta incidencia de fragmentos de 82 pb, correspondientes a la secuencia promotora 35S, que estuvo ausente solo en cultivos de maíz orgánico y sus derivados (tortillas y harina de maíz). Los resultados sugieren la presencia de trazas de OGM en el mercado alimentario costarricense; adicionalmente, revela la urgencia de implementar un adecuado etiquetado para trazabilidad alimentaria. Se identificó, además, la presencia de algodón transgénico en las cercanías de una finca de algodón GM, lo que sugiere la pertinencia de vigilancia en aspectos de bioseguridad y manipulación genética de cultivos. Conclusiones. La presencia de trazas de OGM en alimentos procesados muestra la importancia de continuar este monitoreo para proveer elementos de discusión en cuanto a trazabilidad alimentaria y potencial flujo de transgenes en material vegetal silvestre.

Abstract Introduction. Genetically modified crops (GMC) are of particular interest due to their impact on the global economy. Therefore, as a general concern, many countries have established some regulations in regards to genetically modified organisms (GMOs). In Costa Rica, the cultivation of GMOs has been practiced since 1991; however, there´s a lack of studies that monitor the execution and compliance with the biosafety regulations. Objective. The objective of the present study was to identify the presence or absence of transgenicity in processed foods for human and animal consumption, as well as in cotton seeds. Material and methods. The real-time PCR technique was used to target the 35S promoter sequence, derived from the cauliflower mosaic virus (CaMV), as a marker to detect the presence of transgenes in processed foods for human and animal consumption as well as in wild or cultivated cotton seeds collected nearby a GM cotton farm in May 2017. Results. In the analyzed samples there was a high incidence of an 82 bp fragment, corresponding to the 35S promoter sequence, being absent only in organic corn crops and their derivatives (tortillas, corn powder). Results suggest the presence of GMO traces in the Costa Rican food market, additionally it reveals the urgency of implementing adequate labeling for food traceability. Furthermore, the presence of transgenic cotton in the vicinity of a GM cotton farm was identified, suggesting the relevance of surveillance in aspects of biosafety and genetic manipulation of crops. Conclusion. The presence of traces for GMOs in Costa Rican processed food, demonstrates the importance of continuing this monitoring to provide enough elements for a critic discussion about food traceability and potential transgene flow into wild plant material.

Resumo Objetivo Avaliar 15 pacientes com ruptura do tendão distal do bíceps submetidos a reinserção por meio de via única, anterior e transversa no antebraço com o uso de duas âncoras. Os pacientes foram submetidos a um protocolo de reabilitação e, ao término de seis meses, efetuou-se avaliação do arco de movimento do cotovelo operado e da intensidade de força durante a flexão e a supinação. Métodos Os dados foram coletados de maneira prospectiva, e foram analisados pelo teste de Mann-Whitney e pelo teste de modelos mistos para avaliar a força entre os cotovelos operado e não operado. Resultados Um total de 80% dos pacientes eram homens, 60% sofreram lesão do lado dominante, 46% eram trabalhadores braçais, e 73% não praticavam atividades físicas regularmente. O uso de anabolizante foi relatado por dois pacientes. Após o tratamento, os pacientes recuperaram 98% da força de supinação, e 94% da de flexão. De acordo com questionário de Disfunções do Braço, Ombro e Mão (Disabilities of the Arm, Shoulder and Hand, DASH), 73% dos pacientes encontram-se dentro do esperado para uma população normal. Conclusão A via única, anterior e transversa associada ao reparo do tendão com o uso de âncoras apresentou-se esteticamente satisfatória, com boa recuperação da força durante a flexão e a supinação, não ocorrendo casos de ossificação heterotópica ou complicações graves.

Abstract Objective To evaluate 15 patients with ruptured distal biceps tendon submitted to reinsertion via a single, anterior and transverse approach using two anchors. They were submitted to a rehabilitation protocol and, within six months, to an evaluation of the range of motion and strength intensity during flexion and supination of the operated elbow. Methods The data were collected prospectively, and were analyzed through the Mann-Whitney test and the mixed-model test to evaluate the force between the operated and non-operated elbows. Results A total of 80% of the patients were men, 60% were injured on the dominant side, 46% were manual workers, and 73% led sedentary lifestyles. The use of anabolic steroids was reported by two patients. After the treatment, the patients recovered supination strength by 98% and flexion by 94%. According to the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, 73% of the patients presented the score expected of a normal population. Conclusion The single, anterior and transverse approach associated with tendon repair using anchors was esthetically satisfactory, with good strength recovery during flexion and supination, and no occurrence of heterotopic ossification.

Resumen Introducción: La bioluminiscencia es la capacidad de ciertos organismos para transformar la energía química en energía lumínica mediante varios procesos bioquímicos. Objetivo: El aislamiento e identificación por primera vez de bacterias luminiscentes en agua marina superficial y la identificación de dinoflagelados luminiscentes marinos del Parque Nacional Isla del Coco, Costa Rica. Metodología: Se colectaron muestras de agua marina obtenida por buceo a 20 m y a nivel superficial de 13 sitios en la Isla del Coco, Costa Rica. Por otra parte, se analizaron muestras de fitoplancton colectadas desde la superficie hasta los 30 m de profundudad en los alrededores de 8 sitios de la Isla del Coco, y se determinaron varias especies luminiscentes pertenecientes a los géneros Ornithocercus y Ceratocorys. Resultados: Se logró obtener 7 aislados bacterianos luminiscentes, se identificaron y caracterizaron bioquímicamente mediante una plataforma automatizada (Vitek) con altos niveles de confianza, se ubicaron taxonómicamente dentro del género Vibrio,2 especies: V. alginolyticus y V. parahaemolyticus, además, algunos aislados presentaron resistencia al antibiótico ampicilina y 100% capacidad hemolítica. Esta investigación muestra evidencia de la presencia de especies microscópicas marinas en Isla del Coco, Costa Rica, capaces de presentar el fenómeno de la luminiscencia, por lo que profundizar en su estudio sería relevante en cuanto a la importancia de estos microorganismos en la producción de metabolitos secundarios y como indicadores de floraciones algales nocivas, por lo que se hace necesario realizar más investigación científica para determinar su potencial biotecnológico. Conclusiones: De la misma forma, los resultados obtenidos en esta investigación sugieren expandir las localidades de colecta y aislamientos de microorganismos luminiscentes, acompañado de una caracterización bioquímica y molecular, con el fin de explorar la diversidad microbiana asociada a eventos de luminiscencia y determinar los ambientes en el que estas especies se desarrollan.

Abstract Introduction: Bioluminescence is the ability of certain organisms to transform chemical energy into light energy through various biochemical processes. Objective: Isolation and identification for the first time of luminescent bacteria of superficial marine water, and the identification of marine luminescent dinoflagellates of Isla del Coco National Park, Costa Rica. Methods: Samples of seawater obtained by diving at 20 m and at a surface level of 13 sites were collected. On the other hand, phytoplankton samples collected from the surface up to 30 m deep were analyzed in the surroundings of 8 sites of Cocos Island, and several luminescent species belonging to the genera Ornithocercus and Ceratocorys were determined. Results: Seven luminescent bacterial isolates were obtained, they were identified and characterized biochemically by means of an automated platform (Vitek) with high levels of confidence, they were taxonomically located within the genus Vibrio, 2 species: V. alginolyticus and V. parahaemolyticus, in addition, some isolates presented resistance to the antibiotic ampicillin and 100% hemolytic capacity. This research shows evidence of the presence of marine microscopic species in Cocos Island, Costa Rica, capable of presenting the phenomenon of luminescence, so that further study would be relevant in terms of the importance of these microorganisms in the production of metabolites secondary and as indicators of harmful algal blooms, so it is necessary to conduct more scientific research to determine their biotechnological potential. Conclusions: In the same way, the results obtained in this investigation suggest expanding the collection and isolation of luminescent microorganisms, accompanied by a biochemical and molecular characterization, in order to explore the microbial diversity associated with luminescence events and determine the environments in which that these species develop.