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Ozone and UV radiation over southern South America: climatology and anomalies.

Ozone and UV radiation were analyzed at eight stations from tropical to sub-Antarctic regions in South America. Ground UV irradiances were measured by multichannel radiometers as part of the Inter American Institute for Global Change Radiation network. The irradiance channels used for this study were centered at 305 nm (for UV-B measurements) and 340 nm (for UV-A measurements). Results were presented as daily maximum irradiances, as monthly averaged, daily integrated irradiances and as the ratio of 305 nm to 340 nm. These findings are the first to be based on a long time series of semispectral data from the southern region of South America. As expected, the UV-B channel and total column ozone varied with latitude. The pattern of the UV-A channel was more complex because of local atmospheric conditions. Total column ozone levels of < 220 Dobson Units were observed at all sites. Analysis of autocorrelations showed a larger persistence of total column ozone level than irradiance. A decreasing cross-correlation coefficient between 305 and 340 nm and an increasing cross-correlation coefficient between 305 nm and ozone were observed at higher latitudes, indicating that factors such as cloud cover tend to dominate at northern sites and that ozone levels tend to dominate at southern sites. These results highlight the value of long-term monitoring of radiation with multichannel radiometers to determine climatological data and evaluate the combination of factors affecting ground UV radiation.

Journal Article↗

[Infection by hepatitis virus among the indigenous populations of South America: a review of the problem].

After the report of the epidemic outbreak of delta hepatitis among the Yukpa amerindians in the early 80s, the viral hepatitis arose as an important health problem in all the Amerindian communities from the north of South America and the Amazonian Basin. Despite the few data available, the results obtained in different communities from Venezuela (Yukpa, Barí, Yanomami) have shown a high endemicity of hepatitis B and D virus infections and a significant prevalence of hepatitis E virus-specific antibody among their members. By contrast, the infection by hepatitis C virus, which is present in all the urban areas from South America, seems uncommon, or even absent among some Amerindian populations. At the moment, a satisfactory explanation for this findings has not yet been arised. However, it could be possible that the margination of these populations regarding the health care system has been keeping them free of an infection largely linked worldwide to iatrogeny. Vaccination of Amerindian populations against hepatitis B should be taken as a priority of the health care programs. Moreover, such programs should consider the iatrogenic transmission of the HCV as a matter of concern regarding such populations, since parenterally transmitted hepatitis viruses seems to spread quickly among their members once they are introduced, giving rise to serious health problems.

Adult↗

Rotavirus-associated medical visits and hospitalizations in South America: a prospective study at three large sentinel hospitals.

BACKGROUND: Knowledge of the impact of rotavirus-associated disease on the health care systems of South America can aid in defining strategies for diagnosis, management and prevention. Up to date information on the impact of rotavirus disease in South America is scarce. AIM: To determine prospectively the impact of rotavirus disease as a cause of medical visits and hospitalizations at three large sentinel pediatric hospitals in Argentina, Chile and Venezuela. METHODS: A 2-year prospective surveillance for rotavirus-associated medical visits and hospitalizations was conducted during 1997 through 1998 at three large sentinel public hospitals, one each in Argentina, Chile and Venezuela. A common surveillance protocol was implemented at the three sites, and a representative number of nonbloody diarrhea stool samples from children <36 months of age were tested for rotavirus by enzyme-linked immunosorbent assay. RESULTS: For our target age group, acute diarrhea-associated medical visits/hospitalizations represented 41%/2%, 5%/6% and 9%/13% of all medical visits/all hospitalizations at the Argentinean, Chilean and Venezuelan sites, respectively (P < 0.001 for difference among the three sites). Rotavirus detection rates among a total of 5,801/1,256 medical visit/hospitalization diarrhea stool samples tested were 39%/71% in Argentina, 34%/47% in Chile and 29%/38% in Venezuela (P < 0.01 by chi square for difference among the three sites). Rotavirus was associated with a mean of 1.5, 1.8 and 3% of total medical visits and 1.6, 2.8 and 5% of hospitalizations among children <36 months of age at the Argentinean, Chilean and Venezuelan sites, respectively. Seasonality was evident for medical visits at all three sites (although less striking in Chile) with peak activity occurring between November and May. Rotavirus-associated hospitalizations had a marked peak in Venezuela, represented largely by short stays, but not in Argentina and Chile. CONCLUSIONS: Rotavirus was a significant cause of medical visits at all three sentinel sites. Rotavirus caused less hospitalizations than previously reported in Argentina and Chile. On the basis of our findings we estimate that approximately 106,000/ 21,000, 48,000/8,000 and 98,000/31,000 rotavirus-associated medical visits/hospitalizations occur yearly in Argentina, Chile and Venezuela, respectively.

Argentina↗

Critical care in South America. The new tradition.

This article offers a brief discussion of some of the aspects of clinical and academic realities of critical and intensive care medicine in South America. Organizational efforts of collaborating physician and nursing intensivists from South American countries, Spain, and Portugal are outlined. Discussion includes the issues of funding and support of health care delivery of the critically ill, and some of the clinical syndromes not commonly seen in North America and Europe, but seen by intensivists in South America.

Adult↗

Diversity of boll weevil populations in South America: a phylogeographic approach.

A phylogeographic approach was conducted to assess the geographic structure and genetic variation in populations of the boll weevil Anthonomus grandis, which is the most harmful insect pest of cotton in the Americas. COI and COII mitochondrial gene sequences were analyzed to test a former hypothesis on the origin of the boll weevil in Argentina, Brazil and Paraguay, using samples from Mexico and USA as putative source populations. The analysis of variability suggests that populations from South American cotton fields and nearby disturbed areas form a phylogroup with a central haplotype herein called A, which is the most common and widespread in USA and South America. The population from Texas has the A haplotype as the most frequent and gathers in the same group as the South American populations associated with cotton. The sample from Tecomán (México) shows high values of within-nucleotide divergence, shares no haplotype in common with the South American samples, and forms a phylogroup separated by several mutational steps. The sample from Iguazú National Park (Misiones Province, Argentina) has similar characteristics, with highly divergent haplotypes forming a phylogroup closer to the samples from cotton fields, than to the Mexican group. We propose that in South America there are: populations with characteristics of recent invaders, which would be remnants of "bottlenecks" that occurred after single or multiple colonization events, probably from the United States, and ancient populations associated with native forests, partially isolated by events of historical fragmentation.

Animals↗

[Risk of transmission of foot and mouth disease by milk and its products: perspectives in South America].

The authors highlight the importance of trade in dairy products in South America and throughout the world, and discuss the problem of restrictions engendered by foot and mouth disease (FMD) on exports to countries free from the disease. The epidemiological features of the disease and properties of the causal agent are described in relation to the dairy industry, with special reference to survival of the virus. Discussion then focuses on the risk of foot and mouth disease in relation to the effects the disease has on animal production before and after milking and the industrial processing of dairy products. Finally, the authors review progress achieved in FMD control and eradication programmes in Latin America, particularly in the southern sector where countries such as Chile and Uruguay are free from the disease, while in other countries (such as Argentina, Paraguay and parts of southern Brazil) no case has been reported for more than two years. It is concluded that dairy products can be exported from the region without creating a risk to animal health, provided that there has been proper risk analysis, according to the clearly defined regionalization criteria.

Animals↗

Risks of introducing foot and mouth disease through the importation of beef from South America.

The safety of beef with respect to foot and mouth disease (FMD) is determined by the level of risk which the exporting region poses through disease prevalence, the reliability of the surveillance system of the region, the efficacy of the prevention and control measures, the efficiency of the Veterinary Services and the support of the private sector. The South American continent has been regionalised in accordance with these criteria. Today there are approximately 90 million cattle in a territory of over 5 million km2 comprising regions classified as having a very low to low level risk for FMD with regard to the export of animals and animal products. Another 50 million cattle live in regions classified as posing a moderate risk. These risk categories reflect varying levels of risk. The harvest of beef in the meat-exporting regions of South America includes a series of risk mitigation measures, from the origin of the source herd to the final packing of the beef. These measures reduce the unrestricted risk estimate by almost six orders of magnitude. Therefore, the final risk of FMD for the global trade of beef originating from the low risk regions in South America is extremely small.

Animals↗

Disease and nonbattle injury related to peacekeeping operations in South America: summary patient care statistics for CABANAS 2000.

Peacekeeping operations and training for peacekeeping missions currently require far more time and personnel from our armed forces than previously. Although literature exists describing mortality, disease and nonbattle injury (DNBI), and medical support for peacekeeping operations in Europe, Africa, the Caribbean, and the Far East, none was found concerning operations and training for peacekeeping in South America. The present retrospective study presents an analysis of DNBI for forces participating in CABANAS 2000, an eight-nation peacekeeping training exercise held in Argentina. The mean DNBI rate for the 6-week period was 4.1 cases/100 personnel/week. Frequently cited causes for service member presentations for medical treatment were respiratory disease (43%), orthopedic disorders and injuries (25.9%), other miscellaneous medical conditions (8.5%), dermatologic complaints (6.9%), and diarrhea and intestinal complaints (6.5%). These findings indicate that peacekeeping operations and training in South America are relatively safe.

Female↗

Mammals and rainfall: paleoecology of the middle Miocene at La Venta (Colombia, South America).

A comparison of the species richness and macroniche composition of diet, locomotor and body-size classes among 16 nonvolant mammalian faunas in tropical South America reveals numerous significant positive correlations with rainfall. In particular, significant and strong positive correlations with rainfall are found in 18 attributes, including the number of nonvolant mammal species, number of primate species, number of frugivores, primary consumers, arborealists, and the number of species between 100 g to 10 kg in body weight. Estimates of annual rainfall derived from least-squares and polynomial regressions and principal components analysis yield a modal estimate of between 1500 and 2000 mm annual rainfall for the Monkey Beds assemblage at La Venta. This level of rainfall is associated today with the transition between savanna and forest environments in lowland equatorial South America. Paleontological evidence strongly suggests the presence of forest biotopes at La Venta. Paleontologic and sedimentologic evidence together indicate a dynamic and heterogeneous riparian mosaic associated with the shifting course of meandering rivers. Faunal evidence also suggests that habitat heterogeneity and canopy discontinuity extended into the interfluvial area. Seasonal rainfall was probably only of secondary importance in shaping the structural and spatial configuration of the dominantly forested mosaic habitat at La Venta. The fossil record is not consistent with the presence of extensive primary or undisturbed, continuous-canopy, evergreen tropical rainforest. The reconstructed middle Miocene environment at La Venta differs significantly from modern environments of similar geography on the piedmont east of the Andes at the same latitude. This in turn suggests that the extensive evergreen rainforests of the upper Amazonian piedmont that today receive more than 4000 mm of rainfall may post-date the initiation of Andean uplift.

Animals↗

In vitro antibiotic susceptibilities of ocular isolates in North and South America. In Vitro Antibiotic Testing Group.

PURPOSE: To assess the in vitro susceptibility of ocular bacterial isolates from North and South America to antiinfectives that are commonly used in the treatment of external ocular infection. METHODS: Ocular isolates (n = 1,291) from 12 laboratories in the United States, Canada, Mexico, and Argentina were tested for their susceptibility to ofloxacin, ciprofloxacin, norfloxacin, gentamicin, tobramycin, chloramphenicol, tetracycline, and erythromycin using both disk-diffusion and broth-dilution methods. RESULTS: When the results from disk-diffusion and broth-dilution testing were combined, the relative overall in vitro efficacy was (in decreasing order): ofloxacin, ciprofloxacin, norfloxacin, gentamicin, chloramphenicol, tobramycin, tetracycline, and erythromycin. Against gram-positive organisms it was: ofloxacin, ciprofloxacin equivalent to chloramphenicol, norfloxacin, tetracycline, gentamicin, and erythromycin equivalent to tobramycin. Against gram-negative organisms it was: ofloxacin equivalent to ciprofloxacin and norfloxacin, gentamicin, tobramycin, chloramphenicol, and tetracycline comparable to erythromycin. CONCLUSIONS: The fluoroquinolones ofloxacin, ciprofloxacin, and norfloxacin had higher overall in vitro efficacy than the other antibiotics tested. Of the fluoroquinolones, ofloxacin had the highest in vitro efficacy against gram-positive organisms. All three fluoroquinolones were equivalent in efficacy against gram-negative organisms.

Anti-Bacterial Agents↗

Evolving perception on the benefits of vaccination as a foot and mouth disease control policy: contributions of South America.

Within the past decade, changes in perceptions on the benefits of vaccination as an appropriate tool to achieve complete foot and mouth disease eradication have become evident. The former negative view was derived from misconceptions, resulting mainly from the belief that vaccines are not entirely effective and that vaccination masks asymptomatic viral circulation. The advent in the 1990s of vaccination policies implemented within a strategic eradication plan in South America, and during recurrence of the disease in disease-free regions contributed towards generating more reliable and visible outcomes of vaccination programs, paving the way towards a new perception. Particularly relevant was the development and application of novel serodiagnostic approaches to assess silent viral circulation, irrespective of vaccination. The use in South America of vaccination allied to serosurveys to accompany viral clarification during eradication campaigns and after emergencies clearly established the importance of this control tool to stop the spread of viral infection. This alliance gave input to break many myths associated with the use of vaccines, including the belief that immunized carrier animals pose an epidemiologic risk. This experience launched new concepts that supported the internationally recognized status of foot and mouth disease-free regions with vaccination and the 'vaccination to live' policy as an alternative to 'stamping out'.

Animals↗

Fifteen years of study of psychoactive snuffs of South America: 1967-1982--a review.

Much has been learned concerning psychoactive snuffs in South America in the past 15 years since I delivered a review paper in the now famous symposium "Ethnopharmacologic Search for Psychoactive Drugs" held in San Francisco in 1967 (Efron et al., 1967; Schultes, 1967). There is still much to be investigated, but it seems that a recapitulation at this time may be warranted. The advances in our knowledge have come about as a result of field work as well as laboratory research and have been effected by investigators in several disciplines: archaeology, ethnobotany, ethnology and phytochemistry.

Psychotropic Drugs↗

Intrinsic effects of species on leaf litter and root decomposition: a comparison of temperate grasses from North and South America.

Plant species affect natural ecosystems through interactions between environmental and genetic factors. The importance of plant species in controlling decomposition is now well-established through its influence on litter quality, which affects mass loss and nutrient release. At the same time, direct species effects are often confounded with indirect site effects due to the ecophysiological responses of plants to environmental variability. We evaluated the intrinsic effects of species on litter quality and decomposition, comparing 14 native perennial grass species from three different grassland ecosystems in North and South America. Plants were grown under controlled greenhouse conditions to eliminate any indirect effects of climate on litter quality, and senescent material of leaf litter and roots were collected. The initial litter nutrient quality and the carbon quality were assessed, and decomposition was determined over a period of one year by placing litterbags in a common grassland site. In spite of constant growth conditions, species' litter showed broad and significant differences in N, P and lignin concentration, as well as C:N ratio, with the greatest differences occurring between C(3) and C(4) species and leaf litter and root material. In addition, decomposition was significantly different among species and between leaf litter and roots within species, with constants (k) ranging from 1.50 to 3.65 year(-1) for leaf litter, and 0.51-1.82 year(-1) for roots. These results highlight the fact that, independent of climate or edaphic changes due to human activity, changes in plant species or in allocation patterns among plant organs in grassland ecosystems could have a large effect on carbon turnover. At the same time, the way in which intrinsic species characteristics affect decomposition demonstrates a large degree of functional convergence among species from grasslands of North and South America.

Carbon↗

Risk assessment and risk regionalization, based on the surveillance system for foot and mouth disease in South America.

Within the framework of the International Animal Health Code of the Office International des Epizooties (OIE), important contributions have been made by the Animal and Plant Health Inspection Service/United States Department of Agriculture (APHIS/USDA), the Ministry of Agriculture of Canada, the Ministry of Agriculture and Fisheries of New Zealand and other organisations, by the development of risk assessment methods and regionalization criteria for risk assessment. The authors attempt to contribute to these efforts by proposing a regional risk evaluation of foot and mouth disease (FMD) in South America. Two examples of risk assessments for international trade, i.e., in bovine embryos and in meat, are used to demonstrate the importance of an effective disease surveillance system as the basis for risk regionalization for international trade in animals and animal products. As a result of progress in the control and eradication of FMD in South America, it is expected that major livestock production regions will soon be in low- to very low-risk categories.

Animals↗

Epidemiology of heartworm: what is happening in South America and Mexico?

Canine heartworm has been known to exist in the Americas for more than 150 years (1847), and the first South American report was published approximately 30 years later (1875). The first human case was reported in 1887 and the first feline case in 1921. Coincidently, these two reports were from Brazil, where most surveys of the disease during the past two decades have been conducted in dogs. Feline cases are seldom found in the South American literature, although feline heartworm disease has been reported in Venezuela and Brazil. The prevalence in Mexico seems to be stable over the past 10 years (7.3-7.5%). Only 5 of the 13 South American countries have reported on canine heartworm infection prevalence. In Argentina, the national prevalence ranges from 3.5 to 12.7%; however, there was a much higher prevalence (17.7 and 23.5%) reported for two sections of Buenos Aires. In Lima, Peru, the prevalence is 4.35%, and Colombia reports 3.8-4.8% of dogs are infected. No infections were detected in 1056 dogs sampled in Chile. In Brazil, the national prevalence has declined from 7.9% in 1988 to 2% in 2001. The downward trend observed for canine heartworm in Brazil suggests that multiple pressures may be affecting the nematode transmission, including a possible decrease in mosquito vector population due to better control programs, reduction of transmission due to effective chemoprophylaxis, reduction of microfilaremic dog populations with the off-label use of injectable ivermectin, or reduction of the reproductive capacity of worms from tetracyclines used to control ehrlichiosis. Survey of a large population of captured mosquitoes indicated the most frequent species captured were vectors of heartworms (Aedes taeniorhynchus (73.9%), Aedes scapularis (20%) and Culex quinquefasciatus (2.5%), suggesting that the composition of the mosquito population is not a critical factor in the decrease in heartworm infections in dogs in South America.

Animals↗

Race/ethnicity and depressive symptoms: a cross-cultural/ethnic comparison among university students in East Asia, North and South America.

To examine manifestations of depressive symptomatology among undergraduate students in East Asia, North and South America, responses to the Center for Epidemiologic Studies Depression Scale (CES-D) were compared across Japanese (n = 310), Anglo-American (n = 377), Native American (n = 353), and Argentinean (n = 110) undergraduate students. Japanese reported a significantly higher level of low positive affect, leading to significantly higher total CES-D scores, whereas their negative symptoms score was comparable to scores of Anglo-Americans and Argentineans. Although Native Americans were more likely to endorse negative symptoms, their low positive affect score was comparable to those of Argentineans. Argentineans appear to suffer less from depressive symptoms. Results from a Differential Item Functioning analysis, using Anglo-Americans as the reference group, indicated that: (1) the manifestation of depressive symptoms seemed to be similar for Anglo-Americans and Argentineans, except for low positive affect; (2) Native Americans tended to favor somatic symptoms over affective (depressive) symptoms; (3) responses to positive affect questions could possibly be biased not only for Japanese but also for people in North America; i.e., the expression of positive affect might be enhanced in North American culture, while inhibited in Japanese culture.

Adolescent↗

Hospital resource use and cost of treatment with linezolid versus teicoplanin for treatment of serious gram-positive bacterial infections among hospitalized patients from South America and Mexico: results from a multicenter trial.

BACKGROUND: Linezolid is a novel oxazolidinone antibiotic that is effective for the treatment of gram-positive bacterial infections. The oral formulation has the potential to reduce length of stay (LOS) when used as a substitute for parenteral glycopeptide antibiotics. In a recent multinational trial comparing linezolid (i.v. followed by oral administration) with teicoplanin (i.v. alone or switched to i.m. administration), linezolid was found to have better efficacy (P = 0.005) and similar safety for treating serious gram-positive infections. OBJECTIVE: The purpose of this study was to compare hospital resource use (primarily LOS) and cost of treatment between linezolid and teicoplanin for hospitalized patients with serious gram-positive infections in South America and Mexico using data from the multinational trial. METHODS: In a multinational, Phase IIIb, open-label, comparator-controlled trial, data were collected from hospitalized patients in centers in 6 South America can countries and Mexico with suspected or confirmed serious gram-positive infections. Patients were randomly assigned to receive i.v. linezolid 600 mg BID (for the entire treatment period [7-28 days] or switched to oral linezolid 600 mg BID) or i.v. teicoplanin (for the entire treatment period or switched to i.m. teicoplanin) dosed per approved prescription information. Data on direct medical resource utilization were collected for each patient, including duration and doses of study medication, location of hospitalization and LOS, comedications, tests and procedures, and outpatient service usage. Unit costs for the medical resources were obtained from secondary sources. RESULTS: A total of 203 patients (97 treated with linezolid and 106 treated with teicoplanin) were enrolled from these 7 countries. The unadjusted results showed that compared with teicoplanin, patients treated with linezolid had a 3.1-day shorter mean i.v. antibiotic treatment duration (P < 0.001), a 2.0- to 2.2-day shorter median and mean LOS (P = 0.03), and a 311 US dollars lower mean total cost of treatment (P = NS). After controlling for age, race, sex, site of infection, inpatient location when the antibiotic treatment started, number of historical and current comorbidities, and whether the patient had a diagnosis of systemic inflammatory response syndrome or sepsis, the multivariate adjusted results were similar to the unadjusted results. The linezolid group had a 1.6-day shorter adjusted LOS or 66% greater odds of early discharge (P = 0.049) and a 335 US dollars lower adjusted mean total cost of treatment (P = NS). CONCLUSION: Linezolid was associated with shorter LOS and duration of IV antibiotic treatment than teicoplanin for serious gram-positive infections in the population studied. Linezolid therapy has the potential to reduce the total cost of treatment.

Acetamides↗

A genotype of hepatitis D virus that occurs in northern South America.

Hepatitis D virus (HDV) is the cause of an unusually severe form of liver disease with distinct histologic features (morula cell) that occurs throughout northern South America and certain other areas of the world. Clinical studies of HDV disease worldwide indicate that there is, in fact, a wide variation in pathogenesis, and the reasons for these differences are presently unknown. One possible explanation is that factors associated with the viral genotype are determinants of HDV pathogenesis. In this study, nucleic acid sequences were determined for three different northern South American HDV isolates which were obtained from individuals with severe disease or a family history of severe disease, in areas that are hyperendemic for this disease pattern. The sequences of these three isolates are very similar to one another but only distantly related to other published HDV sequences. Comparison of the sequence of a semiconserved region from a total of 14 isolates indicates that there are at least three HDV genotypes. Most published HDV sequences, including those from North America, Europe, the Middle East, the South Pacific, and Asia, belong to a single genotype which may have some geographically based subtypes. A single Japanese isolate is the sole representative of a second HDV genotype. The South American sequences reported here constitute a third genotype. The association of a particular genotype with the severe form of type D hepatitis that occurs in northern South America supports the hypothesis that HDV genetic factors are important determinants in the pathogenesis of type D hepatitis.

Adolescent↗