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At least 19 recordsLinked to original sources
PubMed1990

Cancer in migrants to Uruguay.

Mortality rates from different cancers in the principal groups of migrants to Uruguay are compared with those in their countries of origin (Argentina, Brazil, Italy and Spain) and in the Uruguay-born population. Oesophageal cancer is very common in Uruguay and European-born populations, initially at low risk, appear to acquire rather higher rates after migration. For most migrants, the mortality from cancers of the breast, colon-rectum, corpus uteri and prostate is closer to the moderately elevated rates of Uruguay than those in their countries of origin. The results suggest that migrants to Uruguay undergo changes in some important environmental exposures, probably dietary, which give rise to substantial alterations in cancer risk within their lifespan.

Age Factors↗
PubMed2006

A nationwide survey on seroprevalence of Neospora caninum infection in beef cattle in Uruguay.

Bovine abortions due to Neospora caninum infection have been reported worldwide and its economic impact on the beef industry has been acknowledged as a problem. Uruguay has the largest export value of beef per acre in South America. However, no data on the prevalence of N. caninum infection have been available in this country. The objective of this study was to estimate the prevalence and distribution of N. caninum infection in beef cattle in Uruguay through a nationwide survey. A two stage sampling design was used with farms being selected in stage one and animals being selected in stage two. A brief questionnaire was administered on each farm. Seroprevalence of N. caninum in 4444 beef cattle from 229 farms in all the counties, except Montevideo, of Uruguay was determined by an ELISA. The data were then analyzed to identify associations between infection and variables such as type of animal (cow or heifer), herd size, use of veterinary advice, productivity of the soil in relation to the national average, use of improved grass, use of mineral salts, use of supplemental feed, and presence of a dog(s) on the farm. The estimated proportion of positive farms for all the beef cattle operations was 69.2% (95% confidence interval [CI], 53.7-84.7). The overall cattle seroprevalence was estimated as 13.9% (95% CI, 11.6-16.3). The prevalence estimation by animal category was 14.3% (95% CI, 11.4-17.2) for beef cows and 12.9% (95% CI, 10.0-15.8) for beef heifers. There was no significant difference in the estimated prevalence between the two animal types. There was no significant difference in the animal level prevalence of N. caninum infection among different herd sizes. None of the herd demographic or management variables was significantly associated with the seropositivity to N. caninum infection. In conclusion, these results show that N. caninum infection is common among beef herds across Uruguay. Since the beef industry is one of the key industries in Uruguay, the economic effect and risk factors of N. caninum infection among beef cattle in this country should be further evaluated in the near future.

Abortion, Veterinary↗
PubMed1999

Lead contamination in Uruguay.

Uruguay is a developing country of South America with about 3 million people, half of whom live in its principal city, Montevideo. This city has several lead pollution sources as emitting industries, most of them surrounded by residential neighborhoods, some still using lead pipes in drinking water systems of old buildings, and has areas of heavy traffic with cars that are still fueled with leaded gasoline. The toxic effects of this heavy metal are well known. Children are a very sensitive population and their early symptoms of intoxication are not always taken into account. Blood lead is a good indicator of recent exposure to lead influenced by inhalation and ingestion. The systematic data assessment of lead pollution and people exposure in Uruguay was not well known when the Department of Toxicology and Environmental Hygiene of the Faculty of Chemistry began to analyze lead in biological samples, first from exposed workers and next from children and the general population, including sensitive animal species like dogs. Several described studies were carried out analyzing for blood lead to assess lead uptake and to obtain reference values for Uruguayan populations. Since 1986, that Department is the only laboratory where blood lead analyses are done, and the analytical method has been controlled by an interlaboratory quality control program of the Ministry of Labour of Spain and confirmed by experts from the Laboratory of Occupational and Environmental Medicine of Lund, Sweden. Financial and technical support was obtained from Sweden (SAREC) and also from the University of the Republic of Uruguay. Uruguayan lead workers have always been the principally studied population because their lead exposure assessment as well as their health protection education is not always done properly. Uruguay has adopted ACGIH reference values (150 micrograms/m3 in total lead dust, 50 micrograms/m3 respirable lead dust, 300 micrograms/L blood), and the high blood lead levels indicate significant adverse health risks effects and show a lack adequate controls for working conditions. A surveillance of children living in the surroundings of lead processing factories and in different neighborhoods was conducted because no data were available for blood lead in children before 1992. Also, general populations living in those areas or in areas of heavy traffic were assessed. Blood lead levels were always compared with those of control populations sampled at the same time answering a questionnaire. Workplace influence as well as atmospheric, soil, and water pollution were always considered to explain the obtained results. Some studies were carried out in dogs as a sensitive population, showing their higher exposure. The described studies included internal and external quality controls for the analytical methods and data processing. All blood lead analyses were done by atomic absorption spectrometry (AAS) after adding complexing agent and extraction. Samples taken together with Swedish researchers were analyzed in Lund (Department of Occupational and Environmental Medicine University Hospital), at 283.3 nm after electrothermal atomization (ETA). There was good correlation (r = 0.96) among 28 samples shared between Montevideo and Lund laboratories. The authors recommend more systematic clinical examination of workers, children, and the general population to determine the potential health risks for Uruguayan populations so as to improve their health conditions and to officially recognize lead pollution as an environmental problem.

Adult↗
PubMed1996

High prevalence of Ancylostoma spp. infection in dogs, associated with endemic focus of human cutaneous larva migrans, in Tacuarembo, Uruguay.

A helminthological survey of the intestinal parasites in stray dogs was conducted in urban and suburban area of Tacuarembó, Uruguay, during winter time. Eighty stray dogs captured in the city were necropsied. Seventy nine dogs (98.8%) were positive for helminth infection. Seventy seven (96.3%) were parasitized by hookworms. Two species of hookworms were found: Ancylostoma caninum 96.3% and A. braziliense 49.4%. This is the first report of the prevalence of A. braziliense in Uruguay. Considering that incidences of human cutaneous larva migrans caused by the migration of hookworms larvae were restricted mainly to the northern part of Uruguay and that only A. caninum were reported to be prevalent in the southern part, it is supposed that A. braziliense is the primary causative agent of human cutaneous larva migrans in Uruguay.

Ancylostoma↗
PubMedDate not supplied

[The national-international nexus in public health: Uruguay and the circulation of child health and welfare policies, 1890-1940].

This paper examines the emergence of child health policy as a global concern from the perspective of Uruguay's interaction with the international public health community in the early 20th century and its role in the circulation of child health ideas and practices. It considers two facets of national-international interplay: a) Uruguay's exploration of an interrelationship with the international panorama of policies, research and lessons on the improvement of child health; and b) the translation of Uruguay's domestic debates into the influential Instituto Internacional Americano de Protección a la Infancia - IIPI and the purveying of Uruguay's policies, research, and lessons on child health improvement to other countries and to international health and welfare agencies.

Adolescent↗
PubMed1997

Acute renal failure in leptospirosis in Uruguay.

The present study was carried out to describe epidemiology and clinical pattern of acute renal failure caused by leptospirosis in Uruguay. For these purposes, all literature published in Uruguay was reviewed. Three studies were analyzed: 2 series of patients and 1 case report that summarize 26 cases. The incidence of acute renal failure found in the first study was 8% and in the second one, 15%. The first study included only dialyzed patients, which could explain the aforementioned difference. The estimated annual incidence of leptospirosis in Uruguay is about 10 cases/year. Therefore, the expected incidence of acute renal failure due to leptospirosis is of 0.7-1.3 cases/year. All but 1 case were males. Mean age was 35 +/- 14.5. Source of infection was known in 23/26. Typical symptoms were: fever 26/26, myalgias 22/26, dehydration 21/26, jaundice 21/26, conjunctival suffusion 20/26, and digestive disturbance 18/26. Bleeding and meningitis were infrequent (8/26, 5/26, respectively). Acute renal failure was intrinsic in 18/26. Nonoliguric forms were predominant (14/18). Kalemia was low or normal in 22/26 cases. Dialysis was performed in 9/26 cases, but the number of dialyses per patient was high (9.4 +/- 4). The survival rate was 23/26. We concluded that leptospirosis is an infrequent cause of acute renal failure in Uruguay, with an expected frequency of approximately 1 case/year. Clinical picture was typical and contact was frequently known, which made diagnosis easy. Acute renal failure was predominantly polyuric and with low or normal kalemia; survival rate was high.

Acute Kidney Injury↗
PubMed2002

Country response to HIV/AIDS: national health accounts on HIV/AIDS in Brazil, Guatemala, Honduras, Mexico and Uruguay.

National expenditures on HIV/AIDS were estimated as summary indicators to assess the country's response to HIV/AIDS. The methodology is based on a matrix system describing the level and flow of health expenditures on HIV/AIDS: an adaptation of the National Health Accounts methods. The expenditures were classified by source (public, private, international), by the use of funds (prevention, care), by object, and by type of provider institution. The results are reported in US dollars using the official exchange rate for the year of estimation. For international comparisons monetary units were adjusted by the purchasing power parity (US dollars PPP). National HIV/AIDS total expenditures were: Guatemala US dollars PPP29.5 million, Uruguay US dollars PPP 32.5 million, Mexico US dollars PPP 257 million, and Brazil US dollars PPP 587.4 million during 1998, and Honduras US dollars PPP 33.9 million for 1999. The total HIV/AIDS expenditures per capita for 1998 were: Brazil US dollars 2.69, Mexico US dollars 1.25, Guatemala US dollars 1.08, Uruguay US dollars 6.63, and Honduras US dollars 3.6 for 1999. The 1998 distribution of the total HIV/AIDS expenditures in prevention and care were, respectively, Brazil 10 and 80%, Guatemala 15 and 70%, Mexico 29 and 66%, Uruguay 36 and 51%, and Honduras 28 and 65% for 1999. The share of total expenditures on antiretroviral drugs ranged from 52% in Guatemala to 75% in Brazil, even when the estimated coverage of antiretroviral therapy was close to 10% in Guatemala and universal in Brazil. The estimated flow from international sources per capita in 1998 was Uruguay US dollars 0.03, Brazil US dollars 0.24, Guatemala US dollars 0.11, Mexico US dollars 0.01, and Honduras US dollars 1.04 in 1999. The data allow international comparisons and provide critical information to improve equity and efficiency in the allocation of scarce resources. The National HIV/AIDS Accounts also constitute a powerful tool to describe the country's response to HIV/AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed2003

[Continuing medical professional development in Uruguay as the country faces the 21st century].

This paper outlines the evolution of the concept of continuing medical professional development in Uruguay, as that professional development has progressed from independent and varied efforts that were not coordinated or evaluated to a plan that is aimed at improving the quality of educational activities and programs and making them accessible to all the physicians in the country. In contrast to countries where scientific societies and medical associations preside over continuing professional development, in Uruguay the Graduate School of the School of Medicine of the University of the Republic has taken on managing and developing this process. The key objective of this process is for the Graduate School to work in conjunction with other leading players in professional development to create a national system of continuing medical professional development. This system should be interinstitutional and include both public and private entities. By having the key public institutions (the Graduate School and the Ministry of Public Health) working with private entities (medical associations, scientific societies, and health care institutions), there should be an adequate balance of interests. The national professional development system should work in the most decentralized manner possible and should be based on a network of units distributed around the entire country, but with centralized coordination. The system's interinstitutional character should ensure high technical and ethical standards as well as a balance among the governmental, commercial, professional, and university components. This system should serve as the basis for extending this activity to all health personnel in Uruguay. While the national system is still being finalized, the Graduate School has implemented a process of accrediting institutions that are involved in continuing professional medical development. The aim of this accreditation process is to improve the educational offerings for physicians and to generate practical experience that will serve the future system.

Education, Medical, Continuing↗
PubMedDate not supplied

Substantial Native American female contribution to the population of Tacuarembó, Uruguay, reveals past episodes of sex-biased gene flow.

For many years it has been assumed that the population of Uruguay is almost exclusively European-derived and that the biological contribution of the native population as well as of individuals of African descent is negligible. Several recent studies based on a variety of genetic markers, mostly morphological and serological markers, have produced quite a different picture of the constitution of the Uruguayan population. The Native American contribution varies from 1-20%, while the African contribution ranges from 7-15%, in different regions of the country. In the present study we examine the way the admixture process took place in Uruguay by analyzing the ancestry of maternal lineages in a sample from the northern city of Tacuarembó. To accomplish this goal we typed mitochondrial DNA (mtDNA) markers of Native American, African, and European origin and estimated the proportions of each parental group in the admixed population. We found that 62% of all mtDNA haplogroups were of Native American descent, a surprising figure considering the "European roots" of the country. Consequently, this result assimilates Uruguay to the rest of Latin American populations where sex-biased gene flow between European men and Native American women has been the rule. We further analyzed the distribution of the four major founding mitochondrial lineages in Tacuarembó and compared it to other South American populations. We discuss our findings in the light of historical records and assess the need for additional genetic studies.

Black People↗
PubMed2006

Influenza B viruses isolated in Uruguay during the 2002-2005 seasons: genetic relations and vaccine strain match.

Monitoring antigenic and genetic variations of circulating influenza viruses is critical for the selection of annual vaccine strains. In order to gain insight into the molecular evolution of Influenza B viruses (IBV) isolated in Uruguay in 2002 and 2005 outbreaks, antigenic and phylogenetic studies were carried out for the Hemagglutinin (HA) gene. Antigenic relations among Uruguayan and reference strains isolated elsewhere were performed by means of hemagglutination inhibition assays (HAI). Genetic relations of HA genes from Uruguayan as well as 41 IBV strains isolated elsewhere were established by means of the construction of phylogenetic trees. HAI assays showed a distant antigenic relationship among the 2002 Uruguayan isolates and the 2002 vaccine strain B/Sichuan/379/99. Phylogenetic analysis also revealed a distant genetic relationship among Uruguayan and 2002 vaccine strains. All 2005 IBV Uruguayan strains were both antigenically and genetically related to B/Victoria lineage-viruses. The results of these studies revealed that 2002 IBV Uruguayan strains have a distant antigenic and genetic relation with the 2002 IBV vaccine strain used in Uruguay. The high rate of susceptible individuals in the youngest cohort (<25 years) might be related to the fact that the B/Victoria lineage-viruses were not previously circulating in Uruguay.

Disease Outbreaks↗
PubMed2004

Molecular diversity of Moraxella bovis isolated from Brazil, Argentina and Uruguay over a period of three decades.

The molecular profile of 30 Moraxella bovis strains, recovered from outbreaks of infectious bovine keratoconjunctivitis in Argentina, Brazil and Uruguay between 1974 and 2001, was determined through randomly applied polymorphic DNA (RAPD) analysis. Molecular profiles of nine strains recovered after 1990 varied from those recovered before 1990. The profiles of 13 strains (48%) differed from those of three vaccinal strains extensively used since 1984 in Argentina and Uruguay. Eight Argentinean strains, one from Brazil and two from Uruguay had identical RAPD profiles. Strains belonging to different serogroups had identical RAPD profiles, demonstrating that this technique was not able to discriminate among strains with low cross-reactivity indices. RAPD may be helpful in the primary characterization of M. bovis strains, but it does not replace serological characterization.

Animals↗
PubMed2006

Genetic structure of Africanized honeybee populations (Apis mellifera L.) from Brazil and Uruguay viewed through mitochondrial DNA COI-COII patterns.

Mitochondrial genotypes of Africanized honeybees from Brazil and Uruguay were surveyed by DraI restriction of the COI-COII region. Eleven mitotypes were found, three of which had not previously been described (A28-A30). Out of 775 samples (725 from Brazil, 50 from Uruguay), 197 were A1 and 520 were A4. A1 frequency increases toward the north of Brazil, whereas A4 frequency increases toward the south, a pattern echoing the African distribution. The origin of the A4 and most of the A1 African patterns can be attributed to the introduction of Apis mellifera scutellata into Brazil in 1956. The A29 and A30 patterns have the P1 sequence observed in many Iberian Peninsula samples, which represent the traces of the introductions into Brazil and Uruguay by settlers.

Africa↗
PubMedDate not supplied

Bovine respiratory syncytial virus: first serological evidence in Uruguay.

Bovine respiratory syncytial virus (BRSV) is a major cause of respiratory disease in calves resulting in a substantial economic loss for the cattle industry worldwide. In order to determine the presence of BRSV in Uruguay, an immunoenzymatic test was set up, using a recombinant BRSV nucleocapsid (N) protein as the antigen. The N protein was produced in Sf9 insect cells by a recombinant baculovirus expressing the N protein. Serum samples collected from one hundred cattle from four different geographic regions of Uruguay were analyzed. Antibodies against the N protein of BRSV were detected in 95% of the serum samples analyzed. These results show for the first time the presence of BRSV antibodies and suggest a widespread BRSV infection in the cattle population of Uruguay.

Animals↗
PubMed1999

Comparison of survival for haemodialysis patients vs renal transplant recipients treated in Uruguay.

BACKGROUND: Our aim was to compare survival among renal transplant recipients and haemodialysis patients treated in Uruguay. METHODS: All the patients transplanted in Uruguay (n=460) and all the patients who started haemodialysis (HD) in three centres in Uruguay (n=695) from 01 January 1981 to 31 December 1998 were included. Overall survival, adjusted survival and survival of the patients in the low-risk group were compared for HD patients and renal transplant recipients. Diabetic and non-diabetic patients were considered independently. The low-risk group was defined by the absence of any significant risk factor related to mortality on the Cox proportional hazard regression model (age more than 55 years at start of HD, previous history of diabetes, heart disease, cancer, and smoking habit). The significant variables were also used to adjust the survival curve. RESULTS: Overall survival was significantly greater in renal transplant recipients (P<0.0001). One-, five- and ten-year survival rates were 95.2, 88.0 and 78.8% for renal transplant recipients and 90.6, 62.7 and 39.8% for HD patients. In non-diabetic patients, adjusted survival rates (for age, heart disease, cancer, and smoking habit) were similar in renal transplant recipients and HD patients (P=0.8713). In the low-risk group as well, significant differences in survival between renal transplant recipients (n=289) and HD patients (n=134) were not observed (P=0.2312). Ten-year survival rates were 82.6 and 87.9% respectively. In diabetic patients 5-year survival rates adjusted for heart disease, smoking habit, and chronic pulmonary disease were 89.2% for renal transplant recipients and 40.9% for HD patients (P=0. 0168) The relative risk of haemodialysis patients related to renal graft recipients was 2.85 (1.21-6.75). CONCLUSIONS: We conclude that when the outcome is adjusted to co-morbid factors there is no difference between renal transplant recipients and haemodialysis patients survival in non-diabetic patients, while renal transplantation gives better survival rates than haemodialysis in diabetic patients.

Adolescent↗
PubMed2006

Prevalence of Rickettsia felis in Ctenocephalides felis and Ctenocephalides canis from Uruguay.

Our aim was to determine the presence of Rickettsia spp. in 66 fleas from Uruguay. Rickettsial DNA was amplified using gltA and ompB PCR primers. Rickettsia spp. were found in 41% of the fleas (25 Ctenocephalides felis and 2 Ctenocephlides canis). Sequences resulted in the identification of Rickettsia felis and four genotypes closely related to this species (Rickettsia sp. TwKM03, California 2, Hf187, and RF2125). The presence of R. felis in fleas from Uruguay in was demonstrated. This is the second species of Rickettsia identified in Uruguay in the past 2 years using molecular approaches, and it is helping to clarify the etiology of rickettsial diseases in the region.

Animals↗
PubMed2005

Golden mussel Limnoperna fortunei (Bivalvia: Mytilidae) distribution in the main hydrographical basins of Uruguay: update and predictions.

Limnoperna fortunei, an Asiatic rivers bivalve has become a worldwide problematic invasive species causing several water quality and macrofouling problems. In the Neotropical region it was first recorded in 1991 in the Rio de la Plata coast, Buenos Aires province. Since this, it showed a quick upstream invasion into the principals aquatic systems of the Plata Basin. Nevertheless, there is not a study about its invasion and distribution process in aquatic systems of Uruguay. We describe the new records of Limnoperna fortunei in Uruguayan coast of Rio de la Plata, Santa Lucia, Negro and Uruguay Rivers. With these results we aim to estimate its distributional limits for Uruguay main hydrographical basins. We also deal with the role of salinity as the main abiotic factor in limiting the east distribution of this mussel in Uruguayan coast of Rio de la Plata and as a potential determinant of the "new" colonization on the Atlantic and the Merin Lagoon Basins. Its presence in the ecosystems not only can cause changes at the ecosystem level but also endanger the associated community, favoring the displacement and the disappearance of endemic species.

Animals↗
PubMed2006

Serologic evidence of human metapneumovirus circulation in Uruguay.

First identified in 2001, the human metapneumovirus (hMPV), is a respiratory tract pathogen that affects young children, elderly, and immunocompromised patients. The present work represents the first serologic study carried out in Uruguay. It was performed with the purpose of obtaining serological evidence of hMPV circulation in Uruguay and to contribute to the few serologic reports described until now. Sixty nine serum samples collected between 1998 and 2001 by vein puncture from patients without respiratory symptoms or underlying pathology aged 6 days to 60 years were examined using an indirect immunofluorescence assay (IFA). The global seropositivity rate of the samples was 80% (55/69). Rates of 60% (15/25) and 91% (40/44) were observed for the pediatric and adult cohorts, respectively. Results obtained from a longitudinal analysis of 6 children aged 6 days to 18 months are discussed. These results are a clear evidence of hMPV circulation in Uruguay, at least since 1998, and reinforce the previous data on worldwide circulation of this virus.

Adolescent↗
PubMed2006

A new genus and species of opisthogonimid (Digenea) of Liophis anomalus (Serpentes: Colubridae) from Uruguay.

During a study on the helminth fauna of Liophis anomalus specimens deposited in the Reptile Collection of the Secci6n Zoología Vertebrados, Facultad de Ciencias, Uruguay, a new genus of Opisthogoniminae was found. Paracotyletrema n. gen. is described from the buccal cavity and esophagus of specimens from Departamento de Flores, Uruguay. This new genus differs from the other 2 Opisthogoniminae, Opisthogonimus and Westella, by having much smaller body size; maximum width at level of posterior end of oral sucker; oral sucker length more than one-fourth of body length; oral sucker and acetabulum separated by a distance of about the diameter of pharynx; cirrus pouch length more than half of body length; and testes in completely coincident zones. The type and only species, Paracotyletrema poncedeleoni n. gen., n. sp., is defined by the following diagnostic characters: mean oral sucker length one-third to one-half of body length; cirrus pouch of about body length, contorted, mainly acetabular; large, round testes in nearly adjacent fields, and an ovary nearly adjacent to right testis. Besides the type locality, Paracotyletrema poncedeleoni has been found in L. anomalus specimens from the Departamentos of Artigas and Treinta y Tres; therefore, it has a widespread distribution in Uruguay.

Animals↗