Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina

Human astroviruses have been increasingly identified as important agents of diarrheal disease in children. However, the disease burden of astrovirus infection is still incompletely assessed. This paper reports results on the epidemiological and clinical characteristics of astrovirus-associated diarrhea, as well as the impact of astrovirus infection on the ambulatory setting at a Public Hospital in Córdoba city, Argentina. From February 2001 through January 2002, 97 randomly selected outpatient visits for diarrhea among children < 36 months old were enrolled. A single specimen of stool from each child was collected and tested for astrovirus antigen by enzyme immunoassay. Astroviruses were detected in 12.37% of the diarrheal episodes. All the positive cases occurred in children 4 to 18 months, but the highest rate was in children aged 4 to 6 months (23.80%). The clinical symptoms of astrovirus associated-diarrhea were fever 41.66%, vomiting 25.00% and dehydration 8.33%; overall 16.66% required hospitalization. Astrovirus was identified through the year and no seasonally pattern was detected (cool semester 15.21% versus warm semester 9.80% p > 0.05). According to our estimation about one out of seventy-four children in this cohort would be assisted annually for an astroviral-diarrheal episode in the Public Hospital and one out of eight diarrheal cases could be attributed to astrovirus infection. Astrovirus is a common symptomatic infection in pediatric outpatient visits in the public hospital in the study area, contributing 12.37% of the overall morbidity from diarrhea.

Emergências em pacientes com doença de Chagas na cidade de Buenos Aires, Argentina

O objetivo do trabalho foi avaliar as causas mais freqüentes de emergências em pacientes com doença de Chagas. Entre janeiro de 1998 e janeiro de 1999, foram incluídos num estudo prospectivo, indivíduos com doença de Chagas que ingressaram no pronto socorro do Hospital Santojanni da Cidade de Buenos Aires. Para a análise estatística, utilizou-se o teste de X² com correção de Yates. De um total de 1.680 pacientes ingressados, houve 95 (6%) com sorologia reativa para doença de Chagas. Em 31 indivíduos, a causa de ingresso foi síncope, em 28 insuficiência cardíaca, em 18 eventos coronários agudos, em 5 acidentes vasculares cerebrais, em 3 hipertensão arterial com edema agudo de pulmão e em 2 encefalite aguda associada à SIDA. Como conclusão observou-se uma associação significativa entre: 1) presença de cardiopatia e hospitalização, 2) insuficiência cardíaca, síncope, encefalite aguda e mortalidade, 3) progresso de cardiopatia e mortalidade e 4) lugar de procedência e mortalidade.

Hydatidosis cases in one of Mar del Plata City hospitals, Buenos Aires, Argentina

Hydatidosis is a zoonosis of worldwide distribution produced mainly by the metacestode Echinococcus granulosus. In Argentina, its distribution reaches endemic levels. The aims of this investigation were to contribute to the knowledge of hydatidosis in the southeast of Buenos Aires province, study its evolution at the Interzonal General Hospital for Acute Diseases between 1992 and 2002 and discuss its importance. Clinical records of operated and/or diagnosed patients were reviewed with regard to this disease. One hundred and twenty cases were analyzed. Among the patients, 56.7% were women. The average age was 42.2+16.8 years. 68.3% lived in urban areas. In 75% of the cases, ultrasonography was used. Hepatic location was most frequently seen. 89.2% received surgical treatment. Albendazole was used for 19 patients. The mean length of hospital stay was 16 days. We conclude that this zoonosis is a disease that generates high costs in medical care and for this reason more epidemiological studies should be carried out and public health authorities should implement control and prevention strategies in the region.

Brazil's global aspirations and their implications for the relationship with Argentina in the framework of MERCOSUR

Dissertação de mestrado em Relações Internacionais

Mercados emergentes en el escenario africano: oportunidades y desafíos para la política exterior argentina. Emergent markets in the African scene: opportunities and challenges for the Argentine foreign policy.

Este trabajo parte de la inquietud de cómo organizar y articular los recursos diplomáticos, económicos, tecnológicos y culturales que cuenta la Argentina en África, para incentivar e incrementar las vinculaciones entre ambas regiones. Teniendo en cuenta los nuevos escenarios emergentes del espacio africano y los lineamientos de política exterior ensayados por nuestro país en los últimos años, nuestro período de análisis se concentrará entre los años 2002 y 2007. Sostenemos que el desarrollo de una estrategia articulada y permanente hacia el África requiere un aprovechamiento más eficaz y eficiente de los recursos humanos, financieros y tecnológicos existentes. De esto modo, la Argentina podría posicionarse como un socio relevante en la agenda de los países africanos, proveyendo productos, tecnología y servicios a mercados complementarios y en expansión. El objetivo general del proyecto es reconocer las transformaciones recientes del diseño exterior argentino hacia los mercados emergentes, en particular hacia África.El abordaje de esta investigación tiene características tanto cualitativas como cuantitativas, al tiempo que pretende alcanzar un nivel de explicación debido al tipo de propuesta. Nuestras unidades de observación son aquellas instituciones y personalidades vinculadas a la elaboración e implementación de la política exterior de Argentina hacia los estados africanos en su conjunto (tanto de África Subsahariana como de África del Norte). En cuanto a las técnicas aplicadas se pueden reconocer diversas fases. En primera instancia se llevará adelante una exploración documental en la Cancillería argentina destinada a cubrir los principales lineamientos respecto al tema. Luego se revisarán documentos producidos por organismos privados y por investigadores científicos. Al mismo tiempo se realizarán entrevistas semiestructuradas a los actores claves que participaron en el proceso de toma de decisiones.Con este trabajo nos proponemos concretar un manual que contenga de forma sistemática las normativas y las prácticas que ejercen cada uno de los actores, tanto públicos como privados, en torno a las vinculaciones entre Argentina y los países de África. Este ordenamiento nos permitirá ofrecer a los responsables de tomas de decisiones un marco articulado, accesible y didáctico para el diseño y la ejecución de futuras políticas hacia la región. Actualmente, los lazos políticos, culturales y de cooperación entre los países de ambas regiones manifiestan un creciente dinamismo, poniendo en juego nuevos terrenos de colaboración como las Cumbres América del Sur-África, las reuniones inter-ministeriales, la firma de acuerdos de comercio entre el Mercosur y algunos estados africanos, entre otros. Sin embargo a pesar de estas señales auspiciosas, los mercados africanos no han sido explorados con la suficiente constancia y profundidad. El desarrollo de este proyecto permitirá, en primer lugar, constituir un corpus de información sobre las normativas y las prácticas en torno los vínculos argentino-africanos. Por otro lado, será una herramienta indispensable para la planificación y concreción de futuras políticas en torno al área. Cabe aclarar que no se limita a organismos del Estado sino también involucraría a actores privados implicados o interesados con los mercados emergentes africanos.

Abundancia y distribución de la fauna íctica en la cuenca del río Suquía (Córdoba, Argentina)

En este trabajo se presenta la caracterización de los ensambles de peces de la cuenca del río Suquía. Los peces fueron recolectados, desde 1998 al 2002, en dieciséis sitios ubicados en los principales ríos dentro de la cuenca: arroyo San Francisco, río Cosquín, río Yuspe, río San Antonio y río Suquía. Se estimó la abundancia relativa de cada especie, riqueza, diversidad y dominancia en cada sitio estudiado. Se aplicó un Análisis Discriminante para determinar diferencias en la composición de las especies entre los ríos de la cuenca y antes y después de los principales centros urbanos. Veintiuna especies de peces fueron recolectadas en toda la cuenca, pertenecientes a doce familias y seis órdenes. Las especies mostraron diferentes patrones de variación. El Análisis Discriminante indicó marcadas diferencias de la ictiofauna entre los ríos. Si bien ellos compartieron un número elevado de especies, los patrones de abundancia de las mismas variaron entre sitios. Los resultados también demostraron el impacto negativo que ejerce la ciudad de Córdoba sobre los ensambles de peces. Este trabajo provee nuevos datos a cerca del estado de la ictiofauna del río Suquía y constituye un punto de partida que permitirá la aplicación de programas de monitoreo y evaluación con el fin de conocer la calidad de los recursos acuáticos.

Triatomines Involved in Domestic and Wild Trypanosoma cruzi Transmission in Concepción, Corrientes, Argentina

An entomological and serological survey was performed in three localities of the Department of Concepción, Province of Corrientes, Argentina in 1998 and 1999, to identify triatomines species involved in domestic and wild transmission of Chagas disease. Triatomines were collected by man/hour capture in 32 houses randomly selected and 44 nearby outdoor ecotopes. Trypanosoma cruzi infection in triatomines was assessed by direct microscopic observation (400x) of feces and polymerase chain reaction. Serological techniques used for people were Indirect Hemagglutination Test and Indirect Fluorescent Test. Triatomines were collected in 28.1% of the houses and 31.8% of the wild biotopes. Triatoma infestans (Klug 1834) was exclusively found indoors and T. cruzi infected 60% of them. Triatoma sordida (Stål 1859) was mainly found in extradomestic ecotopes where trypanosome infection rate reached 12.7%. Serological study of 98 local people showed that 29.6% were seroreactive; most of their houses were closed to wild biotopes colonized by T. sordida. Results indicate that there is an active T. infestans mediated transmission of Chagas disease in this zone that yields important human prevalence and that the populations of T. sordida in wild biotopes not only sustain the wild T. cruzi cycle but also represent an actual risk for people living in the area.

Ecological Aspects of Phebotomine (Diptera, Psychodidae) in an Endemic Area of Tegumentary Leishmaniasis in the Northeastern Argentina, 1993-1998

The first epidemic tegumentary leishmaniasis´ outbreak in the province of Misiones was recorded in 1998, in the locality of Puerto Esperanza. Phlebotominae collected in the region, previously or simultaneously to the outbreak (September 1993-December 1998) showed that the species Lutzomyia intermedia s. l. was prevalent (94%, n 6,150) at all the sites sampled with miniature light trap (10) and Shannon trap (3). L. pessoai, L. whitmani, L. migonei, L. shannoni, L. fischeri, L. misionensis, Brumptomyia avellari and B. guimaraesi were also captured. Sand fly distribution in time and space suggests that in the province of Misiones (1) the species already present before 1990 could give rise to the epidemic by the density/dispersion fluctuation of their local populations; (2) the abundance of L. intermedia s. l. was associated with environments with ecotones of primary-secondary vegetation, close to water bodies and with moderate human disturbance; (3) this species showed, towards the end of 1997, peaks of exceptional abundance, subsequent to rainfall peaks in 1996. This increase in abundance of potential vector sand fly populations close to houses with colonizable surroundings could have generated the 1998 epidemic outbreak.

Neyraiella distinctus n. sp. (Oxyurida, Blattophilidae) Parasite of Nymphs of Gryllodes laplatae Sauss (Orthoptera, Gryllidae) in Argentina

Neyraiella distinctus n. sp. was found parasitizing nymphs of the cricket Gryllodes laplatae Sauss in City Bell, Argentina. This species was characterized by having the excretory pore in the posterior end of the basal bulb, vulva protruding with one lip well developed in the 1/3 end of the body, anus of the female with wings, male with a single spicule without any sculpture, gubernaculum and bursa are absent, six pairs of genital papillae arranged in two preanal pairs, one adanal pair and three postanal pairs, and the tail appendage in both sexes was short and conic.

Capillariidae Eggs Found in the Urine of a Free Ranging Maned Wolf from Argentina

The first finding of a Capillariid in the urinary tract of a free ranging maned wolf (Chrysocyon brachyurus) is described. The individual was an adult male attacked by dogs in the locality of Cayastacito (Santa Fe, Argentina, 31º05' S, 60º 34' W). Eggs found in urine measured 64.6-66.9µm (mean 65.4µm) x 26.9-31µm (mean 29µm). Further studies are needed to determine whether this finding corresponds to a new Capillariid species, related to C. brachyurus, or it is an already described species that has been introduced by domestic dogs.

A new species of Thelastomathidae (Nematoda) a parasite of Neocurtilla claraziana Saussure (Orthoptera, Gryllotalpidae) in Argentina

Gryllophila cephalobulata n. sp. (Nematoda, Thelastomatidae) a parasite of the mole cricket Neocurtilla claraziana (Orthoptera, Gryllotalpidae) isolated in Buenos Aires Province, is described and illustrated. It is characterized by cuticle annulated all along the length of the body; the first ring has 4 lobules, the second one has 14 lobules, the others rings are simple, the stoma is short and has 4 small teeth, the genital papillae are arranged in 5 pairs, of which 3 pairs are preanal and 2 pairs are postanal. The tail appendage of the male is long and filiform.

Suitability of containers from different sources as breeding sites of Aedes aegypti (L.) in a cemetery of Buenos Aires City, Argentina

Cemeteries are ideal urban areas to study the importance of different types of containers as breeding sites of Aedes aegypti (L.). In the present study, the suitability of plastic, glass, ceramic and metal containers was evaluated in four patches within a cemetery of Buenos Aires City, Argentina. Between October 1998 and May 2000, we found 215 breeding sites of Ae. aegypti out of 13,022 water-filled containers examined. In two patches containing microenvironments sheltered from the sun, the use of the different types of containers was proportional to the offer (correlation coefficient = 0.99, P < 0.05 in both cases). In the remaining patches, plastic and metal containers were the most and less frequent breeding sites, respectively (P < 0.001 in both cases). The number of immatures per breeding site (median = 4.5) did not show significant differences among the four types of containers examined (H3, 215 = 1.216, P = 0.749). Differences found in patches from a same cemetery suggest that different microenvironmental conditions affect the suitability of each type of container for Ae. aegypti breeding. Plastic containers appeared as key breeding sites that should be removed to reduce the Ae. aegypti population in the study area.

Laboratory evaluation of Mesocyclops annulatus (Wierzejski, 1892) (Copepoda: Cyclopidea) as a predator of container-breeding mosquitoes in Argentina

In laboratory bioassays we tested the predatory capacity of the copepod Mesocyclops annulatus on Aedes aegypti and Culex pipiens larvae. A single adult female of M. annulatus caused 51.6% and 52.3% mortality of 50 first instar larvae of Ae. aegypti and Cx. pipiens respectively, in a 72 h test period. When alternative food was added to the containers, mortality rates declined to 16% and 10.3% for Ae. aegypti and Cx. pipiens respectively. When 50 first instar larvae of each of the two mosquito species tested were placed together with a single adult female of M. annulatus, mortality rates were 75.5% for Ae. aegypti larvae and 23.5% for Cx. pipiens larvae in a three day test period. Different density of adult females of M. annulatus ranged from 5 to 25 females produced mortality rates of Ae. aegypti first instar larvae from 50% to 100% respectively. When a single adult female of M. annulatus was exposed to an increasing number of first-instar Ae. aegypti larvae ranging from 10 to 100, 100% mortality was recorded from 1 to 25 larvae, then mortality declined to 30% with 100 larvae. The average larvae killed per 24 h period by a single copepod were 29.

Field trials of an improved cost-effective device for detecting peridomestic populations of Triatoma infestans (Hemiptera: Reduviidae) in rural Argentina

An improved device for detecting peridomestic Triatoma infestans consisting of one-liter recycled Tetra Brik milk boxes with a central structure was tested using a matched-pair study design in two rural areas in Argentina. In Olta (La Rioja), the boxes were installed beneath the thatched roofs and on the vertical wooden posts of each peridomestic structure. After a 5-month exposure, at least one of the recovered boxes detected 88% of the 24 T. infestans-positive sites, and 86% of the 7 negative sites by timed manual collections at baseline. In Amamá (Santiago del Estero), the boxes were paired with the best performing prototype tested before (shelter unit). After 3 months, some evidence of infestation was detected in 89% (boxes) and 79% (shelters) of 18-19 sites positive by timed collections, whereas 19% and 16% of 32 negative sites were positive, respectively. Neither device differed significantly in the qualitative or quantitative collection of every sign of infestation. The installation site did not modify significantly the boxes' sampling efficiency in both study areas. As the total cost of each box was half as expensive as each shelter unit, the boxes are thus the most cost-effective and easy-to-use tool for detecting peridomestic T. infestans currently available.