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Article: Caterpillar Envenomation (Lepidopterism) in a Panamanian Jungle: About a Case.

Suarez, Jose A / Pachar Flores, Monica R / Osorio Marin, Maria E / Navarro, Juan C

2023 Volume 15, Issue 12, Page(s) e51247

Abstract: Caterpillar venom has the potential to cause acute pain and systemic symptoms in individuals seeking medical attention in the jungles of Panama. Although this is not an obligatory notifiable disease, the hazards associated with exposure to this animal ... ...

Abstract	Caterpillar venom has the potential to cause acute pain and systemic symptoms in individuals seeking medical attention in the jungles of Panama. Although this is not an obligatory notifiable disease, the hazards associated with exposure to this animal are widely recognized within the local community. Here, we present a case of a patient who sought medical attention after being rescued from a river in a Panamanian jungle after feeling acute pain in an upper extremity associated with shortness of breath and how tropical medicine teleconsult allowed for quick identification of the cause and assisted in the management. About his case, we examine the phenomenon of caterpillar envenomation and suggest that further research is needed to assess the potential impact of climate change on this disease. Of particular concern is the likelihood of an increase in contact accidents. We recommend that scientists and public health officials work together to understand the mechanisms of this disease better and to develop effective strategies for prevention and treatment. Our analysis underscores the importance of ongoing monitoring and surveillance to ensure we are prepared for future outbreaks.
Language	English
Publishing date	2023-12-28
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.51247
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Berenice's Legacy, Ending Silence, and Serving Justice: A Call for Comprehensive Chagas Testing in the US Pediatric Population.

Mallikarjuna, Priya / DeFelice, Nicholas / Ward, Matthew J / Suarez, Jose A / Ramirez, Juan David / Paniz-Mondolfi, Alberto

Journal of the Pediatric Infectious Diseases Society

2024 Volume 13, Issue 4, Page(s) 263

MeSH term(s)	Humans ; Chagas Disease/diagnosis ; United States ; Child ; Mass Screening
Language	English
Publishing date	2024-03-02
Publishing country	England
Document type	Journal Article ; Historical Article
ZDB-ID	2668791-4
ISSN	2048-7207 ; 2048-7193
ISSN (online)	2048-7207
ISSN	2048-7193
DOI	10.1093/jpids/piae019
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Article ; Online: Knowledge Discovery for Higher Education Student Retention Based on Data Mining: Machine Learning Algorithms and Case Study in Chile.

Palacios, Carlos A / Reyes-Suárez, José A / Bearzotti, Lorena A / Leiva, Víctor / Marchant, Carolina

Entropy (Basel, Switzerland)

2021 Volume 23, Issue 4

Abstract: Data mining is employed to extract useful information and to detect patterns from often large data sets, closely related to knowledge discovery in databases and data science. In this investigation, we formulate models based on machine learning algorithms ...

Abstract	Data mining is employed to extract useful information and to detect patterns from often large data sets, closely related to knowledge discovery in databases and data science. In this investigation, we formulate models based on machine learning algorithms to extract relevant information predicting student retention at various levels, using higher education data and specifying the relevant variables involved in the modeling. Then, we utilize this information to help the process of knowledge discovery. We predict student retention at each of three levels during their first, second, and third years of study, obtaining models with an accuracy that exceeds 80% in all scenarios. These models allow us to adequately predict the level when dropout occurs. Among the machine learning algorithms used in this work are: decision trees,
Language	English
Publishing date	2021-04-20
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2014734-X
ISSN	1099-4300 ; 1099-4300
ISSN (online)	1099-4300
ISSN	1099-4300
DOI	10.3390/e23040485
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Article: Genomic diversity and genetic variation of Leishmania panamensis within its endemic range

Llanes, Alejandro / Cruz, Génesis / Morán, Mitchelle / Vega, Carlos / Pineda, Vanessa J. / Ríos, Margarita / Penagos, Homero / Suárez, José A. / Saldaña, Azael / Lleonart, Ricardo / Restrepo, Carlos M.

Infection, genetics, and evolution. 2022 Sept., v. 103

2022

Abstract: Species belonging to the Leishmania (Viannia) subgenus are important causative agents of cutaneous and mucocutaneous leishmaniasis in Central and South America. These parasites possess several distinctive biological features that are influenced by their ... ...

Abstract	Species belonging to the Leishmania (Viannia) subgenus are important causative agents of cutaneous and mucocutaneous leishmaniasis in Central and South America. These parasites possess several distinctive biological features that are influenced by their genetics, population structure, and genome instability. To date, several studies have revealed varying degrees of genetic diversity within Leishmania species. Particularly, in species of the L. (Viannia) subgenus, a generalized high intraspecific genetic diversity has been reported, although, conflicting conclusions have been drawn using different molecular techniques. Despite being the most common Leishmania species circulating in Panama and Colombia, few studies have analyzed clinical samples of Leishmania panamensis using whole-genome sequencing, and their restricted number of samples has limited the information they can provide to understand the population structure of L. panamensis. Here, we used next generation sequencing (NGS) to explore the genetic diversity of L. panamensis within its endemic range, analyzing data from 43 isolates of Colombian and Panamanian origin. Our results show the occurrence of three well-defined geographically correlated groups, and suggests the possible occurrence of additional phylogeographic groups. Furthermore, these results support the existence of a mixed mode of reproduction in L. panamensis, with varying frequencies of events of genetic recombination occurring primarily within subpopulations of closely related strains. This study offers important insights into the population genetics and reproduction mode of L. panamensis, paving the way to better understand their population structure and the emergence and maintenance of key eco-epidemiological traits.
Keywords	Leishmania ; evolution ; genetic instability ; genetic recombination ; genetic variation ; infection ; leishmaniasis ; phylogeography ; population genetics ; population structure ; reproduction ; Colombia ; Panama
Language	English
Dates of publication	2022-09
Publishing place	Elsevier B.V.
Document type	Article
ZDB-ID	2037068-4
ISSN	1567-1348
ISSN	1567-1348
DOI	10.1016/j.meegid.2022.105342
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Snakebite-Associated Infections: A Systematic Review and Meta-Analysis.

Bonilla-Aldana, D Katterine / Bonilla-Aldana, Jorge Luis / Ulloque-Badaracco, Juan R / Al-Kassab-Córdova, Ali / Hernandez-Bustamante, Enrique A / Alarcon-Braga, Esteban A / Siddiq, Abdelmonem / Benites-Zapata, Vicente A / Rodriguez-Morales, Alfonso J / Luna, Camila / Suarez, Jose A

The American journal of tropical medicine and hygiene

2024 Volume 110, Issue 5, Page(s) 874–886

Abstract: Snakebites still constitute a significant public health problem in developing countries and are considered a neglected tropical condition by the WHO. Snake accidents are associated with substantial morbidity and mortality and may produce secondary ... ...

Abstract	Snakebites still constitute a significant public health problem in developing countries and are considered a neglected tropical condition by the WHO. Snake accidents are associated with substantial morbidity and mortality and may produce secondary complications, such as severe infections. The objective of this systematic review was to determine the prevalence of snakebite infections and characterize the bacteria isolated from these infections. A systematic literature review in five databases was carried out to assess the prevalence of snakebite infection. A meta-analysis was performed using a random-effects model to calculate the pooled prevalence and 95% CIs. Cochran's Q test and the I2 statistic were used to assess between-study heterogeneity. The pooled prevalence of infection due to snakebite was 27.0% (95% CI: 22.0-32.0%), with high heterogeneity among studies (I2 = 99.7%). The prevalence was higher in Asia (32%) than in the Americas (21%). Snakebite infections required surgical interventions in 68% (95% CI: 37.0-98.0%). The leading group of pathogens identified corresponded to Gram-negative bacteria (63%), particularly Morganella morganii (32%), but also, Gram-positive cocci (40%), especially Enterococcus spp. (23%) and Staphylococcus aureus (15%). However, multiple other pathogens, including anaerobes, were found. A high prevalence of snakebite-associated infection has been described, primarily due to M. morganii, with the corresponding implications for empirical therapy. Rational use of antimicrobials is recommended, and this should guide initial empirical treatment. Moreover, isolation and identification of the possible bacteria present in snakebite wounds is recommended in all cases to confirm or rule out associated infection.
MeSH term(s)	Snake Bites/epidemiology ; Snake Bites/complications ; Humans ; Prevalence ; Animals ; Anti-Bacterial Agents/therapeutic use ; Asia/epidemiology
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2024-03-19
Publishing country	United States
Document type	Systematic Review ; Journal Article ; Meta-Analysis
ZDB-ID	2942-7
ISSN	1476-1645 ; 0002-9637
ISSN (online)	1476-1645
ISSN	0002-9637
DOI	10.4269/ajtmh.23-0278
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Article: Tropical splenomegaly in a migrant-in-transit crossing the Darien gap, Panamá: A probable case of hyper-reactive malarial splenomegaly.

Pachar-Flores, Mónica R A / Suarez, José A / Chen, Roderick / González, José A / Higuita, Nelson Iván Agudelo / Naranjo, Laura / Diaz, Yamilka / Franco-Paredes, Carlos

IDCases

2023 Volume 34, Page(s) e01892

Abstract: Hyper-reactive malarial splenomegaly (HMS), or tropical splenomegaly syndrome, is a severe complication of chronic and recurrent infections caused ... ...

Abstract	Hyper-reactive malarial splenomegaly (HMS), or tropical splenomegaly syndrome, is a severe complication of chronic and recurrent infections caused by
Language	English
Publishing date	2023-09-06
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2745454-X
ISSN	2214-2509
ISSN	2214-2509
DOI	10.1016/j.idcr.2023.e01892
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Article ; Online: Human Lobomycosis Caused by Paracoccidioides (Lacazia) loboi, Panama, 2022.

Suárez, Jose A / Cerrud, Betty / Pachar, Monica / Patiño, Luz H / Reidy, Jason / Chace, Amina / Chen-Camaño, Roderick / Alvarado-Barría, Diógenes / Nakadar, Mohammad Z / Ramirez, Juan D / Paniz-Mondolfi, Alberto

Emerging infectious diseases

2023 Volume 29, Issue 12, Page(s) 2513–2517

Abstract: We report a patient from Panama who had lobomycosis caused by Paracoccidioides (Lacazia) loboi. We used combined clinical-epidemiologic and phylogenetic data, including a new gene sequence dataset on this fungus in Panama, for analysis. Findings ... ...

Abstract	We report a patient from Panama who had lobomycosis caused by Paracoccidioides (Lacazia) loboi. We used combined clinical-epidemiologic and phylogenetic data, including a new gene sequence dataset on this fungus in Panama, for analysis. Findings contribute useful insights to limited knowledge of this fungal infection in the Mesoamerican Biologic Corridor.
MeSH term(s)	Humans ; Lobomycosis/diagnosis ; Lobomycosis/microbiology ; Lacazia ; Paracoccidioides/genetics ; Phylogeny ; Panama/epidemiology
Language	English
Publishing date	2023-11-11
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2912.231092
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Article ; Online: The Endless Vulnerability of Migrant Children In-Transit across the Darién Gap.

Naranjo, Laura / Williams, Yesenia / Levy, Jacqueline / Obando, Rosela / González, José A / Pachar, Mónica / Chen, Roderick / Franco-Paredes, Carlos / Higuita, Nelson Agudelo / Henao-Martínez, Andrés / Diaz, Yamilka / Suárez, José A

The American journal of tropical medicine and hygiene

2023 Volume 109, Issue 3, Page(s) 515–519

Abstract: Many people from poverty-stricken countries are migrating across South and Central America to reach the México-United States border, a movement exacerbated by the COVID-19 pandemic. Migrant people who begin their northbound journey in South America must ... ...

Abstract	Many people from poverty-stricken countries are migrating across South and Central America to reach the México-United States border, a movement exacerbated by the COVID-19 pandemic. Migrant people who begin their northbound journey in South America must transit across a significant geographic bottleneck, the Darién Gap, a mountainous rainforest region between Colombia and Panama. Most migrant people crossing this region originate from Cuba, Haiti, and Venezuela. Other people reach the shores of South American countries from west and central Africa or central and southeastern Asia and continue to the Darién Gap. Poverty and violence drive families with children to flee their homes and endure incalculable risks in their path. Children traveling with their families or as unaccompanied minors across the Darién Gap are exposed to life-threatening situations and human rights violations, including abuse, exploitation, malnourishment, and limited access to medical care. In addition to experiencing untreated medical illnesses, children experience mental health disorders during migration and after they reach their destination as a result of victimization and adverse traumatic experiences. Therefore, providing migrants, especially children, with rapid medical screenings and mental health support when they arrive at their destination is critical to reduce health inequities. Furthermore, making these interventions available during their transit and ensuring their safety may prevent further human rights abuses in children and families. Latin American governments must address the ongoing humanitarian crisis endured by migrants throughout their migratory path by offering access to essential healthcare services and safeguarding the rights and security of children and vulnerable groups.
MeSH term(s)	Humans ; Child ; United States ; Transients and Migrants ; Pandemics/prevention & control ; COVID-19/epidemiology ; Central America ; Human Rights
Language	English
Publishing date	2023-07-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2942-7
ISSN	1476-1645 ; 0002-9637
ISSN (online)	1476-1645
ISSN	0002-9637
DOI	10.4269/ajtmh.22-0765
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Article ; Online: Relationship between the hemodynamic profile and resistant hypertension in pregnant patients with hypertensive crisis.

Zambrano, María Andrea / Rojas-Suarez, Jose A / Peña-Zarate, Evelyn E / Carvajal, Javier Andres / Gutierrez-Puerto, Laura Sofia / Aguilar-Cano, Felipe / Santacruz-Arias, Jose / Rodríguez-Lopez, Merida / Fernanda Escobar, María

Hypertension in pregnancy

2023 Volume 42, Issue 1, Page(s) 2272176

Abstract: Objective: Reducing maternal morbidity and mortality has been a challenge for low and middle-income countries, especially in the setting of hypertensive disorders of pregnancy. Improved strategies for treating obstetric patients with resistant ... ...

Abstract	Objective: Reducing maternal morbidity and mortality has been a challenge for low and middle-income countries, especially in the setting of hypertensive disorders of pregnancy. Improved strategies for treating obstetric patients with resistant hypertension are needed. We sought to explore whether hemodynamic parameters may be used to identify patients that develop resistant hypertension in pregnancy. Methods: Retrospective cohort study among pregnant patients with gestational hypertension or preeclampsia that experienced severe blood pressure elevations. Hemodynamic variables were evaluated, including cardiac output (CO), and total peripheral resistance (TPR). The primary endpoint was resistant hypertension. An exploratory logistic regression was performed to evaluate the association between the hemodynamic profile and the development of resistant hypertension. Adverse maternal and fetal outcomes were additionally described according to the presence of resistant hypertension. Results: Fifty-seven patients with severe pregnancy hypertension were included, of whom 34 developed resistant hypertension (59.7%). The resistant hypertension group, in comparison to those without resistant hypertension, presented with a hypodynamic profile characterized by reduced CO < 5 L/min (41.2% vs. 8.7%, p: 0.007), and increased TPR > 1400 dyn-s/cm5 (64.7% vs. 39.1%, p: 0.057). Logistic regression analysis revealed an association between a hypodynamic profile and resistant hypertension (OR 3.252, 95% CI 1.079-9.804; Conclusion: Patients experiencing hypertensive crisis during pregnancy and exhibiting a hypodynamic profile (TPR ≥1400 dyn·s/cm5 and CO ≤ 5 L/min) developed higher rates of resistant hypertension.
MeSH term(s)	Pregnancy ; Female ; Humans ; Infant, Newborn ; Hypertensive Crisis ; Retrospective Studies ; Hypertension, Pregnancy-Induced ; Hemodynamics ; Pre-Eclampsia
Language	English
Publishing date	2023-12-07
Publishing country	England
Document type	Journal Article
ZDB-ID	1151886-8
ISSN	1525-6065 ; 1064-1955
ISSN (online)	1525-6065
ISSN	1064-1955
DOI	10.1080/10641955.2023.2272176
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Zs.A 3932: Show issues

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Article: Visceral leishmaniasis in the island of Margarita, Venezuela: a neglected parasitic infection in the Caribbean.

García Oronoz, Gerardine / Pedraza-Arévalo, Laura C / Henao-Martínez, Andrés F / Franco-Paredes, Carlos / Suarez, José A

Therapeutic advances in infectious disease

2021 Volume 8, Page(s) 20499361211031714

Abstract: Visceral leishmaniasis carries a significant burden of disease in the Americas with up to 7000 cases reported annually. There are several reports of autochthonous visceral leishmaniasis cases in the Caribbean, including the Dominican Republic, Guadalupe, ...

Abstract	Visceral leishmaniasis carries a significant burden of disease in the Americas with up to 7000 cases reported annually. There are several reports of autochthonous visceral leishmaniasis cases in the Caribbean, including the Dominican Republic, Guadalupe, Martinique, and Trinidad and Tobago. However, we lack recent clinical description and epidemiologic data of visceral leishmaniasis in other islands in the Caribbean. Herein, we describe an autochthonous case of visceral leishmaniasis in the Caribbean Island of Margarita in Venezuela. This index case of visceral leishmaniasis highlights the need for further regional surveillance efforts to identify animal reservoirs and to monitor the occurrence of further clinical cases. Additionally, there is an urgent need for implementing vector control strategies.
Language	English
Publishing date	2021-07-27
Publishing country	England
Document type	Case Reports
ZDB-ID	2728410-4
ISSN	2049-937X ; 2049-9361
ISSN (online)	2049-937X
ISSN	2049-9361
DOI	10.1177/20499361211031714
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