Addressing Chagas disease from a One Health perspective: risk factors, lessons learned and prevention of oral transmission outbreaks in Colombia.

Background: Chagas disease (CD) is transmitted by vectors but can also be transmitted orally through contaminated food, drinks, or meat. The One Health perspective aims to understand the complex interaction between human, animal, and environmental health in controlling disease. This study analyzed risk factors and drew lessons from past outbreaks of orally transmitted CD to develop effective preventive strategies.

Therapeutic drug monitoring of benznidazole and nifurtimox: a systematic review and quality assessment of published clinical practice guidelines.

The pharmacological management of adults with chronic-phase Chagas disease is challenging despite it being the recent focus of extensive research. One of the challenges in the current clinical practice guidelines (CPGs) landscape is the existence of non-evidence-based recommendations for the use of laboratory tests in treatment monitoring. This study aimed to systematically assess the quality and consistency of recommendations of CPGs on the pharmacological management of adults with chronic-phase Chagas disease.

Quality assessment of clinical practice guidelines for Chagas disease.

Introduction: The development of clinical practice guidelines (CPGs) has increased; this study aimed to assess the quality of CPGs for the management of Chagas disease.

Methods: Following a systematic search of the scientific literature, two reviewers assessed the eligible guidelines using the Appraisal of Guidelines Research and Evaluation (AGREE) II instrument.

Results: Five CPGs were included.

Altruism and fairness: Unnatural selection?

Darwin admitted that the evolution of moral phenomena such as altruism and fairness, which are usually in opposition to the maximization of individual reproductive success, was not easily accounted for by natural selection. Later, authors have proposed additional mechanisms, including kin selection, inclusive fitness, and reciprocal altruism. In the present work, we explore the extent to which sexual selection has played a role in the appearance of human moral traits.

[Prevalence of antinuclear antibodies in primary biliary cirrhosis, with negative antimitochondrial antibodies].

Recently it has been described in the literature a subpopulation of PBC patients with negative AMA that might represent patients with ANA positive autoimmune cholangitis. We review 25 cases of PBC (23 females) with AMA negative. Our aim was to determine the frequency of ANA(+) in this group.