Fine-tuning blood culture practices: implementing diagnostic stewardship in cardiothoracic surgery patients.

Overusing blood cultures (BCxs) can lead to false positives, unnecessary antibiotics and increased healthcare costs. Despite studies on inpatient BCx algorithms, none have focused on cardiothoracic surgery (CTS) patients, with complex postoperative care and invasive devices. This study aimed to evaluate the impact of a BCx algorithm on BCx event (BCE) rates in CTS step-down units.

A population study of Toxoplasma gondii in the Amazon region expands current knowledge of the genetic diversity in South America.

Previous studies have reported high diversity between and within populations of Toxoplasma gondii in South America. In the present study, isolates of T. gondii from chickens were obtained from the Amazon region.

Analysis of free-living seabirds from Brazil as potential hosts of Toxoplasma gondii and serological investigation for antibodies against Leptospira spp.

Dispersal patterns of zoonotic pathogens can be strongly influenced by mobility and contact among hosts. Toxoplasma gondii infection has been documented in many avian species, however, there is little information regarding free-living seabird populations. Leptospira can infect domestic and wild animals, with birds being potential carriers of the bacteria.

Histopathological findings and diagnosis of cutaneous leishmaniasis, confirmed by PCR, in an endemic region of Brazil.

Introduction: Diagnosis of cutaneous leishmaniasis (CL) is difficult, and the correct use of histopathological criteria can be useful in clinical practice. The present study evaluates the association between histopathological findings and the results of polymerase chain reaction (PCR) in clinically suspected cases of CL.

Methodology: Skin samples were received in a laboratory from an endemic region of Brazil for over nine years.

An update on clinical presentation and responses to therapy of patients with hereditary hypophosphatemic rickets with hypercalciuria (HHRH).

Pathogenic variants in solute carrier family 34, member 3 (SLC34A3), the gene encoding the sodium-dependent phosphate cotransporter 2c (NPT2c), cause hereditary hypophosphatemic rickets with hypercalciuria (HHRH). Here, we report a pooled analysis of clinical and laboratory records of 304 individuals from 145 kindreds, including 20 previously unreported HHRH kindreds, in which two novel SLC34A3 pathogenic variants were identified. Compound heterozygous/homozygous carriers show above 90% penetrance for kidney and bone phenotypes.

First report of putative Leishmania RNA virus 2 (LRV2) in Leishmania infantum strains from canine and human visceral leishmaniasis cases in the southeast of Brazil.

Background: Leishmania RNA virus 1 (LRV1) is commonly found in South American Leishmania parasites belonging to the subgenus Viannia, whereas Leishmania RNA virus 2 (LRV2) was previously thought to be restricted to the Old-World pathogens of the subgenus Leishmania.

Objectives: In this study, we investigated the presence of LRV2 in strains of Leishmania (L.) infantum, the causative agent of visceral leishmaniasis (VL), originating from different hosts, clinical forms, and geographical regions.

Safe Patient Handling and Pressure Injury Prevention for Patients With Delayed Sternal Closure.

Background: Pressure injuries are associated with increased morbidity, mortality, and cost. Patients with delayed sternal closure after cardiac surgery are at increased risk of developing pressure injury because of their reduced mobility and inability to undergo complete skin assessment.

Local Problem: Safe patient handling of patients with delayed sternal closure is challenging because of mobility restrictions, leading to increased risk for patient and staff harm.

Development of quantitative PCR and digital PCR for the quantification of Leishmania infantum in dogs.

Leishmaniasis is a zoonotic disease with worldwide distribution. In the Americas, the causative agent of the visceral form is the protozoa Leishmania (Leishmania) infantum. Transmission to the host or vertebrate reservoir occurs through the bite of infected arthropod females like Lutzomyia longipalpis.

Compact laser modulation system for a transportable atomic gravimeter.

Nowadays, atom-based quantum sensors are leaving the laboratory towards field applications requiring compact and robust laser systems. Here we describe the realization of a compact laser system for atomic gravimetry. Starting with a single diode laser operating at 780 nm and adding only one fiber electro-optical modulator, one acousto-optical modulator and one laser amplifier we produce laser beams at all the frequencies required for a Rb-87 atomic gravimeter.

Outbreak of toxoplasmosis associated with muscular lesions in finishing pigs caused by an atypical Toxoplasma gondii genotype.

Toxoplasma gondii infections are usually asymptomatic in pigs, and an acute clinical disease is rare in this host. This study aimed to determine the pathological and molecular aspects of an outbreak of fatal systemic toxoplasmosis in finishing pigs in Brazil. The outbreak occurred on a commercial finishing pig farm in the state of Santa Catarina in southern Brazil.

Implementation of an Evidence-Based Onboarding Program to Optimize Efficiency and Care Delivery in an Intensive Care Unit.

Nationally, nurse turnover is 18.7%, and 24.1% of nurses leave their organization within a year of hire.

Worldwide and Brazilian scientific publications on Leishmaniasis in the first 19 years of 21st century: a bibliometric study.

Introduction: Leishmaniasis is a set of tropical diseases widely distributed throughout the world. Publications concerning different aspects of leishmaniasis have shown an increasing trend in recent years, especially in Brazil, where this disease has been under continuous expansion. The present study analyzes the data and assess trends in publications on leishmaniasis in Brazil and worldwide.

Cardiac Disease Representation Conditioned by Spatio-temporal Priors in Cine-MRI Sequences Using Generative Embedding Vectors.

Cardiac cine-MRI is one of the most important diagnostic tools for characterizing heart-related pathologies. This imaging technique allows clinicians to assess the morphology and physiology of the heart during the cardiac cycle. Nonetheless, the analysis on cardiac cine-MRI is highly dependent on the observer expertise and a high inter-reader variability is frequently observed.

A Protocol for Preconceptional Screening of Consanguineous Couples Using Whole Exome Sequencing.

Genetic studies performed in consanguineous couples suggest that the reproductive risk that distinguish them from other couples in the general population is related to autosomal recessive (AR) diseases. This risk is scattered among the thousands of known and potential AR diseases. Thus, for effective preconceptional screening of consanguineous couples it is necessary a test that encompasses the largest number of genes possible.

Implementing AACN's Healthy Work Environment Framework in an Intensive Care Unit.

Background: Bedside nurse turnover in the United States is 15.9%, representing a national challenge that has been attributed to poor work environments. Healthy work environments are associated with improved nurse satisfaction and retention as well as positive patient outcomes; unhealthy work environments have the opposite effects.