Elevating Cancer Care Standards Worldwide: An Analysis of Global Initiatives and Progress.

Cancer remains a widespread and significant global health issue, with consequential impacts on individuals, families, and societies across the globe. Although there have been noteworthy advancements in the prevention, diagnosis, treatment, and study of cancer, the impact of this disease continues to be significant on health care systems and people worldwide. Furthermore, there are still differences in obtaining the advantages of modern cancer treatment, which can partly be attributed to the lack of standardized standards for providing top-notch cancer care.

Biodistance Analysis via Dental Phenotypic Diversity in Early Collective Burials at Cerro Juan Díaz, Panamá (30-650 CE) [Análisis de Biodistancia Mediante la Diversidad Fenotípica Dental en los Entierros Colectivos Tempranos del Cerro Juan Díaz, Panamá (30-650 EC)].

Objectives: Burial space reuse and prolonged interaction with the dead were common practices in the Isthmo-Colombian Area, dating back to at least the Early Ceramic Period in the Greater Coclé region. However, biological and social relationships of individuals interred in collective burial contexts remain unclear. Here, we explore intra-cemetery biological variation through a biological distance analysis of individuals interred in large mortuary features from the first mortuary horizon at the site of Cerro Juan Díaz in Panamá.

Crop genome editing through tissue-culture-independent transformation methods.

Genome editing and plant transformation are crucial techniques in plant biotechnology, allowing for the precise modification of plant genomes to enhance agronomically essential traits. The advancement of CRISPR-based genome editing tools in plants is limited, among others, by developing novel tissue culture methodologies for efficient plant genetic transformation. methodologies offer a promising alternative to overcome tissue culture limitations and facilitate crops' genetic improvement.

Stable isotope tempestology of tropical cyclones across the North Atlantic and Eastern Pacific Ocean basins.

Tropical cyclones (TCs) are one of the major natural hazards to island and coastal communities and ecosystems. However, isotopic compositions of TC-derived precipitation (P) in surface water (SW) and groundwater (GW) reservoirs are still lacking. We tested the three main assumptions of the isotope storm "spike" hypothesis (sudden spikes in isotopic ratios).

PHENOTYPIC RESISTANCE PROFILES OF SALMONELLA ENTERICA ISOLATED FROM WILD FELIDS IN COSTA RICA BETWEEN 2021 AND 2022.

spp. are one of the leading causes of illness, and in the last years there is an increasing interest in the role of different wild animals as reservoir of , especially multidrug resistant strains. To establish preventive and action strategies, it is essential to monitor bacterial resistance profiles and systematically collect information.

Influence of Host and Landscape-Associated Factors in the Infection and Transmission of Pathogens: The Case of Directly Transmitted Virus in Mammals.

Background: Among pathogens associated with mammals, numerous viruses with a direct transmission route impact human, domestic and wild species health. Host and landscape factors affect viral infection and transmission dynamics of these viruses, along with barriers to host dispersal and gene exchange. However, studies show biases toward certain locations, hosts and detected pathogens, with regional variations in similar host-virus associations.

Safety and efficacy of ketamine use in patients with vaso-occlusive crisis: A systematic review and meta-analysis.

Introduction: Sickle cell disease (SCD) is characterized by acute episodes called vaso-occlusive crises (VOC). VOC is marked by severe pain due to blocked blood vessels by sickled cells. Ketamine has been reported to be effective and safe in managing VOC in SCD patients.

Earlier diagnosis of peripheral neuropathy in primary care in Latin America using a simple screening tool (ACT).

Peripheral Neuropathy (PN) can significantly impair quality of life, but often remains undiagnosed due to limited clinic time, lack of specialist expertise and lack of patient awareness. There are several validated questionnaires for diagnosing PN, but the time taken to administer them in busy primary care clinics limits their utilization. A new, simpler questionnaire was developed following an advisory board meeting in Southeast Asia and was further refined and translated to Portuguese and Spanish following a second advisory board meeting in Latin America.

[Measles and Rubella IgG Seropositivity in the Post-elimination Era, Costa Rica, 2012-2023Soropositividade de IgG para os vírus do sarampo e da rubéola na era pós-eliminação, Costa Rica, 2012-2023].

Objective: To determine measles and rubella IgG seropositivity in the post-elimination era, based on data generated by the Costa Rican National Reference Center for Virology laboratory at Inciensa from 2012 to 2023.

Methods: Cross-sectional, descriptive, observational study analyzing the frequency of measles IgG and rubella IgG reactivity by enzyme-linked immunofluorescence (ELISA) in 877 subjects.

Results: The average age of the studied individuals was 36 years; 51.

The CABANA model 2017-2022: research and training synergy to facilitate bioinformatics applications in Latin America.

The CABANA project (Capacity Building for Bioinformatics in Latin America) was funded by the UK's Global Challenges Research Fund in 2017 with the aim to strengthen the bioinformatics capacity and extend its applications in Latin America focused on three challenge areas - communicable diseases, sustainable food production and protection of biodiversity. For 5 years, the project executed activities including data analysis workshops, train-the-trainer workshops, secondments, eLearning development, knowledge exchange meetings, and research projects in 10 countries. The project was successful in accomplishing all its goals with a major impact on the region.

Identification of Game Periods and Playing Position Activity Profiles in Elite-Level Beach Soccer Players Through Principal Component Analysis.

Beach soccer has gained increasing interest for study in the sports sciences. In this sense, the analysis of activity profiles is important for training design and load individualization. Therefore, the aims of this study were to identify the most important variables to assess the activity profile and to compare them according to the playing position and game periods in international beach soccer matches.

Photosynthetic Activity Measured In Situ in Microalgae Cultures Grown in Pilot-Scale Raceway Ponds.

The microalga sp. (Chlorophyceae) was cultured in a raceway pond (RWP) placed in a greenhouse. The objective of this case study was to monitor the photosynthesis performance and selected physicochemical variables (irradiance, temperature, dissolved oxygen concentration) of microalgae cultures in situ at various depths of RWP.

The Relationship Between Dental Anxiety and Oral Health-Related Quality of Life in Patients with Periodontitis.

Objectives: This study aimed to (1) investigate whether dental anxiety (DA) and oral health-related quality of life (OHRQoL) differed between patients diagnosed with periodontitis and individuals with periodontal health, (2) examine associations and correlations between these patient-reported measures, and (3) analyze demographic and clinical parameters.

Methods: Ninety-six patients diagnosed with periodontitis and age- and sex-matched periodontally healthy controls were included. Participants' demographic characteristics, smoking status, current dental pain, dental pain during the last month, the Modified Corah's Scale (MDAS), and the Oral Health Impact Profile (OHIP-14) were determined.

Advancing laparoscopic skills training in Namibia: Implementation of the Global Laparoscopic Advancement Program (GLAP) of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES).

Background: In low- and middle-income countries (LMICs), laparoscopic surgery is challenging to implement due to limited resources and lack of expert surgeons as teachers. The Global Laparoscopic Advancement Program (GLAP) was developed by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) to deliver sustainable and effective methods for teaching safe laparoscopic surgery. GLAP aims to train surgical leaders and trainees with the goal of eventual in-country replication of GLAP programming.

Continuation of CDK4/6 Inhibition and Switching of Hormonal Therapy After Progression on Prior CDK4/6 Inhibitors in HR+/HER2- Breast Cancer: A Systematic Review and Meta-Analysis.

This study aims to determine the efficacy of maintaining cyclin-dependent kinase 4/6 (CDK4/6) inhibition and switching endocrine therapy (ET) versus ET alone after progression on prior CDK4/6 inhibitors (CDK4/6i) in patients with hormone-receptor-positive, human epidermal growth factor receptor-2-negative breast cancer. We identified phase II and III comparative randomized clinical trials through a systematic search across relevant clinical databases. A random effects model was used to determine the pooled hazard ratio (HR) for progression-free survival (PFS) according to the inverse-variance method.

Conservative surgery for forefoot osteomyelitis may increase reulceration-free survival compared to minor amputation in diabetes-related foot disease.

This study suggests that conservative surgery may improve reulceration-free survival in patients with diabetes-related forefoot osteomyelitis, compared to minor amputation. By excluding patients with prior surgeries, the analysis more accurately reflects the benefits of conservative surgery. These findings highlight the importance of preserving foot structure to maintain biomechanics and reduce reulceration risk.

Climate and health education in public health schools worldwide during 2023-24: a survey.

Background: Public health professionals are crucial in implementing health-promoting climate change adaptation and mitigation measures, yet climate education is inconsistently integrated into public health curricula worldwide. We aimed to assess the proportion of institutions that provided public health degrees with climate and health education, the annual number of students trained in climate and health, and the extent to which students had climate and health knowledge during 2023-24.

Methods: From Nov 1, 2023, to March 15, 2024, our online survey quantified climate and health education in public health schools that provide degrees across all WHO regions.

Colorectal cancer incidence trends in younger versus older adults: an analysis of population-based cancer registry data.

Background: Previous studies have shown that colorectal cancer incidence is increasing among younger adults (aged <50 years) in multiple high-income western countries in contrast with stabilising or decreasing trends in incidence in older adults (aged ≥50 years). This study aimed to investigate contemporary colorectal cancer incidence trends in younger adults versus older adults.

Methods: Colorectal cancer incidence data, including year of diagnosis, sex, and 5-year age group for 50 countries and territories, were extracted from the WHO-International Agency for Research on Cancer Cancer Incidence in Five Continents Plus database.

Assessing microbial risks of Escherichia coli: A spatial and temporal study of virulence and resistance genes in surface water in resource-limited regions.

Environmental microbial pollution can potentially cause illnesses and deaths among human populations. Environmental factors such as geomorphology, land use, human activities, and seasonality could influence pathogen dissemination. This study performed a space-temporal analysis of Escherichia coli concentrations, virulence (eaeA, bfpA, stx2, aatA, and st), and resistance (tetA, blaTEM, blaOXA, Intl-1, Intl-2, sul-1, and sul-2) genes in surface water within the Virilla sub-watershed, Costa Rica.

A topical examination of Cigar Aficionado magazine content, 2023.

Introduction: Prior research has found that premium cigar marketing highlights favorable themes (e.g. glamour), and reinforces the idea that premium cigars are part of a successful, luxurious lifestyle.

Design and development of the content of a mobile application to reduce risk factors of the metabolic syndrome in the climacteric.

Objective: To describe the design and development of the content of the technological application to control and reduce clinical risk factors of the Metabolic Syndrome in women in climacteric stage.

Method: A multidisciplinary approach was used, guided by the Self-care Deficit Theory and a combination of methods that included literature review, interviews with women in climacteric stage who were potential users (n = 10), interviews with experts in information technologies (n = 4), and with health professionals (n = 5). During the process, a systematic evaluation was carried out to improve the acceptancy of this eHealth technology.

Effects of climate change on the distribution of Molossus molossus and the potential risk of Orthohantavirus transmission in the Neotropical region.

Molossus molossus is a widely distributed neotropical bat species in the Americas, often found in urban areas. This study evaluated climate change effects on the potential geographic distribution of M. molossus, a natural host of zoonotic pathogens such as Orthohantavirus, in the Neotropical region.

Aplastic Anemia: Demographic and Clinical Characteristics in Costa Rica.

Background Aplastic anemia (AA) is a rare and heterogeneous hematological disorder defined as pancytopenia with hypocellular bone marrow in the absence of abnormal infiltration or medullary fibrosis. Various causes of AA have been identified, such as autoimmune factors, bone marrow injuries, viral infections, and genetic disorders. The symptoms of AA are directly linked to pancytopenia and the most common are fatigue, recurrent infections, and bleeding problems.