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Abstract The aim of this study was to describe a new species of Didymozoidae (Trematoda) found in the mesentery of Euthynnus alletteratus (Rafinesque) off Cabo Frio, in the coastal area of the state of Rio de Janeiro, Brazil. Thirty specimens of E. alletteratus were obtained between August 2023 and June 2024, directly from traders who sell fresh fish in markets. The parasites were fixed in AFA (93% ethanol 70%, 5% formaldehyde and 2% glacial acetic acid) with or without compression, stained with Langeron’s hydrochloric carmine, dehydrated in an alcohol series, clarified in clove oil and mounted in Canada balsam as permanent slides. The new species was assigned to the genus Lobatozoum Ishii, 1935, mainly by the presence of lobes in the posterior region of the body and by the arrangement of the testes, ovary and vitellaria. Lobatozoum woodi n. sp. differs from all congeneric species mainly by presenting three testicular tubules, by the size of pharynx, larger than the oral sucker, and by the absence of digestive glands cells in esophagus and initial portion of caeca. The finding of a new species of Lobatozoum represents the eleventh valid species in the genus.

Abstract Populations of freshwater species have been declining rapidly and species are becoming extinct. Thus, understanding freshwater species distribution, trends and patterns is required. The Munim River basin is situated in a region with a phytogeographic interface between the Amazon and Cerrado biomes. Although the Munim basin ichthyofauna is currently relatively well-known, data on its helminth fauna is scarce. The present study aimed to characterize the nematofauna of Bryconops cf. affinis (Günther) and Saxatilia brasiliensis (Bloch) from two different localities in the middle section of the Munim River, and thus to contribute to the knowledge of biodiversity in this region. Specimens of Bryconops cf. affinis were parasitized with the nematodes Procamallanus (Spirocamallanus) krameri (Petter, 1974) and “Porrocaecum-like” species (larvae) in both localities. Saxatilia brasiliensis presented the nematodes P. (S.) krameri, Pseudoproleptus sp. (larvae), Cucullanus sp. and Procamallanus sp. (larvae). Procamallanus (S.) krameri was found parasitizing S. brasiliensis only from the Feio stream. Morphometric data and parasitological parameters are given. The present study provides the first record of nematodes for B. cf. affinis and for S. brasiliensis contributing to the knowledge of the helminth fauna of freshwater fishes from locations that have not yet been studied, such as the Munim River basin.

Several studies have demonstrated parasitism by monogenoids in characiform fish in the Neotropics. During studies on the helminth fauna of curimatids from the Tocantins River, specimens of Psectrogaster amazonica Eigenmann & Eigenmann, 1889 were examined and species of Curvianchoratus Hanek, Molnar & Fernando, 1974 were found. Species of the genus are characterized mainly by the complex shape of haptoral anchors with a modified dorsal anchor, composed by two subunits, dorsal-median and dorsal. To date, two species of Curvianchoratus are known to parasitize curimatid fishes: the type species Curvianchoratus hexacleidus Hanek, Molnar & Fernando, 1974 and Curvianchoratus singularis (Suriano, 1980). During examination of specimens of P. amazonica collected in the Tocantins River, Embiral, Imperatriz, Maranhão State, Brazil, two new species of Curvianchoratus were found and are described herein. Curvianchoratus psectrogasteri sp. nov. and Curvianchoratus dominguesi sp. nov. are characterized by possessing the male copulatory organ formed by a long cirrus and a claw-shaped accessory piece, connected to the base of the male copulatory organ by a ligament. The new species differs from the two known congeneric species mainly by the morphology of the dorsal-median and dorsal subunits of the dorsal anchor. Curvianchoratus psectrogasteri sp. nov. also differs from other species of the genus by the absence of the ventral bar and Curvianchoratus dominguesi sp. nov. by the size and shape of the ventral bar. An amendment to the diagnosis of Curvianchoratus is provided to accommodate the new species. The present study increases the number of Curvianchoratus species to four and extends the occurrence of the genus to the Tocantins-Araguaia Basin.

Abstract During studies on fish parasites, two new species of Anacanthorus were found parasitizing serrasalmid fishes, Anacanthorus simpliciphallus sp. n. from the hybrid Piaractus mesopotamicus x Piaractus brachypomus and Anacanthorus brandtii sp. n. from Serrasalmus brandtii. Anacanthorus simpliciphallus sp. n. resembles Anacanthorus reginae in the morphology of the male copulatory organ (MCO) and accessory piece but differs from A. reginae in terms of the smaller size of the accessory piece, which corresponds approximately half the size of the MCO and by the presence of a conspicuous metraterm, with a membranous terminal region. Anacanthorus brandtii sp. n. differs from Anacanthorus scapanus by the expansion of the accessory piece, from Anacanthorus jegui by the ratio MCO (male copulatory organ) /AP (accessory piece) and by the expansion of hook shank, from Anacanthorus sciponophallus and A. reginae by the ratio MCO/AP. Anacanthorus brandtii sp. n. can be distinguished from A. reginae and A. simpliciphallus sp.n. by the size of hooks which is similar in A. reginae and A. simpliciphallus sp. n. and dissimilar in A. brandtii sp. n. The two new species also differ from each other by the expansion of shank.

Abstract Trachemys dorbigni is the most abundant freshwater turtle species in Rio Grande do Sul, southern Brazil. Chelonians are known to host a wide variety of pathogens, including viruses, bacteria, hemoparasites and helminths. Among these, nine genera of polystomatid flatworms (Monogenoidea; Polystomatidae) infect freshwater turtles: Apaloneotrema, Aussietrema, Fornixtrema, Manotrema, Pleurodirotrema, Polystomoidella, Polystomoides, Uropolystomoides and Uteropolystomoides. However, little is known about the biology of these parasites in the Neotropical Realm. Through investigative cystoscopy, specimens of Polystomatidae were located inside the urinary bladder of the host T. dorbigni. Retrieved specimens were fixed and stained whole mounts prepared for taxonomic identification. In the present paper, a new species of Polystomoides (Monogenoidea: Polystomatidae) parasitizing the urinary bladder of a freshwater turtle of the species T. dorbigni in Brazil is described. Polystomoides santamariensis n. sp. differs from the congeneric species on the length of the genital spines, which are longer. Given the enormous diversity of freshwater turtles around the world, it is likely that a large number of chelonian polystomatids are still unknown.

Opecoeloides Odhner, 1928, is represented by 19 valid species found in marine fish, of which five have been reported in Brazil. Specimens of Opecoeloides pedicathedrae Travassos, Freitas & Bührnheim, 1966, were collected from the intestine of smooth weakfish Cynoscion leiarchus, a new host record, from off the coast of Rio de Janeiro, Brazil. They were examined using light and confocal laser microscopy. New partial sequences of 18S and 28S rDNA genes of O. pedicathedrae were obtained. Bayesian inference analysis on the partial 28S rDNA dataset resulted in a phylogram in which O. pedicathedrae formed a well-supported clade with Opecoeloides fimbriatus and Opecoeloides furcatus. The K2p distance between O. pedicathedrae and O. fimbriatus was 0.34%, with 3 divergent nucleotides; and between O. pedicathedrae and O. furcatus was 4.18%, with 38 divergent nucleotides. A Bayesian-inference phylogenetic tree based on the 18S rDNA recovered two main clades with five subfamilies. A clade of Opecoelinae showed that O. pedicathedrae was closer to Pseudopecoeloides tenuis; the K2p distance between these species was 2.14%, with 28 divergent nucleotides. The new nucleotide sequences presented inclusion of a phylogenetic analysis that can help to clarify the understanding of this complex taxon.

Utilization of telehealth services and the provision of chronic care management in school-based clinics have proven to be successful care models in the management of pediatric asthma. Such models of care have also been positively correlated with an improvement in pediatric asthma outcomes. These models of care were historically implemented to improve access to healthcare for patients living in rural populations. During the pandemic, such services were employed to improve access to care to everyone as they practiced social distancing to slow the spread of covid-19. The pandemic levelled the playing field and made access to care a problem for not only rural populations, but a problem for everyone. In order to continue insurer reimbursements for telehealth and school-based healthcare services, research is needed in support of these healthcare models. Keywords: rural community, pediatric asthma, telehealth, school-based clinic, new models of care, pandemicc, covid-19 DOI: https://doi.org/10.14574/ojrnhc.v22i1.685

Abstract During a survey of the helminth fauna of characiform fishes from the Tocantins River, Brazil, 185 fish specimens from 22 species were studied. Twelve species of Nematoda and nine species of Digenea were collected. Some of these helminth species were reported for the first time in their hosts, thus representing new host records: Procamallanus (Spirocamallanus) sp. in Bivibranchia notata, Brycon pesu, Chalceus macrolepidotus, Hemiodus microlepis and Hemiodus unimaculatus; Procamallanus (Spirocamallanus) inopinatus in Triportheus elongatus; Goezia sp. (larva) in Boulengerella cuvieri; Rhabdochona acuminata in Brycon pesu and Triportheus trifurcatus; Raphidascaris sp. (larva) in Caenotropus labyrinthicus; Cosmoxynema vianai in Cyphocharax gouldingi; Rondonia rondoni in Leporinus fasciatus and Mylesinus paucisquamatus; Klossinemella iheringi in Mylesinus paucisquamatus; Cucullanidae gen. sp. in Myloplus rubripinnis; Rhabdochona sp. in Triportheus elongatus; Alphamphistoma sp. in Myleus setiger; Chalcinotrema sp. in Cyphocharax gouldingi; Pacudistoma guianense in Hemiodus unimaculatus and Myleus torquatus; Pseudocladorchis cylindricus in Hemiodus unimaculatus; Dadaytrema oxycephala in Mylesinus paucisquamatus; Travassosinia dilatata in Myloplus asterias; and Genarchella genarchella in Raphiodon vulpinus. Studies identifying new hosts and new localities for parasites have contributed to the knowledge of local biodiversity. A list of previous records of helminths included in the present study, providing hosts, localities, and references, is presented here.

A juvenile specimen of a mermithid (Nematoda) was found parasitizing a third instar nymph of Triatoma sordida from Mato Grosso, Brazil. This is the first record of mermithid parasitism in a triatomine species. The Mermithidae represents a family of nematodes that are specialized insect parasites. Entomonematodes are one of the highly influential agents regulating the population dynamics of insects. This report introduces the opportunity to think about mermithids as a possible candidate for use as triatomine biological control.

Hypophthalmus marginatus is among the most commercialized fish from the Amazon region, with fish fillets exported to Southeastern Brazil and other countries. In the present study, the H. marginatus analyzed were parasitized by third-stage larvae of Hysterothylacium sp. and Anisakis sp. These nematodes are being reported for the first time in H. marginatus collected from the Tocantins River, representing a new host and geographical records, and expanding knowledge of the hosts of these nematodes in the Neotropical Region. A brief description with original measurements is presented.

Seven species of Didymozoidae were found parasitizing three species of scombrid fishes along the Rio de Janeiro coast, southwestern Atlantic Ocean. All these species are reported here for the first time in Brazil and new hosts are presented, which adds to the knowledge of these species. The main morphological and morphometric features of each species are presented. A new combination of two species allocated to Lobatocystis Yamaguti, 1965 is proposed here, based on the previously established synonymy of Lobatocystis and Lobatozoum Ishii, 1935.

In the United States (US), about 50,000 influenza-related deaths occur annually (Centers for Medicaid and Medicare Services [CMS], 2014). The most important preventive measure for the influenza virus is for people to obtain the influenza vaccine (Varsha et al., 2014; Uyeki, 2014). Of note, the vaccine is often underutilized; however, the influenza vaccine is recommended as an annual part of preventive care for people who are >6 months of age (United States Government of Health and Human Services, 2015; Centers for Diseases Control and Prevention [CDC], 2016; World Health Organization [WHO], 2016). The under-vaccination of patients with the influenza vaccine is a profound issue, especially in rural communities, which is defined as locations populated by fewer than 50,000 people (United States Census Bureau [U.S. Census Bureau], 2015). In West Virginia, for example, a state where 38% of the population resides in rural areas, people who were insured by Medicare and whose insurance records did not manifest that they received the influenza vaccine, possessed a 170% increased risk of death during the influenza season in comparison to those who did receive the influenza vaccine (Schade & McCombs, 2000). This literature review discusses the increased need for influenza vaccination in rural communities; reviews the 2016-2017 influenza season's guidelines and costs; and in preparation for the 2017-2018 influenza season, the need to overcome barriers that are associated with influenza vaccination. Keywords: Rural, Influenza, Flu, Flu Shot, Flushot, Influenza Vaccine, Guidelines, Costs DOI: http://dx.doi.org/10.14574/ojrnhc.v17i1.428

Abstract The objective of the present study was to analyze the seasonality of parasitic helminths of Leporinus macrocephalus from fish farms in the municipality of Cruzeiro do Sul, Acre, Brazil, and their parasitism rates. Between June 2014 and March 2015, 200 specimens were sampled from two fish farms: one with a semi-intensive system and the other with an extensive system (100 fish from each farm: 50 during the dry season and 50 during the rainy season). Fifteen species of parasites were found, with seasonal variations of some according to the farming system. In the semi-intensive fish farm, there was greater prevalence of infection during the dry season. Also, Urocleidoides paradoxus, Procamallanus (Spirocamallanus) inopinatus, Goezia leporini and Rhabdochona (Rhabdochona) acuminata presented differences in their parasitism rates between the seasons. In the extensive fish farm, no variation in the prevalence of infection was observed between the seasons and two species Tereancistrum parvus and G. leporini demonstrated differences only regarding the mean intensity of infection. The data presented here may help fish farmers to understand the parasite dynamics of L. macrocephalus in farming systems during the dry and rainy seasons in the state of Acre.

Gotocotyla acanthura (Parona & Perugia, 1896) Meserve, 1938 collected from the gills of Pomatomus saltatrix from the coast of the state of Rio de Janeiro state was analyzed using scanning electron microscopy (SEM). The study demonstrated the presence of a buccal cavity, a genital atrium on the ventral surface and a muscular structure on the dorsal surface at the level of the body constriction. An elongated haptor with 80 to 120 pedunculated clamps symmetrically distributed in two rows, with rib-like thickenings and a curved lappet bearing a pair of hooks at the posterior extremity of the body were also observed. The cirrus could be seen protruding from the genital atrium, armed with pectinate spines along its length and presenting up to eight pointed spines around the genital atrium.Gotocotyla acanthura (Parona & Perugia, 1896) Meserve, 1938, coletado das brânquias de Pomatomus saltatrix do litoral do Estado do Rio de Janeiro, foi estudado por microscopia eletrônica de varredura (MEV). O estudo demonstrou a presença de uma cavidade bucal, átrio genital na superfície ventral e uma estrutura muscular na superficie dorsal ao nível da constricção do corpo. Na extremidade posterior do corpo, foi observado o haptor alongado, apresentando 80 a 120 pinças pedunculadas, distribuídas em duas fileiras simétricas e uma porção terminal curvada provida de um par de ganchos. O cirro foi visualizado projetando-se do átrio genital, armado com espinhos pectinados ao longo do seu comprimento, apresentando até 8 espinhos pontiagudos ao redor do átrio.

O perfil dos indivíduos, a situação vacinal e as vacinas recomendadas aos viajantes que procuram o serviço médico de orientação pré-viagem do Ambulatório dos Viajantes do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo foram analisados no presente estudo. Dos 445 viajantes estudados, 51% eram mulheres; a mediana de idade foi de 33,5 anos; 51% viajavam a trabalho e 39,5% por lazer. Destinos mais procurados: África (47%); Ásia (31,7%); América do Sul (21,4%). Trezentos e oitenta e cinco (86,5%) viajantes tiveram indicação de vacinação para viagem. Principais vacinas recomendadas: febre tifóide (55,7%), difteria-tétano (54,1%), hepatite A (46,1%), hepatite B (44,2%), febre amarela (24,7%). A orientação pré-viagem mostrou-se importante não só para indicar as vacinas recomendadas para a viagem, mas também como oportunidade para atualização das vacinas de rotina.TThe profile and vaccination status of travelers seeking pre-travel medical advice at the Travelers' Clinic of Hospital das Clínicas, University of São Paulo School of Medicine, and the vaccines recommended for them, were analyzed in the present study. Among the 445 travelers who were studied, 51% were women, the median age was 33.5 years, 51% were traveling on business and 39.5% were traveling for leisure purposes. The destinations most sought were Africa (47%), Asia (31.7%) and South America (21.4%). Vaccination before traveling was recommended for 385 (86.5%) of the travelers. The main vaccines recommended were against typhoid fever (55.7%), diphtheria-tetanus (54.1%), hepatitis A (46.1%), hepatitis B (44.2%) and yellow fever (24.7%). The pre-travel guidance was shown to be important not only for indicating the vaccines recommended for the trip, but also as an opportunity to update routine vaccinations.

A ultraestrutura da glândula de Mehlis de Metamicrocotyla macracantha, parasita de brânquia coletado de Mugil liza do Rio de Janeiro, Brasil, foi estudado através da microscopia eletrônica de transmissão. A glândula de Mehlis consiste de dois tipos de células secretoras, S1 e S2, cada uma produzindo um corpo secretor diferente. Os corpos S1 são esféricos, em forma de lamelas e observados em diferentes estágios de desenvolvimentos no citoplasma dessas células. Os corpos S2 são esféricos a ovais com conteúdos densos, apresentando uma estrutura cristalina. O citoplasma das células da glândula de Mehlis apresenta também ribossmas livres, retículo endoplasmático granular e complexo de Golgi, organelas características de células secretoras.

From the gills of 100 Micropogonia furnieri (Desmarest, 1823) from Atlantic coast of Rio de Janeiro State, were recovered Macrovalvitrema sinaloense Caballero & Bravo-Hollis, 1955, Pterinotrematoides mexicanum Caballero & Bravo-Hollis, 1955, Rhamnocercus rhmnocercus Monaco, Wood & Mizelle, 1954 and Encotyllabe spari Yamaguti, 1934. M. furnieri represents a new host record for them and a new geographical dsitribution is referred for M. sinaloense, P. mexicanum and R. rhmnocercus.