Since its recent detection in July 2021, the reintroduction of African swine fever (ASF) in the Dominican Republic (DR) has generated much discourse on various measures for its effective control. Strategies range from complete depopulation of the swine population, as was done in 1978, to a system of passive surveillance with endemicity, with many in-between. Currently, ASF-decision makers need a peer evaluation and comparison and contrast of these potential strategies that incorporates both private and public perspectives. To achieve this, we used strengths, weaknesses, opportunities, and threats (SWOT) analysis to evaluate three different theoretical ASF control scenarios with the aim of contributing evaluations of alternatives strategies to mitigate the epidemic's impact. These included total depopulation of all pigs in the DR, partial depopulation, and continuation of current control measures. Relevant experts from the DR private swine industry were identified through “snowball sampling” techniques. Five experts completed the SWOT questionnaire and additional questions considering aspects of financial cost, social impact, feasibility, animal welfare, and regional policy. The summarized responses were presented to the full group of experts initially nominated for final review and later to representatives of the DR government. The SWOT analysis highlighted that although there are certain benefits associated with each of the proposed strategies, there are also important drawbacks and disadvantages for all. This analysis is a tool for facilitating cooperating between the private-public industries, and ultimately it supports the development of strategies that will reduce ASF burden in the DR in a way suitable for all relevant stakeholders.

Background: Type 2 diabetes mellitus (T2DM) is an emerging disease in the pediatric population. The association between T2DM and non-alcoholic fatty liver disease (NAFLD) has been described. Recent evidence suggests that sizes and composition of high-density lipoprotein (HDL) may be more important that HDL-C levels in predicting coronary heart disease. There is not data regarding the HDL subclasses distribution and composition in T2DM youths with NAFLD. Methods: This cross-sectional study included 47 adolescents with T2DM and 23 nondiabetic controls of both sexes aged 10 to 18 years. The presence of NAFLD was determined estimated proton density fat fraction (PDFF) by magnetic resonance by spectroscopy. We compared the HDL subclasses distribution (HDL2b, HDL2a, HDL3a HDL3b and HDL3c) and the HDL chemical composition (total protein, triglyceride, phospholipid, cholesteryl esters, and free cholesterol) between the groups of adolescents with T2DM and the control group. Results: Patients with T2DM and NAFLD had a significantly lower proportion HDL2b (P = .040) and a higher proportion of HDL3c (P = .035); higher proportion of TG

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Backgrounds On March 11, 2020, the World Health Organization (WHO) declared the novel coronavirus (COVID-19) outbreak a global pandemic, which changed the residents’ teaching and learning process. The purpose of this study was to determine residents’ satisfaction and impressions on their training during the pandemic in a tertiary pediatric hospital. Methods This was a descriptive cross-sectional study. An online survey was designed to determine residents’ demographic and personal characteristics, as well as their perception about the theoretical and practical training, as well as about their emotional situation. The analysis separated medical students from surgical students in order to identify any differences existing between these groups, for which χ2 was calculated. Results Overall, 148 of 171 residents (86.5%) responded to the questionnaire; 75% belonged to the medical specialty and 25% to the surgical specialty. Statistically significant differences were found in terms of those training aspects they were concerned about during the pandemic (p < 0.001) and about the difficulties associated with online learning (p = 0.001). Differences were also found regarding their satisfaction toward the time needed to complete their thesis (p = 0.059) and activities outside the hospital (p = 0.029). Regarding their degree of satisfaction in general, most medical specialty students felt slightly satisfied (43.2%) and surgical specialty students felt mostly neutral (37.8%). Regarding their feelings about their mental health, statistically significant differences were found between both groups (p = 0.038) although both groups reported the same percentage of overall dissatisfaction (2.7%) in this area. Conclusion The COVID-19 pandemic has brought significant challenges to medical education systems. Lack of practice in decision-making and maneuver execution are concerns for residents and may affect their future professional performance.