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1.
Chem Biodivers ; : e202402048, 2024 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-39291792

RESUMEN

In this work, bismuth ferrites (BFO) nanoparticles were produced in the form of using sol-gel technique, followed by annealing in a tube furnace in temperatures from 400 °C to 650 ºC. X-ray diffraction (XRD) results showed the formation of small sizes nanoparticles (NPs) with high purity. Structural analysis displayed that annealing at 600 ºC could make BFO NPs be fitted to rhombohedral space group (R3c), with small quantity of spurious phases. The sizes of the BFO nanoparticles determined by transmission electron microscopy (HRTEM) are between 50 to 100 nm. To evaluate the efficiency of BFO in antimicrobial susceptibility tests, the nanoparticles were dispersed through nanoemulsion and tested agar diffusion method and dilution in a 96 well plate using a Gram positive strains (Staphylococcus aureus) and Gram negative strain (Escherichia coli). The antibacterial activity of the BFO NPs was partially tested at concentrations of 2 mg/mL with MIC greater than 60 µg/mL for both bacteria.

2.
Viruses ; 13(11)2021 11 16.
Artículo en Inglés | MEDLINE | ID: mdl-34835099

RESUMEN

Rocio virus (ROCV) is a mosquito-borne flavivirus and human pathogen. The virus is indigenous to Brazil and was first detected in 1975 in the Sao Paulo State, and over a period of two years was responsible for several epidemics of meningoencephalitis in coastal communities leading to over 100 deaths. The vast majority of ROCV infections are believed to be subclinical and clinical manifestations can range from uncomplicated fever to fatal meningoencephalitis. Birds are the natural reservoir and amplification hosts and ROCV is maintained in nature in a mosquito-bird-mosquito transmission cycle, primarily involving Psorophora ferox mosquitoes. While ROCV has remained mostly undetected since 1976, in 2011 it re-emerged in Goiás State causing a limited outbreak. Control of ROCV outbreaks depends on sustainable vector control measures and public education. To date there is no specific treatment or licensed vaccine available. Here we provide an overview of the ecology, transmission cycles, epidemiology, pathogenesis, and treatment options, aiming to improve our ability to understand, predict, and ideally avert further ROCV emergence.


Asunto(s)
Brotes de Enfermedades , Infecciones por Flavivirus/virología , Flavivirus/genética , Animales , Brasil/epidemiología , Flavivirus/clasificación , Infecciones por Flavivirus/epidemiología , Infecciones por Flavivirus/transmisión , Humanos , Mosquitos Vectores/virología , Proteínas Virales/genética
3.
J Mater Sci Mater Med ; 32(9): 101, 2021 Aug 18.
Artículo en Inglés | MEDLINE | ID: mdl-34406528

RESUMEN

Nanoparticles (NPs) have a wide range of applications in various areas. For health application, cytotoxicity tests are used to ensure its efficiency and safety. In this paper, ZnFe2O4, CoFe2O4, Zn0.5Co0.5Fe2O4 NPs were synthesized, characterized and their antibacterial properties were evaluated. The Sol-Gel method was used to synthesize the NPs. Their electronic and crystallographic structures were characterized by Fourier Transform Infrared Spectroscopy Analysis (FTIR), X-ray fluorescence (XRF), X-Ray Diffraction (XRD), and Transmission Electron Microscopy (TEM). To perform the antibacterial evaluation, ferrites were dispersed through nanoemulsion to prevent the crystals from accumulating together. Then the evaluation was performed through microdilution in a 96-well plate and diffusion in agar disc in contact with 3 different strains of Staphylococcus aureus and Escherichia coli. It demonstrated that the Sol-Gel method was efficient to synthesize NPs with suitable sizes for health application. All synthesized NPs showed the inhibition of bacterias with different concentrations used.


Asunto(s)
Antibacterianos/química , Antibacterianos/farmacología , Nanopartículas del Metal/química , Metales/química , Óxidos/química , Animales , Bacterias/efectos de los fármacos , Supervivencia Celular , Chlorocebus aethiops , Difusión , Escherichia coli , Tecnología Química Verde/métodos , Concentración 50 Inhibidora , Pruebas de Sensibilidad Microbiana , Microscopía Electrónica de Transmisión , Tamaño de la Partícula , Transición de Fase , Espectroscopía Infrarroja por Transformada de Fourier , Staphylococcus aureus , Pruebas de Toxicidad , Células Vero , Difracción de Rayos X
4.
Sci Rep ; 11(1): 13039, 2021 06 22.
Artículo en Inglés | MEDLINE | ID: mdl-34158515

RESUMEN

The Brazilian regions are still highly endemic areas for Canine morbillivirus [canine distemper virus (CDV)]. However, little is known regarding the genetic variability of the strain circulating in several Brazilian regions. Here, we report the first full-length genome and molecular characterization of CDV isolated from domestic dogs in the Brazilian Center-West region. Sequence alignment and phylogenetic analyses based on deduced amino acid and nucleotide sequences showed that the isolated strain is characterized as the South America-I/Europe genotype. However, it segregates into a CDV subgenotype branch. Interestingly, both H and F proteins have a gain of a potential N-glycosylation sites compared to the Onderstepoort vaccine strain. Therefore, this study provides a reference to further understand the epidemic and molecular characteristics of the CDV in Brazil.


Asunto(s)
Virus del Moquillo Canino/genética , Virus del Moquillo Canino/aislamiento & purificación , Perros/virología , Genoma Viral , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Brasil , Moquillo/virología , Genes Virales , Genotipo , Glicosilación , Filogenia , Recombinación Genética/genética , Selección Genética , Proteínas Virales/química , Proteínas Virales/genética
5.
J Infect Public Health ; 13(12): 1797-1804, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33121906

RESUMEN

In a short time, humanity has experienced two pandemics: the influenza A virus pandemic (pH1N1) in 2009 and the coronavirus disease 2019 (COVID-19) pandemic in 2020. Therefore, it is likely that the general population will erroneously seek to compare the two pandemics and adopt similar attitudes in facing them. However, the two pandemics have their intrinsic characteristics that distinguish them considerably; for example, the virulence of the infectious agents and the availability of treatment and vaccine. Consequently, given this knowledge gap between the pH1N1 and COVID-19 pandemics, we conducted this review to clarify and summarize, above all, the epidemiological historical aspects of these two viruses of great importance to global public health.


Asunto(s)
COVID-19/epidemiología , Subtipo H1N1 del Virus de la Influenza A , Gripe Humana/epidemiología , SARS-CoV-2 , Epidemias , Salud Global , Humanos
6.
Biosci. j. (Online) ; 36(3): 1051-1057, 01-05-2020. tab
Artículo en Inglés | LILACS | ID: biblio-1147200

RESUMEN

The influenza B virus is more stable than influenza A, with less antigenic drift and consequent immunologic stability, and does not undergo the process of antigenic shift, its participation in epidemics is minimal, being of lesser academic interest. The aim of this work was to describe the occurrence of a series of SARS cases in a municipality in the Central region of Brazil. This is a case series study with a descriptive and quantitative approach of Serious Acute Respiratory Syndrome (SARS) in institutionalized individuals and a health professional from a long-term institution in the municipality where the study was conducted. The variables studied were: age, comorbidities, vaccination status, date of symptoms onset, symptoms, occurrence of death, information regarding provided care (hospital care, exams, and medications). The study was approved by the Research Ethics Committee of the Federal University of Goiás (UFG), under opinion number 2.167.287. Case 1 was diagnosed with influenza B, treated with antibiotic therapy, with no antiviral drugs administered, and culminated in death. Cases 2 and 3 were confirmed as influenza B, being treated with antiviral drugs and discharged due to full recovery. Case 4 was confirmed as influenza B virus by epidemiological link, treated with antiviral drugs and discharged due to full recovery. An early diagnosis, adequate clinical management, transmissible disease research based on the 11 health promotion steps and actions can promote the reduction of morbimortality by influenza type B.


O vírus influenza B é mais estável que a influenza A, apresenta menor desvio antigênico, consequentemente estabilidade imunológica, e não sofre processo de desvio antigênico, não estão associados a grandes epidemias, estando, portanto, pouco associados ao interesse acadêmico. O objetivo do trabalho foi escrever a ocorrência de uma série de casos de Síndrome Respiratória Aguda Grave (SRAG) em um município da região central do Brasil. Trata-se de um estudo de série de casos com abordagem descritiva e quantitativa de SRAG, ocorridos em indivíduos institucionalizados e um profissional de saúde de uma instituição de longa permanência do município onde o estudo foi desenvolvido. As variáveis estudadas foram: idade, co-morbidades, situação vacinal, data do início dos sintomas, sintomas, ocorrência de óbito, informações referentes à assistência prestada (atendimento hospitalar, exames, medicações). O estudo foi aprovado pelo Comitê de ética em Pesquisa da Universidade Federal de Goiás (UFG), parecer número 2.167.287. O caso 1 foi diagnosticado com influenza B, tratado com antibioticoterapia, não sendo utilizado antiviral, culminando em óbito. O caso 2 e 3 foram confirmados vírus influenza B, sendo tratados com antiviral e receberam alta por cura. O caso 4 foi confirmado influenza por vírus B por vínculo epidemiológico, tratado com antiviral e recebeu alta por cura. Conclusões: Um diagnóstico precoce, manejo clínico adequado, investigação de doenças transmissíveis pautada nos 11 passos e ações de promoção da saúde, podem promover a redução da morbimortalidade por influenza tipo B.


Asunto(s)
Síndrome Respiratorio Agudo Grave
7.
Arch Virol ; 165(7): 1517-1526, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32322993

RESUMEN

At the beginning of the 21st century, a new deadly infectious disease known as severe acute respiratory syndrome (SARS) was recognized as a global public health threat. Subsequently, ten years after the initial SARS cases occurred in 2002, new cases of another atypical respiratory disease caused worldwide concern. This disease became known as Middle East respiratory syndrome (MERS) and was even more lethal than SARS. Currently, history has repeated itself with the emergence of a new Chinese epidemic at the end of 2019. For this respiratory disease, called COVID-19, a novel coronavirus (SARS-CoV-2) was identified as the etiologic agent. In sum, SARS, MERS and COVID-19 are caused by recently discovered coronaviruses that cause flu-like illnesses, but with a clinical outcome that tends to be more severe. As a result of the current importance of coronaviruses in global public health, we conducted a review to summarize and update, above all, the epidemiological historical aspects of the three major diseases in humans caused by coronaviral infection.


Asunto(s)
Betacoronavirus/fisiología , Infecciones por Coronavirus/virología , Coronavirus del Síndrome Respiratorio de Oriente Medio/fisiología , Neumonía Viral/virología , Síndrome Respiratorio Agudo Grave/virología , Coronavirus Relacionado al Síndrome Respiratorio Agudo Severo/fisiología , Betacoronavirus/genética , Betacoronavirus/aislamiento & purificación , COVID-19 , Humanos , Coronavirus del Síndrome Respiratorio de Oriente Medio/genética , Coronavirus del Síndrome Respiratorio de Oriente Medio/aislamiento & purificación , Pandemias , Coronavirus Relacionado al Síndrome Respiratorio Agudo Severo/genética , Coronavirus Relacionado al Síndrome Respiratorio Agudo Severo/aislamiento & purificación , SARS-CoV-2
10.
Sci Rep ; 9(1): 13339, 2019 09 16.
Artículo en Inglés | MEDLINE | ID: mdl-31527652

RESUMEN

The Mayaro virus is endemic to South America, and the possible involvement of Aedes spp. mosquitoes in its transmission is a risk factor for outbreaks of greater proportions. The virus causes a potentially disabling illness known as Mayaro fever, which is similar to that caused by the chikungunya virus. The cocirculation of both viruses, with their clinical and structural similarities, and the absence of prophylactic and therapeutic measures highlight the need for studies that seek to understand the Mayaro virus. Using approaches in silico, we identified an antigenic and specific epitope (p_MAYV4) in domain A of the E2 glycoprotein of the Mayaro virus. This epitope was theoretically predicted to be stable and exposed on the surface of the protein, where it showed key properties that enable its interaction with neutralizing antibodies. These characteristics make it an interesting target for the development of immunodiagnostic platforms. Molecular dynamics simulation-based structural analysis showed that the PHE95 residue in the E1 fusion loop region is conserved among Alphavirus family members. PHE95 interacts with the hydrophobic residues of the E2 glycoprotein to form a cage-shaped structure that is critical to assemble and stabilize the E1/E2 heterodimer. These results provide important insights useful for the advancement of diagnostic platforms and the study of therapeutic alternatives.


Asunto(s)
Infecciones por Alphavirus/diagnóstico , Alphavirus/inmunología , Antígenos Virales/inmunología , Pruebas Inmunológicas/métodos , Proteínas del Envoltorio Viral/inmunología , Aedes/virología , Alphavirus/genética , Secuencia de Aminoácidos , Animales , Epítopos/inmunología , Humanos , Simulación del Acoplamiento Molecular , Simulación de Dinámica Molecular
11.
PLoS One ; 14(5): e0217594, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31141576

RESUMEN

BACKGROUND: Canine morbillivirus (canine distemper virus, CDV) persists as a serious threat to the health of domestic dogs and wildlife. Although studies have been conducted on the frequency and risk factors associated with CDV infection, there are no comprehensive data on the current epidemiological magnitude in the domestic dog population at regional and national levels. Therefore, we conducted a cross-sectional study and included our results in a meta-analysis to summarize and combine available data on the frequency and potential risk factors associated with CDV infection. METHODS: For the cross-sectional study, biological samples from dogs suspected to have canine distemper (CD) were collected and screened for viral RNA. Briefly, the PRISMA protocol was used for the meta-analysis, and data analyses were performed using STATA IC 13.1 software. RESULTS: CDV RNA was detected in 34% (48/141) of dogs suspected to have CD. Following our meta-analysis, 53 studies were selected for a total of 11,527 dogs. Overall, the pooled frequency of CDV positivity based on molecular and serological results were 33% (95% CI: 23-43) and 46% (95% CI: 36-57), respectively. The pooled subgroup analyses of clinical signs, types of biological samples, diagnostic methods and dog lifestyle had a wide range of CDV positivity (range 8-75%). Free-ranging dogs (OR: 1.44, 95% CI: 1.05-1.97), dogs >24 months old (OR: 1.83, 95% CI: 1.1-3) and unvaccinated dogs (OR: 2.92, 95% CI: 1.26-6.77) were found to be positively associated with CDV infection. In contrast, dogs <12 months old (OR: 0.36, 95% CI: 0.20-0.64) and dogs with a complete anti-CDV vaccination (OR: 0.18, 95% CI: 0.05-0.59) had a negative association. CONCLUSION: Considering the high frequency of CDV positivity associated with almost all the variables analyzed in dogs, it is necessary to immediately and continuously plan mitigation strategies to reduce the CDV prevalence, especially in determined endemic localities.


Asunto(s)
Virus del Moquillo Canino , Moquillo , ARN Viral , Animales , Estudios Transversales , Moquillo/sangre , Moquillo/epidemiología , Moquillo/genética , Moquillo/prevención & control , Virus del Moquillo Canino/genética , Virus del Moquillo Canino/metabolismo , Perros , Prevalencia , ARN Viral/sangre , ARN Viral/genética
12.
Rev Inst Med Trop Sao Paulo ; 60: e34, 2018 Jul 19.
Artículo en Inglés | MEDLINE | ID: mdl-30043938

RESUMEN

Knowledge about epidemiological distribution patterns of HIV infection in different geographic regions is relevant to understand the dynamics of the disease in Brazil. This study aims to characterize the epidemiological and clinical profile of HIV-infected patients from Southwestern Goias State, from 2005 to 2015. A standardized questionnaire was used to collect clinical-epidemiological, virological, and immunological data from the medical records of all HIV-infected patients (n=539) who were followed at the regional reference center of Jatai, Goias State, Brazil, from 2005 to 2015. We detected the prevalence of male patients and the heterosexual route of transmission, as well as an expressive number of young women infected with HIV. The HIV infection was more prevalent in reproductive ages (55.3%). Most patients presented clinical manifestations related to HIV infection at the time of diagnosis. Twenty-four patients presented coinfection with hepatitis C virus, syphilis, hepatitis B virus, leprosy or Chagas disease. Pneumonia caused by Pneumocystis jirovecii was the most common opportunistic infection, followed by neurotoxoplasmosis, tuberculosis, and neurocryptococcosis. Combined antiretroviral therapy improved CD4+ T-cell counts: the mean CD4+ T-cell counts after treatment was twice as high as those found at the first medical appointment; and highly active antiretroviral therapy promoted viral suppression in a significant number of patients. Considering the increasing distribution of HIV infection to the interior of Brazil, this descriptive study outlines the clinical-epidemiological characteristics of HIV infection in Southwestern Goias and contributes to develop local prevention strategies and public service plans.


Asunto(s)
Infecciones por VIH/epidemiología , Adulto , Distribución por Edad , Terapia Antirretroviral Altamente Activa/estadística & datos numéricos , Brasil/epidemiología , Recuento de Linfocito CD4 , Coinfección/epidemiología , Femenino , Infecciones por VIH/tratamiento farmacológico , Humanos , Masculino , Registros Médicos , Persona de Mediana Edad , Distribución por Sexo , Sexualidad/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto Joven
13.
Mol Cell Biochem ; 449(1-2): 251-255, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29679277

RESUMEN

Reduced cellular response to insulin in skeletal muscle is one of the major components of the development of type 2 diabetes (T2D). Mitochondrial dysfunction involves in the accumulation of toxic reactive oxygen species (ROS) that leads to insulin resistance. The aim of this study was to verify the involvement of mitochondrial DNA damage at ROS generation in skeletal muscle during development of T2D. Wistar rats were fed a diet containing 60% fat over 8 weeks and at day 14 a single injection of STZ (25 mg/kg) was administered (T2D-induced). Control rats received standard food and an injection of citrate buffer. Blood and soleus muscle were collected. Abdominal fat was quantified as well as glucose, triglyceride, LDL, HDL, and total cholesterol in plasma and mtDNA copy number, cytochrome b (cytb) mRNA, 8-hydroxyguanosine, and 8-isoprostane (a marker of ROS) in soleus muscle. T2D-induced animal presented similar characteristics to humans that develop T2D such as changes in blood glucose, abdominal fat, LDL, HDL and cholesterol total. In soleus muscle 8-isoprostane, mtDNA copy number and 8-hydroxyguanosine were increased, while cytb mRNA was decreased in T2D. Our results suggest that in the development of T2D, when risks factors of T2D are present, intracellular oxidative stress increases in skeletal muscle and is associated with a decrease in cytb transcription. To overcome this process mtDNA increased but due to the proximity of ROS generation, mtDNA remains damaged by oxidation leading to an increase in ROS in a vicious cycle accounting to the development of insulin resistance and further T2D.


Asunto(s)
Daño del ADN , ADN Mitocondrial/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Mitocondrias Musculares/metabolismo , Músculo Esquelético/metabolismo , Estrés Oxidativo , Animales , Diabetes Mellitus Tipo 2/patología , Mitocondrias Musculares/patología , Músculo Esquelético/patología , Ratas , Ratas Wistar
14.
Rev Soc Bras Med Trop ; 50(4): 530-534, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28954075

RESUMEN

INTRODUCTION:: Emerging diseases are of great interest, especially those associated with high mortality rates such as hantaviruses. We aimed to conduct a seroepidemiological survey to determine the levels of hantavirus infection. METHODS:: In-house enzyme-linked immunosorbent assay (ELISA) was used to detect specific antibodies. RESULTS:: Of the 429 samples collected, seropositivity of 3.9% to anti-hantavirus immunoglobulin G (IgG) was observed (CI 95%: 2.3-5.7). Moreover, in three cases, immunoglobulin M (IgM) was detected, of which two were diagnosed as hantavirus cardiopulmonary syndrome (HCPS). CONCLUSIONS:: Our data indicate the considerable occurrence of previous hantavirus infections, highlighting occurrences from sub-clinical cases to HCPS.


Asunto(s)
Anticuerpos Antivirales/sangre , Infecciones por Hantavirus/epidemiología , Orthohantavirus/inmunología , Adulto , Brasil/epidemiología , Niño , Ensayo de Inmunoadsorción Enzimática , Femenino , Infecciones por Hantavirus/diagnóstico , Humanos , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Masculino , Persona de Mediana Edad , Población Rural , Estudios Seroepidemiológicos , Adulto Joven
15.
Rev. Soc. Bras. Med. Trop ; Rev. Soc. Bras. Med. Trop;50(4): 530-534, July-Aug. 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1041416

RESUMEN

Abstract INTRODUCTION: Emerging diseases are of great interest, especially those associated with high mortality rates such as hantaviruses. We aimed to conduct a seroepidemiological survey to determine the levels of hantavirus infection. METHODS: In-house enzyme-linked immunosorbent assay (ELISA) was used to detect specific antibodies. RESULTS: Of the 429 samples collected, seropositivity of 3.9% to anti-hantavirus immunoglobulin G (IgG) was observed (CI 95%: 2.3-5.7). Moreover, in three cases, immunoglobulin M (IgM) was detected, of which two were diagnosed as hantavirus cardiopulmonary syndrome (HCPS). CONCLUSIONS: Our data indicate the considerable occurrence of previous hantavirus infections, highlighting occurrences from sub-clinical cases to HCPS.


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adulto , Adulto Joven , Orthohantavirus/inmunología , Infecciones por Hantavirus/epidemiología , Anticuerpos Antivirales/sangre , Población Rural , Brasil/epidemiología , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Ensayo de Inmunoadsorción Enzimática , Estudios Seroepidemiológicos , Infecciones por Hantavirus/diagnóstico , Persona de Mediana Edad
17.
Epidemiol Serv Saude ; 25(3): 519-530, 2016.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-27869923

RESUMEN

OBJECTIVE: to describe the epidemiological and clinical profile of hantavirus infection and to analyze factors associated with case-fatality in Goiás, Brazil. METHODS: this was a cross-sectional study on case fatality due to hantavirus infection from 2007 to 2013 using data from the Notifiable Diseases Information System (SINAN) for Goiás State. Logistic regression analysis was performed to estimate odds ratios (OR) with 95% confidence intervals (95%CI). RESULTS: 1,171 suspected cases were reported, of which 73 (6.2%) were confirmed. Among the confirmed cases, greater frequency was found among males (n=50), fever was the most common symptom (n=70), and there was a high proportion of hospitalization (n=68). The case-fatality rate was 57.5% . The following factors were associated with death: acute respiratory failure (ARF) (OR=3.6; 95%CI 1.2;10.6), hemoconcentration (OR=3.3; 95%CI 1.1;7.9) and not using a mechanical ventilator (OR=3.4; 95%CI 1.3;9.1). After adjustment, the ARF was still associated with death (OR=3.4; 95%CI 1.0;11.6). CONCLUSION: the case-fatality rate was high, primarily associated with respiratory failure.


Asunto(s)
Infecciones por Hantavirus/mortalidad , Brasil/epidemiología , Causas de Muerte , Estudios Transversales , Femenino , Fiebre/etiología , Infecciones por Hantavirus/complicaciones , Hospitalización/estadística & datos numéricos , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Mortalidad/tendencias , Distribución por Sexo
18.
Epidemiol. serv. saúde ; 25(3): 519-530, jul.-set. 2016. tab, graf
Artículo en Portugués | LILACS | ID: lil-795348

RESUMEN

OBJETIVO: descrever o perfil epidemiológico e clínico da hantavirose e analisar fatores associados à letalidade em Goiás, Brasil. MÉTODOS: foi conduzido um estudo transversal com dados do Sistema de Informação de Agravos de Notificação (Sinan), referentes ao período de 2007 a 2013, no estado de Goiás. Regressão logística foi empregada para estimar razões de chances (OR) com intervalos de confiança de 95% (IC95%). RESULTADOS: foram notificados 1.171 casos suspeitos de hantavirose e 73 (6,2%) confirmados. Entre os confirmados, observou-se maior frequência entre homens (n=50), febre como sintoma mais frequente (n=70) e elevada proporção de hospitalizações (n=68). A taxa de letalidade foi de 57,5%. Foram fatores associados ao óbito: insuficiência respiratória aguda (IRpA) (OR=3,6; IC95%1,2;10,6), hemoconcentração (OR=3,3; IC95%1,1;7,9) e não uso do respirador mecânico (OR=3,4; IC95%1,3;9,1). Após ajuste, a IRpA permaneceu associada ao óbito (OR=3,4; IC95%1,0;11,6). CONCLUSÃO: foi identificada alta taxa de letalidade, associada principalmente com insuficiência respiratória.


OBJETIVO: evaluar el perfil clínico y epidemiológico del hantavirus y los factores asociados con su letalidad en Goiás, Brasil. MÉTODOS: estudio transversal usando datos del Sistema de Información de Enfermedades de Declaración Obligatoria (Sinan), referentes al periodo 2007-2013, en el estado de Goias. Usamos regresión logística para calcular odds ratio (OR) con intervalos de confianza al 95%. RESULTADOS: fueron reportados 1.171 casos sospechosos de hantavirus 73 fueron confirmados (6,2%). Entre los confirmados la frecuencia fue mayor entre hombres (n=50), fiebre fue síntoma más común (n=70), 68 fueron hospitalizados, la tasa de letalidad fue 57,5%. Variables asociadas con letalidad: insuficiencia respiratoria aguda (IRpA) (OR=3,6 IC95% 1,2; 10,6), hemoconcentración (OR=3.3 IC95% 1,1; 7,9) y no usar respirador mecánico (OR=3,4 IC95% 1,3; 9,1). Sólo IRpA se mantuvo asociado en modelos multivariados (OR=3,4 IC95% 1,0; 11,6). CONCLUSIÓN: identificamos una alta tasa de letalidad asociada principalmente con insuficiencia respiratoria.


OBJECTIVE: to describe the epidemiological and clinical profile of hantavirus infection and to analyze factors associated with case-fatality in Goiás, Brazil. METHODS: this was a cross-sectional study on case fatality due to hantavirus infection from 2007 to 2013 using data from the Notifiable Diseases Information System (SINAN) for Goiás State. Logistic regression analysis was performed to estimate odds ratios (OR) with 95% confidence intervals (95%CI). RESULTS: 1,171 suspected cases were reported, of which 73 (6.2%) were confirmed. Among the confirmed cases, greater frequency was found among males (n=50), fever was the most common symptom (n=70), and there was a high proportion of hospitalization (n=68). The case-fatality rate was 57.5% . The following factors were associated with death: acute respiratory failure (ARF) (OR=3.6; 95%CI 1.2;10.6), hemoconcentration (OR=3.3; 95%CI 1.1;7.9) and not using a mechanical ventilator (OR=3.4; 95%CI 1.3;9.1). After adjustment, the ARF was still associated with death (OR=3.4; 95%CI 1.0;11.6). CONCLUSION: the case-fatality rate was high, primarily associated with respiratory failure.


Asunto(s)
Humanos , Masculino , Femenino , Infecciones por Hantavirus/epidemiología , Infecciones por Hantavirus/mortalidad , Estudios Transversales/métodos , Sistemas de Información en Salud
19.
Rev Soc Bras Med Trop ; 49(3): 348-50, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27384832

RESUMEN

INTRODUCTION: In Brazil, Mato Grosso (MT) has the highest number of hantavirus cardiopulmonary syndrome cases. Our study aimed to identify anti-hantavirus antibodies in the sera of patients from Sinop, MT, presenting with acute febrile illness. METHODS: A retrospective analysis of data for 198 sera samples assessed using enzyme-linked immunosorbent assay (ELISA) was conducted. RESULTS: Immunoglobulins G (IgGs) against the hantavirus nucleoprotein were found in 13.6% of the tested sera. No sample had immunoglobulin M (IgM) antibodies to hantavirus. Seropositivity occurred mainly in female residents in urban areas who worked around the household. CONCLUSIONS: Our findings suggest circulation of hantavirus in Sinop.


Asunto(s)
Anticuerpos Antivirales/sangre , Infecciones por Hantavirus/diagnóstico , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Orthohantavirus/inmunología , Enfermedad Aguda , Adolescente , Adulto , Brasil/epidemiología , Niño , Preescolar , Ensayo de Inmunoadsorción Enzimática , Femenino , Infecciones por Hantavirus/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Población Rural , Estudios Seroepidemiológicos , Población Urbana , Adulto Joven
20.
Metabolism ; 64(12): 1619-28, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26481513

RESUMEN

Changes in eating habits and sedentary lifestyle are main contributors to type 2 diabetes (T2D) development, and studies suggest that epigenetic modifications are involved with the growing incidence of this disease. Regular exercise modulates many intracellular pathways improving insulin resistance and glucose uptake in skeletal muscle, both early abnormalities of T2D. Mitochondria dysfunction and decreased expression of glucose transporter (GLUT4) were identified as main factors of insulin resistance. Moreover, it has been suggested that skeletal muscle of T2D subjects have a different pattern of epigenetic marks on the promoter of GLUT4 and PGC1, main regulator of mitochondrial function, compared with nondiabetic individuals. Recent studies have proposed that regular exercise could improve glucose uptake by the attenuation of such epigenetic modification induced at GLUT4, PGC1 and its downstream regulators; however, the exact mechanism is still to be understood. Herein we review the known epigenetic modifications on GLUT4 and mitochondrial proteins that lead to impairment of skeletal muscle glucose uptake and T2D development, and the effect of physical exercise at these modifications.


Asunto(s)
Diabetes Mellitus Tipo 2/metabolismo , Epigénesis Genética , Ejercicio Físico , Glucosa/metabolismo , Músculo Esquelético/metabolismo , Metilación de ADN , Transportador de Glucosa de Tipo 4/metabolismo , Humanos , Mitocondrias/fisiología , Coactivador 1-alfa del Receptor Activado por Proliferadores de Peroxisomas gamma , Factores de Transcripción/fisiología
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