Clinical and epidemiological aspects of Delta and Gamma SARS-CoV-2 variant of concern from the western Brazilian Amazon.

BACKGROUND: The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants has become a major concern contributing to increased morbidity and mortality worldwide. OBJECTIVES: Here we describe the replacement of the Gamma variant of concern (VOC) with Delta in the western Brazilian Amazon. METHODS: In this study, we analysed 540 SARS-CoV-2 positive samples determined by qualitative real-time RT-PCR selected in the state of Rondônia between June and December 2021. The positive cohort was sequenced through next-generation sequencing (NGS) and each sample was quantified using real-time RT-qPCR, the whole genome sequence was obtained, SARS-CoV-2 lineages were classified using the system Pango and the maximum likelihood (ML) method was used to conduct phylogenetic analyses. FINDINGS: A total of 540 high-quality genomes were obtained, where the Delta VOC showed the highest prevalence making up 72%, with strain AY.43 being the most abundant, while the Gamma VOC was present in 28%, where the P.1 strain was the most frequent. In this study population, only 32.96% (178/540) had completed the vaccination schedule. MAIN CONCLUSIONS: This study highlighted the presence of Gamma and Delta variants of SARS-CoV-2 in RO. Furthermore, we observed the replacement of the Gamma VOC with the Delta VOC and its lineages.

Large-scale phenotyping of ABR P1-N1 amplitudes before and after exposure to noise in 69 strains of mice.

ABR wave I amplitude represents the synapse of auditory nerve fibers with the inner hair cell and is highly correlated with synapse counts. Cochlear synaptopathy, the loss of synaptic connections between inner hair cells and auditory nerve fibers, has been well-demonstrated in animal models of noise-induced hearing loss. The peak-to-peak wave I amplitude was determined at baseline and 2 weeks after noise exposure. We determined the ABR wave I amplitude at 80 dB SPL at the frequencies of 8, 12, 16, 24, and 32 kHz. A total of 69 strains (1-8 mice/strain) were analyzed. A statistically significant post-noise reduction in wave I amplitude was observed in all the tested frequencies (p < 0.00001). We identify distinct patterns of noise susceptibility and make this complete phenotypic dataset available for general use. This data establishes a new resource for the study of NIHL in mice and we hope this database will be a useful tool to expand the research in this field.

Noise Exposure and Distortion Product Otoacoustic Emission Suprathreshold Amplitudes: A Genome-Wide Association Study.

BACKGROUND: Although several candidate-gene association studies have been conducted to investigate noise-induced hearing loss (NIHL) in humans, most are underpowered, unreplicated, and account for only a fraction of the genetic risk. Mouse genome-wide association studies (GWASs) have revolutionized the field of genetics and have led to the discovery of hundreds of genes involved in complex traits. The hybrid mouse diversity panel (HMDP) is a collection of classic inbred and recombinant inbred strains whose genomes have been either genotyped at high resolution or sequenced. To further investigate the genetics of NIHL, we report the first GWAS based on distortion product otoacoustic emission (DPOAE) measurements and the HMDP. METHODS: A total of 102 strains (n = 635) from the HMDP were evaluated based on DPOAE suprathreshold amplitudes before and after noise exposure. DPOAE amplitude variation was set at 60 and 70 dB SPL of the primary tones for each frequency separately (8, 11.3, 16, 22.6, and 32 kHz). These values provided an indirect assessment of outer hair cell integrity. Six-week-old mice were exposed for 2 h to 10 kHz octave-band noise at 108 dB SPL. To perform local expression quantitative trait locus (eQTL) analysis, gene expression microarray profiles were generated using cochlear RNA from 64 hybrid mouse strains (n = 3 arrays per strain). RESULTS: Several new loci were identified and positional candidate-genes associated with NIHL were prioritized, especially after noise exposure (1 locus at baseline and 5 loci after exposure). A total of 35 candidate genes in these 6 loci were identified with at least 1 probe whose expression was regulated by a significant cis-eQTL in the cochlea. After careful analysis of the candidate genes based on cochlear gene expression, 2 candidate genes were prioritized: Eya1 (baseline) and Efr3a (post-exposure). DISCUSSION AND CONCLUSION: For the first time, an association analysis with correction for population structure was used to map several loci for hearing traits in inbred strains of mice based on DPOAE suprathreshold amplitudes before and after noise exposure. Our results identified a number of novel loci and candidate genes for susceptibility to NIHL, especially the Eya1 and Efr3a genes. Our findings validate the power of the HMDP for detecting NIHL susceptibility genes.

Evaluation of Microbiological Susceptibility and Long-term Adhesive Properties to Dentin of Primers with Terminalia catappa Linn.

PURPOSE: To investigate the antibacterial effects of Terminalia catappa Linn (TCL) leaf extracts at different concentrations and the effects of these extracts used as primers on the long-term adhesive properties of two universal adhesives. MATERIALS AND METHODS: After extract preparation, the antimicrobial and antibacterial activities of TCL against Streptococcus mutans (UA 159) were assessed in microdilution assays to provide the minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC). Additionally, to provide quantitative data on the ability of TCL extract to reduce cell viability, colony forming units (CFU) were counted. To examine adhesive properties, 288 human molars were randomly assigned to 32 experimental conditions (n = 9) according to the following variables: (1) treatment agent: negative control (untreated surface), and primers at concentrations of 1xMIC, 5xMIC, and 10xMIC; (2) adhesives: Scotchbond Universal (SBU) and Futurabond Universal (FBU); (3) adhesive strategy: etch-and-rinse (ER) or self-etch (SE); and (4) storage time: 24 h or after 2 years. Primers were applied for 60 s, upon which the teeth were incrementally restored and sectioned into adhesive-dentin bonded sticks. These were tested for microtensile bond strength (µTBS) and nanoleakage (NL) after 24-h and 2-year water storage, as well as in-situ degree of conversion (DC) at 24 h. The chemical profile of the hybrid layer was determined via micro-Raman spectroscopy. Biofilm assay data were analyzed using the Kruskal-Wallis test; the pH of culture media and the chemical profile were analyzed by one-way ANOVA. The adhesive properties (µTBS, NL, DC) were evaluated using a four-way ANOVA and Tukey's test. Significance was set at 5%. RESULTS: Similar values of MIC and MBC were observed (2 mg/ml), showing bactericidal potential. CFU analysis demonstrated that concentrations of 5xMIC and 10xMIC significantly inhibited biofilm formation (p < 0.001). The application of the TCL primer at all concentrations significantly increased the immediate µTBS and DC, and decreased the immediate NL values when compared to the control group (p < 0.05), regardless of the adhesive and adhesive strategies. Despite an increase in the NL values for all groups after 2 years (p > 0.05), in groups where the TCL primer was applied, the µTBS remained constant after 2 years for both adhesives, while a decrease in the µTBS was observed in the control groups (p < 0.05). Usually, 10xMIC showed better results than 1xMIC and 5xMIC (p < 0.05). The application of TCL promoted cross-linking; cross-linking rates increased proportionally to the concentration of TCL (p < 0.05). CONCLUSION: Primers containing TCL promoted bactericidal and bacteriostatic action, as well as cross-linking with dentin, while maintaining the adhesive properties of the adhesive-dentin interface after 2 years of water storage.

Ethyl Acetate Fraction of Punica granatum and Its Galloyl-HHDP-Glucose Compound, Alone or in Combination with Fluconazole, Have Antifungal and Antivirulence Properties against Candida spp.

Candidiasis is the most common fungal infection among immunocompromised patients. Its treatment includes the use of antifungals, which poses limitations such as toxicity and fungal resistance. Plant-derived extracts, such as Punica granatum, have been reported to have antimicrobial activity, but their antifungal effects are still unknown. We aimed to evaluate the antifungal and antiviral potential of the ethyl acetate fraction of P. granatum (PgEA) and its isolated compound galloyl-hexahydroxydiphenoyl-glucose (G-HHDP-G) against Candida spp. In silico analyses predicted the biological activity of G-HHDP-G. The minimum inhibitory concentrations (MIC) of PgEA and G-HHDP-G, and their effects on biofilm formation, preformed biofilms, and phospholipase production were determined. In silico analysis showed that G-HHDP-G has antifungal and hepatoprotective effects. An in vitro assay confirmed the antifungal effects of PgEA and G-HHDP-G, with MIC in the ranges of 31.25-250 µg/mL and 31.25 ≥ 500 µg/mL, respectively. G-HHDP-G and PgEA synergistically worked with fluconazole against planktonic cells. The substances showed antibiofilm action, alone or in combination with fluconazole, and interfered with phospholipase production. The antifungal and antibiofilm actions of PgEA and G-HHDP-G, alone or in combination with fluconazole, in addition to their effects on reducing Candida phospholipase production, identify them as promising candidates for therapeutics.

SARS-CoV-2 genomic surveillance in Rondônia, Brazilian Western Amazon.

SARS-CoV-2 has spread rapidly around the world, with Brazil currently considered an epicenter of the pandemic. The Northern region has the second highest incidence coefficient, as well as the third highest mortality rate in the country. This study aimed to investigate information about the evolutionary history of epidemic spread and genetic aspects of strains isolated on the Western Amazon, in the State of Rondônia, Brazil. It was possible to detect a total of 22 mutations. Some of these alterations may possibly be related to effects on transmissibility, the fidelity of RNA replication, the ability of cancer patients to respond to infection, beyond a mutation that emerged after the introduction of SARS-CoV-2 in Rondônia. At least two events of introduction were detected, corresponding to the B.1 and B.1.1 European lineages. An introduction was observed possibly through Argentina, where strains originated that circulated in the Minas Gerais and Ceará Brazilian states, prior to Rondônia (B.1.), as well as through the Minas Gerais state and the Federal District, which gave rise to strains that spread to Rondônia, from the capital to more rural parts of the state (B.1.1.). The findings show the need to monitor the genetic epidemiology of COVID-19, in order to surveil the virus's evolution, dispersion and diversity.

Development of a quantitative one-step multiplex RT-qPCR assay for the detection of SARS-CoV-2 in a biological matrix.

INTRODUCTION: Coronavirus disease-2019 (COVID-19) is a disease caused by Severe Acute Respiratory Syndrome Virus 2 (SARS-CoV-2) that emerged in China in late 2019. The rapid viral spread has made the disease a public health emergency of worldwide concern. The gold standard for diagnosing SARS-CoV-2 is reverse transcription followed by qualitative real-time polymerase chain reaction (RT-qPCR); however, the role of viral load quantification has not been thoroughly investigated yet. OBJECTIVE: The aim of this study was to develop a high-precision quantitative one-step RT-qPCR reaction using the association of the viral target and the human target in the same reaction. METHODS: The assay standardization involved the absolute quantification method, with serial dilutions of a plasmid with the N gene in a biological matrix to build a standard curve. RESULTS AND DISCUSSION: The results demonstrated the possibility of quantifying as few as 2.5 copies/reaction and an analysis of 244 patients with known results selected by cross-section that revealed 100% agreement with a qualitative RT-qPCR assay registered by Anvisa. In this population, it was possible to quantify patients with between 2.59 and 3.5 × 107 copies per reaction and negative patients continued to indicate the same result. CONCLUSION: This assay can be a useful tool for a proper patient management, because the level and duration of viral replication are important factors to assess the risk of transmission and to guide decisions regarding the isolation and release of patients; an accurate diagnosis is critical information, whereas the current COVID-19 pandemic represents the biggest current global health problem.

The Genetics of Variation of the Wave 1 Amplitude of the Mouse Auditory Brainstem Response.

This is the first genome-wide association study with the Hybrid Mouse Diversity Panel (HDMP) to define the genetic landscape of the variation in the suprathreshold wave 1 amplitude of the auditory brainstem response (ABR) both pre- and post-noise exposure. This measure is correlated with the density of the auditory neurons (AN) and/or the compliment of synaptic ribbons within the inner hair cells of the mouse cochlea. We analyzed suprathreshold ABR for 635 mice from 102 HMDP strains pre- and post-noise exposure (108 dB 10 kHz octave band noise exposure for 2 h) using auditory brainstem response (ABR) wave 1 suprathreshold amplitudes as part of a large survey (Myint et al., Hear Res 332:113-120, 2016). Genome-wide significance levels for pre- and post-exposure wave 1 amplitude across the HMDP were performed using FaST-LMM. Synaptic ribbon counts (Ctbp2 and mGluR2) were analyzed for the extreme strains within the HMDP. ABR wave 1 amplitude varied across all strains of the HMDP with differences ranging between 2.42 and 3.82-fold pre-exposure and between 2.43 and 7.5-fold post-exposure with several tone burst stimuli (4 kHz, 8 kHz, 12 kHz, 16 kHz, 24 kHz, and 32 kHz). Immunolabeling of paired synaptic ribbons and glutamate receptors of strains with the highest and lowest wave 1 values pre- and post-exposure revealed significant differences in functional synaptic ribbon counts. Genome-wide association analysis identified genome-wide significant threshold associations on chromosome 3 (24 kHz; JAX00105429; p < 1.12E-06) and chromosome 16 (16 kHz; JAX00424604; p < 9.02E-07) prior to noise exposure and significant associations on chromosomes 2 (32 kHz; JAX00497967; p < 3.68E-08) and 13 (8 kHz; JAX00049416; 1.07E-06) after noise exposure. In order to prioritize candidate genes, we generated cis-eQTLs from microarray profiling of RNA isolated from whole cochleae in 64 of the tested strains.This is the first report of a genome-wide association analysis, controlled for population structure, to explore the genetic landscape of suprathreshold wave 1 amplitude measurements of the mouse ABR. We have defined two genomic regions associated with wave 1 amplitude variation prior to noise exposure and an additional two associated with variation after noise exposure.

Clinical and epidemiological aspects of Delta and Gamma SARS-CoV-2 variant of concern from the western Brazilian Amazon

BACKGROUND The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants has become a major concern contributing to increased morbidity and mortality worldwide. OBJECTIVES Here we describe the replacement of the Gamma variant of concern (VOC) with Delta in the western Brazilian Amazon. METHODS In this study, we analysed 540 SARS-CoV-2 positive samples determined by qualitative real-time RT-PCR selected in the state of Rondônia between June and December 2021. The positive cohort was sequenced through next-generation sequencing (NGS) and each sample was quantified using real-time RT-qPCR, the whole genome sequence was obtained, SARS-CoV-2 lineages were classified using the system Pango and the maximum likelihood (ML) method was used to conduct phylogenetic analyses. FINDINGS A total of 540 high-quality genomes were obtained, where the Delta VOC showed the highest prevalence making up 72%, with strain AY.43 being the most abundant, while the Gamma VOC was present in 28%, where the P.1 strain was the most frequent. In this study population, only 32.96% (178/540) had completed the vaccination schedule. MAIN CONCLUSIONS This study highlighted the presence of Gamma and Delta variants of SARS-CoV-2 in RO. Furthermore, we observed the replacement of the Gamma VOC with the Delta VOC and its lineages.

Chikungunya virus infection: report of the first case diagnosed in Rio de Janeiro, Brazil.

Initially diagnosed in Africa and Asia, the Chikungunya virus has been detected in the last three years in the Caribbean, Italy, France, and the United States of America. Herein, we report the first case for Rio de Janeiro, Brazil, in 2010.

Análise eletromiográfica dos músculos reto femoral e reto abdominal durante a execução dos exercícios hundred e teaser do método pilates / Electromyographic analysis of the rectus femoris and rectus abdominis muscles during performance of the hundred and teaser pilates exercises

A literatura tem mostrado que pequenas modificações em um exercício do método Pilates podem alterar o padrão de ativação muscular. Além disto, são poucos os estudos que avaliaram exercícios desse método do ponto de vista cinesiológico. Nesta perspectiva, o objetivo deste trabalho foi comparar dois exercícios realizados no solo e em aparelho no que diz respeito à ativação elétrica de grupos musculares atuantes. Participaram do estudo 11 mulheres saudáveis praticantes do método Pilates. Foram coletados dados eletromiográficos dos músculos reto femoral e reto abdominal, porções direita e esquerda, enquanto os exercícios hundred no solo, hundred no Reformer, teaser no solo e teaser no Cadillac eram mantidos na postura isométrica. Foram analisados os cinco segundos centrais de cada execução, normalizados por contração voluntária máxima. A análise estatística apresentou diferença entre a ativação dos grupos musculares, sendo maior no reto femoral, e interação entre músculos e exercício, onde no exercício hundred no solo e no Reformer o reto femoral teve maior ativação, enquanto no exercício teaser o reto abdominal foi mais ativo quando executado no Cadillac. Com base nos resultados do estudo pode-se afirmar que: i) quando comparados os exercícios hundred (no solo e no Reformer) e teaser (no solo e no Cadillac), não houve diferença entre os exercícios no que se refere à ativação dos músculos reto abdominal e reto femoral; ii) quando comparados os grupamentos musculares, o reto femoral apresentou maiores níveis de ativação nos exercícios hundred executado no solo e no Reformer, enquanto o reto abdominal apresentou maior ativação durante o exercício teaser executado no Cadillac.

The literature has shown that small modifications in a Pilates method exercise may change the muscles activation pattern. Moreover, few studies have evaluated Pilates' exercises from the kinesiology point of view. Therefore, this study aimed to compare a couple of exercises performed on the mat and in apparatus regarding electric activation of acting muscle groups. Eleven healthy Pilates trained women took part in the study. Electromyographic data were collected from the rectus femoris and rectus abdominis muscles, right and left portions, while keeping the isometric posture of the hundred on mat, hundred on the Reformer machine, teaser on mat and teaser on the Cadillac machine exercises. The five central seconds of each execution normalized by maximum voluntary contraction were analyzed. Statistical analysis showed difference between the muscle group's activation that was higher for the rectus femoris, and interaction between muscle and exercise, where rectus femoris muscle's electric activation was higher on the hundred exercise performed on mat and Reformer and rectus abdominis muscle's electric activation was higher on teaser performed in the Cadillac machine. Based on the study results, it may be stated that: (i) when compared the hundred (on mat and Reformer) and teaser (on mat and Cadillac) exercises were compared, no difference was found between them regarding rectus abdominis and rectus femoris muscles' activation; (ii) when muscle groups were compared, the rectus femoris presented higher activation levels on the hundred exercise performed on mat and Reformer, while rectus abdominis presented higher activation during the teaser exercise performed on Cadillac.

Chikungunya virus infection: report of the first case diagnosed in Rio de Janeiro, Brazil / Infecção pelo virus Chikungunya: relato do primeiro caso diagnosticado no Rio de Janeiro, Brasil

Initially diagnosed in Africa and Asia, the Chikungunya virus has been detected in the last three years in the Caribbean, Italy, France, and the United States of America. Herein, we report the first case for Rio de Janeiro, Brazil, in 2010.

Antes diagnosticado na África e na Ásia, o vírus Chikungunya foi detectado nos últimos três anos, no Caribe, na Itália, na França e nos Estados Unidos. Relatamos o primeiro caso do Rio de Janeiro, Brasil, em 2010.

Humanização da assistência prestada à parturiente pela equipe multiprofissional do centro de parto da maternidade escola assis chateaubriand

O trabalho de humanização se constitui na transformação da cultura institucional, por meio da construção coletiva de compromissos éticos e de métodos que visem a atenção à saúde e gestão de serviços, no sentido de respeito e valorização do ser humano. Assistiras mulheres no momento do parto e nascimento com segurança e dignidade é compromisso fundamental de todos os profissionais de saúde envolvidos na atenção à saúde da mulher. Torna-se objetivo desse estudo avaliar aspectos do processo de humanização na assistência prestada à gestante em trabalho de parto pela equipe multiprofissional do Centro de Parto Humanizado da Maternidade Escola Assis Chateaubriand. Estudo transversal, realizado no Centro de Parto Humanizado da Maternidade Assis Chateaubriand, envolvendo 170 puérperas que tiveram seus partos normais. Tendo variável dependente denominada “Parto Humanizado” classificada pela presença do contato pele a pele e amamentação na primeira hora de vida. Analisado pelo programa Stata (versão 11.2). Aprovado pelo comitê de ética pelo nº 830.275...

The humanization of work constitutes the transformation of institutional culture through thecollective construction of ethical commitments and methods aimed at health care andservice management in the sense of respect and appreciation of the human being. Watchwomen at delivery and birth in safety and dignity is a fundamental commitment of all healthprofessionals involved in health care of women. It is aim of this study was to evaluateaspects of the process of humanization in care to pregnant women in labor by themultidisciplinary team of Humanized Birth Center Maternity School Assis Chateaubriand.Cross-sectional study conducted in Humanized Birth Center Maternity AssisChateaubriand, involving 170 mothers who had their normal deliveries. Having calleddependent variable "Humanized Birth" classified by the presence contact skin to skin andbreastfeeding in the first hour of life. Analyzed by Stata (version 11.2) program. Approvedby the ethics committee at No. 830.275...

Implantação de ações para adesão ao controle de comorbidades de pacientes hipertensos e diabéticos na estratégia saúde da família dr. Gilson Bastos Leite, no município de Nazareno-Minas Gerais

Nazareno é uma cidade de aproximadamente 8000 habitantes, com altos níveis de pobreza extrema, de analfabetismo e de população rural. A unidade Dr. Gilson Bastos Leite é uma das três unidades de saúde do município e possui grande número de paciente hipertensos e diabéticos que realizam acompanhamento de forma irregular, além de não possuir ações que estimulem prevenção,promoção de saúde e o autocuidado. O objetivo deste trabalho é elaborar um projeto de intervenção para aumentar a adesão dos pacientes hipertensos e diabéticos ao tratamento e tornar o acompanhamento das comorbidades mais eficaz e sistematizado. O desenvolvimento deste projeto foi baseado no método de planejamento estratégico situacional. Para contribuir na elaboração do projeto de intervenção foi realizada uma revisão bibliográfica com a finalidade de levantar as publicações já existentes sobre o tema. Para a descrição do problema foram utilizados dados fornecidos pelo Sistema de Informação da Atenção Básica, além de dados levantados pela própria equipe de saúde. Para acompanhamento do plano de ação, serão monitorizados: número de pacientes em acompanhamento pela equipe de saúde; número de internações e de encaminhamentos para especialistas e níveis de glicemia e de pressão arterial nos pacientes acompanhados. Além disso, as ações propostas serão acompanhadas através dos cronogramas por toda a equipe de saúde