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1.
J Chem Ecol ; 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38748380

RESUMEN

In myrmecophilous organisms, which live in symbiosis with ants, cuticular hydrocarbons (CHCs) play a pivotal role in interspecific communication and defense against chemical-oriented predators. Although these interactions form complex information webs, little is known about the influence of biotic environmental factors on the CHC profiles of myrmecophiles. Here, we analyzed the effect of different host plants and tending ants on the larval CHC profile of Synargis calyce (Lepidoptera: Riodinidae), a polyphagous species with facultative myrmecophily. Groups of caterpillars were fed individually with three host plant species (without tending ants), and with two tending ant species. Through gas chromatography analysis, we compared the cuticular profiles of treatments and found a high similarity between plants and caterpillars (65-82%), but a low similarity between caterpillars and their tending ants (30 - 25%). Cluster analysis showed that caterpillars, ants, and plants form distinct groups, indicating that S. calyce caterpillars have their own chemical profile. These results are similar to those observed for Lycaenidae caterpillars indicating that there is functional convergence in the chemical strategies used by myrmecophilous caterpillar species with similar ecology. Also, the results suggest that the cuticular compounds of S. calyce are primarily influenced by their host plants rather than their tending ants. Thus, we propose that these caterpillars present a trade-off between camouflage and directly informing their presence to ants, maintaining their unique chemical profile, though slightly affected by biotic environmental factors.

2.
Food Sci Nutr ; 12(4): 2436-2454, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38628220

RESUMEN

Overweight and obesity are closely linked to gut dysbiosis/dysmetabolism and disrupted De-Ritis ratio [aspartate aminotransferase (AST)/alanine aminotransferase (ALT) ratio], which may contribute to chronic noncommunicable diseases onset. Concurrently, extensive research explores nutraceuticals, and health-enhancing supplements, for disease prevention or treatment. Thus, sedentary overweight volunteers were double-blind randomized into two groups: Novel Nutraceutical_(S) (without silymarin) and Novel Nutraceutical (with silymarin). Experimental formulations were orally administered twice daily over 180 consecutive days. We evaluated fecal gut microbiota, based on partial 16S rRNA sequences, biochemistry and endocrine markers, steatosis biomarker (AST/ALT ratio), and anthropometric parameters. Post-supplementation, only the Novel Nutraceutical group reduced Clostridium clostridioforme (Firmicutes), Firmicutes/Bacteroidetes ratio (F/B ratio), and De-Ritis ratio, while elevating Bacteroides caccae and Bacteroides uniformis (Bacteroidetes) in Brazilian sedentary overweight volunteers after 180 days. In summary, the results presented here allow us to suggest the gut microbiota as the action mechanism of the Novel Nutraceutical promoting metabolic hepatic recovery in obesity/overweight non-drug interventions.

3.
Mol Syndromol ; 15(1): 58-62, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38357254

RESUMEN

Introduction: Myotonic dystrophy type 1 (DM1) is an autosomal dominant neuromuscular disease whose pattern of weakness is predominantly distal. Limb-girdle muscular dystrophy type 2B/R2-dysferlin-related (LGMD2B/R2) is another neuromuscular disease, which presents an autosomal recessive inheritance and is marked by proximal muscle weakness. Even if uncommon, comorbid inherited pathologies must be considered in cases of atypical presentations, especially in those with family history of consanguinity. Case Presentation: Herein, we report the unique case of a patient diagnosed with both DM1 and LGMD2B/R2: a 38-year-old woman in follow-up of DM1 in a neuromuscular disease service presenting prominent proximal weakness. The patient's parents were consanguineous, and creatine kinase levels were elevated. A multi-gene panel test was performed and revealed the diagnosis of LGMD2B/R2. Conclusion: Genetic diseases with atypical presentations should raise the possibility of a second disorder, prompting an appropriate investigation. Overlooking a second diagnosis can implicate in not offering adequate genetic counseling, support, or specific treatment.

4.
Am J Trop Med Hyg ; 110(2): 228-233, 2024 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-38109765

RESUMEN

In situ and systemic evaluations of the immune responses of HIV-infected patients to mucosal leishmaniasis have been poorly described. We describe a recently diagnosed HIV-infected patient with mucosal leishmaniasis who was characterized by a CD4 count of 85 cells/mm3 and nasal septum destruction resulting from pruritic and ulcerated nasal mucosa with crust formation and progression over 2 years. In situ and systemic immune evaluations of T cell activation, memory, and exhaustion were conducted using cytofluorometric assays, and sequencing of the Leishmania species was performed. The immune profile of HIV-infected patient with mucosal leishmaniasis shows a mixed Th1/Th2 pattern and an activated and exhausted status.


Asunto(s)
Infecciones por VIH , Leishmania , Leishmaniasis Mucocutánea , Humanos , Leishmaniasis Mucocutánea/diagnóstico , Leishmaniasis Mucocutánea/tratamiento farmacológico , Recuento de Linfocito CD4 , Inmunidad , Infecciones por VIH/complicaciones
5.
Hematol., Transfus. Cell Ther. (Impr.) ; 45(supl.2): S113-S118, July 2023. tab
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1514187

RESUMEN

ABSTRACT Objective: To evaluate and estimate the cost of basic care in sickle cell disease (SCD) for patients under five years of age, within the scope of the Unified Health System (SUS) and to discuss the costs related to possible complications of the disease from the literature. Methods: The main management and conduct recommendations in the SCD up to five years of age, with healthy and baseline health status, were extracted from the Basic Guidelines of the Care Line in the SCD of the Ministry of Health. Systematic data regarding costs of medicines were extracted from the Medicine Market Regulation Chamber. The SUS Table of Procedures, Medicines and Orthotics, Prosthetics and Auxiliary Means of Movement Management System was the guide for the values of complementary exams, as well as for medical consultations. The values applied to calculate the vaccination schedule were extracted from the Pan American Health Organization, adopting the perspective of the SUS-paying costs. Results: The total cost obtained for basic care of SCD in children up to five years of age, including the use of antibiotic prophylaxis, immunizations and the performance of transcranial Doppler ultrasound in the prevention and early detection of cerebrovascular accidents was, on average, $1020.96. Conclusion: The cost-effectiveness of prophylaxis in SCD, up to five years of age, exceeds the expenses resulting from hospitalizations due to complications of the disease. The study of expenses associated with SCD could be used to establish public policies, improve prevention strategies and treat the symptoms and complications of the disease.

6.
Stud Health Technol Inform ; 305: 616-619, 2023 Jun 29.
Artículo en Inglés | MEDLINE | ID: mdl-37387107

RESUMEN

Colorectal cancer (CRC) is one of the most common cancers worldwide, and its diagnosis and classification remain challenging for pathologists and imaging specialists. The use of artificial intelligence (AI) technology, specifically deep learning, has emerged as a potential solution to improve the accuracy and speed of classification while maintaining the quality of care. In this scoping review, we aimed to explore the utilization of deep learning for the classification of different types of colorectal cancer. We searched five databases and selected 45 studies that met our inclusion criteria. Our results show that deep learning models have been used to classify colorectal cancer using various types of data, with histopathology and endoscopy images being the most common. The majority of studies used CNN as their classification model. Our findings provide an overview of the current state of research on deep learning in the classification of colorectal cancer.


Asunto(s)
Neoplasias Colorrectales , Aprendizaje Profundo , Humanos , Inteligencia Artificial , Bases de Datos Factuales , Patólogos , Neoplasias Colorrectales/diagnóstico por imagen
7.
Behav Sci (Basel) ; 13(6)2023 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-37366727

RESUMEN

This scoping review aimed to investigate the association between depression and social media use among adolescents. The study analyzed 43 papers using five databases to identify articles published from 2012 to August 2022. The results revealed a connection between social media use and depression, as well as other negative outcomes such as anxiety, poor sleep, low self-esteem, and social and appearance anxiety. Surveys were the most used study strategy, with multiple common scales applied to assess depression, social media use, and other factors such as self-esteem and sleep quality. Among the studies, eight reported that females who use social media showed higher depression symptoms than males. This scoping review provides an overview of the current literature on the relationship between social media use and depression among adolescents. The findings emphasize the importance of monitoring social media use and providing support for individuals struggling with depression. However, more research is needed to better understand the factors contributing to this relationship and to develop more standardized assessment methods.

8.
Neotrop Entomol ; 52(4): 709-717, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37195558

RESUMEN

The biology, immature stages, geographic distribution, and systematic position of Glennia pylotis (Godart, 1819) are presented. This species is mostly restricted to the southeastern coastal Atlantic Forest, from the States of São Paulo to Bahia, with sparse records in the interior of Brazil, Argentina, and Bolivia (this locality is most probably spurious-see below). Data on immature stages are based on textual descriptions; pupal skins were illustrated and compared with those of other members of the subtribe Pierina. Based on molecular data, G. pylotis was recovered as a member of the "Leptophobia clade," as the sister group of all other genera in this clade except for Leptophobia. The immature stages are similar to, and host plants are the same, of several other related genera within Pierina, especially the "Leptophobia clade." By compiling all available data, searching for unpublished information in museums (including the finding of empty pupal cases) and adding molecular evidence for G. pylotis, not only its systematic position was elucidated, but its true conservation status could also be assessed.


Asunto(s)
Mariposas Diurnas , Animales , Brasil , Bosques , Argentina , Bolivia , Pupa
9.
J Gerontol A Biol Sci Med Sci ; 78(8): 1320-1327, 2023 08 02.
Artículo en Inglés | MEDLINE | ID: mdl-36869725

RESUMEN

Our aim was to investigate the association between gut microbiota and delirium occurrence in acutely ill older adults. We included 133 participants 65+ years consecutively admitted to the emergency department of a tertiary university hospital, between September 2019 and March 2020. We excluded candidates with ≥24-hour antibiotic utilization on admission, recent prebiotic or probiotic utilization, artificial nutrition, acute gastrointestinal disorders, severe traumatic brain injury, recent hospitalization, institutionalization, expected discharge ≤48 hours, or admission for end-of-life care. A trained research team followed a standardized interview protocol to collect sociodemographic, clinical, and laboratory data on admission and throughout the hospital stay. Our exposure measures were gut microbiota alpha and beta diversities, taxa relative abundance, and core microbiome. Our primary outcome was delirium, assessed twice daily using the Confusion Assessment Method. Delirium was detected in 38 participants (29%). We analyzed 257 swab samples. After adjusting for potential confounders, we observed that a greater alpha diversity (higher abundance and richness of microorganisms) was associated with a lower risk of delirium, as measured by the Shannon (odds ratio [OR] = 0.77; 95% confidence interval [CI] = 0.60-0.99; p = .042) and Pielou indexes (OR = 0.69; 95% CI = 0.51-0.87; p = .005). Bacterial taxa associated with pro-inflammatory pathways (Enterobacteriaceae) and modulation of relevant neurotransmitters (Serratia: dopamine; Bacteroides, Parabacteroides: GABA) were more common in participants with delirium. Gut microbiota diversity and composition were significantly different in acutely ill hospitalized older adults who experienced delirium. Our work is an original proof-of-concept investigation that lays a foundation for future biomarker studies and potential therapeutic targets for delirium prevention and treatment.


Asunto(s)
Delirio , Microbioma Gastrointestinal , Humanos , Anciano , Delirio/epidemiología , Estudios Prospectivos , Hospitalización , Tiempo de Internación
10.
Biomed Mater ; 18(2)2023 02 16.
Artículo en Inglés | MEDLINE | ID: mdl-36753761

RESUMEN

Polyurethane (PU) substrates are biocompatible materials widely used to manufacture endotracheal tubes. However, in common with other biomedical materials, they are liable to the formation of microbial films. The occurrence of pneumonia in intubated patients treated at intensive care units often takes the form of ventilator-associated pneumonia (VAP). The issue relates to the translocation of pathogenic microorganisms that colonize the oropharyngeal mucosa, dental plaque, stomach, and sinuses. New protective materials can provide a more effective therapeutic approach to mitigating bacterial films. This work concerns microcrystalline carbon film containing dispersed silver nanoparticles (µC-Ag) deposited on PU substrates using a physical vapor deposition sputtering process. For the first time, carbon paper was used to produce a carbon target with holes exposing a silver disk positioned under the carbon paper, forming a single target for use in the sputtering system. The silver nanoparticles were well distributed in the carbon film. The adherence characteristics of the µC-Ag film were evaluated using a tape test technique, and electron dispersive x-ray mapping was performed to analyze the residual particles after the tape test. The microbicidal effect of the thin film was also investigated using speciesS. aureus, a pathogenic microorganism responsible for most infections of the lower respiratory tract involving VAP and ventilator-associated tracheobronchitis (VAT). The results demonstrated that µC-Ag films on PU substrates are promising materials for mitigating pathogenic microorganisms on endotracheal tubes.


Asunto(s)
Nanopartículas del Metal , Neumonía Asociada al Ventilador , Humanos , Carbono , Plata/química , Nanopartículas del Metal/química , Neumonía Asociada al Ventilador/prevención & control , Neumonía Asociada al Ventilador/epidemiología , Neumonía Asociada al Ventilador/etiología , Materiales Biocompatibles , Intubación Intratraqueal/efectos adversos , Antibacterianos
11.
Am J Infect Control ; 51(3): 248-254, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-36375707

RESUMEN

BACKGROUND: Reducing the transmission of SARS-CoV-2 from asymptomatic and pre-symptomatic patients is critical in controlling the circulation of the virus. METHODS: This study evaluated the prevalence of Reverse transcription polymerase chain reaction (RT-PCR) positivity in serial tests in 429 asymptomatic health care workers (HCW) and its impact on absenteeism. HCW from a COVID-19 reference hospital were tested, screened, and placed on leave. A time-series segmented regression of weekly absenteeism rates was used, and cases of infection among hospitalized patients were analyzed. Viral gene sequencing and phylogenetic analysis were performed on samples from HCW who had a positive result. RESULTS: A significant decrease in absenteeism was detected 3-4 weeks after the intervention at a time of increased transmission within the city. The prevalence of RT-PCR positivity among asymptomatic professionals was 17.3%. Phylogenetic analyses (59 samples) detected nine clusters, two of them strongly suggestive of intrahospital transmission with strains (75% B.1.1.28) circulating in the region during this period. CONCLUSIONS: Testing and placing asymptomatic professionals on leave contributed to control strategy for COVID-19 transmission in the hospital environment, and in reducing positivity and absenteeism, which directly influences the quality of care and exposes professionals to an extra load of stress.


Asunto(s)
COVID-19 , Humanos , COVID-19/diagnóstico , COVID-19/epidemiología , SARS-CoV-2/genética , Prueba de Ácido Nucleico para COVID-19 , Pandemias/prevención & control , Absentismo , Filogenia , Personal de Salud , Hospitales , Prueba de COVID-19
12.
Hematol Transfus Cell Ther ; 45 Suppl 2: S113-S118, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36192354

RESUMEN

OBJECTIVE: To evaluate and estimate the cost of basic care in sickle cell disease (SCD) for patients under five years of age, within the scope of the Unified Health System (SUS) and to discuss the costs related to possible complications of the disease from the literature. METHODS: The main management and conduct recommendations in the SCD up to five years of age, with healthy and baseline health status, were extracted from the Basic Guidelines of the Care Line in the SCD of the Ministry of Health. Systematic data regarding costs of medicines were extracted from the Medicine Market Regulation Chamber. The SUS Table of Procedures, Medicines and Orthotics, Prosthetics and Auxiliary Means of Movement Management System was the guide for the values of complementary exams, as well as for medical consultations. The values applied to calculate the vaccination schedule were extracted from the Pan American Health Organization, adopting the perspective of the SUS-paying costs. RESULTS: The total cost obtained for basic care of SCD in children up to five years of age, including the use of antibiotic prophylaxis, immunizations and the performance of transcranial Doppler ultrasound in the prevention and early detection of cerebrovascular accidents was, on average, $1020.96. CONCLUSION: The cost-effectiveness of prophylaxis in SCD, up to five years of age, exceeds the expenses resulting from hospitalizations due to complications of the disease. The study of expenses associated with SCD could be used to establish public policies, improve prevention strategies and treat the symptoms and complications of the disease.

13.
Rev. Bras. Cancerol. (Online) ; 69(1)jan.-mar. 2023.
Artículo en Inglés, Español, Portugués | LILACS, Sec. Est. Saúde SP | ID: biblio-1512258

RESUMEN

Introdução: A hiperpigmentação mucocutânea é uma condição dermatológica que pode estar relacionada a tratamentos quimioterápicos, a exemplo das terapias com uso de hidroxiureia (HU). A HU é um fármaco citostático de amplo uso nas doenças mieloproliferativas e compõe a principal linha de tratamento da trombocitemia essencial (TE). O presente estudo tem por objetivo relatar um caso raro de hiperpigmentação mucocutânea em um paciente com TE. Relato do caso: Paciente do sexo masculino, 68 anos de idade, 89 kg, com diagnóstico de TE, em uso de HU 2 g/dia. Com três meses de terapia, apresentou lesões hiperpigmentadas de coloração acastanhadas em pele das mãos e mucosa oral (língua). Em decisão partilhada com o médico-assistente, o paciente optou pela continuação do uso do medicamento. Após seis anos de acompanhamento, as lesões mantêm-se estáveis. Conclusão: A hiperpigmentação mucocutânea associada à terapia com HU é um evento benigno secundário ao uso do fármaco e não exige a interrupção de uso, porém, sua retirada, ou redução das doses, geralmente leva à diminuição ou ao desaparecimento das lesões.


Introduction: Mucocutaneous hyperpigmentation is a dermatological condition that may be related to chemotherapy treatments, such as therapies using hydroxyurea (HU). HU is a cytostatic drug widely used in myeloproliferative diseases and is the main line of treatment for essential thrombocythemia (ET). The present study aims to report a rare case of mucocutaneous hyperpigmentation in a patient with ET. Case report: Male patient, 68 years old, 89 kg, diagnosed with ET using HU 2 g/day. After three months of therapy, he presented hyperpigmented brownish-colored lesions on the hands and oral cavity (tongue). In a decision shared with the assistant physician, the patient chose to continue using the drug. After six years of follow-up, the lesions remain stable. Conclusion: Mucocutaneous hyperpigmentation associated with HU therapy is a benign event secondary to the use of the drug and does not require discontinuation of use, however, its withdrawal or dose reduction usually leads to the reduction or disappearance of the lesions


Introducción: La hiperpigmentación mucocutánea es una condición dermatológica que puede estar relacionada con tratamientos de quimioterapia, como las terapias con hidroxiurea (HU). La HU es un fármaco citostático ampliamente utilizado en enfermedades mieloproliferativas y es la principal línea de tratamiento de la trombocitemia esencial (TE). El presente estudio tiene como objetivo reportar un caso raro de hiperpigmentación mucocutánea en un paciente con TE. Informe del caso: Paciente masculino de 68 años, 89 kg, diagnosticado de TE mediante HU 2 g/día. A los tres meses de tratamiento presenta lesiones hiperpigmentadas de color pardusco en manos y cavidad oral (lengua). En una decisión compartida con el médico asistente, el paciente optó por continuar usando el medicamento. Tras seis años de seguimiento, las lesiones se mantienen estables. Conclusión: La hiperpigmentación mucocutánea asociada a la terapia con HU es un evento benigno secundario al uso del fármaco y no requiere la suspensión de su uso, sin embargo, su retirada o reducción de dosis suele conducir a la reducción o desaparición de las lesiones.


Asunto(s)
Hiperpigmentación , Trombocitemia Esencial , Hidroxiurea
14.
Rev. Headache Med. (Online) ; 14(1): 29-31, 2023.
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1531754

RESUMEN

Introduction: he present article aims to popularize the temporomandibular disorder as a possible diagnosis when the phisician is facing a primary headache that was first thought to be a migraine headache or tension type headache, specially when they are not responsible to the treatment. Methodology:This study focused on the clinical manifestation of the headache caused by temporomandibular disorder, with data searched in the National Library of Medicine, Scielo and PubMed libraries, from 2002 to 2022; also the 3rd edition of the International Classification of Headache Disorders (2018) and the Continuum Headache (2021). The aspects of the clinical manifestation chosen for comparison were location of the pain, type of pain, crisis duration, improvement and worsening factors and associated symptoms. Results:27 articles were found and 3 were included and used to create a table comparing migraine, tension type and TMD headache. Some manifestations were similar, like bilateral location of headache (tension type and TMD headache) and many manifestations were distinct, like the type of pain (pulsatile for migraine, tight for tension type and rigidity or stabbing for TMD headache). In face of these results, it is clear that there are many aspects of the differential diagnosis between these three types of headache that can be investigated so that we can distinguish them. This study also reiterates the need for further studies regarding this topic. Conclusion:It is very reasonable to consider TMD headache as a first diagnosis when the complaint is a primary headache, as much as it is reasonable to consider this diagnosis when the refractoriness is the complaint. Also, considering the TMD as a trigger to the other headaches.


Introdução: o presente artigo tem como objetivo popularizar a disfunção temporomandibular como um possível diagnóstico quando o médico se depara com uma cefaleia primária que inicialmente se pensava ser uma enxaqueca ou cefaleia do tipo tensional, principalmente quando não são responsáveis ​​pelo tratamento. Metodologia:Este estudo teve como foco a manifestação clínica da cefaleia causada pela disfunção temporomandibular, com dados pesquisados ​​nas bibliotecas National Library of Medicine, Scielo e PubMed, de 2002 a 2022; também a 3ª edição da Classificação Internacional de Cefaleias (2018) e da Cefaleia Contínua (2021). Os aspectos da manifestação clínica escolhidos para comparação foram localização da dor, tipo de dor, duração da crise, fatores de melhora e piora e sintomas associados. Resultados: foram encontrados 27 artigos e 3 foram incluídos e utilizados para criar uma tabela comparando enxaqueca, tipo tensional e cefaleia por DTM. Algumas manifestações foram semelhantes, como localização bilateral da cefaleia (tipo tensional e cefaléia por DTM) e muitas manifestações foram distintas, como o tipo de dor (pulsátil para enxaqueca, tensa para tipo tensional e rigidez ou pontada para cefaléia por DTM). Diante desses resultados, fica claro que existem muitos aspectos do diagnóstico diferencial entre esses três tipos de cefaleia que podem ser investigados para que possamos distingui-los. Este estudo também reitera a necessidade de mais estudos sobre esse tema. Conclusão: É muito razoável considerar a cefaleia por DTM como primeiro diagnóstico quando a queixa é uma cefaleia primária, assim como é razoável considerar este diagnóstico quando a refratariedade é a queixa. Além disso, considerar a DTM como gatilho para as demais dores de cabeça.

15.
PLoS Negl Trop Dis ; 16(10): e0010725, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-36215317

RESUMEN

BACKGROUND: Chronic Chagas Cardiomyopathy (CCC) usually develops between 10 and 20 years after the first parasitic infection and is one of the leading causes of end-stage heart failure in Latin America. Despite the great inter-individual variability in CCC susceptibility (only 30% of infected individuals ever present CCC), there are no known predictors for disease development in those chronically infected. METHODOLOGY/PRINCIPAL FINDINGS: We describe a new susceptibility locus for CCC through a GWAS analysis in the SaMi-Trop cohort, a population-based study conducted in a Chagas endemic region from Brazil. This locus was also associated with CCC in the REDS II Study. The newly identified locus (rs34238187, OR 0.73, p-value 2.03 x 10-9) spans a haplotype of approximately 30Kb on chromosome 18 (chr18: 5028302-5057621) and is also associated with 80 different traits, most of them blood protein traits significantly enriched for immune-related biological pathways. Hi-C data show that the newly associated locus is able to interact with chromatin sites as far as 10Mb on chromosome 18 in a number of different cell types and tissues. Finally, we were able to confirm, at the tissue transcriptional level, the immune-associated blood protein signature using a multi-tissue differential gene expression and enrichment analysis. CONCLUSIONS/SIGNIFICANCE: We suggest that the newly identified locus impacts CCC risk among T cruzi infected individuals through the modulation of a downstream transcriptional and protein signature associated with host-parasite immune response. Functional characterization of the novel risk locus is warranted.


Asunto(s)
Cardiomiopatía Chagásica , Enfermedad de Chagas , Trypanosoma cruzi , Cromatina , Cromosomas Humanos Par 18/genética , Cromosomas Humanos Par 18/metabolismo , Estudio de Asociación del Genoma Completo , Humanos , Trypanosoma cruzi/fisiología
16.
Artículo en Inglés | MEDLINE | ID: mdl-36197424

RESUMEN

COVID-19 disease is spread worldwide and diagnostic techniques have been studied in order to contain the pandemic. Immunochromatographic (IC) assays are feasible and a low-cost alternative especially in low and middle-income countries, which lack structure to perform certain diagnostic techniques. Here we evaluate the sensitivity and specificity of eleven different IC tests in 145 serum samples from confirmed cases of COVID-19 using RT-PCR and 100 negative serum samples from blood donors collected in February 2019. We also evaluated the cross-reactivity with dengue using 20 serum samples from patients with confirmed diagnosis for dengue collected in early 2019 through four different tests. We found high sensitivity (92%), specificity (100%) and an almost perfect agreement (Kappa 0.92) of IC assay, especially when we evaluated IgG and IgM combined after 10 days from the onset of symptoms with RT-PCR. However, we detected cross-reactivity between dengue and COVID-19 mainly with IgM antibodies (5 to 20% of cross-reaction) and demonstrated the need for better studies about diagnostic techniques for these diseases.


Asunto(s)
COVID-19 , Dengue , Anticuerpos Antivirales , COVID-19/diagnóstico , Dengue/diagnóstico , Humanos , Inmunoensayo/métodos , Inmunoglobulina G , Inmunoglobulina M , SARS-CoV-2 , Sensibilidad y Especificidad
17.
Am J Trop Med Hyg ; 107(4): 785-788, 2022 10 12.
Artículo en Inglés | MEDLINE | ID: mdl-36067991

RESUMEN

The immunosuppressive effect of methotrexate has rarely been associated with reactivation of cutaneous leishmaniasis. Here we present a case of a cutaneous leishmaniasis patient with atypical clinical symptoms without splenomegaly but with cutaneous manifestations after treatment of rheumatoid arthritis with methotrexate and blood recovery of the parasite. Next-generation sequencing was used to identify Leishmania infantum chagasi in the patient's blood sample.


Asunto(s)
Artritis Reumatoide , Leishmania infantum , Leishmaniasis Cutánea , Leishmaniasis Visceral , Artritis Reumatoide/complicaciones , Artritis Reumatoide/tratamiento farmacológico , Humanos , Leishmaniasis Cutánea/diagnóstico , Leishmaniasis Cutánea/tratamiento farmacológico , Leishmaniasis Cutánea/parasitología , Leishmaniasis Visceral/tratamiento farmacológico , Metotrexato/efectos adversos
19.
PLoS One ; 17(7): e0270991, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35895677

RESUMEN

Tropical dry forests (TDFs) are essential for environmental dynamics, especially in terms of climate variations. However, several anthropic factors have threatened the integrity of TDFs, and consequently the surface temperature (ST), which is a proxy variable for several environmental processes in TDFs. So, understanding their behavior is crucial. The objective was to analyze the behavior of surface temperature owing to conversion of TDFs into anthropic uses in northern Minas Gerais between 2007 and 2016. In 9 years, dry forests decreased by 22.9%, with pastures as the central driver (counted 93% of change). Between 2007 and 2016, there was an increase in ST by 1.55 K ± 1.15 K. When TDFs were converted to pastureland, the increase in ST was 2.21 K ± 1.39 K and for crops by 0.57 K ± 1.24 K. The remaining TDFs (2016) had an increase in their thermal average of 1.41 K ± 1.02 K. This analysis is essential for the adoption of conservation actions for the maintenance of ecological corridors in TDFs, considering their importance in the ecosystem context.


Asunto(s)
Ecosistema , Bosques , Brasil , Clima , Temperatura , Clima Tropical
20.
Mol Cell Probes ; 61: 101791, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-35051596

RESUMEN

Leishmaniasis is a major public health problem worldwide. Although next generation sequencing technology has been widely used in the diagnosis of infectious diseases, it has been scarcely applied in identification of Leishmania species. The aim of this study was to compare the efficiency of MinION™ nanopore sequencing and polymerase chain reaction restriction fragment length polymorphism in identifying Leishmania species. Our results showed that the MinION™ sequencer was able to discriminate reference strains and clinical samples with high sensitivity in a cost and time effective manner without the prior need for culture.


Asunto(s)
Leishmania , Leishmaniasis Cutánea , ADN Protozoario , Proteínas HSP70 de Choque Térmico/genética , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Leishmania/genética , Leishmaniasis Cutánea/diagnóstico , Reacción en Cadena de la Polimerasa/métodos , Polimorfismo de Longitud del Fragmento de Restricción
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