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1.
J Med Virol ; 87(2): 296-302, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25074376

RESUMO

Human parechovirus (HPeV), a member of Picornaviridae family, is a widespread pathogen causing a wide spectrum of diseases. Like other picornaviruses, HPeV genome recombination has been detected. A total of 322 fecal samples were collected from children outpatients in Guangzhou, China, including 42 (13.0%, 42/322) HPeV-positive samples detected in most of the infected children less than two years old. Seven HPeV genotypes (HPeV1, HPeV3, HPeV4, HPeV5, HPeV6, HPeV8 and HPeV14) were detected, among which, HPeV14, a rare genotype, was reported for the first time in children with acute gastroenteritis in China. This study revealed recombination events in eight samples. Clinical profiles did not yield statistical significance between children with HPeV infection alone and cases without pathogens detected. In conclusion, this study demonstrated that HPeV circulated in Guangzhou, China is diverse genetically, which provided evidence of recombination in HPeV in China.


Assuntos
Gastroenterite/virologia , Variação Genética , Parechovirus/classificação , Parechovirus/genética , Infecções por Picornaviridae/virologia , Recombinação Genética , Pré-Escolar , China , Análise por Conglomerados , Fezes/virologia , Feminino , Humanos , Lactente , Masculino , Dados de Sequência Molecular , Parechovirus/isolamento & purificação , Filogenia , RNA Viral/genética , Análise de Sequência de DNA , Homologia de Sequência
2.
J Clin Virol ; 104: 48-55, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29729547

RESUMO

BACKGROUND AND OBJECTIVES: Herpes simplex virus (HSV) and human cytomegalovirus (HCMV) are widespread infections in humans, yet their impact on adverse pregnancy outcomes is controversial. The objective of this study was to evaluate the impact of HSV and HCMV infections during pregnancy on adverse pregnancy outcomes. METHODS: A systematic literature search was performed using Web of Science, Scopus, Medline, Embase, PubMed, and the Cochrane Library database for relevant publications up to 2nd August 2017. The odds ratio (OR) and relative risk (RR), and their corresponding 95% confidence intervals (CIs) were selected as the effect size. Statistical analysis was conducted using STATA 12.0. RESULTS: In total, 20 eligible studies were identified and included in the meta-analysis. Of these, 13 and 12 studies were related to the impact of HSV and HCMV upon adverse pregnancy outcomes, respectively. Collectively, the results indicated that HSV infection during pregnancy increased the risk of spontaneous abortion, premature birth and stillbirth with an OR of 3.81 (95% CI: 1.96-7.41), 3.83 (95% CI: 1.17-12.54), and 1.78 (95% CI: 1.08-2.95), respectively. HCMV infection during pregnancy also represented a risk factor for spontaneous abortion, premature birth and stillbirth with an OR of 1.61 (95% CI: 1.14-2.27), 1.86 (95% CI: 1.26-2.76) and 5.74 (95% CI: 2.04-16.12), respectively. CONCLUSIONS: Maternal HSV and HCMV infection during pregnancy increase the risk of spontaneous abortion, premature birth, and stillbirth.


Assuntos
Aborto Espontâneo/epidemiologia , Infecções por Citomegalovirus/complicações , Herpes Simples/complicações , Complicações Infecciosas na Gravidez , Resultado da Gravidez , Nascimento Prematuro/epidemiologia , Natimorto/epidemiologia , Feminino , Humanos , Gravidez , Medição de Risco
3.
J Clin Virol ; 94: 42-49, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28753531

RESUMO

OBJECTIVE: To evaluate the effect of maternal dengue virus (DENV) infection during pregnancy in premature birth, low birth weight, miscarriage and stillbirth. METHODS: Systematic electronic literature searches were conducted including PubMed, Medline, Embase, Web of science, Scopus and the Cochrane Library database, up until July 5, 2017. Effect sizes were estimated by using the relative risk (RR) or odds ratio (OR) with theirs corresponding 95% confidence interval (CI). Subgroup analyses were conducted for study design (prospective or retrospective) and clinical symptom of participants (symptomatic or asymptomatic). Statistical analysis was conducted by STATA 12.0. RESULTS: The initial systematic literature searches identified 1048 studies. After screening, fourteen studies were included. The pooled results did not suggest maternal DENV infection might increase the risk of adverse fetal outcomes with a pooled RR of 0.96 (95% CI: 0.85-1.09, I2=49.6%) for premature birth, RR of 0.99 (95%CI: 0.87-1.12, I2=35.1%) for low birth weight, OR of 1.77 (95% CI: 0.99-3.15, I2=17.5%) for miscarriage and RR of 3.42 (95% CI: 0.76-15.49, I2=54.8%) for stillbirth. Subgroup analysis of studies in symptomatic participants still did not indicate DENV infection appeared to be a risk factor for premature birth, low birth weight and miscarriage with pooled effect size of 0.99 (95% CI: 0.87-1.13, I2=49.3%), 1.22 (95% CI: 0.827-1.80, I2=55.1%) and 1.19 (95% CI: 0.56-2.55, I2=4.7%), respectively. CONCLUSIONS: Current evidence did not suggest that maternal DENV infection during pregnancy might increase the risk of premature birth, low birth weight, miscarriage and stillbirth.


Assuntos
Vírus da Dengue , Dengue/epidemiologia , Complicações Infecciosas na Gravidez/epidemiologia , Resultado da Gravidez/epidemiologia , Aborto Espontâneo/epidemiologia , Feminino , Humanos , Recém-Nascido de Baixo Peso , Gravidez
4.
Vector Borne Zoonotic Dis ; 16(6): 423-7, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-27057618

RESUMO

Several novel adenoviruses (AdVs) have recently been identified in humans and other animal species. In this study, we report the molecular detection of and phylogenetically characterize bat and human AdVs detected in fecal or rectal swab samples collected in southern China. To detect AdVs, a 252-261 bp fragment of the DNA polymerase (DPOL) gene was amplified using nested PCR. A total of 520 rectal swab samples were collected from eight bat species in four geographic regions of southern China (Guangzhou, Yunfu, Huizhou, and Haikou city). Thirty-six (6.9%) samples from the following species tested positive for AdVs: Myotis ricketti, Miniopterus schreibersii, Scotophilus kuhlii, Taphozous melanopogon, Rhinolophus blythi, and Cynopterus sphinx. Eight novel AdVs were detected in 13.3% of the samples from C. sphinx. Of 328 fecal samples from patients with diarrhea, 16 (4.9%) were positive for classical human AdVs. Phylogenetic analysis showed that human AdVs shared low similarity (57.1-69.3%) with bat AdVs in deduced amino acid sequences of the AdV DPOL region. Thus, our study indicated that bat AdVs and human AdVs are species specific. As such, there is no evidence of cross-species transmission of AdV between bats and humans based on current data.


Assuntos
Adenoviridae/isolamento & purificação , Quirópteros/virologia , Filogenia , Adenoviridae/genética , Animais , China , DNA Polimerase Dirigida por DNA/genética , DNA Polimerase Dirigida por DNA/metabolismo , Fezes/virologia , Regulação Enzimológica da Expressão Gênica , Regulação Viral da Expressão Gênica , Humanos
5.
Artigo em Inglês | WPRIM | ID: wpr-819585

RESUMO

OBJECTIVE@#To investigate the effect of chemoradiotherapy after surgery on III A stage non-small cell lung cancer (NSCLC).@*METHODS@#A total of 156 NSCLC patients undergoing total pneumonectomy or pulmonary lobectomy were included in this study. The chemotherapy group (n=75) received the protocol of cisplatin (DDP) + gemcitabine (GEM) / docetaxel (DOC) / vinorelbine (NVB); the radiotherapy + chemotherapy group (n=81) received sequential chemoradiotherapy. The response rate, local control rate in 1 to 2 years, overall survival (OS), progression-free survival (PFS) and adverse reactions were evaluated.@*RESULTS@#The overall response rate was obviously higher in radiotherapy + chemotherapy group (79.4%) than in chemotherapy group (56.8%) (P0.05), while the median PFS of two groups were 10.8 months and 16.9 months respectively (P<0.001). 1-year and 3-year survival rates were obviously higher in radiotherapy + chemotherapy group than in chemotherapy group, and the difference reached statistical significance (P<0.05 or P<0.01). The adverse reactions manifested as hematological toxicity and digestive tract reaction in the two groups. In the radiotherapy + chemotherapy group, incidences of radiation-induced esophagus injury and lung injury were 24.7% and 34.6% respectively, all occurring within 2 to 6 weeks after the start of radiation and both below grade 2.@*CONCLUSIONS@#Chemoradiotherapy after surgery can improve local control rate and reduce or prevent distant metastasis, but there are still many controversies. In clinical work, we should carefully evaluate each patient's age, lung function, basic physical condition scoring and complications to choose a therapeutic schedule that is suitable for the patient.


Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Distribuição por Idade , Protocolos de Quimioterapia Combinada Antineoplásica , Usos Terapêuticos , Carcinoma Pulmonar de Células não Pequenas , Patologia , Terapêutica , Quimiorradioterapia Adjuvante , Cisplatino , Terapia Combinada , Desoxicitidina , Intervalo Livre de Doença , Docetaxel , Seguimentos , Neoplasias Pulmonares , Patologia , Terapêutica , Estadiamento de Neoplasias , Pneumonectomia , Período Pós-Operatório , Taxoides , Resultado do Tratamento , Vimblastina , Vinorelbina
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