No abstract

Protective adaptive immunity against severe acute respiratory syndrome coronaviruses 2 (SARS-CoV-2) and implications for vaccines. Cureus. 2020;12:e8399.

BackgroundDengue, an arboviral disease, is a public health problem in tropical and subtropical regions worldwide. In Brazil, epidemics have become increasingly important, with increases in the number of hospitalizations and the costs associated with the disease. This study aimed to describe the direct costs of hospitalized dengue cases, the financial impact of admissions and the use of blood products where current protocols for disease management were not followed.Methods and ResultsTo analyze the direct costs of dengue illness and platelet transfusion in Brazil based on the World Health Organization (WHO) guidelines, we conducted a retrospective cross-sectional census study on hospitalized dengue patients in the public and private Brazilian health systems in Dourados City, Mato Grosso do Sul State, Brazil. The analysis involved cases that occurred from January through December during the 2010 outbreak. In total, we examined 8,226 mandatorily reported suspected dengue cases involving 507 hospitalized patients. The final sample comprised 288 laboratory-confirmed dengue patients, who accounted for 56.8% of all hospitalized cases. The overall cost of the hospitalized dengue cases was US $210,084.30, in 2010, which corresponded to 2.5% of the gross domestic product per capita in Dourados that year. In 35.2% of cases, blood products were used in patients who did not meet the blood transfusion criteria. The overall median hospitalization cost was higher (p = 0.002) in the group that received blood products (US $1,622.40) compared with the group that did not receive blood products (US $550.20).ConclusionThe comparative costs between the public and the private health systems show that both the hospitalization of and platelet transfusion in patients who do not meet the WHO and Brazilian dengue guidelines increase the direct costs, but not the quality, of health care.

A B S T R A C THigh sedimentation is often related to stress in coral reef communities. Most southwestern Atlantic reefs are characterized by high sedimentation. However, there are no temporal series of sediment deposition rates. We evaluated sediment deposition, the sediment carbonate composition and coral and zoanthid covers on six reefs in Brazil over four-years. Sediment deposition rates varied from near zero to 233 mg cm -2 day -1 , with peaks between August and December, and yearly averages ranging from nine to 104 mg cm -2 day -1 . Deposition rates presented site-specific correlations with wind, indicating that resuspension must be a major factor. The presence of carbonates varied from 38% to 90%, with two sites showing seasonal differences. Benthic communities were fairly similar among sites, but the analyses suggested particular frequencies at each site. There was no significant correlation between sediment and benthic communities. However, Palythoa caribaeorum usually occur in high sediment deposition areas. Our results did not corroborate previous data that suggested that a 10 mg cm -2 day -1 would be a "critical limit for coral survival". Some coral reefs may be associated with high sedimentation environments including carbonatic fractions, but which does not per se hinder the development of southwestern Atlantic coral reef communities. R E S U M OA sedimentação é freqüentemente relacionada a estresse em recifes de coral. Os recifes do Atlântico sul ocidental possuem grande sedimentação, entretanto carecem de séries temporais das taxas de deposição de sedimento. Foram avaliadas estas taxas e a composição carbonática do sedimento, além da cobertura de corais e zoantídeos em seis recifes brasileiros durante quatro anos consecutivos. A deposição variou de zero a 233 mg cm -2 dia -1, com picos entre agosto e dezembro e médias anuais variando de nove a 104 mg cm -2 dia -1. As taxas de deposição apresentaram correlação com o vento, indicando que a ressuspensão deve ser o fator preponderante. A contribuição do carbonato variou de 38% a 90%, com dois locais apresentando diferenciação sazonal. As comunidades bênticas foram similares entre locais, entretanto as análises sugerem freqüencias diferenciadas para cada local. Não houve correlação significativa entre sedimentação e a comunidade bêntica. Entretanto, maior cobertura de Palythoa caribaeorum normalmente ocorreu em áreas de maior sedimentação. Nossos resultados não corroboraram resultados prévios sugerindo que 10 mg cm -2 dia -1 seria "limite crítico para sobrevivência" dos corais. Recifes brasileiros podem estar associados a ambientes de alta deposição de sedimento com elevadas frações carbonáticas, o que não impede o desenvolvimento das comunidades recifais do Atlântico sul ocidental.

Lesões histológicas no sistema nervoso central de cães com encefalite e diagnóstico molecular da infecção pelo vírus da cinomose canina [Histopathological lesions RESUMODez amostras de urina de cães que apresentavam sinais clínicos sistêmicos e neurológicos indicativos da infecção pelo vírus da cinomose canina (CDV) foram analisadas pela técnica da reação em cadeia pela polimerase precedida de transcrição reversa (RT-PCR) para a detecção do RNA do CDV. O exame histopatológico foi realizado em fragmentos de cérebro, cerebelo e bexiga. Como controle negativo foram colhidos fragmentos de órgãos e urina de quatro cães sem sinais clínicos de doença infecciosa e que morreram por outras causas. Todos os cães (9/10) positivos em RT-PCR apresentaram alterações histológicas no cérebro e cerebelo, características de encefalite aguda (5/9) ou crônica (4/9) compatíveis com as causadas pelo CDV. Um dos cães com alterações clínicas neurológicas semelhantes às observadas em cinomose foi negativo na RT-PCR e apresentou alterações histopatológicas inespecíficas. Nas amostras de bexiga não foram observadas lesões histológicas. Todas as amostras biológicas provenientes dos cães-controle foram negativas na RT-PCR (urina) e não apresentaram alterações histológicas (fragmentos de órgãos). O trabalho evidenciou a especificidade da RT-PCR no diagnóstico precoce e ante mortem na infecção pelo CDV.Palavras-chave: cão, cinomose canina, vírus da cinomose canina, RT-PCR, histopatologia ABSTRACT The reverse transcription-polymerase chain reaction (RT-PCR) was used to detect canine distemper virus (CDV) RNA in 10 urine samples from dogs that had died with clinical systemic and neurological signs indicative of CDV infection. Brain, cerebellum and urinary bladder fragments were collected for histopathological examination. For the negative control, urine and organ fragments were collected at necropsy from four dogs without clinical symptoms of infectious diseases that had died from other causes. The dogs positives in