Search

Numerous commercial tests for the serological diagnosis of COVID-19 have been produced in recent years. However, it is important to note that these tests exhibit significant variability in their sensitivity, specificity, and accuracy of results. Therefore, the objective of this study was to utilize bioinformatics tools to map SARS-CoV-2 peptides, with the goal of developing a new serological diagnostic test for COVID-19. Two peptides from the S protein and one from the N protein were selected and characterized in silico, chemically synthesized, and used as a serological diagnostic tool to detect IgM, IgG, and IgA anti-SARS-CoV-2 antibodies through the ELISA technique, confirmed as positive and negative samples by RT-qPCR or serology by ELISA. The results showed a sensitivity, specificity, Positive Predictive Value and Negative Predictive Value of 100% (p< 00001, 95% CI) for the proposed test. Although preliminary, this study brings proof-of-concept results that are consistent with the high-performance rates of the ELISA test when compared to other well-established methods for diagnosing COVID-19.

ObjectiveTo assess to what extent the clinical trial policies of the largest public and philanthropic funders of clinical research in the United States meet WHO best practices in trial registration and reporting.MethodsPublic and philanthropic funders of clinical trials in the USA with >US$50 million annual spend were selected. The funders were assessed using an 11-item scoring tool based on WHO Joint Statement benchmarks. These 11 items fell into 4 categories, namely: trial registration, academic publication, monitoring and sanctions. An additional item captured whether and how funders referred to Consolidated Standards of Reporting Trials (CONSORT) within their trial policies. Each funder was independently assessed by two or three researchers. Funders were contacted to flag possible errors and omissions. Ambiguous or difficult-to-score items were settled by an independent adjudicator.ResultsFourteen funders were assessed. Our cross-sectional study found that, on average, funders have only implemented 4.1/11 (37%) of WHO best practices in clinical trial transparency. The most frequently adopted requirement was open access publishing (14/14 funders). The least frequently adopted were (1) requiring trial ID to appear in all publications (2/14 funders, 14%) and (2) making compliance reports public (2/14 funders, 14%). Public funders, on average, adopted more policy elements (5.2/11 items, 47%) than philanthropic funders (2.8/11 items, 25%). Only one funder’s policy documents mentioned the CONSORT statement.ConclusionsThere is a significant variation between the number of best practice policy items adopted by medical research funders in the USA. Many funders fell significantly short of WHO Joint Statement benchmarks. Each funder could benefit from policy revision and strengthening.

Follicular lymphoma is a hematolymphoid neoplasm that originates from germinal center B cells. It is made up of a combination of small cleaved centrocytes and a varying quantity of larger non-cleaved centroblasts to describe the clinical, microscopic, immunohistochemical, and molecular features of oral follicular lymphomas. Follicular lymphomas affecting the oral cavity were retrieved from pathology files. Immunohistochemistry was performed to confirm the diagnosis, and fluorescence in situ hybridization (FISH) was employed to detect rearrangements in BCL2, BCL6, and MYCgenes. Clinical and follow-up data were obtained from the patient’s medical and pathology files. Twenty cases were obtained. There was an equal sex distribution (10 males: 10 females) and a mean age of 60.9 years (range: 10–83 years-old). Lesions presented as asymptomatic swellings, usually in the palate (10 cases) and the buccal mucosa (7 cases). Five patients presented with concomitant nodal involvement. Microscopic evaluation depicted the follicular growth pattern with diffuse areas in six cases. Grades 1 and 2 follicular lymphomas represented 12 cases, while grade 3A neoplasms accounted for other 8 cases. Two cases showed rearrangements in MYC, BCL2, and BCL6genes, while single BCL2translocation was found in eight cases. Two cases had no translocation. Three patients deceased and the 2-year overall survival achieved 88%. Follicular lymphoma affecting the oral cavity is uncommon, usually affects the palate as a non-ulcerated swelling and the presence of a systemic disease most always be ruled out.

Colonialism’s enduring impact on Brazil has had significant implications for health and oncology outcomes. This historical essay delves into the profound changes brought about by the transatlantic slave trade from Africa to the Americas, particularly in terms of its influence on the economy, sociocultural habits, and health outcomes. This essay explores the enduring connections between the colonial period’s operational dynamics in Brazil and the current epidemiological panorama of head and neck cancer (HNC). The examination provides original insights on the role of tobacco and alcohol production and consumption, alongside the investigation of structural racism, which contributes to disparities in access to diagnosis, treatment, and prognosis for patients with HNC. This article presents novel visions and an analysis of evidence-based strategies to disrupt the adverse impact of colonialism’s legacy on the epidemiology of HNC in Brazil.

Abstract: To date, no meta-analytical study evaluating the benefits of resistance exercise intervention on muscular strength and power and functional capacity in acute hospitalized older adults was conducted. Then, to synthesize the emerging evidence on the effects of resistance exercise intervention on muscular strength and power and functional capacity in acute hospitalized older adults, two independent authors performed a systematic search (PubMed, Scopus, Web of Science, and SciELO) until January 2021. Randomized clinical trials were included regarding the effects of resistance exercise and hospital usual care. The Cochrane Collaboration assessment tool was used to analyze the risk of bias. The comparisons included muscular strength (isometric handgrip strength and one-repetition maximum test of leg press), muscular power (output during leg press exercise), and functional capacity (timed-up-and-go, and short physical performance battery). Resistance exercise intervention increased muscular strength (isometric handgrip strength: mean difference = 2.50 kg, 95% confidence interval (CI) = 1.33, 3.67; and one-repetition maximum test of leg press: mean difference = 19.28 kg, 95% confidence interval = 14.70, 23.86) and muscular power (mean difference = 29.52 W, 95% confidence interval = 28.84, 30.21), and functional capacity (timed-up-and-go: mean difference = 3.40 s, 95% confidence interval = 0.47, 6.36; and short physical performance battery: mean difference = 1.29 points, 95% confidence interval = 0.10, 2.48) at discharge compared with hospital usual care. This meta-analysis endorses the increase of muscular strength and power gains and improving the functional capacity in favor of resistance exercise intervention in acute hospitalized older adults. Trial Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020203658

Genital lesions are an unusual presentation of American cutaneous leishmaniasis. Conditions such as disseminated cutaneous leishmaniasis and HIV infection may be associated with genital involvement. The authors present five cases of American cutaneous leishmaniasis with genital lesions and discuss the clinical and epidemiological aspects observed in this case series.

This is the update of the previously published living systematic review that integrated the morphological and tissue-based molecular characterization of oral lesions occurring in individuals infected with COVID-19 (OLICs).

Diverse proteomics-based strategies have been applied to saliva to quantitatively identify diagnostic and prognostic targets for oral cancer. Considering that these targets may be regulated by events that do not imply variation in protein abundance levels, we hypothesized that changes in protein conformation can be associated with diagnosis and prognosis, revealing biological processes and novel targets of clinical relevance. For this, we employed limited proteolysis–mass spectrometry in saliva samples to explore structural alterations, comparing the proteome of healthy control and oral squamous cell carcinoma (OSCC) patients with and without lymph node metastasis. Thirty-six proteins with potential structural rearrangements were associated with clinical patient features including transketolase and its interacting partners. Moreover, N-glycosylated peptides contribute to structural rearrangements of potential diagnostic and prognostic markers. Altogether, this approach utilizes saliva proteins to search for targets for diagnosing and prognosing oral cancer and can guide the discovery of potential regulated sites beyond protein-level abundance.

Good adhesion at fibre/matrix interface of lignocellulosic fibres is crucial when substituting synthetic fibres in polymer composites. The great variability presented by those fibres requires diverse characterisation studies for better insights on fibre surface treatments and resin systems interactions. In this work, Curaua fibres were treated using silane coupling agents to improve their interfacial properties with polyester. The fibres were pre-treated using 4 wt% solution of NaOH and then treated with 5 wt% solution of (3-aminopropyl) trimethoxysilane (AMPTS) or triethoxymethylsilane (TEMS). Characterisation of the treated fibres was carried out using infrared spectroscopy, X-ray diffraction, thermogravimetric analysis and scanning electron microscopy. Fibre wettability and adhesion towards polyester was investigated using contact angle measurements and pull-out tests, respectively. The AMPTS treatment yielded a significant result of 20.2 MPa in interfacial shear strength (˜2.5 times that of the untreated fibre), attributed to the increase in availability of binding sites with polyester.

ABSTRACTGood adhesion at fibre/matrix interface of lignocellulosic fibres is crucial when substituting synthetic fibres in polymer composites. The great variability presented by those fibres requires diverse characterisation studies for better insights on fibre surface treatments and resin systems interactions. In this work, Curaua fibres were treated using silane coupling agents to improve their interfacial properties with polyester. The fibres were pre-treated using 4 wt% solution of NaOH and then treated with 5 wt% solution of (3-aminopropyl) trimethoxysilane (AMPTS) or triethoxymethylsilane (TEMS). Characterisation of the treated fibres was carried out using infrared spectroscopy, X-ray diffraction, thermogravimetric analysis and scanning electron microscopy. Fibre wettability and adhesion towards polyester was investigated using contact angle measurements and pull-out tests, respectively. The AMPTS treatment yielded a significant result of 20.2 MPa in interfacial shear strength (≈2.5 times that of the untreated fibre), attributed to the increase in availability of binding sites with polyester.

Os sentidos e os significados atribuídos ao corpo podem variar de acordo com o meio socioeconômico e cultural. Assim, objetiva‐se investigar e comparar como o profissional de Educação Física lida com a pluralidade de concepções de corpo que atravessam as academias de ginástica de diferentes portes e localidades do Rio de Janeiro. Por meio de entrevistas etnográficas feitas com 29 profissionais, foram identificadas peculiaridades acerca dos usos do corpo em distintas academias de ginástica, conforme o contexto social. Tais aspectos são potencialmente importantes para se pensar a intervenção do profissional de Educação Física.

The aim of this case report is to present a distinct subtype of gingival inflammatory hyperplasia, providing information to avoid diagnostic mistakes and overtreatment. Also, an unexpected progression of the lesion is shown. Furthermore, a review of the literature to discuss the pathogenesis, diagnosis, treatment, and the need for new therapeutic approaches is presented. The authors report four cases of localized juvenile spongiotic gingival hyperplasia involving the anterior maxillary gingiva with distinct clinical features. The patients were followed for a period of 1 to 9 years, and the evolution of the lesions was documented. Surgical excision or therapy by topical steroids was used to treat the lesions. The long‐term follow‐up provides important information for clinicians not to eliminate older patients for lesion diagnosis. Although surgical excision should not be recommended for all cases, considering the risk of esthetic problems, the treatment modality using topical steroids was not permanently effective in the authors’ cases. Investigations about new esthetic treatment modalities for lesions are needed.

Online learning is one of the fastest growing trends in educational uses of technology. In this study, an instrument to measure the social attitudes of the Brazilian students based on distance education was developed and validated. The study population consisted of public administration undergraduate students that has been providing by distance education by University of Brasília, in Brazil. The sample of the study consisted of 590 Brazilian students. The scale has 41 items, with total Cronbach alpha coefficient of .94, and reliability coefficient (KMO) of .94. The correlations of each item with total point were between .30 and .79. A factor analysis was run using direct oblimin rotation for construct validity, resulting in 4 factors structure explaining 47.12% of total variability. These factors are “Personnel and Dispositional Aspects”, “Procedural Characteristics”, “Negative Affects” and “Internalization and habituation of usage”. Consequently, findings show that The Brazilian Attitude Scale towards Distance Education (BrazilASTDE) is a valid and reliable instrument.

Citrus black spot (CBS) is a disease caused by the fungus Phyllosticta citricarpathat is associated with significant yield losses. The pathogen forms airborne ascospores that are collected in dead fallen leaves as well as waterborne conidia that are common in lesions on mature fruits and occasionally in leaves and dead twigs. In Brazil, cultural management combined with the application of systemic, protective fungicides is a practice adopted to reduce both inoculum sources. Nevertheless, the removal of mature infected fruits, dead twigs, and dead fallen leaves has not been shown to reduce the extent of disease. Moreover, the increasing use of fungicides has led to the selection of resistant strains, as well as human health concerns. To better understand this pathosystem and how the pathogen overcomes control measures currently in use, we evaluated branches at different growth stages in the field, the viability of the pathogen in detached branches, and the possibility of plant colonization through leaves. We observed that living branches are a reservoir for this pathogen and that once the branches senesce, the pathogen can persist up to 45 days, able to contaminate other plant parts. On inoculated leaves, we observed only a one-point latent infection, without signs of colonization. We also developed a faster protocol to produce pycnidia of the pathogen using autoclaved branches as a substrate, which proved useful for testing alternative compounds to control P. citricarpa. These data may be useful in the search for new effective control measures and their targets.

Intelligent tutoring systems (ITSs) are effective to provide instruction for students in several situations. Many works have been using gamification by adding game elements to learning contexts aiming to engage students and to drive desired learning behaviours. However, the design of gamified ITS should deal with a huge variability. Software product lines (SPLs) promise to offer rapid product development and more affordable development costs to build software from the same family. A key factor to successfully implement a product-line approach is to structure commonalities and variabilities into a product line architecture (PLA). In this paper, we propose a PLA for developing gamified ITSs that uses an ontology-driven feature modelling strategy. We illustrate how our architecture could be applied to instantiate a product on the basic math domain. We also discuss a set of implications of using it as well as how it could support the evolution/changing of gamified ITSs.

Achieving high accuracy in orthology inference is essential for many comparative, evolutionary and functional genomic analyses, yet the true evolutionary history of genes is generally unknown and orthologs are used for very different applications across phyla, requiring different precision–recall trade-offs. As a result, it is difficult to assess the performance of orthology inference methods. Here, we present a community effort to establish standards and an automated web-based service to facilitate orthology benchmarking. Using this service, we characterize 15 well-established inference methods and resources on a battery of 20 different benchmarks. Standardized benchmarking provides a way for users to identify the most effective methods for the problem at hand, sets a minimum requirement for new tools and resources, and guides the development of more accurate orthology inference methods.

Protease activity has been associated with pathological processes that can lead to cancer development and progression. However, understanding the pathological unbalance in proteolysis is challenging because changes can occur simultaneously at protease, their inhibitor, and substrate levels. Here, we present a pipeline that combines peptidomics, proteomics, and peptidase predictions for studying proteolytic events in the saliva of 79 patients and their association with oral squamous cell carcinoma (OSCC) prognosis. Our findings revealed differences in the saliva peptidome of patients with (pN+) or without (pN0) lymph-node metastasis and delivered a panel of ten endogenous peptides correlated with poor prognostic factors plus five molecules able to classify pN0 and pN+ patients (area under the receiver operating characteristic curve > 0.85). In addition, endopeptidases and exopeptidases putatively implicated in the processing of differential peptides were investigated using cancer tissue gene expression data from public repositories, reinforcing their association with poorer survival rates and prognosis in oral cancer. The dynamics of the OSCC-related proteolysis were further explored via the proteomic profiling of saliva. This revealed that peptidase/endopeptidase inhibitors exhibited reduced levels in the saliva of pN+ patients, as confirmed by selected reaction monitoring–mass spectrometry, while minor changes were detected in the level of saliva proteases. Taken together, our results indicated that proteolytic activity is accentuated in the saliva of patients with OSCC and lymph-node metastasis and, at least in part, is modulated by reduced levels of salivary peptidase inhibitors. Therefore, this integrated pipeline provided better comprehension and discovery of molecular features with implications in the oral cancer metastasis prognosis.

High-dose radiation therapy affects bone metabolism, and therefore post-radiotherapy bone formation is an uncommon finding. This case describes an unusual ossification in the maxillary region identified after head and neck radiotherapy.

New technologies designed to improve the communication of autistic children can also help to promote interaction processes and cognitive and social development. The aim of this study was to analyze the instruments used to improve the communication skills of children with autism spectrum disorder. We searched the PubMed and Web of Science databases using the descriptors “autism”, “Asperger”, “education”, “children” and “assistive technology” and selected articles that met the following inclusion criteria: (i) original research; (ii) written in English; (iii) based on participants with a primary diagnosis of autism spectrum disorder; and (iv) tested an instrument designed to promote communication in children with autism spectrum disorder. Our search retrieved 811 articles, of which 34 met the inclusion criteria. Data on 26 instruments were extracted, and the measurement properties of the instruments were combined with information about their outcomes and presentation. The most commonly used interventions were the Treatment and Education of Autistic and Related Communication Handicapped Children program and the Picture Exchange Communication System. The Treatment and Education of Autistic and Related Communication Handicapped Children program was shown to produce improvements in the communication skills, socialization and self-care skills of children with autism spectrum disorder. The Picture Exchange Communication System produced inconsistent results. The results of the identified studies confirm the significant importance of these instruments in improving the communicative process of autistic children.