30 results on '"Martinez VP"'
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2. Orthohantavirus diversity in Central-East Argentina: Insights from complete genomic sequencing on phylogenetics, Geographic patterns and transmission scenarios.
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Alonso DO, Kehl SD, Coelho RM, Periolo N, Poklépovich Caride T, Sanchez Loria J, Cuba FG, Pérez-Sautu U, Sanchez-Lockhart M, Palacios G, Bellomo CM, and Martinez VP
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- Argentina epidemiology, Humans, Whole Genome Sequencing, Hantavirus Pulmonary Syndrome transmission, Hantavirus Pulmonary Syndrome virology, Hantavirus Pulmonary Syndrome epidemiology, Male, Female, Adult, Animals, Middle Aged, Hantavirus Infections transmission, Hantavirus Infections virology, Hantavirus Infections epidemiology, Hantavirus Infections veterinary, Young Adult, Orthohantavirus genetics, Orthohantavirus classification, Phylogeny, Genome, Viral, Genetic Variation
- Abstract
Hantavirus Pulmonary Syndrome (HPS), characterized by its high fatality rate, poses a significant public health concern in Argentina due to the increasing evidence of person-to-person transmission of Andes virus. Several orthohantaviruses were described in the country, but their phylogenetic relationships were inferred from partial genomic sequences. The objectives of this work were to assess the viral diversity of the most prevalent orthohantaviruses associated with HPS cases in the Central-East (CE) region of Argentina, elucidate the geographic patterns of distribution of each variant and reconstruct comprehensive phylogenetic relationships utilizing complete genomic sequencing. To accomplish this, a detailed analysis was conducted of the geographic distribution of reported cases within the most impacted province of the region. A representative sample of cases was then selected to generate a geographic map illustrating the distribution of viral variants. Complete viral genomes were obtained from HPS cases reported in the region, including some from epidemiologically linked cases. The phylogenetic analysis based on complete genomes defined two separate clades in Argentina: Andes virus in the Southwestern region and Andes-like viruses in other parts of the country. In the CE region, Buenos Aires virus and Lechiguanas virus clearly segregate in two subclades. Complete genomes were useful to distinguish person-to-person transmission from environmental co-exposure to rodent population. This study enhances the understanding of the genetic diversity, geographical spread, and transmission dynamics of orthohantaviruses in Central Argentina and prompt to consider the inclusion of Buenos Aires virus and Lechiguanas virus in the species Orthohantavirus andesense, as named viruses., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Alonso et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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3. Hantavirus Pulmonary Syndrome Outbreak Anticipation by a Rapid Synchronous Increase in Rodent Abundance in the Northwestern Argentina Endemic Region: Towards an Early Warning System for Disease Based on Climate and Rodent Surveillance Data.
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Ferro I, Lopez W, Cassinelli F, Aguirre S, Cuyckens GAE, Kehl S, Abán-Moreyra D, Castillo P, Bellomo C, Gil J, and Martinez VP
- Abstract
Hantavirus pulmonary syndrome (HPS) is an American emerging disease caused by the rodent-borne virus genus Orthohantavirus (Family: Hantaviridae : Order: Elliovirales Class: Bunyaviricetes ). In Argentina, almost half of the HPS infections occur in the northwestern endemic region. In this study, we monitored rodent abundance during 2022 and 2023 in three sites with different sampling methods (removal trapping, live trapping and hunted rodents by domestic cats) to evaluate their relationship with human infections. We found a similar pattern of variation in rodent abundance across time, and particularly a synchronous rise of rodent abundance that anticipated an HPS outbreak in 2023. Our dynamic regression models revealed a positive relationship between HPS cases and rodent abundance with a three-month lag, as well as rainfall with an eight-month lag. Our results provide a framework for the planning and implementation of public health prevention campaigns based on climatology and rodent monitoring. Domestic cats bringing rodents into houses can be an overlooked risk factor, particularly if viral shedding of infected rodents is magnified by stress. HPS is a disease of public health concern due to its high mortality rate, the lack of a specific therapeutic treatment and no vaccine. Thus, prevention of infections is of the utmost importance.
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- 2024
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4. Orthohantavirus Infection in Two Rodent Species that Inhabit Wetlands in Argentina.
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Maroli M, Bellomo CM, Coelho RM, Martinez VP, Piña CI, and Gómez Villafañe IE
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- Humans, Male, Animals, Rodentia, Wetlands, Argentina epidemiology, Seroepidemiologic Studies, Disease Reservoirs, Sigmodontinae, Orthohantavirus, Rodent Diseases epidemiology, Hantavirus Infections epidemiology, Hantavirus Pulmonary Syndrome
- Abstract
Previous research conducted in central-east region of Argentina recorded potential orthohantavirus host rodents in diverse environments, but no research has focused particularly on islands, the environments that present the greatest risk to humans. For this reason, the aims of this research were to determine the orthohantavirus host in the rodent community focused on islands of Paraná River Delta, central-east region of Argentina, to identify temporal and spatial factors associated with orthohantavirus prevalence variations, to compare the functional traits of seropositive and seronegative rodents, and to explore the association between orthohantavirus prevalence and rodent community characteristics between August 2014 and May 2018. With a trapping effort of 14,600 trap-nights, a total of 348 sigmodontine rodent specimens belonging to seven species were captured 361 times. The overall antibody prevalence was 4.9%. Particularly, 14.9% of Oligoryzomys flavescens and 1.5% of Oxymycterus rufus, mainly reproductively active adult males, had antibodies against orthohantavirus. Even though O. flavescens inhabit all islands, our results suggest spatial heterogeneity in the viral distribution, with two months after periods of low temperature presenting increases in seroprevalence. This could be a response to the increased proportion of adults present in the rodent population. In addition, an association was found between the high seroprevalence and the diversity of the rodent assemblage. We also found 1.5% of O. rufus exposed to orthohantavirus, which shows us that further investigation of the ecology of the virus is needed to answer whether this species act as a spillover or a new competent host., (© 2023. EcoHealth Alliance.)
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- 2023
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5. Assessing Spanish Health Literacy and Cervical Cancer Knowledge, Attitudes, and Behaviors in a Student-Run Free Clinic.
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Jones NC, Fusani AU, Cox KM, Martinez VP, Guerra L, and Gonzalez E
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- Female, Humans, Health Knowledge, Attitudes, Practice, Early Detection of Cancer, Health Literacy, Uterine Cervical Neoplasms diagnosis, Uterine Cervical Neoplasms prevention & control, Student Run Clinic
- Abstract
While the incidence of cervical cancer continues to decrease, there is a significant discrepancy in incidence rates and screening behaviors among Hispanic and non-Hispanic white patients in the USA. This project examines the relationship between Spanish health literacy and cervical cancer screening knowledge, attitudes, and practices among native Spanish-speaking patients at risk for cervical cancer at the USF BRIDGE Healthcare Clinic, a student-run free clinic in Tampa, FL. Spanish-speaking patients ≥21 years (n = 34) participated in a quality improvement project that included an assessment of Spanish health literacy and a written survey on cervical cancer knowledge. Chi-squared tests were performed to assess potential relationships between health literacy and cervical cancer knowledge, attitudes, health behaviors, and demographics. Seven participants (20.6%) scored between 0 and 14 on the SAHL-S, indicating inadequate health literacy. A significant difference in cervical cancer health knowledge was found between patients with adequate health literacy compared to patients with inadequate health literacy (p = 0.002). There is a potential association between low Spanish health literacy and subsequent poorer understanding of cervical cancer in BRIDGE patients. This implies that patients of low health literacy may have poorer comprehension of other aspects of their care beyond cervical cancer screening. Strategies are discussed to improve communication with BRIDGE patients of low Spanish health literacy that may be applicable to other patient populations., (© 2023. The Author(s) under exclusive licence to American Association for Cancer Education.)
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- 2023
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6. Hantavirus Pulmonary Syndrome in a COVID-19 Patient, Argentina, 2020.
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Coelho RM, Periolo N, Duhalde CP, Alonso DO, Bellomo CM, Corazza M, Iglesias AA, and Martinez VP
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- Argentina epidemiology, Humans, COVID-19 diagnosis, Coinfection, Orthohantavirus, Hantavirus Pulmonary Syndrome diagnosis
- Abstract
We describe a patient in Argentina with severe acute respiratory syndrome coronavirus 2 infection and hantavirus pulmonary syndrome (HPS). Although both coronavirus disease and HPS can be fatal when not diagnosed and treated promptly, HPS is much more lethal. This case report may contribute to improved detection of co-infections in HPS-endemic regions.
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- 2022
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7. Expanded distribution of orthohantavirus Pergamino genotype: First record in Entre Rios province, Argentina.
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Gómez Villafañe IE, Burgos EF, Coelho RM, Bellomo CM, Garcilazo Amatti J, and Martinez VP
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- Animals, Argentina epidemiology, Disease Reservoirs, Genotype, Rodentia, Orthohantavirus genetics
- Abstract
Hantavirus Pulmonary Syndrome (HPS) is an emerging infectious disease of the Americas. Eight native rodent species have been identified as HPS virus reservoirs in Argentina. The aim of this work was to detect the orthohantavirus genotypes present in a rodent community that inhabits a zone where a fatal HPS case occurred within an endemic locality of Central Argentina. We captured 27 rodents with a trapping effort of 723 trap nights. We detected 14.3% of infected Akodon azarae with the Pergamino genotype. This result expands the known distribution of this orthohantavirus. Although the Pergamino genotype has not been associated with human cases, the information about its distribution is relevant for risk assessment against potential changes in the virus infectivity., (Copyright © 2021 Asociación Argentina de Microbiología. Publicado por Elsevier España, S.L.U. All rights reserved.)
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- 2022
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8. First Evidence of Akodon-Borne Orthohantavirus in Northeastern Argentina.
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Burgos EF, Vadell MV, Bellomo CM, Martinez VP, Salomon OD, and Gómez Villafañe IE
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- Animals, Argentina epidemiology, Arvicolinae, Male, Rats, Sigmodontinae, Orthohantavirus, Hantavirus Pulmonary Syndrome epidemiology
- Abstract
Orthohantaviruses (genus Orthohantavirus, family Hantaviridae) are the etiologic agents of Hantavirus Pulmonary Syndrome in the Americas. In South America, orthohantaviruses are highly diverse and are hosted by sigmodontine rodents (subfamiliy Sigmodontinae, family Cricetidae), an also diverse group of rodents. The aims of this work were to (1) identify orthohantavirus hosts and (2) to study the spatial and temporal variations in the prevalence of infection and their associations with community, environmental and individual characteristics, in different environments of Misiones province, northeastern Argentina. Live-capture sessions were carried out during two years in different land uses, with a trapping effort of 31,653 trap nights. We captured 719 individuals from the species Akodon montensis, Rattus rattus, Mus musculus, Calomys tener, Thaptomys nigrita, Oligoryzomys nigripes, Euryoryzomys russatus, Oligoryzomys flavescens, Brucepattersonius sp., and Juliomys pictipes. Antibodies against orthohantavirus were detected in Akodon montensis in one natural protected and one periurban areas, and it was the most abundant species in almost every study sites. We observed the presence of spatial focality of orthohantavirus infection and a positive association with host abundance suggesting the existence of a threshold density. At the individual level, large, reproductively active, and male individuals were more likely to have antibodies against orthohantavirus. This is the first record of orthohantavirus infection in A. montensis in Argentina, which shows the importance of investigations about emerging diseases., (© 2021. EcoHealth Alliance.)
- Published
- 2021
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9. Emerging hantaviruses in Central Argentina: First case of Hantavirus Pulmonary Syndrome caused by Alto Paraguay virus, and a novel orthohantavirus in Scapteromys aquaticus rodent.
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Bellomo C, Alonso DO, Ricardo T, Coelho R, Kehl S, Periolo N, Azogaray V, Casas N, Ottonelli M, Bergero LC, Cudós MC, Previtali MA, and Martinez VP
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- Adolescent, Animals, Antibodies, Viral blood, Argentina, Female, Orthohantavirus classification, Orthohantavirus genetics, Humans, Male, Phylogeny, Sigmodontinae blood, Disease Reservoirs virology, Orthohantavirus isolation & purification, Hantavirus Pulmonary Syndrome virology, Sigmodontinae virology
- Abstract
Orthohantaviruses are emerging rodent-borne pathogens that cause Hantavirus Pulmonary Syndrome in humans. They have a wide range of rodent reservoir hosts and are transmitted to humans through aerosolized viral particles generated by the excretions of infected individuals. Since the first description of HPS in Argentina, new hantaviruses have been reported throughout the country, most of which are pathogenic to humans. We present here the first HPS case infected with Alto Paraguay virus reported in Argentina. Until now, Alto Paraguay virus was considered a non-pathogenic orthohantavirus since it was identified in a rodent, Holochilus chacarius. In addition to this, with the goal of identifying potential hantavirus host species in the province of Santa Fe, we finally describe a novel orthohantavirus found in the native rodent Scapteromys aquaticus, which differed from other hantaviruses described in the country so far. Our findings implicate an epidemiological warning regarding these new orthohantaviruses circulating in Central Argentina as well as new rodent species that must be considered as hosts from now on., Competing Interests: The authors have declared that no competing interests exist.
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- 2021
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10. Hantavirus pulmonary syndrome outbreaks associated with climate variability in Northwestern Argentina, 1997-2017.
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Ferro I, Bellomo CM, López W, Coelho R, Alonso D, Bruno A, Córdoba FE, and Martinez VP
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- Argentina epidemiology, Hantavirus Pulmonary Syndrome transmission, Humans, Rain, Sin Nombre virus, Temperature, Climate, Disease Outbreaks statistics & numerical data, Hantavirus Pulmonary Syndrome epidemiology
- Abstract
Background: Rodent-borne hantaviruses (genus Orthohantavirus) are the etiologic agents causing two human diseases: hemorrhagic fever with renal syndrome (HFRS) in Euroasia; and hantavirus pulmonary syndrome (HPS) in North and South America. In South America fatality rates of HPS can reach up to 35%-50%. The transmission of pathogenic hantaviruses to humans occurs mainly via inhalation of aerosolized excreta from infected rodents. Thus, the epidemiology of HPS is necessarily linked to the ecology of their rodent hosts and the contact with a human, which in turn may be influenced by climatic variability. Here we examined the relationship between climatic variables and hantavirus transmission aim to develop an early warning system of potential hantavirus outbreaks based on ecologically relevant climatic factors., Methodology and Main Findings: We compiled reported HPS cases in northwestern Argentina during the 1997-2017 period and divided our data into biannual, quarterly, and bimestrial time periods to allow annual and shorter time delays to be observed. To evaluate the relationship of hantavirus transmission with mean temperature and precipitation we used dynamic regression analysis. We found a significant association between HPS incidence and lagged rainfall and temperature with a delay of 2 to 6 months. For the biannual and quarterly models, hantavirus transmission was positively associated with lagged rainfall and temperature; whereas the bimestrial models indicate a direct relationship with the rainfall but inverse for temperature in the second lagged period., Conclusions/significance: This work demonstrates that climate variability plays a significant role in the transmission of hantavirus in northwestern Argentina. The model developed in this study provides a basis for the forecast of potential HPS outbreaks based on climatic parameters. Our findings are valuable for the development of public health policies and prevention strategies to mitigate possible outbreaks. Nonetheless, a surveillance program on rodent population dynamics would lead to a more accurate forecast of HPS outbreaks., Competing Interests: The authors have declared that no competing interests exist.
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- 2020
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11. Abnormal Adrenal Mass Presents as Proximal Epithelioid Sarcoma.
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Martinez VP, Nicholson M, and Patel T
- Abstract
Epithelioid sarcoma (ES) is a rare malignant mesenchymal neoplasm that accounts for less than one percent of all soft-tissue sarcomas. Only two cases of ES involving the adrenal gland were found after a literature review. We report a case of an 82-year-old female initially presenting with right flank pain who was subsequently found to have an incidental left adrenal mass on CT imaging. After appropriate diagnostic workup, the patient underwent surgical resection. A diagnosis of ES was made from the histopathological analysis. The characteristic findings of ES are epithelioid cells with rhabdoid morphology and moderate eosinophilic cytoplasm. Immunohistochemical findings are significant for positive staining for epithelial markers, cytokeratins, vimentin, and CD34, and loss of INI-1 stain. Due to the aggressive nature and limited data of ESs, the standard treatment continues to remain wide surgical excision., Competing Interests: The authors have no conflicts of interest., (Copyright © 2020 Valeria Pereira Martinez et al.)
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- 2020
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12. Person-to-Person Transmission of Andes Virus in Hantavirus Pulmonary Syndrome, Argentina, 2014.
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Alonso DO, Pérez-Sautu U, Bellomo CM, Prieto K, Iglesias A, Coelho R, Periolo N, Domenech I, Talmon G, Hansen R, Palacios G, and Martinez VP
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- Argentina epidemiology, Humans, Orthohantavirus genetics, Hantavirus Pulmonary Syndrome epidemiology
- Abstract
Andes virus is unique among hantaviruses because it can be transmitted from person to person. This mechanism was previously supported by epidemiologic data and genetic evidence based only on partial sequences. We used full-length virus sequencing to confirm person-to-person transmission of this virus in a cluster of 3 cases in Argentina in 2014.
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- 2020
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13. Differential Regulation of PAI-1 in Hantavirus Cardiopulmonary Syndrome and Hemorrhagic Fever With Renal Syndrome.
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Bellomo C, Korva M, Papa A, Mäkelä S, Mustonen J, Avšič-Županc T, Vaheri A, Martinez VP, and Strandin T
- Abstract
We analyzed the levels of circulating tissue plasminogen activator (tPA) and plasminogen activator inhibitor (PAI)-1 in acute hantavirus cardiopulmonary syndrome (HCPS) and hemorrhagic fever with renal syndrome (HFRS). The levels of tPA commonly increased in both diseases, whereas PAI-1 correlated with disease severity in HCPS but not in HFRS.
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- 2018
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14. [Laboratory preparation for the diagnosis of Ebola virus disease in Argentina].
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Martinez VP, Bellomo CM, and Iglesias AA
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- Argentina, Ebolavirus classification, Ebolavirus isolation & purification, Humans, RNA, Viral analysis, Ebolavirus genetics, Hemorrhagic Fever, Ebola diagnosis, RNA, Viral genetics
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- 2014
15. Variability of HIV-1 genomes among children and adolescents from São Paulo, Brazil.
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Sanabani SS, Pessôa R, Soares de Oliveira AC, Martinez VP, Giret MT, de Menezes Succi RC, Carvalho K, Tomiyama CS, Nixon DF, Sabino EC, and Kallas EG
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- Adolescent, Brazil, Child, Child, Preschool, Drug Resistance, Viral genetics, Female, Genomics, Genotype, HIV-1 drug effects, HIV-1 physiology, Humans, Leukocytes, Mononuclear metabolism, Male, Mutation, Viral Tropism genetics, Young Adult, Genetic Variation, Genome, Viral genetics, HIV-1 genetics
- Abstract
Background: Genetic variability is a major feature of the human immunodeficiency virus type 1 (HIV-1) and considered the key factor to frustrating efforts to halt the virus epidemic. In this study, we aimed to investigate the genetic variability of HIV-1 strains among children and adolescents born from 1992 to 2009 in the state of Sao Paulo, Brazil., Methodology: Plasma and peripheral blood mononuclear cells (PBMC) were collected from 51 HIV-1-positive children and adolescents on ART followed between September 1992 and July 2009. After extraction, the genetic materials were used in a polymerase chain reaction (PCR) to amplify the viral near full length genomes (NFLGs) from 5 overlapped fragments. NFLGs and partial amplicons were directly sequenced and data were phylogenetically inferred., Results: Of the 51 samples studied, the NFLGs and partial fragments of HIV-1 from 42 PBMCs and 25 plasma were successfully subtyped. Results based on proviral DNA revealed that 22 (52.4%) patients were infected with subtype B, 16 (38.1%) were infected with BF1 mosaic variants and 4 (9.5%) were infected with sub-subtype F1. All the BF1 recombinants were unique and distinct from any previously identified unique or circulating recombinant forms in South America. Evidence of dual infections was detected in 3 patients coinfected with the same or distinct HIV-1 subtypes. Ten of the 31 (32.2%) and 12 of the 21 (57.1%) subjects with recovered proviral and plasma, respectively, protease sequences were infected with major mutants resistant to protease inhibitors. The V3 sequences of 14 patients with available sequences from PBMC/or plasma were predicted to be R5-tropic virus except for two patients who harbored an X4 strain., Conclusions: The high proportion of HIV-1 BF1 recombinant, coinfection rate and vertical transmission in Brazil merits urgent attention and effective measures to reduce the transmission of HIV among spouses and sex partners.
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- 2013
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16. Induction of protective immunity in a Syrian hamster model against a cytopathogenic strain of Andes virus.
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Martinez VP and Padula PJ
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- Animals, Antibodies, Viral blood, Chlorocebus aethiops, Cricetinae, Cytopathogenic Effect, Viral, Disease Models, Animal, Orthohantavirus pathogenicity, Hantavirus Infections immunology, Hantavirus Infections mortality, Hantavirus Infections pathology, Male, Mesocricetus, Seoul virus immunology, Survival Analysis, Vero Cells, Viral Plaque Assay, Orthohantavirus immunology, Hantavirus Infections prevention & control
- Abstract
Andes virus (ANDV) is responsible for the Hantavirus Pulmonary Syndrome cases in Argentina and neighboring countries, with moderate to high case-fatality rates. ANDV has some particular features, which make it unique among other members of the Hantavirus genus such as person-to-person transmission and causing a disease similar to Hantavirus Pulmonary Syndrome in the hamster as an animal model. The kinetics of replication in Vero E6 cells of an ANDV strain isolated in Argentina, called Andes/ARG, was studied. Cytopathic effect and the formation of clear plaques were observed and therefore Andes/ARG could be quantified by classic plaque assay. The Andes/ARG strain was found to be highly lethal in Syrian hamsters allowing experiments to demonstrate the protective potential of vaccines. A recombinant nucleocapsid protein of ANDV induced a long lasting antibody response and protective immunity against a homologous challenge, but to a lower extent against heterologous challenge by the Seoul virus., (Copyright © 2011 Wiley Periodicals, Inc.)
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- 2012
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17. Correlation between LTR point mutations and proviral load levels among human T cell lymphotropic virus type 1 (HTLV-1) asymptomatic carriers.
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Neto WK, Da-Costa AC, de Oliveira AC, Martinez VP, Nukui Y, Sabino EC, and Sanabani SS
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- Adult, Aged, Aged, 80 and over, Carrier State physiopathology, Cross-Sectional Studies, Female, Gene Products, tax genetics, Gene Products, tax metabolism, Genes, pX, HTLV-I Infections physiopathology, HTLV-I Infections virology, Human T-lymphotropic virus 1 genetics, Humans, Male, Middle Aged, Proviruses genetics, Response Elements, Viral Load, Virus Replication, Young Adult, Carrier State virology, Human T-lymphotropic virus 1 physiology, Point Mutation, Proviruses physiology, Terminal Repeat Sequences genetics
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Background: In vitro studies have demonstrated that deletions and point mutations introduced into each 21 bp imperfect repeat of Tax-responsive element (TRE) of the genuine human T-cell leukemia virus type I (HTLV-1) viral promoter abolishes Tax induction. Given these data, we hypothesized that similar mutations may affect the proliferation of HTLV-1-infected cells and alter the proviral load (PvL). To test this hypothesis, we conducted a cross-sectional genetic analysis to compare the near-complete LTR nucleotide sequences that cover the TRE1 region in a sample of HTLV-1 asymptomatic carriers with different PvL burden., Methods: A total of 94 asymptomatic HTLV-1 carriers with both sequence from the 5' long terminal repeat (LTR) and a PvL for Tax DNA measured using a sensitive SYBR Green real-time PCR were studied. The 94 subjects were divided into three groups based on PvL measurement: 31 low, 29 intermediate, and 34 high. In addition, each group was compared based on sex, age, and viral genotypes. In another analysis, the median PvLs between individuals infected with mutant and wild-type viruses were compared., Results: Using a categorical analysis, a G232A substitution, located in domain A of the TRE-1 motif, was detected in 38.7% (12/31), 27.5% (8/29), and 61.8% (21/34) of subjects with low, intermediate, or high PvLs, respectively. A significant difference in the detection of this mutation was found between subjects with a high or low PvL and between those with a high or intermediate PvL (both p < 0.05), but not between subjects with a low or intermediate PvL (p > 0.05). This result was confirmed by a non-parametric analysis that showed strong evidence for higher PvLs among HTLV-1 positive individuals with the G232A mutation than those without this mutation (p < 0.03). No significant difference was found between the groups in relation to age, sex or viral subtypes (p > 0. 05)., Conclusions: The data described here show that changes in domain A of the HTLV-1 TRE-1 motif resulting in the G232A mutation may increase HTLV-1 replication in a majority of infected subjects.
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- 2011
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18. Intrathecal antibody production in two cases of yellow fever vaccine associated neurotropic disease in Argentina.
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Pires-Marczeski FC, Martinez VP, Nemirovsky C, and Padula PJ
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- Antibodies, Viral blood, Argentina, Enzyme-Linked Immunosorbent Assay, Humans, Immunoglobulin M blood, Immunoglobulin M cerebrospinal fluid, Male, Meningoencephalitis pathology, Middle Aged, Myelitis pathology, Antibodies, Viral cerebrospinal fluid, Meningoencephalitis diagnosis, Meningoencephalitis immunology, Myelitis diagnosis, Myelitis immunology, Yellow Fever Vaccine adverse effects
- Abstract
During the period 2007-2008 several epizootics of Yellow fever with dead of monkeys occurred in southeastern Brasil, Paraguay, and northeastern Argentina. In 2008 after a Yellow fever outbreak an exhaustive prevention campaign took place in Argentina using 17D live attenuated Yellow fever vaccine. This vaccine is considered one of the safest live virus vaccines, although serious adverse reactions may occur after vaccination, and vaccine-associated neurotropic disease are reported rarely. The aim of this study was to confirm two serious adverse events associated to Yellow fever vaccine in Argentina, and to describe the analysis performed to assess the origin of specific IgM against Yellow fever virus (YFV) in cerebrospinal fluid (CSF). Both cases coincided with the Yellow fever vaccine-associated neurotropic disease case definition, being clinical diagnosis longitudinal myelitis (case 1) and meningoencephalitis (case 2). Specific YFV antibodies were detected in CSF and serum samples in both cases by IgM antibody-capture ELISA. No other cause of neurological disease was identified. In order to obtain a conclusive diagnosis of central nervous system (CNS) infection the IgM antibody index (AI(IgM) ) was calculated. High AI(IgM) values were found in both cases indicating intrathecal production of antibodies and, therefore, CNS post-vaccinal YFV infection could be definitively associated to YFV vaccination., (Copyright © 2011 Wiley Periodicals, Inc.)
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- 2011
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19. Genetic characterization of hantaviruses associated with sigmodontine rodents in an endemic area for hantavirus pulmonary syndrome in southern Brazil.
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de Oliveira RC, Padula PJ, Gomes R, Martinez VP, Bellomo C, Bonvicino CR, Freire e Lima DI, Bragagnolo C, Caldas AC, D'Andrea PS, and de Lemos ER
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- Animals, Base Sequence, Brazil epidemiology, Capsid Proteins genetics, Cytochromes b genetics, DNA, Mitochondrial chemistry, DNA, Mitochondrial genetics, Disease Reservoirs virology, Female, Genetic Variation, Orthohantavirus classification, Orthohantavirus immunology, Hantavirus Pulmonary Syndrome virology, Male, Molecular Sequence Data, Phylogeny, Prevalence, RNA, Viral blood, Rodent Diseases epidemiology, Sequence Analysis, DNA, Viral Core Proteins genetics, Viral Proteins genetics, Antibodies, Viral blood, Endemic Diseases, Orthohantavirus genetics, Hantavirus Pulmonary Syndrome epidemiology, Rodent Diseases virology, Sigmodontinae classification, Sigmodontinae genetics, Sigmodontinae virology
- Abstract
An ecological assessment of reservoir species was conducted in a rural area (Jaborá) in the mid-west of the state of Santa Catarina in southern Brazil, where hantavirus pulmonary syndrome is endemic, to evaluate the prevalence of hantavirus infection in wild rodents. Blood and tissue samples were collected from 507 rodents during seven field trips from March 2004 to April 2006. Some of the animals were karyotyped to confirm morphological identification. Phylogenetic reconstructions of rodent specimens, based on the mitochondrial DNA cytochrome b gene sequences, were also obtained. Hantavirus antibody was found in 22 (4.3%) of the 507 rodents: 5 Akodon montensis, 2 Akodon paranaensis, 14 Oligoryzomys nigripes, and 1 Sooretamys angouya. Viral RNAs detected in O. nigripes and A. montensis were amplified and sequenced. O. nigripes virus genome was 97.5% (nt) and 98.4% (nt) identical to sequences published for Araucaria (Juquitiba-like) virus based on N and G2 fragment sequences. Viral sequences from A. montensis strain showed 89% and 88% nucleotide identities in a 905-nt fragment of the nucleocapsid (N) protein-coding region of the S segment when it was compared with two other Akodontine rodent-associated viruses from Paraguay, A. montensis and Akodon cursor, respectively. Phylogenetic analysis showed the cocirculation of two genetic hantavirus lineages in the state of Santa Catarina, one from O. nigripes and the other from A. montensis, previously characterized in Brazil and Paraguay, respectively. The hantavirus associated with A. montensis, designed Jaborá virus, represents a distinct phylogenetic lineage among the Brazilian hantaviruses.
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- 2011
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20. Characterization of partial and near full-length genomes of HIV-1 strains sampled from recently infected individuals in São Paulo, Brazil.
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Sanabani SS, Pastena ÉR, da Costa AC, Martinez VP, Kleine-Neto W, de Oliveira AC, Sauer MM, Bassichetto KC, Oliveira SM, Tomiyama HT, Sabino EC, and Kallas EG
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- Adult, Anti-HIV Agents therapeutic use, Base Sequence, Brazil epidemiology, Drug Resistance, Viral genetics, Female, HIV Infections drug therapy, HIV Infections epidemiology, Humans, Likelihood Functions, Male, Mutation genetics, Phylogeny, Recombination, Genetic genetics, Sequence Analysis, DNA, Tropism genetics, Genome, Viral genetics, HIV Infections virology, HIV-1 genetics
- Abstract
Background: Genetic variability is a major feature of human immunodeficiency virus type 1 (HIV-1) and is considered the key factor frustrating efforts to halt the HIV epidemic. A proper understanding of HIV-1 genomic diversity is a fundamental prerequisite for proper epidemiology, genetic diagnosis, and successful drugs and vaccines design. Here, we report on the partial and near full-length genomic (NFLG) variability of HIV-1 isolates from a well-characterized cohort of recently infected patients in São Paul, Brazil., Methodology: HIV-1 proviral DNA was extracted from the peripheral blood mononuclear cells of 113 participants. The NFLG and partial fragments were determined by overlapping nested PCR and direct sequencing. The data were phylogenetically analyzed., Results: Of the 113 samples (90.3% male; median age 31 years; 79.6% homosexual men) studied, 77 (68.1%) NFLGs and 32 (29.3%) partial fragments were successfully subtyped. Of the successfully subtyped sequences, 88 (80.7%) were subtype B sequences, 12 (11%) BF1 recombinants, 3 (2.8%) subtype C sequences, 2 (1.8%) BC recombinants and subclade F1 each, 1 (0.9%) CRF02 AG, and 1 (0.9%) CRF31 BC. Primary drug resistance mutations were observed in 14/101 (13.9%) of samples, with 5.9% being resistant to protease inhibitors and nucleoside reverse transcriptase inhibitors (NRTI) and 4.9% resistant to non-NRTIs. Predictions of viral tropism were determined for 86 individuals. X4 or X4 dual or mixed-tropic viruses (X4/DM) were seen in 26 (30.2%) of subjects. The proportion of X4 viruses in homosexuals was detected in 19/69 (27.5%)., Conclusions: Our results confirm the existence of various HIV-1 subtypes circulating in São Paulo, and indicate that subtype B account for the majority of infections. Antiretroviral (ARV) drug resistance is relatively common among recently infected patients. The proportion of X4 viruses in homosexuals was significantly higher than the proportion seen in other study populations.
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- 2011
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21. Hantavirus pulmonary syndrome in Argentina, 1995-2008.
- Author
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Martinez VP, Bellomo CM, Cacace ML, Suarez P, Bogni L, and Padula PJ
- Subjects
- Adolescent, Adult, Argentina epidemiology, Case-Control Studies, Child, Contact Tracing, Disease Transmission, Infectious, Female, Hantavirus Pulmonary Syndrome mortality, Hantavirus Pulmonary Syndrome transmission, Humans, Male, Middle Aged, Risk Factors, Orthohantavirus, Hantavirus Pulmonary Syndrome epidemiology
- Abstract
We report a large case series of hantavirus pulmonary syndrome (HPS) in Argentina that was confirmed by laboratory results from 1995 through 2008. The geographic and temporal distribution of cases by age, sex, fatality rate, and risk factors for HPS was analyzed. A total of 710 cases were unequally distributed among 4 of the 5 Argentine regions. Different case-fatality rates were observed for each affected region, with a maximum rate of 40.5%. The male-to-female ratio for HPS case-patients was 3.7:1.0; the case-fatality rate was significantly higher for women. Agriculture-associated activities were most commonly reported as potential risk factors, especially among men of working age. Although HPS cases occurred predominantly in isolation, we identified 15 clusters in which strong relationships were observed between members, which suggests ongoing but limited person-to-person transmission.
- Published
- 2010
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22. Characterization and frequency of a newly identified HIV-1 BF1 intersubtype circulating recombinant form in São Paulo, Brazil.
- Author
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Sanabani SS, Pastena ER, Neto WK, Martinez VP, and Sabino EC
- Subjects
- Adult, Brazil epidemiology, Cluster Analysis, Female, Genome, Viral, Genotype, HIV-1 isolation & purification, Humans, Male, Middle Aged, Molecular Epidemiology, Molecular Sequence Data, Phylogeny, Sequence Analysis, DNA, Sequence Homology, pol Gene Products, Human Immunodeficiency Virus, DNA, Viral genetics, HIV Infections epidemiology, HIV Infections virology, HIV-1 classification, HIV-1 genetics, Proviruses genetics, Recombination, Genetic
- Abstract
Background: HIV circulating recombinant forms (CRFs) play an important role in the global and regional HIV epidemics, particularly in regions where multiple subtypes are circulating. To date, several (>40) CRFs are recognized worldwide with five currently circulating in Brazil. Here, we report the characterization of near full-length genome sequences (NFLG) of six phylogenetically related HIV-1 BF1 intersubtype recombinants (five from this study and one from other published sequences) representing CRF46_BF1., Methods: Initially, we selected 36 samples from 888 adult patients residing in São Paulo who had previously been diagnosed as being infected with subclade F1 based on pol subgenomic fragment sequencing. Proviral DNA integrated in peripheral blood mononuclear cells (PBMC) was amplified from the purified genomic DNA of all 36-blood samples by five overlapping PCR fragments followed by direct sequencing. Sequence data were obtained from the five fragments that showed identical genomic structure and phylogenetic trees were constructed and compared with previously published sequences. Genuine subclade F1 sequences and any other sequences that exhibited unique mosaic structures were omitted from further analysis, Results: Of the 36 samples analyzed, only six sequences, inferred from the pol region as subclade F1, displayed BF1 identical mosaic genomes with a single intersubtype breakpoint identified at the nef-U3 overlap (HXB2 position 9347-9365; LTR region). Five of these isolates formed a rigid cluster in phylogentic trees from different subclade F1 fragment regions, which we can now designate as CRF46_BF1. According to our estimate, the new CRF accounts for 0.56% of the HIV-1 circulating strains in São Paulo. Comparison with previously published sequences revealed an additional five isolates that share an identical mosaic structure with those reported in our study. Despite sharing a similar recombinant structure, only one sequence appeared to originate from the same CRF46_BF1 ancestor., Conclusion: We identified a new circulating recombinant form with a single intersubtype breakpoint identified at the nef-LTR U3 overlap and designated CRF46_BF1. Given the biological importance of the LTR U3 region, intersubtype recombination in this region could play an important role in HIV evolution with critical consequences for the development of efficient genetic vaccines.
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- 2010
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23. Pathogenic hantaviruses, northeastern Argentina and eastern Paraguay.
- Author
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Padula P, Martinez VP, Bellomo C, Maidana S, San Juan J, Tagliaferri P, Bargardi S, Vazquez C, Colucci N, Estévez J, and Almiron M
- Subjects
- Adolescent, Adult, Animals, Argentina epidemiology, Base Sequence, Child, Disease Reservoirs virology, Female, Orthohantavirus isolation & purification, Hantavirus Pulmonary Syndrome transmission, Hantavirus Pulmonary Syndrome veterinary, Hantavirus Pulmonary Syndrome virology, Humans, Male, Paraguay epidemiology, Phylogeny, Rodent Diseases epidemiology, Rodent Diseases transmission, Rodent Diseases virology, Rodentia, Zoonoses transmission, Zoonoses virology, Orthohantavirus genetics, Hantavirus Pulmonary Syndrome epidemiology
- Abstract
We describe the first, to our knowledge, cases of han-tavirus pulmonary syndrome in northeastern Argentina and eastern Paraguay. Andes and Juquitiba (JUQ) viruses were characterized. JUQV was also confirmed in 5 Oligoryzomys nigripes reservoir species from Misiones. A novel Akodon-borne genetic hantavirus lineage was detected in 1 rodent from the Biologic Reserve of Limoy.
- Published
- 2007
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24. Person-to-person transmission of Andes virus.
- Author
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Martinez VP, Bellomo C, San Juan J, Pinna D, Forlenza R, Elder M, and Padula PJ
- Subjects
- Adolescent, Adult, Child, Disease Outbreaks, Female, Orthohantavirus physiology, Humans, Male, Middle Aged, Time Factors, Orthohantavirus isolation & purification, Hantavirus Pulmonary Syndrome transmission, Hantavirus Pulmonary Syndrome virology
- Abstract
Despite the fact that rodents are considered to be the infectious source of hantavirus for humans, another route of transmission was demonstrated. Andes virus (ANDV) has been responsible for most of the cases recorded in Argentina. Person-to-person transmission of ANDV Sout lineage was described during an outbreak of hantavirus pulmonary syndrome in southwest Argentina. In this study, we analyzed 4 clusters that occurred in 2 disease-endemic areas for different ANDV lineages. We found new evidence of interhuman transmission for ANDV Sout lineage and described the first event in which another lineage, ANDV Cent BsAs, was implicated in this mechanism of transmission. On the basis of epidemiologic and genetic data, we concluded that person-to-person spread of the virus likely took place during the prodromal phase or shortly after it ended, since close and prolonged contact occurred in the events analyzed here, and the incubation period was 15-24 days.
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- 2005
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25. Newly recognized hantaviruses associated with hantavirus pulmonary syndrome in northern Brazil: partial genetic characterization of viruses and serologic implication of likely reservoirs.
- Author
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Rosa ES, Mills JN, Padula PJ, Elkhoury MR, Ksiazek TG, Mendes WS, Santos ED, Araújo GC, Martinez VP, Rosa JF, Edelstein A, and Vasconcelos PF
- Subjects
- Amino Acid Sequence, Animals, Antibodies, Viral blood, Base Sequence, Brazil, DNA, Viral chemistry, DNA, Viral genetics, Disease Reservoirs veterinary, Enzyme-Linked Immunosorbent Assay, Genotype, Orthohantavirus classification, Orthohantavirus immunology, Orthohantavirus isolation & purification, Hantavirus Pulmonary Syndrome transmission, Humans, Molecular Sequence Data, Phylogeny, Reverse Transcriptase Polymerase Chain Reaction, Sequence Homology, Nucleic Acid, Zoonoses, Orthohantavirus genetics, Hantavirus Pulmonary Syndrome virology, Rodentia virology
- Abstract
Following the occurrence of the first laboratory-confirmed cases of hantavirus pulmonary syndrome (HPS) in Maranhao State, Brazil, rodents were trapped and rodent materials screened by ELISA for antibodies to Sin Nombre and Andes hantaviruses. Antibody-positive samples were tested by RT-PCR, amplified products were sequenced, and phylogenetic trees were constructed for comparison with known hantaviruses. From 104 rodent blood samples collected (40 Bolomys lasiurus, 52 Holochilus sciureus, 12 Oligoryzomys fornesi, and one Proechimys guyannensis), 21 (20.2%) were antibody-positive (one B. lasiurus, five O. fornesi, and 15 H. sciureus). Hantavirus RNA was amplified by PCR from two O. fornesi and four H. sciureus. Viral sequencing identified two hantavirus genotypes. The genotype recovered from O. fornesi, is designated herein as Anajatuba (ANAJ) and the genotype recovered from H. sciureus is designated Rio Mearim (RIME). Phylogenetic analysis of a 643-nucleotide region of the N segment showed both viruses to be most closely related (94-96% nucleotide homology) to Río Mamoré virus, a virus associated with Oligoryzomys microtis in Bolivia and Peru, but not found in northern Brazil. O. fornesi was frequently captured in and around human dwellings. H. sciureus, is a semi-aquatic rodent captured only in remote areas rarely frequented by humans.
- Published
- 2005
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26. Atomic-absorption spectrometric determination of calcium, magnesium and potassium in leaf samples after decomposition with molten sodium hydroxide.
- Author
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Adelantado JV, Martinez VP, Garcia AP, and Reig FB
- Abstract
The decomposition of standard leaf samples of varied origin and nature by fusion with sodium hydroxide in an open system has been studied. The use of sodium nitrate as an auxiliary agent facilitated the mineralization of most of the samples. The solutions obtained were analysed for calcium, magnesium and potassium by flame atomic-absorption spectrometry. The method is fast and quite precise, with absolute standard deviations of 0.04-0.13, 0.002-0.03 and 0.04-0.12% for calcium, magnesium and potassium contents of O.8-5.0, 0.13-0.48 and 0.36-2.2% respectively. The limits of detection (mug/ml) in the determination step were 0.10 for calcium, 0.011 for magnesium, and 0.09 for potassium.
- Published
- 1991
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27. Determination of phosphorus in samples of vegetable origin Mineralization with molten alkali and spectrophotometric determination.
- Author
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Adelantado JV, Reig FB, Garcia AP, and Martinez VP
- Abstract
For determination of phosphorus in samples of vegetable origin (leaves and wheat flour) decomposition by means of molten alkali is proposed. Two procedures have been studied, one with dry reagents including an auxiliary oxidant, and the other with initially moist alkali with no extra oxidant. The fusion product is easily soluble and produces a solution suitable for elemental analysis. The phosphorus is determined by the molybdenum blue method. The suggested mineralization is rapid, accurate and precise.
- Published
- 1983
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28. Polarographic determination of proguanil and chlorhexidine.
- Author
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Vert FT, Pedros FV, Calatayud JM, and Martinez VP
- Abstract
The method is based on the cathodic wave obtained for chlorhexidine and proguanil in buffered aqueous dimethylformamide media. Concentrations up to 8 x 10(-5) and 6 x 10(-4)M, respectively, can be determined. The difference in behaviour at various pH values or in the presence of surface-active agents, is useful for characterization of both biguanides.
- Published
- 1983
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29. Spectrophotometric determination of fluoride in fluoride-bearing minerals after decomposition by fusion with sodium hydroxide.
- Author
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Adelantado JV, Martinez VP, Moreno AC, and Reig FB
- Abstract
The decomposition of highly insoluble minerals (fluorspar and cryolite) by fusion with molten alkali-metal hydroxides is studied. The introduction of additives such as aluminium compounds or sodium peroxide to obtain total liberation of fluoride from calcium fluoride samples, is tested. The fusion is done in a silver crucible with a Bunsen burner. The cooled melt is easily soluble, giving solutions suitable for spectrophotometric fluoride determination by the Zr(IV)-fluoride-Erichrome Cyanine R method.
- Published
- 1985
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30. Quantitative approximation for the selectivity of analytical spectrophotometric procedures with systems which do not obey Beer's law.
- Author
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Martinez VP, Adelantado JV, Garcia AP, and Reig FB
- Abstract
A selectivity index is proposed for defining the selectivity of a spectrophotometric procedure that is subject to interference by species which do not obey Beer's law in the system. The interactions between analyte and interferents which affect the absorbance of an analytical system are studied by means of a simple mathematical model. Theoretical expressions are derived which represent the selectivity as a function of the analyte or interfering species concentration. The treatment is illustrated by a study of the Zr(IV)-chloranilic acid system in presence of thorium as interferent.
- Published
- 1989
- Full Text
- View/download PDF
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