Publications by authors named "Fonseca V"

This study details a genomics-based approach for the early detection of mosquito-borne pathogens, marked by Uruguay's first ever complete genomic sequencing of Dengue Virus type I genotypes I and V. This pioneering effort has facilitated the prompt identification of these genotypes within the country, enabling Uruguayan public health authorities to develop timely and effective response strategies. Further integrated into this approach is a climate-driven suitability measure, closely associated with Dengue case reports and indicative of the local climate's role in the virus's transmission in the country within the changing climate context.

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Candidiasis is an infectious disease caused by some fungi of the genus Candida. In Brazil, the incidence rate is higher than in European countries and the United States, and health problems occur mainly due to the virulence factors of the fungi, which have made treatment with commercial drugs difficult. Considering the context, plants rich in phenolic compounds, such as those of the genus Piper, have been studied due to their antimicrobial properties.

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: The chikungunya virus (CHIKV), transmitted by infected Aedes mosquitoes, has caused a significant number of infections worldwide. In Brazil, the emergence of the CHIKV-ECSA genotype in 2014 posed a major public health challenge due to its association with more severe symptoms. : This study aimed to shed new light on the host immune response by examining the whole-blood transcriptomic profile of both CHIKV-acute and chronically infected individuals from Feira de Santana, Bahia, Brazil, a region heavily affected by CHIKV, Dengue, and Zika virus epidemics.

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In March 2024, the Pan American Health Organization (PAHO) issued an alert in response to a rapid increase in Oropouche fever cases across South America. Brazil has been particularly affected, reporting a novel reassortant lineage of the Oropouche virus (OROV) and expansion to previously non-endemic areas beyond the Amazon Basin. Utilising phylogeographic approaches, we reveal a multi-scale expansion process with both short and long-distance dispersal events, and diffusion velocities in line with human-mediated jumps.

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The obesity diagnosis by body mass index (BMI) exhibits considerable interindividual heterogeneity in metabolic phenotypes and risk of developing type 2 diabetes (T2D). We investigated the association of proteomic signature of BMI and T2D and examined whether the proteomic signature of BMI improves prediction of T2D risk. This study included 41,427 adults in the UK Biobank who were free of T2D at baseline and had complete data on proteomics metrics assessed by antibody based Olink assay.

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Article Synopsis
  • Type 2 diabetes mellitus is becoming a major global health issue, expected to nearly double in prevalence from 194 million in 2003 to 333 million by 2025, with 90%-95% of cases being type 2.
  • New research focuses on developing dual inhibitors for type 2 diabetes through synthesizing ester and triazole derivatives of p-coumaric acid, using methods like Williamson synthesis and Microwave-assisted click reaction.
  • These synthesized compounds were tested and showed effective inhibition against two key enzymes, GSK-3β kinase and DPP-IV, indicating that p-coumaric acid derivatives are promising candidates for new diabetes treatments.
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Introduction: We investigated the genetic determinants of variation in the hemoglobin glycation index (HGI), an emerging biomarker for the risk of diabetes complications.

Methods: We conducted a genome-wide association study (GWAS) for HGI in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial ( = 7,913) using linear regression and additive genotype encoding on variants with minor allele frequency greater than 3%. We conducted replication analyses of top findings in the Atherosclerosis Risk in Communities (ARIC) study with inverse variance-weighted meta-analysis.

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Objective: The authors hypothesized that ventilation and hyperoxia may harm the cochlea vasculature in an experimental model of Congenital Diaphragmatic Hernia (CDH) performed in rabbits.

Methods: New Zealand rabbits underwent CDH creation at 25 days of gestation (term = 30 days). CDH was created in fetuses (n = 15) and compared with Controls (n = 15).

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  • - A 7-year-old child developed dengue symptoms after receiving the Qdenga vaccine, with initial tests showing negative results but later confirming a DENV4 infection.
  • - Advanced sequencing techniques revealed the presence of viral RNA from both DENV2 and DENV4, identified as strains derived from the vaccine rather than wild-type viruses.
  • - This case highlights the importance of accurate diagnostic practices in vaccinated individuals, emphasizing the need for better understanding of vaccine-induced viremia to enhance dengue surveillance and public health strategies.
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Background: Healthcare systems aim to enhance the health status and well-being of the individuals and populations they serve. To achieve this, measuring and evaluating the quality and safety of services provided and the outcomes achieved is essential. Like other countries, Romania faces challenges regarding the quality of care provided in its public hospitals.

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Training is instrumental in identifying and selecting cattle that exhibit greater cooperation with experimental conditions required in flow respirometry assays, like restraint and the use of a valved facial mask. In our study, a tailored training protocol for Nellore cattle facilitated their participation in flow respirometry assays with a valved facial mask. Over 127 days, 30 entire Nellore males, weighing 450 ± 25 kg and averaging 32 ± 2 months, underwent training from May to September 2022.

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  • * An analysis of viral genome sequences combined with epidemiological data revealed that Italy experienced four significant epidemic waves between 2021 and 2023, marked by reduced fatalities and influenced by variants like Alpha, Delta, and Omicron.
  • * This study emphasizes the need for adaptable public health strategies and continuous genomic surveillance to effectively track virus evolution and prepare for potential future outbreaks.
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  • The rise in asthma cases, especially in urban areas, has led to research on preventive measures, driven by the hygiene theory which suggests early exposure to infections may protect against allergic diseases.
  • The study evaluated the effects of three specific probiotics (Lacticaseibacillus rhamnosus, Lacticaseibacillus paracasei, and Bifidobacterium animalis ssp. lactis) on asthma using mice, testing different concentrations over 26 days prior to allergen exposure.
  • Results showed that none of the probiotics effectively reduced asthma-related symptoms like airway inflammation and bronchial hyperresponsiveness, indicating that the effectiveness of probiotics varies by strain and dosage, prompting the need for further research.
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Asthma prevalence has been increasing in communities that become more urbanised. Our previous results showed that Saccharomyces cerevisiae UFMG A-905 prevented the development of asthma symptoms and characteristics in a dose-dependent manner. Perinatal programming theory proposes that early exposure to some stimuli may have a protective effect in adult life.

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Dengue virus (DENV) is currently causing epidemics of unprecedented scope in endemic settings and expanding to new geographical areas. It is therefore critical to track this virus using genomic surveillance. However, the complex patterns of viral genomic diversity make it challenging to use the existing genotype classification system.

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We report acute Oropouche virus infections in 2 previously healthy women from a nonendemic region of Brazil outside the Amazon Basin. Infections rapidly progressed to hemorrhagic manifestations and fatal outcomes in 4-5 days. These cases highlight the critical need for enhanced surveillance to clarify epidemiology of this neglected disease.

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Importance: Diabetes increases the risk of Parkinson disease (PD). Sodium-glucose cotransporter 2 (SGLT2) inhibitors, a new glucose-lowering therapeutic class, have shown neuroprotective effects in mechanistic studies. However, the association between SGLT2 inhibitors and PD risk in real-world populations with type 2 diabetes (T2D) remains unclear.

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Objective: To assess the association between sociodemographic and perinatal factors and hospital practices to encourage exclusive breastfeeding in neonates in maternity hospitals.

Methods: This is a prospective cohort of live births from the survey "To be born in Brazil" conducted between 2011 and 2012. The weighted number of newborns who met the neonatal near miss criteria was 832.

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Microbial environmental DNA and RNA (collectively 'eNA') originate from a diverse and abundant array of microbes present in environmental samples. These eNA signals, largely representing whole organisms, serve as a powerful complement to signals derived from fragments or remnants of larger organisms. Integrating microbial data into the toolbox of ecosystem assessments and biotic indices therefore has the potential to transform how we use eNA data to understand biodiversity dynamics and ecosystem functions, and to inform the next generation of environmental monitoring.

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Background: Emerging data suggest that glucagon-like peptide-1 receptor agonists (GLP-1 RAs) improve kidney outcomes for people with type 2 diabetes (T2D). Direct comparisons of the kidney and cardiovascular effectiveness of GLP-1 RA with sodium-glucose cotransporter 2 inhibitors (SGLT2i), a first-line therapy for this population, are needed.

Objectives: The authors compared kidney and cardiovascular outcomes for new users of SGLT2i and GLP-1 RAs with T2D.

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  • - The study aimed to replicate a previous finding that EDTA-based chelation therapy reduces cardiovascular disease (CVD) events in individuals with diabetes and a history of myocardial infarction (MI).
  • - Conducted at 88 sites in the US and Canada, the trial involved 959 participants who were randomly assigned to receive either chelation therapy or a placebo, with a median follow-up of 48 months.
  • - Results showed no significant difference in CVD events between the chelation group (35.6% experienced a primary event) and the placebo group (35.7%), indicating that chelation may not provide the hoped-for benefits in this population.
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Type II diabetes (T2D) stems from insulin resistance, with β-cell dysfunction as a hallmark in its progression. Studies reveal that β cells undergo apoptosis or dedifferentiation during T2D development. The transcription factor PAX4 is vital for β differentiation and survival, thus may be a potential enhancer of β-cell function in T2D islets.

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Background: Women with type 2 diabetes (T2D) have a 50% excess risk of coronary heart disease (CHD) than men with T2D. We compared circulating metabolites and their associations with CHD in men and women across glycemic status.

Methods: We used metabolomic data (lipoproteins, fatty acids, amino acids, glycolysis, ketones, inflammation, and fluid balance) for 87,326 CHD-free UK Biobank participants.

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Article Synopsis
  • The study aimed to assess the impact of influenza in American adults with and without diabetes to highlight the advantages of seasonal vaccination.
  • A large-scale retrospective cohort study analyzed over a million medical records from Louisiana to track influenza-related hospital visits and the effects of vaccination timing.
  • Results indicated that adults with diabetes faced a significantly higher risk of influenza and that early vaccination lowered the risk of healthcare visits for both diabetic and non-diabetic patients.
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