Publications by authors named "Holanda M"

Autism spectrum disorder (ASD) is a complex challenge, influenced by genetic and environmental factors. This review focuses on the proteins calbindin (CB), calretinin (CR) and parvalbumin (PV) in the context of ASD, exploring their clinical correlations and providing a deeper understanding of the spectrum. In addition, we seek to understand the role of these proteins in GABAergic regulation and their implication in the pathophysiology of ASD.

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Objective: This study aimed to describe the outcomes and explore predictors of intubation and mortality in patients with ARDS due to COVID-19 treated with CPAP delivered via a helmet interface and light sedation.

Methods: This was a retrospective cohort study involving patients with COVID-19-related ARDS who received CPAP using a helmet developed in Brazil (ELMO™), associated with a light sedation protocol in a pulmonology ward. Demographic, clinical, imaging, and laboratory data, as well as the duration and response to the ELMO-CPAP sessions, were analyzed.

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Article Synopsis
  • - The study investigates the differences in respiratory function and physical capacity between patients with chronic Chagas cardiomyopathy (CC) who have heart failure (HF) and those who do not.
  • - Using spirometry and a six-minute step test, the results showed that patients with HF had significantly lower lung function and functional capacity compared to those without HF.
  • - Conclusively, the research indicates that adults with CC and HF exhibit reduced lung function, suggesting a restrictive pulmonary pattern impacting their overall health.
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Background: A better understanding of the consequences of the Coronavirus Disease 2019 (COVID-19) pandemic on lifestyle of patients with Chagas disease (ChD) is of paramount importance to facilitate the implementation of intervention strategies tailored to this specific population.

Objective: The present study aimed to evaluate the level of physical activity (PA) in Chagas disease (ChD) patients during the Coronavirus Disease 2019 (COVID-19) pandemic and its main associated factors.

Methods: This is a cross-sectional study with 187 patients of both sexes, aged ≥18 years, followed in a national infectious disease center (Rio de Janeiro, Brazil).

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Objective: We aim to evaluate the indication and use of genomic signatures in breast cancer patients and outcomes who in patients undergoing adjuvant chemotherapy or not.

Methods: This is a retrospective study of breast cancer patients managed in a private oncology clinic in Teresina, from November 2014 to February 2021. All patients with an indication of genomic signature were included.

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To investigate the effect of an exercise-based cardiac rehabilitation program on the quality of life (QoL) of patients with chronic Chagas cardiomyopathy (CCC). PEACH study was a single-center, superiority randomized clinical trial of exercise training versus no exercise (control). The sample comprised Chagas disease patients with CCC, left ventricular ejection fraction < 45%, without or with HF symptoms (CCC stages B2 or C, respectively).

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Large-scale COVID-19 vaccination has been one of the most effective strategies to control the spread of the SARS-CoV-2 virus. However, several cases of glomerular injury related to the COVID-19 vaccine have been described in the literature. We report two cases of a tip lesion variant of focal segmental glomerulosclerosis (FSGS), which presented with significant proteinuria and improved after immunosuppression.

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Objective: To assess whether the use of ELMO, a helmet for noninvasive ventilation created in Brazil, had a positive impact on the prognosis of patients with hypoxemic respiratory failure caused by severe COVID-19.

Methods: This is a retrospective study of 50 critically ill COVID-19 patients. Epidemiological, clinical, and laboratory data were collected on ICU admission, as well as before, during, and after ELMO use.

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Article Synopsis
  • A study found that a positive T. cruzi PCR test in chronic Chagas disease patients is linked to poorer health outcomes.
  • The research analyzed data from 333 patients, revealing a 41.1% positivity rate for the PCR test, with significant associations identified for diabetes, right bundle branch block, and past trypanocidal treatment.
  • Notably, having a history of trypanocidal treatment significantly lowered the chances of a positive PCR result, highlighting its protective benefits.
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The objective was to determine the zootechnical performance of broiler chickens fed different diets containing cassava meal. A total of 450 male broiler chickens of the Cobb lineage was used. The experimental design was completely randomized with five treatments (0, 25, 50, 75, and 100% inclusion of cassava meal) and five replications, composed of 18 birds per experimental unit.

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The use of pesticides is intense in agriculture and has caused contamination in water, air and soil. This fact led to the need to study strategies that can minimize the effects that these pesticides have caused to the environment. In this context, biochar appears, as a type of material that has the ability to remove chemical substances, and because they can be activated with different chemical agents, they are extremely effective in the adsorption of toxic substances.

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Background Chagas disease (CD) presents an ominous prognosis. The predictive value of biomarkers and new echocardiogram parameters in adjusted models have not been well studied. Methods and Results There were 361 patients with chronic CD (57.

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Background: Sudden cardiac death (SCD) can be the first clinical event of Chagas heart disease (CHD). However, current guidelines contain no clear recommendation for early cardioverter-defibrillator implantation. Using imaging modalities, we evaluated associations among autonomic denervation, myocardial hypoperfusion, fibrosis and ventricular arrhythmia in CHD.

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Background: The first months of the coronavirus disease 2019 (COVID-19) pandemic demanded rapid re-organization of available local resources. This study evaluated the performance of a private hospital in the Brazilian state of Ceará that was swiftly repurposed into a public tertiary COVID-19 centre during the first wave of the COVID-19 pandemic, and how it improved in the second wave.

Methods: This retrospective cohort study included 2492 patients with COVID-19 at Hospital Estadual Leonardo da Vinci (HELV) during the first and second waves.

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Background: Patient-ventilator asynchronies are usually detected by visual inspection of ventilator waveforms but with low sensitivity, even when performed by experts in the field. Recently, estimation of the inspiratory muscle pressure (P) waveforms through artificial intelligence algorithm has been proposed (Magnamed®, São Paulo, Brazil). We hypothesized that the display of these waveforms could help healthcare providers identify patient-ventilator asynchronies.

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Objectives: Diet is important for the appropriate development and maturation of young amateur athletes. The aim of this study was to determine whether young gymnasts were consuming adequate amounts of nutrients, particularly calcium and iron.

Methods: This cross-sectional survey was conducted in Portugal's Almada and Lisbon regions in 2020.

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Given the high cost of production of animal-based meats and the increase in the number of adepts of meatless diets, the need for plant-based meat substitutes is growing. In this prosperously growing market, there is a lack of knowledge about the nutritional value of these meat substitutes and their ingredients. This study aims to review the nutritional composition and ingredients of meat substitutes commercialized worldwide.

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Background: Chagas disease (CD) is a neglected endemic disease with worldwide impact due to migration. Approximately 50-70% of individuals in the chronic phase of CD present the indeterminate form, characterized by parasitological and/or serological evidence of infection, but without clinical signs and symptoms. Subclinical abnormalities have been reported in indeterminate form of CD, including pro-inflammatory states and alterations in cardiac function, biomarkers and autonomic modulation.

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Article Synopsis
  • There is a growing global trend toward plant-based foods for reasons including health and sustainability, with Brazil reporting 14% of its population as vegetarians and an increase in vegan product consumption.
  • A study analyzed the nutritional value and ingredients of 152 Brazilian commercial vegan dairy and egg substitutes, finding that while energy and total fat levels were similar to animal products, vegan options had more carbohydrates and dietary fiber.
  • The research highlighted common ingredients in vegan substitutes and suggested that while these alternatives can serve as replacements, they often lack adequate protein, indicating a need for improvement in their nutritional content.
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Background: The identification of variables obtained in the exercise test (ET) associated with increased risk of death is clinically relevant and would provide additional information for the management of Chagas disease (CD). The objective of the present study was to evaluate the association of ET variables with mortality in patients with chronic CD.

Methods: This retrospective longitudinal observational study included 232 patients (median age 46.

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Article Synopsis
  • Ceará was the second most affected state in Brazil by COVID-19 in terms of cases and deaths, but its early pandemic dynamics were not well understood due to low genomic surveillance.
  • The study sequenced 34 genomes of SARS-CoV-2 and identified prevalent lineages, notably B.1.1.33 in 2020 and P.1 in 2021, along with other variants.
  • A total of 202 mutations were analyzed, revealing significant missense mutations that could help enhance the understanding of virus genetic diversity in Ceará despite limited data in 2020.
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Objective: We sought to compare the diagnostic accuracy of cephalic indices for type B basilar invagination (BI).

Methods: This retrospective study examined head and neck magnetic resonance imaging sequences of 31 Group B BI cases and 96 controls. Two examiners blinded to diagnostic data evaluated the cephalic indices of each magnetic resonance imaging sequence, described as width/length (WLI) and height/width (HWI).

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Objectives: The present study aimed to perform a cost-effectiveness analysis of an exercise-based cardiovascular rehabilitation (CR) program in patients with chronic Chagas cardiomyopathy (CCC).

Methods: Cost-effectiveness analysis alongside a randomised clinical trial evaluating the effects of a 6-month exercise-based CR program. The intervention group underwent 3 weekly exercise sessions.

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