Publications by authors named "Nastri A"

Article Synopsis
  • * In group 1 (44 patients with acute hepatitis A), 4% tested positive for HEV IgM and 14.5% for IgG, while in group 2 (47 patients with non-A-C AH), these rates were 4.3% for IgM and 14.9% for IgG; only one sample from group 2 tested positive for HEV RNA.
  • * The findings suggest HEV should be considered in non-A-C acute hepatitis cases, particularly as one patient with HEV recently traveled to a high-serop
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Background: The radiological manifestations of central nervous system (CNS) cryptococcosis are diverse and often subtle. There is heterogeneity on how different neuroimaging patterns impact prognosis. This study aims to assess the association between the neuroimaging and clinical outcomes of CNS cryptococcosis.

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  • - The study analyzed facial fractures resulting from e-scooter accidents, collecting data on patient demographics, injury details, and contributing factors like intoxication and helmet use.
  • - Out of 849 patients treated for facial fractures, 34 cases were linked to e-scooter use, with half of these individuals being intoxicated and a quarter wearing helmets.
  • - Zygomaticomaxillary complex fractures were the most common, with most patients needing surgery; the study suggests policymakers should enhance regulation enforcement to reduce these injuries and associated healthcare costs.
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Objectives: To determine the lineage distribution of the virus during the first wave of the pandemic in North Sumatra, Indonesia.

Methods: A total of 20 samples with positive results based on reverse transcription-polymerase chain reaction were selected for virus culture and then performed whole-genome sequence analysis using next-generation sequencing which was applied by the Illumina MiSeq instrument.

Results: Whole-genome sequence analysis revealed that the majority of our samples belong to lineages B.

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The maxillary artery (MA) is a key structure at risk of injury in numerous oral and maxillofacial surgical (OMS) procedures. Knowledge of safe distances from this vessel to surgically familiar bony landmarks could improve patient safety and prevent catastrophic haemorrhage. Distances between the MA and bony landmarks on the maxilla and mandible were measured using CT angiograms on 100 patients (200 facial halves).

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Background: Influenza A viruses are a major pathogen that causes significant clinical and economic harm to many animals. In Indonesia, the highly pathogenic avian influenza (HPAI) H5N1 virus has been endemic in poultry since 2003 and has caused sporadic deadly infections in humans. The genetic bases that determine host range have not yet been fully elucidated.

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COVID-19 disease is spread worldwide and diagnostic techniques have been studied in order to contain the pandemic. Immunochromatographic (IC) assays are feasible and a low-cost alternative especially in low and middle-income countries, which lack structure to perform certain diagnostic techniques. Here we evaluate the sensitivity and specificity of eleven different IC tests in 145 serum samples from confirmed cases of COVID-19 using RT-PCR and 100 negative serum samples from blood donors collected in February 2019.

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Article Synopsis
  • A study aims to improve COVID-19 patient management by creating a computational model that analyzes electronic medical records to find correlations between drug prescriptions and patient outcomes.
  • The research involved data from 3,674 hospitalized patients, focusing on drug prescriptions and their relationship to whether patients were discharged alive or deceased, using advanced machine learning techniques for analysis.
  • Results indicated that anticoagulants improved prognosis when given after the first week of symptoms, while commonly prescribed antibiotics did not significantly affect patient outcomes, signifying a potential reevaluation of treatment strategies.
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  • - A healthcare worker contracted monkeypox virus (MPXV) from a patient due to a needlestick injury, leading to a lesion forming five days later.
  • - The worker tested positive for MPXV in their blood before showing severe symptoms, and the virus was still detectable 19 days after symptoms began.
  • - Implementing postexposure prophylaxis could help prevent the spread of MPXV through bloodborne routes in similar cases.
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Maxillary oral squamous cell carcinoma (OSCC) is uncommon. Surgical resection is challenging due to the anatomy, and the role of elective neck dissection (END) is not well-defined. A retrospective cohort study of patients with maxillary OSCC treated with primary surgery between 2007 and 2019 was conducted.

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Background: COVID-19 caused more than 622 thousand deaths in Brazil. The infection can be asymptomatic and cause mild symptoms, but it also can evolve into a severe disease and lead to death. It is difficult to predict which patients will develop severe disease.

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This single-centre retrospective study aimed to characterise the epidemiology, management, and outcomes of mandibular trauma presenting to the same tertiary trauma centre 30 years apart, including key paradigm shifts in management and techniques. A total of 393 patients presenting with 665 mandibular fractures were managed by the Oral and Maxillofacial Surgery department at The Royal Melbourne Hospital (RMH), Australia, between 2011 and 2016. Data from a previous RMH paper of 205 patients presenting with 376 mandibular fractures between January 1985 and April 1990 were compared.

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Purpose: The aim of this study was to describe the incidence and risk factors for hospital readmission and infection during the months after COVID-19 hospital admission.

Methods: This prospective study included adult patients who were hospitalized due to COVID-19 and had been discharged from April 2020 to August 2020. All patients had a medical evaluation with a structured questionnaire 6 to 11 months after hospital admission.

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The purpose of this study was to assess the impact of a change in macroscopic/surgical margin width upon histological margins and loco-regional failure in early oral tongue squamous cell carcinoma (OTSCC). In 2009, the surgical margin protocol was increased from 10 mm to 15 mm. A retrospective review was performed of all patients who underwent treatment for early OTSCC between 2009 and 2016 with a 15-mm surgical margin (n = 142), and these patients were compared to those treated between 1999 and 2008 with a 10-mm surgical margin (n = 78).

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Article Synopsis
  • Two new cases of Sabiá virus (SABV) infection were diagnosed in Brazil, marking the first instances in over 20 years.
  • The infected patients exhibited severe symptoms, including hepatitis and neurological issues, leading to their deaths, with unique histopathological features observed in autopsies.
  • Despite the possibility of transmission in healthcare settings, contact tracing showed no additional infections among hospital staff and contacts, highlighting the rarity of this virus.
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Background: Several therapies have been used or proposed for the treatment of COVID-19, although their effectiveness and safety have not been properly evaluated. The purpose of this document is to provide recommendations to support decisions about the drug treatment of outpatients with COVID-19 in Brazil.

Methods: A panel consisting of experts from different clinical fields, representatives of the Brazilian Ministry of Health, and methodologists (37 members in total) was responsible for preparing these guidelines.

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To halt the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), governments around the world have imposed policies, such as lockdowns, mandatory mask wearing, and social distancing. The application of disinfecting materials in shared public facilities can be an additional measure to control the spread of the virus. Copper is a prominent material with antibacterial and antiviral effects.

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Article Synopsis
  • * From 2016 to 2018, an outbreak in 22 European countries reported 4,475 cases, with a significant number among men who have sex with men (MSM), which later spread to cities like São Paulo in Brazil.
  • * In a study of 51 hepatitis A cases in São Paulo, a high percentage were male and many identified as MSM; the majority of HAV strains were similar to those from the earlier European outbreaks, highlighting the need for increased vaccination efforts in high-risk groups.
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  • Yellow fever is a serious viral disease that can lead to liver damage, but this study focused on understanding the long-term effects of severe YF on liver health in survivors, specifically looking for liver fibrosis.* -
  • Researchers evaluated 18 patients who survived a recent outbreak in Brazil using ultrasound technology to assess liver stiffness, with findings indicating a low occurrence of significant liver fibrosis among them.* -
  • Age and cardiac failure appeared to be linked to increased liver stiffness, suggesting that certain risk factors could predict liver health post-YF, while a subset of patients treated with sofosbuvir showed no signs of liver fibrosis.*
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Background: Despite the growing body of knowledge about TM6SF2 and PNPLA3 polymorphisms in non-alcoholic fatty liver disease, their influence in the spectrum of HCV liver disease is not yet fully defined. Besides that, admixed populations, such as Brazilians, were not included in most of the studies.

Methods: This cross-sectional study enrolled 365 treatment-naïve patients with HCV and 134 healthy individuals.

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  • Corynebacterium diphtheriae infections, particularly non-toxigenic strains, are emerging as serious causes of invasive diseases like endocarditis, especially in developing countries.
  • A case involving a 21-year-old male with severe symptoms linked to acute infective endocarditis highlighted the pathogen's virulence and necessitated urgent and interdisciplinary medical intervention.
  • Despite initial treatment, the patient's condition worsened, leading to surgery for mitral valve replacement, demonstrating the complexities of diagnosing and treating infections caused by C. diphtheriae.
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Background: The highly pathogenic avian influenza A/H5N1 virus is one of the causative agents of acute lung injury (ALI) with high mortality rate. Studies on therapeutic administration of bone marrow-derived mesenchymal stem cells (MSCs) in ALI caused by the viral infection have been limited in number and have shown conflicting results. The aim of the present investigation is to evaluate the therapeutic potential of MSC administration in A/H5N1-caused ALI, using a mouse model.

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