Cluster headache and galcanezumab: the first real-world Brazilian study and an expert consensus on its use among other treatments.

Objective: To present the first Brazilian real-world results with galcanezumab and provide a consensus expert opinion on the prophylactic treatment of cluster headache (CH) in Brazil.

Methods: The first part of the study (real-world results) was observational, prospective, uncontrolled, and descriptive. A sample of 44 consecutive patients with episodic or chronic CH were evaluated and treated in a traditional tertiary clinic from March 2020 to June 2024.

Mass Spectrometry-Based Molecular Networks Applied to Study the Molecular Interaction Between Two Endophytic Fungi Isolated From Tibouchina granulosa (Vell.) Cogn (Melastomataceae).

Establishing a microorganism as an endophyte involves complex molecular interactions with its host plant and a broader microbial community. Precise detection methods and comprehensive metabolite annotation are essential to study these interactions. This study focused on characterizing the chemical composition of metabolites produced by two endophytic fungi, Colletotrichum siamense and Xylaria berteroi, isolated from Tibouchina granulosa leaves in axenic conditions and coculture.

Cardiovascular effects of early maternal separation and escitalopram treatment in rats with depressive-like behaviour.

Depression and cardiovascular diseases are two of the world's major health problems. Escitalopram (ESC) is widely used because of its safety in relation to other drugs in that class; however, it can affect the cardiovascular system. The present study evaluated the cardiovascular parameters of depressive-like male rats and the cardiovascular effects of ESC treatment on that condition.

The COVID-19 pandemic and young people's civic engagement: A scoping review.

This scoping review summarizes evidence regarding the impact of civic and community engagement of young people during the COVID-19 pandemic. Recognizing that the global pandemic not only brought challenges but also new opportunities to take a stance and to actively engage in communities and society, this review assesses the impact of the COVID-19 pandemic on young people's civic engagement across different cultural contexts and identifies key factors and processes that enable young people to engage with their community or society at large. We summarize evidence from 27 original research papers, one thought piece, and four reports conducted by global organizations such as the United Nations and OECD.

Acute Infusion-Related Side Effects of Amphotericin B Lipid Complex (ABLC) in Oncohematological Patients: Real-World Data from Brazilian Reference Centers.

Introduction: Amphotericin B lipid complex (ABLC) is an effective antifungal agent for treating invasive fungal infections (IFIs) even though its formulation is associated with potential adverse events, including those related to its infusion. This study aimed to analyze the incidence of acute infusion-related side effects (IRSE) associated with ABLC and their relationship with the profile of patients with oncohematological disease admitted in Brazilian reference tertiary hospitals.

Methods: This is an observational retrospective study that included clinical records of patients hospitalized, in a period of 6 years, diagnosed with probable or proved IFI and treated with at least two doses of ABLC.

Evaluation of the cost and care outcomes by group related to the diagnosis of bariatric surgery.

Background: To conduct a comprehensive assessment of real patient data undergoing the procedure within a healthcare provider, integrating both costs and care stages related to bariatric surgery, emphasizing the relevance of analysis by Diagnosis-related group (DRG).

Methods: Prospective study of patients coded by DRG within a network of providers accredited to a Brazilian healthcare provider. All patients coded with metabolic and bariatric surgery (MBS) between 01/2019 and 06/2023 and undergoing gastrectomy procedure were included for analysis.

Physical Activity and Sedentary Behavior on Bone Health in Adults: A Systematic Review.

The objective was to analyze the longitudinal associations of physical activity (PA) and Sedentary behavior (SB) on bone health indicators (BHI) in healthy young adults. Articles were selected from five databases and 17 longitudinal studies were selected after meeting the inclusion and exclusion criteria. Among these, only one study assessed the association between childhood PA and adult BHI, the results showed no significant association between PA and BHI.

Monocyte-derived extracellular vesicles, stimulated by Trypanosoma cruzi, enhance cellular invasion in vitro via activated TGF-β1.

During cell invasion, large Extracellular Vesicle (lEV) release from host cells was dose-dependently triggered by Trypanosoma cruzi metacyclic trypomastigotes (Mtr). This lEV release was inhibited when IP-mediated Ca exit from the ER and further Ca entry from plasma membrane channels was blocked, but whilst any store-independent Ca entry (SICE) could continue unabated. That lEV release was equally inhibited if all entry from external sources was blocked by chelation of external Ca points to the major contributor to Mtr-triggered host cell lEV release being IP/store-mediated Ca release, SICE playing a minor role.

Deep Brain Stimulation Impairment Scale in Brazilian Portuguese: Cross-cultural adaptation and content validity.

Parkinson's disease has exhibited the most rapid increase in prevalence among neurodegenerative disorders over the past 25 years. With the expanding availability of its surgical interventions and the controversial side effects identified in the literature, it is urgent to develop instruments for discerning subtle changes in patients' biopsychosocial functioning. Therefore, the primary objective of this study was to culturally adapt the Deep Brain Stimulation Impairment Scale (DBS-IS) into Brazilian Portuguese and evaluate its content validity.

Use of Probiotics and Synbiotics in the Treatment of Small Intestinal Bacterial Overgrowth (SIBO) and Other Gastrointestinal Symptoms After Metabolic Bariatric Surgery: a Systematic Review and Meta-Analysis.

Metabolic bariatric surgery is considered the most effective treatment for severe obesity, however it may be associated with the development of Small Intestinal Bacterial Overgrowth (SIBO) and other gastrointestinal symptoms (GIS). This study conducted a systematic review and meta-analysis to evaluate the effects of probiotics or synbiotics on GIS and SIBO in post- metabolic bariatric surgery patients. Five studies that investigated the effect of probiotics or synbiotics in the treatment of post-surgery GIS were included in the review, with three focusing on SIBO.

(Q fever) exposure in wildlife professionals.

Introduction: Although occupational exposure to has been studied previously, the zoonotic risk in wildlife environments remains unclear and has yet to be fully established.

Methods: Accordingly, the present study aimed to serologically assess professionals with daily contact with free-living and captive wildlife in Paraná State, Brazil, along with the potential associated risk factors for exposure.

Results: Overall, 25 out of 309 (8.

Essential competencies required of nurse managers in times of COVID-19: A scoping review.

Aim: To identify the essential competencies required of nurse managers in healthcare services during the COVID-19 pandemic.

Background: Nurse managers play a vital role in healthcare services organization, requiring a diverse set of competencies. The increasing occurrence of epidemics in recent decades underscores the importance of understanding these competencies in pivotal junctures.

Hyperglucagonemia and glucagon hypersecretion in early type 2 diabetes result from multifaceted dysregulation of pancreatic mouse α-cells.

Hyperglucagonemia has been implicated in the pathogenesis of type 2 diabetes (T2D). In contrast to β-cells, studies on the function of the pancreatic α-cell in T2D are scarce. Consequently, the processes underlying hyperglucagonemia and α-cell dysfunction are largely unknown, limiting the appropriate design of specific pharmacological and therapeutic strategies.

Audio-Based Engine Fault Diagnosis with Wavelet, Markov Blanket, ROCKET, and Optimized Machine Learning Classifiers.

Engine fault diagnosis is a critical task in automotive aftermarket management. Developing appropriate fault-labeled datasets can be challenging due to nonlinearity variations and divergence in feature distribution among different engine kinds or operating scenarios. To solve this task, this study experimentally measures audio emission signals from compression ignition engines in different vehicles, simulating injector failures, intake hose failures, and absence of failures.

Evaluation of Cluster Algorithms for Radar-Based Object Recognition in Autonomous and Assisted Driving.

Perception systems for assisted driving and autonomy enable the identification and classification of objects through a concentration of sensors installed in vehicles, including Radio Detection and Ranging (RADAR), camera, Light Detection and Ranging (LIDAR), ultrasound, and HD maps. These sensors ensure a reliable and robust navigation system. Radar, in particular, operates with electromagnetic waves and remains effective under a variety of weather conditions.

Effects of DC on an Innovative Animal Model of Cardiometabolic Syndrome.

Cardiometabolic syndrome (CMS) is a complex clinical condition that encompasses metabolic dysregulation, cardiovascular disease, and diabetes risk factors. Worldwide, CMS is underdiagnosed, and its occurrence significantly increases cardiovascular morbimortality. Despite available pharmacological treatments, the approach is fragmented, and the associated clinical conditions are treated independently.