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  1. Article: COST ANALYSIS OF MOTORCYCLE ACCIDENT VICTIMS AT A UNIVERSITY HOSPITAL: PERSPECTIVES FROM 2017 AND 2020.

    Baptistella, Amanda / Figueiredo, Henrique Carvalho E Silva / de Mattos, Carlos Augusto / Bittar, Cintia Kelly

    Acta ortopedica brasileira

    2023  Volume 31, Issue spe1, Page(s) e258318

    Abstract: Introduction: Motorcycle accidents constitute a public health problem that affects public and private health services due to the expenses of the victim's treatment and rehabilitation.: Objective: Evaluate the impact of motorcycle accident costs in a ... ...

    Abstract Introduction: Motorcycle accidents constitute a public health problem that affects public and private health services due to the expenses of the victim's treatment and rehabilitation.
    Objective: Evaluate the impact of motorcycle accident costs in a university hospital in 2020.
    Method: Comparative analysis of the costs of motorcycle accident patients in 2020 and 2017.
    Results: Among 151 patients included in the study, the average cost was U$3,083.54, and the average days of hospitalization were 5.3 days. The patient with the highest cost to the hospital spent U$22,504.05, and the patient with the lowest cost spent U$356.72. The longest stay among these patients was 41 days, and the shortest was one day. The average cost per patient per day for the entire sample was U$581.80.
    Conclusion: The formulation and application of strategies that promote the reduction of motorcycle accidents in the city of Campinas are necessary.
    Language English
    Publishing date 2023-04-17
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105206-2
    ISSN 1809-4406 ; 1413-7852
    ISSN (online) 1809-4406
    ISSN 1413-7852
    DOI 10.1590/1413-785220233101e258318
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COST ANALYSIS OF MOTORCYCLE ACCIDENT VICTIMS AT A UNIVERSITY HOSPITAL

    Amanda Baptistella / Henrique Carvalho e Silva Figueiredo / Carlos Augusto de Mattos / Cintia Kelly Bittar

    Acta Ortopédica Brasileira, Vol 31, Iss spe

    PERSPECTIVES FROM 2017 AND 2020

    2023  Volume 1

    Abstract: ABSTRACT Introduction: Motorcycle accidents constitute a public health problem that affects public and private health services due to the expenses of the victim's treatment and rehabilitation. Objective: Evaluate the impact of motorcycle accident costs ... ...

    Abstract ABSTRACT Introduction: Motorcycle accidents constitute a public health problem that affects public and private health services due to the expenses of the victim's treatment and rehabilitation. Objective: Evaluate the impact of motorcycle accident costs in a university hospital in 2020. Method: Comparative analysis of the costs of motorcycle accident patients in 2020 and 2017. Results: Among 151 patients included in the study, the average cost was U$3,083.54, and the average days of hospitalization were 5.3 days. The patient with the highest cost to the hospital spent U$22,504.05, and the patient with the lowest cost spent U$356.72. The longest stay among these patients was 41 days, and the shortest was one day. The average cost per patient per day for the entire sample was U$581.80. Conclusion: The formulation and application of strategies that promote the reduction of motorcycle accidents in the city of Campinas are necessary. Level of evidence II, Retrospective study.
    Keywords Accidents ; Traffic ; Hospitalization ; Costs and Cost Analysis ; Medicine ; R ; Orthopedic surgery ; RD701-811
    Subject code 380
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher Sociedade Brasileira de Ortopedia e Traumatologia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: African ZIKV lineage fails to sustain infectivity in an in vitro mimetic urban cycle.

    Molina, Bárbara Floriano / Marques, Nayara Nathiê / Bittar, Cíntia / Batista, Mariana Nogueira / Rahal, Paula

    Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology

    2023  Volume 54, Issue 3, Page(s) 1421–1431

    Abstract: Zika virus (ZIKV) is an arbovirus maintained in nature in two distinct cycles of transmission: urban and sylvatic. Each cycle includes specific vertebrate and invertebrate hosts, and through alternate infections, a conserved consensus sequence is ... ...

    Abstract Zika virus (ZIKV) is an arbovirus maintained in nature in two distinct cycles of transmission: urban and sylvatic. Each cycle includes specific vertebrate and invertebrate hosts, and through alternate infections, a conserved consensus sequence is maintained that might vary depending on the cycle. The current study aimed to investigate the ability of ZIKV
    MeSH term(s) Animals ; Humans ; Zika Virus/genetics ; Zika Virus Infection ; Aedes ; Brazil
    Language English
    Publishing date 2023-07-17
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2017175-4
    ISSN 1678-4405 ; 1517-8382
    ISSN (online) 1678-4405
    ISSN 1517-8382
    DOI 10.1007/s42770-023-01053-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: CLINICAL AND FUNCTIONAL EVALUATION OF WRISTS AND HANDS OF SPINAL CORD INJURED PATIENTS.

    Bittar, Cíntia Kelly / Perucci, Isabela Ferreira / Signorini, Danillo Nagel / Mascarenhas, Mariana Buratti / Silvestre, Orcizo Francisco / Cliquet, Alberto

    Acta ortopedica brasileira

    2024  Volume 32, Issue 1, Page(s) e264175

    Abstract: Introduction: The inability of the spinal cord to propagate sensory and motor stimuli as a result of the disruption of the nerve tracts is called spinal cord injury.: Objective: This study analyzes clinically and radiologically the hands and wrists ... ...

    Abstract Introduction: The inability of the spinal cord to propagate sensory and motor stimuli as a result of the disruption of the nerve tracts is called spinal cord injury.
    Objective: This study analyzes clinically and radiologically the hands and wrists of spinal cord injured patients, evaluating their motor and sensitive functionality, in order to determine if these patients are more likely to develop degenerative alterations.
    Methods: 14 patients (8 paraplegics and 6 tetraplegics) were evaluated, undergoing anamnesis and clinical examination - a scale of muscular strength (MRC - Medical Research Council) and the amplitude measurement of the movement with a manual goniometer (ROM), were used for objective evaluation - and x-ray exams. The results were compared with pre-existing data from other studies.
    Results: When asked, only one of the 14 observed patients complained about constant wrist pain, described as level 3 (weak to moderate), based on the visual analog scale (VAS). The motor evaluation, MRC and ROM divided the group of patients into two subgroups: paraplegic and tetraplegic patients. The x-ray analysis showed, based on Kellgren and Lawrence classification, that all exam images fit grades 1 or 2 of osteoarthritis and osteoarthrosis.
    Conclusion: In conclusion, spinal cord injured patients showed none or minimal clinical and radiological signs of osteoarthritis on hands or wrists. Overall, the hands and wrists of spinal cord-injured patients behave similarly to noninjured patients.
    Language English
    Publishing date 2024-03-22
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105206-2
    ISSN 1809-4406 ; 1413-7852
    ISSN (online) 1809-4406
    ISSN 1413-7852
    DOI 10.1590/1413-785220243201e264175
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: THE IMPACT OF MOTORCYCLE ACCIDENTS IN A REFERENCE HOSPITAL DURING THE COVID-19 PANDEMIC.

    Rocha, Aline Cremasco / Valente, Bruna Granig / Figueiredo, Henrique Carvalho E Silva / Jorge, Guilherme DE Oliveira / Mattos, Carlos Augusto DE / Bittar, Cintia Kelly

    Acta ortopedica brasileira

    2022  Volume 30, Issue 5, Page(s) e255862

    Abstract: Objective: This study aimed to analyze the relationship between the number of motorcycle accidents attended at a reference Hospital for trauma in Campinas, state of São Paulo, and the pandemic by COVID-19 during the year 2020.: Methods: This is a ... ...

    Abstract Objective: This study aimed to analyze the relationship between the number of motorcycle accidents attended at a reference Hospital for trauma in Campinas, state of São Paulo, and the pandemic by COVID-19 during the year 2020.
    Methods: This is a cross-sectional, descriptive retrospective study carried out at Hospital PUC- Campinas, through the analysis of medical records of patients, victims of motorcycle trauma undergoing orthopedic surgical management in 2020. The phases of the pandemic and the isolation rates according to the São Paulo Plan were studied. Chi-Square tests, and the Least Squares method were applied for statistical calculations.
    Results: 155 medical records were analyzed, of which 91.61% of the patients were male. Of those admitted, 94.84% suffered fractures and 51.61%, polyfractures. There was a correlation between the average isolation rates and the number of accidents. In the 14-day period, as the average isolation rate increased by 10%, there was an increase of approximately 3 accidents in that period. In the 7-day analysis, 1.7 more traumas were observed for every 10% increase in the average isolation.
    Conclusion: The results suggest that by increasing the average isolation rate, the number of traumas per motorcycle treated at the institution increased.
    Language English
    Publishing date 2022-11-11
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105206-2
    ISSN 1809-4406 ; 1413-7852
    ISSN (online) 1809-4406
    ISSN 1413-7852
    DOI 10.1590/1413-785220223005e255862
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Antiviral Evaluation of New Synthetic Bioconjugates Based on GA-Hecate: A New Class of Antivirals Targeting Different Steps of Zika Virus Replication.

    da Silva Sanches, Paulo Ricardo / Velazquez, Ricardo Sanchez / Batista, Mariana Nogueira / Carneiro, Bruno Moreira / Bittar, Cintia / De Lorenzo, Giuditta / Rahal, Paula / Patel, Arvind H / Cilli, Eduardo Maffud

    Molecules (Basel, Switzerland)

    2023  Volume 28, Issue 13

    Abstract: Re-emerging arboviruses represent a serious health problem due to their rapid vector-mediated spread, mainly in urban tropical areas. The 2013-2015 Zika virus (ZIKV) outbreak in South and Central America has been associated with cases of microcephaly in ... ...

    Abstract Re-emerging arboviruses represent a serious health problem due to their rapid vector-mediated spread, mainly in urban tropical areas. The 2013-2015 Zika virus (ZIKV) outbreak in South and Central America has been associated with cases of microcephaly in newborns and Guillain-Barret syndrome. We previously showed that the conjugate gallic acid-Hecate (GA-FALALKALKKALKKLKKALKKAL-CONH
    MeSH term(s) Infant, Newborn ; Humans ; Zika Virus ; Antiviral Agents/chemistry ; Zika Virus Infection ; Virus Replication ; Dermatologic Agents/pharmacology ; Gallic Acid/pharmacology
    Chemical Substances Antiviral Agents ; Dermatologic Agents ; Gallic Acid (632XD903SP)
    Language English
    Publishing date 2023-06-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1413402-0
    ISSN 1420-3049 ; 1431-5165 ; 1420-3049
    ISSN (online) 1420-3049
    ISSN 1431-5165 ; 1420-3049
    DOI 10.3390/molecules28134884
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Identification of differentially expressed miRNAs in human cells infected with different Zika virus strains.

    Machado, Francielly Cristina / Bittar, Cíntia / Rahal, Paula / Calmon, Marilia Freitas

    Archives of virology

    2021  Volume 166, Issue 6, Page(s) 1681–1689

    Abstract: Infection with distinct Zika virus (ZIKV) strains in in vitro and in vivo models has demonstrated that the host's response to infection is strain-dependent. There has been no analysis of the impact of infection with different ZIKV strains on miRNA ... ...

    Abstract Infection with distinct Zika virus (ZIKV) strains in in vitro and in vivo models has demonstrated that the host's response to infection is strain-dependent. There has been no analysis of the impact of infection with different ZIKV strains on miRNA expression in human cells. We investigated miRNA expression in PNT1A cells upon infection with an African ZIKV strain (MR766) and a Brazilian ZIKV strain (ZIKV
    MeSH term(s) Animals ; Chlorocebus aethiops ; Epithelial Cells/metabolism ; Epithelial Cells/virology ; Gene Expression Regulation/immunology ; Gene Regulatory Networks ; Humans ; MicroRNAs/genetics ; MicroRNAs/metabolism ; Vero Cells ; Zika Virus/classification
    Chemical Substances MicroRNAs
    Language English
    Publishing date 2021-04-13
    Publishing country Austria
    Document type Journal Article
    ZDB-ID 7491-3
    ISSN 1432-8798 ; 0304-8608
    ISSN (online) 1432-8798
    ISSN 0304-8608
    DOI 10.1007/s00705-021-05051-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Detection of DENV-2 and ZIKV coinfection in southeastern Brazil by serum and urine testing.

    da Conceição, Pâmela Jóyce Previdelli / de Carvalho, Lucas Rodrigues / de Godoy, Bianca Lara Venâncio / Nogueira, Mauricio Lacerda / Terzian, Ana Carolina Bernardes / de Godoy, Moacir Fernandes / Calmon, Marília Freitas / Bittar, Cintia / Rahal, Paula

    Medical microbiology and immunology

    2023  Volume 212, Issue 3, Page(s) 193–201

    Abstract: Purpose: Aedes aegypti mosquito-borne diseases have a significant impact on public health in Brazil. In this study, we investigated the presence of the Zika virus (ZIKV) and dengue virus (DENV) in serum and urine samples from symptomatic participants ... ...

    Abstract Purpose: Aedes aegypti mosquito-borne diseases have a significant impact on public health in Brazil. In this study, we investigated the presence of the Zika virus (ZIKV) and dengue virus (DENV) in serum and urine samples from symptomatic participants who attended an Emergency Care Unit located in a city in the northwestern region of São Paulo between February 2018 and April 2019.
    Methods: Serum and urine samples were collected from participants suspected of having arbovirus infection. After the extraction of viral RNA, viral detection was performed by real-time quantitative reverse transcription polymerase chain reaction (RT-qPCR) (One-Step RT-qPCR).
    Results: A total of 305 participants participated in this study. A total of 283 blood and 270 urine samples were collected. Of 305 patients, 36.4% (111/305) were positive for ZIKV, 43.3% (132/305) for DENV2, and 0.3% (1/305) for DENV1. Coinfection with ZIKV/DENV2 was observed in 13.1% of participants. If only serum samples were used, ZIKV detection would have decreased to 23.3% (71/305). Of all the participants included in the study, only one was suspected of having ZIKV infection based on clinical diagnosis, and the remaining participants were suspected of having DENV.
    Conclusion: By testing serum and urine samples, we increased the detection of both viruses and detected considerable levels of ZIKV and DENV-2 coinfection when compared to other studies. Additionally, we detected an unnoticed ZIKV outbreak in the city. These findings highlight the importance of the molecular diagnosis of arboviruses to aid public health surveillance and management strategies.
    MeSH term(s) Animals ; Humans ; Zika Virus ; Zika Virus Infection/diagnosis ; Zika Virus Infection/epidemiology ; Dengue/diagnosis ; Dengue/epidemiology ; Dengue Virus/genetics ; Coinfection/diagnosis ; Coinfection/epidemiology ; Brazil/epidemiology ; Chikungunya Fever/diagnosis ; Chikungunya Fever/epidemiology ; Chikungunya virus/genetics
    Language English
    Publishing date 2023-04-07
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 120933-4
    ISSN 1432-1831 ; 0300-8584
    ISSN (online) 1432-1831
    ISSN 0300-8584
    DOI 10.1007/s00430-023-00762-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Antiviral Evaluation of New Synthetic Bioconjugates Based on GA-Hecate

    Paulo Ricardo da Silva Sanches / Ricardo Sanchez Velazquez / Mariana Nogueira Batista / Bruno Moreira Carneiro / Cintia Bittar / Giuditta De Lorenzo / Paula Rahal / Arvind H. Patel / Eduardo Maffud Cilli

    Molecules, Vol 28, Iss 4884, p

    A New Class of Antivirals Targeting Different Steps of Zika Virus Replication

    2023  Volume 4884

    Abstract: Re-emerging arboviruses represent a serious health problem due to their rapid vector-mediated spread, mainly in urban tropical areas. The 2013–2015 Zika virus (ZIKV) outbreak in South and Central America has been associated with cases of microcephaly in ... ...

    Abstract Re-emerging arboviruses represent a serious health problem due to their rapid vector-mediated spread, mainly in urban tropical areas. The 2013–2015 Zika virus (ZIKV) outbreak in South and Central America has been associated with cases of microcephaly in newborns and Guillain–Barret syndrome. We previously showed that the conjugate gallic acid—Hecate (GA-FALALKALKKALKKLKKALKKAL-CONH 2 )—is an efficient inhibitor of the hepatitis C virus. Here, we show that the Hecate peptide is degraded in human blood serum into three major metabolites. These metabolites conjugated with gallic acid were synthesized and their effect on ZIKV replication in cultured cells was evaluated. The GA-metabolite 5 (GA-FALALKALKKALKKL-COOH) was the most efficient in inhibiting two ZIKV strains of African and Asian lineage at the stage of both virus entry (virucidal and protective) and replication (post-entry). We also demonstrate that GA-metabolite 5 does not affect cell growth after 7 days of continuous treatment. Thus, this study identifies a new synthetic antiviral compound targeting different steps of ZIKV replication in vitro and with the potential for broad reactivity against other flaviviruses. Our work highlights a promising strategy for the development of new antivirals based on peptide metabolism and bioconjugation.
    Keywords Zika virus ; gallic acid ; peptides ; Hecate ; bioconjugates ; GA-Hecate ; Organic chemistry ; QD241-441
    Subject code 540 ; 570
    Language English
    Publishing date 2023-06-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Early infection of Zika virus in the male reproductive system of AG129 mice: molecular and immunohistochemical evaluation.

    Lima, Maria Letícia Duarte / Cabral, Ágata Silva / Bittar, Cintia / Falleiros Junior, Luiz Roberto / Guerra, Luiz Henrique Alves / Carneiro, Bruno Moreira / de Souza Ferreira, Luis Carlos / Nogueira, Maurício Lacerda / Taboga, Sebastião Roberto / Calmon, Marilia Freitas / Rahal, Paula

    Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology

    2022  Volume 53, Issue 3, Page(s) 1279–1287

    Abstract: Sexual transmission of Zika virus (ZIKV), an important arbovirus, and the virus persistence in semen raise several questions about how and where it circulates in the male reproductive system (MRS). Several studies reported detection of the virus in ... ...

    Abstract Sexual transmission of Zika virus (ZIKV), an important arbovirus, and the virus persistence in semen raise several questions about how and where it circulates in the male reproductive system (MRS). Several studies reported detection of the virus in testes, epididymis, and prostate at 5 days post-infection (dpi) or more in animal models. In the present study, we investigated the interactions of ZIKV with mouse MRS using the AG129 strain, a ZIKV permissive immunodeficient mouse strain, at two dpi. Viral RNA was detected in blood, testes, epididymis, and prostatic complexes (prostate and seminal vesicles). Immunohistochemical (IHC) analyses, based on the envelope protein, showed an early infection in organs of MRS since ZIKV positive antigens were detected in cells within or surrounding blood vessels, Sertoli, and germ cells in testes and epithelial cells in epididymis and prostate. Positive antigens for NS5 protein, the virus RNA-dependent RNA polymerase, were also detected by IHC in these organs and circulating leukocytes, suggesting that the virus replicates in these sites as early as 2 days post-infection. Analysis of the early stages of ZIKV infection in MRS may improve the current knowledge about this issue and contribute to the development of therapies directed to the infection at this site.
    MeSH term(s) Animals ; Genitalia, Male ; Male ; Mice ; RNA, Viral/genetics ; Semen ; Zika Virus/genetics ; Zika Virus Infection
    Chemical Substances RNA, Viral
    Language English
    Publishing date 2022-04-23
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2017175-4
    ISSN 1678-4405 ; 1517-8382
    ISSN (online) 1678-4405
    ISSN 1517-8382
    DOI 10.1007/s42770-022-00761-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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