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Article ; Online: An algorithm for visceral leishmaniasis diagnosis in Brazil from a 10-year analysis of National Reference Laboratory data.

de Souza Filho, Job Alves / Mol, Marcos Paulo Gomes / Medeiros, Fernanda Alvarenga Cardoso

2024 Volume 123, Issue 1, Page(s) 87

Abstract: Visceral leishmaniasis (VL) requires diagnostic assays to complement clinical suspicion. However, there is no standardization of a diagnostic flow using available assays. This study aimed to evaluate the performance of parasitological, molecular, and ... ...

Abstract	Visceral leishmaniasis (VL) requires diagnostic assays to complement clinical suspicion. However, there is no standardization of a diagnostic flow using available assays. This study aimed to evaluate the performance of parasitological, molecular, and serological assays for diagnosing VL and propose a diagnostic flow based on performance, practicality, and invasiveness. We conducted a study of 10-year (2010-2020) routine diagnoses of VL at the Brazilian National Reference Laboratory. We propose a diagnostic flow where individuals suspected of VL are initially screened for antibodies using an immunochromatographic test (ICT) with rK39 antigen on the nitrocellulose membrane. This is followed by a blood polymerase chain reaction (PCR) for Leishmania sp. kDNA and direct parasitological exam and/or PCR in bone marrow aspirate. A positive result in any of these assays can define a VL case. If clinical suspicion persists in negative individuals, the diagnostic flow should be repeated. The proposed flow has the potential to standardize and improve the diagnosis of VL. It reduces the need for invasive tests without compromising diagnostic accuracy.
MeSH term(s)	Humans ; Leishmaniasis, Visceral/diagnosis ; Leishmaniasis, Visceral/epidemiology ; Brazil/epidemiology ; Algorithms ; Antibodies ; Biological Assay
Chemical Substances	Antibodies
Language	English
Publishing date	2024-01-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	284966-5
ISSN	1432-1955 ; 0932-0113 ; 0044-3255
ISSN (online)	1432-1955
ISSN	0932-0113 ; 0044-3255
DOI	10.1007/s00436-023-08105-w
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Article ; Online: Hepatitis B or C prevalence in waste pickers from South America: a systematic review.

Souza-Silva, Gabriel / Mol, Marcos Paulo Gomes

Journal of public health (Oxford, England)

2022 Volume 43, Issue 4, Page(s) e578–e583

Abstract: Background: Waste pickers are considered a vulnerable population at risk for potential health damage. Taking into account the risk of hepatitis B or C infection in this population, the aim of this study was to show the prevalence of these diseases in ... ...

Abstract	Background: Waste pickers are considered a vulnerable population at risk for potential health damage. Taking into account the risk of hepatitis B or C infection in this population, the aim of this study was to show the prevalence of these diseases in waste pickers from South America, through a systematic review. Methods: The search covered publications until February 2020, accessed through Google Scholar database. Epidemiological studies on hepatitis B or C focused on waste pickers in South America were included. All selected papers were evaluated for quality. Results: Six studies composed this systematic review, all conducted in Brazil and using cross-sectional study. The prevalence of all makers (HBsAg or anti-HBc) for hepatitis B varied from 4.3 to 33.4% while for hepatitis C varied from 1.6 to 12.4%. Conclusion: The lack of results showed the requirement for more research about hepatitis including this informal workers group. High prevalences of hepatitis B and C in waste pickers highlighted the need of increase preventive health protection as vaccination against hepatitis B; training on working conditions; and the use of individual protection.
MeSH term(s)	Brazil ; Cross-Sectional Studies ; Hepatitis B/epidemiology ; Hepatitis C ; Humans ; Prevalence ; Recycling ; Refuse Disposal
Language	English
Publishing date	2022-02-16
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
ZDB-ID	2142082-8
ISSN	1741-3850 ; 1741-3842
ISSN (online)	1741-3850
ISSN	1741-3842
DOI	10.1093/pubmed/fdaa065
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Article ; Online: Can the human coronavirus epidemic also spread through solid waste?

Mol, Marcos Paulo Gomes / Caldas, Sérgio

Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA

2020 Volume 38, Issue 5, Page(s) 485–486

Abstract: Wastes generated in healthcare facilities have been discussed and the World Health Organization has proposed a guideline for controlling the spread of the virus that causes Coronavirus Disease 2019 (COVID-19). However, waste management outside the ... ...

Abstract	Wastes generated in healthcare facilities have been discussed and the World Health Organization has proposed a guideline for controlling the spread of the virus that causes Coronavirus Disease 2019 (COVID-19). However, waste management outside the generating facility should be discussed in more detail, taking into account factors such as virus resistance, differences in waste management systems and the climatic conditions in each affected region. Patients infected by human coronavirus being treated at home are generating infected waste possibly discarded as domestic waste, which can pose risks to workers and the environment, depending on the conditions of transport and disposal. In particular, the spread of the coronavirus may be increased by inadequate waste management, highlighting poor handling conditions associated with inappropriate use of personal protective equipment and other unfavourable conditions presented mainly in developing countries.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Epidemics ; Health Facilities ; Humans ; Medical Waste Disposal ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Solid Waste ; Waste Management
Chemical Substances	Medical Waste Disposal ; Solid Waste
Keywords	covid19
Language	English
Publishing date	2020-04-17
Publishing country	England
Document type	Letter
ZDB-ID	1480483-9
ISSN	1096-3669 ; 1399-3070 ; 0734-242X
ISSN (online)	1096-3669 ; 1399-3070
ISSN	0734-242X
DOI	10.1177/0734242X20918312
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Article ; Online: Hepatitis B prevalence in Brazilian waste pickers: a systematic review with meta-analysis.

Souza-Silva, Gabriel / Mol, Marcos Paulo Gomes

Revista de saude publica

2021 Volume 55, Page(s) 86

Abstract: Objective: To describe the hepatitis B prevalence in Brazilian waste pickers.: Methods: We performed a literature search in the SciELO, Biblioteca Virtual em Saúde (BVS), PubMed and Web of Science databases using the descriptors: "hepatitis B" AND (" ... ...

Abstract	Objective: To describe the hepatitis B prevalence in Brazilian waste pickers. Methods: We performed a literature search in the SciELO, Biblioteca Virtual em Saúde (BVS), PubMed and Web of Science databases using the descriptors: "hepatitis B" AND ("informal recycling" OR "waste picker" OR "recyclable waste collectors" OR "solid waste segregator") AND ("recyclable waste" OR "solid waste") AND Brazil. Epidemiological studies on HBV in Brazilian waste pickers published prior to February 2020 were included and evaluated for quality and bias using a funnel plot. Results: This meta-analysis consisted of five articles. Prevalence of HBV surface antigen seropositivity was 14% (95%CI: 6%-22%) in Brazilian waste pickers. Conclusion: HBV prevalence in Brazilian waste pickers remains high. There should be more campaigns showing the importance of vaccination and personal protective equipment use.
MeSH term(s)	Brazil/epidemiology ; Hepatitis B/epidemiology ; Humans ; Prevalence ; Recycling ; Refuse Disposal
Language	English
Publishing date	2021-11-26
Publishing country	Brazil
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	732179-x
ISSN	1518-8787 ; 0034-8910
ISSN (online)	1518-8787
ISSN	0034-8910
DOI	10.11606/s1518-8787.2021055003115
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Article ; Online: Hepatitis B prevalence in Brazilian waste pickers

Gabriel Souza-Silva / Marcos Paulo Gomes Mol

Revista de Saúde Pública, Vol

a systematic review with meta-analysis

2021 Volume 55

Abstract: ABSTRACT OBJECTIVE: To describe the hepatitis B prevalence in Brazilian waste pickers. METHODS: We performed a literature search in the SciELO, Biblioteca Virtual em Saúde (BVS), PubMed and Web of Science databases using the descriptors: “hepatitis B” ... ...

Abstract	ABSTRACT OBJECTIVE: To describe the hepatitis B prevalence in Brazilian waste pickers. METHODS: We performed a literature search in the SciELO, Biblioteca Virtual em Saúde (BVS), PubMed and Web of Science databases using the descriptors: “hepatitis B” AND (“informal recycling” OR “waste picker” OR “recyclable waste collectors” OR “solid waste segregator”) AND (“recyclable waste” OR “solid waste”) AND Brazil. Epidemiological studies on HBV in Brazilian waste pickers published prior to February 2020 were included and evaluated for quality and bias using a funnel plot. RESULTS: This meta-analysis consisted of five articles. Prevalence of HBV surface antigen seropositivity was 14% (95%CI: 6%–22%) in Brazilian waste pickers. CONCLUSION: HBV prevalence in Brazilian waste pickers remains high. There should be more campaigns showing the importance of vaccination and personal protective equipment use.
Keywords	Solid Waste Segregators ; Hepatitis B ; epidemiology ; Systematic Review ; Public aspects of medicine ; RA1-1270
Subject code	710
Language	English
Publishing date	2021-11-01T00:00:00Z
Publisher	Universidade de São Paulo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Gestão adequada de resíduos sólidos como fator de proteção na ocorrência da dengue.

Mol, Marcos Paulo Gomes / Queiroz, Josiane T Matos / Gomes, Júlia / Heller, Léo

Revista panamericana de salud publica = Pan American journal of public health

2020 Volume 44, Page(s) e22

Abstract: Objective: To investigate whether solid waste management and municipal socioeconomic indicators are associated with incidence rates of dengue, Zika, and Chikungunya in municipalities located in the state of Minas Gerais, Brazil.: Methods: This ... ...

Title translation	Adequate solid waste management as a protection factor against dengue casesGestión adecuada de los residuos sólidos como factor de protección contra los casos de dengue.
Abstract	Objective: To investigate whether solid waste management and municipal socioeconomic indicators are associated with incidence rates of dengue, Zika, and Chikungunya in municipalities located in the state of Minas Gerais, Brazil. Methods: This exploratory, quantitative, cross-sectional study included all the 853 municipalities of Minas Gerais. Only secondary data were used, collected and grouped according to planning regions. Independent variables included regular urban solid waste collection, separated waste collection, and urban solid waste mass, in addition to a quality indicator of final waste disposal, municipal human development and Gini indices, monthly Results: Solid waste management was not associated with incidence of Zika or Chikungunya. In turn, the incidence of dengue was associated with solid waste management and had a significant inverse association with percent population vulnerable to poverty. A direct association was also observed with Gini index, suggesting that the higher the incidence of dengue from 2007 to 2016, the higher the municipal Gini coefficient and thus social inequality. Selective waste collection was inversely and significantly correlated with dengue cases, suggesting that the lower the coverage by regular separated waste collection, the higher the number of dengue cases. Conclusions: Solid waste management may influence the occurrence of dengue cases, and therefore should be considered in the planning of public health actions.
Language	Portuguese
Publishing date	2020-04-09
Publishing country	United States
Document type	English Abstract ; Journal Article
ZDB-ID	1376934-0
ISSN	1680-5348 ; 1020-4989
ISSN (online)	1680-5348
ISSN	1020-4989
DOI	10.26633/RPSP.2020.22
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Article ; Online: Anionic surfactants monitoring in healthcare facilities - a case of Belo Horizonte City, Brazil.

Trajano, Graziela Torres / Vasconcelos, Olívia Maria S Ribeiro / Pataca, Luiz Carlos Moutinho / Mol, Marcos Paulo Gomes

Environmental monitoring and assessment

2022 Volume 194, Issue 4, Page(s) 248

Abstract: Surfactants are substances that when in aquatic environments can cause negative impacts. Hospital effluents carry numerous chemicals daily, including surfactants, used in sanitization and disinfection procedures. These chemicals are found in the ... ...

Abstract	Surfactants are substances that when in aquatic environments can cause negative impacts. Hospital effluents carry numerous chemicals daily, including surfactants, used in sanitization and disinfection procedures. These chemicals are found in the effluents and reach water bodies due to a lack of proper removal in the wastewater treatment plants. The present study investigated data about wastewater monitored from healthcare facilities located in the city of Belo Horizonte, Brazil, focusing on anionic surfactants. The results showed 72 establishments monitoring this parameter, resulting in a median concentration of 1 mg L
MeSH term(s)	Brazil ; Delivery of Health Care ; Environmental Monitoring ; Surface-Active Agents/chemistry ; Waste Water/analysis ; Water Pollutants, Chemical/analysis
Chemical Substances	Surface-Active Agents ; Waste Water ; Water Pollutants, Chemical
Language	English
Publishing date	2022-03-05
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	782621-7
ISSN	1573-2959 ; 0167-6369
ISSN (online)	1573-2959
ISSN	0167-6369
DOI	10.1007/s10661-022-09877-x
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Article ; Online: Clinical outcomes of intravitreal treatment for ocular toxoplasmosis: systematic review and meta-analysis.

Melo, Lutiana Amaral de / Paiva, Mayara Rodrigues Brandão de / Fernandes-Cunha, Gabriella Maria / Silva-Cunha, Armando / Mol, Marcos Paulo Gomes / Fialho, Sílvia Ligorio

Revista da Sociedade Brasileira de Medicina Tropical

2023 Volume 56, Page(s) e05522022

Abstract: ... anti-inflammatory drugs afforded improved visual acuity (99.81% [98.60, 100.00%]) and marked ...

Abstract	Background: Ocular toxoplasmosis is the leading cause of infectious posterior uveitis worldwide, accounting for 30-50% of all cases in immunocompetent patients. Conventional treatment is associated with adverse effects and does not prevent recurrence. Intravitreal drug administration can improve disease outcomes and reduce side effects. Herein, we conducted a systematic review and meta-analysis on the efficacy of intravitreal injections for treating ocular toxoplasmosis. Methods: The systematic search was conducted using PubMed, SciELO, and Google Scholar with the descriptors "ocular toxoplasmosis" AND "intravitreal". We analyzed studies that met the inclusion criteria, i.e., experimental cases in patients treated intravitreally for ocular toxoplasmosis. Considering the systematic review, we focused on the number of intravitreal injections, the therapeutic drug class, and the presence of preexisting conditions. To assess the efficacy of intravitreal injections, a meta-analysis was performed using visual acuity, side effects, disease recurrence, and inflammatory responses as variables. Results: Intravitreal injection-induced side effects were rarely observed (0.49% [0.00, 1.51%] ). The use of antiparasitic and anti-inflammatory drugs afforded improved visual acuity (99.81% [98.60, 100.00%]) and marked effectiveness in treating ocular toxoplasmosis. Conclusions: Intravitreal injections may facilitate the successful treatment of ocular toxoplasmosis. However, clinicians should carefully evaluate the presence of preexisting conditions for ocular toxoplasmosis or previous diseases, as these can impact the decision to administer intravitreal injections.
MeSH term(s)	Humans ; Drug-Related Side Effects and Adverse Reactions ; Eye Infections ; Toxoplasmosis
Language	English
Publishing date	2023-05-22
Publishing country	Brazil
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	1038126-0
ISSN	1678-9849 ; 0037-8682
ISSN (online)	1678-9849
ISSN	0037-8682
DOI	10.1590/0037-8682-0552-2022
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Article ; Online: Using freshwater snail Biomphalaria glabrata (Say, 1818) as a biological model for ecotoxicology studies: a systematic review.

Souza-Silva, Gabriel / de Souza, Clessius Ribeiro / Pereira, Cíntia Aparecida de Jesus / Dos Santos Lima, Walter / Mol, Marcos Paulo Gomes / Silveira, Micheline Rosa

Environmental science and pollution research international

2023 Volume 30, Issue 11, Page(s) 28506–28524

Abstract: Over time, a growing increase in human pollutants in the aquatic environment has been observed. The global presence of residues in water bodies reinforces the need to develop improved methods to detect them and evaluate their ecotoxicological effects in ... ...

Abstract	Over time, a growing increase in human pollutants in the aquatic environment has been observed. The global presence of residues in water bodies reinforces the need to develop improved methods to detect them and evaluate their ecotoxicological effects in aquatic environments. Thus, this study aimed to present the main assays using Biomphalaria glabrata as a biological model for ecotoxicological studies. We performed a systematic literature review with data published up to June 2022 on the Web of Science, SCOPUS, Science Direct, PubMed, and SciELO databases. Thirty studies were selected for this review after screening. Biomphalaria glabrata has been studied as an ecotoxicological model for different substances through toxicity, embryotoxicity, cytotoxicity, genotoxicity, and bioaccumulation assays. Studies evaluating the impact of B. glabrata exposure to several substances have reported effects on their offspring, as well as toxicity and behavioral and reproductive effects. This review presents various assays using B. glabrata as a biological model for ecotoxicological studies. The use of a representative species of ecosystems from tropical regions is a necessary tool for tropical environmental monitoring. It was observed that the freshwater snail B. glabrata was effective for the evaluation of the ecotoxicity of several types of chemical substances, but further studies are needed to standardize the model.
MeSH term(s)	Animals ; Humans ; Biomphalaria ; Ecotoxicology ; Ecosystem ; Fresh Water/chemistry ; Models, Biological
Language	English
Publishing date	2023-01-26
Publishing country	Germany
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	1178791-0
ISSN	1614-7499 ; 0944-1344
ISSN (online)	1614-7499
ISSN	0944-1344
DOI	10.1007/s11356-023-25455-1
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Article ; Online: Toxicological evaluation of antiretroviral Tenofovir Disoproxil Fumarate on the mollusk Biomphalaria glabrata and its hemocytes.

Souza-Silva, Gabriel / Souza, Clessius Ribeiro / Pereira, Cíntia Aparecida de Jesus / Lima, Walter Dos Santos / Mol, Marcos Paulo Gomes / Silveira, Micheline Rosa

The Science of the total environment

2023 Volume 891, Page(s) 164484

Abstract: Tenofovir disoproxil fumarate (TDF) is a drug used in HIV treatment, and several studies have detected its presence in surface water. Furthermore, more information on its environmental impact is needed in the scientific literature. Thus, due to the lack ... ...

Abstract	Tenofovir disoproxil fumarate (TDF) is a drug used in HIV treatment, and several studies have detected its presence in surface water. Furthermore, more information on its environmental impact is needed in the scientific literature. Thus, due to the lack of data on the impact of this drug, and its presence in different waters of the world, this work aimed to evaluate the potential toxicological effects of TDF on the mollusk Biomphalaria glabrata in vivo and in vitro. For in vitro analysis, hemocytes were exposed to different drug concentrations for 1 h and evaluated for feasibility, and phagocytic and metabolic activity. The in vivo analysis consisted of the exposure of groups of five mollusks, in triplicate, at the same drug concentrations for 72 h and 21 days, evaluating mortality, and mollusk and hemolymph behavior. Although the exposure of the mollusk to TDF did not reduce its survival, however it was toxic to its hemocytes. Even if toxicity was identified on the mollusk and its hemocytes initially, further studies should be conducted to understand the effects of this residue on the environment and different life stages of the mollusk because, per the Globally Harmonized System of Classification and Labeling of Chemicals, for aquatic ecosystems, the results obtained were classified as toxic (EC50% 2.65 [1.98; 5.29] mg/L) and could cause unfeasibility in hemocytes at concentrations below 10 mg/l.
MeSH term(s)	Animals ; Biomphalaria ; Tenofovir/toxicity ; Tenofovir/metabolism ; Hemocytes ; Ecosystem ; HIV Infections
Chemical Substances	Tenofovir (99YXE507IL)
Language	English
Publishing date	2023-05-29
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	121506-1
ISSN	1879-1026 ; 0048-9697
ISSN (online)	1879-1026
ISSN	0048-9697
DOI	10.1016/j.scitotenv.2023.164484
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