scholarly journals COVID-19 REINFECTION BETWEEN DOSES OF VACCINATION: CASE REPORT IN A CITY OF BRAZIL’S SOUTHEAST

2021 ◽  
Vol 23 (2) ◽  
pp. 201-205
Author(s):  
Murilo Soares Costa ◽  
Gabriel de Oliveira Gelape ◽  
André Barbosa de Andrade ◽  
Luiza Passini Vaz-Tostes ◽  
Madara da Silva Simões ◽  
...  
Keyword(s):  
Case Reports ◽  
Care Facility ◽  
Urgent Care ◽  
Security Measures ◽  
Rt Pcr ◽  
Initial Infection ◽  
Viral Mutation ◽  
Efficient Measure ◽  
Belo Horizonte ◽  
The City

Vaccination against COVID-19 is happening worldwide, with most vaccines requiring 2 doses to reach its maximum potential. It is the most efficient measure to prevent new cases of COVID-19, both of infection and reinfection. This case reports the reinfection of a female receptionist at an urgent care facility, where the research group was testing and monitoring symptoms of patients with flu syndrome, in the city of Belo Horizonte, Minas Gerais, Brasil, where she reinfected between the two preconized doses. Her initial infection occurred in September 2020 and reinfection in February 2021, 14 days after the first dose - both confirmed by RT-PCR - with reportedly worse symptoms on the latter. We warn for the possibility of reinfection episodes even after the first dose of vaccination, differently from what literature stated so far, so that health agents can organize more effective security measures, in a context of viral mutation and of new strains.

scholarly journals Cocirculation of two dengue virus serotypes in individual and pooled samples of Aedes aegypti and Aedes albopictus larvae

2011 ◽  
Vol 44 (1) ◽  
pp. 103-105 ◽  
Author(s):  
José Eduardo Marques Pessanha ◽  
Waleska Teixeira Caiaffa ◽  
Alzira Batista Cecilio ◽  
Felipe Campos de Melo Iani ◽  
Simone Costa Araujo ◽  
...  
Keyword(s):  
Aedes Aegypti ◽  
Dengue Virus ◽  
Clinical Presentation ◽  
Rt Pcr ◽  
Virus Rna ◽  
Dengue Virus Serotypes ◽  
Belo Horizonte ◽  
The City ◽  
Pooled Samples ◽  
Virological Surveillance

INTRODUCTION: To detect dengue virus, eggs of Aedes sp were collected in the city of Belo Horizonte, Brazil, in 2007. METHODS: Egg samples were subsequently hatched and the larvae were tested for the presence of dengue virus RNA by RT-PCR. RESULTS: Among the Aedes aegypti larvae samples, 163 (37.4%) out of 435 were positive, including 32 (10.9%) of 293 individual larvae samples concomitantly positive for two serotypes. CONCLUSIONS: Virological surveillance detecting coinfected vectors in the field could represent an important strategy for understanding the numerous factors involved in the transmission and clinical presentation of dengue.

Minocycline-Induced Agranulocytosis Presenting as Ecthyma Gangrenosum

2017 ◽  
Vol 1 (3) ◽  
pp. 161-164 ◽  
Author(s):  
Katherine Nolan ◽  
Reema Ishteiwy ◽  
John Alexis ◽  
Martin Zaiac ◽  
Anna Nichols
Keyword(s):  
Care Facility ◽  
Urgent Care ◽  
Severe Neutropenia ◽  
Dramatic Improvement ◽  
Therapy Discontinuation ◽  
Incision And Drainage ◽  
Ecthyma Gangrenosum ◽  
Minimal Improvement ◽  
History Of ◽  
Acute And Chronic Inflammation

A 51-year-old female with a history of rheumatoid arthritis was admitted for progressive fevers, chills and malaise. Five weeks prior, she started minocycline for an RA exacerbation. Two weeks after starting minocycline she developed an abscess on her right ankle that was treated at an urgent care facility with ceftriaxone and trimethoprim-sulfamethoxazole. She had minimal improvement so was switched to clindamycin. She developed additional abscesses on her right ankle and right axilla and spiking fevers so she was treated with incision and drainage under general anesthesia. Routine blood work obtained prior to surgery revealed severe neutropenia (0.74 103/ul) and the patient was urgently referred to the emergency department.  Skin biopsy was obtained on admission and revealed ulceration, necrosis, acute and chronic inflammation, vasculitis with vascular thrombosis and rod-shaped bacteria in blood vessel walls and lumina consistent with ecthyma gangrenosum. The following day tissue and blood cultures confirmed the growth of Pseudomonas aureginosa. Bone-marrow biopsy showed decreased granulopoiesis and hematopoiesis, and a diagnosis of minocycline-induced agranulocytosis presenting as ecthyma gangrenosum was made.  The patient had dramatic improvement with appropriate antibiotic therapy, discontinuation of minocycline and initiation of filgrastrim. She has remained healthy without recurrence for 17 months.    

MORADIA, POSSE E PROPRIEDADE NOS PROCESSOS JUDICIAIS DA OCUPAÇÃO URBANA CAMILO TORRES, EM BELO HORIZONTE/ HOUSING, OWNERSHIP AND PROPERTY IN COURT LAWSUITS OF CAMILO TORRESURBAN OCCUPATION IN THE CITY OF BELO HORIZONTE

2017 ◽  
Vol 4 (8) ◽  
Author(s):  
Maria Tereza Fonseca Dias ◽  
Juliano Dos Santos Calixto ◽  
Carolina Spyer Vieira Assad ◽  
Amanda Reis Da Silva ◽  
Henrique Gomides Zatti
Keyword(s):  
Belo Horizonte ◽  
The City

scholarly journals COVID-19 among the inhabitants of the slums in the city of Buenos Aires: a population-based study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e044592
Author(s):  
Alejandro Macchia ◽  
Daniel Ferrante ◽  
Gabriel Battistella ◽  
Javier Mariani ◽  
Fernán González Bernaldo de Quirós
Keyword(s):  
Incidence Rate ◽  
Buenos Aires ◽  
Reporting System ◽  
Incidence Rates ◽  
Health Reporting ◽  
Rt Pcr ◽  
Slum Dwellers ◽  
Integrated Health ◽  
The Impact ◽  
The City

ObjectiveTo summarise the unfolding of the COVID-19 epidemic among slum dwellers and different social strata in the city of Buenos Aires during the first 20 weeks after the first reported case.DesignObservational study using a time-series analysis. Natural experiment in a big city.SettingPopulation of the city of Buenos Aires and the integrated health reporting system records of positive RT-PCR for COVID-19 tests.ParticipantsRecords from the Argentine Integrated Health Reporting System for all persons with suspected and RT-PCR-confirmed diagnosis of COVID-19 between 31 January and 14 July 2020.OutcomesTo estimate the effects of living in a slum on the standardised incidence rate of COVID-19, corrected Poisson regression models were used. Additionally, the impact of socioeconomic status was performed using an ecological analysis at the community level.ResultsA total of 114 052 people were tested for symptoms related with COVID-19. Of these, 39 039 (34.2%) were RT-PCR positive. The incidence rates for COVID-19 towards the end of the 20th week were 160 (155 to 165) per 100 000 people among the inhabitants who did not reside in the slums (n=2 841 997) and 708 (674 to 642) among slums dwellers (n=233 749). Compared with the better-off socioeconomic quintile (1.00), there was a linear gradient on incidence rates: 1.36 (1.25 to 1.46), 1.61 (1.49 to 1.74), 1.86 (1.72 to 2.01), 2.94 (2.74 to 3.16) from Q2 to Q5, respectively. Slum dwellers were associated with an incidence rate of 14.3 (13.4 to 15.4).ConclusionsThe distribution of the epidemic is socially conditioned. Slum dwellers are at a much higher risk than the rest of the community. Slum dwellers should not be considered just another risk category but an entirely different reality that requires policies tailored to their needs.

A Case Series of SARS-CoV-2 RT-PCR-Positive Hospitalized Infants 60 Days of Age or Younger From 2 New York City Pediatric Emergency Departments

2021 ◽  
Vol 60 (4-5) ◽  
pp. 247-251
Author(s):  
Ameer Hassoun ◽  
Nessy Dahan ◽  
Christopher Kelly
Keyword(s):  
New York ◽  
Case Reports ◽  
Severe Disease ◽  
Case Series ◽  
Pediatric Emergency ◽  
Rt Pcr ◽  
Vulnerable Group ◽  
Mild Disease ◽  
Young Infants ◽  
Novel Coronavirus

The emergence of novel coronavirus disease-2019 poses an unprecedented challenge to pediatricians. While the majority of children experience mild disease, initial case reports on young infants are conflicting. We present a case series of 8 hospitalized infants 60 days of age or younger with coronavirus disease-2019. A quarter of these patients had coinfections (viral or bacterial). None of these infants had severe disease. Continued vigilance in testing this vulnerable group of infants is warranted.

scholarly journals Screening of Mosquitoes for West Nile Virus and Usutu Virus in Croatia, 2015–2020

2021 ◽  
Vol 6 (2) ◽  
pp. 45
Author(s):  
Ana Klobucar ◽  
Vladimir Savic ◽  
Marcela Curman Posavec ◽  
Suncica Petrinic ◽  
Urska Kuhar ◽  
...  
Keyword(s):  
West Nile Virus ◽  
Culex Pipiens ◽  
Rt Pcr ◽  
West Nile ◽  
Usutu Virus ◽  
Culex Pipiens Complex ◽  
Mammalian Origin ◽  
Mosquito Pool ◽  
The City ◽  
Generation Sequencing

In the period from 2015 to 2020, an entomological survey for the presence of West Nile virus (WNV) and Usutu virus (USUV) in mosquitoes was performed in northwestern Croatia. A total of 20,363 mosquitoes were sampled in the City of Zagreb and Međimurje county, grouped in 899 pools and tested by real-time RT-PCR for WNV and USUV RNA. All pools were negative for WNV while one pool each from 2016 (Aedes albopictus), 2017 (Culex pipiens complex), 2018 (Cx. pipiens complex), and 2019 (Cx. pipiens complex), respectively, was positive for USUV. The 2018 and 2019 positive pools shared 99.31% nucleotide homology within the USUV NS5 gene and both clustered within USUV Europe 2 lineage. The next-generation sequencing of one mosquito pool (Cx. pipiens complex) collected in 2018 in Zagreb confirmed the presence of USUV and revealed several dsDNA and ssRNA viruses of insect, bacterial and mammalian origin.

Coarse filters for pond effluent polishing: comparison of loading rates and grain sizes

2007 ◽  
Vol 55 (11) ◽  
pp. 121-126 ◽  
Author(s):  
M. von Sperling ◽  
J.G.B. de Andrada ◽  
W.R. de Melo Júnior
Keyword(s):  
Loading Rate ◽  
Uasb Reactor ◽  
E Coli ◽  
Effluent Quality ◽  
Loading Rates ◽  
Hydraulic Loading ◽  
Grain Sizes ◽  
Belo Horizonte ◽  
The City ◽  
Rock Size

A system comprising a UASB reactor, shallow polishing ponds and shallow coarse filters, treating actual wastewater from the city of Belo Horizonte, Brazil, has been evaluated. The main focus of the research was to compare grain sizes and hydraulic loading rates in the coarse filters. Two filters operating in parallel were investigated, with the following grain sizes: Filter 1: 3 to 10 cm; Filter 2: 8 to 20 cm. Two hydraulic loading rates were tested: 0.5 and 1.0 m3/m3.d. The filter with the lower rock size had a better performance than the filter with the larger rock size in the removal of SS and, as a consequence, BOD and COD. A better performance was obtained with the hydraulic loading rate of 0.5 m3/m3.d, as compared to the rate of 1.0 m3/m3.d. The effluent quality during the period with the lower loading rate was very good for discharge into water bodies or for agricultural reuse (median effluent concentrations from Filter 1: BOD: 20 mg/L; COD: 106 mg/L; SS: 28 mg/L; E. coli: 528 MPN/100 mL).

scholarly journals Montreal Battery of Evaluation of Amusia: Validity evidence and norms for adolescents in Belo Horizonte, Minas Gerais, Brazil

2012 ◽  
Vol 6 (4) ◽  
pp. 244-252 ◽  
Author(s):  
Marília Nunes-Silva ◽  
Vitor Geraldi Haase
Keyword(s):  
Single Case ◽  
Minas Gerais ◽  
Dimensional Structure ◽  
Short Version ◽  
Validity Evidence ◽  
Musical Ability ◽  
Musical Skills ◽  
Belo Horizonte ◽  
Almost All ◽  
The City

ABSTRACT The Montreal Battery of Evaluation of Amusia (MBEA) is a battery of tests that assesses six music processing components: scale, contour, interval, rhythm, metric, and music memory. The present study sought to verify the psychometric characteristics of the MBEA in a sample of 150 adolescents aged 14-18 years in the city of Belo Horizonte, Minas Gerais, Brazil, and to develop specific norms for this population. We used statistical procedures that explored the dimensional structure of the MBEA and its items, evaluating their adequacy from empirical data, verifying their reliability, and providing evidence of validity. The results for the difficult levels for each test indicated a trend toward higher scores, corroborating previous studies. From the analysis of the criterion groups, almost all of the items were considered discriminatory. The global score of the MBEA was shown to be valid and reliable (r K-R20=0.896) for assessing the musical ability of normal teenagers. Based on the analysis of the items, we proposed a short version of the MBEA. Further studies with larger samples and amusic individuals are necessary to provide evidence of the validity of the MBEA in the Brazilian milieu. The present study brings to the Brazilian context a tool for diagnosing deficits in musical skills and will serve as a basis for comparisons with single case studies and studies of populations with specific neuropsychological syndromes.

scholarly journals Visuospatial Reasoning and Its Relation to External Variables

2014 ◽  
Vol 24 (58) ◽  
pp. 197-204
Author(s):  
Juliana Carnevalli Siqueira Nery ◽  
Fabián Javier Marín Rueda
Keyword(s):  
Age Group ◽  
Older Students ◽  
Normative Sample ◽  
Male And Female ◽  
Visuospatial Reasoning ◽  
External Variables ◽  
Belo Horizonte ◽  
Performance Results ◽  
The City ◽  
Age And Sex

In this study, the relation of age and sex with visuospatial reasoning assessed by the Cube Test was investigated. In addition, a comparative study was conducted between this study sample and the normative group of the test with regard to visuospatial reasoning performance results. Six hundred and eighty-four students participated in this study, from the city of Belo Horizonte (State of Minas Gerais, Brazil), aged between 15 and 57 years old, both male and female. The results showed both age and sex differences, where younger students showed a significantly higher performance than older students and men showed significantly higher averages than women in every test comparison. In the study with the normative sample, men showed higher averages than women throughout every age group and in the overall result of both studies. The results obtained reflect those found in the literature and highlight the influence of age and sex on visuospatial reasoning.

Trends in Urgent Care Utilization Following Ankle Fracture Fixation

2018 ◽  
Vol 40 (2) ◽  
pp. 218-223 ◽  
Author(s):  
Mostafa M. Abousayed ◽  
Christopher K. Johnson ◽  
Muhammad Moral ◽  
Sarah Sternbach ◽  
Andrew J. Rosenbaum
Keyword(s):  
Psychiatric Disorders ◽  
Healthcare System ◽  
Ankle Fracture ◽  
Univariate Analysis ◽  
Care Facility ◽  
Urgent Care ◽  
Care Utilization ◽  
Level Of Evidence ◽  
Patients With Diabetes ◽  
Fracture Surgery

Background: The Centers for Medicare and Medicaid services (CMS) have implemented initiatives to improve postdischarge care and reduce unnecessary readmissions. Readmissions within 30 days are frequent and represent an economic burden on both patients and the healthcare system. The aim of this study was to evaluate the frequency and causes for urgent care visits within 30 days of discharge after ankle open reduction and internal fixation (ORIF) and determine factors correlated with such visits. Methods: This was a retrospective analysis of prospectively collected data. All patients who underwent ankle ORIF at our institution between July 1, 2016, and June 30, 2017, were included. Patients were identified using Current Procedural Terminology (CPT) codes for ankle ORIF. Patients’ demographics including age, sex, race, body mass index, occupation, insurance payer, and comorbidities were documented. Results: Thirty-five patients (10.51%) had urgent care visits within 30 days of discharge. Patients presented at a mean of 11.8 days after the day of surgery. Sixteen patients (45.71%) had cast/splint-related issues, 7 (20%) presented with pain, and 7 (20%) with increased operative site drainage. Univariate analysis demonstrated a statistically significant association between postoperative urgent care visits and patients with diabetes ( P = .03) or underlying psychiatric disorders ( P = .03). Conclusion: In this population study of patients undergoing ankle fracture surgery, we found that the rate of urgent care visits within 30 days of discharge exceeded the rate of inpatient readmission. Additionally, patients with diabetes and psychiatric disorders were significantly more likely to present to an urgent care facility postoperatively, potentially accounting for increased expenditures of the healthcare system. Level of Evidence: Level III, comparative series.

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