In this work, we present results of an investigation of environmental precursors of infectious epidemic of dengue fever in the Metropolitan Area of Rio de Janeiro, RJ, Brazil, obtained by a numerical model with repres...
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In this work, we present results of an investigation of environmental precursors of infectious epidemic of dengue fever in the Metropolitan Area of Rio de Janeiro, RJ, Brazil, obtained by a numerical model with representation of infection and reinfection of the population. The period considered extend between 2000 and 2011, in which it was possible to pair meteorological data and the reporting of dengue patients worsening. These data should also be considered in the numerical model, by assimilation, to obtain simulations of Dengue epidemics. The model contains compartments for the human population, for the vector Aedes aegypti and four virus serotypes. The results provide consistent evidence that worsening infection and disease outbreaks are due to the occurrence of environmental precursors, as the dynamics of the accumulation of water in the breeding and energy availability in the form of metabolic activation enthalpy during pre-epidemic periods.
Overweight and obesity in children are an increasing public health problem,and the influence the gut microbiota has on it,is still *** consumption of prebiotics has been studied in children with overweight and obesity...
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Overweight and obesity in children are an increasing public health problem,and the influence the gut microbiota has on it,is still *** consumption of prebiotics has been studied in children with overweight and obesity after an intervention with fermented milk,supplemented with different fructans like prebiotics,was carried out to obtain a healthy *** were randomly assigned into three groups,a double-blind intervention was carried out,receiving different fermented milk products for 6 weeks,including the following supplements:Lactobacillus casei strain Shirota,*** strain Shirota with inulin or *** strain Shirota with fructans from Agave salmiana Otto ex *** was extracted from stool samples and the differential abundance of ASV was monitored by high throughput 16S rRNA gene sequencing.A synbiotic with fructans from *** stimulated the abundance and diversity of the microbiota,specifically on genera Faecalibacterium and Holdemanella,thus,leading to a healthier gut microbiota,which led to obtaining the best anthropometric changes in synbiotic *** intervention may provide health benefits to children with overweight or obesity by increasing the richness of the gut microbiota and stimulate beneficial ***,more studies are needed to get a better understanding of the mechanisms of action.
Background The identification of modifiable bleeding risk factors may be of *** aim is to evaluate if aortic stenosis(AS)provides additional information to bleeding risk scores for predicting major bleeding(MB)in non-...
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Background The identification of modifiable bleeding risk factors may be of *** aim is to evaluate if aortic stenosis(AS)provides additional information to bleeding risk scores for predicting major bleeding(MB)in non-valvular atrial fibrillation(AF).Methods We designed a retrospective multi-center study including 2880 consecutive non-valvular AF patients initiating oral anticoagulation between January 2013 and December *** was defined as moderate or severe according to European echocardiography guidelines ***,ATRIA and ORBIT scores were used to evaluate the bleeding *** was defined according to the International Society on Thrombosis and Haemostasia criteria and registered at 18 months of *** 168(5.8%)patients had *** with AS had higher risk for MB compared to those without AS(HR=2.13,95%CI:1.40-3.23,P<0.001).Patients without AS and low-intermediate bleeding risk(0 points)showed the lowest MB rate,whereas the MB rate observed among patients with AS and high bleeding risk(2 points)was the highest *** and reclassification analyses showed that AS provided additional information to bleeding risk scores for predicting MB at 18 months of *** In this population,AS was associated with an increased risk for MB at midterm *** three scoring systems showed a moderate discriminatory ability for ***,the addition of AS was associated with a significant improvement in their predictive *** suggest that the presence of this valvulopathy should be taken into account for bleeding risk assessment.
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