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Polymorphisms of the Toll-Like Receptor-2 Gene in Patients with Leprosy and Their Healthy Contacts

Open Journal of Immunology 2020年第3期10卷 37-46页

作者： Luana Nepomuceno Gondim Costa Lima Letícia Siqueira Moura Jasna Leticia Pinto Paz Maria do Perpétuo socorro Amador Silvestre Daniele Melo Sardinha Letícia Diogo de Oliveira Moura Karla Valéria Batista Lima Bacteriology and Mycology Section Instituto Evandro Chagas Ananindeua PA Brazil Postgraduate Program in Parasitic Biology in the Amazon at the Universidade do Estado do Pará Belém PA Brazil Postgraduate Program in Epidemiology and Health Surveillance (PPGEVS) Instituto Evandro Chagas (IEC) Ananindeua PA Brazil Graduate in Natural Sciences Universidade do Estado do Pará Belém PA Brazil Postgraduate Program in Nursing Universidade Federal do Pará Belem PA Brazil

Leprosy is an immunopathology caused by M. leprae;its evolution depends on immunological and genetic aspects of the host. The objective was verifying the relationship between SNPs 2029 and 2258 of the TLR-2 gene and leprosy. Blood samples from 127 individuals were analyzed: 45 patients, being 34 multibacillary (MB) and 11 paucibacillary (PB) and 82 contacts, in the municipalities of the State of Pará-Brazil. SNPs 2029 and 2258 of the TLR-2 gene were genotyped by sequencing on the ABI 3130 Genetic Analyzer (Applied Biosystems), analyzed using Fisher’s exact test. Distribution of SNP 2029 genotypes: all MB individuals presented the C/C genotype and the mutant (C/T) genotype was observed in contacts and PB. Alleles: all MB individuals presented only C allele and the mutant allele (T) was observed in contacts and PB. SNP 2258 genotypes: 79 contacts had G/G genotype and only 3 had G/A genotype, the MB group had only G/G genotype and the PB group was predominant G/G, with only 1 G/A genotype. Alleles: all MB individuals had allele G and the mutant allele (A) was observed in contacts and PB. The association between the SNPs and the susceptibility or protection to leprosy was not observed.

关键词： Polymorphism Toll-Like Receptors Leprosy

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Health, Aging and Quality of Life: An Evaluation of Experience in Family Health Unit through Popular Education

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Health 2014年第15期6卷 1959-1963页

作者： Cristina Katya Torres Teixeira Mendes Fabia Barbosa de Andrade Danielle Nóbrega de Castro Maria do socorro Feitosa Alves Gilson de Vasconcelos Torres Maria Adelaide Paredes Moreira Antonia Oliveira Silva Department of Dentistry Federal University of Rio Grande do Norte Natal Brazil Department of Nursing FACISA Federal University of Rio Grande do Norte Natal Brazil Department of Nursing Federal University of Rio Grande do Norte Natal Brazil Department of Public Health and Psychiatry Federal University of Paraíba Jo&atilde o Pessoa Brazil Municipal Health Joã o Pessoa Paraíba Brazil Nursing Federal University of Paraíba Jo&atilde o Pessoa Brazil Nursing Federal University of Rio Grande do Norte Natal Brazil

This study aims to assess the implementation of the Health, Aging and Quality of Life. The specific objectives were executed by conducting activities with the elderly through generative themes with an emphasis on health, aging and quality of life;evaluation of the experience of older people in Unity Family Health with Popular Education;analyzing the evolution of indicators of health and quality of life of elderly patients after two years and ascertaining the effectiveness of Popular Education in the elderly group in the Family Health Unit. This is an exploratory study approved by the Ethics and Research Committee UFPB/CCS, number 0598/08 held on Primary Health Care. The project consists of two lines of integrated activities: Group Active Ageing (GEA), which brings together seniors for addressing issues related to healthy aging and the Multidimensional Health Assessment and Quality of Life through the WHOQOL-BREF. The activities were built in fortnightly meetings from the dialogue where experiences are shared and collective needs. Thus, relevant topics were suggested for the group: guidelines on physical activity, nutrition, chronic disease prevention, self-esteem, among others, and group dynamics as body stretching, stretching exercises, respiratory, metabolic and relaxation. The observed results are the very satisfactions group, reported through testimonies and translated by the enthusiasm and diligence in participation. This project promoted a better bio-psycho-social development of the elderly, reinforcing its identity by promoting and facilitating the expression of their potential positive and arousing them to a better future life prospects and community socialization feelings.

关键词： Health Aging Quality of Life

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Potential Use of Tropical Grass for Deferment in Semi-Arid Region

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American Journal of Plant Sciences 2014年第7期5卷 907-914页

作者： Ana Clara R. Cavalcante Jucivania F. Araújo Maria do socorro Carneiro Henrique A. Souza Rafael G. Tonucci Marcos Cláudio P. Rogerio Elayne Cristina G. Vasconcelos Animal Science Department Federal University of Ceará Fortaleza Brazil Division of Forage and Soil Science Embrapa Goats and Sheep Sobral Brazil

Management evaluation of Panicum maximum cv. massai (Massai guineagrass) under deferment contributes as a strategic reserve of forage in the Brazilian semi-arid region. The objective of this study was to evaluate biomass production and nutritive value of massai guineagrass in an area of thinned caatinga vegetation in two deferment periods (60 and 90 days after plot-leveling cut) and four use periods (30, 60, 90 and 120 days after the end of the rain season), in a random blocks design arranged in a split-plot (2 × 4), with three replications. Extending the deferment period of massai guineagrass promoted elevation of the biomass components, but compromised the pasture quality due to increasing stem biomass. The massai guineagrass deferred 30 days after raining season started and should use 90 days after raining season ended to ensure a forage supply of appropriate nutritional value. The increase in relative air humidity and the occurrence of rainfall after water restriction stimulate regrowth, resulting in improved nutritional value of the grass.

关键词： Enriched Caatinga Crude Protein Digestibility Pasture Quality Guineagrass Panicum maximum cv. Massai

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Sensitivity of a Rapid Mix Test with Combined Synthetic Antigens Derived from Mycobacterium Leprae PGL-1 for Diagnosis and Surveillance of Leprosy

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Open Journal of Immunology 2020年第1期10卷 1-9页

作者： Maria do Perpétuo socorro Amador Silvestre Maxwell Furtado de Lima Antonio G.P.Pereira Aline Rodrigues Bernardo Rafaela Lopes Diniz Pedro Paulo Ferreira Ribeiro Edimílson Domingos da Silva Luana Nepomuceno Gondim Costa Lima Instituto Evandro Chagas Rodovia BR-316km 07AnanindeuaParáBrasil Programa de Desenvolvimento Tecnologico de reativos para diagnostico GPRED-Bio Manguinhos-FioCruzRio de JaneiroBrasil

Introduction: In the Americas, Brazil contributes 91.63% of the total cases and the state of Pará still has high endemia for leprosy. Objective: To analyze the performance of a rapid test for the diagnosis and epidemiological surveillance of leprosy in endemic areas. Methods: The sample consisted of 70 MB multibacillary leprosy (MB) patients, 63 paucibacillary (PB) patients, and 80 intradomiciliary consanguineous contacts (ICSCO) of patients. A rapid test with a 15-minute reading was applied using two prototypes: prototype 1, double test with trisaccharide antigen (NT-P-BSA) at 1a. line (83.2 ng/test) and disaccharide antigen (ND-O-BSA) at 2a. (83.2 ng/test), both with a flow of 0.08 μL/mm with a 10 μC membrane, anti-IgM conjugate with a flow of 0.040 μL/mm and a Tris-Triton and prototype 2 runner buffer with MIX antigen (trisaccharide + disaccharide) in the same concentrations and conditions of prototype 1. Results: The comparison of the MIX test positivity rate and the disaccharide or trisaccharide doublet test across all samples was statistically significant, demonstrating that the MIX test had higher seropositivity rates compared to the ND-O-BSA or NT-P-BSA. It was demonstrated that the MIX test showed a good performance, with 25.39% of the PB patients negative for the disaccharide and trisaccharide duplet test, but positive for MIX. Conclusions: These data suggest the potential for further optimizing the performance by adding other synthetic antigens to the MIX antigens.

关键词： Leprosy Diagnosis Rapid Test

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Acting Front to Nursing Psychological Repercussions in Breast Cancer Patients

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Open Journal of Nursing 2016年第12期6卷 987-994页

作者： Maria do socorro Santos de Oliveira Adalberto Cruz Sampaio Camila Macêdo de Figueiredo Silva Morais de Santana Ferreira Natália Moreira Garcia Feitosa Rosângela Rodrigues dos Santos Petrúcya Frazão Lira Milana Drumond Ramos Santana College of Juazeiro do Norte Juazeiro do Norte CE Brazil University Center Leão Sampaio Juazeiro do Norte CE Brazil Retired Juazeiro do Norte CE Brazil Maternity Hospital São Vicente College of Medicine Juazeiro do Norte CE Brazil Center for Attention to Student (NAE) College of Juazeiro do Norte Juazeiro do Norte CE Brazil

Breast cancer is a heterogeneous and complex disease with different situations of threat to their patients, which can cause psychological discomfort, anxiety and a depressed state in women. The aim of this study was to analyze the performance of nursing to psychological repercussions on living with breast cancer. This is a descriptive and cross-sectional study with qualitative characteristics. It was conducted with professional nurses in Basic Health Units (UBS) in the municipality of Juazeiro do Norte-CE, Northeast of Brazil, located in the region of Cariri. The study began to be developed after the approval of the Research Ethics Committee, CAAE: 50809315.8. 0000.5624. Data collection occurred through a semi-structured interview. For the interpretation of the results, the technique of content analysis was used. The results showed that nurses realize that emotional support, care and assistance in coping, improve the construction of a good performance of the professional nurse. However, it is possible to realize the need for information and qualified assistance by multidisciplinary team to these patients and even their family members. It was identified as difficulty in assisting the denial of patient to start the treatment, but the facility is in the intimacy that the professional nurse can engage with the customer. It highlighted the care through dialogue and health education. And, finally, the nurse is aware of such importance of his/her role when supporting the patient. Thus, the improvement of professional assistance was evidenced as regards emotional support, reception, qualified listening, health education measures leading to self-knowledge, self-esteem and acceptance of the disease and the creation of bonds with the patients.

关键词： Nursing Care Breast Cancer Women’s Health

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Health Education for Chronic Obstructive Pulmonary Disease (COPD): Observational Study

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Open Journal of Therapy and Rehabilitation 2020年第3期8卷 60-71页

作者： Leigiane Alves Cardoso Roberta Lins Gonçalves Fernanda Figuerôa Sanches Maria do socorro Lucena Cardoso Wilson de Souza Nogueira Edson de Oliveira Andrade Erik Coelho da Costa Denilsi Gomes Gonçalves Jaqueline de Sousa Veras Barbosa Lucas Normando da Silva Elvis Geanderson Lima do Vale Postgraduate Program in Communication Sciences (PPGCCOM-UFAM) Manaus Brazil The Federal University of Amazonas (UFAM) Manaus Brazil Neonatal Intensive Care The Federal University of Amazonas (UFAM) Manaus Brazil The Strictu Sensu Postgraduate Program in Health Sciences (PPGCIS-UFAM) Manaus Brazil Graduating in Physical Education The Federal University of Amazonas (UFAM) Manaus Brazil

Health Education has shown itself as essential for the understanding of individuals about psychological and physical changes caused by diseases. The chronic obstructive pulmonary disease (COPD) is a severe public health problem, and it depends on health education measures for its control. A group of patients with COPD, in pneumatological medical treatment, were investigated to find information about the disease. An observational, descriptive and analytical study with analysis and application of a semistructured questionnaire to evaluate the individuals’ knowledge about the COPD. Collected data were registered and analyzed using Google Docs. The software used for the calculation of statistical measures was Microsoft Excel®. For the research participants’ characterization analysis, the use of grouped data for the frequency distribution of Sturges Rule was necessary. This study provided knowledge about which information a group of bearers of COPD receives at a college hospital providing treatment. The interviewed have an average age of 70 years old and most are women with education level between elementary and high school and diagnose time of 6.8

关键词： COPD Health Education Pulmonary Rehabilitation Communicational Ecosystems

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Evaluation of the neuropharmacological properties of nerol in mice

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World Journal of Neuroscience 2013年第1期3卷 32-38页

作者： Thiago Henrique Costa Marques Maria Leonildes Boavista Gomes Castelo Branco Marques Douglas dos Santos Lima Halmisson D’arley Santos Siqueira Jose Damasceno Nogueira Neto Maria do socorro Boavista Gomes Castelo Branco Alexandre Araujo de Souza Damiao Pergentino de Sousa Rivelilson Mendes de Freitas Northeast Biotechnology Network Federal University of Piauí(UFPI)TeresinaBrazil Pharmacology Universidade Federal do Piauí(UFPI)TeresinaBrazil Pharmaceutics Sciences Chemistry DepartmentFederal University of Piauí(UFPI)TeresinaBrazil Department of Pharmacy Federal University of Sergipe(UFS)Sao CristovaoBrazil Department of Biochemistry and Pharmacology Campus Ministro Petronio PortelaFederal University of Piauí(UFPI)TeresinaBrazil

The search for therapeutic agents that will provide the ground for man and an improvement in their quality of life is ceaseless. The nerol (cis-2,6-dimethyl-2,6-octadien-8-ol) is a monoterpene which can be found in various medicinal plants as Lippia spp and Melissa officinalis L. The objective of this study was to analyze the acute effect of nerol in the central nervous system (CNS) by performing behavioral tests in mice (open field, elevated plus-maze, light/dark and rota rod tests). We used male albino mice (Mus musculus), Swiss variety, adult with 2 month-old. The animals were divided into five groups (n = 8) for each experimental protocol, and they were administered intraperitoneally (i.p.), respectively, Tween 80 0.05% dissolved in saline solution 0.9%, nerol (30, 60 or 90 mg/kg) or diazepam (2 mg/kg). In the open field test, all groups treated with nerol showed a significant decrease in motor activity (number of crossings, rearings and groomings) when compared with vehicle group. In the elevated plus-maze test, nerol groups significantly increased the number of entries and time of permanence in the open arms when compared with vehicle group. In the light-dark test, nerol groups showed a significant increase the time of permanence in the room clear when compared with vehicle group. In the rota rod test, the groups treated with nerol didn’t show modification in time spent and number of falls in the revolving bar when compared with vehicle group. These results indicate a possible anxiolytic effect of nerol in mice.

关键词： Anxiety Behaviors Mice Nerol Essential Oils

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Antioxidant drugs to prevent post-endoscopic retrograde cholangiopancreatography pancreatitis:What does evidence suggest?

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World Journal of Gastroenterology 2015年第21期21卷 6745-6753页

作者： Clotilde Fuentes-Orozco Carlos Davalos-Cobian Jesus Garcia-Correa Gabriela Ambriz-gonzalez Michel Dassaejv Macias-Amezcua Jesus Garcia-Renteria Jorge Rendon-Felix Mariana Chavez-Tostado Lizbeth Araceli Cuesta-Marquez Andrea socorro Alvarez-Villasenor Ana Olivia Cortes-Flores Alejandro gonzalez-Ojeda Research Unit in Clinical Epidemiology Specialties Hospital of the Western Medical CenterMedical Unit of High SpecialtyMexican Institute of Social Security Guadalajara Jalisco 44340 Mexico Department Gastrointestinal Endoscopy Specialties Hospital of the Western Medical CenterMedical Unit of High SpecialtyMexican Institute of Social Security Guadalajara Jalisco 44340 Mexico Department of Pediatric Surgery.Children’s Hospital.Western National Medical Center Mexican Institute of Social Security Guadalajara Jalisco 44340 Mexico Health Research Coor-dination.Mexican Institute of Social Security Baja Californa Sur 23000 Mexico

AIM:To determine whether or not the use of antioxidant supplementation aids in the prevention of post-endoscopic retrograde cholangiopancreatography ***:A systematic review of randomized controlled trials(RCTs) was made to evaluate the preventive effect of prophylactic antioxidant supplementation in post-endoscopic retrograde cholangiopancreatography pancreatitis(PEP).The inclusion criteria included:acute post-endoscopic retrograde cholangiopancreatography pancreatitis in adults; randomized clinical trials with the use of any antioxidant as an intervention compared with placebo,to reduce *** outcome measure was the incidence and severity of *** RCTs involving 3110 patients since 1999 *** antioxidants used were selenite,β-carotene,and pentoxifylline(each one in one trial),N-acetylcysteine(NAC) in three trials,and allopurinol in six *** group of patients treated with NAC received different doses; either oral or intravenous,and allopurinol-treated patients received five different oral doses in two different administration *** results are expressed with raw numbers,proportions,as well as mean and standard *** incidence of pancreatitis between groups was analyzed with Pearson's χ2 test or Fisher's exact test(F).The main outcome is expressed as relative risks and 95%***:The incidence of pancreatitis in all antioxidant treatment groups was 8.6%,whereas it was 9.7% in the control *** antioxidants used were selenite,β-carotene,and pentoxifylline(each one in one trial),NAC in three trials,and allopurinol in six *** allopurinol trials,three different dosifications were used; two trials reported a low dosage(of less than 400 mg),two trials reported a moderate dose(600 mg) and the remaining two employed higher doses(more than 900 mg).Supplementation was not associated with a significant reduction in the incidence of PEP [relative risk(RR) = 0.93; 95%CI:0.82-1.06; P = 0.28].In addition,the incid

关键词： Antioxidant drugs Endoscopic retrograde cholangiopancreatography Pancreatitis Prophylaxis

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Implementation of a Telechemotherapy Module in the Peruvian Jungle with Adequate Quality of Life:Breaking the Access Gaps to Health with Teleoncology

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Journal of Cancer Therapy 2019年第8期10卷 677-691页

作者： Tatiana Vidaurre Jule Vásquez Fernando Valencia Cindy Alcarraz Luis Más Nataly Poma Litol Becerra Gino Rodriguez socorro Saldana Pepe Diaz Silvia Neciosup Karina Aliaga Roxana Regalado Miriam Salazar Kavita Sarwal Simon Sutcliffe Julio Abugattas Carlos Castaneda Mónica Calderón Hugo Fuentes Henry Gómez Medical Oncologist Instituto Nacional de Enfermedades Neoplasicas(INEN)LimaPeru Hospital II-E Lamas San MartinPeru Instituto Nacional de Enfermedades Neoplasicas(INEN) LimaPeru International Cancer Control Congress Association(ICCCA) VancouverCanada

Background: Cancer is a leading cause of death worldwide as well as in Peru. The national cancer plan includes decentralization, but one of the greatest barriers is our complicated geography. San Martin is a department located in the Peruvian jungle where there are no public services for cancer care. Our aim was to implement a “distance telemedicine-enabled” outpatient chemotherapy module, monitored by oncologists. Methods: The implementation was conducted in 3 stages: 1) Planning and Organization: working teams were formed, a chemotherapy room was developed and people were trained. 2) Execution: patients from San Martín region, aged >18 years with pathological confirmation of cancer, requiring systemic chemotherapy, ECOG <3, and first course of chemotherapy received at INEN without adverse reaction were selected. 3) Evaluation: adverse events, cost-user evaluation and quality of life (QoL) were assessed. Results: By November 2015, a module with a chemotherapy room with 18 chairs, a pharmacy, a hospitalization room, 1 medical office, a training room, a nutrition area, and a nursing station was implemented. 3 physicians, 3 nurses and 1 pharmacist were trained. Through March 2018, 501 sessions of teleoncology were completed to deliver 232 cycles of chemotherapy for 56 patients aged 19 - 78 years with different solid tumors, with no serious adverse event, without negatively affecting their QoL, and with an average out-of-pocket expense saving of 500 PEN. Conclusions: Using information and communication technology, a telechemotherapy module was successfully implemented in the Peruvian jungle, without adversely affecting the QoL of patients. Neither patients nor family members needed to travel to Lima to receive chemotherapy. This first program can be replicated in other rural and remote regions through non-specialized personnel and facilities, providing chemotherapy services equivalent to a tertiary center through trained health care professionals, supported through tel

关键词： Telechemotherapy Module Cancer Treatment Urban Tertiary Center Teleoncology

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Clinical and Spatial Characteristics of Severe Acute Respiratory Syndrome by COVID-19 in Indigenous of Brazil

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Advances in Infectious Diseases 2021年第4期11卷 441-454页

作者： Daniele Melo Sardinha Karla Valéria Batista Lima Ana Lúcia da Silva Ferreira Juliana Conceição Dias Garcez Thalyta Mariany Rêgo Lopes Ueno Yan Corrêa Rodrigues Anderson Lineu Siqueira dos Santos Rosane do socorro Pompeu de Loiola Ricardo José de Paula Souza e Guimarães Luana Nepomuceno Gondim Costa Lima Programa de Pós-Graduaç ã o em Epidemiologia e Vigilancia em Saúde Instituto Evandro Chagas (PPGEVS/IEC) Ananindeua Brazil Programa de Pós-Graduaç ã o em Biologia Parasitária na Amazô nia Instituto Evandro Chagas and Universidade do Estado do Pará (PPGBPA/IEC/UEPA) Belém Brazil Programa de Pós-Graduaç ã o em Biologia Parasitária na Amazô nia Instituto Evandro Chagas and Universidade do Estado do Pará (PPGBPA/IEC/UEPA) Belém Brazil Secretaria de Estado de Saúde Pública do Pará(SESPA) Belém Brazil

The new coronavirus (SARS-CoV-2) broke out in Wuhan in China in December 2019, causing severe pneumonia and deaths, soon in March 2020, it reached pandemic level, affecting several countries including Brazil. The disease was named COVID-19, with characteristics of most infected having mild and moderate symptoms and a part severe symptom. The disease has already reached 158 ethnic groups, which have high vulnerability and limited access to health services. The objective is to investigate the clinical and spatial characteristics of Severe Acute Respiratory Syndrome of COVID-19 in the indigenous peoples of Brazil. It is an epidemiological, cross-sectional, analytical ecological study, based on data from the OpenDataSUS platform from 01/01/2020 to 31/08/2020. Profile variables, signs and symptoms and risk factors/comorbidities. The data were analyzed by Bioestat 5.3. There were 1,207 cases and 470 deaths. Profile: male gender (59.48%) means age 53 years. Signs and symptoms: fever (74.23%), cough (77.71%), sore throat (35.62%), dyspnea (69.34%), respiratory discomfort (62.80%), O2 saturation 2 saturation < 95% (69.36%). Risk factors and comorbidities (45.89%) were associated with deaths (54.04%). About comorbidities, chronic cardiovascular diseases represented (18.97%) and Diabetes Mellitus (18.97%), and associated with deaths: Chronic Cardiovascular Disease (24.46%). Being admitted to the ICU has a risk of death in (OR-3.96- < 0.0001-CI-2913/5383) followed by not being vaccinated against influenza (OR-1.85- < 0.0001-CI-1358/2528). The public and health policies of Brazil should be directed to control the dissemination of COVID-19 in this population, that COVID-19 evolves in the same intensity, however, the indigenous have vulnerabilities that can increase the impact of the pandemic in this population.

关键词： Severe Acute Respiratory Syndrome Indigenous People SARS-CoV-2 COVID-19 Brazil

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