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1.
Entropy (Basel) ; 26(3)2024 Mar 19.
Article in English | MEDLINE | ID: mdl-38539782

ABSTRACT

The partial information decomposition (PID) framework is concerned with decomposing the information that a set of (two or more) random variables (the sources) has about another variable (the target) into three types of information: unique, redundant, and synergistic. Classical information theory alone does not provide a unique way to decompose information in this manner and additional assumptions have to be made. One often overlooked way to achieve this decomposition is using a so-called measure of union information-which quantifies the information that is present in at least one of the sources-from which a synergy measure stems. In this paper, we introduce a new measure of union information based on adopting a communication channel perspective, compare it with existing measures, and study some of its properties. We also include a comprehensive critical review of characterizations of union information and synergy measures that have been proposed in the literature.

2.
Entropy (Basel) ; 25(7)2023 Jun 25.
Article in English | MEDLINE | ID: mdl-37509922

ABSTRACT

The partial information decomposition (PID) framework is concerned with decomposing the information that a set of random variables has with respect to a target variable into three types of components: redundant, synergistic, and unique. Classical information theory alone does not provide a unique way to decompose information in this manner, and additional assumptions have to be made. Recently, Kolchinsky proposed a new general axiomatic approach to obtain measures of redundant information based on choosing an order relation between information sources (equivalently, order between communication channels). In this paper, we exploit this approach to introduce three new measures of redundant information (and the resulting decompositions) based on well-known preorders between channels, contributing to the enrichment of the PID landscape. We relate the new decompositions to existing ones, study several of their properties, and provide examples illustrating their novelty. As a side result, we prove that any preorder that satisfies Kolchinsky's axioms yields a decomposition that meets the axioms originally introduced by Williams and Beer when they first proposed PID.

3.
Arch Virol ; 167(11): 2151-2162, 2022 Nov.
Article in English | MEDLINE | ID: mdl-35841448

ABSTRACT

Arthropod-borne viruses (arboviruses) are a significant public health threat, especially in tropical and subtropical regions. More than 150 arboviruses can cause febrile illness following infection in humans. The Brazilian Amazon region has the highest number of arboviruses detected worldwide. In addition to arboviruses, malaria, caused by Plasmodium vivax, is endemic in the Amazon. Patients with malaria and arboviral disease frequently show similar clinical presentation and laboratory findings, making the diagnosis of the cause of the infection challenging. The aim of this study was to evaluate the potential for viral infections in patients with suspected malaria but without Plasmodium infection in the Brazilian Amazon. We recruited 200 subjects with suspected malaria in Manaus, Brazil. First, we tested for arboviruses in serum samples from 124 of the 200 participants using an arbovirus DNA microarray platform, which did not detect any virus. Then, we mixed the serum samples of the other 76 participants in 10 pools and subjected them to next-generation sequencing. Analysis of the sequencing data revealed the presence of only one arbovirus (Zika virus) in one sample pool. This analysis also detected the presence of primate erythroparvovirus 1 and pegivirus C. These results suggest that arboviruses are not the most frequent viral infections in patients with suspected malaria but without Plasmodium infection in the metropolitan region of Manaus. Implementation of specific viral surveillance tests will help in the early detection of viruses with epidemic potential.


Subject(s)
Arbovirus Infections , Arboviruses , Malaria , Zika Virus Infection , Zika Virus , Animals , Arbovirus Infections/diagnosis , Arbovirus Infections/epidemiology , Arboviruses/genetics , Brazil/epidemiology , Fever , Humans , Malaria/diagnosis , Malaria/epidemiology , Zika Virus/genetics
4.
J Med Imaging (Bellingham) ; 8(3): 031905, 2021 May.
Article in English | MEDLINE | ID: mdl-33937440

ABSTRACT

Purpose: Radiogenomics offers a potential virtual and noninvasive biopsy. However, radiogenomics models often suffer from generalizability issues, which cause a performance degradation on unseen data. In MRI, differences in the sequence parameters, manufacturers, and scanners make this generalizability issue worse. Such image acquisition information may be used to define different environments and select robust and invariant radiomic features associated with the clinical outcome that should be included in radiomics/radiogenomics models. Approach: We assessed 77 low-grade gliomas and glioblastomas multiform patients publicly available in TCGA and TCIA. Radiomics features were extracted from multiparametric MRI images (T1-weighted, contrast-enhanced T1-weighted, T2-weighted, and fluid-attenuated inversion recovery) and different regions-of-interest (enhancing tumor, nonenhancing tumor/necrosis, and edema). A method developed to find variables that are part of causal structures was used for feature selection and compared with an embedded feature selection approach commonly used in radiomics/radiogenomics studies, across two different scenarios: (1) leaving data from a center as an independent held-out test set and tuning the model with the data from the remaining centers and (2) use stratified partitioning to obtain the training and the held-out test sets. Results: In scenario (1), the performance of the proposed methodology and the traditional embedded method was AUC: 0.75 [0.25; 1.00] versus 0.83 [0.50; 1.00], Sens.: 0.67 [0.20; 0.93] versus 0.67 [0.20; 0.93], Spec.: 0.75 [0.30; 0.95] versus 0.75 [0.30; 0.95], and MCC: 0.42 [0.19; 0.68] versus 0.42 [0.19; 0.68] for center 1 as the held-out test set. The performance of both methods for center 2 as the held-out test set was AUC: 0.64 [0.36; 0.91] versus 0.55 [0.27; 0.82], Sens.: 0.00 [0.00; 0.73] versus 0.00 [0.00; 0.73], Spec.: 0.82 [0.52; 0.94] versus 0.91 [0.62; 0.98], and MCC: - 0.13 [ - 0.38 ; - 0.04 ] versus - 0.09 [ - 0.38 ; - 0.02 ] , whereas for center 3 was AUC: 0.80 [0.62; 0.95] versus 0.89 [0.56; 0.96], Sens.: 0.86 [0.48; 0.97] versus 0.86 [0.48; 0.97], Spec.: 0.72 [0.54; 0.85] versus 0.79 [0.61; 0.90], and MCC: 0.47 [0.41; 0.53] versus 0.55 [0.48; 0.60]. For center 4, the performance of both methods was AUC: 0.77 [0.51; 1.00] versus 0.75 [0.47; 0.97], Sens.: 0.53 [0.30; 0.75] versus 0.00 [0.00; 0.15], Spec.: 0.71 [0.35; 0.91] versus 0.86 [0.48; 0.97], and MCC: 0.23 [0.16; 0.31] versus. - 0.32 [ - 0.46 ; - 0.20 ] . In scenario (2), the performance of these methods was AUC: 0.89 [0.71; 1.00] versus 0.79 [0.58; 0.94], Sens.: 0.86 [0.80; 0.92] versus 0.43 [0.15; 0.74], Spec.: 0.87 [0.62; 0.96] versus 0.87 [0.62; 0.96], and MCC: 0.70 [0.60; 0.77] versus 0.33 [0.24; 0.42]. Conclusions: This proof-of-concept study demonstrated good performance by the proposed feature selection method in the majority of the studied scenarios, as it promotes robustness of features included in the models and the models' generalizability by making used imaging data of different scanners or with sequence parameters.

5.
Magn Reson Med ; 85(3): 1713-1726, 2021 03.
Article in English | MEDLINE | ID: mdl-32970859

ABSTRACT

PURPOSE: To investigate the repeatability and reproducibility of radiomic features extracted from MR images and provide a workflow to identify robust features. METHODS: T2 -weighted images of a pelvic phantom were acquired on three scanners of two manufacturers and two magnetic field strengths. The repeatability and reproducibility of features were assessed by the intraclass correlation coefficient and the concordance correlation coefficient, respectively, and by the within-subject coefficient of variation, considering repeated acquisitions with and without phantom repositioning, and with different scanner and acquisition parameters. The features showing intraclass correlation coefficient or concordance correlation coefficient >0.9 were selected, and their dependence on shape information (Spearman's ρ > 0.8) analyzed. They were classified for their ability to distinguish textures, after shuffling voxel intensities of images. RESULTS: From 944 two-dimensional features, 79.9% to 96.4% showed excellent repeatability in fixed position across all scanners. A much lower range (11.2% to 85.4%) was obtained after phantom repositioning. Three-dimensional extraction did not improve repeatability performance. Excellent reproducibility between scanners was observed in 4.6% to 15.6% of the features, at fixed imaging parameters. In addition, 82.4% to 94.9% of the features showed excellent agreement when extracted from images acquired with echo times 5 ms apart, but decreased with increasing echo-time intervals, and 90.7% of the features exhibited excellent reproducibility for changes in pulse repetition time. Of nonshape features, 2.0% was identified as providing only shape information. CONCLUSION: We showed that radiomic features are affected by MRI protocols and propose a general workflow to identify repeatable, reproducible, and informative radiomic features to ensure robustness of clinical studies.


Subject(s)
Magnetic Resonance Imaging , Pelvis , Heart Rate , Pelvis/diagnostic imaging , Phantoms, Imaging , Reproducibility of Results
6.
Neural Netw ; 127: 193-203, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32387926

ABSTRACT

In this paper, we introduce a neural network framework for semi-supervised clustering with pairwise (must-link or cannot-link) constraints. In contrast to existing approaches, we decompose semi-supervised clustering into two simpler classification tasks: the first stage uses a pair of Siamese neural networks to label the unlabeled pairs of points as must-link or cannot-link; the second stage uses the fully pairwise-labeled dataset produced by the first stage in a supervised neural-network-based clustering method. The proposed approach is motivated by the observation that binary classification (such as assigning pairwise relations) is usually easier than multi-class clustering with partial supervision. On the other hand, being classification-based, our method solves only well-defined classification problems, rather than less well specified clustering tasks. Extensive experiments on various datasets demonstrate the high performance of the proposed method.


Subject(s)
Neural Networks, Computer , Supervised Machine Learning , Cluster Analysis , Databases, Factual/trends , Supervised Machine Learning/trends
7.
Article in English | MEDLINE | ID: mdl-31021796

ABSTRACT

This paper introduces a new approach to patchbased image restoration based on external datasets and importance sampling. The minimum mean squared error (MMSE) estimate of the image patches, the computation of which requires solving a multidimensional (typically intractable) integral, is approximated using samples from an external dataset. The new method, which can be interpreted as a generalization of the external non-local means (NLM), uses self-normalized importance sampling to efficiently approximate the MMSE estimates. The use of self-normalized importance sampling endows the proposed method with great flexibility, namely regarding the statistical properties of the measurement noise. The effectiveness of the proposed method is shown in a series of experiments using both generic large-scale and class-specific external datasets.

8.
J Infect Dis ; 219(12): 2015-2025, 2019 05 24.
Article in English | MEDLINE | ID: mdl-30715407

ABSTRACT

Rocio virus (ROCV) is a highly neuropathogenic mosquito-transmitted flavivirus responsible for an unprecedented outbreak of human encephalitis during 1975-1976 in Sao Paulo State, Brazil. Previous studies have shown an increased number of inflammatory macrophages in the central nervous system (CNS) of ROCV-infected mice, implying a role for macrophages in the pathogenesis of ROCV. Here, we show that ROCV infection results in increased expression of CCL2 in the blood and in infiltration of macrophages into the brain. Moreover, we show, using CCR2 knockout mice, that CCR2 expression is essential for macrophage infiltration in the brain during ROCV infection and that the lack of CCR2 results in increased disease severity and mortality. Thus, our findings show the protective role of CCR2-mediated infiltration of macrophages in the brain during ROCV infection.


Subject(s)
Encephalitis/metabolism , Flavivirus Infections/metabolism , Flavivirus/pathogenicity , Macrophages/metabolism , Receptors, CCR2/metabolism , Animals , Brain , Brazil , Encephalitis/virology , Female , Flavivirus Infections/virology , Macrophages/virology , Mice , Mice, Inbred C57BL , Mice, Knockout
9.
Infect Genet Evol ; 68: 16-22, 2019 03.
Article in English | MEDLINE | ID: mdl-30504003

ABSTRACT

Oropouche orthobunyavirus (OROV) has significant impact in public health in Amazon region. This arbovirus is one of the most common causes of febrile illness in Brazil, and is responsible for several epidemics since 1960's. In this study, we sequenced and characterized the complete coding sequences (S-, M- and L-RNA) of 35 OROV isolates from Brazil. Here, we classified 20 strains in genotype I from Pará and Maranhão states, nine as genotype II from Pará and Rondônia states confirmed, four classified into genotype III from Acre, Maranhão, Minas Gerais and Rondônia states and two genotype IV from Amazonas State. Also, we did not observe reassortment events involving the OROV isolates. In addition, we developed novel RT-PCR tools to identify reassortment events among OROV strains. These data will be useful to better understand the molecular epidemiology and diagnostic of OROV infections.


Subject(s)
Bunyaviridae Infections/virology , Genome, Viral , Genomics , Orthobunyavirus/genetics , Reassortant Viruses/genetics , Animals , Brazil/epidemiology , Chlorocebus aethiops , Computational Biology/methods , Genomics/methods , Genotype , Geography, Medical , Humans , Molecular Epidemiology , Molecular Sequence Annotation , Molecular Typing , Orthobunyavirus/classification , Phylogeny , Vero Cells
10.
Article in English | MEDLINE | ID: mdl-30222572

ABSTRACT

We propose a new approach to image fusion, inspired by the recent plug-and-play (PnP) framework. In PnP, a denoiser is treated as a black-box and plugged into an iterative algorithm, taking the place of the proximity operator of some convex regularizer, which is formally equivalent to a denoising operation. This approach offers flexibility and excellent performance, but convergence may be hard to analyze, as most state-of-the-art denoisers lack an explicit underlying objective function. Here, we propose using a scene-adapted denoiser (i.e., targeted to the specific scene being imaged) plugged into the iterations of the alternating direction method of multipliers (ADMM). This approach, which is a natural choice for image fusion problems, not only yields state-of-the-art results, but it also allows proving convergence of the resulting algorithm. The proposed method is tested on two different problems: hyperspectral fusion/sharpening and fusion of blurred-noisy image pairs.

11.
PLoS One ; 13(6): e0199071, 2018.
Article in English | MEDLINE | ID: mdl-29897990

ABSTRACT

Rocio virus (ROCV) was the causative agent of an unprecedented outbreak of encephalitis during the 1970s in the Vale do Ribeira, Sao Paulo State, in the Southeast region of Brazil. Surprisingly, no further cases of ROCV infection were identified after this outbreak; however, serological surveys have suggested the circulation of ROCV among humans and animals in different regions of Brazil. Cross-protective immunity among flaviviruses is well documented; consequently, immunity induced by infections with other flaviviruses endemic to Brazil could potentially be responsible for the lack of ROCV infections. Herein, we evaluated the cross-protection mediated by other flaviviruses against ROCV infection using an experimental C57BL/6 mouse model. Cross-protection against ROCV infection was observed when animals had prior exposure to Ilheus virus or Saint Louis encephalitis virus, suggesting that cross-reactive anti-flavivirus antibodies may limit ROCV disease outbreaks.


Subject(s)
Encephalitis Virus, St. Louis/immunology , Flavivirus Infections/prevention & control , Flavivirus/pathogenicity , Animals , Antibodies, Neutralizing/blood , Antibodies, Neutralizing/immunology , Antibodies, Viral/blood , Antibodies, Viral/immunology , Disease Susceptibility , Encephalitis Virus, St. Louis/pathogenicity , Evolution, Molecular , Female , Flavivirus Infections/immunology , Flavivirus Infections/mortality , Flavivirus Infections/veterinary , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Survival Rate
12.
Rev Soc Bras Med Trop ; 50(4): 539-542, 2017.
Article in English | MEDLINE | ID: mdl-28954077

ABSTRACT

INTRODUCTION:: Cacipacore virus (CPCV), a possible bird-associated flavivirus, has yet to be detected in mosquitoes. Our purpose is examining CPCV in mosquitoes from the Amazon region of Brazil. METHODS:: Approximately 3,253 Culicidae (grouped into 264 pools) were collected from the Amazon region during 2002-2006 and analyzed using a Flavivirus genus-specific reverse transcription- polymerase chain reaction followed by nested polymerase chain reaction assay and by nucleotide sequencing of amplicons. RESULTS:: Nucleotide sequences from five mosquito samples showed high similarity to the those of CPCV originally isolated in the Amazon region. CONCLUSIONS:: This is the first report of CPCV-infected mosquitoes which has implications on the arbovirus maintenance in nature and transmission to man.


Subject(s)
Culicidae/virology , Flavivirus/genetics , Animals , Base Sequence , Brazil , Culicidae/classification , Flavivirus/classification , Phylogeny , Polymerase Chain Reaction
13.
Rev. Soc. Bras. Med. Trop ; 50(4): 539-542, July-Aug. 2017. tab, graf
Article in English | LILACS | ID: biblio-1041419

ABSTRACT

Abstract INTRODUCTION: Cacipacore virus (CPCV), a possible bird-associated flavivirus, has yet to be detected in mosquitoes. Our purpose is examining CPCV in mosquitoes from the Amazon region of Brazil. METHODS: Approximately 3,253 Culicidae (grouped into 264 pools) were collected from the Amazon region during 2002-2006 and analyzed using a Flavivirus genus-specific reverse transcription- polymerase chain reaction followed by nested polymerase chain reaction assay and by nucleotide sequencing of amplicons. RESULTS: Nucleotide sequences from five mosquito samples showed high similarity to the those of CPCV originally isolated in the Amazon region. CONCLUSIONS: This is the first report of CPCV-infected mosquitoes which has implications on the arbovirus maintenance in nature and transmission to man.


Subject(s)
Animals , Flavivirus/genetics , Culicidae/virology , Phylogeny , Brazil , Base Sequence , Polymerase Chain Reaction , Flavivirus/classification , Culicidae/classification
14.
Arch Virol ; 162(6): 1783-1786, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28220327

ABSTRACT

Cacipacoré virus (CPCV) is a potential emerging virus classified in the genus Flavivirus, family Flaviviridae. In the present study, we present the genetic characterization of a CPCV isolated from ticks (Amblyomma cajennense) collected from a sick capybara (Hydrochoerus hydrochaeris) in São Paulo State, Brazil. The CPCV isolate shares the typical genomic organization of flaviviruses with 10,857 nucleotides in length and a single open reading frame of 10,284 nucleotides encoding a polyprotein of 3,427 amino acids. Phylogenetic analysis revealed that CPCV is unique, as a potentially tick-borne virus, in the Japanese encephalitis virus serogroup.


Subject(s)
Arachnid Vectors/virology , Flavivirus Infections/veterinary , Flavivirus/genetics , Flavivirus/isolation & purification , Rodent Diseases/virology , Ticks/virology , Animals , Brazil , Flavivirus/classification , Flavivirus Infections/transmission , Flavivirus Infections/virology , Genome, Viral , Phylogeny , Rodent Diseases/transmission , Rodentia , Viral Proteins/genetics
15.
Am J Trop Med Hyg ; 96(5): 1019-1030, 2017 May.
Article in English | MEDLINE | ID: mdl-28167595

ABSTRACT

AbstractOropouche virus (OROV) is an important cause of arboviral illness in Latin American countries, more specifically in the Amazon region of Brazil, Venezuela and Peru, as well as in other countries such as Panama. In the past decades, the clinical, epidemiological, pathological, and molecular aspects of OROV have been published and provide the basis for a better understanding of this important human pathogen. Here, we describe the milestones in a comprehensive review of OROV epidemiology, pathogenesis, and molecular biology, including a description of the first isolation of the virus, the outbreaks during the past six decades, clinical aspects of OROV infection, diagnostic methods, genome and genetic traits, evolution, and viral dispersal.


Subject(s)
Bunyaviridae Infections/epidemiology , Disease Outbreaks , Genome, Viral , Genotype , Orthobunyavirus/genetics , Animals , Birds/virology , Brazil/epidemiology , Bunyaviridae Infections/diagnosis , Bunyaviridae Infections/physiopathology , Bunyaviridae Infections/transmission , Ceratopogonidae/virology , Chromosome Mapping , Culex/virology , Disease Vectors , Humans , Orthobunyavirus/classification , Orthobunyavirus/isolation & purification , Panama/epidemiology , Peru/epidemiology , Sloths/virology , Venezuela/epidemiology
16.
Appl Spectrosc ; 71(6): 1148-1156, 2017 Jun.
Article in English | MEDLINE | ID: mdl-27852875

ABSTRACT

The monitoring of biopharmaceutical products using Fourier transform infrared (FT-IR) spectroscopy relies on calibration techniques involving the acquisition of spectra of bioprocess samples along the process. The most commonly used method for that purpose is partial least squares (PLS) regression, under the assumption that a linear model is valid. Despite being successful in the presence of small nonlinearities, linear methods may fail in the presence of strong nonlinearities. This paper studies the potential usefulness of nonlinear regression methods for predicting, from in situ near-infrared (NIR) and mid-infrared (MIR) spectra acquired in high-throughput mode, biomass and plasmid concentrations in Escherichia coli DH5-α cultures producing the plasmid model pVAX-LacZ. The linear methods PLS and ridge regression (RR) are compared with their kernel (nonlinear) versions, kPLS and kRR, as well as with the (also nonlinear) relevance vector machine (RVM) and Gaussian process regression (GPR). For the systems studied, RR provided better predictive performances compared to the remaining methods. Moreover, the results point to further investigation based on larger data sets whenever differences in predictive accuracy between a linear method and its kernelized version could not be found. The use of nonlinear methods, however, shall be judged regarding the additional computational cost required to tune their additional parameters, especially when the less computationally demanding linear methods herein studied are able to successfully monitor the variables under study.


Subject(s)
Bioreactors , Nonlinear Dynamics , Plasmids , Spectroscopy, Fourier Transform Infrared , Biomass , Escherichia coli/genetics , Escherichia coli/metabolism , Plasmids/genetics , Plasmids/metabolism
17.
PLoS Negl Trop Dis ; 10(9): e0005017, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27654806

ABSTRACT

Viruses transmitted by small mammals and arthropods serve as global threats to humans. Most emergent and re-emergent viral agents are transmitted by these groups; therefore, the development of high-throughput screening methods for the detection and surveillance of such viruses is of great interest. In this study, we describe a DNA microarray platform that can be used for screening all viruses transmitted by small mammals and arthropods (SMAvirusChip) with nucleotide sequences that have been deposited in the GenBank. SMAvirusChip was designed with more than 15,000 oligonucleotide probes (60-mers), including viral and control probes. Two SMAvirusChip versions were designed: SMAvirusChip v1 contains 4209 viral probes for the detection of 409 viruses, while SMAvirusChip v2 contains 4943 probes for the detection of 416 viruses. SMAvirusChip was evaluated with 20 laboratory reference-strain viruses. These viruses could be specifically detected when alone in a sample or when artificially mixed within a single sample. The sensitivity of SMAvirusChip was evaluated using 10-fold serial dilutions of dengue virus (DENV). The results showed a detection limit as low as 2.6E3 RNA copies/mL. Additionally, the sensitivity was one log10 lower (2.6E2 RNA copies/mL) than quantitative real-time RT-PCR and sufficient to detect viral genomes in clinical samples. The detection of DENV in serum samples of DENV-infected patients (n = 6) and in a whole blood sample spiked with DENV confirmed the applicability of SMAvirusChip for the detection of viruses in clinical samples. In addition, in a pool of mosquito samples spiked with DENV, the virus was also detectable. SMAvirusChip was able to specifically detect viruses in cell cultures, serum samples, total blood samples and a pool of mosquitoes, confirming that cellular RNA/DNA did not interfere with the assay. Therefore, SMAvirusChip may represent an innovative surveillance method for the rapid identification of viruses transmitted by small mammals and arthropods.

18.
Rev Soc Bras Med Trop ; 48 Suppl 1: 20-6, 2015.
Article in English | MEDLINE | ID: mdl-26061367

ABSTRACT

The Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), located in Manaus, the capital of the State of Amazonas (Western Brazilian Amazon), is a pioneering institution in this region regarding the syndromic surveillance of acute febrile illness, including arboviral infections. Based on the data from patients at the FMT-HVD, we have detected recurrent outbreaks in Manaus by the four dengue serotypes in the past 15 years, with increasing severity of the disease. This endemicity has culminated in the simultaneous circulation of all four serotypes in 2011, the first time this has been reported in Brazil. Between 1996 and 2009, 42 cases of yellow fever (YF) were registered in the State of Amazonas, and 71.4% (30/42) were fatal. Since 2010, no cases have been reported. Because the introduction of the yellow fever virus into a large city such as Manaus, which is widely infested by Aedes mosquitoes, may pose a real risk of a yellow fever outbreak, efforts to maintain an appropriate immunization policy for the populace are critical. Manaus has also suffered silent outbreaks of Mayaro and Oropouche fevers lately, most of which were misdiagnosed as dengue fever. The tropical conditions of the State of Amazonas favor the existence of other arboviruses capable of producing human disease. Under this real threat, represented by at least 4 arboviruses producing human infections in Manaus and in other neighboring countries, it is important to develop an efficient public health surveillance strategy, including laboratories that are able to make proper diagnoses of arboviruses.


Subject(s)
Arbovirus Infections/epidemiology , Arbovirus Infections/virology , Alphavirus Infections/epidemiology , Animals , Brazil/epidemiology , Bunyaviridae Infections/epidemiology , Dengue/epidemiology , Disease Outbreaks , Humans , Insect Vectors/virology , Yellow Fever/epidemiology
19.
Rev. Soc. Bras. Med. Trop ; 48(supl.1): 20-26, 2015. graf
Article in English | LILACS | ID: lil-748367

ABSTRACT

The Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), located in Manaus, the capital of the State of Amazonas (Western Brazilian Amazon), is a pioneering institution in this region regarding the syndromic surveillance of acute febrile illness, including arboviral infections. Based on the data from patients at the FMT-HVD, we have detected recurrent outbreaks in Manaus by the four dengue serotypes in the past 15 years, with increasing severity of the disease. This endemicity has culminated in the simultaneous circulation of all four serotypes in 2011, the first time this has been reported in Brazil. Between 1996 and 2009, 42 cases of yellow fever (YF) were registered in the State of Amazonas, and 71.4% (30/42) were fatal. Since 2010, no cases have been reported. Because the introduction of the yellow fever virus into a large city such as Manaus, which is widely infested by Aedes mosquitoes, may pose a real risk of a yellow fever outbreak, efforts to maintain an appropriate immunization policy for the populace are critical. Manaus has also suffered silent outbreaks of Mayaro and Oropouche fevers lately, most of which were misdiagnosed as dengue fever. The tropical conditions of the State of Amazonas favor the existence of other arboviruses capable of producing human disease. Under this real threat, represented by at least 4 arboviruses producing human infections in Manaus and in other neighboring countries, it is important to develop an efficient public health surveillance strategy, including laboratories that are able to make proper diagnoses of arboviruses.


Subject(s)
Animals , Melanosis/genetics , Pigmentation/genetics , Receptor, Melanocortin, Type 1/genetics , Sciuridae/genetics , Amino Acid Sequence , Evolution, Molecular , Genetic Association Studies , Genetic Variation , Molecular Sequence Data , Pedigree , Sciuridae/classification , Sequence Deletion/genetics
20.
Rev. Soc. Bras. Med. Trop ; 47(6): 677-683, Nov-Dec/2014. graf
Article in English | LILACS | ID: lil-732989

ABSTRACT

Chikungunya virus (CHIKV) and Mayaro virus (MAYV) are emergent arthropod-borne viruses that produce outbreaks of acute febrile illness with arthropathy. Despite their different continental origins, CHIKV and MAYV are closely related and are components of the Semliki Forest Complex of the Alphavirus (Togaviridae). MAYV and, more recently, CHIKV, which are both transmitted by Aedes mosquitoes, have resulted in severe public health problems in the Americas, including Brazil. In this review, we present aspects of the pathogenesis, clinical presentation and treatment of febrile illnesses produced by CHIKV and MAYV. We also discuss the epidemiological aspects and effects related to the prophylaxis of infections by both viruses.


Subject(s)
Animals , Humans , Alphavirus Infections/virology , Alphavirus/genetics , Communicable Diseases, Emerging/virology , Americas , Alphavirus Infections/epidemiology , Alphavirus/classification , Alphavirus/physiology , Chikungunya virus/genetics , Chikungunya virus/physiology , Communicable Diseases, Emerging/epidemiology , Insect Vectors/classification , Virus Replication
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